975 resultados para OXA-48 carbapenemase


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A journal of commercial voyages and domestic life on the Tigris River from August 1898 to February 1899. jms_048_08_1898_040_sum.html

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A journal of commercial voyages and domestic life on the Tigris River from August 1898 to February 1899. jms_048_08_1898_050_tex.tex

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Joseph Mathia Svoboda's 19th century journal of commercial voyages, travel, and domestic life on the Tigris River from August 1898-February 1899. Diary 48, PDF Version. jms_048_08_1898_060_pdf.pdf

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A journal of commercial voyages and domestic life on the Tigris River from August 1898 to February 1899. jms_048_08_1898_110_arb.xlsx

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A journal of commercial voyages and domestic life on the Tigris River from August 1898 to February 1899. Arabic translations. jms_048_08_1898_120_arb.html

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A journal of commercial voyages and domestic life on the Tigris River from August 1898 to February 1899. jms_048_08_1898_150_wla.txt

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A journal of commercial voyages and domestic life on the Tigris River from August 1898 to February 1899. jms_048_08_1898_160_csv.csv

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A journal of commercial voyages and domestic life on the Tigris River from August 1898 to February 1899. jms_049_02_1899_040_sum.html

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Suite à la demande d’exploitation de la zone de Fouras, n°17.48 par le Comité Régional de la Conchyliculture du Poitou-Charentes (CRCPC), la Direction Départementale des Territoires et de la Mer (DDTM) a demandé la réalisation d’une étude sanitaire en vue du classement de la zone de production de coquillages pour les bivalves fouisseurs (groupe 2). Cette étude réalisée par le Laboratoire Environnement Ressources des Pertuis Charentais (LER/PC) bénéficie d’un financement de la Direction Générale de l 'Alimentation (DGAL). Basée sur les paramètres microbiologiques (Escherichia coli) et chimiques (plomb, mercure, cadmium), l’étude sanitaire a pour objectifs d'estimer la qualité microbiologique et chimique de la zone en vue du classement sanitaire de la zone par l'administration conformément aux exigences du Règlement CE n° 854/2004 ; et de déterminer la stratégie d'échantillonnage à mettre en oeuvre dans le cadre de la surveillance sanitaire régulière de cette zone suite à son classement. L’étude des informations disponibles a permis l’identification de sources de contamination potentielle et la définition d’une stratégie d’échantillonnage. Deux points de suivis ont été positionnés dans les secteurs jugés sensibles aux sources de contamination et ont été échantillonnés du 29 juillet 2011 au 4 octobre 2012. Les concentrations maximales en cadmium, mercure et plomb sont inférieures aux critères chimiques réglementaires et sont compatibles avec un classement A, B ou C. Le suivi microbiologique réalisé indique une qualité B pour chacun des deux points de suivi. La qualité de la zone semble donc homogène, et est estimée B dans son ensemble. Le point « Les Ecussons » est le plus sensible aux contaminations microbiologiques, la surveillance régulière REMI de la zone du Fier d’Ars pour le groupe 2 sera donc basée sur ce point.

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Background: The emergence of Enterobacteriaceae harboring IMP-4 or IMP-8 carbapenemases is rare. We report an occurrence of Enterobacteriaceae harboring IMP-4 or IMP-8 carbapenemases in a Chinese tertiary care hospital from November 2010 to December 2012. Methods: The clinical characteristics of 30 patients were described. The genetic relationship of isolates was determined by pulsed-field gel electrophoresis (PFGE). Carbapenemases were detected by modified Hodge test (MHT) and polymerase chain reactions (PCRs). Amplicons were sequenced and blasted to determine the genotype. Results: Most infected patients were from intensive care unit and had complex and serious underlying illnesses requiring mechanical ventilation. PFGE revealed that Klebsiella pneumoniae showed two major PFGE types. Two Klebsiella oxytoca had an indistinguishable PFGE pattern, while four Enterobacter cloacae were different strains. The sequencing studies showed Enterobacteriaceae harboring IMP-4 or IMP-8 carbapenemase in the 23 infected patients. The majority of patients had infections with the carbapenemase-producing Enterobacteriaceae (CPE) strain, most were successfully treated with a range of antibiotics and discharged. Conclusion: It is important to maintain a high index of suspicion to screen for carbapenemase-producing Enterobacteriaceae strains. Rapid identification of these strains and implementation of stringent procedures are the key to prevent major outbreaks in a hospital setting. Keywords:

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Pseudomonas aeruginosa is a dreaded opportunistic pathogen that causes severe and often intractable infections in immunocompromised and critically ill patients. This bacterium is also the primary cause of fatal lung infections in patients with cystic fibrosis and a leading nosocomial pathogen responsible for nearly 10% of all hospital-acquired infections. P. aeruginosa is intrinsically recalcitrant to most classes of antibiotics and has the ability to acquire additional resistance during treatment. In particular, resistance to the widely used β-lactam antibiotics is frequently mediated by the expression of AmpC, a chromosomally encoded β-lactamase that is ubiquitously found in P. aeruginosa strains. This dissertation delved into the role of a recently reported chromosomal β-lactamase in P. aeruginosa called PoxB. To date, no detailed studies have addressed the regulation of poxB expression and its contribution to β-lactam resistance in P. aeruginosa. In an effort to better understand the role of this β-lactamase, poxB was deleted from the chromosome and expressed in trans from an IPTG-inducible promoter. The loss of poxB did not affect susceptibility. However, expression in trans in the absence of ampC rendered strains more resistant to the carbapenem β-lactams. The carbapenem-hydrolyzing phenotype was enhanced, reaching intermediate and resistant clinical breakpoints, in the absence of the carbapenem-specific outer membrane porin OprD. As observed for most class D β-lactamases, PoxB was only weakly inhibited by the currently available β-lactamase inhibitors. Moreover, poxB was shown to form an operon with the upstream located poxA, whose expression in trans decreased pox promoter (Ppox) activity suggesting autoregulation. The transcriptional regulator AmpR negatively controlled Ppox activity, however no direct interaction could be demonstrated. A mariner transposon library identified genes involved in the transport of polyamines as potential regulators of pox expression. Unexpectedly, polyamines themselves were able induce resistance to carbapenems. In summary, P. aeruginosa carries a chromosomal-encoded β-lactamase PoxB that can provide resistance against the clinically relevant carbapenems despite its narrow spectrum of hydrolysis and whose activity in vivo may be regulated by polyamines.^

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Rapid-screening methods to confirm the presence of resistance mechanisms in multidrug-resistant bacteria are currently recommended. Carba NP and Blue-Carba tests were evaluated in carbapenemase-producing Enterobacteriaceae from hospital (n = 102) and environmental (n = 57) origins for detecting the different molecular classes among them. Both methods showed to be fast and cost-effective, with high sensitivity (98% to 100%) and specificity (100%), and may be easily introduced in the routine laboratory.

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Temas de nuestra américa No. 48, Nueva Época, se complace iniciar este número, en el apartado Reflexionar sobre América Latina, sección de Arte, Cultura e Identidad, con el trabajo de la profesora y filóloga, Mónica Perea Anda, titulado La literatura de mediados del siglo XX (1950-1970). Un ojo desnudo que observa a América Latina diferente.