Enfermedades infecciosas y microbiologia clinica最新文献_第6页

Vaccination in adults with HIV in Spain: Where are we? 西班牙成人艾滋病毒感染者的疫苗接种：我们在哪里？

IF 2.6 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-08-01 DOI: 10.1016/j.eimc.2024.06.001

Esteban Martinez

引用次数: 0

Sobre las limitaciones del diagnóstico de meningitis tuberculosa 结核性脑膜炎诊断的局限性

IF 2.6 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-08-01 DOI: 10.1016/j.eimc.2024.03.009

Javier Velasco Montes , Silvia González Díez , Elena Rivas Cilleros

引用次数: 0

Pediatric mucormycosis associated with COVID-19: A systematic review of clinical cases 与COVID-19相关的小儿粘孢子菌病：临床病例的系统回顾

IF 2.5 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-06-01 DOI: 10.1016/j.eimc.2023.11.002

Laura Batista Amaral , Fabianne Carlesse , Luana Rossato

引用次数: 0

Evaluación de FebriDx® para el manejo de niños con infección respiratoria aguda febril 对FebriDx®治疗发热性急性呼吸道感染患儿的评估

IF 2.5 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-06-01 DOI: 10.1016/j.eimc.2024.01.009

Paula de la Matta Farrando , Maria Teresa Suay Torres , Anna Sabater Sabaté , Victoria Trenchs Sainz de la Maza , Carles Luaces Cubells , Susanna Hernández Bou

{"title":"Evaluación de FebriDx® para el manejo de niños con infección respiratoria aguda febril","authors":"Paula de la Matta Farrando , Maria Teresa Suay Torres , Anna Sabater Sabaté , Victoria Trenchs Sainz de la Maza , Carles Luaces Cubells , Susanna Hernández Bou","doi":"10.1016/j.eimc.2024.01.009","DOIUrl":"10.1016/j.eimc.2024.01.009","url":null,"abstract":"<div><h3>Introduction</h3><p>Acute respiratory infections (ARI) are a common cause of inappropriate antibiotic prescription (ATB) in pediatrics. FebriDx® is a rapid diagnostic test that differentiates between viral and bacterial infections. The objective is to analyse the impact of FebriDx® on ATB prescription when managing febrile ARI.</p></div><div><h3>Methods</h3><p>Prospective study carried out in patients aged 1-<18 years with febrile ARI in the emergency department. FebriDx® was performed and the impact on management was evaluated at follow-up.</p></div><div><h3>Results</h3><p>A total of 216 patients were included. Clinical assessment and FebriDx® result coincided in 174 (80.5%) cases. A modification of the initial therapeutic plan was made in 22 (52.4%) of the 42 discordant ones (10.2% of the overall patients). In pneumonia the impact was 34.5%; in all cases it involved not prescribing ATB.</p></div><div><h3>Conclusion</h3><p>FebriDx® could be a useful tool in the management of pediatric patients with febrile ARI to optimize ATB prescription.</p></div>","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"42 6","pages":"Pages 313-316"},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140046032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pitfalls in the interpretation of results returned by multiplex real-time PCR panels in the diagnosis of non-gonococcal male urethritis: The case of Ureaplasma urealyticum 在诊断非淋菌性男性尿道炎时解读多重实时 PCR 检测板结果的误区：尿解支原体病例

IF 2.5 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-06-01 DOI: 10.1016/j.eimc.2024.02.004

María Jesús Castaño , María Jesús Alcaraz , Eliseo Albert , David Navarro

引用次数: 0

Brotes por Klebsiella oxytoca en unidades de cuidados intensivos neonatales: análisis de un brote en un hospital de tercer nivel y revisión sistemática 新生儿重症监护室爆发的氧合克雷伯氏菌：一家三级医院爆发疫情的分析和系统综述

IF 2.5 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-06-01 DOI: 10.1016/j.eimc.2023.04.004

María Liébana-Rodríguez , Esther Recacha-Villamor , Carmen Díaz-Molina , Patricia Pérez-Palacios , Lina Martín-Hita , Francisca Enríquez-Maroto , José Gutiérrez-Fernández

{"title":"Brotes por Klebsiella oxytoca en unidades de cuidados intensivos neonatales: análisis de un brote en un hospital de tercer nivel y revisión sistemática","authors":"María Liébana-Rodríguez , Esther Recacha-Villamor , Carmen Díaz-Molina , Patricia Pérez-Palacios , Lina Martín-Hita , Francisca Enríquez-Maroto , José Gutiérrez-Fernández","doi":"10.1016/j.eimc.2023.04.004","DOIUrl":"10.1016/j.eimc.2023.04.004","url":null,"abstract":"<div><h3>Objectives</h3><p><em>Klebsiella oxytoca</em> can cause nosocomial infections, affecting vulnerable newborns. There are few studies describing nosocomial outbreaks in the neonatal intensive care units (NICU). In this study, a systematic review of the literature was carried out to know the main characteristics of these outbreaks and the evolution of one is described.</p></div><div><h3>Methods</h3><p>We conducted a systematic review in the Medline database up to July 2022, and present a descriptive study of an outbreak with 21 episodes in the NICU of a tertiary hospital, between September 2021 and January 2022.</p></div><div><h3>Results</h3><p>Nine articles met the inclusion criteria. The duration of outbreaks was found to be variable, of which 4 (44.4%) lasted for a year or more. Colonization (69%) was more frequent than infections (31%) and the mortality rate was 22.4%. In studies describing sources, the most frequent was the environmental origin (57.1%). In our outbreak there were 15 colonizations and 6 infections. The infections were mild conjunctivitis without sequelae. Molecular typing analysis made it possible to detect 4 different clusters.</p></div><div><h3>Conclusions</h3><p>There is an important variability in the evolution and results of the published outbreaks, highlighting a greater number of colonized, use of pulsed-field gel electrophoresis (PFGE) techniques for molecular typing and implementation of control measures. Finally, we describe an outbreak in which 21 neonates were affected with mild infections, resolved without sequelae and whose control measures were effective.</p></div>","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"42 6","pages":"Pages 294-301"},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134518282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Una causa inesperada de miopericarditis en un paciente inmunodeprimido 免疫力低下患者心肌炎的意外病因

IF 2.5 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-06-01 DOI: 10.1016/j.eimc.2024.01.010

Elisa González de Herrero , Victoriano Moreno , María Luisa Martín-Pena , Enrique Ruiz de Gopegui

引用次数: 0

Una interesante pareja de baile en un inmigrante subsahariano 撒哈拉以南移民的有趣舞伴

IF 2.5 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-06-01 DOI: 10.1016/j.eimc.2023.11.004

Mar Redero Cascón , Inmaculada Izquierdo , Juan Luis Muñoz Bellido , Moncef Belhassen-Garcia

引用次数: 0

Correlates of one-year mortality among patients living with HIV according to the stratification level of the pharmaceutical care model 根据药物护理模式的分层水平，HIV感染者一年死亡率的相关因素。

IF 2.5 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-06-01 DOI: 10.1016/j.eimc.2023.04.002

Enrique Contreras-Macías , María de las Aguas Robustillo-Cortés , Ramón Morillo-Verdugo

{"title":"Correlates of one-year mortality among patients living with HIV according to the stratification level of the pharmaceutical care model","authors":"Enrique Contreras-Macías , María de las Aguas Robustillo-Cortés , Ramón Morillo-Verdugo","doi":"10.1016/j.eimc.2023.04.002","DOIUrl":"10.1016/j.eimc.2023.04.002","url":null,"abstract":"<div><h3>Objectives</h3><p>The patient living with HIV (PLWH) profile has changed and with it, the importance of patient-oriented pharmaceutical care (PC) has been highlighted, for which the stratification tool of the Capacity-Motivation-Opportunity (CMO) PC model helps us which adapts to the needs of each patient. To assess the true relevance, our main objective is to evaluate the differences of one-year mortality among PLWH stratified according to this model.</p></div><div><h3>Methods</h3><p>A single-center observational analytical survival research study including adult PLWH on antiretroviral therapy<span> (ART) from January-2021 to January-2022 treated at hospital pharmacy outpatient service according to CMO pharmaceutical care model.</span></p></div><div><h3>Results</h3><p><span>A total of 428 patients were included, a median age of 51 years (interquartile range 42–57 year). Overall, the number of patients stratified according to the CMO PC model was 86.2% at level 3, 9.8% at level 2, and 4.0% at level 1. Cox proportional hazard model that included the stratification level was associated with a higher mortality, whose level 1 patients had a 99.7% higher mortality (Hazard ratio</span>  <!-->0.0003; 95%CI: 0.001–0.027).</p></div><div><h3>Conclusions</h3><p>To sum up, mortality of-one year differs when comparing the PC strata of level 1 and non-level 1, although being similar in age and other clinical conditions. This result suggests that the multidimensional stratification tool, included in the CMO PC model, could be used to modulate the patients intensity follow-up and design interventions more tailored to their needs.</p></div>","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"42 6","pages":"Pages 302-307"},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41882137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relevancia clínica de la codetección viral en lactantes con bronquiolitis por virus respiratorio sincitial 呼吸道合胞病毒支气管炎婴儿合并病毒检测的临床意义

IF 2.5 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-06-01 DOI: 10.1016/j.eimc.2023.04.009

Albert Bernet Sánchez , Alba Bellés Bellés , Mercè García González , Laura Minguell Domingo , Eduard Solé Mir

{"title":"Relevancia clínica de la codetección viral en lactantes con bronquiolitis por virus respiratorio sincitial","authors":"Albert Bernet Sánchez , Alba Bellés Bellés , Mercè García González , Laura Minguell Domingo , Eduard Solé Mir","doi":"10.1016/j.eimc.2023.04.009","DOIUrl":"10.1016/j.eimc.2023.04.009","url":null,"abstract":"<div><h3>Introduction</h3><p>Respiratory syncytial virus (RSV) is the main cause of severe bronchiolitis, especially in infants. The aim of this study is to assess whether codetection of RSV and other respiratory viruses could affect the severity of this infection comparing with unique RSV detection.</p></div><div><h3>Methods</h3><p>A prospective study from 2016 to 2019 including children under 2 years who were admitted in the Emergency Service of the Hospital Universitari Arnau de Vilanova de Lleida (Spain) was performed. Nasopharyngeal samples from all patients were sent to the laboratory for RSV real-time PCR detection (GeneXpert®). A multiplex PCR that detects other respiratory viruses was done in all RSV-positive samples. Patients’ medical records were checked to collect clinical data (hospital length of stay, BROSJOD score, ICU admission, need for ventilatory support or transfer to a reference hospital). Patients were divided in 2 groups: infants with unique RSV detection and infants with viral codetection. Bivariant analyses were performed to analyze the data obtained.</p></div><div><h3>Results</h3><p>During the period of study 437 RSV bronchiolitis were diagnosed. In 199 of them (177/437; 45.5%) another respiratory virus was detected concomitantly. Bivariant analyses do not show statistically significant differences between both groups.</p></div><div><h3>Conclusions</h3><p>Viral codetection in infants with RSV bronchiolitis is frequent. However, it does not seems to affect the severity of this infection.</p></div>","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"42 6","pages":"Pages 308-312"},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121298669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0