Formación de biopelículas por Candida parapsilosis sensu stricto y su perfil de susceptibilidad en Venezuela / Biofilm-forming of Candida parapsilosis sensu stricto and its susceptibility profile in Venezuela

Una de las principales consecuencias del desarrollo de biopelículas es la resistencia a los antifúngicos. Se determinó la formación de biopelículas por Candida parapsilosis sensu stricto aisladas de sangre y su perfil de susceptibilidad. Se evaluaron 30 cepas de C. parapsilosis sensu stricto de la Red de Candidemias del Dpto. de Micología del Instituto Nacional de Higiene Rafael Rangel-Venezuela, por el método cuantitativo en microplaca con tinción de cristal violeta y el método cualitativo en agar Sabouraud dextrosa suplementado con rojo Congo. Se utilizó el método de microdilución según el documento M-27 del Clinical and Laboratory Standards Institute. La formación de biopelículas de C. parapsilosis sensu stricto por el método cuantitativo fue de 63% y por el método cualitativo de 50%. El método cualitativo presentó valores de sensibilidad, especificidad, valores predictivos positivo y negativo de 61,1%, 23%, 78,6%, 43,8% respectivamente frente al método cuantitativo. Los aislados en forma planctónica fueron 100% sensibles a anfotericina B y caspofungina, con susceptibilidad variable a los azoles. El método cuantitativo es una técnica confiable para determinar la formación de biopelículas. El método cualitativo puede usarse como método pantalla inicial. No se encontró relación entre la susceptibilidad de las formas planctónicas y la capacidad de producción de biopelículas

One of the main consequences of biofilm development is resistance to antifungals. Biofilmforming by Candida parapsilosis sensu stricto isolated from blood and its susceptibility profile was determined. Thirty strains of C. parapsilosis sensu stricto belonging to the Candidemia Network of the Mycology Department of the Instituto Nacional de Higiene Rafael Rangel-Venezuela, were evaluated by microplate quantitative method with violet crystal staining, and Sabouraud dextrose agar supplemented with Congo red qualitative method. The microdilution method was used to determine the susceptibility, according to the Clinical and Laboratory Standards Institute M-27 document. Biofilm formation of C. parapsilosis sensu stricto by both quantitative and qualitative method was 63% and 50%, respectively. Sensitivity, specificity, and positive and negative predictive values of the qualitative method were 61.1%, 23%, 78.6%, and 43.8% respectively, when compared with quantitative method. Planktonic isolates were 100% sensitive to amphotericin B and caspofungin, with variable susceptibility to azoles. Quantitative method is a reliable assay to determine biofilm formation, while qualitative method can be used as an initial screening assay. No relationship was found between susceptibility of planktonic isolates and the ability to biofilm-forming

The topical treatment of old world cutaneous leishmaniasis with gentian violet along with cryotherapy: a pilot single-blind randomized controlled clinical trial

Abstract INTRODUCTION: The promising non-clinical antileishmanial effects of gentian violet (GV) encouraged us to evaluate the additive effect of GV on cryotherapy. METHODS: For 8 weeks, 59/161 cutaneous leishmaniasis patients/lesions underwent cryotherapy alone (group 1) or cryotherapy accompanied by 1% GV application (group 2). The primary endpoint was clinical response. RESULTS: Ultimately, 54.7% and 45.3% of the significantly cured lesions belonged to groups 1 and 2, respectively, which was not statistically significant. The clinical response was significantly different between the two groups at the end of the fourth week. CONCLUSIONS: Although the clinical response of the two groups was significantly different at the end of the fourth week, application of GV did not increase the efficacy of cryotherapy.

An Innovative Scalp-Dyeing Technique with Gentian Violet Solution During Follicular Unit Extraction for White-Haired Follicular Units

There exist some restrictions and difficulties in performing follicular unit extraction (FUE) in white-haired patients, for several reasons. In this paper, we introduce a novel technique for visualizing white hair during the punching procedure and graft preparation in FUE for white-haired patients. In white-haired older male patients, we dyed the surrounding scalp skin purple with a gentian violet solution-stained toothpick. Our method has several advantages: surgeons can easily focus on the center of the follicular unit and rapidly perform punching, they can recognize the condition of the harvested follicular units during FUE, and the hair transplant team can secure a clear view for trimming and loading into the implanter. We suggest that scalp dyeing in difficult FUE procedures, especially in patients with white hair, may be a simple method that provides a good visualization for donor site harvesting and for microdissection.

Genotoxicidad en leucocitos por la quimioprofilaxis de sangre con Violeta de Genciana y su prevención con antioxidantes / Genotoxicity in leukocytes by blood chemoprophylaxis with Gentian Violet and its prevention with antioxidants / Genotoxicidade em leucócitos pela quimioprofilaxia de sangue com Violeta Genciana e sua prevenção com antioxidantes

El Violeta de Genciana (GV) se usa como aditivo en la sangre para eliminar el Trypanosoma cruzi en la quimioprofilaxis de la infección por enfermedad de Chagas vía transfusión sanguínea, cuando no es posible un control previo de laboratorio o bajo situaciones de emergencia. En estos estudios se encontraron efectos genotóxicos del GV con el ensayo Cometa, cuando se lo agregó a la sangre bajo las condiciones empleadas para esterilizarla para transfusión. El efecto genotóxico fue aún más intenso si la sangre se mantenía con GV por 48 horas. Los resultados obtenidos con el ensayo Cometa sugieren la formación de bases hidroxiladas de ADN como resultado de un ataque de especies reactivas de oxígeno y apoyan la genotoxicidad del GV y su potencial carcinogénico ya informado previamente. Los efectos genotóxicos observados en el ensayo Cometa fueron parcialmente prevenidos por administración de antioxidantes que ya tienen uso clínico seguro, como á-tocoferol, ácido lipoico o N-acetilcisteína. El ácido lipoico fue capaz también de reaccionar in vitro con GV. Los resultados sugieren un uso potencial de estos antioxidantes para prevenir los efectos secundarios no deseados del GV para el individuo receptor de la sangre.

Gentian violet (GV) is being used as blood additive to eliminate Trypanosoma cruzi in the chemoprophylaxis of Chagas disease infection via blood transfusion when prior laboratory control is not possible or under emergency circumstances in endemic areas. In these studies genotoxic effects of GV were found employing the Comet assay when GV was added to rat blood under the cisconditions employed to sterilize it for transfusion. The genotoxic effect was even more intense if blood was kept with GV for 48 hours. The positive results obtained in the Comet assay suggest the formation of DNA hydroxylated bases as result of a reactive oxygen species (ROS) attack and further confirm GV genotoxicity and its potential carcinogenic effects previously reported. Genotoxicity effects observed in the Comet assay were partially but significantly prevented by prior administration of antioxidants having safe clinical use such as á-tocopherol; lipoic acid or N-acetylcysteine. Lipoic acid was also able to chemically react in vitro with GV (eg. the one remaining in the transfusion mixture after it had enough time to eliminate the parasite from blood). Results would suggest the potential use of these antioxidants to prevent unwanted side effects of GV for the blood recipient.

O Violeta de Genciana (GV) é utilizado como aditivo no sangue para remover o Trypanosoma cruzi da sangue em quimioprofilaxia da infecção por doença de Chagas através de transfusão de sangue, quando não é possível controle prévio de laboratório ou em situações de emergência. Nestes estudos encontraram-se efeitos genotóxicos do GV utilizando o ensaio Cometa, quando o GV foi adicionado ao sangue sob as condições utilizadas para a esterilização para transfusão. O efeito genotóxico foi ainda mais intenso se o sangue era mantido durante 48 horas com GV. Os resultados obtidos com o ensaio Cometa sugerem a formação de bases de DNA hidroxiladas, como resultado de um ataque de espécies reativas de oxigênio e apoiam a genotoxicidade do GV e seu potencial carcinogênico já informado anteriormente. Efeitos genotóxicos observados no ensaio do Cometa foram parcialmente prevenidos por administração de antioxidantes que já têm uso clínico seguro, como á-tocoferol, o ácido lipoico ou N-acetilcisteína. O ácido lipoico também foi capaz de reagir in vitro com GV. Os resultados sugerem um uso potencial destes antioxidantes para prevenir os efeitos colaterais não desejados de GV para o indivíduo receptor do sangue.

Two Cases of Green Nail Syndrome / 대한의진균학회지

Green nail syndrome is characterized by greenish discoloration of the nail. It is caused by Pseudomas aeruginosa which is an aerobic gram-negative rod found in moist environment. The most common predisposing factors are frequent exposure to water and trauma history. Herein, we report two cases of green nail syndrome who developed greenish discoloration of finger nails, which were treated by systemic levofloxacin and gentian violet application.

Hemorrhagic Cystitis due to Intravesical Instillation of Gentian Violet Completely Recovered with Conservative Therapy

Chemical cystitis due to intravesical instillation of gentian violet or crystal violet is rare and all of the reported cases have been in adults using undiluted solution, which resulted in long-term sequelae. This is a case report on a 16-month-old boy with hemorrhagic cystitis after the instillation of diluted gentian violet into the bladder to rule out bladder injury during inguinal herniorrhaphy. Although he was completely recovered with conservative therapy, gentian violet, even when diluted, should not be used on the urinary tract.

Temporary Complication of Gentian Violet in LASIK

PURPOSE: To report four cases in which temporary complication developed after using Gentian Violet as a marker in LASIK procedure. METHODS: Four cases who had undergone LASIK using Gentian Violet (Viscot Surgical Marker, U.S.A.) as a marker were followed. During follow up, corneal edema and opacity developed in landmark area which appeared as a hot spot in topography. Topical Corticosteroids and antibiotics applied for 3 weeks. RESULTS: At 3 month after LASIK, the corneal opacity and edema were disappeared. CONCLUSIONS: Temporary complication may develop by gentian violet following LASIK procedure. When using highly concentrated gentian violet marking pen, great attention should be paid not to make any corneal erosion.

Clinical Experience of Gentian Violet Dressing for Local Treatment of Wound Infection with MRSA / 병원감염관리

BACKGROUND: Methicillin-resistant Staphylococcus aureus (MRSA) is hardly controllable organism among the pathogen of nosocomial infection, because it is resistant to most antibiotics except vancomycin and local treatment with most antiseptics are not effective to eradicate MRSA from the infected wounds. There is increasing fear that MRSA infection can be spread widely in the hospitals. The effectiveness of Gentian Violet against MRSA was reported by Saji et al in 1992 for the first time. We tried Gentian Violet dressing on MRSA infected wounds to evaluate whether at not the Gentian Violet is effective to eradicate 11RSA which existed in the open wound. METHODS: 24 patients were treated by wet dressing with 0.1%Gentian Violet soaked gauze twice daily. They included 10 cases of sacral and trochanteric pressure sore, 6 cases of postoperative wound infectious, 3 cases of posttraumatic skin defects, 2 cases of DM foot, 1 case of post infectious skin defect and 2 cases of electrical burn, The wound culture was evaluated for elimination of MRSA infection twice weekly. RESULTS: The clinical results revealed that MRSA was not detected in all cases within 34days (average 13.5 days) after topical administration 0.1% Gentian Violet. CONCLUSION: There is no evidence of tissue irritation with Gentian Violet dressing on open wound or wound margin. After negative conversion of MRSA with Gentian Violet dressing, gram (-) organism was isolated in a half of the cases. 0.1% Gentian Violet topical administration is a useful treatment method of wound infection with MRSA.

A new method for extracting agarose using basic resin / 中国海洋药物

Objective To study a new method for extracting agarose. Methods In 1.5% agar solution, adding the cation resin exchanged by NH~+_ 4 to take off metal ions, then using the OH~ - basic resin to absorb agaropectin. Results and Conclusion The extracting rate was 57%, gel strength reached 560 g/ cm~ 2 , the agarose has good electricity function by measuring the gentian violet electrophoresis and the DNA gel electrophoresis, so it is suitable for bioche- mistry and molecular biology electrophoresis. It is a kind of simple and low cost method for extracting agarose which better than the EDTA- 2Na method and DEAE cellulose method.