RESUMO
BACKGROUND: Chikungunya is a mosquito-borne virus that has been causing large outbreaks in the Americas since 2014. In Brazil, Asian-Caribbean (AC) and East-Central-South-African (ECSA) genotypes have been detected and lead to large outbreaks in several Brazilian states. In Rio Grande do Sul (RS), the southernmost state of Brazil, the first cases were reported in 2016. OBJECTIVES AND METHODS: We employed genome sequencing and epidemiological investigation to characterise the Chikungunya fever (CHIKF) burden in RS between 2017-2021. FINDINGS: We detected an increasing CHIKF burden linked to travel associated introductions and communitary transmission of distinct lineages of the ECSA genotype during this period. MAIN CONCLUSIONS: Until 2020, CHIKV introductions were most travel associated and transmission was limited. Then, in 2021, the largest outbreak occurred in the state associated with the introduction of a new ECSA lineage. CHIKV outbreaks are likely to occur in the near future due to abundant competent vectors and a susceptible population, exposing more than 11 million inhabitants to an increasing infection risk.
Assuntos
Febre de Chikungunya , Vírus Chikungunya , Animais , Humanos , Vírus Chikungunya/genética , Brasil/epidemiologia , Viagem , Filogenia , Mosquitos Vetores , Surtos de Doenças , GenótipoRESUMO
Rapid identification of drug resistance in clinical isolates of Mycobacterium tuberculosis is important in determining treatment for tuberculosis. The aim of this work was evaluate the performance of the GenoType MDRTBplus assay directly on sputum of patients who had treatment failure or relapse in a routine outpatient setting in southern Brazil.
Assuntos
Mycobacterium tuberculosis/efeitos dos fármacos , Mycobacterium tuberculosis/isolamento & purificação , Escarro/microbiologia , Tuberculose Resistente a Múltiplos Medicamentos/microbiologia , Antibióticos Antituberculose/uso terapêutico , Proteínas de Bactérias/genética , Sequência de Bases , Brasil , Catalase/genética , DNA Bacteriano/análise , DNA Bacteriano/genética , RNA Polimerases Dirigidas por DNA , Farmacorresistência Bacteriana Múltipla/genética , Humanos , Isoniazida/uso terapêutico , Testes de Sensibilidade Microbiana , Técnicas de Diagnóstico Molecular , Mutação , Mycobacterium tuberculosis/genética , Oxirredutases/genética , Recidiva , Rifampina/uso terapêutico , Análise de Sequência de DNA , Falha de Tratamento , Tuberculose Resistente a Múltiplos Medicamentos/diagnóstico , Tuberculose Resistente a Múltiplos Medicamentos/tratamento farmacológicoRESUMO
The adhesion of Salmonella (S.) strains to stainless steel and polyethylene and their inactivation by biocides used in food industry was investigated. Coupons of stainless steel and polyethylene were immersed in bacterial suspensions of S. Enteritidis, S. Typhimurium, and S. Bredeney during 15, 30, and 60 minutes, and submitted to different concentrations of peracetic acid (PAA), sodium hypochlorite (NaOCl), and quaternary ammonium (Quat) sanitizers. Hydrophobicity of the surfaces was evaluated by contact angle measurements using the sessile drop method and bacterial adhesion was accompanied through bacterial counts and scanning electron microscopy (SEM). Results indicated that the three serovars of Salmonella presented similar adhesion to both materials (5.0 to 6.5 log cfu cm(-2)). The time of exposure did not influence the counts of adhered cells on both surfaces, however SEM revealed larger clusters of S. Enteritidis on both materials, not found for the other serovars. S. Enteritidis presented lower sessile drop angle on polyethylene, indicating hydrophilic properties of this material. The biocides were not able to inactivate all the microorganisms adhered on both surfaces. At least 1 log cfu cm(-2) of all serovars tested remained viable after the exposure to different biocide concentrations. In general, higher counts of survivors were observed on polyethylene disinfected with different concentrations of biocides. S. Bredeney e S. Typhimurium were more resistant than S. Enteritidis to PAA, whilst S. Enteritidis presented smaller reduction rates to NaOCl. This last biocide was able to reduce Salmonella counts in approximately 3.0 to 4.0 log cm(-2). When adhered to polyethylene, the serovars S. Typhimurium and S. Enteritidis were more resistant to Quat than S. Bredeney in all concentrations tested, and the numbers of S. Enteritidis remained almost unaltered. On stainless steel disinfected by Quat, S. Bredeney presented higher numbers of survivors.
RESUMO
BACKGROUND Chikungunya is a mosquito-borne virus that has been causing large outbreaks in the Americas since 2014. In Brazil, Asian-Caribbean (AC) and East-Central-South-African (ECSA) genotypes have been detected and lead to large outbreaks in several Brazilian states. In Rio Grande do Sul (RS), the southernmost state of Brazil, the first cases were reported in 2016. OBJECTIVES AND METHODS We employed genome sequencing and epidemiological investigation to characterise the Chikungunya fever (CHIKF) burden in RS between 2017-2021. FINDINGS We detected an increasing CHIKF burden linked to travel associated introductions and communitary transmission of distinct lineages of the ECSA genotype during this period. MAIN CONCLUSIONS Until 2020, CHIKV introductions were most travel associated and transmission was limited. Then, in 2021, the largest outbreak occurred in the state associated with the introduction of a new ECSA lineage. CHIKV outbreaks are likely to occur in the near future due to abundant competent vectors and a susceptible population, exposing more than 11 million inhabitants to an increasing infection risk.
RESUMO
Since its detection in December of 2020, the SARS-CoV2 lineage P.1, descendent of B.1.1.28 lineage, has been identified in several places in Brazil and abroad. This Variant of Concern was considered highly prevalent in Northern Brazil and now is rapidly widening its geographical range. Here, we present epidemiological and genomic information of the first case of P1 lineage in Rio Grande do Sul state, in a patient without reported travel history and a tracked transmission chain. These findings occurred in a tourist destination representing an important hub receiving tourists from diverse places.(AU)
Desde a sua detecção em dezembro de 2020, a linhagem P.1 do SARS-CoV2, descendente da linhagem B.1.1.28, foi identificada em diversos locais no Brasil e no mundo. Essa variante de preocupação era considerada altamente frequente no Norte do Brasil e agora está ampliando rapidamente sua distribuição geográfica. Aqui, apresentamos informações epidemiológicas e genômicas do primeiro caso da linhagem P.1 no Rio Grande do Sul em um paciente sem histórico de viagens relatado e com cadeia de transmissão identificada. Esses achados ocorreram em um destino turístico que representa um importante pólo de recepção de turistas de diversas localidades.(AU)
Desde su detección en diciembre de 2020, del linaje P.1 del SARS-CoV2, derivada de la B.1.1.28, hay sido ampliamente identificada en Brasil y en todo el mundo. Esta variante preocupante es muy frecuente en el norte de Brasil y ahora está ampliando rápidamente su distribución geográfica. Aquí, presentamos información epidemiológica y genómica del primer caso de P.1 en Rio Grande do Sul en un paciente sin antecedentes de viaje y con una cadena de transmisión identificada. Estos datos se han obtenido en un destino turístico que representa un importante centro de acogida de turistas de diferentes lugares.(AU)
Assuntos
COVID-19/transmissão , COVID-19/epidemiologiaRESUMO
Este estudo avaliou a resistência de três cepas de Salmonella frente aos desinfetantes ácido peracético, quaternário de amônio e hipoclorito de sódio. S. Enteritidis (SE86), responsável por mais de 90% dos surtos alimentares ocorridos no Rio Grande do Sul (RS), foi comparada com S. Typhimurium e S. Bredeney, ambas não envolvidas na ocorrência de salmonelose. A resistência aos desinfetantes foi avaliada por meio de teste de suspensão, conforme preconizado pelo Ministério da Agricultura, Pecuária e Abastecimento. Todos os desinfetantes avaliados, nas concentrações indicadas pelos fabricantes, foram capazes de inativar as três cepas de Salmonella, entretanto, SE86 apresentou maior resistência ao hipoclorito de sódio a 400 ppm, além de ser a única cepa bacteriana capaz de sobreviver por até 15 minutos de exposição a 200 ppm desse desinfetante. Uma vez que o hipoclorito de sódio, nestas condições, é empregado com frequência como agente de desinfecção em indústrias de alimentos e serviços de alimentação, as características acima mencionadas podem contribuir para que esse microrganismo seja responsável pelos surtos de salmoneloses ocorridos no RS. Em função da importância desses micro-organismos como agentes patogênicos alimentares, cuidados especiais devem ser tomados nos processos de desinfecção e contaminação cruzada por Salmonella.
The resistance of Salmonella strains to the biocides peracetic acid, quaternary ammonium and sodiumhypochlorite was assessed. S. Enteritidis (SE86), which is responsible for more than 90% of food-borneoutbreaks occurred in Rio Grande do Sul (RS) was compared to S. Typhimurium and S. Bredeney, bothnot related to salmonellosis. The bacterial resistance to biocides was evaluated using the suspension test asrecommended by The Brazilian Agriculture Ministry. The three biocides were able to inactivate all of themicroorganisms tested, when the concentrations indicated by the manufacturers were used. However, SE86was resistant to 400 ppm sodium hypochlorite, and survived for up to 15 minutes of exposure to 200 ppmof this biocide, which was not demonstrated by the other bacteria strains. Since the sodium hypochlorite,at such concentration and time of exposure, is frequently used at food industries and food services, andowing to the above cited resistance characteristic, this condition could be contributing for the SE86 withfood-borne salmonellosis outbreak occurred in RS. In view of the importance of these microorganismsas alimentary pathogens, special cares in the food disinfection processes and cross-contamination withSalmonella must be taken.
Assuntos
Compostos de Amônio Quaternário , Hipoclorito de Sódio , Salmonella , Ácido PeracéticoRESUMO
The adhesion of Salmonella (S.) strains to stainless steel and polyethylene and their inactivation by biocides used in food industry was investigated. Coupons of stainless steel and polyethylene were immersed in bacterial suspensions of S. Enteritidis, S. Typhimurium, and S. Bredeney during 15, 30, and 60 minutes, and submitted to different concentrations of peracetic acid (PAA), sodium hypochlorite (NaOCl), and quaternary ammonium (Quat) sanitizers. Hydrophobicity of the surfaces was evaluated by contact angle measurements using the sessile drop method and bacterial adhesion was accompanied through bacterial counts and scanning electron microscopy (SEM). Results indicated that the three serovars of Salmonella presented similar adhesion to both materials (5.0 to 6.5 log cfu cm-2). The time of exposure did not influence the counts of adhered cells on both surfaces, however SEM revealed larger clusters of S. Enteritidis on both materials, not found for the other serovars. S. Enteritidis presented lower sessile drop angle on polyethylene, indicating hydrophilic properties of this material. The biocides were not able to inactivate all the microorganisms adhered on both surfaces. At least 1 log cfu cm-2 of all serovars tested remained viable after the exposure to different biocide concentrations. In general, higher counts of survivors were observed on polyethylene disinfected with different concentrations of biocides. S. Bredeney e S. Typhimurium were more resistant than S. Enteritidis to PAA, whilst S. Enteritidis presented smaller reduction rates to NaOCl. This last biocide was able to reduce Salmonella counts in approximately 3.0 to 4.0 log cm-2. When adhered to polyethylene, the serovars S. Typhimurium and S. Enteritidis were more resistant to Quat than S. Bredeney in all concentrations tested, and the numbers of S. Enteritidis remained almost unaltered. On stainless steel disinfected by Quat, S. Bredeney presented higher numbers of survivors.