Characterization of the clonal profile of MRSA isolated in neonatal and pediatric intensive care units of a University Hospital

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Antimicrobial activity of natural products against Helicobacter pylori: a review

Throughout the genetic and physiological evolution of microorganisms, the microbiological sciences have been expanding the introduction of new therapeutic trials against microbial diseases. Special attention has been paid to the bacterium Helicobacter pylori, which induces gastric infections capable of causing damage, ranging from acute and chronic gastritis to the development of gastric cancer and death. The use of compounds with natural origins has gained popularity in scientific research focused on drug innovation against H. pylori because of their broad flexibility and low toxicity. The aim of this study was to describe the use of natural products against H. pylori in order to clarify important parameters for related fields. The study demonstrated the vast therapeutic possibilities for compounds originating from natural sources and revealed the need for innovations from future investigations to expand the therapeutic arsenal in the fight against H. pylori infection.

Risk factors for the acquisition of imipenem-resistant Acinetobacter baumannii in a burn unit: An appraisal of the effect of colonization pressure

Imipenem-resistant Acinetobacter baumannii (IRAB) is a major threat for critically ill patients, including those admitted to burn units. Recent studies have suggested that colonization pressure (the proportion of patients or patient-days harbouring the pathogen of interest) is an important driver of the risk for acquisition of multidrug-resistant organisms. With that in mind, we conducted a cohort study, enrolling 208 patients admitted to a burn unit from November 2008 through December 2009. The outcome of interest was the acquisition of IRAB. In addition to the usual risk factors, we assessed the impact of colonization pressure. The number of wound excisions (odds ratio (OR) 12.06, 95% confidence interval (CI) 2.82-51.64) and the number of antimicrobials used (OR 22.82, 95% CI 5.15-101.19) were significant risk factors for the outcome of interest. On the other hand, colonization pressure (measured for whole time of exposure or up to the last 14, 7, or 3 days) was not associated with the risk for IRAB acquisition.

Inspeção de Precaução de Contato: relato de Experiência de uma Graduanda de Enfermagem Botucatu

Infections Related to Healthcare (IRAS) is a problem of worldwide concern, responsible for much morbidity and lethality. The incidence of IRAS associated with resistant microorganisms has increased worldwide. It is also known that the etiology of bacterial resistance is multifactorial, thus controlling the spread of resistant microorganisms requires the implementation of control measures that involve the performance of standard and contact precautions, plus the use of antimicrobials. To diagnose the problem as to the likely accession of the measures of infection control was prepared in a form to inspect the practices of the health staff acting with patients in contact precautions. The inspections had an educational and awareness, no punitive measures were taken to staff as warnings, suspensions or complains of a breach of ethics. If any irregularities were found, the professional standards of care countershaft contact and the nurse responsible for the head nurse or unit area were notified and counseled about the correct practice of isolation. While an undergraduate student initiated precautionary inspections of contact in order to verify the actual use of isolation measures, since the professionals were unaware of my active participation in the Committee on Infection Control. Facilities and difficulties were encountered in the process, and from the inspections was possible interventions to facilitate compliance with standards for isolation imposed by contact. Since the instrument has significantly improved adherence to contact isolation practices, the members of the Infection Control regulated inspections and intend to use it as a permanent method

Avaliação de métodos de triagem e de detecção fenotípica de ß-lactamase de espectro ampliado (ESBL)

The catalytic function of extended-spectrum β-lactamases can result in high degrees of bacterial resistance to β-lactamic antimicrobials and in the emergence of ESBL among the members of Enterobacteriaceae family, especially Klebsiella pneumoniae and Escherichia coli. This occurs due to the dissemination and emergence of new variants of these enzymes caused by the high utilization of antibiotics like broad-spectrum cephalosporins. The ESBL are β-lactamases capable of conferring bacterial resistance to the penicillins, 1st, 2nd and 3rd generation cephalosporins, and aztreonam (but not cephamycins and carbapenems) through the hydrolysis of these antibiotics. In view of this phenomenon, the exact screening and detection of the producers of ESBL are essential for the appropriate selection of the antimicrobial therapy. The purposes of this study were to evaluate the best antimicrobial for the selection of ESBL producers and to determine the best method for the detection of such microorganisms. We evaluated 200 sequential bacterial samples including the species Klebsiella pneumoniae (56.5%), Escherichia coli (34%), Proteus mirabilis (8.5%) and Klebsiella oxytoca (1%), previously characterized as ESBL producers between February and September 2008 in the Laboratory of Microbiology, Botucatu Medical School - UNESP, Botucatu, São Paulo State, Brazil. To select the ESBL-producer bacteria, we used the disks recommended by CLSI 2008, aztreonam (ATM), cefpodoxime (CPD), ceftriaxone (CRO), cefotaxime (CTX) and ceftazidime (CAZ), besides cefepime (FEP). ESBL production was confirmed by three methods: double disk screening, ESBL Etest®, and Vitek® automated system. The disks employed in the double disk screening were: penicillin associated with β-lactamase inhibitor, amoxicillin-clavulanic acid, and two β-lactamic antibiotics, ceftazidime and cefotaxime...(Complete abstract click electronic access below)

Rodococose equina: uma revisão com ênfase na fisiopatogenia e tratamento

The rhodococcosis affects humans and animals. Equine are the most important species for rhodococcosis, which is considered the most debilitating disease in the creation of foals, leading to a mortality rates greater than 50% in this category. The disease is caused by Rhodococcus equi, a bacteria considered as a soil-born opportunistic microorganism, intracellular and ubiquitous. The disease in horses is manifested mainly in the form of pyogranulomatous pneumonia and less often in the form of enteric disorders and / or joint disorders. Transmission occurs mainly by ingestion of contaminated food and water, and inhalation in contaminated environment. The organism has mechanisms of evasion of the immune system, maintain viable in inside phagocytic cells, and induces piogranulomatous infections, leading to lesions of difficult treatment using conventional antimicrobials. Lipophilic drugs with good intracellular activity are required to successful treatment. The conventional treatment for foals is based on the combination of erythromycin and rifampin. However, there is a growing concern about the emergence of resistant strains, which makes increasingly studies on the development of alternative antimicrobials for therapy

Atividade antibacteriana de plantas do cerrado da região de Botucatu - São Paulo

The studies related to research on new antimicrobial products have received special attention from researchers, especially given the emergence of microbial strains resistant to conventional antimicrobials. Thus, the present study was aimed to test the antimicrobial action of hydro-alcoholic extracts of plants collected in Cerrado region of Botucatu, following the species: Achyrocline satureioides (Lam) DC (macela), Stryphnodendron adstringens (Mart) Coville (barbatimão), Miconia rubiginosa (Bonpl.) DC (quaresma-branca), Davilla elliptica A. St-Hil (lixinha), Siparuna guianensis (negramina) e Solanum lycocarpum A.St-Hil (lobeira). The plants were always collected in the morning, in areas near the town of Botucatu, and extracts were prepared using a solvent such as methanol 70% from materials dried (50°C) and ground into mill knives. The extraction was performed for 48 hours at refrigerator temperature, followed by filtration, removal of methanol solvent in a rotary evaporator, determination of the dry weight of the extracts (mg / mL) and phytochemical analysis of the same. The sensitivity tests for 10 S. aureus, 11 E. coli and 11 P. aeruginosa, isolated from human clinical cases were performed by diluting volumes of the extracts in Mueller Hinton Agar (MHA) and determination of minimum inhibitory concentration (MIC) (mg / mL). According to the results and statistical analysis, it was found that depending on the bacteria tested, and in descending order of antibacterial activity for S. aureus: Lixinha sheet > Barbatimão sheet > Quaresma-Branca > Macela > Lixinha fruit > Barbatimão shell > Lobeira > Negramina; E. coli: Lixinha sheet > Barbatimão sheet > Lixinha fruit = barbatimão peel > Quaresma-Branca > Macela = Lobeira > Negramina and P. aeruginosa: Lixinha leaf > Barbatimão bark > Barbatimão leaf > Lixinha fruit > Macela > Lobeira > Quaresma - Branca = Negramina... (Complete abstract click electronic access below)

Detecção de Escherichia coli shigatoxigênica (STEC) e enteropatogênica (EPEC) em peixes de pisciculturas e de vida livre

Pós-graduação em Microbiologia Agropecuária - FCAV

Condições higiênico-sanitárias e de manejo de rebanhos leiteiros correlacionados à qualidade do leite cru refrigerado

Pós-graduação em Medicina Veterinária - FCAV

Farmacocinética da gentamicina asministrada pela via intravensa regional em equinos com a utilização de modelos de torniques

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Ocorrência, sorotipagem e rsistência antimicrobiana de Streptococcus suis em funcionários e ambente de abatedouro de sínos

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Resistência antimicrobiana e prevalência de sorovares de salmonella spp. isolados de fezes e linfonodos de suinos

Pós-graduação em Medicina Veterinária - FMVZ

Aspectos socioeconômicos, indicadores de qualidade do leite e pesquisa de linhagens toxigênicas de Staphylococcus em propriedades de agricultura familiar de Botucatu, SP

Pós-graduação em Medicina Veterinária - FMVZ

Diversidade bacteriana em solos, vinhaça e semicompostagem relacionados ao cultivo de cana-de-açúcar

Pós-graduação em Microbiologia Agropecuária - FCAV

Fitogênicos ou mono e diglicerídeos associados com ácidos orgânicos em dietas para leitões recém-desmamados

Pós-graduação em Zootecnia - FCAV