Characteristics and Outcomes in Patients With COVID-19 and Acute Ischemic Stroke: The Global COVID-19 Stroke Registry.

Recent case-series of small size implied a pathophysiological association between coronavirus disease 2019 (COVID-19) and severe large-vessel acute ischemic stroke. Given that severe strokes are typically associated with poor prognosis and can be very efficiently treated with recanalization techniques, confirmation of this putative association is urgently warranted in a large representative patient cohort to alert stroke clinicians, and inform pre- and in-hospital acute stroke patient pathways. We pooled all consecutive patients hospitalized with laboratory-confirmed COVID-19 and acute ischemic stroke in 28 sites from 16 countries. To assess whether stroke severity and outcomes (assessed at discharge or at the latest assessment for those patients still hospitalized) in patients with acute ischemic stroke are different between patients with COVID-19 and non-COVID-19, we performed 1:1 propensity score matching analyses of our COVID-19 patients with non-COVID-19 patients registered in the Acute Stroke Registry and Analysis of Lausanne Registry between 2003 and 2019. Between January 27, 2020, and May 19, 2020, 174 patients (median age 71.2 years; 37.9% females) with COVID-19 and acute ischemic stroke were hospitalized (median of 12 patients per site). The median National Institutes of Health Stroke Scale was 10 (interquartile range [IQR], 4-18). In the 1:1 matched sample of 336 patients with COVID-19 and non-COVID-19, the median National Institutes of Health Stroke Scale was higher in patients with COVID-19 (10 [IQR, 4-18] versus 6 [IQR, 3-14]), P=0.03; (odds ratio, 1.69 [95% CI, 1.08-2.65] for higher National Institutes of Health Stroke Scale score). There were 48 (27.6%) deaths, of which 22 were attributed to COVID-19 and 26 to stroke. Among 96 survivors with available information about disability status, 49 (51%) had severe disability at discharge. In the propensity score-matched population (n=330), patients with COVID-19 had higher risk for severe disability (median mRS 4 [IQR, 2-6] versus 2 [IQR, 1-4], P<0.001) and death (odds ratio, 4.3 [95% CI, 2.22-8.30]) compared with patients without COVID-19. Our findings suggest that COVID-19 associated ischemic strokes are more severe with worse functional outcome and higher mortality than non-COVID-19 ischemic strokes

International nosocomial infection control consortium (INICC) report, data summary of 36 countries, for 2004-2009

The results of a surveillance study conducted by the International Nosocomial Infection Control Consortium (INICC) from January 2004 through December 2009 in 422 intensive care units (ICUs) of 36 countries in Latin America, Asia, Africa, and Europe are reported. During the 6-year study period, using Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN; formerly the National Nosocomial Infection Surveillance system [NNIS]) definitions for device-associated health care-associated infections, we gathered prospective data from 313,008 patients hospitalized in the consortium's ICUs for an aggregate of 2,194,897 ICU bed-days. Despite the fact that the use of devices in the developing countries' ICUs was remarkably similar to that reported in US ICUs in the CDC's NHSN, rates of device-associated nosocomial infection were significantly higher in the ICUs of the INICC hospitals; the pooled rate of central line-associated bloodstream infection in the INICC ICUs of 6.8 per 1,000 central line-days was more than 3-fold higher than the 2.0 per 1,000 central line-days reported in comparable US ICUs. The overall rate of ventilator-associated pneumonia also was far higher (15.8 vs 3.3 per 1,000 ventilator-days), as was the rate of catheter-associated urinary tract infection (6.3 vs. 3.3 per 1,000 catheter-days). Notably, the frequencies of resistance of Pseudomonas aeruginosa isolates to imipenem (47.2% vs 23.0%), Klebsiella pneumoniae isolates to ceftazidime (76.3% vs 27.1%), Escherichia coli isolates to ceftazidime (66.7% vs 8.1%), Staphylococcus aureus isolates to methicillin (84.4% vs 56.8%), were also higher in the consortium's ICUs, and the crude unadjusted excess mortalities of device-related infections ranged from 7.3% (for catheter-associated urinary tract infection) to 15.2% (for ventilator-associated pneumonia). Copyright © 2012 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved

Diversidade de Gluconacetobacter diazotrophicus isolada de plantas de cana-de-açúcar cultivadas no Brasil Diversity of Gluconacetobacter diazotrophicus isolated from sugarcane plants cultivated in Brazil

O objetivo deste trabalho foi avaliar a diversidade da população de Gluconacetobacter diazotrophicus oriunda de cultivares de cana-de-açúcar (Saccharum spp.) de diferentes regiões e bancos de germoplasma. O estudo foi realizado com 123 isolados, obtidos de folhas, colmos e raízes de 80 espécies e híbridos de cana-de-açúcar, procedentes de diferentes países e mantidos em coleções de germoplasma nos Estados da Bahia e Rio de Janeiro. Foram utilizados cinco isolados obtidos de plantas de café (Coffea arabica), dois de abacaxi (Ananas comosus) e um de Pennisetum purpureum e mais 10 estirpes com padrões eletroforéticos distintos, após o uso de enzimas comuns do metabolismo microbiano (MLEE). O agrupamento obtido por meio da técnica de imunoadsorção com enzima acoplada (ELISA) sugere que as variações expressas pelos isolados não estão relacionadas com a espécie de planta, a variedade de cana-de-açúcar, a origem geográfica, a parte da planta de onde os isolados foram obtidos e o tempo de amostragem. Altas doses de nitrogênio levaram à diminuição da diversidade de G. diazotrophicus.<br>The objective of this study was to evaluate the diversity of Gluconacetobacter diazotrophicus isolates from different sugarcane (Saccharum spp.) varieties. This study was developed using 123 strains from the internal tissues of stems and roots, isolated from 80 species and hybrids of sugarcane, originated from different countries and maintained in two germoplasm collections localized in Bahia and Rio de Janeiro States. Five isolates obtained from coffee plants (Coffea arabica), two from pineapple (Ananas comosus), one from Pennisetum purpureum and 10 strains, which present different electrophoretic patterns, were used in the comparison. Cluster analysis of enzyme-linked immunosorbent assay (ELISA) results suggested that variations were not correlated with the plant species, sugarcane variety, geographic origin, parts of plants nor with sampling time. High nitrogen doses lowered the diversity of G. diazotrophicus

Resposta do dendezeiro à adição de nitrogênio e sua influência na população de bactérias diazotróficas Response of African oil palm to nitrogen addition and its influence on the diazotrophic bacteria population

O dendê (Elaeis guineensis, Jaquim) pode produzir até sete toneladas de óleo por hectare por ano. O óleo vegetal é muito versátil e pode ser usado desde a indústria alimentícia até a produção de biocombustíveis. A planta é capaz de se associar com bactérias diazotróficas que colonizam raízes e caules. O objetivo deste trabalho foi avaliar a resposta à adubação nitrogenada de 17 genótipos de dendê no primeiro ano de cultivo e avaliar a influência da adição do N mineral sobre a população de bactérias diazotróficas, naturalmente presentes nas plântulas de dendezeiro. Foram utilizados potes de plástico completados com 50% de areia quartzoza e 50% de horizonte B de um Argissolo Vermelho-Amarelo, série Itaguaí, não esterilizado e extremamente pobre em nitrogênio. A uréia foi aplicada na dosagem de 33,68 kg ha-1 de N. Na presença do N, todos os genótipos melhoram os parâmetros biométricos, e houve aumento tanto do N total quanto do N acumulado. As populações de bactérias diazotróficas não foram influenciadas pela adição desse elemento. Dois genótipos foram selecionados, na presença e ausência de N, respectivamente, C-2001 e La Mé.<br>African oil palm (Elaeis guineensis, Jaquim) can produce up to 7 tons of oil per hectare per year. The vegetable oil is greatly versatile in its use, since food industry up to the production of fuels favorable to environmental protection. The plant has the potential to be associative with diazotrophic bacteria which colonize the roots and stem. The objective of this work was to evaluate 17 genotypes of E. guineensis in response to nitrogen addition and to verify the influence of this nitrogen on the diazotrophic population in an experiment using plastic pots filled with 50% quartz sand and 50% of non sterilized Horizon B; Red-Yellow Podzolic Soil series Itaguaí, extremely poor in nitrogen. Urea was used at a dose of 33.68 kg ha-1 de N. In the presence of the nitrogen, all genotypes improved biometric parameters, increased total nitrogen and its accumulation. Its addiction did not affect the diazotrophic population. Two genotypes were selected in the presence and absence of nitrogen: C-2001 and La Mé, respectively

Avaliação agronômica de variedades de cana-de-açúcar inoculadas com bactérias diazotróficas e adubadas com nitrogênio

O objetivo deste trabalho foi avaliar a eficiência da inoculação de bactérias diazotróficas e da adubação nitrogenada, em duas variedades de cana-de-açúcar, cultivadas nas mesmas condições edafoclimáticas. O experimento foi conduzido durante os anos agrícolas de 2006/2007 e 2008/2009, em delineamento experimental de blocos ao acaso, com quatro repetições, instalado em março de 2006 em área de cultivo comercial, no Município de Campos dos Goytacazes, RJ. Os tratamentos foram: inoculação com bactérias diazotróficas, adubação com 120 kg ha-1 de N, e o controle sem inoculação e sem adubação com nitrogênio. As variedades de cana-de-açúcar avaliadas foram RB72454 e RB867515. O inoculante continha estirpes de cinco espécies de bactérias diazotróficas. Foram feitas avaliações quanto à produtividade de colmos frescos, ao acúmulo de matéria seca total, ao N total da parte aérea e quanto à abundância natural de 15N do N disponível no solo e na cana-de-açúcar. As variedades apresentaram comportamentos distintos com os tratamentos, em que a RB867515 foi responsiva e a RB72454 não responsiva à inoculação e à adubação nitrogenada. Na variedade RB867515, o crescimento e o acúmulo de N total na parte aérea das plantas, promovidos pela inoculação, foram similares aos do tratamento com adubação nitrogenada