Empiema necessitans y osteomielitis aguda secundaria a una infección por Staphylo-coccus aureus resistente a meticilina asociado a la comunidad

Staphylococcus aureus is a well recognized pathogen with global distribution. In recent years community-associated, methicillin-resistant S. aureus has emerged as an increasing cause of severe infections among adults and children. Herein, a case is reported of a previously healthy, 19-month-old male, who presented with empyema necessitans and acute osteomyelitis due to a community-associated, methicillin-resistant, S. aureus strain. This report highlights the evolving epidemiology of S. aureus, as important pathogen in the community as well as the hospital setting, and the importance of establishing appropriate guidelines for diagnosis, management and surveillance of this public health problem.Staphylococcus aureus es uno de los principales patógenos a nivel mundial. Durante los últimos años se ha reportado un incremento en el número de casos de S. aureus resistente a la meticilina adquiridos en la comunidad, tanto en niños como en adultos de los Estados Unidos y de otras partes del mundo.En el presente trabajo reportamos un caso de empiema necessitans y osteomielitis aguda en un niño de 19 meses de edad previamente sano. El presente reporte resalta la cambiante epidemiología de S. aureus tanto en la comunidad como en el medio hospitalario y la importancia de establecer guías apropiadas para el diagnóstico, el tratamiento y la vigilancia de este relevante problema de salud pública

Dissemination of methicillin-resistant Staphylococcus aureus USA300 sequence type 8 lineage in Latin America.

BACKGROUND: Methicillin-resistant Staphylococus aureus (MRSA) is an important nosocomial and community-associated (CA) pathogen. Recently, a variant of the MRSA USA300 clone emerged and disseminated in South America, causing important clinical problems. METHODS: S. aureus isolates were prospectively collected (2006-2008) from 32 tertiary hospitals in Colombia, Ecuador, Peru, and Venezuela. MRSA isolates were subjected to antimicrobial susceptibility testing and pulsed-field gel electrophoresis and were categorized as health care-associated (HA)-like or CA-like clones on the basis of genotypic characteristics and detection of genes encoding Panton-Valentine leukocidin and staphylococcal cassette chromosome (SCC) mec IV. In addition, multilocus sequence typing of representative isolates of each major CA-MRSA pulsotype was performed, and the presence of USA300-associated toxins and the arcA gene was investigated for all isolates categorized as CA-MRSA. RESULTS: A total of 1570 S. aureus were included; 651 were MRSA (41%)--with the highest rate of MRSA isolation in Peru (62%) and the lowest in Venezuela (26%)--and 71%, 27%, and 2% were classified as HA-like, CA-like, and non-CA/HA-like clones, respectively. Only 9 MRSA isolates were confirmed to have reduced susceptibility to glycopeptides (glycopeptide-intermediate S. aureus phenotype). The most common pulsotype (designated ComA) among the CA-like MRSA strains was found in 96% of isolates, with the majority (81%) having a \u3c or =6-band difference with the USA300-0114 strain. Representative isolates of this clone were sequence type 8; however, unlike the USA300-0114 strain, they harbored a different SCCmec IV subtype and lacked arcA (an indicator of the arginine catabolic mobile element). CONCLUSION: A variant CA-MRSA USA300 clone has become established in South America and, in some countries, is endemic in hospital settings

Community-associated Methicillin-resistant Staphylococcus aureus, Colombia

Q1Cartas al editor2000-2001To the Editor: Methicillin-resistant Staphylococcus aureus (MRSA) is an established nosocomial pathogen worldwide but more recently has emerged as a highly virulent organism in the community, particularly in the United States (1–3). In Latin America, community-associated MRSA (CA-MRSA) has only been described in the southern area of the continent (Uruguay and Brazil) (4,5). No reports from the Andean region are available. We describe 2 cases of CA-MRSA causing soft-tissue infections (1 severe) in Colombia

Gestión del conocimiento. Perspectiva multidisciplinaria. Volumen 9

El libro “Gestión del Conocimiento. Perspectiva Multidisciplinaria”, volumen 9, de la Colección Unión Global, es resultado de investigaciones. Los capítulos del libro, son resultados de investigaciones desarrolladas por sus autores. El libro es una publicación internacional, seriada, continua, arbitrada de acceso abierto a todas las áreas del conocimiento, que cuenta con el esfuerzo de investigadores de varios países del mundo, orientada a contribuir con procesos de gestión del conocimiento científico, tecnológico y humanístico que consoliden la transformación del conocimiento en diferentes escenarios, tanto organizacionales como universitarios, para el desarrollo de habilidades cognitivas del quehacer diario. La gestión del conocimiento es un camino para consolidar una plataforma en las empresas públicas o privadas, entidades educativas, organizaciones no gubernamentales, ya sea generando políticas para todas las jerarquías o un modelo de gestión para la administración, donde es fundamental articular el conocimiento, los trabajadores, directivos, el espacio de trabajo, hacia la creación de ambientes propicios para el desarrollo integral de las instituciones

Efecto de una fitasa en la digestibilidad y actividad de tripsina y quimiotriposina en cerdos destetados

Two experiments were conducted to evaluate the effects of addition of fungal phytase (Aspergillus niger) in activity of trypsin and chymotripsin and nutrient digestibility in crossed pigs (Yorkshire x Landrace, 11.46 kg BW). In both experiments it was used a basal diet elaborated with sorghum and soybean meal, the treatments (T) were the following: T1, basal diet, and T2, basal plus 500 units of phytase activity (FTU) per kg In the exp. 1 six cannulated pigs in the pancreatic duct were used, which were adapted to the diets during 5 days before sample collection. The collection of pancreatic juice was done at 15 min interval from 08:00 to 20:00. The feed was offered twice per day. In the exp. 2, twenty pigs were fed with similar diets than exp. 1. The phytase did not show effects in the weight and the length of the pancreas, or either in the activity of the trypsin and chymotripsin. The addition of phytase increased the digestibility of protein (p<0.10) from 78.81 to 81.60% and NDF (p<0.11) from 81.87 to 85.54%. No differences were observed in digestibility of Ca, P and Fe. The digestibility of Mg and Zn were also not affected by phytase. In conclusion, these results indicate that the addition of fungal phytase to pig diets did not affect trypsin and chymotrypsin activity neither total mineral digestibility in gastrointestinal tract.Se realizaron dos experimentos para evaluar el efecto de la adición de fitasa fungal (Aspergillus niger) en la actividad de tripsina y quimotripsina y digestibilidad de nutrientes en cerdos cruzados (Yorkshire x Landrace, 11,5 kg peso vivo). En ambos experimentos se empleó una dieta base formulada con sorgo y pasta de soya; los tratamientos (T) fueron los siguientes: T1, dieta base, y T2, base adicionada con 500 unidades de actividad fitásica (FTU) por kg de alimento. En el exp. 1 se utilizaron seis cerdos canulados en conducto pancreático, los cuales fueron adaptados a las dietas durante 5 d, previo a la colecta de muestras. La colección de jugo pancreático se hizo a intervalos de 15 min, de 08:00 a 20:00 h, durante 5 d. El alimento se ofreció dos veces al día (08:00 y 20:00 h). En el exp. 2 se utilizaron 20 cerdos alimentados con dietas similares del exp. 1 para estimar la digestibilidad total aparente de MS, MO, FDN, P, Ca, Mg, Zn y Fe. La fitasa no tuvo efectos en el peso y la longitud del páncreas, ni tampoco en la actividad de la tripsina y de la quimotripsina. La adición de fitasa incrementó la digestibilidad de la proteína (p<0,10) de 78,81 a 81,60% y la de la FDN (p<0,11) de 81,87 a 85,54%. No se observaron diferencias en la digestibilidad del Ca, P y Fe. La digestibilidad de Mg y Zn tampoco se afectó por la adición de fitasa. En conclusión, estos resultados indican que la adición de fitasa fungal a dietas para cerdos no afecta la actividad de tripsina y quimotripsina ni la digestibilidad en tubo digestivo total de minerales en cerdos

A Simulation Analysis of an Influenza Vaccine Production Plant in Areas of High Humanitarian Flow. A Preliminary Study for the Region of Norte de Santander (Colombia)

The production of vaccines of biological origin presents a tremendous challenge for researchers. In this context, animal cell cultures are an excellent alternative for the isolation and production of biologicals against several viruses, since they have an affinity with viruses and a great capacity for their replicability. Different variables have been studied to know the system&rsquo;s ideal parameters, allowing it to obtain profitable and competitive products. Consequently, this work focuses its efforts on evaluating an alternative for producing an anti-influenza biological from MDCK cells using SuperPro Designer v8.0 software. The process uses the DMEN culture medium supplemented with nutrients as raw material for cell development; the MDCK cells were obtained from a potential scale-up with a final working volume of 500 L, four days of residence time, inoculum volume of 10%, and continuous working mode with up to a total of 7400 h/Yr of work. The scheme has the necessary equipment for the vaccine&rsquo;s production, infection, and manufacture with yields of up to 416,698 units/h. In addition, it was estimated to be economically viable to produce recombinant vaccines with competitive prices of up to 0.31 USD/unit