RESUMO
Heart failure remains a significant burden to healthcare systems. Even of the advances in medical therapy, heart failure morbidity and mortality have not been significantly reduced. Diabetes mellitus has shown to be a significant risk factor for the development and prognosis of heart failure. Traditionally, these two chronic illnesses have been managed in relative isolation. Clinicians should be more cognizant of the bidirectional impact between heart failure and diabetes.
La insuficiencia cardíaca sigue siendo una carga significativa para los sistemas de salud. A pesar de los avances en la terapia médica, la morbilidad y mortalidad de esta enfermedad no se han reducido significativamente. La diabetes mellitus ha demostrado ser un factor de riesgo para el desarrollo y el pronóstico de la insuficiencia cardiaca. Tradicionalmente estas dos enfermedades crónicas se han manejado aisladamente a pesar de su elevada coexistencia. Los clínicos deben ser más conscientes del impacto bidireccional entre la insuficiencia cardiaca y la diabetes mellitus.
Assuntos
Complicações do Diabetes/fisiopatologia , Diabetes Mellitus/fisiopatologia , Insuficiência Cardíaca/fisiopatologia , Doença Crônica , Efeitos Psicossociais da Doença , Complicações do Diabetes/terapia , Diabetes Mellitus/terapia , Insuficiência Cardíaca/etiologia , Insuficiência Cardíaca/terapia , Humanos , Prognóstico , Fatores de RiscoRESUMO
In 2006, the first isolate of KPC-2-producing Pseudomonas aeruginosa in the world was identified in Colombia. Recently, similar strains have been reported in Puerto Rico. We now report KPC-2-producing P. aeruginosa in Trinidad and Tobago. Surveillance for similar strains is warranted, considering their wide geographic spread and known association with mobile genetic elements.
Assuntos
Humanos , Pseudomonas aeruginosa , Trinidad e TobagoRESUMO
In 2006, the first isolate of KPC-2-producing Pseudomonas aeruginosa in the world was identified in Colombia. Recently, similar strains have been reported in Puerto Rico. We now report KPC-2-producing P. aeruginosa in Trinidad and Tobago. Surveillance for similar strains is warranted, considering their wide geographic spread and known association with mobile genetic elements.