Cielo reproductivo y estructura etaria de Ctenomys mendocinus (Rodentia, Ctenomyidae) del Piedemonte de Mendoza, Argentina

Se estudiaron las características reproductivas y estructura de edades de una población de Ctenomys mendocinus en un área del Piedemonte andino de Mendoza (1330 msnm). La actividad reproductiva se extendió desde mediados de julio hasta marzo, y los nacimientos comenzaron a mediados de octubre. Las camadas nacidas hacia fines de la estación reproductiva fueron el resultado de una segunda preñez, producida en su mayoría por estros post parto o mid-lactancia. Los animales alcanzaron la madurez sexual en la estación reproductiva siguiente a su nacimiento. Los machos maduros permanecieron activos durante todo el año; su tamaño testicular aumentó en invierno cuando se inició la actividad sexual de las hembras. La proporción de sexos a lo largo del año, tanto en animales inmaduros como en maduros, no se apartó significativamente de 1:1. Se registró una alta proporción de animales maduros (73.7%) en el total de la muestra (n=141). Esta población pedemontana presentó un período reproductivo más largo y un mayor porcentaje de preñez por estros post-parto respecto a una población precordillerana (3000 msnm), estudiada previamente. Estas características conducirían a un mayor potencial reproductivo en respuesta a las mejores condiciones climáticas y mayor disponibilidad de alimento en el Piedemonte.Reproductive characteristics and age structure were studied in a population of Ctenomys mendocinus, located in the Andean Piedmont of Mendoza (1330 m elevation). Sexual activity occurred from mid-Jelly through March, with the first births occurring,in mid-October. Litters born at the end of the reproductive season resulted from a second pregnancy caused by postpartum estrus or mid-lactation estrus. Individuals reached sexual maturity in the first reproductive season after their birth. Mature males were active all year long. Their testicular size increased in winter, when sexual activity of females began. Sexual ratio of immature and mature individuals was not significantly different from 1:1 throughout the year. The population consisted of a high proportion of mature individuals (73.7%, n =141). This Piedmont population showed a longer reproductive period, and a higher percentage of pregnancy by postpartum estrus than a population from the Precordillera (3000 m elevation) previously studied. These characteristics would determine a higher reproductive potential, according to the better climatic conditions and higher food availability in the Piedmont

Food selection by the guanaco (Lama guanicoe) along an altitudinal gradient in the Southern Andean Precordillera (Argentina)

Wild ungulates like the guanaco are exposed to important changes in climate and plant diversity along altitudinal gradients in the Andes Mountains, such as in the Southern Andean Precordillera where three phytogeographic provinces are present in altitudinal belts. The guanaco’s diet and food availability were seasonally analyzed using microhistological analysis and point-quadrat transects at six sampling sites, representative of the phytogeographic belts along the altitudinal gradient. Plant cover and diversity decreased with growing altitude. Richness of plant species was poorer at the summit than in the lower altitudes, whereas the proportion of species eaten by guanacos increased with altitude. The diet included 77 species. Grasses were preferred and shrubs were avoided all year round. The grass Poa spp. occupied more than 50 % of the diet at all altitudes. Grasses were the main dietary item even at low altitudes, where shrubs constituted the main food available. Decreasing generalism with descending phytogeographic belts agrees with the prediction for altitudinal gradients. The increase of diversity in the diet during the winter decline of plant cover at high and middle altitudes follows that expected from the optimal foraging theory. The winter decline of vegetation and the dietary shift from grazing to browsing proved to be stronger as altitude increases and the climate become more rigorous. Plant species richness, food scarcity, and climate severity are relevant variables to explain altitudinal and seasonal changes in the diet of adaptive ungulates in mountain environments, such as the guanaco in the Southern Andean Precordillera.Fil: Puig, Silvia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mendoza. Instituto Argentino de Investigaciones de las Zonas Áridas. Provincia de Mendoza. Instituto Argentino de Investigaciones de las Zonas Áridas. Universidad Nacional de Cuyo. Instituto Argentino de Investigaciones de las Zonas Áridas; ArgentinaFil: Rosi, Maria Irene. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mendoza. Instituto Argentino de Investigaciones de las Zonas Áridas. Provincia de Mendoza. Instituto Argentino de Investigaciones de las Zonas Áridas. Universidad Nacional de Cuyo. Instituto Argentino de Investigaciones de las Zonas Áridas; ArgentinaFil: Videla, Fernando. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mendoza. Instituto Argentino de Investigaciones de las Zonas Áridas. Provincia de Mendoza. Instituto Argentino de Investigaciones de las Zonas Áridas. Universidad Nacional de Cuyo. Instituto Argentino de Investigaciones de las Zonas Áridas; ArgentinaFil: Mendez, Eduardo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mendoza. Instituto Argentino de Investigaciones de las Zonas Áridas. Provincia de Mendoza. Instituto Argentino de Investigaciones de las Zonas Áridas. Universidad Nacional de Cuyo. Instituto Argentino de Investigaciones de las Zonas Áridas; Argentin

Infections, antibiotic treatment and mortality in patients admitted to ICUs in countries considered to have high levels of antibiotic resistance compared to those with low levels

Background: Antimicrobial resistance is an increasing concern in ICUs worldwide. Infection with an antibiotic resistant (ABR) strain of an organism is associated with greater mortality than infection with the non-resistant strain, but there are few data assessing whether being admitted to an intensive care unit (ICU) with high levels of antimicrobial resistance is associated with a worse outcome than being admitted to an ICU with low rates of resistance. The aim of this study was, therefore, to compare the characteristics of infections and antibiotic treatments and patient outcomes in patients admitted to ICUs in countries considered as having high levels of antibiotic resistance and those admitted to ICUs in countries considered as having low levels of antibiotic resistance.Methods: Data from the large, international EPIC II one-day point prevalence study on infections in patients hospitalized in ICUs were used. For the current study, we compared the data obtained from patients from two groups of countries: countries with reported MRSA rates of ≥ 25% (highABR: Greece, Israel, Italy, Malta, Portugal, Spain, and Turkey) and countries with MRSA rates of < 5% (lowABR: Denmark, Finland, Netherlands, Norway, and Sweden).Results: On the study day, 1187/2204 (53.9%) patients in the HighABR ICUs were infected and 255/558 (45.7%) in the LowABR ICUs (P < 0.01). Patients in the HighABR ICUs were more severely ill than those in the LowABR ICUs, as reflected by a higher SAPS II score (35.6 vs 32.7, P < 0.05) and had longer median ICU (12 days vs 5 days) and hospital (24 days vs 16 days) lengths of stay. They also had higher crude ICU (20.0% vs 15.4%) and hospital (27.0% vs 21.5%) mortality rates (both P < 0.05). However, after multivariable adjustment and matched pair analysis there were no differences in ICU or hospital mortality rates between High or LowABR ICU patients overall or among those with infections.Conclusions: Being hospitalized in an ICU in a region with high levels of antimicrobial resistance is not associated per se with a worse outcome. © 2014 Hanberger et al.; licensee BioMed Central Ltd

Infections, antibiotic treatment and mortality in patients admitted to ICUs in countries considered to have high levels of antibiotic resistance compared to those with low levels

Background: Antimicrobial resistance is an increasing concern in ICUs worldwide. Infection with an antibiotic resistant (ABR) strain of an organism is associated with greater mortality than infection with the non-resistant strain, but there are few data assessing whether being admitted to an intensive care unit (ICU) with high levels of antimicrobial resistance is associated with a worse outcome than being admitted to an ICU with low rates of resistance. The aim of this study was, therefore, to compare the characteristics of infections and antibiotic treatments and patient outcomes in patients admitted to ICUs in countries considered as having high levels of antibiotic resistance and those admitted to ICUs in countries considered as having low levels of antibiotic resistance. Methods: Data from the large, international EPIC II one-day point prevalence study on infections in patients hospitalized in ICUs were used. For the current study, we compared the data obtained from patients from two groups of countries: countries with reported MRSA rates of greater than= 25% (highABR: Greece, Israel, Italy, Malta, Portugal, Spain, and Turkey) and countries with MRSA rates of less than 5% (lowABR: Denmark, Finland, Netherlands, Norway, and Sweden). Results: On the study day, 1187/2204 (53.9%) patients in the HighABR ICUs were infected and 255/558 (45.7%) in the LowABR ICUs (P less than 0.01). Patients in the HighABR ICUs were more severely ill than those in the LowABR ICUs, as reflected by a higher SAPS II score (35.6 vs 32.7, P less than 0.05) and had longer median ICU (12 days vs 5 days) and hospital (24 days vs 16 days) lengths of stay. They also had higher crude ICU (20.0% vs 15.4%) and hospital (27.0% vs 21.5%) mortality rates (both P less than 0.05). However, after multivariable adjustment and matched pair analysis there were no differences in ICU or hospital mortality rates between High or LowABR ICU patients overall or among those with infections. Conclusions: Being hospitalized in an ICU in a region with high levels of antimicrobial resistance is not associated per se with a worse outcome

Infections, antibiotic treatment and mortality in patients admitted to ICUs in countries considered to have high levels of antibiotic resistance compared to those with low levels

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Candida bloodstream infections in intensive care units: analysis of the extended prevalence of infection in intensive care unit study

Item does not contain fulltextOBJECTIVES: To provide a global, up-to-date picture of the prevalence, treatment, and outcomes of Candida bloodstream infections in intensive care unit patients and compare Candida with bacterial bloodstream infection. DESIGN: A retrospective analysis of the Extended Prevalence of Infection in the ICU Study (EPIC II). Demographic, physiological, infection-related and therapeutic data were collected. Patients were grouped as having Candida, Gram-positive, Gram-negative, and combined Candida/bacterial bloodstream infection. Outcome data were assessed at intensive care unit and hospital discharge. SETTING: EPIC II included 1265 intensive care units in 76 countries. PATIENTS: Patients in participating intensive care units on study day. INTERVENTIONS: None. MEASUREMENT AND MAIN RESULTS: Of the 14,414 patients in EPIC II, 99 patients had Candida bloodstream infections for a prevalence of 6.9 per 1000 patients. Sixty-one patients had candidemia alone and 38 patients had combined bloodstream infections. Candida albicans (n = 70) was the predominant species. Primary therapy included monotherapy with fluconazole (n = 39), caspofungin (n = 16), and a polyene-based product (n = 12). Combination therapy was infrequently used (n = 10). Compared with patients with Gram-positive (n = 420) and Gram-negative (n = 264) bloodstream infections, patients with candidemia were more likely to have solid tumors (p < .05) and appeared to have been in an intensive care unit longer (14 days [range, 5-25 days], 8 days [range, 3-20 days], and 10 days [range, 2-23 days], respectively), but this difference was not statistically significant. Severity of illness and organ dysfunction scores were similar between groups. Patients with Candida bloodstream infections, compared with patients with Gram-positive and Gram-negative bloodstream infections, had the greatest crude intensive care unit mortality rates (42.6%, 25.3%, and 29.1%, respectively) and longer intensive care unit lengths of stay (median [interquartile range]) (33 days [18-44], 20 days [9-43], and 21 days [8-46], respectively); however, these differences were not statistically significant. CONCLUSION: Candidemia remains a significant problem in intensive care units patients. In the EPIC II population, Candida albicans was the most common organism and fluconazole remained the predominant antifungal agent used. Candida bloodstream infections are associated with high intensive care unit and hospital mortality rates and resource use