RESUMO

OBJECTIVE: The purpose of this study is to review bacterial isolates from cases of urinary tract infection (UTI) and their antimicrobial susceptibility pattern for the years 2005-2007 in St Kitts. It is hoped that the study will be of use in the treatment of cases of UTI in St Kitts. METHODS: The laboratory records at St Francis Hospital, Basseterre, St Kitts, for bacterial isolates from cases of urinary tract infection and their susceptibility profiles for three years, 2005-2007, were retrospectively reviewed and compared. RESULTS: A total of 595 isolates of 13 species of pathogenic bacteria were recovered from cases of UTI. Escherichia coli was the predominant species recovered each year. Among the other species frequently recovered were Citrobacter spp, Enterobacter spp, Klebsiella pneumoniae and Pseudomonas aeruginosa. CONCLUSION: This study, the first of its kind from St Kitts serves to emphasize that treatment of UTI should be instituted generally on the basis of antimicrobial susceptibility tests.

OBJETIVO: El propósito de este estudio es examinar los aislados bacterianos de casos de infección del tracto urinario (ITU) y su modelo de susceptibilidad antimicrobiana durante los años 2005-2007 en Saint Kitts. Se espera que el estudio sea de utilidad en el tratamiento de casos de ITU en Saint Kitts. MÉTODOS: Los archivos de laboratorio del Hospital Saint Francis, Basseterre, Saint Kitts, sobre los aislados bacterianos de los casos de infección del tracto urinario y sus perfiles de susceptibilidad durante tres años, 2005-2007, fueron examinados y comparados retrospectivamente. RESULTADOS: Un total de 595 aislados de 13 especies de bacterias patógenas fueron recuperadas de casos de ITU. Escherichia coli fue la especie predominante recuperada cada año. Entre las otras especies frecuentemente recuperadas se hallan: Citrobacter spp, Enterobacter spp, Klebsiella pneumoniae y Pseudomonas aeruginosa. CONCLUSIÓN: Este estudio - el primero de su tipo en Saint Kitts - sirve para enfatizar que el tratamiento de la ITU generalmente debe establecerse sobre la base de pruebas de susceptibilidad antimicrobiana.

Assuntos

RESUMO

OBJECTIVE: The purpose of this study is to review bacterial isolates from cases of urinary tract infection (UTI) and their antimicrobial susceptibility pattern for the years 2005-2007 in St Kitts. It is hoped that the study will be of use in the treatment of cases of UTI in St Kitts. METHODS: The laboratory records at St Francis Hospital, Basseterre, St Kitts, for bacterial isolates from cases of urinary tract infection and their susceptibility profiles for three years, 2005-2007, were retrospectively reviewed and compared. RESULTS: A total of 595 isolates of 13 species of pathogenic bacteria were recovered from cases of UTI. Escherichia coli was the predominant species recovered each year. Among the other species frequently recovered were Citrobacter spp, Enterobacter spp, Klebsiella pneumoniae and Pseudomonas aeruginosa. CONCLUSION: This study, the first of its kind from St Kitts serves to emphasize that treatment of UTI should be instituted generally on the basis of antimicrobial susceptibility tests.

Assuntos

RESUMO

When 188 (1962), 266 (1991) and 222 (1997) five and nine year old children in St. Kitts were assessed for the presence of parasitic infections, there were significant reductions in the prevalence of trichurias from 83 percent through 58 percent to 27 percent, of ascariasis from 24 percent through 8.6 percent to 0.9 percent and of giardiasis from 15 percent through 9.4 percent to 5 percent, respectively; over the 15 year period. Anthelminthic use, which appeared to be the most important responsible intervention tool, remained roughly at the same level at 59-51 percent. However, the types of anthelminthics used changed over the period. Piperazine citrate, which was used by 66 percent in 1982, had only 35 percent usage in 1991 and 11.3 percent in 1197. Albendazole, which was not used at all in 1982, was taken by 32 percent of the children in 1991 and 45.9 percent in 1997, and at the same time use of laevo-tetramisole increase by 20 percent in 1991 from 14 percent in 1982, to 42.9 percent in 1997. Details are given of a proposed island-wide parasitic infection with the assistance of identified private and public sector partners.(AU)

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RESUMO

Sequential studies of morning breath hydrogen excretion were carried out in the homes of 16 normal breast-fed or formula-fed infants during the first 5 months of life. Except for two infants whose stools did not produce H2, all infants had elevated breath H2 excretion (greater than 10 parts per million) during and after the first month of life. There was a significant relationship to age (P less than 0.005) for all three measures of H2 excretion (4-hour average, peak, and preprandial), with mean values being highest in month 2, elevated but lower in month 1, and dropping significantly in months 3 and after. Additional 24-hour studies with six 7-week-old infants demonstrated that H2 excretion was inversely related to state of arousal, more likely to be detected in the afternoon, and not clearly related to time of feeding. These findings suggest that incomplete lactose absorption in response to usual feeding patterns persists beyond the first months of life in all infants. The pattern of breath H2 excretion indicates a probable developmental change in quantity and consistency of carbohydrate substrate delivered to colonic flora. Although elevated breath H2 excretion in response to normal feeding demonstrates incomplete absorption, it should not be used to determine an infant's status as a "lactose malabsorber."

Assuntos