Case-case-control study of risk factors for nasopharyngeal colonization with methicillin-resistant Staphylococcus aureus in a medical-surgical intensive care unit

Nasopharyngeal colonization with methicillin-resistant Staphylococcus aureus (MRSA) often precedes the development of nosocomial infections. In order to identify risk factors for MRSA colonization, we conducted a case-case-control study, enrolling 122 patients admitted to a medical-surgical intensive care unit (ICU). All patients had been screened for nasopharyngeal colonization with S. aureus upon admission and weekly thereafter. Two case-control studies were performed, using as cases patients who acquired colonization with MRSA and methicillin-susceptible S. aureus (MSSA), respectively. For both studies, patients in whom colonization was not detected during ICU stay were selected as control subjects. Several potential risk factors were assessed in univariate and multivariable (logistic regression) analysis. MRSA and MSSA were recovered from nasopharyngeal samples from 27 and 10 patients, respectively. Independent risk factors for MRSA colonization were: length-of-stay in the ICU (Odds Ratio [OR]=1.12, 95%Confidence Interval[CI]=1.06-1.19, p<0.001) and use of ciprofloxacin (OR=5.05, 95%CI=1.38-21.90, p=0.015). The use of levofloxacin had a protective effect (OR=0.08, 95%CI=0.01-0.55, p=0.01). Colonization with MSSA was positively associated with central nervous system disease (OR=7.45, 95%CI=1.33-41.74, p=0.02) and negatively associated with age (OR=0.94, 95%CI=0.90-0.99, p=0.01). In conclusion, our study suggests a role for both cross-transmission and selective pressure of antimicrobials in the spread of MRSA.

Artérias destinadas ao útero e tuba uterina em gatas (Felis catus)

Trabalhamos com 36 gatas adultas, SRD, obtidas através de doações. em 30 desses animais foram injetados em seus vasos arteriais látex Neoprene 650 corado, para o estudo sistemático da origem e distribuição das artérias destinadas ao útero e tuba uterina. Seis desses animais foram utilizados para injeção de Acetado de Vinil, Método de Diafanização de Spaltholz e Radiografia de Contraste, para ilustrar nosso trabalho. Observamos que os vasos que se destinam à tuba uterina e ao útero provêm das artérias ováricas, artérias uterinas e suas colaterais (artéria vesical caudal e ramo uretral). em todas as observações (100%), a artéria ovárica tem sua origem na aorta e emite um ramo em 56,67% das observações para a tuba uterina, e, em 43,33% das vezes, para o corno uterino e tuba uterina. em todas as observações (100%), a artéria uterina tem sua origem na artéria vaginal, como um único vaso, e emite 1-4 ramos para a cérvix uterina, 1-2 ramos para a cérvix e corpo uterino, 1-4 ramos para o corpo uterino, 1-19 ramos para o corno uterino, 1 ramo para o corno uterino e tuba uterina e 1 ramo para a tuba uterina. A artéria vesical caudal e o ramo uretral auxiliam na irrigação da cérvix e corpo uterino, quando estes seguem para a uretra e bexiga, respectivamente. Encontramos anastomoses entre os ramos da artéria uterina e entre estes e os ramos da artéria ovárica.

Anatomicosurgical arterial segmentation of the cat lungs (Felis catus domesticus, L., 1758)

O objetivo desta pesquisa foi estabelecer os segmentos anátomo-cirúrgicos arteriais, através da lobação e ramificação intralobar arterial, em pulmões de gato. Após a dissecção de vinte pulmões, notou-se que a artéria pulmonar direita geralmente emite um ramo para o lobo cranial e um ramo para o lobo médio, sendo originados juntos em um tronco. Um grande ramo irriga o lobo caudal na maioria dos casos. Dois ramos com origem comum no ramo arterial do lobo caudal irrigam o lobo acessório. A artéria pulmonar esquerda origina um tronco que, na maioria dos casos, emite um ramo para a porção cranial e um ramo para a porção caudal do lobo cranial esquerdo. Pode-se concluir que o pulmão direito é formado por quatro e o esquerdo por dois lobos, ocorrendo variações na ramificação arterial pulmonar.

STRUCTURE OF THE RETE TESTIS OF THE CAT (FELIS-DOMESTICA, L)

The rete testis of the cat consists of 3 parts: a septal or interlobular part; a mediastinal part and a tunical part. The septal part contains the septal or transitory tubuli recti and the tubuli recti. The transitory tubules are formed as a confluence of the seminiferous tubules at the apex of the testicular lobules and the tubuli recti. The mediastinal rete is formed of long, straight channels which increase in size and become more irregular and anastomotic below the tunica albuginea at the cranial extremity of the testis. The end is characterized as the tunical part of the rete testis and communicates with the extratesticular rete testis. The channels all parts of the rete are lined by simple cuboidal or columnar epithelium. These epithelial channels are supported by a connective tissue containing smooth muscle cells. The framework tissue of the rete is more conspicuous at the cranial extremity of the testis, with a mio-connective matrix organization.

Comparative ''in vitro'' study on the susceptibility and emergence of mutants resistant to danofloxacin and ciprofloxacin among Staphylococcus aureus isolated from bovine mastitis

The antimicrobial susceptibility of danofloxacin was compared in vitro with ciprofloxacin against mastitogenic Staphylococcus aureus. Danofloxacin was more active than ciprofloxacin, showing minimal inhibitory concentrations (MIC90), minimal bactericidal concentrations (MBC90) and MBC/MIC ratio lower than those of ciprofloxacin. Ciprofloxacin-resistant mutants occurred at higher frequencies (greater than or equal to 10(-6)) than for danofloxacin (10(-9)).

Evaluation of survival of Staphylococcus aureus and Clostridium botulinum in charqui meats

Charqui meats were prepared in laboratory conditions in order to carry out experiments to observe the possibility of development of enterotoxigenic Staphylococcus aureus and Clostridium bottilinum proteolytic type B spores and their toxins. Results demonstrated that the harsh processing conditions, high salt concentration, relative high temperature, a, values, inhibited the growth of both bacteria. Under our experimental conditions, S. aureus would survive throughout the sequence of salting steps i.e. brine followed by rock salting and the sunshine drying step. However, at final a(w) value of 0.70-0.75 would create conditions to inhibit its development. The other experiment revealed that C. botulinum spores germination also was impaired because of these low a(w) values. Under these conditions, charqui meats revealed to be safe products in relation to toxins from both enterotoxigenic S. aureus and C. botulinum. (C) 2003 Elsevier B.V. Ltd. All rights reserved.

Staphylococcus aureus: Resistance patterns to antimicrobials and Penicillinase among strains isolated from apparently healthy lactating cows

Ninety-two strains of Staphylococcus aureus isolated from the nasal fossa and udder skin of apparently healthy lactating cows were analyzed for resistance to antibiotics and production of penicillinase.The results showed a greater frequency of resistance patterns to penicillin and ampicillin.All strains were sensitive to oxacyllin and gentamicin.The most frequent Barber and Burston model was SSSS (60.90%), followed by RSSS (18.50%).With respect to the production of penicillinase although the Lucas method indicated a larger number of positive samples, we suggest the use of the Haight and Finland method due to a greater consistency of data obtained with it.

COMPARATIVE INVITRO ACTIVITY OF 3 CEPHALOSPORINS AGAINST STAPHYLOCOCCUS-AUREUS ISOLATED FROM BOVINE MASTITIS

This report compares the in vitro activity of three cephalosporins (cephalothin, cefoxitin and ceftriaxone) against 57 Staphylococcus aureus strains isolated from cows with clinical mastitis on the basis of the minimal inhibitory (MIC) and minimal bactericidal concentrations (MBC). The majority of the S aureus strains showed resistance to cefoxitin and ceftriaxone and sensitivity to cephalothin. The highest MICs and MBCs were found for cefoxitin and ceftriaxone. Antimicrobial tolerance (MBC/MIC greater-than-or-equal-to 32:1) was observed in relation to cephalothin and ceftriaxone. The data suggest that these cephalosporins may not be effective for the treatment of staphylococcal bovine mastitis. The precise definition of their antimicrobial efficacies requires more detailed in vitro and in vivo studies.