958 resultados para Gram-negative bacilli


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OBJECTIVE: This study aimed at evaluating the flora and bacterial load of chronic leg ulcers (CLUs) according to the clinical judgment of colonization or infection.DESIGN: This was an analytical and cross-sectional study.SETTING: This study was conducted in an outpatient wound care unit in the Dermatology Department of the Botucatu School of Medicine-UNESP, Brazil.PARTICIPANTS: The participants were patients with CLUs who did not use systemic antibiotics.METHODS: The ulcers were clinically divided into 3 groups: ulcers with good granulation tissue (GGT), critical colonization (CC), and infection. Secretion was collected from a 1-cm(2) area using a swab and seeded by the semiquantitative method.OUTCOME MEASURES: The main outcome measures were genus and species of the bacteria found in the cultures and result of the semiquantitative culture correlating with the clinical diagnosis of GGT, CC, and infection.MAIN RESULTS: Seventy-seven ulcers were evaluated: 27 with GGT, 29 with CC, and 21 with infection. Gram-negative bacteria were most often found in all groups (81%): Pseudomonas aeruginosa, in granulation and colonized ulcers, and Proteus mirabilis, in infected ulcers. Ulcers from the infected group showed higher bacterial load.CONCLUSIONS: The flora of CLUs was predominantly constituted by gram-negative bacteria, and P aeruginosa was the most prevalent. The bacterial load of infected ulcers was higher as compared with the others, although some ulcers with GGT also presented a high load. The interpretation of microbiologic tests based on the swab techniques and even on semiquantitative analysis requires close clinical correlation.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Natural products have been studied aiming to understand their biological properties. Thus, this study aimed to investigate the antimicrobial activity of twenty-seven essential oils (EOs) used in aromatherapy procedures, a natural therapy with great emphasis currently used against Staphylococcus aureus, Escherichia coli and Pseudomonas aeruginosa strains. The agar dilution method was carried out and minimal inhibitory concentration against 50% and 90% of strains (MIC50% and MIC90% values) were reported. The S.aureus strains were highly susceptible with MIC90% from 0.21mg/mL to black pepper (Piper nigrum) and tea tree (Melaleuca alternifolia) to 26.52mg/mL with copaiba (Copaifera officinalis) EO. Cinnamon (Cinnamomum cassia) and clove (Syzygium aromaticum) EOs were effective against E.coli (2.0mg/mL) while the S.aromaticum EO was against P.aeruginosa (8.29mg/mL). Thus, the higher susceptibility of Gram-positive bacteria when compared with Gram-negative strains was found, and a large variability in the potential antibacterial has also been observed.

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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The genus Salmonella was characterized in 1885. It is divided into two species and six subspecies or subgenera. Belonging to the family Enterobacteriaceae is composed of Gram-negative rods, usually producing mobile gas from glucose, except in those serovars S. gallinarum and S. Pullorum. Salmonela is one of the biggest problems in public health for its wide occurrence in humans and in animals, where they occupy the center of the epidemiology of enteric salmonelosis. These are responsible for significant rates of morbidity and mortality. Several outbreaks of food transmitted diseases are described involving meat birds. Sources of salmonela in broiler chicks infected stem, feed and farm environment. Currently, S. enteritidis and S. typhimurium are the two most prevalent serovars. In this context, the sum is increased resistance to antimicrobial drugs is including the latest generation of its indiscriminate use in veterinary medicine. This fact represents risk to human and animal health. New strategies have been adopted by the Brazilian poultry industry to control salmonela in broilers, but the contamination by this pathogen is still present in slaughterhouses putting public health at risk

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