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| Araújo-Filho,João Alves de; Vasconcelos-Jr,Arioldo Carvalho; Sousa,Eduardo Martins de; Silveira,Colombina da; Ribeiro,Elisangela; Kipnis,André; Junqueira-Kipnis,Ana Paula. |
| Extensively drug-resistant tuberculosis (XDR-TB) is an emerging health problem that threatens tuberculosis (TB) control worldwide, since suitable treatment for this disease has not yet been found. We report a case of secondary pulmonary XDR-TB in a 54-year-old, HIV-negative male from Goiânia, Brazil. The patient had long-standing pulmonary tuberculosis (nine years) with extensive bilateral lung damage and had been treated with multiple antituberculosis drugs (self-administered) before XDR-TB diagnosis. The strain of Mycobacterium tuberculosis was resistant to R- rifampicin, H-isoniazid, E-ethambutol, Eto-ethionamide, Ofx-ofloxacin, and Am-amikacin. This patient died with multiple organ failure due to sepsis secondary to bacterial pneumonia. |
| Tipo: Info:eu-repo/semantics/article |
Palavras-chave: Extensively drug-resistant tuberculosis; XDR-TB; Tuberculosis; Mycobacterium tuberculosis. |
| Ano: 2008 |
URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702008000500019 |
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| Vieira,Maria Aparecida; Minamisava,Ruth; Pessoa-Júnior,Vicente; Lamaro-Cardoso,Juliana; Ternes,Yves Mauro; Andre,Maria Cláudia Porfirio; Sgambatti,Sabrina; Kipnis,André; Andrade,Ana Lúcia. |
| Background:In Latin America, few studies have been carried out on methicillin-resistant Staphylococcus aureus carriage in the pediatric population. We conducted a survey of nasal S. aureus carriage in neonates and in children attending the pediatric outpatient clinics in a large Brazilian city with high antimicrobial consumption.Methods:Pernasal swabs of neonates were collected upon admission and at discharge in four neonatal intensive care units and of children less than five years of age during outpatient visits. Methicillin-resistant S. aureus isolates were characterized for antibiotic susceptibility, mec gene presence, pulsed-field gel electrophoresis, spatype, SCCmec-type, multilocus sequence type, and presence of Panton-Valentine leukocidin... |
| Tipo: Info:eu-repo/semantics/article |
Palavras-chave: Staphylococcus aureus carriage; Methicillin-resistant Staphylococcus; Aureus; Neonates; Children. |
| Ano: 2014 |
URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702014000100042 |
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| Araújo-Filho,João Alves de; Vasconcelos-Jr,Arioldo Carvalho; Sousa,Eduardo Martins de; Silveira,Colombina da; Sousa,Patrícia Tavares Pereira de; Severo,Klaus Andrade; Vieira,Ludmila Ferreira; Kipnis,André; Junqueira-Kipnis,Ana Paula. |
| Multidrug-resistant tuberculosis (MDR-TB) is an emerging and worrisome health problem that threatens tuberculosis (TB) control worldwide. The clinical management of MDR-TB is a complex issue associated with the use of multiple drugs for a long period, usually accompanied by side effects and high costs. The objective of this work was to relate cases of MDR-TB occurring in Goiás, a central state of Brazil. We related five cases of MDR-TB, three women and two men. All were pulmonary cases. Three were in their second treatment and two in their first treatment. Surgical pulmonary resection was performed in one case. One death occurred. Lack of adherence, gastric intolerance to anti-TB drugs and poor clinical management were the main aspects related to the... |
| Tipo: Info:eu-repo/semantics/report |
Palavras-chave: Tuberculosis; Multidrug-resistant tuberculosis; MDR-TB; Mycobacterium tuberculosis. |
| Ano: 2008 |
URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702008000100020 |
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| Costa,Dayane de Melo; Kipnis,André; Leão-Vasconcelos,Lara Stefânia Netto de Oliveira; Rocha-Vilefort,Larissa Oliveira; Telles,Sheila Araújo; André,Maria Cláudia Dantas Porfírio Borges; Tipple,Anaclara Ferreira Veiga; Lima,Ana Beatriz Mori; Ribeiro,Nádia Ferreira Gonçalves; Pereira,Mayara Regina; Prado-Palos,Marinésia Aparecida. |
| The aim of the study was to analyze epidemiological and microbiological aspects of oral colonization by methicillin-resistant Staphylococcus of health care workers in a cancer hospital. Interview and saliva sampling were performed with 149 health care workers. Antimicrobial resistance was determined by disk diffusion and minimum inhibitory concentration. Polymerase Chain Reaction, Internal Transcribed Spacer-Polymerase Chain Reaction and Pulsed Field Gel Electrophoresis were performed for genotypic characterization of methicillin-resistant Staphylococcus. Risk factors were determined by logistic regression. Methicillin-resistant Staphylococcus colonization prevalence was 19.5%, denture wearing (p = 0.03), habit of nail biting (p = 0.04) and preparation and... |
| Tipo: Info:eu-repo/semantics/article |
Palavras-chave: Health personnel; Occupational health; Staphylococcus; Methicillin resistance; Oncology service; Hospital. |
| Ano: 2014 |
URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1517-83822014000300006 |
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| Maria Raquel Hidalgo,Campos; Kipnis,André; André,Maria Cláudia Dantas Porfírio Borges; Vieira,Carla Atavila da Silva; Jayme,Liana Borges; Santos,Patrícia Pimentel; Serafini,Álvaro Bisol. |
| Este trabalho objetivou caracterizar fenotipicamente isolados de Escherichia coli a partir de amostras obtidas de mãos e narizes de manipuladores, de leite cru e de queijo Minas Frescal produzidos em um laticínio em Goiás, Brasil, visando a estabelecer uma relação de contaminação entre o manipulador e/ou a matéria-prima e o produto final. Foram coletadas 24 amostras de leite cru e de queijo Minas Frescal, 46 swabs de mãos e 46 de narizes dos manipuladores envolvidos na fabricação do queijo, no período entre março/2004 e fevereiro/2005. As 69 cepas isoladas foram submetidas ao teste de suscetibilidade a seis antimicrobianos (ampicilina, cefalotina, ciprofloxacina, gentamicina, sulfametoxazol trimetoprin e tetraciclina) e, a partir deste teste, foi possível... |
| Tipo: Info:eu-repo/semantics/article |
Palavras-chave: Coliformes; Manipulação; Leite cru; Queijo Minas Frescal. |
| Ano: 2006 |
URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-84782006000400027 |
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