RESUMO
Aim: The study aimed at analyzing ESBL and AmpC positive Enterobacteriaceae in the gastrointestinal tracts of healthy community subjects and hospitalized patients and detection of blaCTX-M type gene in ESBL positive isolates. Methods: Bacteria were isolated from stool samples of the study population. Production of ESBL-type beta-lactamases was screened by double-disk synergy test as well as automated system, and AmpC enzyme production was detected by the AmpC disk test. ESBL positive isolates were subjected to detection of the blaCTX-M gene. Results: A total of 792 stool samples (50% from healthy subjects and 50% from hospitalized patients) were studied. The prevalence rates of ESBL-positive Enterobacteriaceae were 9.3% in hospitalized patients and 4.4% in healthy community subjects. Production of the AmpC enzyme was detected in
RESUMO
Biomedical waste (BMW) is generated in hospitals, research institutions, health care teaching institutes, clinics, laboratories, blood banks, animal houses and veterinary institutes. Hospital waste management has been brought into focus in India recently, particularly with the notification of the BMW (Management and Handling) Rules, 1998. This study was conducted in Sharda hospital, Greater Noida with the aim to find out bacteriological profile of BMW with study of practices being followed in management and disposal of this waste with standard procedure. Total 500 cases of biomedical waste samples were taken in the study for bacterial culture, 136 samples of biomedical waste showed growth of bacterias. Pseudomonas species was the predominant bacteria isolated from these cultures. This study also suggests about the optimum practice which is to be followed in management of biomedical waste.
Assuntos
Bactérias/análise , Bactérias/microbiologia , Bactérias/terapia , Hospitais , Índia , Resíduos de Serviços de Saúde/análise , Resíduos de Serviços de Saúde/métodos , Eliminação de Resíduos de Serviços de Saúde/métodos , Testes de Sensibilidade Microbiana , Pseudomonas/isolamento & purificação , Pseudomonas/microbiologia , Eliminação de Resíduos/métodosRESUMO
Relapsing fever is an acute febrile illness caused by spirochetes of the genus Borrelia. The high fevers of presenting patients spontaneously abate and then recur. Here we report a 50-year-old woman having relapsing fever associated with thrombocytopenia. Giemsa staining of peripheral blood smear revealed spiral organisms morphologically resembling Borrelia. A rare case of relapsing fever which was successfully treated with doxycycline is discussed.