22 research outputs found

    Streptococcus pneumoniae , an unusual cause of early- onset neonatal sepsis and necrotizing pneumonia

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    Key Clinical Message Vertically transmitted sepsis due to Streptococcus pneumoniae has a low incidence, and vaginal colonization among pregnant women is exceptional. Necrotizing pneumonia is uncommon in immunocompetent term neonates, and the prognosis is uncertain. At present, systematic screening does not seem warranted in pregnant women. Therefore, aggressive treatment of neonates remains the best treatment

    Effect of viral storm in patients admitted to intensive care units with severe COVID-19 in Spain: a multicentre, prospective, cohort study

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    Background: The contribution of the virus to the pathogenesis of severe COVID-19 is still unclear. We aimed to evaluate associations between viral RNA load in plasma and host response, complications, and deaths in critically ill patients with COVID-19. Methods: We did a prospective cohort study across 23 hospitals in Spain. We included patients aged 18 years or older with laboratory-confirmed SARS-CoV-2 infection who were admitted to an intensive care unit between March 16, 2020, and Feb 27, 2021. RNA of the SARS-CoV-2 nucleocapsid region 1 (N1) was quantified in plasma samples collected from patients in the first 48 h following admission, using digital PCR. Patients were grouped on the basis of N1 quantity: VIR-N1-Zero ([removed]2747 N1 copies per mL). The primary outcome was all-cause death within 90 days after admission. We evaluated odds ratios (ORs) for the primary outcome between groups using a logistic regression analysis. Findings: 1068 patients met the inclusion criteria, of whom 117 had insufficient plasma samples and 115 had key information missing. 836 patients were included in the analysis, of whom 403 (48%) were in the VIR-N1-Low group, 283 (34%) were in the VIR-N1-Storm group, and 150 (18%) were in the VIR-N1-Zero group. Overall, patients in the VIR-N1-Storm group had the most severe disease: 266 (94%) of 283 patients received invasive mechanical ventilation (IMV), 116 (41%) developed acute kidney injury, 180 (65%) had secondary infections, and 148 (52%) died within 90 days. Patients in the VIR-N1-Zero group had the least severe disease: 81 (54%) of 150 received IMV, 34 (23%) developed acute kidney injury, 47 (32%) had secondary infections, and 26 (17%) died within 90 days (OR for death 0·30, 95% CI 0·16–0·55; p<0·0001, compared with the VIR-N1-Storm group). 106 (26%) of 403 patients in the VIR-N1-Low group died within 90 days (OR for death 0·39, 95% CI 0·26–0·57; p[removed]11 página

    Marine turtle interaction with purse-seine fishery in the Atlantic and Indian oceans: Lessons for management

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    Bycatch of endangered marine turtles is a growing issue for the management of all fisheries, including the oceanic purse-seine fishery. The aim of this study was to assess the spatial and temporal variation in bycatch rates of these species in the entire European purse-seine fishery operating in the Atlantic and Indian oceans. The study was based on data collected through observer programs from 1995 to 2011. During that period, a total of 15 913 fishing sets were observed, including 6 515 on Drifting Fish Aggregating Devices (DFADs) and 9 398 on free swimming schools, representing a global coverage of 10.3% and 5.1% of the total fishing activity in the Atlantic and Indian Ocean, respectively. Moreover, from 2003 to 2011, 14 124 specific observations were carried out on DFADs to check turtle entanglement in the net covering DFADs. We found that the purse-seine fishery has a very low impact on marine turtles. We estimated that the annual number of individuals incidentally captured was 218 (SD = 150) and 250 (SD = 157) in the Atlantic and Indian Ocean, respectively, with more than 75% being released alive. The present study also investigated the impact of DFADs; which is considered a key conservation issue for this fishery. Drifting objects may play a key role in aggregating juveniles of marine turtles, implying the need for improving their construction to avoid entanglement (e.g. avoiding nets in the structure); however, based on our study it is not the main source of incidental captures of marine turtles in this fishery

    Notes on billfishes caught during observer program on European Purse Seiners in the Atlantic ocean (2002 - 2012).

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    This note presents data collected on billfishes during observer programme on european tropical tuna purse seine fishery since 2003. It presents: coverage of programme, catch by species, catch by type of sets and length frequencies. Detailed data by sets were provided to ICCAT secretary in numeric format for assesment purposes
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