Isolation of Acinetobacter in patients admitted to Intensive Care Units

Foundation: in the last years bacterias of the Acinetobacter gender have adquired great epidemiological relevance in gardual ascending way, due to its emergence as an opportunistic pathogen. Objective: to characterize microbiological isolations of Acinetobacter in patients admitted to the Intensive Care Units at the Provincial Hospital Dr Gustavo Aldereguia Lima. Methods: descriptive study which included the 231 Acinetobacter isolations of samples from Intensive Care Units in the period September 1st 2015 to September 30th 2016 in the Cienfuegos Provincial Hospital. The following variables were analyzed: Wards from which the isolation was coming from, type of sample, antimicrobial susceptibility in vitro and specie. Results: the highest number of Acinetobacter isolations was obtained at the Polyvalent Intensive Care Unit (62,3%). Acinetobacter baumannii was the most isolated specie with a 92,2%. Respiratory exudate were the samples with more isolations (53,3%). More than 80% of the isolations were resistant to most β-lactam antibiotics and it was found a high percentage of multi-drug and pan-drug resistant strains (41,6% and 48,1% respectively).Conclusion: the Acinetobacter gender is linked to infections connected to Sanitary Services mainly the Acinetobacter baumannii and in the Intensive Care Units.</p

Microbiological Isolation of Sporothrix Schenckii in an Immunocompromised Patient. A Case Report

Sporotrichosis is a subcutaneous mycosis with a variable course caused by a fungus of the genus Sporothrix. We present the case of 67-year-old white patient of rural origin with a history of myelofibrosis that had evolved for ten years and was treated with thalidomide and prednisone. He was admitted to the University General Hospital of Cienfuegos in August 2013 because of skin lesions on the left cheek, chest and forearms. During his stay in the Hematology ward due to his underlying disease, we consulted with the specialists of the Dermatology Department. Several diagnoses were established and multiple antimicrobial treatments were prescribed. No clinical improvement of the lesions was observed. A mycological study showed the presence of Sporothrix schencckii; hence, the patient underwent treatment for sporotrichosis. Given the rarity of this diagnosis in our institution, we decided to present this case

Isolation of Acinetobacter in patients admitted to Intensive Care Units

Foundation: in the last years bacterias of the Acinetobacter gender have adquired great epidemiological relevance in gardual ascending way, due to its emergence as an opportunistic pathogen. Objective: to characterize microbiological isolations of Acinetobacter in patients admitted to the Intensive Care Units at the Provincial Hospital Dr Gustavo Aldereguia Lima. Methods: descriptive study which included the 231 Acinetobacter isolations of samples from Intensive Care Units in the period September 1st 2015 to September 30th 2016 in the Cienfuegos Provincial Hospital. The following variables were analyzed: Wards from which the isolation was coming from, type of sample, antimicrobial susceptibility in vitro and specie. Results: the highest number of Acinetobacter isolations was obtained at the Polyvalent Intensive Care Unit (62,3%). Acinetobacter baumannii was the most isolated specie with a 92,2%. Respiratory exudate were the samples with more isolations (53,3%). More than 80% of the isolations were resistant to most β-lactam antibiotics and it was found a high percentage of multi-drug and pan-drug resistant strains (41,6% and 48,1% respectively).Conclusion: the Acinetobacter gender is linked to infections connected to Sanitary Services mainly the Acinetobacter baumannii and in the Intensive Care Units.</p

Aislamiento microbiológico de Sporothrix Schenckii en un paciente inmunodeprimido. Presentación de un caso

La esporotricosis es una micosis subcutánea, de evolución variable, causada por un hongo del género Sporothrix. Se presenta el caso de un paciente de color de piel blanca, masculino, de 67 años de edad y de procedencia rural, con antecedentes patológicos personales de mielofibrosis con diez años de evolución para lo cual lleva tratamiento con talidomina y prednisona. Ingresó en agosto del 2013 en el Hospital General Universitario de Cienfuegos, por presentar lesiones en piel en regiones de la mejilla izquierda, tórax y antebrazos. Durante su estadía en sala de Hematología, por su enfermedad de base, se solicitaron interconsultas con el Servicio de Dermatología. Se manejaron varios diagnósticos y se impusieron tratamientos con múltiples antimicrobianos. No se observó mejoría clínica de las lesiones. Un estudio micológico arrojó la presencia de Sporothrix schencckii, por lo que le fue impuesto tratamiento para la esporotricosis. Por lo poco común que ha sido este diagnóstico en nuestro medio se decidió la presentación del caso