Healthcare-associated vancomycin resistant Enterococcus faecium infections in the Mansoura University Hospitals intensive care units, Egypt

Vancomycin resistant Enterococcus faecium (VREF) ia an emerging and challenging nosocomial pathogen. This study aimed to determine the prevalence, risk factors and clonal relationships between different VREF isolates in the intensive care units (ICUs) of the university hospitals in our geographic location. This prospective study was conducted from July, 2012 until September, 2013 on 781 patients who were admitted to the ICUs of the Mansoura University Hospitals (MUHs), and fulfilled the healthcare-associated infection (HAI) criteria. Susceptibility testing was determined using the disk diffusion method. The clonal relationships were evaluated with pulsed field gel electrophoresis (PFGE). Out of 52 E. faecium isolates, 12 (23.1%) were vancomycin resistant. The significant risk factors for the VREF infections were: transfer to the ICU from a ward, renal failure, an extended ICU stay and use of third-generation cephalosporins, gentamicin, or ciprofloxacin. PFGE with the 12 isolates showed 9 different patterns; 3 belonged to the same pulsotype and another 2 carried a second pulsotypes. The similar pulsotypes isolates were isolated from ICUs of one hospital (EICUs); however, all of the isolates from the other ICUs had different patterns. Infection control policy, in conjunction with antibiotic stewardship, is important to combat VREF transmission in these high-risk patients..(AU)

Dermatite alérgica a picada de insetos em equino relato de caso / Equine insect bite hypersensivity case report

A hipersensibilidade a picada de insetos é a dermatite alérgica mais comum em equinos, sendo uma importante causa de prurido. O objetivo deste trabalho foi relatar um caso da enfermidade, onde são descritos os sinais clínicos, diagnóstico o tratamento instituído, os resultados obtidos, bem como o manejo dos equinos portadores da doença. (AU)

Insect bite hypersensivity is the most common allergic skin disease of the horse and commonly pruritic cause. This case report aimed to described clinical sings, diagnosis, treatment and difficulty clinical management with this horses. (AU)

Dermatite alérgica a picada de insetos em equino – relato de caso / Equine insect bite hypersensivity – case report

A hipersensibilidade a picada de insetos é a dermatite alérgica mais comum em equinos, sendo uma importante causa de prurido. O objetivo deste trabalho foi relatar um caso da enfermidade, onde são descritos os sinais clínicos, diagnóstico o tratamento instituído, os resultados obtidos, bem como o manejo dos equinos portadores da doença.

Insect bite hypersensivity is the most common allergic skin disease of the horse and commonly pruritic cause. This case report aimed to described clinical sings, diagnosis, treatment and difficulty clinical management with this horses.