Obesidad y factores de riesgo del estilo de vida en profesionales de salud de tres ciudades brasileras / Obesity and lifestyle risk factors among health professionals in three brazilian cities

Aims: to describe the prevalence of overweight, obesity and lifestyle factors among health professionals from three Brazilian cities. Methods: in addition to a questionnaire containing the FIT and PAR-Q test, the WHOQOL and the Epworth Sleepiness Scale, we also estimated the body mass index and waist circumference of 44 health professionals. Results: 30% of the sample were overweight or had sleeping problems. 29% of the employees had little leisure oportunities. About 12% of the sample had arterial hypertension. Conclusion: there was a significantly relationship between affective problems and being a women. The frequency of obesity and its co-morbidities was higher in women than in men.

Objetivos: verificar la prevalencia de sobrepeso y obesidad y el estilo de vida entre los profesionales de la salud de tres ciudades brasileñas. Métodos: además de la evaluación del FIT y PAR-Q prueba, el WHOQOL y la Escala de Somnolencia de Epworth, también se calculó el índice de masa corporal y la circunferencia de la cadera de 44 profesionales de la salud. Resultados: el 30% de la muestra tenía sobrepeso o problemas para dormir; 29% de los empleados tenían poco tiempo libre; alrededor del 12% de la muestra tenía hipertensión arterial. Conclusión: las mujeres eran más propensas a desarrollar problemas afectivos y tenían mayor riesgo de obesidad y sus comorbilidades.

Sequence analysis of bla [CTX-M] genes carried by clinically significant Escherichia coli isolates in Kuwait hospitals

To investigate the extent, distribution and sequence analysis of bla[CTX-M] genes carried by Escherichia coli isolated from patients admitted to all government hospitals in Kuwait. Extended-spectrum beta-lactamase [ESBL]-producing E. coli isolates were collected from the 8 major hospitals in Kuwait. CTX-M ESBLs were analyzed by PCR and sequenced. Clonality of the positive isolates was determined for genetic relatedness using pulsed-field gel electrophoresis [PFGE] with XbaI digestion of the genomic DNA. Of the 136 ESBL-positive isolates, 106 [77.9%] harbored bla[CTX-M] genes. Among these, bla[CTX-M-15] was the most frequent with a prevalence rate of 84.1%, followed by bla[CTX-M-14] [6.8%], bla[CTX-M-14b] [5.7%] and bla[TOHO-1] [3.4%]. Ninety-three [87.7%] were isolated from Kuwaiti [35.9%], Egyptian [31.1%] and Indian [20.8%] nationals; the majority of isolates positive for bla[CTX-M-15] were mainly from these 3 nationalities. PFGE analysis did not demonstrate any clustering of positive isolates in any particular hospital. This study confirms an explosive emergence of CTX-M-15 beta-lactamase among E. coli isolates in Kuwait and shows that the strains were clonally heterogeneous with no evidence of inter- or intra-hospital spread. Thus Kuwait may represent an important source of CTX-M-15-positive E. coli

case of community-onset meningitis caused by hospital methicillin-resistant staphylococcus aureus successfully treated with linezolid and rifampicin

To report a relatively rare presentation of methicillin-resistant Staphylococcus aureus [MRSA] meningitis in a previously healthy boy in Kuwait. A 14-year-old boy presented with a 2 weeks' history of headache and fever with increasing severity. He developed photophobia and double vision 2 days prior to his hospital visit and received ceftriaxone for 6 days prior to admission to the hospital. There was no history of head trauma or neurosurgical operation. Lumbar puncture revealed a slightly turbid cerebrospinal fluid with pleocytosis and greatly reduced glucose, elevated protein level and on culture grew MRSA. Staphylococcal chromosome cassette mec [SCCmec] typing revealed that it belonged to SCCmec type III and sequence type 238 [ST238-SCCmec-lll]. Polymerase chain reaction screening for the presence of Panton-Valen-tine leukocidin [PVL] genes yielded a negative result; all these findings were consistent with hospital-acquired MRSA. He was treated with intravenous linezolid and rifampicin for 2 weeks, made good response and was discharged home fully recovered and well. Hospital MRSA should be considered in the differential diagnosis of the causative agents of community-onset meningitis in healthy patients even without predisposing factor