Infectio最新文献_第4页

Recurrencia de sindrome inflamatorio multisistemico asociado a infeccion por COVID-19: reporte de caso 与COVID-19感染相关的多系统炎症综合征复发:病例报告

Infectio Pub Date : 2023-04-23 DOI: 10.22354/24223794.1134

Diego Andrés Rodríguez-Rangel, Laura Daniela Arenas-Camacho, Zully Marley Navas-Casas, Angie Carolina Villamizar-Cáceres, Delbert Giovany Beltrán-Avendaño

引用次数: 0

Reporte de casos: Síndrome de inflamación multisistémica del adulto asociado a infección por SARS-CoV-2 病例报告:与SARS-CoV-2感染相关的成人多系统炎症综合征

Infectio Pub Date : 2023-04-23 DOI: 10.22354/24223794.1132

Laura Gilón-Córdoba, J. Garzón-Herazo, V. Dávila-Ruales, J. Rico-Mendoza

引用次数: 0

Consenso de expertos para el tratamiento antimicrobiano de las infecciones causadas por bacilos gram negativos multirresistentes en pacientes adultos 专家对成人患者多重耐药革兰氏阴性杆菌感染的抗菌治疗达成共识

Infectio Pub Date : 2023-04-23 DOI: 10.22354/24223794.1130

C. Álvarez-Moreno, F. Guevara, L. Ferrer, S. Valderrama, Jorge Alberto Cortés, Juan Pablo Osorio Lombana, José Millán Oñate Gutiérrez, M. Villegas, German F Esparza, José Leonardo Cely, Sandra Yamile Saavedra Rojas

{"title":"Consenso de expertos para el tratamiento antimicrobiano de las infecciones causadas por bacilos gram negativos multirresistentes en pacientes adultos","authors":"C. Álvarez-Moreno, F. Guevara, L. Ferrer, S. Valderrama, Jorge Alberto Cortés, Juan Pablo Osorio Lombana, José Millán Oñate Gutiérrez, M. Villegas, German F Esparza, José Leonardo Cely, Sandra Yamile Saavedra Rojas","doi":"10.22354/24223794.1130","DOIUrl":"https://doi.org/10.22354/24223794.1130","url":null,"abstract":"La resistencia bacteriana es un fenómeno de alto impacto para la salud pública mundial. A pesar de que se han construido redes de vigilancia y se han desarrollado nuevas tecnologías para la caracterización de este fenómeno; aún existen diferentes retos por abordar. El uso indiscriminado y desinformado de los antibióticos aporta de manera sustancial al fenómeno de la resistencia; por esta razón es indispensable que se desarrollen estrategias que favorezcan el aumento del conocimiento de los profesionales sanitarios para la prescripción de los antibióticos de acuerdo con diferentes factores entre ellos la epidemiología local, el sitio de infección, las condiciones clínicas de los pacientes y la mejor evidencia disponible. El objetivo de este documento es presentar recomendaciones para el tratamiento de infecciones causadas por microrganismos Gram negativos multirresistentes en el contexto hospitalario de Colombia. Se presenta una guía con 26 recomendaciones basadas en la evidencia; la metodología desarrollada se basó en la búsqueda de la literatura, evaluación de la evidencia, síntesis de información y consenso de expertos para asignar nivel de recomendación.","PeriodicalId":38132,"journal":{"name":"Infectio","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41943550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Microbiology of bone-joint infections in children at a university clinic in Medellín, Colombia 哥伦比亚Medellín大学诊所儿童骨关节感染的微生物学研究

Infectio Pub Date : 2023-01-21 DOI: 10.22354/24223794.1116

Álvaro Hoyos-Orrego, Luisa Fernanda Mantilla-Mantilla

{"title":"Microbiology of bone-joint infections in children at a university clinic in Medellín, Colombia","authors":"Álvaro Hoyos-Orrego, Luisa Fernanda Mantilla-Mantilla","doi":"10.22354/24223794.1116","DOIUrl":"https://doi.org/10.22354/24223794.1116","url":null,"abstract":"Objective: the objective of the study was to describe the microorganisms, antimicrobial susceptibility, and diagnostic microbiology procedures in children with osteoarticular infections. Methods: This was a retro-prospective case series in children who consulted a university clinic in Medellín, Colombia, between 2010-2016, who had a cultureconfirmed diagnosis. Results: Out of a total of 218 registered patients, we included 39 with microbiological confirmation. There were more males (27; 69,2%), and 71% cases occurred in >5 years old. The main microorganisms were Methicillin-Susceptible Staphylococcus aureus (MSSA) 53,8%, Methicillin-Resistant Staphylococcus aureus (MRSA) 20,5%, other gram-positive cocci 10%, Pseudomonas aeruginosa 5,1%, Enterobacter cloacae complex 2,5%, Haemophilus haemolyticus 2,5%, Mycobacterium tuberculosis 2,5%, and Candida albicans 2,5%. The susceptibility of MSSA/MRSA to trimethoprim-sulfamethoxazole and vancomycin was 100%, and for clindamycin it was 100% and 87%, respectively. Bone tissue and bone secretion using conventional methods, bone pus or synovial fluid inoculated in a blood culture bottle, and synovial tissue were positive in 96%, 87,5% and 50%, respectively. The blood cultures were positive in 54%. In two patients only the blood cultures were positive. Conclusion: MSSA was the most frequent microorganism followed by MRSA. However, MRSA showed high susceptibility to trimethoprim-sulfamethoxazole, clindamycin, and vancomycin. The high positivity of primary cultures suggests the importance of always obtaining them. Although the positivity of blood cultures was lower, should always be included as part of microbiological studies.","PeriodicalId":38132,"journal":{"name":"Infectio","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45539517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

HIV infection as a risk factor for COVID 19: A systematic review and meta-analysis 艾滋病毒感染是COVID - 19的危险因素:系统综述和荟萃分析

Infectio Pub Date : 2023-01-21 DOI: 10.22354/24223794.1114

Silvia Juliana Vásquez-Lozano, Alberto Díaz

引用次数: 0

Descripción de la experiencia de un programa de Profilaxis preexposición (PrEP) a VIH en Medellín, Colombia 哥伦比亚medellin的艾滋病毒暴露前预防(PrEP)项目的经验描述

Infectio Pub Date : 2023-01-21 DOI: 10.22354/24223794.1118

Juan Carlos Cataño-Correa, Paula Andrea Montoya-Flórez, J. Cardona-Arias

引用次数: 0

Characterization of pediatric patients with necrotizing pneumonia treated at a quaternary care center in Bogotá, Colombia, 2010-2017 2010-2017年在哥伦比亚波哥大四级护理中心接受治疗的坏死性肺炎儿童患者的特征

Infectio Pub Date : 2023-01-21 DOI: 10.22354/24223794.1115

M. P. Guerrero, G. Camacho-Moreno, K. Márquez

{"title":"Characterization of pediatric patients with necrotizing pneumonia treated at a quaternary care center in Bogotá, Colombia, 2010-2017","authors":"M. P. Guerrero, G. Camacho-Moreno, K. Márquez","doi":"10.22354/24223794.1115","DOIUrl":"https://doi.org/10.22354/24223794.1115","url":null,"abstract":"Introduction: The incidence of Necrotizing Pneumonia (NP) as a complication of pneumonia has increased. Between 0.6 and 2% of parapneumonic effusions result in empyema, while up to 20% are complicated by necrosis. Methodology: A observational, ambispective study was conducted. The retrospective phase included patients treated between 2010 and 2015; the prospective between 2015 and 2017. The clinical records of patients with pneumonia were reviewed. Patients with pneumatoceles in radiography (Rx) or chest tomography (CT), or bronchopleural fistulas diagnosed were included. Results: 69 patients were collected. Information on immunization was obtained in 67% of patients. Laboratory test results showed leukocytosis > 15,000/mL (65%), thrombocytosis > 450,000/mL (45%), and LDH in pleural fluid > 2500 IU/L (61% of 18 patients). Imaging findings were consolidation (75% vs. 100%) and pneumatocele (33% vs 90%). Microbiological isolates were collected from 27 patients. Streptococcus pneumoniae (56%) and Staphylococcus aureus (30%) were the most common agents. Twelve (80%) pneumococci were identified: five serotype 3, two serotypes 14 and 19A, one serotypes 6A, 8, and 1. Conclusions: NP is a complication that should be suspected in children under 5 years of age with torpid evolution, leukocytosis, thrombocytosis, increased LDH levels in pleural fluid, and pneumatoceles in imaging scans.","PeriodicalId":38132,"journal":{"name":"Infectio","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46962416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Síndrome hemofagocítico asociado a dengue grave en una institución pediátrica de Cali - Colombia 哥伦比亚卡利一家儿科机构与严重登革热相关的噬血细胞综合征

Infectio Pub Date : 2023-01-21 DOI: 10.22354/24223794.1110

Mónica Pérez-Sánchez, Mónica Alexandra Gil-Artunduaga, Maribel Valencia-Benavides, Arieth Figueroa-Vargas

{"title":"Síndrome hemofagocítico asociado a dengue grave en una institución pediátrica de Cali - Colombia","authors":"Mónica Pérez-Sánchez, Mónica Alexandra Gil-Artunduaga, Maribel Valencia-Benavides, Arieth Figueroa-Vargas","doi":"10.22354/24223794.1110","DOIUrl":"https://doi.org/10.22354/24223794.1110","url":null,"abstract":"Objetivo: caracterizar los pacientes pediátricos con síndrome hemofagocítico asociado a dengue grave en una institución pediátrica de Cali-Colombia. Material y método: Estudio observacional descriptivo tipo serie de casos. Se incluyeron 7 pacientes menores de 18 años con diagnóstico de dengue grave y síndrome hemofagocítico asociado, hospitalizados en la Fundación Clínica Infantil Club Noel desde diciembre del 2019 hasta noviembre del 2020. Resultados: Se incluyeron siete de 136 pacientes con dengue grave que cumplieron con los criterios diagnósticos de síndrome hemofagocítico. La mayoría fueron hombres (n=6/7), con una media de edad de 7,7 años. Las manifestaciones clínicas fueron fiebre (n=7/7), dolor abdominal (n=7/7), exantema (n=7/7), síntomas constitucionales (n=7/7) y hepatomegalia (n=7/7). El sistema más frecuentemente comprometido fue el respiratorio (n=7/7) seguido del hemodinámico (n=6/7) con requerimiento de ventilación mecánica (n=5/7) e inotropia (n=6/7). Discusión: Todos los pacientes se manifestaron con hepatoesplenomegalia, trombocitopenia, hiperferritinemia e hipofibrinogenemia, menor presencia de células hemofagocíticas, mayor aparición de anemia y mayor requerimiento de ventilación mecánica e inotropía en comparación con otros estudios (1,2). Conclusión: Los niños con síndrome hemofagocítico secundario a infección por dengue grave pueden presentar disfunción multiorgánica observando mayor compromiso respiratorio, hematológico y renal. El diagnóstico y tratamiento oportuno pueden mejorar el pronóstico.","PeriodicalId":38132,"journal":{"name":"Infectio","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45173327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Staphylococcus xylosus etiología poco frecuente de choque séptico en gestantes, informe de un caso 木糖葡萄球菌在孕妇感染性休克中的罕见病因--病例报告

Infectio Pub Date : 2023-01-21 DOI: 10.22354/24223794.1119

Juan Camilo Galvis-Mejia, Diana Catalina Arias-Sarmientopérez, Harold Sebastián Castillo-Pastuzán, Leidy Viviana Alvarez-Castillo

引用次数: 0

HPV frequency, p16 expression and risk factors for oral leukoplakia from Córdoba, Argentina 阿根廷科尔多瓦口腔白斑的HPV发病率、p16表达及危险因素

Infectio Pub Date : 2023-01-21 DOI: 10.22354/24223794.1117

G. Gilligan, R. Panico, Cecilia Di Tada, A. Lucca, M. Brunotto, E. Piemonte

{"title":"HPV frequency, p16 expression and risk factors for oral leukoplakia from Córdoba, Argentina","authors":"G. Gilligan, R. Panico, Cecilia Di Tada, A. Lucca, M. Brunotto, E. Piemonte","doi":"10.22354/24223794.1117","DOIUrl":"https://doi.org/10.22354/24223794.1117","url":null,"abstract":"Background: Non-homogeneous results about the frequency of HPV in leukoplakia are presented in current literature, possibly linked to different factors. Among them, a diverse HPV geographical distribution was suggested. This study aimed to describe the frequency of HPV in patients diagnosed with leukoplakia. Patients & Methods: A cross-sectional study was carried out at the Facultad de Odontología, Universidad Nacional de Córdoba. HPV status was studied by polymerase-chain reaction (HPV-PCR) and p16 by immunohistochemistry. HPV status was analyzed concerning the clinical-demographic features using the Fisher test and the McNemar test. Results: There were included 33 patients diagnosed with different subtypes of oral leukoplakia. HPV genome was detected by PCR in 48.5% (n=16). The most common viral genotype was HPV16. p16 was positive in 27% (n=9) of the cases. The concordance between HPV detection techniques showed poor or weak agreement (Mc Nemar 0.1185). Except for chronic mechanical irritation with HPV-PCR + (p=0.0049), and tongue location with HPV-PCR + (p=0.0366), no significant statistical association between the other included variables was found. Conclusions: The low frequency of HPV in this study agrees with previous studies of our region. Chronic mechanical irritation could play a role in the development of HPV-associated leukoplakias, mainly located on the ventrolateral tongue.","PeriodicalId":38132,"journal":{"name":"Infectio","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49550447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0