Subject(s)
Masticatory Muscles/physiopathology , Ocular Motility Disorders/physiopathology , Whipple Disease/diagnosis , Whipple Disease/physiopathology , Adult , Anti-Infective Agents/therapeutic use , Anti-Infective Agents, Urinary/therapeutic use , DNA, Bacterial/analysis , DNA, Bacterial/cerebrospinal fluid , Facial Muscles/innervation , Facial Muscles/physiopathology , Humans , Jejunal Diseases/complications , Jejunal Diseases/diagnosis , Jejunal Diseases/microbiology , Male , Masticatory Muscles/innervation , Ocular Motility Disorders/microbiology , Oculomotor Muscles/innervation , Oculomotor Muscles/physiopathology , Periodicity , Sulfamethoxazole/therapeutic use , Treatment Outcome , Trimethoprim/therapeutic use , Tropheryma/drug effects , Tropheryma/genetics , Tropheryma/physiology , Whipple Disease/complicationsABSTRACT
The American Thoracic Society and the Infectious Diseases Society of America have developed evidence-based guidelines for the therapy of hospitalized patients with community-acquired pneumonia (CAP). In an attempt to evaluate if the care provided to hospitalized patients with CAP is in compliance with the care recommended by national guidelines, an international network of investigators has been collecting data from 40 hospitals in 13 countries. The care provided in the following areas of antibiotic therapy was analyzed: empiric antibiotic therapy, timing of initial antibiotic therapy, and switch from intravenous to oral antibiotic therapy. Lack of compliance with national guidelines was identified in all areas of antibiotic therapy. Compliance at the local level can be improved with the implementation of a hospital-based pneumonia quality improvement team. Improving compliance with national guidelines recommendations will produce a beneficial effect in CAP clinical and economic outcomes.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Community-Acquired Infections/drug therapy , Guideline Adherence/statistics & numerical data , Hospitals/standards , Internationality , Pneumonia/drug therapy , Cohort Studies , Health Care Surveys , HumansABSTRACT
We report the first case of mixed pulmonary infection with Strongyloides stercoralis and Blastomyces dermatitidis. Histopathology from the lung biopsy showed structures consistent with B. dermatitidis and S. stercoralis. A parasitology exam from a bronchi alveolar lavage yielded an immature rhabditiform larva and female worm. Fungal cultures grew B. dermatitidis.
Subject(s)
Blastomycosis/pathology , Lung Diseases, Fungal/pathology , Lung Diseases, Parasitic/pathology , Strongyloides stercoralis/isolation & purification , Strongyloidiasis/pathology , Animals , Blastomyces/isolation & purification , Female , Humans , Lung/pathology , Male , Middle AgedABSTRACT
Desenvolvimento político e econômico da sociedade venezuelana. O comportamento da nova sociedade venezuelana: autonomia em relação aos partidos e ao Estado; capacidade de produção de objetivos e mobilização da opinião pública; tendência descentralizadora; aumento da participação; heterogeneidade
