ABSTRACT
Two hundred and eighty-six isolates from human clinical samples were identified between 1996 and 2019 as belonging to 8 families, 19 genera and 88 species of Actinobacteria. The most identified genera were Streptomyces (182 strains from 45 species), Actinomadura (29 strains, 5 species), Nocardiopsis (21 strains, 6 species) and Dietzia (18 strains, 5 species). The rest of the identified genera (15) contained 27 species with 36 isolates. Of the species studied, only 13/88 had been documented previously as isolates from clinical samples, and in some cases, as true pathogens. In this sense, a literature review of the species found in infections or in clinical samples without clear involvement in pathology has been carried out. Finally, the susceptibility to 8 antimicrobial agents has been studied. Streptomyces showed high resistance (80.8%) against cefotaxime and cotrimoxazole (55.5%), and no isolate resistance to amikacin and linezolid have been found. Lower percentages of resistance have been found in other genera, except in Dietzia (100% against cotrimoxazole and 44.4% against erythromycin). The greatest resistance in these genera was to cotrimoxazole (29.8) and erythromycin (27,9%), and no resistance to linezolid has been found in these genera. In Microbispora, Nonomuraea and Umezawaea, no resistant isolates have been found against any antibiotic studied. Only 3/104 isolates were resistant to amikacin in Amycolatopsis, Crossiella, and Micromonosopora. One isolate of Amycolatopsis was resistant to imipenem.
Subject(s)
Humans , Prisons/organization & administration , Prisons/standards , Tuberculosis/epidemiology , Tuberculosis/prevention & control , Acquired Immunodeficiency Syndrome/epidemiology , Acquired Immunodeficiency Syndrome/prevention & control , Neglected Diseases/epidemiology , Neglected Diseases/prevention & control , AIDS Serodiagnosis , Latin America/epidemiology , Neglected Diseases/complications , Neglected Diseases/physiopathology , Epidemiological Monitoring/organization & administration , Epidemiological Monitoring/standards , Mental Health/trendsABSTRACT
Presentamos el caso de una anciana con unepisodio grave de delirium a propósito de unaimportante infección urinaria.La clínica del proceso y la sintomatología abigarradanos indican la importancia de la valoraciónintegral en el mayor, especialmente cuandola semiología de la enfermedad es típicamentegeriátrica.Describimos el cuadro sindrómico, la actuacióny el diagnostico precoz para resolver la patología
We present the case of an elder sick personwith a serious episode of delirium concerning animportant urinary infectionThe clinic of the process and the motley symptomatologyindicate us the importance of the integralvaluation in the adult, especially when thesemiology of the illness is typically geriatricWe describe the sindromic square, the performanceand the precocious diagnosis to solve thepathology
