RESUMEN
Methicillin-resistant Staphylococcus (MRS) has been associated with neonatal infections, with colonization of the anovaginal tract being the main source of vertical transmission. The COVID-19 pandemic has altered the frequency of antibiotic usage, potentially contributing to changes in the dynamics of bacterial agents colonizing humans. Here we determined MRS colonization rates among pregnant individuals attending a single maternity in Rio de Janeiro, Brazil before (January 2019-March 2020) and during (May 2020-March 2021) the COVID-19 pandemic. Anovaginal samples (n = 806 [521 samples before and 285 during the pandemic]) were streaked onto chromogenic media. Colonies were identified by MALDI-TOF MS. Detection of mecA gene and SCCmec typing were assessed by PCR and antimicrobial susceptibility testing was done according to CLSI guidelines. After the onset of the pandemic, MRS colonization rates increased significantly (p < 0.05) from 8.6% (45) to 54.7% (156). Overall, 215 (26.6%) MRS isolates were detected, of which S. haemolyticus was the most prevalent species (MRSH, 84.2%; 181 isolates). SCCmec type V was the most frequent among MRS (63.3%; 136), and 31.6% (68) of MRS strains had a non-typeable SCCmec, due to new combinations of ccr and mecA complexes. Among MRS strains, 41.9% (90) were resistant to at least 3 different classes of antimicrobial agents, and 60% (54) of them were S. haemolyticus harboring SCCmec V. MRS colonization rates and the emergence of multidrug-resistant variants detected in this study indicate the need for continuing surveillance of this important pathogen within maternal and child populations.
Asunto(s)
COVID-19 , Staphylococcus aureus Resistente a Meticilina , Infecciones Estafilocócicas , Humanos , Femenino , Embarazo , COVID-19/epidemiología , COVID-19/virología , Infecciones Estafilocócicas/epidemiología , Infecciones Estafilocócicas/microbiología , Staphylococcus aureus Resistente a Meticilina/genética , Staphylococcus aureus Resistente a Meticilina/aislamiento & purificación , Staphylococcus aureus Resistente a Meticilina/efectos de los fármacos , Adulto , Brasil/epidemiología , Complicaciones Infecciosas del Embarazo/microbiología , Complicaciones Infecciosas del Embarazo/epidemiología , Antibacterianos/farmacología , SARS-CoV-2/genética , SARS-CoV-2/aislamiento & purificación , Pruebas de Sensibilidad Microbiana , Pandemias , Vagina/microbiologíaRESUMEN
The objective of this study was to evaluate diets containing monensin (MON) associated or not with virginiamycin (VM) or functional oil based on cashew nut shell and castor beans (FOcc) for beef cattle in feedlots on nutritional (intake and digestibility) and productive parameters. A total of 1410 non-castrated Nellore cattle were selected, with an average age of 18 months and with an initial mean body weight (BW) of 305 ± 41.52 kg. The diet showed a roughage to concentrate ratio of 23:77, with the supply of corn silage as a source of roughage. The following additive inclusions in the diet were evaluated: (1) MON: 27 mg MON/kg dry matter (DM); (2) MON + VM: 22 mg MON/kg DM + 19 mg VM/kg DM; and (3) MON + FOcc: 22 mg MON/kg DM + 500 mg FOcc/kg DM. Statistical analyses were obtained through a linear model using initial BW and days of feedlot as covariables and comparisons between treatments using mutually orthogonal linear contrasts with a 5% significance level. The association or not of MON with VM or FOcc does not affect any of the nutritional and productive parameters evaluated. Animals that receive diets with MON + VM have higher average daily gain and feed efficiency (FE) than those that receive MON + FOcc without showing differences in nutritional parameters. The supply of MON associated with VM or FOcc does not increase intake and productive performance and, consequently, efficiency of feedlot beef cattle. However, in the case of use associated with MON, the VM provides greater performance than FOcc without changing food intake.
Asunto(s)
Monensina , Virginiamicina , Alimentación Animal/análisis , Animales , Bovinos , Dieta/veterinaria , Fibras de la Dieta , Monensina/farmacologíaRESUMEN
O presente estudo avaliou o efeito da suplementação com OmniGen-AF® na proliferação de linfócitos e títulos de anticorpos após vacinação em bovinos leiteiros. Amostras de sangue periférico foram coletadas de 32 vacas leiteiras para quantificação dos títulos de anticorpos anti-Leptospira, e amostras de sangue periférico de 16 vacas leiteiras foram também coletadas para avaliação da proliferação de linfócitos. Observou-se que a suplementação com OmniGen-AF® aumentou a proliferação basal de linfócitos (sem estímulos) 21 dias após a vacinação (P=0,03), apesar de reduzir a proliferação de linfócitos B quando estimulada com Leptospira borgpetersenii serovar Hardjo inativada pelo calor (P=0,03). Ademais, nenhum efeito da suplementação sobre a proliferação de linfócitos no momento imediatamente anterior à vacinação e nos títulos de anticorpos anti-Leptospira foi encontrado. Além disso, a proliferação de linfócitos estimulada com lipopolissacarídeos foi maior em vacas multíparas que em primíparas 21 dias após a vacinação (P=0,03). Desse modo, o presente estudo demonstra que a suplementação com OmniGen-AF® não afetou de forma robusta a proliferação de linfócitos e os títulos de anticorpos anti-Leptospira após vacinação em vacas leiteiras sadias.(AU)
Asunto(s)
Animales , Femenino , Bovinos , Vacunas Combinadas/análisis , Suplementos Dietéticos/análisis , Factores Inmunológicos/administración & dosificación , Linfocitosis/veterinaria , Lipopolisacáridos , Leptospira/inmunologíaRESUMEN
This study identified potential blood markers associated with mastitis in dairy cows under different dry therapies during the transition period, using a logistic regression model. Thirty-four Holstein dairy cows were divided into three groups: untreated controls (13 cows, 42 quarters); animals that received an antimicrobial at drying-off (10 cows, 40 quarters); and animals that were administered an internal teat sealant at drying-off (11 cow, 44 quarters). Blood and quarter milk samples were collected 60 days before the expected day of calving, on the day of calving, and three, seven, 15, 21, and 30 days after calving. Milk samples were submitted for bacteriological analysis and somatic cell count. Blood samples were collected for analyses of the following: the erythrogram and leucogram; plasm fibrinogen concentration; hepatic and renal functions; metabolic profile; serum calcium and phosphorous levels; total serum protein and albumin concentrations. The concentration of total serum proteins was associated with a high somatic cell count. Similarly, the concentrations of total serum proteins and triglycerides were associated to milk bacteriological positive samples during the transition period. Thus, the occurrence of mastitis in dairy cows during the transition period was greater in animals that showed higher concentrations of serum total proteins and triglycerides, in contrast to the use of dry cow therapy.(AU)
O presente estudo identificou potenciais marcadores sanguíneos associados tanto à mastite, durante o período de transição em vacas leiteiras submetidas à antimicrobianoterapia, quanto à utilização do selante interno de teto na secagem por modelo de regressão logística. Trinta e quatro vacas da raça Holandesa foram divididas em três grupos experimentais, a saber: 13 animais (42 quartos mamários) que não receberam tratamento na secagem; 10 animais (40 quartos mamários) tratados por via intramamária com uma bisnaga do antimicrobiano para vaca seca à base de cefalônio anidro após a última ordenha em cada quarto mamário; e 11 animais (44 quartos mamários) que receberam, por via intramamária, uma bisnaga de selante à base de subnitrato de bismuto após a última ordenha em cada quarto mamário. As amostras de leite e sangue foram coletadas 60 dias antes da data prevista do parto, na secagem, e no dia do parto e após três, sete, 15 e 21 dias após o parto. As amostras de leite foram utilizadas para o exame microbiológico e a determinação da contagem de células somáticas. As amostras de sangue foram utilizadas para determinação do eritrograma, leucograma, fibrinogênio plasmático, funções hepáticas e renais, perfil metabólico, proteína total e albuminas séricas e concentração sérica de cálcio e fósforo. A concentração total de proteínas séricas foi associada à alta contagem de células somáticas. Similarmente, a concentração total de proteínas séricas e triglicérides foi associada ao isolamento de patógenos causadores de mastite nas amostras de leite durante o período de transição. Desse modo, conclui-se que vacas leiteiras com concentrações séricas maiores de proteína total e triglicérides têm maior chance de apresentar mastite durante o período de transição; em contraste, o uso da antimicrobianoterapia de vaca seca reduz esse risco.(AU)
Asunto(s)
Animales , Femenino , Bovinos , Bovinos/sangre , Mastitis Bovina/sangre , Biomarcadores , Factores de RiesgoRESUMEN
This study identified potential blood markers associated with mastitis in dairy cows under different dry therapies during the transition period, using a logistic regression model. Thirty-four Holstein dairy cows were divided into three groups: untreated controls (13 cows, 42 quarters); animals that received an antimicrobial at drying-off (10 cows, 40 quarters); and animals that were administered an internal teat sealant at drying-off (11 cow, 44 quarters). Blood and quarter milk samples were collected 60 days before the expected day of calving, on the day of calving, and three, seven, 15, 21, and 30 days after calving. Milk samples were submitted for bacteriological analysis and somatic cell count. Blood samples were collected for analyses of the following: the erythrogram and leucogram; plasm fibrinogen concentration; hepatic and renal functions; metabolic profile; serum calcium and phosphorous levels; total serum protein and albumin concentrations. The concentration of total serum proteins was associated with a high somatic cell count. Similarly, the concentrations of total serum proteins and triglycerides were associated to milk bacteriological positive samples during the transition period. Thus, the occurrence of mastitis in dairy cows during the transition period was greater in animals that showed higher concentrations of serum total proteins and triglycerides, in contrast to the use of dry cow therapy.(AU)
O presente estudo identificou potenciais marcadores sanguíneos associados tanto à mastite, durante o período de transição em vacas leiteiras submetidas à antimicrobianoterapia, quanto à utilização do selante interno de teto na secagem por modelo de regressão logística. Trinta e quatro vacas da raça Holandesa foram divididas em três grupos experimentais, a saber: 13 animais (42 quartos mamários) que não receberam tratamento na secagem; 10 animais (40 quartos mamários) tratados por via intramamária com uma bisnaga do antimicrobiano para vaca seca à base de cefalônio anidro após a última ordenha em cada quarto mamário; e 11 animais (44 quartos mamários) que receberam, por via intramamária, uma bisnaga de selante à base de subnitrato de bismuto após a última ordenha em cada quarto mamário. As amostras de leite e sangue foram coletadas 60 dias antes da data prevista do parto, na secagem, e no dia do parto e após três, sete, 15 e 21 dias após o parto. As amostras de leite foram utilizadas para o exame microbiológico e a determinação da contagem de células somáticas. As amostras de sangue foram utilizadas para determinação do eritrograma, leucograma, fibrinogênio plasmático, funções hepáticas e renais, perfil metabólico, proteína total e albuminas séricas e concentração sérica de cálcio e fósforo. A concentração total de proteínas séricas foi associada à alta contagem de células somáticas. Similarmente, a concentração total de proteínas séricas e triglicérides foi associada ao isolamento de patógenos causadores de mastite nas amostras de leite durante o período de transição. Desse modo, conclui-se que vacas leiteiras com concentrações séricas maiores de proteína total e triglicérides têm maior chance de apresentar mastite durante o período de transição; em contraste, o uso da antimicrobianoterapia de vaca seca reduz esse risco.(AU)
Asunto(s)
Animales , Femenino , Bovinos , Bovinos/sangre , Mastitis Bovina/sangre , Biomarcadores , Factores de RiesgoRESUMEN
Studies about toxicological potential of usnic acid are limited. This way, the vast majority of data available in the literature are related only to biological activities. This is the first study that aimed to evaluate the oral toxicity of usnic acid during the period of organogenesis. Females rats were distributed in the control groups, treated I and II, at doses of 15 and 25 mg/kg, administered by gavage during the 6° to 15° days of pregnancy. After 20 days the fetuses were removed and analyzed. A reduction in weight gain during pregnancy, increased resorption, reduction in the number of viable fetuses, and their body weight were observed. Morphological changes in the litter were visualized as exposure of the eye and atrophy of the limbs at the dose of 25 mg/kg. Histological analysis of the liver of the fetus showed reduction in the number of megakaryocytes between experimental groups and increase in the number of hepatocytes in a dose of 25 mg/kg. The experimental model used in this study reveals teratogenic effect of usnic acid in the period of organogenesis. Since this achievement, the importance of evaluating the toxic effects of natural substances is imperative, in order to elucidate the care in their indication as drug.
Asunto(s)
Benzofuranos/administración & dosificación , Organogénesis/efectos de los fármacos , Teratogénesis/efectos de los fármacos , Animales , Ascomicetos/química , Benzofuranos/química , Peso Corporal/efectos de los fármacos , Femenino , Desarrollo Fetal/efectos de los fármacos , Feto/efectos de los fármacos , Masculino , Tamaño de los Órganos/efectos de los fármacos , Embarazo , RatasRESUMEN
A artrite encefalite caprina é uma virose que está distribuída mundialmente nos rebanhos. Na forma mamária, é predominante a mastite crônica, que pode causar assimetria e endurecimento do úbere, mais conhecida como mastite endurativa crônica, levando à redução na produção leiteira. A ultrassonografia é um bom método de avaliação da glândula mamária, pois consiste em uma técnica não invasiva, rápida e de fácil aplicação. Este estudo objetivou avaliar as características ultrassonográficas (escala de cinza, ecogenicidade e homogeneidade) do parênquima mamário de 20 cabras sororreagentes e 20 não sororreagentes para o vírus da artrite encefalite caprina. Observou-se que o diâmetro médio dos linfonodos retromamários de animais sororreagentes (0,72cm) para o vírus da artrite encefalite caprina foi menor (P=0,02) que o dos animais não sororreagentes (0,93cm). Na análise entre as porções do úbere, os valores da escala de cinza do terço distal da porção caudal do parênquima mamário foram maiores nos animais sororreagentes (P<0.0001, lado direito; P=0,02, lado esquerdo). Tais dados sugerem que o aumento na escala de cinza do parênquima mamário das cabras pode estar correlacionado com as alterações crônicas causadas pela artrite encefalite caprina, como a mastite endurativa. Em relação aos aspectos subjetivos de ecogenicidade e homogeneidade, os grupos não apresentaram diferença entre si (P>0,05), exibindo em sua maioria padrões hipoecoicos e heterogêneos. Diante dos resultados, o presente estudo aponta indícios de que a artrite encefalite caprina pode causar alterações na escala de cinza mensuráveis pela ultrassonografia, a qual pode ser utilizada como método auxiliar eficiente e não invasivo no monitoramento e diagnóstico precoce da mastite endurativa.(AU)
The caprine arthritis encephalitis is a virosis with worldwide distribution in livestock and in the mammary form chronic mastitis is prevalent, which can cause assimetric and hardening of the udder, known as indurative chronic mastitis leading to reduction in milk production. The ultrasound is a good method of assessing the mammary gland, because the technique is non-invasive, fast, and easy to apply. This study aimed to evaluate the ultrasonographic features (grayscale, echogenicity, and homogeneity) of mammary parenchyma of 20 seroreacting goats and 20 not seroreacting for caprine arthritis encephalitis virus. It was observed that the average diameter of retromammary lymph nodes of seroreacting animals (0.72cm) to caprine arthritis encephalitis virus was smaller (P= 0.02) than in non seroreacting animals (0.93cm). In analysis between the portions of the udder, the grayscale values of the distal third of the caudal portion of the mammary parenchyma was higher in seroreacting animals (P<0.0001, right side; P= 0.02, left side). Such data suggest that the increase in ultrasonographic grayscale of mammary parenchyma of goats can be correlated to chronic changes caused by caprine arthritis encephalitis, as indurative mastitis. In relation to the subjective aspects of echogenicity and homogeneity, the groups showed no difference between them (P>0.05), displaying mostly heterogeneous and hypoechoic standards. From the results, this study points to evidence that the caprine arthritis encephalitis can cause changes in grayscale measurable by ultrasound, and this can be used as an efficient and non-invasive helper method for monitoring and early detection of indurative mastitis.(AU)
Asunto(s)
Animales , Femenino , Ultrasonografía/veterinaria , Virus de la Artritis-Encefalitis Caprina , Cabras , Glándulas Mamarias Animales , Enfermedad Crónica , Diagnóstico por Imagen/veterinariaRESUMEN
A artrite encefalite caprina é uma virose que está distribuída mundialmente nos rebanhos. Na forma mamária, é predominante a mastite crônica, que pode causar assimetria e endurecimento do úbere, mais conhecida como mastite endurativa crônica, levando à redução na produção leiteira. A ultrassonografia é um bom método de avaliação da glândula mamária, pois consiste em uma técnica não invasiva, rápida e de fácil aplicação. Este estudo objetivou avaliar as características ultrassonográficas (escala de cinza, ecogenicidade e homogeneidade) do parênquima mamário de 20 cabras sororreagentes e 20 não sororreagentes para o vírus da artrite encefalite caprina. Observou-se que o diâmetro médio dos linfonodos retromamários de animais sororreagentes (0,72cm) para o vírus da artrite encefalite caprina foi menor (P=0,02) que o dos animais não sororreagentes (0,93cm). Na análise entre as porções do úbere, os valores da escala de cinza do terço distal da porção caudal do parênquima mamário foram maiores nos animais sororreagentes (P<0.0001, lado direito; P=0,02, lado esquerdo). Tais dados sugerem que o aumento na escala de cinza do parênquima mamário das cabras pode estar correlacionado com as alterações crônicas causadas pela artrite encefalite caprina, como a mastite endurativa. Em relação aos aspectos subjetivos de ecogenicidade e homogeneidade, os grupos não apresentaram diferença entre si (P>0,05), exibindo em sua maioria padrões hipoecoicos e heterogêneos. Diante dos resultados, o presente estudo aponta indícios de que a artrite encefalite caprina pode causar alterações na escala de cinza mensuráveis pela ultrassonografia, a qual pode ser utilizada como método auxiliar eficiente e não invasivo no monitoramento e diagnóstico precoce da mastite endurativa.(AU)
The caprine arthritis encephalitis is a virosis with worldwide distribution in livestock and in the mammary form chronic mastitis is prevalent, which can cause assimetric and hardening of the udder, known as indurative chronic mastitis leading to reduction in milk production. The ultrasound is a good method of assessing the mammary gland, because the technique is non-invasive, fast, and easy to apply. This study aimed to evaluate the ultrasonographic features (grayscale, echogenicity, and homogeneity) of mammary parenchyma of 20 seroreacting goats and 20 not seroreacting for caprine arthritis encephalitis virus. It was observed that the average diameter of retromammary lymph nodes of seroreacting animals (0.72cm) to caprine arthritis encephalitis virus was smaller (P= 0.02) than in non seroreacting animals (0.93cm). In analysis between the portions of the udder, the grayscale values of the distal third of the caudal portion of the mammary parenchyma was higher in seroreacting animals (P<0.0001, right side; P= 0.02, left side). Such data suggest that the increase in ultrasonographic grayscale of mammary parenchyma of goats can be correlated to chronic changes caused by caprine arthritis encephalitis, as indurative mastitis. In relation to the subjective aspects of echogenicity and homogeneity, the groups showed no difference between them (P>0.05), displaying mostly heterogeneous and hypoechoic standards. From the results, this study points to evidence that the caprine arthritis encephalitis can cause changes in grayscale measurable by ultrasound, and this can be used as an efficient and non-invasive helper method for monitoring and early detection of indurative mastitis.(AU)
Asunto(s)
Animales , Femenino , Virus de la Artritis-Encefalitis Caprina , Cabras , Glándulas Mamarias Animales , Ultrasonografía/veterinaria , Enfermedad Crónica , Diagnóstico por Imagen/veterinariaRESUMEN
BACKGROUND AND OBJECTIVE: To compare the subgingival microbial diversity between non-HIV-infected and HIV-infected individuals with chronic periodontitis using denaturing gradient gel electrophoresis (DGGE). MATERIAL AND METHODS: Thirty-two patients were selected: 11 were HIV-infected and 21 were non-HIV-infected, and all had chronic periodontitis. Periodontal measurements included probing depth, clinical attachment level, visible supragingival biofilm and bleeding on probing. Subgingival biofilm samples were collected from periodontal sites (50% with probing depth ≤ 4 mm and 50% with probing depth ≥ 5 mm) and whole-genomic-amplified DNA was obtained. The DNA samples were subjected to amplification of a 16S rRNA gene fragment using universal bacterial primers, followed by DGGE analysis of the amplified gene sequences. RESULTS: The non-HIV-infected group presented higher mean full-mouth visible supragingival biofilm (p = 0.004), bleeding on probing (p = 0.006), probing depth (p < 0.001) and clinical attachment level (p = 0.001) in comparison with the HIV-infected group. DGGE analysis revealed 81 distinct bands from all 33 individuals. Banding profiles revealed a higher diversity of the bacterial communities in the subgingival biofilm of HIV-infected patients with chronic periodontitis. Moreover, cluster and principal component analyses demonstrated that the bacterial community profiles differed between these two conditions. High interindividual and intra-individual variability in banding profiles were observed for both groups. CONCLUSION: HIV-infected patients with chronic periodontitis present greater subgingival microbial diversity. In addition, the bacterial communities associated with HIV-infected and non-HIV-infected individuals are different in structure.
Asunto(s)
Periodontitis Crónica , Adulto , Brasil , ADN Bacteriano , Placa Dental , Infecciones por VIH , Humanos , Bolsa Periodontal , ARN Ribosómico 16SRESUMEN
Staphylococcus aureus is highly prevalent among patients with atopic dermatitis (AD), and this pathogen may trigger and aggravate AD lesions. The aim of this study was to determine the prevalence of S. aureus in the nares of pediatric subjects and verify the phenotypic and molecular characteristics of the isolates in pediatric patients with AD. Isolates were tested for antimicrobial susceptibility, SCCmec typing, and Panton-Valentine Leukocidin (PVL) genes. Lineages were determined by pulsed-field gel electrophoresis and multilocus sequence typing (MLST). AD severity was assessed with the Scoring Atopic Dermatitis (SCORAD) index. Among 106 patients, 90 (85%) presented S. aureus isolates in their nares, and 8 also presented the pathogen in their skin infections. Two patients had two positive lesions, making a total of 10 S. aureus isolates from skin infections. Methicillin-resistant S. aureus (MRSA) was detected in 24 (26.6%) patients, and PVL genes were identified in 21 (23.3%), including 6 (75%) of the 8 patients with skin lesions but mainly in patients with severe and moderate SCORAD values (P=0.0095). All 24 MRSA isolates were susceptible to trimethoprim/sulfamethoxazole, while 8 isolates had a minimum inhibitory concentration (MIC) to mupirocin >1024 μg/mL. High lineage diversity was found among the isolates including USA1100/ST30, USA400/ST1, USA800/ST5, ST83, ST188, ST718, ST1635, and ST2791. There was a high prevalence of MRSA and PVL genes among the isolates recovered in this study. PVL genes were found mostly among patients with severe and moderate SCORAD values. These findings can help clinicians improve the therapies and strategies for the management of pediatric patients with AD.
Asunto(s)
Animales , Masculino , Ratones , Ratas , Enfermedades Renales/metabolismo , Riñón/metabolismo , Podocitos/metabolismo , Transducción de Señal , Células Cultivadas , Proteína de Unión a Elemento de Respuesta al AMP Cíclico/metabolismo , Proteínas Quinasas Dependientes de AMP Cíclico/metabolismo , Expresión Génica , Redes Reguladoras de Genes , Immunoblotting , Enfermedades Renales/inducido químicamente , Enfermedades Renales/genética , Riñón/patología , Riñón/fisiopatología , Microscopía Electrónica , Proteínas de la Membrana/genética , Proteínas de la Membrana/metabolismo , Proteínas de Microfilamentos/genética , Proteínas de Microfilamentos/metabolismo , Puromicina , Podocitos/patología , Podocitos/ultraestructura , Proteómica/métodos , Ratas Sprague-Dawley , Reacción en Cadena de la Polimerasa de Transcriptasa InversaRESUMEN
Staphylococcus aureus is highly prevalent among patients with atopic dermatitis (AD), and this pathogen may trigger and aggravate AD lesions. The aim of this study was to determine the prevalence of S. aureus in the nares of pediatric subjects and verify the phenotypic and molecular characteristics of the isolates in pediatric patients with AD. Isolates were tested for antimicrobial susceptibility, SCCmec typing, and Panton-Valentine Leukocidin (PVL) genes. Lineages were determined by pulsed-field gel electrophoresis and multilocus sequence typing (MLST). AD severity was assessed with the Scoring Atopic Dermatitis (SCORAD) index. Among 106 patients, 90 (85%) presented S. aureus isolates in their nares, and 8 also presented the pathogen in their skin infections. Two patients had two positive lesions, making a total of 10 S. aureus isolates from skin infections. Methicillin-resistant S. aureus (MRSA) was detected in 24 (26.6%) patients, and PVL genes were identified in 21 (23.3%), including 6 (75%) of the 8 patients with skin lesions but mainly in patients with severe and moderate SCORAD values (P=0.0095). All 24 MRSA isolates were susceptible to trimethoprim/sulfamethoxazole, while 8 isolates had a minimum inhibitory concentration (MIC) to mupirocin >1024 µg/mL. High lineage diversity was found among the isolates including USA1100/ST30, USA400/ST1, USA800/ST5, ST83, ST188, ST718, ST1635, and ST2791. There was a high prevalence of MRSA and PVL genes among the isolates recovered in this study. PVL genes were found mostly among patients with severe and moderate SCORAD values. These findings can help clinicians improve the therapies and strategies for the management of pediatric patients with AD.
Asunto(s)
Toxinas Bacterianas/genética , Dermatitis Atópica/microbiología , Exotoxinas/genética , Leucocidinas/genética , Staphylococcus aureus Resistente a Meticilina/genética , Cavidad Nasal/microbiología , Piel/microbiología , Adolescente , Niño , Estudios Transversales , ADN Bacteriano , Electroforesis en Gel de Campo Pulsado , Femenino , Humanos , Masculino , Pruebas de Sensibilidad Microbiana , Tipificación de Secuencias Multilocus , Reacción en Cadena de la Polimerasa , Valores de Referencia , Índice de Severidad de la Enfermedad , Infecciones Cutáneas Estafilocócicas/microbiologíaRESUMEN
UNLABELLED: This study determined the changes of calcium concentration in a medium containing teeth/biofilm exposed to Coffea canephora extract (CCE). Enamel fragments were randomly fixed into two 24-well polystyrene plates containing BHI. Pooled human saliva was added to form biofilm on fragments. Specimens were divided into treatment groups (G, n = 8 per group) and treated with 50 µl daily for 1 min per week, as follows: G1, 20% CCE; G2, Milli-Q water (negative control); G3, antibiotic (positive control). Six fragments represented the blank control (G4). The calcium content was observed at baseline, 4 and 7 days of treatment by atomic-absorption spectrophotometry. Cross-sectional hardness of enamel was a demineralization indicator. Calcium increased in the medium after 4 and 7 days of treatment in G1 (3·80 ± 1·3 mg l(-1) and 4·93 ± 2·1 mg l(-1) , respectively) and G3 (4th day = 5·7 ± 1·8 mg l(-1) ; 7th day = 6·7 ± 3·5 mg l(-1) ) (P > 0·05). Calcium from G2 decreased after 7 days, which was different from G3 (P < 0·05). The lower calcium content, at the end of the experiment, was represented by G4, 2·16 ± 0·2 mg l(-1) . The increase in calcium after treatment with CCE is probably due to its antibacterial effect, which caused the bacterial lysis and consequent release of calcium in the medium. SIGNIFICANCE AND IMPACT OF THE STUDY: This study revealed an inhibitory action of Coffea canephora against dental biofilm. This coffee species caused bacterial lysis and consequent release of calcium into the medium. Furthermore, the advantage of coffee as an antibacterial beverage is that it is consumed in a concentrated form (6-10%) as opposed to various medicinal infusions that have shown such effect in vitro and are usually consumed at 1-2%. Therefore, a light roasted C. canephora aqueous extract can be considered as a potential anticariogenic substance.
Asunto(s)
Antibacterianos/farmacología , Biopelículas/efectos de los fármacos , Calcio/metabolismo , Coffea/química , Esmalte Dental/efectos de los fármacos , Extractos Vegetales/farmacología , Medios de Cultivo Condicionados , Esmalte Dental/metabolismo , Dureza , Humanos , Técnicas de Cultivo de Tejidos , Desmineralización Dental/microbiología , Desmineralización Dental/prevención & controlRESUMEN
INTRODUCTION: Despite the recent advances in diagnosis and treatment, mortality rates due to infective endocarditis (IE) remain high if not aggressively treated with antibiotics, whether or not associated with surgery. Data on the prevalence, epidemiology and etiology of IE from developing countries remain scarce. The aim of this observational, prospective cohort study was to report a 5-year experience of IE at two teaching hospitals in Rio de Janeiro, Brazil. MATERIAL AND METHODS: Demographical, anamnestic and microbiological characteristics of 71 IE patients were evaluated during the period of January 2009 to March 2013. RESULTS: The mean age of the IE patients was 49.8 ± 2.4 years, of which 41 (57.7%) were males. The median time between the onset of symptoms and diagnosis of IE was 35.8 ± 4.8 days. A total of 31 (43.6%) cases of community-acquired infective endocarditis (CAIE) and 40 (56.3%) cases of healthcare-acquired infective endocarditis (HAIE) were observed. Staphylococcus aureus (30%) was the predominant cause of IE. Streptococcus spp. (45.1 %) was the predominant cause of the CAIE while S. aureus (32.5%) and Enterococcus spp. (27.2 %) were the main etiological agents of HAIE. For 64 (90.1 %) patients with native valve endocarditis, the mitral valve was the most commonly affected (48.3%). The main source of IE in this cohort was intravascular catheter. The tricuspid valve and renal chronic insufficiency were more frequent in patients with HAIE than CAIE (p = 0.001). The risk factors associated with in-hospital mortality rate (46.4%) in IE patients were: age over 45 (OR 3.4; 95% CI 1.03-11.24; p = 0.04) and chronic renal insufficiency (OR 38.3; 95% CI 3.2-449.4; p = 0.004). CONCLUSIONS: At two main teaching hospitals in Brazil, Streptococcus spp. was the principal pathogen of CAIE while S. aureus and Enterococcus spp. were the most frequent causes of HAIE. IE remains a serious disease associated with high in-hospital mortality rate (46.6%); especially, in individuals over 45 years of age and with renal failure. Data suggest that early surgery may improve the outcome of IE patients.
Asunto(s)
Bacterias/aislamiento & purificación , Infecciones Bacterianas/mortalidad , Endocarditis/mortalidad , Mortalidad Hospitalaria , Adulto , Infecciones Bacterianas/microbiología , Brasil/epidemiología , Infecciones Comunitarias Adquiridas/microbiología , Infecciones Comunitarias Adquiridas/mortalidad , Infección Hospitalaria/microbiología , Infección Hospitalaria/mortalidad , Endocarditis/microbiología , Femenino , Hospitales de Enseñanza/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Factores de RiesgoRESUMEN
AIM: To evaluate the synergistic activity of antimicrobial drugs against lineages of methicillin-resistant Staphylococcus aureus (MRSA) carrying SCCmec IV. The biofilm production and related genes were also detected. METHODS AND RESULTS: Forty two MRSA isolates were tested for biofilm production and related genes. Biofilm/biomass susceptibility to gentamicin (G), linezolid (L), rifampicin (R) and vancomycin (V) was determined for six isolates from three lineages prevalent in Rio de Janeiro hospitals in concentrations ranging from 0·25 to 64 µg ml(-1). Biomass was evaluated by microtitre plate test and number of viable cells (CFU cm(-2)) and inspected by epifluorescence microscopy. All isolates presented the icaA and sasG genes, but only 38% were biofilm producers. There were 50 and 45% biomass reductions when concentrations ≥4 µg ml(-1) of R or L and ≥16 µg ml(-1) of G or V, respectively, were used. Synergism tests produced a 55% biomass reduction with R(2µgml-1) + G(16µgml-1), R(2µgml-1) + L(2µgml-1), R(2µgml-1) + V(4µgml-1), and L(2µgml-1) + V(4µgml-1). Number of viable cells was reduced from 2 to 3 logs with R(2µgml-1) + L(2µgml-1) and R(2µgml-1) + V(4µgml-1). CONCLUSIONS: Synergisms involving R plus L and R plus V caused important reductions in biofilm/biomass and the number of viable cells. Drug combinations should be considered in the chemotherapies of MRSA-SCCmec IV infections. SIGNIFICANCE AND IMPACT OF THE STUDY: Biofilms in MRSA infections restrict the clinical choice of antimicrobials. Thus, knowledge of the best options for monotherapy and drug synergisms could improve clinical results.
Asunto(s)
Antibacterianos/farmacología , Staphylococcus aureus Resistente a Meticilina/efectos de los fármacos , Acetamidas/farmacología , Biopelículas/efectos de los fármacos , Biomasa , Sinergismo Farmacológico , Gentamicinas/farmacología , Humanos , Linezolid , Staphylococcus aureus Resistente a Meticilina/genética , Pruebas de Sensibilidad Microbiana , Viabilidad Microbiana , Oxazolidinonas/farmacología , Rifampin/farmacología , Vancomicina/farmacologíaRESUMEN
This study aimed to characterize meticillin-resistant Staphylococcus aureus (MRSA) lineages circulating in a Brazilian teaching hospital. MRSA isolates from nasal swabs were evaluated to assess antimicrobial susceptibility, staphylococcal cassette chromosome mec (SCCmec), Panton-Valentine leucocidin status, pulsed-field gel electrophoresis profile and multi-locus sequence type (MLST) analysis. Eighty-three MRSA isolates were analysed. SCCmec III (43.4%) and IV (49.4%) were predominant. ST1-IV (USA400) was more common in internal medicine (P = 0.002) whereas 'clone M' (SCCmec III) was more common in the medical and surgical intensive care unit (P = 0.004), and all isolates were ST5-IV (USA800) in dermatology (P < 0.001). These data improved the understanding of the MRSA epidemiology inside the hospital and helped to establish effective control measures.
Asunto(s)
Portador Sano/epidemiología , Infección Hospitalaria/epidemiología , Staphylococcus aureus Resistente a Meticilina/aislamiento & purificación , Infecciones Estafilocócicas/epidemiología , Brasil/epidemiología , Portador Sano/microbiología , Infección Hospitalaria/microbiología , Genes Bacterianos , Genotipo , Hospitales de Enseñanza , Humanos , Pruebas de Sensibilidad Microbiana , Epidemiología Molecular , Tipificación Molecular , Mucosa Nasal/microbiología , Infecciones Estafilocócicas/microbiología , Factores de Virulencia/genéticaRESUMEN
The purpose of this study was to determine the reliability of the MicroScan WalkAway PosCombo21 (PC21) system for the identification of coagulase-negative staphylococci (CNS) strains and the detection of oxacillin resistance. Using molecular and phenotypic methods, 196 clinical strains were evaluated. The automated system demonstrated 100 % reliability for the identification of the clinical strains Staphylococcus haemolyticus, Staphylococcus hominis and Staphylococcus cohnii; 98.03 % reliability for the identification of Staphylococcus epidermidis; 70 % reliability for the identification of Staphylococcus lugdunensis; 40 % reliability for the identification of Staphylococcus warneri; and 28.57 % reliability for the identification of Staphylococcus capitis, but no reliability for the identification of Staphylococcus auricularis, Staphylococcus simulans and Staphylococcus xylosus. We concluded that the automated system provides accurate results for the more common CNS species but often fails to accurately identify less prevalent species. For the detection of oxacillin resistance, the automated system showed 100 % specificity and 90.22 % sensitivity. Thus, the PC21 panel detects oxacillin-resistant strains, but is limited by the heteroresistance that is observed when using most phenotypic methods.
Asunto(s)
Antibacterianos/farmacología , Técnicas Bacteriológicas/métodos , Coagulasa/metabolismo , Oxacilina/farmacología , Infecciones Estafilocócicas/diagnóstico , Staphylococcus/aislamiento & purificación , Resistencia betalactámica , Humanos , Sensibilidad y Especificidad , Infecciones Estafilocócicas/microbiología , Staphylococcus/efectos de los fármacos , Staphylococcus/enzimologíaRESUMEN
Staphylococcus aureus is the main causal pathogen of infective endocarditis (IE), which may have distinct origins, namely, community, nosocomial, or non-nosocomial healthcare-associated (NNHCA). We report the first case of NNHCA-IE caused by methicillin-resistant S. aureus strain USA400/SCCmec IV in which the combination therapy of rifampin and vancomycin had a favorable outcome for the patient.
Asunto(s)
Endocarditis/diagnóstico , Staphylococcus aureus Resistente a Meticilina/aislamiento & purificación , Infecciones Estafilocócicas/diagnóstico , Adulto , Antibacterianos/administración & dosificación , Brasil , Ecocardiografía Transesofágica , Endocarditis/tratamiento farmacológico , Endocarditis/microbiología , Endocarditis/patología , Genotipo , Instituciones de Salud , Humanos , Masculino , Tipificación Molecular , Rifampin/administración & dosificación , Infecciones Estafilocócicas/tratamiento farmacológico , Infecciones Estafilocócicas/microbiología , Infecciones Estafilocócicas/patología , Resultado del Tratamiento , Vancomicina/administración & dosificaciónRESUMEN
Subinhibitory concentrations (subMICs) of antibiotics may alter bacterial surface properties and change microbial physiology. This study aimed to investigate the effect of a subMIC (⅛ MIC) of penicillin (PEN) and erythromycin (ERY) on bacterial morphology, haemagglutinating activity, cell-surface hydrophobicity (CSH) and biofilm formation on glass and polystyrene surfaces, as well as the distribution of cell-surface acidic anionic residues of Corynebacterium diphtheriae strains (HC01 tox(-) strain; CDC-E8392 and 241 tox(+) strains). All micro-organisms tested were susceptible to PEN and ERY. Growth in the presence of PEN induced bacterial filamentation, whereas subMIC of ERY caused cell-size reduction of strains 241 and CDC-E8392. Adherence to human erythrocytes was reduced after growth in the presence of ERY, while CSH was increased by a subMIC of both antibiotics in bacterial adherence to n-hexadecane assays. Conversely, antibiotic inhibition of biofilm formation was not observed. All strains enhanced biofilm formation on glass after treatment with ERY, while only strain 241 increased glass adherence after cultivation in the presence of PEN. Biofilm production on polystyrene surfaces was improved by ⅛ MIC of ERY. After growth in the presence of both antimicrobial agents, strains 241 and CDC-E8392 exhibited anionic surface charges with focal distribution. In conclusion, subMICs of PEN and ERY modified bacterial surface properties and enhanced not only biofilm formation but also cell-surface hydrophobicity. Antibiotic-induced biofilm formation may contribute to the inconsistent success of antimicrobial therapy for C. diphtheriae infections.
Asunto(s)
Antibacterianos/farmacología , Biopelículas/crecimiento & desarrollo , Corynebacterium diphtheriae/efectos de los fármacos , Eritromicina/farmacología , Penicilinas/farmacología , Animales , Biopelículas/efectos de los fármacos , Corynebacterium diphtheriae/fisiología , Corynebacterium diphtheriae/ultraestructura , Farmacorresistencia Bacteriana , Vidrio , Interacciones Hidrofóbicas e Hidrofílicas , Pruebas de Sensibilidad Microbiana , Microscopía Electrónica de Transmisión , Poliestirenos , Propiedades de SuperficieRESUMEN
Phenotypic and molecular methods were used to characterize the antibiotic resistance of 64 clinical isolates of Staphylococcus haemolyticus. By PCR of the mecA gene, 87% were found to be methicillin resistant. Approximately 55% harbored staphylococcal cassette chromosome mec element (SCCmec) type V, and only one SCCmec type IV. Many isolates (75%) displayed multiresistance, and pulsotype analysis showed a high diversity.