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Clonal dissemination of VanA-type glycopeptide-resistant Enterococcus faecalis between hospitals of two cities located 100 km apart BJMBR
Moretti,M.L.; Bratfich,O.J.; Stucchi,R.B.; Levi,C.; Levin,A.S.; Duboc,G.M.; Vormittag,E.; Blum-Menezes,D..
Nosocomial dissemination of glycopeptide-resistant enterococci represents a major problem in hospitals worldwide. In Brazil, the dissemination among hospitals in the city of São Paulo of polyclonal DNA profiles was previously described for vancomycin-resistant Enterococcus faecium. We describe here the dissemination of VanA phenotype E. faecalis between two hospitals located in different cities in the State of São Paulo. The index outbreak occurred in a tertiary care university hospital (HCUSP) in the city of São Paulo and three years later a cluster caused by the same strain was recognized in two patients hospitalized in a private tertiary care hospital (CMC) located 100 km away in the interior of the state. From May to July 1999, 10 strains of...
Tipo: Info:eu-repo/semantics/other Palavras-chave: Vancomycin-resistant Enterococcus; Enterococcus faecalis; Tn1546; Nosocomial transmission; São Paulo.
Ano: 2004 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2004000900008
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Comparative performance of two air samplers for monitoring airborne fungal propagules BJMBR
Távora,L.G.F.; Gambale,W.; Heins-Vaccari,E.M.; Arriagada,G.L.H.; Lacaz,C.S.; Santos,C.R.; Levin,A.S..
Many studies have attempted to evaluate the importance of airborne fungi in the development of invasive fungal infection, especially for immunocompromised hosts. Several kinds of instruments are available to quantitate fungal propagule levels in air. We compared the performance of the most frequently used air sampler, the Andersen sampler with six stages, with a portable one, the Reuter centrifugal sampler (RCS). A total of 84 samples were analyzed, 42 with each sampler. Twenty-eight different fungal genera were identified in samples analyzed with the Andersen instrument. In samples obtained with the RCS only seven different fungal genera were identified. The three most frequently isolated genera in samples analyzed with both devices were Penicillium,...
Tipo: Info:eu-repo/semantics/other Palavras-chave: Andersen sampler; Reuter centrifugal sampler; Air sampler; Fungal contamination; Indoor air; Hospital air.
Ano: 2003 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2003000500008
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Factors associated with penicillin-nonsusceptible pneumococcal infections in Brazil BJMBR
Levin,A.S.; Sessegolo,J.F.; Teixeira,L.M.; Barone,A.A..
Resistance of Streptococcus pneumoniae is a worldwide, growing problem. Studies of factors associated with resistance to penicillin have not been conducted in Brazil. The objective of the present study was to evaluate factors associated with infection by S. pneumoniae not susceptible to penicillin. A prevalence study was conducted including all patients with a positive culture for S. pneumoniae in a hospital from July 1991 to December 1992 and the year 1994. Of 165 patients identified, 139 were considered to have clinically relevant infections and 88% of them had invasive infections. All infections were community acquired and consisted of pneumonia (44%) and of central nervous system (19%), pelvic or abdominal (12%), upper airway or ocular (12%), primary...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Streptococcus pneumoniae; Penicillin susceptibility; Risk factors; Prevalence study.
Ano: 2003 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2003000600017
Registros recuperados: 3
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