Clonal expansion across the seas as seen through CPLP-TB database: A joint effort in cataloguing Mycobacterium tuberculosis genetic diversity in Portuguese-speaking countries.

Tuberculosis (TB) remains a major health problem within the Community of Portuguese Language Speaking Countries (CPLP). Despite the marked variation in TB incidence across its member-states and continued human migratory flux between countries, a considerable gap in the knowledge on the Mycobacterium tuberculosis population structure and strain circulation between the countries still exists. To address this, we have assembled and analysed the largest CPLP M. tuberculosis molecular and drug susceptibility dataset, comprised by a total of 1447 clinical isolates, including 423 multidrug-resistant isolates, from five CPLP countries. The data herein presented reinforces Latin American and Mediterranean (LAM) strains as the hallmark of M. tuberculosis populational structure in the CPLP coupled with country-specific differential prevalence of minor clades. Moreover, using high-resolution typing by 24-loci MIRU-VNTR, six cross-border genetic clusters were detected, thus supporting recent clonal expansion across the Lusophone space. To make this data available to the scientific community and public health authorities we developed CPLP-TB (available at http://cplp-tb.ff.ulisboa.pt), an online database coupled with web-based tools for exploratory data analysis. As a public health tool, it is expected to contribute to improved knowledge on the M. tuberculosis population structure and strain circulation within the CPLP, thus supporting the risk assessment of strain-specific trends.

The BACTEC MGIT(tm) 320 system as a laboratory tool to diagnose tuberculosis in a Brazilian hospital with a high prevalence of HIV infection.

INTRODUCTION: The World Health Organization endorses the BACTEC Mycobacterial Growth Indicator Tube (MGIT)(tm) system as a rapid, sensitive, and specific method to diagnostic of tuberculosis. Here, we compared the performance of this system against Ogawa-Kudoh cultures and microscopy. METHODS: A total of 927 samples were obtained between December 2011 and December 2013 from 652 cases of suspected tuberculosis at the School Hospital of the Federal University of Rio Grande in Brazil. RESULTS: The MGIT system confirmed tuberculosis in more cases in less time. CONCLUSIONS: The MGIT system is an effective tool for early diagnosis of tuberculosis, especially in patients with HIV/AIDS.

Evaluation of direct microplate nitrate reductase assay as a rapid method for the detection of multiple and extensively tuberculosis drug resistance.

INTRODUCTION: Reports of Mycobacterium tuberculosis resistant to multiple drugs are increasing globally and laboratories are becoming increasingly aware of the need for drug susceptibility testing. In recent years, due to the long time required by conventional drug susceptibility testing, new approaches have been proposed for faster detection of drug resistance, such as the nitrate reductase assay, considered fast and inexpensive, making it a good diagnostic tool for low resource countries. OBJECTIVE: The present study proposed a fast direct colorimetric drug susceptibility testing method in a microplate format using solid medium. MATERIALS AND METHODS: The diagnostic accuracy was evaluated by comparing the proportion method with the direct nitrate reductase assay in plates. Frozen sputum samples, known to be positive, were decontaminated and processed by Petroff method. The decontaminated suspension was used to perform direct nitrate reductase assay in 7H11 medium using 1 µ g/ml rifampicin (RIF), 0.2 µg/ml isoniazid (INH), 2 µg/ml ofloxacin (OFX), 6 µg/ml kanamycin (KAN), 2 µg/ml amikacin (AMK) and 10 µg/ml capreomycin (CAP). Eighty-four samples were tested and the results for 69% of them were available within 21 days. RESULTS: The sensitivity and specificity compared to the proportion method, was 98.5% and 100% for INH, 98.3% and 96.2% for RIF, 91.7% and 100% for KAN, 78.8% and 97.3% for OFX, 100% and 100% for AMK and CAP, respectively. CONCLUSION: The results lead to the conclusion that direct nitrate reductase assay, in this new format, is an accurate, quick and inexpensive method to determine the susceptibility profile of M. tuberculosis and may become an alternative for countries with limited resources.

Isolamento de Salmonella Braenderup em arara-azul (Anodorhynchus hyacinthinus) / Salmonella Braenderup isolation in Hyacinth macaw (Anodorhynchus hyacinthinus)

O monitoramento sanitário de populações de arara-azul (Anodorhynchus hyacinthinus) de vida livre visa a permitir ajustes de manejo em ambiente natural alterado. Para avaliar a ocorrência de Salmonella spp. em filhotes dessa espécie, foram coletados swabs de cloaca no Pantanal de Miranda, Mato Grosso do Sul (MS). Uma colônia morfológica e bioquimicamente compatível com Salmonella spp. foi isolada e sorotipada como Salmonella Braenderup. Devido ao alto potencial zoonótico desse microrganismo, é importante o controle sanitário de psitacídeos em vida livre. Na literatura pesquisada não foi encontrado relato sobre o isolamento dessa bactéria em arara-azul, tanto em vida livre, como em cativeiro.

The sanitary monitoring of free-living Hyacinth macaw (Anodorhynchus hyacinthinus) allows adjusting the management in altered natural habitat. To evaluate the occurrence of Salmonella spp. it was collected cloacal swabs of this nestlings species, in the Pantanal wetlands, in the state of Mato Grosso do Sul, Brazil. One Salmonella-like colony was serologically typed and identified as Salmonella Braenderup. Due to the high zoonotical potential of this microorganism, it is important an effective sanitary control of wildlife psittacines. In the literature searched it was not found any report on isolation of this bacterium in Hyacinth macaw for both free-living and captive animals.