Reduced preoperative serum choline esterase levels and fecal peritoneal contamination as potential predictors for the leakage of intestinal sutures after source control in secondary peritonitis.

BACKGROUND: The high rate of stoma placement during emergency laparotomy for secondary peritonitis is a paradigm in need of change in the current fast-track surgical setting. Despite growing evidence for the feasibility of primary bowel reconstruction in a peritonitic environment, little data substantiate a surgeons' choice between a stoma and an anastomosis. The aim of this retrospective analysis is to identify pre- and intraoperative parameters that predict the leakage risk for enteric sutures placed during source control surgery (SCS) for secondary peritonitis. METHODS: Between January 2014 and December 2020, 497 patients underwent SCS for secondary peritonitis, of whom 187 received a primary reconstruction of the lower gastro-intestinal tract without a diverting stoma. In 47 (25.1%) patients postoperative leakage of the enteric sutures was directly confirmed during revision surgery or by computed tomography. Quantifiable predictors of intestinal suture outcome were detected by multivariate analysis. RESULTS: Length of intensive care, in-hospital mortality and failure of release to the initial home environment were significantly higher in patients with enteric suture leakage following SCS compared to patients with intact anastomoses (p < 0.0001, p = 0.0026 and p =0.0009, respectively). Reduced serum choline esterase (sCHE) levels and a high extent of peritonitis were identified as independent risk factors for insufficiency of enteric sutures placed during emergency laparotomy. CONCLUSIONS: A preoperative sCHE < 4.5 kU/L and generalized fecal peritonitis associate with a significantly higher incidence of enteric suture insufficiency after primary reconstruction of the lower gastro-intestinal tract in a peritonitic abdomen. These parameters may guide surgeons when choosing the optimal surgical procedure in the emergency setting.

Biological performance of the predatory mite Neoseiulus idaeus (Phytoseiidae): a candidate for the control of tetranychid mites in Brazilian soybean crops / Desempenho biológico do ácaro predador Neoseiulus idaeus (Phytoseiidae): um candidato no controle de ácaros tetraniquídeos em soja brasileira

Abstract The soybean (Glycine max (L.): Fabaceae) is considered the most important agricultural crop in Brazil. Phytophagous tetranychid mites as Mononychellus planki McGregor, Tetranychus ludeni Zacher and T. urticae Koch have been considered pest in soybean crops. Neoseiulus idaeus Denmark & Muma (Phytoseiidae) is a predatory mite of T. ludeni and T. urticae. The aim of the present study was to evaluate the biological performance of N. idaeus when fed on T. urticae, T. ludeni and M. planki, coming from the Northwest region of Rio Grande do Sul state, Brazil. The study was conducted in the laboratory with individual predators supplied with different preys. The mean duration (days) of N. idaeus egg-adult development was similar independently of supplied prey (T. ludeni - 5.29±0.03; M. planki - 5.34±0.05 and T. urticae - 5.23±0.03 days). Female viability was 90% when fed on M. planki and 100% when fed on T. ludeni and T. urticae. Mean fecundity of N. idaeus was lower when fed on M. planki (4.6±1.58 eggs/female) and higher when fed on T. ludeni (21.8±3.22) and T. urticae (26.2±2.41). The mean generation time (T) was lower when N. idaeus fed on M. planki than when fed on T. ludeni and T. urticae. The net reproductive rate (Ro) was 4.42±0.49 on M. planki, 17.77±0.55 on T. ludeni and 20.59±0.48 on T. urticae. The innate capacity for increase (rm) was lower when N. idaeus was fed on M. planki (0.09) and higher when such predator was fed on T. ludeni (0.20) and T. urticae (0.22 females/females/day). These results demonstrated that N. idaeus is able to reach the complete development feeding on all the three tetranychid species. Mononychellus planki demonstrated to provide a sub-optimal diet if compared to T. ludeni and T. urticae.

Resumo Soja (Glycine max (L.): Fabaceae) é a mais importante cultura agrícola brasileira. Tetraniquídeos fitófagos são pragas na cultura, Mononychellus planki McGregor, Tetranychus ludeni Zacher e T. urticae Koch. Neoseiulus idaeus Denmark & Muma (Phytoseiidae) é o ácaro predador de T. ludeni e T. urticae. Este estudo teve como objetivo avaliar o desempenho biológico de N. idaeus quando alimentado com T. urticae, T. ludeni e M. planki da região noroeste do Rio Grande do Sul, Brasil. O estudo foi realizado em laboratório com predadores individualizados com diferentes presas. A duração média (dias) de N. idaeus desenvolvimento ovo-adulto foi semelhante independentemente da presa fornecida (T. ludeni - 5.29 ± 0.03; M. planki - 5.34 ± 0.05 e T. urticae - 5.23 ± 0.03 dias). Viabilidade feminina foi de 90% quando alimentados com M. planki e 100% em T. ludeni e T. urticae. Fecundidade de N. idaeus foi menor com M. planki (4.6 ± 1.58 ovos / fêmea) e maior com T. ludeni e T. urticae, 21.8 ± 3.22 e 26.2 ± 2.41, respectivamente. O tempo médio de uma geração (T) foi menor quando N. idaeus alimentados com M. planki do que quando em T. ludeni e T. urticae. A taxa líquida de reprodução (Ro) foi de 4.42 ± 0.49 em M. planki, 17.77 ± 0.55 em T. ludeni e 20.59 ± 0.48 no T. urticae. A capacidade inata de aumento (rm) foi menor em M. planki (0.09) e maior quando alimentados com T. ludeni (0.20) e T. urticae (0.22 fêmeas / fêmea / dia). Estes resultados demonstraram que N. idaeus é capaz de utilizar e desenvolver em todas as três espécies de tetraniquídeos. Mononychellus planki demonstrou ser a presa menos adequada para este predador do que T. urticae e T. ludeni.

Diagnóstico etiológico de meningitis bacteriana (M.B.) por pruebas de aglutinación del látex / Etiologic diagnosis of bacterial meningitis by latex agglutination tests

Se analizan 14 casos de pacientes hospitalizados con diagnóstico de M.B. en el Servicio de Pediatría del Hospital Regional Temuco, durante el período Mayo-Septiembre de 1985, para evaluar la utilidad de la prueba de Aglutinación del Látex en relación al cultivo y Gram en Líquido Celaforraquídeo (LCR). Las edades de los niños fluctuaron entre 3 meses y 8 años; el 53% fueron mujeres y 91% eutróficos. En 2 casos que se descartó el diagnóstico de M.B. por examen citoquímico, Gram y cultivo de LCR, el Látex también fue negativo. 10 niños tuvieron reacción del Látex(-), 8 cultivos (-) y en 6 la tinción de Gram fue (-). La sensibilidad de la reacción del Látex fue del 90,0%, en tanto que la del cultivo y Gram 66,6% y 54,5% respectivamente. La especificidad del método en estudio fue 100%, no registrándose falsos positivos ni negativos. El látex fue el único método de pesquisa etiológica en 3 niños (25%)