4 research outputs found
eValanz System. Valoración y rehabilitación del equilibrio
Los trastornos del equilibrio, manifestados de diversas
maneras (vértigo, mareo, inestabilidad), son muy
frecuentes. Los sujetos que presentan este trastorno
refieren síntomas muy invalidantes que hacen de estas
alteraciones un verdadero problema asistencial.
El Instituto de Biomecánica (IBV) presenta en este artículo un
equipo específicamente diseñado para la valoración funcional
y la rehabilitación de pacientes que sufren alteraciones
del equilibrio, basado en el software eValanz.
Adecuación de la tecnología, sencillez de uso, fiabilidad,
robustez y mantenimiento además del coste han
sido aspectos que el IBV ha tenido en consideración
durante el desarrollo de la aplicación eValanz System
An outbreak due to Candida auris with prolonged colonisation and candidaemia in a tertiary care European hospital
Multidrug-resistant Candida auris has emerged as a cause of insidious hospital outbreaks and complicated infections. We present the analysis of an ongoing C. auris outbreak including the largest published series of C. auris bloodstream infection. All C. auris-positive patients from April-2016 to January-2017 were included. Environmental, clinical and microbiological data were recorded. Definitive isolate identification was performed by ITS-rDNA sequencing, and typing by amplified fragment length polymorphism fingerprinting. One hundred and forty patients were colonised by C. auris during the studied period (68% from surgical intensive care). Although control measures were implemented, we were not able to control the outbreak. Forty-one invasive bloodstream infections (87.8% from surgical intensive care) were included. Clinical management included prompt intravascular catheter removal and antifungal therapy with echinocandins. All isolates were fluconazole- and voriconazole-resistant, but echinocandin- and amphotericin B-susceptible. Thirty-day mortality rate was 41.4%, and severe septic metastasis as spondylodiscitis and endocarditis were observed in 5 patients (12%). C. auris was also recovered from inanimate patient surroundings and medical equipment. Despite antifungal treatment, high mortality and late complication rates were recorded. Molecular typing suggested a clonal outbreak different from those previously published
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