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1.
Eur J Clin Microbiol Infect Dis ; 35(8): 1315-21, 2016 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-27197725

RESUMO

The main purpose of this study was to assess the actual occurrence of Gram-negative oxidase-positive bacteria (GNOP) in human wounds caused by animals, mostly cat and dog bites and scratches, and with signs of infection. We report a prospective series of 92 wound samples. Routine culturing was combined with a procedure optimised for fastidious GNOP. All GNOP isolates were identified by 16S rDNA sequencing to the species level. We observed a more prominent role of GNOP, including at least 30 species mostly in the families Flavobacteriaceae, Neisseriaceae and Pasteurellaceae, and less of Staphylococcus aureus and streptococci. The antibiotic susceptibility pattern was investigated, as GNOP are associated with sudden onset of serious infections, making an early decision on antibiotic treatment vital. All GNOP isolates judged to be clinically relevant displayed susceptibility to ampicillin and meropenem, but resistance to oxacillin, clindamycin and gentamicin was frequent. Our findings emphasise the need to cover GNOP as recommended in guidelines, and not only common wound pathogens, when treating an animal-caused wound.


Assuntos
Ampicilina/farmacologia , Antibacterianos/farmacologia , Mordeduras e Picadas/microbiologia , Gatos , Cães , Bactérias Gram-Negativas/efeitos dos fármacos , Animais , DNA Bacteriano/análise , DNA Bacteriano/genética , Bactérias Gram-Negativas/isolamento & purificação , Humanos , Testes de Sensibilidade Microbiana
2.
Artigo em Inglês | MEDLINE | ID: mdl-24580319

RESUMO

The dynamical behavior of almost neutrally buoyant finite-size rigid fibers or rods in turbulent channel flow is studied by direct numerical simulations. The time evolution of the fiber orientation and translational and rotational motions in a statistically steady channel flow is obtained for three different fiber lengths. The turbulent flow is modeled by an entropy lattice Boltzmann method, and the interaction between fibers and carrier fluid is modeled through an external boundary force method. Direct contact and lubrication force models for fiber-fiber interactions and fiber-wall interaction are taken into account to allow for a full four-way interaction. The density ratio is chosen to mimic cellulose fibers in water. It is shown that the finite size leads to fiber-turbulence interactions that are significantly different from earlier reported results for pointlike particles (e.g., elongated ellipsoids smaller than the Kolmogorov scale). An effect that becomes increasingly accentuated with fiber length is an accumulation in high-speed regions near the wall, resulting in a mean fiber velocity that is higher than the mean fluid velocity. The simulation results indicate that the finite-size fibers tend to stay in the high-speed streaks due to collisions with the wall. In the central region of the channel, long fibers tend to align in the spanwise direction. Closer to the wall the long fibers instead tend to toward to a rotation in the shear plane, while very close to the wall they become predominantly aligned in the streamwise direction.

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