Claude André Solari

Epidemiological analysis of bacterial strains involved in hospital infection in a University Hospital from Brazil

Hospital infections cause an increase in morbidity and mortality of hospitalized patients with significant rise in hospital costs. The aim of this work was an epidemiological analysis of hospital infection cases occurred in a public University Hospital in Rio de Janeiro. Hence, 238 strains were isolated from 14 different clinical materials of 166 patients hospitalized in the period between August 1995 and July 1997. The average age of the patients was 33.4 years, 72.9% used antimicrobials before having a positive culture. The most common risk conditions were surgery (19.3%), positive HIV or AIDS (18.1%) and lung disease (16.9%). 24 different bacterial species were identified, S. aureus (21%) and P. aeruginosa (18.5%) were predominant. Among 50 S. aureus isolated strains 36% were classified as MRSA (Methicillin Resistant S. aureus). The Gram negative bacteria presented high resistance to aminoglycosides and cephalosporins. A diarrhea outbreak, detected in high-risk neonatology ward, was caused by Salmonella serovar Infantis strain, with high antimicrobial resistance and a plasmid of high molecular weight (98Mda) containing virulence genes and positive for R factor.

Helicobacter pylori in dyspeptic children and adults: endoscopic, bacteriologic and histologic correlations

Using different bacteriological (urease test, Gram staining and culture) and histological (Steiner staining and modified Giemsa staining) techniques, we searched for the presence of Helicobacter pylori in the gastric antrum of 200 dyspeptic Brazilian patients (106 females and 94 males aged 19 days to 81 years). The presence of bacteria was then correlated with the endoscopic and histological findings. H. pylori was present in 59.5% of the population studied. In Brazil, colonization occurs early, involving 37% of the dyspeptic population by 20 years of age. The presence of H. pylori in the gastric antrum was strongly associated with duodenal ulcer (P < 0.001) and a normal endoscopic examination did not exclude the possibility of colonization of the gastric antrum by H. pylori. The most sensitive test was the preformed urease test (89%). We conclude that more than one diagnostic method should preferably be used for the detection of H. pylori and that the presence of H. pylori is closely correlated with active chronic gastritis (P < 0.001).

A Salmonella agona outbreak in a pediatric hospital in the city of Rio de Janeiro, Brazil

Six Salmonella Agona strains from an outbreak of 15 days duration which occurred in a public hospital in Rio de Janeiro, Brazil, were analyzed. The outbreak involved six infants (mean age, 24 days; mean body weight, 1612 g), all of them with severe clinical signs and symptoms. Two of them had surgical implications, two were preterm and two had respiratory distress at birth. The Salmonella strains were resistant to nine antimicrobial agents (ampicillin, cefalotine, ceftriaxone, gentamicin, amikacin, trimethoprim-sulfamethoxazole, chloramphenicol, and tetracycline). Analysis of the plasmid pattern of the wild strains and of the transconjugants confirmed that these were identical strains.

Frequência de enterobactérias patogênicas em processos diarréicos infantis na cidade do Recife, Pernambuco, Brazil

326 samples of diarrheal feces obtained from children whose ages ranged from zero to 5 years, admitted in two rehydration hospitals in the city of Recife, Pernambuco, were analyzed. feces were placed in Cary-Blair medium (4oC) for shipment to the laboratory. There was no difference in the rate of bacteria isolation if the samples were analyzed within the period from 3 to 7 days of collection. 19.02% pf the analyzed samples were positives for at least one of the searched bacteria, 26 Salmonella belonging to 3 species, 21 classic enteropathogenic E. cli, O invasive E. cli, 10 Shigella belonging to 3 serotypes and 1 Yersinia enterocolitica were found.326 samples of diarrheal feces obtained from children whose ages ranged from zero to 5 years, admitted in two rehydration hospitals in the city of Recife, Pernambuco, were analyzed. Feces were placed in Cary-Blair medium (4 degrees C) for shipment to the laboratory. There was no difference in the rate of bacteria isolation if the samples were analyzed within the period from 3 to 7 days of collection. 19.02% of the analyzed samples were positives for at least one of the searched bacteria, 26 Salmonella belonging to 3 species, 21 classic enteropathogenic E. coli, 1 invasive E. coli, 10 Shigella belonging to 3 serotypes and 1 Yersinia enterocolitica were found.

Resistência antimicrobiana de Salmonella agona oriundas de várias regiões do Brasil

A investigacao teve por objetivo a avaliacao de resistencia a drogas dessa importante salmonela de distribuicao cosmopolita. Nesse sentido, analisou-se a resistencia a antibioticos e quimioterapicos de 240 amostras de S.agona isoladas de diferentes fontes (humana, alimentar e ambiental) provenientes de cinco estados brasileiros (MG, SP, RJ, PE e RS). Paralelamente, determinou-se a presenca de fatores R em 26 estirpes representativas da amostragem.

Sorotipos de Salmonella isolados de processos entéricos humanos em Recife-Pernambuco, durante o triênio 1978-1980

From 13,196 faecal cultures made in Recife-Pernambuco during the period from 1978 to 1980, 1,720 strains of Salmonella were isolated. Serological typing on 1,387 of the isolates recognized 63 serotypes, 73.18% of which belonged to group B. The prevalent serotypes adding up to 1,231 strains (88.75% of the total of the isolates) were: S. typhimurium, S. saint-paul, S. poona, S. derby, S. agona, S. newport, S. oranienburg, S. infantis, S. tshiongwe and S. ndolo.From 13,196 faecal cultures made in Recife-Pernambuco during the period form 1978 to 1980, 1,720 strains of Salmonella were isolated. Serological typing on 1,387 of the isolates recognized 63 serotypes, 73,18% of which belonged to group B. The prevalent serotypes adding up to 1,231 strains (88,75% of the total of the isolats) were: S. typhimurium, S. saint-paul, S. poona, S. derby, S. agona, S. newport, S. oraniengurg, S. infantis, S. tshiongwe and S. ndolo. Some epidemiological and bacteriological aspects are discussed regarding the four commonest serotypes.

Biotipos antimicrobianos e tipos de colicina: potenciais marcadores epidemiologicos de Salmonella agona

Com o intuito de se obter marcadores epidemiologicos, foram analisadas 240 amostras de S. agona isoladas de diferentes fontes (humana, alimentar e ambiental) oriundas de cinco Estados brasileiros (MG,SP,RJ,PE e RS). O sestudo da sensibilidade a 15 antimicrobianos e codificacao numerica dos perfis de resistencia propiciou o reconhecimento de 56 biotipos antimicrobianos, enquanto foram evidenciadas 40 amostras produtoras de colicina, pertencentes aos tipos: Ia (55%); B (32,5%), Ib (10%) e nao tipavel (2,5%). A aplicacao desses elementos numa diferenciacao intra-sorotipo e discutida.

Two new serovars of Salmonella: S. Natal and S. potengi, isolated from fluvial water in Natal, Rio Grande do Norte State, Brazil

Two new serovars of Salmonella from estuary waters of potengi river in Natal, Rio Grande do Norte, were isolated. They were named S. natal (9,12: z4, z24:-) and S. potengi (18;z: -). Both types belong to the subgenus I, or subspecies 1, thought they showed atypical behaviour (KCN +).