Acuariidae (Nematoda) in Procellariiformes (Aves) on the southern coast of Rio Grande do Sul, Brazil / Acuariidae (Nematoda) em Procellariiformes (Aves) no litoral sul do Rio Grande do Sul, Brasil

Abstract Acuariidae nematodes are normally found in the digestive tract of aquatic birds, including Procellariiformes. Were examined Calonectris borealis (n = 4), Diomedea exulans (n = 1), Macronectes giganteus (n = 8), Thalassarche chlororhynchos (n = 5), Thalassarche melanophrys (n = 15), Procellaria aequinoctialis (n = 4), Puffinus gravis (n = 2) and Puffinus puffinus (n = 6), collected on the southern coast of RS, Brazil. A total of 16 birds (35.5%) were parasitized by two species of Acuariidae. Stegophorus diomedeae and Seuratia shipleyi were identified, with prevalences of 26.1% and 21.7%, respectively. Few studies on nematodes in Procellariiformes have been conducted. Here, the acuariids Seuratia shipleyi in Calonectris borealis and Procellaria aequinoctialis and Stegophorus diomedeae in Diomedea exulans, Procellaria aequinoctialis and Thalassarche chlororhynchos were reported for the first time.

Resumo Os nematoides Acuariidae são normalmente encontrados no trato digestivo de aves aquáticas, incluindo os Procellariiformes. Foram examinadas Calonectris borealis (n=4), Diomedea exulans (n=1), Macronectes giganteus (n=8), Thalassarche chlororhynchos (n=5), Thalassarche melanophrys (n=15), Procellaria aequinoctialis (n=4), Puffinus gravis (n=2) e Puffinus puffinus (n=6), coletados na costa sul do Rio Grande do Sul, Brasil. Dentre os exemplares examinados, 16 (35,5%) estavam parasitados por duas espécies de Acuariidae. Foram identificados Stegophorus diomedeae e Seuratia shipleyi, com prevalência de 26,1% e 21,7%, respectivamente. Existem poucos estudos relacionados a nematoides em Procellariiformes, e aqui registra-se pela primeira vez os Acuariidae Seuratia shipleyi em Calonectris borealis e Procellaria aequinoctialis, e Stegophorus diomedeae em Diomedea exulans, Procellaria aequinoctialis e Thalassarche chlororhynchos.

Increasing rates of Clostridium difficile infection in Mexican hospitals

Abstract Introduction The epidemiology of Clostridium difficile infection (CDI) has changed in the last two decades. There is a lack of information regarding incidence and severity of CDI, especially in the developing world. Methods This was a retrospective and observational study from four hospitals of three Mexican cities. Patients were diagnosed with CDI when presented with loose stools and had at least one of the following tests positive: toxins assay, real-time PCR, or an endoscopic image compatible with pseudomembranous colitis. CDI was classified according to international guidelines. Demographic and clinical data as well as information regarding total hospital admissions, total length-of-hospital stay, and other variables related to hospitalization were gathered from the epidemiology and administration departments of each hospital. Results A total of 2050 hospital beds were analyzed with 288,171 patients hospitalized accumulating 1,576,446 days of hospitalization during the study period. The average rate of CDI per 1000 hospital-days was lower than the rates reported in the US and Europe, although in 2015 CDI rates were almost persistently above the mean rate for the study period. More than half of PCR positive patients were ribotype 027. Conclusion Hospital rates of CDI are increasing in Mexican hospitals with a predominance of infections caused by ribotype 027.

Epidemiological analysis on 9 kinds of respiratory tract pathogen infection in Nanjing area / 重庆医学

Objective To understand the pathogenic epidemiological status quo among populations with respiratory tract infectious in Nanjing area.Methods The IgM antibody detection reagent kit against 9 kinds of respiratory tract pathogen was used to conduct the IgM antibody detection in 25 057 patients with respiratory tract infection in the Affiliated Nanjing Hospital of Nanjing Medical University,Affiliated Children's Hospital of Nanjing Medical University and Nanjing General Hospital of Nanjing Military Region from May 2013 to April 2015.Results A total of 8 575 cases(34.22％) of pathogen positive were detected out,in which Pneumonia mycoplasma (MP) antibody had the highest positive rate (23.77％);followed by respiratory syncytial virus (RSV,5.19 ％),adenovirus (ADV,4.56 ％),Parainfluenza virus type 1,2 and 3 (PIVS,4.02 ％) and influenza B virus (INFB,2.28％).The seasonal distribution of RSV,ADV and PIVS was significant and had high onset in winter and spring,but low onset in summer and autumn.Infants and young children had maximal positive cases in preschool period,which were 5 274 cases;as a whole,MP IgM antibody positive rate was gradually decreased with the age increase.Conclusion MP is the main pathogen causing respiratory tract infections in Nanjing area,followed by RSV.The pathogenic infection has a correlation with the age group,moreover which demonstrates the seasonal epidemic trend.

Epidemiological analysis on 9 kinds of respiratory tract pathogen infection in Nanjing area / 重庆医学

Objective To understand the pathogenic epidemiological status quo among populations with respiratory tract infectious in Nanjing area.Methods The IgM antibody detection reagent kit against 9 kinds of respiratory tract pathogen was used to conduct the IgM antibody detection in 25 057 patients with respiratory tract infection in the Affiliated Nanjing Hospital of Nanjing Medical University,Affiliated Children's Hospital of Nanjing Medical University and Nanjing General Hospital of Nanjing Military Region from May 2013 to April 2015.Results A total of 8 575 cases(34.22％) of pathogen positive were detected out,in which Pneumonia mycoplasma (MP) antibody had the highest positive rate (23.77％);followed by respiratory syncytial virus (RSV,5.19 ％),adenovirus (ADV,4.56 ％),Parainfluenza virus type 1,2 and 3 (PIVS,4.02 ％) and influenza B virus (INFB,2.28％).The seasonal distribution of RSV,ADV and PIVS was significant and had high onset in winter and spring,but low onset in summer and autumn.Infants and young children had maximal positive cases in preschool period,which were 5 274 cases;as a whole,MP IgM antibody positive rate was gradually decreased with the age increase.Conclusion MP is the main pathogen causing respiratory tract infections in Nanjing area,followed by RSV.The pathogenic infection has a correlation with the age group,moreover which demonstrates the seasonal epidemic trend.

Malaria Parasitaemia Association with ABO Blood Types among Students of a Private University in Western Delta, Nigeria.

Aim: The focus of this work was to investigate any relationship between ABO blood types and malaria parasitaemia among students of a private University based in Western Delta, Nigeria. Study Design: Whole blood samples were obtained from a randomly sampled number of students and dispensed into ethylene-diamine-tetra-acetic acid (EDTA) containers which were appropriately labelled. Collected blood samples were tested for ABO blood types and malaria parasites by standard methods. Data obtained were statistically analyzed. Place and Duration of Study: The study was carried out in the Microbiology and Biotechnology laboratory of Western Delta University, Oghara, Nigeria between May, 2013 to October, 2013. Methods: Venous blood of 2ml volume was obtained by venepuncture from 360 students made up of 150 (41.7%) males and 210 (58.3%) females of 28years average and who were both symptomatic and asymptomatic for malaria due to Plasmodium falciparum. Malaria parasite screening was done by both P. falciparum antigen rapid (Micropoint, USA) test and Giemsa staining. ABO blood typing was done using Monoclonal Antisera A, B and D. Results obtained were analyzed for any association by chi-square statistical method. Results: One hundred and forty one (41.6%) male and 198 (58.4%) female samples were rhesus positive. Nine (42.9%) and 12 (57.1%) males and females respectively were rhesus negative. ABO blood group frequency occurrence was 55.8 %( O), 22.5 %( A), 18.3 %( B) and 3.4 %(AB). A total of 255 (70.8%) students were infected with P. falciparum parasites of which 55.3% and 44.7% were females and males respectively. ABO blood group malaria parasitaemia frequencies were 76.4 %(O), 56.3% (B), 52.4% (A) and O.O% (AB) for non-severe malaria and 70.5% (O), 58.3% (A), 55.6% (AB) and 50.0% (B) for severe plasmodiasis. Whereas there was significant association between malaria infection and gender (P<0.05), there was no significant association between severe and non-severe malaria parasitaemia in relation to ABO blood types (P>0.05). Conclusion: The presence of rhesus negative factor up to 5.8% suggested a gradual and steady rise in the frequency occurrence of the factor when compared to reports of earlier studies. ABO blood groups O and AB recorded the highest and lowest frequencies respectively. The highest parasitaemia rate was observed among group O individuals and also among female O individuals compared to male O individuals. More female than male students suffered from both severe and non-severe forms of plasmodiasis. There was no significant association of all ABO blood types with severe and non-severe malaria parasitaemia clinically implying that all ABO blood types are equally at risk and therefore, available malaria prophylactic and therapeutic strategies should be directed at subjects of all groups.

Optimal pool size and pooled sample size for hypothesis test of critical threshold of infection rates based on fixed sample size and pooled sampling method / 第二军医大学学报

To determine the optimal pool size and pooled sample size for testing whether an infection rate has exceeded the critical level of malaria epidemics using the pool sampling method and fixed sample size approach. Methods The function between the pooled sample size and pool size was deduced by using arcsin transformation and normal distribution approximation while controlling the probability of type I and type II errors. Computer simulation was used to evaluate the approximate power function. Results The optimum pool size and the pooled sample size were obtained for different critical and normal levels of infection rates. Conclusion The optimal pool size and the pooled sample size are in an inverse relationship for given probability of type I and type H errors, so in practice we should make an evaluation according to the sampling cost and test cost.

Nosocomial Infection Rate Comparison of Military and Civilian Intensive Care Units / 병원감염관리

BACKGROUND: This study was undertaken to compare nosocomial infection rates between intensive care units of military and civilian hospitals. METHODS: From July to December 2000, we surveyed the intensive care unit of Armed Forces Capital Hospital (AFCH). We compared device use ratios and device-day infection rates with those of Korean Society for Nosocomial Infection Control (KOSNIC) and National Nosocomial Infections Surveillance (NNIS) system. RESULTS: During the period of study, 185 cases were admitted and 24 nosocomial infections were detected: 7 cases of pneumonia, 6 urinary tract, 3 blood stream, 3 cardiovascular system, 3 surgical site infections, 1 skin and soft tissue, and 1 central nervous system infection. Ventilator, urinary catheter and central venous catheter use ratios were 0.14 (95% confidence interval, 0.12-0.16), 0.58 (0.56-0.60) and 0.33 (0.31-0.35). The ratios of NNIS were 0.41, 0.67 and 0.50. Ventilator-, urinary catheter- and central venous catheter-day infection rates were 18.69(11.36-53.32), 6.65 (3.36-14.20) and 1.95 (1.44-9.92). However, the rates of KOSNIC were 9.93, 5.29 and 3.62. The rates of NNIS were 11.24, 6.14 and 5.55. CONCLUSIONS: In AFCH ventilators were used less frequently than NNIS, but more ventilator-associated pneumonia were developed than KOSNIC and NNIS.

Prospective Clinical Study of Prophylactic Antibiotic Therapy in Nonperforated Appendicitis

PURPOSE: Prophylactic antibiotics have been used in nonperforated appendicitis for preventing infection after an appendectomy. However, the duration of antibiotic administration for surgical prophylaxis in Korea has been noted to be longer than those recommended in other countries. PURPOSE: The objective of this study was to identify the appropriate duration of prophylactic antibiotic therapy in nonperforated appendicitis by comparing the wound infection rates of two different antibiotic regimens, 24 hours of cephalosporin (cefoxitin) alone and 72 hours of cephalosporin (cefoxitin) with aminoglycoside (sissomicin). METHODS: One hundred thirty-four (134) patients of nonperforated appendicitis were enrolled in this prospective, randomized, open trial and were assigned to one of two antibiotic regimens: 1) cefoxitin 1 g every 8 hours given intravenously for 24 hours and 2) cefoxitin 1 g every 8 hours given intravenously plus sissomicin 75 mg every 12 hours given intramuscularly for 72 hours. First doses were given just prior to the induction of anesthesia. RESULTS: Postoperative wound infections were detected in 3 cases (4.5%) of the 72-hour-treated group (n=66) whereas none occurred in the 24-hour-treated group (n=68). However, the difference in the rates of wound infections between the two groups was not statistically significant. Cost analysis identified a saving of 43,470 won per patient in the 24-hour-treated group. CONCLUSION: In nonperforated appendicitis cefoxitin administration alone for 24 hours is sufficient as a surgical prophylaxis.