RESUMEN
Ribotyping, an analysis of bacterial strain identity based on chromosomal restriction fragment length polymorphisms, was performed on 68 isolates of Pseudomonas cepacia recovered from patients receiving care at the two children's hospitals in Philadelphia and from environmental samples. Twenty different ribotypes were identified. Ribotype R3 predominated among isolates from all three sources. These findings are consistent with the acquisition of P. cepacia from the environment or by person-to-person transmission.
Asunto(s)
Burkholderia cepacia/aislamiento & purificación , Fibrosis Quística/complicaciones , Microbiología Ambiental , Infecciones por Pseudomonas/etiología , Burkholderia cepacia/clasificación , Niño , Infección Hospitalaria/microbiología , Humanos , Polimorfismo de Longitud del Fragmento de Restricción , Infecciones por Pseudomonas/complicaciones , Especificidad de la EspecieRESUMEN
Qualitative and semiquantitative bacterial culture specimens were obtained from 44 patients with kerions. Staphylococcus aureus was isolated from the scalp surface overlying the kerion in 29% of patients and from the pus within the kerion in 48% of patients. Gram-negative bacteria were found in the same locations in 11.3% and 18% of patients, respectively. The data indicate that bacteria are frequently cultured from kerions.
Asunto(s)
Tiña del Cuero Cabelludo/microbiología , Niño , Bacterias Gramnegativas/aislamiento & purificación , Humanos , Staphylococcus aureus/aislamiento & purificación , Tiña del Cuero Cabelludo/fisiopatología , Trichophyton/aislamiento & purificaciónRESUMEN
This study evaluated the impact of two interventions: (1) detailed feedback about a patient's mental health problem and desires for specific mental health interventions, and (2) a counseling protocol on medical residents' management of patients with mental health problems. These patients were seen in either a control, feedback, or feedback/protocol clinic. Immediately following their medical visit we found the following differences between feedback and control patients: feedback patients reported that the stress counseling they received was more valuable, and they were more satisfied with their physician; feedback patients also perceived greater decreases in the amount of overall stress experienced, and reported greater increases in their perceived control over stress. There were no outcome differences between feedback and feedback/protocol patients. We conclude that the feedback provided in this study can enhance physicians' ability to counsel primary care patients with mental health problems.