Nanocristais de besifloxacino para o tratamento de conjuntivite bacteriana: preparação, caracterização físico-química e toxicidade / Besifloxacin nanocrystals for treating bacterial conjunctivitis: preparation, physicochemical characterization, and toxicity

A conjuntivite bacteriana tem significante impacto na Saúde Pública. Essa infecção representa mais de um terço das doenças oculares relatadas em âmbito global. É uma doença altamente contagiosa causada por variedade de bactérias aeróbias e anaeróbias. Diferentes antibióticos empregados no tratamento dessa doença têm apresentado elevada incidência de resistência bacteriana. Dentre os antibióticos de última geração, destaca-se o besifloxacino, antibiótico de quarta geração da classe das fluoroquinolonas, indicado exclusivamente para uso oftálmico tópico. Entretanto, esse fármaco possui baixa solubilidade em água, diminuindo sua biodisponibilidade. Tendo em vista superar esse desafio, foi proposta abordagem nanotecnológica para o desenvolvimento de nanocristais desse fármaco. A preparação de nanocristais de besifloxacino empregando moagem via úmida em escala reduzida foi promissora empregando tensoativo Povacoat®. O Diâmetro hidrodinâmico médio (DHM) da partícula foi de aproximadamente 550 nm, com índice de polidispersão (IP) menor que 0,2. Esse resultado permitiu aumentar a solubilidade de saturação em aproximadamente duas vezes em relação a matéria-prima, possibilitando aumentar a velocidade de dissolução desse fármaco e melhorar sua biodisponibilidade e segurança. Além disso, foi validado o método para quantificação do besifloxacino por CLAE, apresentando especificidade, linearidade no intervalo de 20 a 80µg/mL (r= 0,9996), precisão por repetibilidade (DPR= 1,20%, 0,84% e 0,39%), precisão intermediária (DPR= 0,94%) e exatidão 99,03%. Estudo de estabilidade acelerado (90 dias) na condição 40°C±2°C/75%UR±5%UR e estudo de estabilidade de acompanhamento (150 dias) na condição: 25°C ± 2°C / 60% UR ± 5% UR evidenciaram a estabilidade do teor no período avaliado. Ainda, a nanossuspensão de besifloxacino 0,6% m/m (nanocristais) na dose máxima (500 mg/kg) e o estabilizante Povacoat® (750 mg/kg) não apresentaram toxicidade em larvas de G. mellonella. A concentração inibitória mínima (CIM) para a formulação inovadora foi de 0,0960 µg/mL e 1,60 µg/mL frente a Staphylococcus aureus e Pseudomonas aeruginosa, respectivamente, confirmando eficácia in vitro

Bacterial conjunctivitis greatly impacts the population's health, presenting more than a third of eye diseases reported worldwide. It is an infection caused by various aerobic and anaerobic bacteria and is highly contagious. Therefore, it presents a high incidence of bacterial resistance to the antibiotics commonly used for treatment. Among the most recent antibiotics, besifloxacin is a fourth-generation fluoroquinolone antibiotic indicated exclusively for topical ophthalmic use. Due to its importance in treating bacterial conjunctivitis and its low solubility in the water, a nanotechnological approach was proposed to develop besifloxacin nanocrystals. The preparation of besifloxacin nanocrystals using small-scale wet milling was promising using Povacoat® surfactant. The particle's average hydrodynamic diameter (DHM) was approximately 550 nm, with a polydispersity index (IP) of less than 0.2. This result increased the saturation solubility approximately two times concerning the raw material, making it possible to increase the dissolution rate of this drug and improve its bioavailability and safety. In addition, the method for quantification of besifloxacin by HPLC was validated, presenting specificity, linearity in the range of 20 to 80µg/mL (r= 0.9996), precision by repeatability (DPR= 1.20%, 0.84% and 0.39%), intermediate precision (DPR= 0.94%) and accuracy 99.03%. Accelerated stability study (90 days) at 40°C±2°C/75%RH±5%RH condition and follow-up stability study (150 days) at 25°C ± 2°C / 60% RH ± condition 5% RH showed the stability of content in the evaluated period. Furthermore, the 0.6% besifloxacin nanosuspension (nanocrystals) at the maximum dose (500 mg/kg) and the Povacoat® stabilizer (750 mg/kg) did not show toxicity in G. mellonella larvae. The minimum inhibitory concentration (MIC) to innovative formulation was 0.0960 µg/mL and e 1.60 µg/mL against Staphylococcus aureus and Pseudomonas aeruginosa, respectively, confirming in vitro efficacy

Isolation and characterization of the aerobic bacterial microbiota of the esophagus and its probable association with obstructive caseous lesions in green turtles (Chelonia mydas) / Isolamento e caracterização da microbiota bacteriana aeróbia do esôfago e sua provável associação com lesões caseosas obstrutivas em tartarugas-verdes (Chelonia mydas)

Caseous lesions in the esophagus of green turtles (Chelonia mydas) from the coast of Brazil have been described as obstructive lesions and can lead to the death of these animals. However, their etiology remains unclear. The aim of this study was to isolate and characterize the aerobic bacterial microbiota of the esophagus of green turtles (C. mydas) from the Brazilian coast and to verify its possible participation in the etiology of caseous lesions. For this, 42 animals were used, 33 alive and healthy and 9 naturally dead that had esophageal lesions confirmed by necropsy, from Anchieta and Piúma beaches, Espírito Santo. Microbiological tests and morphological evaluation of the esophagus were performed. We isolated 14 different bacterial agents from healthy animal samples, with the prevalence of Pseudomonas aeruginosa being (36.36%), Staphylococcus aureus (33.33%), Aeromonas hydrophila (27.27%), and Vibrio alginolyticus (24.24%). In dead animals, only three distinct agents were isolated: S. aureus (50.00%), A. hydrophila (25.00%), and V. alginolyticus (25.00%). Morphological evaluation revealed a predominance of the lesions at the gastroesophageal junction, with multifocal-to-coalescent distribution, discrete intensity, and absence of obstruction. Ulcerations and caseous exudates, inflammatory infiltrates, parasitic eggs, and giant foreign body cells were also observed as well as bacterial lumps and glandular alterations, such as necrosis, adenitis, and fragments of adult parasites. There was a positive correlation between bacterial lumps and microbiological culture and a negative correlation between bacterial lumps and microbiological culture with parasites. Thus, it was noted that the esophageal aerobic microbiota of C. mydas was predominantly composed of Gram-negative bacteria such as P. aeruginosa, A. hydrophila, and V. alginolyticus, in addition to several enterobacteria and Gram-positive bacteria, such as S. aureus. These agents are opportunists and may be involved in the etiology of caseous esophagitis in association with other pathogens as co-factors working in association or, even in a secondary way.(AU)

A ocorrência de lesão caseosa no esôfago de tartarugas-verdes (Chelonia mydas) da costa do Brasil tem sido descrita como de caráter obstrutivo e pode causar a morte dos animais. No entanto, sua etiologia permanece pouco esclarecida. Objetivou-se isolar e caracterizar a microbiota aeróbica esofágica das tartarugas-verdes (C. mydas) da costa brasileira e verificar sua possível participação na etiologia das lesões caseosas. Foram utilizados 42 animais, 33 vivos e hígidos e nove mortos naturalmente que apresentavam lesão esofágica confirmada pela necropsia, provenientes de Anchieta e Piúma, Espírito Santo, nos quais foram feitos testes microbiológicos e avaliação morfológica do esôfago. Foram isolados 14 agentes bacterianos diferentes nas amostras de animais saudáveis, com prevalência de Pseudomonas aeruginosa (36,36%), Staphylococcus aureus (33,33%), Aeromonas hydrophila (27,27%) e Vibrio alginolyticus (24,24%). Nos animais mortos, foram isolados apenas três agentes distintos: S. aureus (50,00%), A. hydrophila (25,00%) e V. alginolyticus (25,00%). A avaliação morfológica revelou predominância da lesão em junção gastroesofágica, com distribuição multifocal a coalescente, intensidade discreta e ausência de obstrução. Observou-se ainda ulceração e exsudato caseoso, infiltrado inflamatório, ovos de parasitos e células gigantes do tipo corpo estranho, além de grumos bacterianos e de alterações glandulares, como necrose, adenite e fragmentos de parasitos adultos. Houve correlação positiva dos grumos bacterianos com cultivo microbiológico e negativa dos grumos bacterianos e cultivo microbiológico com parasitos. Assim, nota-se que a microbiota esofágica aeróbica de C. mydas é constituída predominantemente por bactérias Gram-negativas como P. aeruginosa, A. hydrophila e V. alginolyticus, além de diversas enterobatérias e por Gram-positivas, como S. aureus. Esses agentes são oportunistas e podem estar envolvidos na etiologia da esofagite caseosa em associação a outros patógenos como co-fatores agindo em associação, ou mesmo, por via de infecção secundária.(AU)

Calidad higiénico-sanitaria de dos sistemas de ordeño en fincas bovinas ubicadas en el sector Vuelta Larga, municipio Maturín, estado Monagas (Venezuela) / Hygienic-sanitary quality of two milking systems in bovine farms located in sector Vuelta Larga, Maturín municipal state, Monagas state (Venezuela)

RESUMEN El objetivo de la presente investigación fue evaluar la calidad higiénico-sanitaria de dos sistemas de ordeño en fincas bovinas del municipio Maturín estado Monagas (Venezuela). El ensayo tuvo una duración de seis semanas, se calculó la eficiencia higiénica (%EH) de las instalaciones, el personal, la rutina de ordeño, la limpieza-desinfección y el almacenamiento-transporte de dos unidades de producción. Adicionalmente, se determinó la población de bacterias aerobias mesófilas (BAM) que se cuantificaron en un experimento en bloques al azar, con arreglo factorial de los tratamientos (2x2) donde el factor A, correspondió al sistema de ordeño manual y mecánico y el factor B, a la aplicación y omisión de secado de los pezones de cada animal previo al ordeño. La variable se examinó por análisis de varianza y sus valores promedios comparados por Tukey al 5% de probabilidad. El %EH de las fincas evaluadas fue de 66,66% para la finca 2 y de 54,84% para la finca 1, considerados no satisfactorios. Los resultados obtenidos para la variable BAM indican que el factor sistema de ordeño mostró diferencia altamente significativa (p ≤ 0,01); el sistema manual presentó el menor conteo con 5,24 Log10 UFC/ mL; mientras que para el factor condición de secado se constató diferencia significativa (p ≤ 0,05), ya que la aplicación de secado presentó la menor población de bacterias aerobias mesófilas con 5,25 Log10 UFC/mL. Las medidas higiénicas y sanitarias implementadas en la rutina de ordeño influyeron directamente en la calidad de la leche cruda.

ABSTRACT The objective of the present investigation, was to evaluate the 'Hygienic-Sanitary Quality of two Milking Systems in Bovine Farms' in Vuelta Larga Sector, Maturín City, Monagas State (Venezuela). The trial lasted six weeks, in which the Hygienic Efficiency (% EH) of the facilities, the workers, the milking routine, the cleaning and disinfection measures and the storage and transport of both milking systems, were calculated. Furthermore, the population of Mesophilic Aerobic Bacteria (BAM) was determined ; The data were processed following a distribution in random blocks with factorial arrangement (2x2) whose factor A represented the milking system: manual and mechanical, and the factor B was the application and omission of manual drying of teats for each animal prior to milking. The percentage of Hygienic Efficiency (% EH) of the farms evaluated was not satisfactory, corresponding to 66.66% in the farm 2 and 54.84% in the farm 1. The variable was examined by analysis of variance and its mean values compared by Tukey test at 5% of probability. Factor A achieved a highly significant difference (p ≤0.01), with the manual system obtaining the lowest count with 5.24 Log10 CFU / mL. In factor B significant difference was found (p≤0.05), the drying application decreased the BAM population with 5.25 Log10 CFU / mL. The Hygienic and Sanitary measures implemented in the milking routine directly influence the quality of raw milk.

Recuperación de bacterias aerobias y anaerobias de pacientes con apendicitis aguda mediante botellas de hemocultivo / Recovery of aerobic and anaerobic bacteria from patients with acute appendicitis using blood culture bottles

Introducción. La apendicitis aguda es la primera causa de abdomen agudo; sin embargo, poco se conoce sobre las bacterias asociadas y su perfil de sensibilidad. Objetivo. Identificar y determinar el patrón de resistencia de las bacterias aerobias y anaerobias aisladas en cultivo de líquido periapendicular tomado de los pacientes con apendicitis aguda, y establecer la proporción de bacterias según la fase clínica. Materiales y métodos. Se llevó a cabo un estudio descriptivo y prospectivo en el Hospital Universitario de San José de Bogotá (Colombia), en pacientes mayores de 16 años sometidos a apendicectomía abierta. Se tomaron muestras de líquido periapendicular, las cuales se sembraron directamente en botellas de hemocultivos para aerobios y anaerobios. Resultados. Se incluyeron 154 pacientes. Del total de cultivos, el 87 % (n=134) fueron positivos: 77 % (n=118) para aerobios y 51 % (n=79) para anaerobios. La proporción de cultivos positivos fue inferior en los casos de apendicitis no complicada, en comparación con aquellos de apendicitis complicada (80 % (66/83) Vs. 95 % (67/71); p=0,003). Los microorganismos aislados con mayor frecuencia fueron: Escherichia coli (53 %) (n=84), Bacteroides sp. (25 %) (n=25), Propionibacterium acnes (21 %) (n=21), Staphylococci coagulasa negativo (17 %) (n=27), Enterococcus sp. (10 %) (n=15) y Fusobacterium sp. (11 %) (n=11). La sensibilidad de E. coli a la amplicilina sulbactam fue de 30 %. La sensibilidad de Bacteroides spp. a la clindamicina y la ampicilina sulbactam fue de 91 %. El 100 % de los anaerobios fueron sensibles a piperacilina tazobactam, ertapenem, meropenem y metronidazol. Conclusiones. Los cultivos intraoperatorios son pertinentes en la apendicitis para determinar el patrón epidemiológico local, y establecer los antibióticos profilácticos y terapéuticos para esta enfermedad. Su siembra directa en botellas de hemocultivo permite una gran recuperación de microorganismos.

Introduction: Acute appendicitis is the first cause of acute abdomen, however, there is a little information about the associated bacteria and its sensibility profile. Objetive: To identify and to determine the resistance pattern of aerobic and anaerobic bacteria isolated in periapendicular fluid cultures taken in patients with acute appendicitis and to establish the proportions of isolates according to the clinical phase. Materials and methods: A descriptive and prospective study was undertaken at the Hospital Universitario de San José (Bogotá, Colombia) of patients older than sixteen years of age, undergoing an open appendectomy. A sample of periappendiceal fluid was taken, which was deposited directly into aerobic and anaerobic blood culture bottles. Results: One hundred and fifty-four patients were included. The overall positivity of cultures was 87% (n=1344); 77% (n=118) for aerobes and 51% (n=79) for anaerobes. The proportion of positive cultures was lower in the uncomplicated appendicitis cases as compared to the complicated ones (80% (66/83) vs. 95%(67/71), p = 0.003). The microorganisms isolated most frequently were: Escherichia coli (53%) (n=84); Bacteroides spp. (25%) (n=25); Propionibacterium acnes (21%) (n=21); coagulase negative Staphylococci (17%) (n=27); Enterococcus spp. (11%) (n=15), and Fusobacterium spp. (11%) (n=11). The sensitivity of E.coli to ampicillin/sulbactam was 30%. The sensitivity of Bacteroides spp. to clindamycin and ampicillin/sulbactam was 91%. All anaerobe isolates were sensitive to piperacillin/tazobactam, ertapenem, meropenem and metronidazole. Conclusions: Intraoperative cultures in acute appendicits are relevant in order to determine the local epidemiological pattern and to establish prophylactic and therapeutic antibiotics for this pathology; direct inoculation in blood culture bottles allows a high recovery of microorganisms.

Determinación de la inocuidad microbiológica de quesos artesanales según las normas técnicas colombianas / Determination of the microbiological safety of artisanal cheeses according to Colombian technical standards

RESUMEN El queso artesanal se ha convertido en un vehículo transmisor de microorganismos causantes de infecciones alimentarias. Este estudio busca identificar la carga microbiana presente en este producto y determinar el riesgo potencial para la salud pública con la Norma Técnica Colombiana 750. Se analizaron 31 muestras adquiridas en las tiendas comercializadores de queso artesanal con Registro de Cámara y Comercio de la ciudad de Tunja. Se determinó concentración microbiana de aerobios mesófilos, mohos y levaduras, Staphylococcus aureus, coliformes totales y fecales, Listeria monocytogenes y Salmonella spp., mediante técnicas microbiológicos convencionales. Los valores promedios obtenidos para aerobios mesófilos fue de 6x106 UFC/g; coliformes totales de 6,29x105 UFC/g; coliformes fecales de 3,99x105 UFC/g, Staphylococcus aureus de 1,6x105 UFC/g y para mohos y levaduras de 4.1x105 UFC/g. Se realizó BBL Crystal ® a las colonias de agar nutritivo encontrándose una variedad de microorganismos, principalmente Streptococcus uberis, Enterococcus durans, entre otros. La prevalencia de Listeria monocytogenes fue de 3,6% y en Salmonella sp de 3,1%. Todos los parámetros analizados presentaron recuentos superiores a los establecidos por la norma, indicando que las muestras no contaban con las condiciones higiénicas adecuadas para su consumo, debido principalmente a los procesos de elaboración artesanal del producto.

ABSTRACT Artisanal cheese has become a vehicle that transmits microorganisms that cause food borne infections. This study identified the microbial load present in this product and determined the potential risk to public health using the Colombian Technical Standard 750. Thirty-one samples from artisanal cheese trading stores registered in the Chamber and Commerce of the city of Tunja, Colombia were acquired and analyzed. Microbial concentration of mesophilic aerobes, molds and yeasts, Staphylococcus aureus, total and fecal coliforms, Listeria monocytogenes and Salmonella spp. were determined using conventional microbiological techniques. The average values obtained for aerobic mesophiles were 6x106 CFU/g; total coliforms 6.29x105 CFU/g; fecal coliforms of 3.99x105 CFU/g, Staphylococcus aureus of 1.6x105 CFU/g and for molds and yeasts of 4.1x105 CFU/g. BBL Crystal® was performed on nutritive agar colonies, and a variety of microorganisms were found, mainly Streptococcus uberis, and Enterococcus durans, among others. The prevalence of Listeria monocytogenes was 3.6% and in Salmonella sp 3.1 %. All the analyzed parameters had higher counts than those established by the norm, indicating that the samples did not have the adequate hygienic conditions for their consumption, mainly due to the processes of artisanal elaboration of the product.

AVALIAÇÃO DA CONTAMINAÇÃO MICROBIANA EM FITAS E RESINAS IDENTIFICADORAS DE INSTRUMENTAL CIRÚRGICO / Assessment of microbial contamination in surgical instrument identication tapes and resins / Evaluación de la contaminación microbiana en cintas y resinas identificadoras de instrumental quirúrgico

Objetivo: Avaliar a esterilidade de fitas coloridas e resinas utilizadas como identificadores em instrumentos cirúrgicos. Método: Foi realizado um estudo experimental, laboratorial, que utilizou uma amostra de 140 instrumentos cirúrgicos diversos, de aço inoxidável, identificados com fita ou resina, doados voluntariamente por Centros de Material e Esterilização para a presente investigação. As amostras foram inoculadas diretamente em trypticase soy broth (TSB) e em tioglicolato de sódio e incubadas por 14 dias. Resultados: Foi observado crescimento positivo em três amostras de fita e nenhum crescimento foi observado nas amostras de resina. Conclusão: Marcadores de instrumental do tipo fita albergaram microrganismos nos instrumentais avaliados, possivelmente protegidos por biofilme

Objective: To assess the sterility of colored tapes and resins used to identify surgical instruments. Method: We conducted an experimental laboratory study, which used a sample of 140 different stainless-steel surgical instruments, identified with tape or resin, voluntarily donated by Central Sterile Services Department to this research. The samples were inoculated directly into trypticase soy broth (TSB) and sodium thioglycolate and incubated for 14 days. Results: We found positive growth in three tape samples and none in resin samples. Conclusion: Identification tapes harbored microorganisms in the instruments assessed, possibly protected by biofilm

Objetivo: evaluar la esterilidad de las cintas de colores y las resinas utilizadas para identificar los instrumentos quirúrgicos. Método: Realizamos un estudio de laboratorio experimental, que utilizó una muestra de 140 instrumentos quirúrgicos de diferentes aceros inoxidable, identificados con cinta o resina, donados voluntariamente por el Departamento Central de Servicios Estériles para esta investigación. Las muestras se inocularon directamente en caldo de cultivo de soja tripticasa (TSB) y tioglicolato de sodio y se incubaron durante 14 días. Resultados: Encontramos un crecimiento positivo en tres muestras de cinta y ninguna en muestras de resina. Conclusión: las cintas de identificación albergaban microorganismos en los instrumentos evaluados, posiblemente protegidos por biofilm

Antibiotic sensitivity pattern of bacterial isolates in patients with chronic rhinosinusitis in Kaduna, Nigeria

Introduction: A common practice in the management of patients with chronic rhinosinusitis (CRS), the empirical use of antibiotics may contribute to treatment failure and to the development of antimicrobial resistance. Objective: To determine the antibiotic sensitivity pattern of aerobic and anaerobic bacteria associated with CRS. Methods: This was a prospective cross-sectional study in which endoscopically guided middlemeatal swabs (IBMSpss, version 16.0, Chicago, IL, USA) were aseptically taken from patients diagnosed with CRS after obtaining informed consent and ethical clearance. The samples were sent to the laboratory for qualitative and semiquantitative analysis via gram stain, aerobic, anaerobic cultures and antibacterial sensitivity tests. The collected data was analyzed using SPSS for Windows, version 16 (SPSS Inc, Chicago, IL, USA). Simple statistical parameters and paired sample t-test were used, as appropriate. Results: There were 74 (56.92%) bacterial growths, out of which 55 (74.32%) were aerobic and 19 (25.68%) were anaerobic isolates, from a total of 130 patients. About 13 (17.5%- 18%) of these bacterial growths yielded a mixed growth of aerobic and anaerobic isolates. Themost common bacterial isolates were 26 (35.14%) Staphylococcus aureus, Haemophilus influenzae 9 (12.16%), Streptococcus viridians 8 (10.81%), and Streptococcus pneumoniae 5 (6.76%). Augmentin, ciprofloxacin, and Peflacine were found to bemost effective, followed by levofloxacin, Rocephin, erythromycin and Zinat in that order (AU)

Resistencia bacteriana de Escherichia coli uropatogénica en población nativa amerindia Kichwa de Ecuador / Bacterial resistance of uropathogenic Escherichia coli in native Kichwa Amerindian population of Ecuador

Contexto: Escherichia coli uropatógena (ECUP) se presenta como uno de los principales agentes etiológicos en infecciones del tracto urinario (ITUs) no complicadas (70-95%). El objetivo del tratamiento de ITUs no complicadas es obtener curación clínica y microbiológica. Para ello, es de particular importancia el conocimiento de las tasas de resistencia antibiótica local. Objetivo: identificar los perfiles de resistencia a antibióticos de primera línea para ITUs no complicadas en poblaciones nativas amerindias Kichwas ecuatorianas, en donde el tratamiento empírico se basa en trimetoprim/sulfametoxazol, ampicilina, y ciprofloxacina mayoritariamente. Métodos: se analizaron 335 muestras de orina procedentes de las poblaciones de Zumbahua, Colta y Guamote, en un periodo de 4 meses (febrero-mayo 2016). Las muestras fueron incubadas por 24 y 48 horas en agar Eosin Methylene Blue (EMB), para luego ser identificadas en género y especie por pruebas bioquímicas. Para determinar la susceptibilidad antibiótica, se realizó la técnica de difusión en disco de Kirby-Bauer. Para la Concentración Inhibitoria Mínima (CIM), se utilizó la técnica de microdilución en caldo (Vitek 2). El método de doble disco fue la técnica utilizada para la detección de betalactamasas de espectro extendido (BLEE). Resultados: noventa (26,9%) muestras mostraron un recuento significativo de ≥105 (ufc)/ml, compatibles con ITUs. El microorganismo identificado con mayor frecuencia fue E. coli (n=75; 83,3%). La resistencia antibiótica encontrada para los aislados de E. coli fue de 56,7% a trimetoprim/sulfametoxazol, 52,5% a ampicilina, 43.3% a ácido nalidíxico, 32.5% a ciprofloxacina, 28.3% a norfloxacina, 25% a levofloxacina, 15.85% a cefazolina, 17.5% a cefoxitina, 15% a cefuroxima, 15% a ceftazidima, cefotaxima, y ceftriaxona, 15% a cefepima, 7,5% a nitrofurantoina y 1,7% a fosfomicina. Se identificaron 7 aislados productores de betalactamasas de espectro extendido (BLEE). Conclusión: con los resultados obtenidos se recomienda no utilizar ampicilina, trimetoprim/sulfametoxazol, ni quinolonas en la zona estudiada como terapia empírica. Se sugiere instaurar tratamiento empírico con fosfomicina o nitrofurantoina para ITUs no complicadas. (AU)

Microbiological quality of trahira fish (Hoplias malabaricus) from Baixada Maranhense, municipality of São Bento, MA / Qualidade microbiológica de peixe traíra (Hoplias malabaricus) proveniente da Baixada Maranhense, município de São Bento, MA

Fish are considered rich sources of nutrients. Health care throughout its production chain aims to ensure quality, minimizing the risks of transmission of foodborne diseases. In order to evaluate the microbiological quality of trahira fish (H. malabaricus), 40 samples were analysed for Most Probable Number (MPN) of coliforms at 45ºC, counts of aerobic mesophilic bacteria and Staphylococcus spp., identification of E. coli, Salmonella spp. and Aeromonas spp.. Analyses were conducted according to official methods, procedures, and recommendations. Microbiological results showed coliform values at 45 °C ranging from <3 to > 1.1 × 103 MPN/g, presence of E. coli in 14 (35%) samples, counts of mesophilic aerobic bacteria from 9 × 102 to 109 CFU/g and absence of coagulase positive Staphylococcus aureus. Salmonella spp. was detected in 2 (5%) samples, which is in disagreement with the standards required by the RDC Nº 12 of January, 2001 (ANVISA) regarding Aeromonas spp. In total, 36 (90%) samples were contaminated, 7 (19.4%) by A. cavie and 29 (80.6%) by A. hidrophila. The results of this research showed unsatisfactory hygienic and sanitary conditions of fish from the municipality of São Bento (MA), exposing consumers to the risk of foodborne diseases.(AU)

Os peixes são considerados fontes ricas de nutrientes. Cuidados sanitários durante toda a sua cadeia produtiva visam garantir a qualidade, minimizando os riscos de transmissão de doenças alimentares. Com objetivo de avaliar a qualidade microbiológica de peixes traíra (H. malabaricus), foram analisadas 40 amostras quanto à determinação do Número Mais Provável (NPM) de coliformes a 45 ºC, contagem de bactérias aeróbias mesófilas e Staphylococcus spp. e identificação de E. coli; Salmonella spp. e Aeromonas spp. As análises foram processadas conforme métodos, procedimentos e recomendações oficiais. Os resultados microbiológicos mostraram valores de coliformes a 45 ºC variando de < 3 a > 1,1 × 103 NMP/g, presença de E. coli em 14 (35%) amostras, contagens de bactérias aeróbias mesófilas de 9 × 102 a 109 UFC/g e ausência de Staphylococcus aureus coagulase positivo. Detectou-se Salmonella spp. em 2 (5%) amostras, portanto, em desacordo com os padrões exigidos pela RDC Nº 12 de janeiro de 2001 (ANVISA) e para Aeromonas spp. No total, 36 (90%) amostras estavam contaminadas, sendo 7 (19,4%) por A. cavie e 29 (80,6%) por A. hidrophila. Os resultados da pesquisa demonstram que os peixes provenientes do município de São Bento (MA) apresentaram condições higiênico-sanitárias insatisfatórias, expondo os consumidores a risco de doenças veiculadas por alimentos.(AU)

Tecnologías para ahorrar agua en el cultivo de arroz / Technologies for water saving in rice

El uso eficiente del agua determina el futuro del cultivo de arroz en Colombia frente a los tratados de libre comercio, ya que es un factor que condiciona el área sembrada, el rendimiento de la cosecha y los costos de producción, además de su sostenibilidad en el tiempo. Por lo tanto, se presenta una revisión de las tecnologías desarrolladas a nivel mundial enfocadas al ahorro del agua en el cultivo de arroz en condiciones aeróbicas y anaeróbicas. Se resaltan tecnologías alternativas que superan al sistema convencional en rendimiento y en la cantidad de arroz cosechado por metro cúbico de agua invertido. En la reflexión para Colombia, se destacan aspectos importantes para la construcción de la agenda de investigación y la apropiación social de las tecnologías alternativas con miras a la optimización del recurso hídrico en el cultivo de arroz; se recomienda priorizar el arroz aeróbico y la medición efectiva del consumo de agua, indispensable para controlar su uso, planear, dirigir y entender cómo estas tecnologías alternativas conducen a la recuperación de la inversión de los agricultores y a la rentabilidad del cultivo.

Water use efficiency, given that it conditions the sown areas, yield and production costs, as well as its sustainability, determines the future of rice production in Colombia against the FDA. This paper presents a review of the globally developed technologies for water saving in rice production under aerobic and anaerobic conditions. The authors highlight alternative technologies that surpass the conventional system in terms of yield and harvest per cubic meter of water used. In the reflection for Colombia, the authors highlight important features for the research agenda and the social appropriation of alternative technologies with a view to optimizing water resources usage for rice production. Recommendations include the prioritizing of aerobic rice and the effective measurement of water consumption, which is indispensable for its use, and for planning, directing, and understanding how these alternative technologies can lead to the recovery of the investment made by agricultural workers and crop profitability.

Bactérias aeróbias mesófilas contaminantes do leite de vaca uht (ultra hight temperature) comercializado em Maceió - Al / UHT (ultra hight temperature) cow's milk contaminating aerobic bacteria marketed in Maceió - Al

O leite de vaca UHT nem sempre é um alimento isento de contaminações, podendo sofrer deterioração. A má qualidade microbiológica do leite, além de ser um problema de saúde pública, também altera as características sensoriais e a vida útil dos seus derivados. Inúmeras pesquisas mostram que os principais fatores responsáveis por surtos de doenças de origem alimentar estão no manuseio incorreto dos alimentos desde a sua obtenção até a sua estocagem, incluindo a falta de higiene na sua obtenção ou no processamento e no tratamento térmico insuficiente ou incorreto, deste modo podendo ser incorporados ou sobreviver no leite diversos micro-organismos. O objetivo deste estudo foi quantificar bactérias aeróbias mesófilas contaminantes do leite de vaca UHT comercializado em Maceió - AL. Para a contagem padrão de bactérias aeróbias mesófilas, 1,0mL de cada diluição foisemeado em duplicata diretamente em placas de Petri esterilizadas, pelo método pour plate, com Ágar para contagem padrão (PCA). Das doze marcas comerciais analisadas, cinco (41,6%) apresentaram contaminação por bactérias aeróbias mesófilas, porém nenhuma delas com contagens acima do permitido pelo Regulamento Técnico. Os Leites UHT analisados não apresentaram contaminantes microbianos ou valores destes acima do permitido pela legislação, o que demonstra eficiência do processo de esterilização UHT, evidenciando-se também a aplicação das Boas Práticas de maneira eficiente.

The UHT cow milk is not always a food free from contamination and may suffer decay. Poor microbiological quality of milk, in addition to being a problem of public health also changes the sensory characteristics and lifetime of its derivatives. Numerous polls show that the main factors responsible for outbreaks of food-borne diseases are on the mishandling of food since its acquisition until its storage, including the lack of hygiene in your obtaining or processing and heat treatment insufficient or incorrect in this way may be embedded or survive in milk various microorganisms. The objective of this study was to quantify aerobic mesophilic bacteria contaminants of UHT cow milk marketed in Maceió/AL. For the default count of aerobic mesophilic bacteria, 1.0 mL of each dilution was sown in duplicate directly into sterile Petri dishes, pour plate method, with Agar for count standard (PCA). Of the twelve trademarks analyzed five (41.6) showed contamination by mesophilic aerobic bacteria, but none with scores above the allowed by the Technical Regulation. The UHT Milks analyzed showed no microbial contaminants or values of these above permitted by legislation, which demonstrates efficiency of UHT sterilization process, showing also the application of good practices efficiently.

Actividad antimicrobiana y biocompatibilidad de los cementos endodónticos a base de hidróxido de calcio / Antimicrobial activity and biocompatibility of calcium hydroxide-based endodontic sealers

Uno de los objetivos de la endodoncia es la eliminación de los microorganismos de la endodoncia es la eliminación de los microorganismos y la prevención de la reinfección en el sistema de conductosradiculares. Una de las fases de la terapia endodóntica que permite laobtención de dichos objetivos es la obturación de los conductos radiculares;esto significa rellenarlos con un material inerte de la manera más hermética posible y un cemento que permita estimular el proceso de reparación apical y periapical. Los microorganismos pueden permanecer en el sistema de conductos radiculares inclusive después de los procesos de instrumentación e irrigación porque pueden presentar una anatomía compleja. En endodoncia, una de las propiedades deseadas en los cementos endodónticos es la acción antimicrobiana, para eliminar las bacterias resistentes. Los cementos a base de hidróxido de calcio son utilizados debido a su acción antimicrobiana y degradación deendotoxinas, entre otras propiedades. Estas premisas nos llevan a larealización de este trabajo, teniendo como objetivo evaluar la actividadantimicrobiana y la biocompatibilidad que presentan los cementos endodónticos a base de hidróxido de calcio a través de una revisión deliteratura. Después de la revisión podemos concluir que los cementosa base de hidróxido de calcio poseen biocompatibilidad y actividad antimicrobiana contra diversos tipos de microorganismos; sin embargo, pueden tener sus propiedades biológicas alteradas dependiendo de la etodología utilizada y del tiempo de aplicación.

One of the aims of endodontics is to eliminate microorganisms and prevent reinfection in the root-canal system. To achieve this, one of the procedures performed in endodontic therapy is the sealing of the root canals. This implies fi lling the root canal with as hermetic an inert material as possible and a sealer that encourages the process of apical and periapical repair. Microorganisms can remain in the root-canal system even after biomechanical preparation and irrigation, as they may have a complex anatomy. In endodontics, one of the desired properties of an endodontic sealer is antimicrobial activity to eliminate resistant bacteria. Calcium hydroxide-based sealers are used due to their antimicrobial activity and role in endotoxin degradation, among other properties. These were the premises that gave rise to this study, which aimed to evaluate the antimicrobial activity and biocompatibil-ity exhibited by a calcium hydroxide-based endodontic sealer based on a review of the literature. As a result of this review, we were able to conclude that while calcium hydroxide-based sealers do display biocompatibility and antimicrobial activity, their biological properties can vary depending on the method used and the time of application.

Perfil microbiológico do palmito de açaí (Euterpe oleracea MART) em conserva e das superfícies envolvidas na sua produção / Microbiological profile açaí palm heart (Euterpe oleracea MART) preserved and the areas involved in the production

Nos últimos anos o palmito vem sendo considerado uma iguaria tipicamente brasileira, consumido em diversos Estados como um produto exótico, muito utilizado na elaboração de pratos finos, com demanda não somente no mercado nacional, mas internacional também. Em contrapartida, é considerado um dos principais "vilões" de muitos casos de doenças causadas por alimentos contaminados. Assim, o presente trabalho objetivou avaliar a qualidade microbiológica do palmito de açaí (Euterpe oleracea Mart.) em conserva e das superfícies de contato envolvidas com o processamento do produto, em uma indústria localizada no município de Igarapé-Miri, no Pará. Foram coletadas cinco amostras do palmito de açaí em conserva e da salmoura em que se encontravam os produtos. As coletas foram realizadas em cinco dias diferentes. Todas as análises microbiológicas (Coliformes totais e termotolerantes, Clostridium Sulfito Redutor e Pesquisa de Salmonella spp.) foram realizadas seguindo os métodos oficiais de American Public Health Association. As superfícies analisadas foram: mãos de três manipuladores, bancada, balde, pote de vidro para embalagem, gabarito de corte, placa de corte e faca. As análises realizadas nas superfícies foram: contagem padrão de bactérias aeróbias mesófilas, Coliformes totais e termotolerantes, e contagem de Staphylococcus aureus. Os resultados das análises microbiológicas mostraram que todas as amostras de palmito em conserva e das salmouras encontram-se dentro dos padrões microbiológicos vigentes, portanto em condições adequadas de consumo. As análises microbiológicas de swabs das superfícies mostraram que as superfícies avaliadas não apresentaram contaminação por Coliformes termotolerantes. Observou-se, porém, contagens elevadas de bactérias aeróbias mesófilas e Coliformes totais. Em relação às superfícies das mãos dos manipuladores, as mesmas apresentaram níveis elevados de Stahpylococcs aureus, Coliformes totais e bactérias aeróbias mesófilas, mostrando assim a inadequada condição higienicossanitária da indústria.

In recent years the palm has been considered a typically Brazilian delicacy, consumed in several States as an exotic product, widely used in the production of fine dishes, becoming a product with demand not only in domestic market but also internationally. However, it is considered one of the "villains" of many cases of diseases caused by contaminated food. Thus, this study aimed to evaluate the microbiological quality açai palm heart (Euterpe oleracea Mart.) Canned and contact surfaces involved in product processing, in an industry in the municipality of Igarapé-Miri, Para. Were collected five açai palm samples preserved and brine they were in the products. Samples were collected on five different days. All microbiological analyzes (Total and Thermotolerant Coliforms, Clostridium Sulfite Reducer and Research Salmonella spp.) Were performed following the official methods of the American Public Health Association. The areas analyzed were the hands of three handlers, bench, bucket, glass jar for packaging, cutting template, cutting board and knife. The analyzes carried out on the surfaces were standard count mesophilic aerobic bacteria, Total and Thermotolerant Coliforms, and count Staphylococcus aureus. The results of these analyzes showed that all samples palm preserves and pickles are within agreed microbiological standards, so in appropriate conditions of use. Microbiological analysis of "swabs" from surfaces showed that the assessed surfaces were not contaminated by Coliform Thermotolerant. However, there was high counts of mesophilic aerobic bacteria and Total Coliform. With regard to areas of the hands of manipulators, they showed high levels of Stahpylococcs aureus, Total Coliforms and mesophilic aerobic bacteria, thus showing inadequate hygienic and sanitary condition of the industry.

Estudio microbiológico en la hoja de coca Chapareña y Yungueña en Bolivia / Microbiologic study in coca leaf Chapare and Yungas in Bolivia

Considerando la veracidad de los beneficios de la hoja de coca y su comercio como un alimento listo para el consumo humano; este estudio tiene por objetivo determinar la concentración de Bacterias aerobias mesófilas (BAM) y hongos, e identificar parásitos así como hongos en la hoja de coca seca yungueña y chapareña, mediante un estudio descriptivo de corte transversal. Se estudiaron 74 muestras de hoja de coca chapareña y yungueña, se cuantificaron las BAM/g cultivadas en agar deTripticasa de soya, se cuantificó e identificaron los hongos luego del cultivo en agar Sabouraud y se observaron parásitos por microscopía. Se obtuvo una concentración de 3.36*10(7) en la hoja Yungueña: en comparación a 7.33*10(7) UFC/g en la chapareña: ambos fuera del rango permitido según IBNORCA; el nivel de hongos en la Yungueña fue: 1 937 287 UFC/g y en la chapareña: 1 955 255 UFC/g, valores encima de lo permitido según el Reglamento Sanitario de los alimentos de la Norma Chilena, se identificaron: Aspergillus Terreus,Aspergillus Fumigatus, Aspergillus Niger,Aspergillus nidulans, Mucor s.p., Rizhopus s.p., Fusarium s.p. (Solo en la muestra chapareña), Aspergillus Fumigatus, Aspergillus Niger, Fusarium oxysporum, Penicillium citreovirens, Penicillium spinulosum, Penicillium s.p., y levaduras (Sin identificar especie), ácaros y cuerpos extraños. Se concluye que si bien las hojas de coca presentan concentración de bacterias con valores fuera de las permitidas para alimentos de este tipo, preocupa la alta contaminación con hongos, parásitos y cuerpos extraños como piedrillas, tela de araña, cabellos.

Considering the veracity of the benefits of the coca leaf and its trade as a ready food for human consumption;This study aims to determine the concentration of aerobic mesophilic bacteria (BAM) and fungi, and identify parasites and fungi in dry coca leaf Yungas and Chapare. A descriptive cross-sectional study was performed. 74 sheet samples Chapare and Yungas coca studied, the BAM/g were quantified grown on trypticase soy agar, quantified and identified fungi after Sabouraud agar culture and parasites were observed by microscopy. A concentration of 3.36*10(7) in the Yungas sheet was obtained: compared to 7.33*10(7) CFU/g in the Chapare: both out of range as IBNORCA; the level of fungi in the Yungas was 1,937,287 CFU/g in the Chapare: 1,955,255 CFU /g, values higher than allowed under the IHR food of the Chilean Norm, they were identified: Aspergillus Terreus, Aspergillus fumigatus, Aspergillus niger, Aspergillus nidulans, Mucor, Rizhopus sp, Fusarium sp (only in the Chapare shown), Aspergillus fumigatus,Aspergillus niger, Fusarium oxysporum, Penicillium citreovirens, Penicillium spinulosum, Penicillium sp., and yeasts (Unidentified species), mites and foreign bodies.We conclude that although coca leaves concentration of bacteria present values outside the permitted for foods of this type, concerned about the high contamination with fungi, parasites and foreign bodies as predrills, spider web, hair.

Fabrication of an antimicrobial active packaging and its effect on the growth of Pseudomonas and aerobic mesophilic bacteria in chicken / Elaboración de un envase activo antimicrobiano y su efecto en el desarrollo de Pseudomonas y bacterias aerobias de pollo

Background: One of the aims of food packaging is to protect the product from environmental factors that can cause a reduction in quality. Surface growth of microorganism is one of the leading causes of food spoilage. One option is to use antimicrobial packaging to provide an increased margin of safety and quality. Objectives: The aim of this study was evaluate the effect of active packaging with eugenol on growth of Pseudomonas and aerobic mesophilic bacteria in fresh chicken pieces. Methods: Three batches of low-density polyethylene (LDPE) film, containing 0, 9.0 and 7.7, mg g-1 eugenol (control, AAF1 and AAF2, respectively), were extruded in a pilot-plant scale blown-extrusion machine. The films with eugenol lost 42.7% and 36.8% (AAF1 and AAF2, respectively) of eugenol during processing and absorbed UV-visible light at 300-261 nm. The kinetics of eugenol release from the AAF1 into the air at 5°C and 25ºC displayed Fick's behavior, and a diffusion coefficient of 10-8 cm2 s-1 was calculated. Results: Eugenol showed antimicrobial activity on in vitro, using paper discs with 1.74, 0.87 and 0.36 mg eugenol on 108 CFU mL-1 of Pseudomonas fluorescens in Muller-Hinton agar. Chicken thighs were wrapped in the AAF2 film, and the effects on the growth of Pseudomonas and aerobic mesophilic bacteria (AMB) were evaluated after storage for 5 d at 5°C. The AAF2 showed a moderately antimicrobial effect in reducing the growth of Pseudomonas (1.1 x 106 CFU g-1) relative to growth in the control film (6.0 x 106 CFU g-1) (P < 0.05). The film with eugenol was effective in reducing the growth of AMB (9.0 x 105 CFU g-1) relative to growth in the control film (1.7 x 106 CFU g-1) (P < 0.05). Conclusions: Despite the high losses of eugenol during the extrusion of the films, they showed an antimicrobial effect during contact with fresh chicken under commercial conditions. This study shows the potential use of eugenol for application in LDPE antimicrobial packaging film.

Antecedentes: Uno de los principales objetivos del envasado de alimentos es protegerlo de factores que puedan afectar y causar una reducción en la calidad. El desarrollo de microorganismos en la superficie es uno de las causas principales del deterioro de los alimentos. Una opción es el empleo de envases con propiedades antimicrobianas. Objetivos: El objetivo del presente estudio fue evaluar el efecto de un envase antimicrobiano conteniendo eugenol en el desarrollo de Pseudomonas y bacterias mesofílicas aerobias (BMA) en piezas de pollo. Métodos: Tres lotes de película de polietileno de baja densidad (PEBD) conteniendo 0, 9.0 y 7.7 mg g-1 de eugenol (control, AAF1, AAF2, respectivamente) fueron obtenidas por extrusión-soplo utilizando un extrusor a nivel planta piloto. Se calculó la cinética de liberación del eugenol de la AAF1 hacia el aire a 5°C y 25°C. Se evaluó la capacidad antimicrobiana in vitro del eugenol sobre 108 UFC mL-1 de Pseudomona fluorescens utilizando discos de papel conteniendo 1.74, 0.87 y 0.36 mg de eugenol en agar Muller-Hinton. Las piezas de pollo fueron envueltas en la película AAF2 y almacenadas a 5°C evaluando a los 5 días el efecto de la película en el desarrollo de Pseudomonas y en BMA. Resultados: El eugenol mostró actividad antimicrobiana inhibiendo el crecimiento de P. fluorescens. Las películas conteniendo eugenol perdieron durante el proceso de extrusión 42.7% y 36.8% (AAF1 y AAF2 respectivamente) del total añadido mostrando un comportamiento fickiano con un coeficiente de difusión de 10-8 cm2 s-1. Las AAF2 mostraron un efecto moderado en la reducción del desarrollo de Pseudomonas (1.1 x 106 CFU g-1) comparadas con el control (6.0 x 106 CFU g-1) (P < 0.05). Las películas con eugenol (AAF2) fueron efectivas al reducir el desarrollo de las BMA (9.0 x 105 CFU g-1) comparadas con la película control (1.7 x 106 CFU g-1) (P < 0.05). Conclusiones: A pesar de las pérdidas del eugenol durante el proceso de extrusión para la obtención de las películas, estas mostraron un efecto antimicrobiano sobre las piezas de pollo. Por lo tanto, este estudio muestra el uso potencial del eugenol para la aplicación en envases antimicrobianos elaborados a base de PEBD.

Aerobic bacterial microbiota of the conjunctiva in diabetic patients with normal and altered glycated hemoglobin levels in two regions in Brazil / Microbiota bacteriana aeróbica conjuntival em pacientes diabéticos com hemoglobina glicada normal e alterada em duas regiões brasileiras

Purpose: To study the aerobic bacterial microbiota of the conjunctiva in diabetic patients with regard to the management of diabetes, assessed using glycated hemoglobin levels. Methods: A cross-sectional study was conducted using conjunctival smears of diabetic patients from both sexes and with different ages, residing in two different Brazilian cities (Sorocaba and Rio Branco). A control group of non-diabetic patients was also included. The diabetic patients were considered to have controlled diabetes when their glycated hemoglobin level was ≤7% and blood glucose level was ≤126 mg/dL. Patients with non-controlled diabetes were those with glycated hemoglobin levels >7% and blood glucose levels >126 mg/dL. The samples obtained were inoculated in Brain-Heart Infusion broth and in culture media for aerobic bacteria (blood and chocolate agars); bacterial growth was evaluated in a microbiology laboratory. Results: A total of 120 eyes of 120 patients were included in the present study. The percentage of cultures in which bacterial growth was observed was greater in diabetic patients, although the difference was not statistically significant (p=0.103). There was a greater trend toward bacterial growth in the conjunctiva of diabetic patients with altered fasting blood glucose. There was no difference in the frequency of bacterial growth on the conjunctiva between diabetic patients with normal or altered glycated hemoglobin levels. In Sorocaba, conjunctival bacterial growth was similar to that observed in Rio Branco. The microorganism most frequently detected in the present study was Staphylococcus epidermidis, followed by Staphylococcus aureus, Proteus mirabilis, and Escherichia coli. Conclusion: There was no difference between diabetic patients with normal or altered glycated hemoglobin levels. The microorganisms found were similar to those found in studies investigating the conjunctival bacterial flora of diabetic and non-diabetic ...

Objetivo: Estudar a microbiota conjuntival bacteriana aeróbica dos pacientes diabéticos em relação ao controle glicêmico, verificado através da hemoglobina glicada, em duas cidades distintas. Métodos: Foi realizado um estudo transversal utilizando raspados de conjuntiva de indivíduos diabéticos de ambos os sexos e idades variáveis de duas cidades: Sorocaba e Rio Branco. O grupo controle foi constituído de pacientes não diabéticos. A amostra foi constituída de pacientes diabéticos que foram considerados controlados com hemoglobina glicada ≤7% e glicemia de jejum ≤126 mg/dl e não controlados com hemoglobina glicada >7% e glicemia de jejum >126 mg/dl. O material obtido foi semeado em meio líquido Brain Heart Infusion (BHI) e em meios de cultivo para bactérias aeróbicas (ágar sangue e ágar chocolate). O crescimento bacteriano foi avaliado em laboratório de microbiologia. Resultados: Foram incluídos 120 olhos de 120 pacientes. A porcentagem de culturas nas quais houve crescimento bacteriano foi maior em pacientes diabéticos, sendo a diferença não estatisticamente significante (p=0,103). Não houve diferença entre o crescimento bacteriano em pacientes com hemoglobina glicada normal e alterada. Houve uma tendência maior de crescimento bacteriano em conjuntivas de pacientes diabéticos com glicemias de jejum elevada. Em Sorocaba houve crescimento bacteriano conjuntival semelhante a Rio Branco. O microrganismo mais frequente encontrado neste estudo foi Staphylococcus epidermidis, seguido de Staphylococcus aureus, Proteus mirabilis e Escherichia coli. Conclusões: Não ocorreu diferença entre pacientes diabéticos com hemoglobina glicada normal e alterada. Os microrganismos encontrados foram semelhantes aos estudos da flora bacteriana de conjuntivas normais e de diabéticos. .

Modulation of small intestinal homeostasis along with its microflora during acclimatization at simulated hypobaric hypoxia.

At high altitude (HA) hypobaric hypoxic environment manifested several pathophysiological consequences of which gastrointestinal (GI) disorder are very common phenomena. To explore the most possible clue behind this disorder intestinal flora, the major player of the GI functions, were subjected following simulated hypobaric hypoxic treatment in model animal. For this, male albino rats were exposed to 55 kPa (~ 4872.9 m) air pressure consecutively for 30 days for 8 h/day and its small intestinal microflora, their secreted digestive enzymes and stress induced marker protein were investigated of the luminal epithelia. It was observed that population density of total aerobes significantly decreased, but the quantity of total anaerobes and Escherichia coli increased significantly after 30 days of hypoxic stress. The population density of strict anaerobes like Bifidobacterium sp., Bacteroides sp. and Lactobacillus sp. and obligate anaerobes like Clostridium perfringens and Peptostreptococcus sp. were expanded along with their positive growth direction index (GDI). In relation to the huge multiplication of anaerobes the amount of gas formation as well as content of IgA and IgG increased in duration dependent manner. The activity of some luminal enzymes from microbial origin like α-amylase, gluco-amylase, proteinase, alkaline phosphatase and β-glucuronidase were also elevated in hypoxic condition. Besides, hypoxia induced in formation of malondialdehyde along with significant attenuation of catalase, glutathione peroxidase, superoxide dismutase activity and lowered GSH/GSSG pool in the intestinal epithelia. Histological study revealed disruption of intestinal epithelial barrier with higher infiltration of lymphocytes in lamina propia and atrophic structure. It can be concluded that hypoxia at HA modified GI microbial imprint and subsequently causes epithelial barrier dysfunction which may relate to the small intestinal dysfunction at HA.