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1.
Scand J Psychol ; 65(3): 452-468, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38124407

RESUMEN

Using a prototype approach to emotion concepts, we mapped the internal structure and content of the everyday concept of envy (as used in the United States) and its translation equivalents of envidia in Spanish and Neid in German. In Study 1 (total N = 415), the features of the concept of envy, envidia, and Neid were generated via an open-ended questionnaire. In Study 2 (total N = 404), participants rated the degree of typicality of the constitutive features on a forced-choice questionnaire. The prototype analysis of envy, supplemented with network analyses, revealed that the largest connected set of features of envy, envidia, and Neid shared a group of central features, including features related to success or to people with a better appearance. Still, envy, envidia, and Neid did differ with respect to their constituent peripheral features as well as the density of their networks, their structure, and the betweenness centrality of the nodes. These results suggest that a prototype approach combined with network analysis is a convenient approach for studying the internal structure of everyday emotion concepts and the degree of overlap with respect to the translation equivalents in different countries.


Asunto(s)
Comparación Transcultural , Humanos , Alemania , España , Femenino , Masculino , Adulto , Estados Unidos , Adulto Joven , Celos , Persona de Mediana Edad , Emociones/fisiología , Adolescente , Encuestas y Cuestionarios
2.
Pediatr Allergy Immunol ; 34(7): e13977, 2023 07.
Artículo en Inglés | MEDLINE | ID: mdl-37492910

RESUMEN

Cow's milk allergy can result in anaphylactic reactions. The estimated prevalence of cow's milk allergy in developed countries ranges from 0.5% to 3% at age 1 year. Our objective was to perform a systematic review and, if possible, a meta-analysis to assess the frequency of fatal and recurrent anaphylaxis induced by cow's milk. We searched PubMed/MEDLINE, EMBASE, and the Web of Science for studies that had assessed fatal and recurrent anaphylaxis induced by cow's milk for the population of a country or at least an administrative region. Our review included cohort, cross-sectional, and registry studies that had assessed the incidence or prevalence of recurrent anaphylaxis or the incidence of fatal anaphylaxis due to cow's milk. The pooled prevalence of recurrence (PR) for at least an episode of anaphylaxis was 26.98% (3.85-189.1). Teymourpour et al (Iran) reported the highest PR (53.10%); the two studies with the lowest PR were from France (5.2 and 0.42, respectively) (p < .01). Nine studies on fatal anaphylaxis were selected (41 deaths) and found to be highly heterogeneous (I2 = 75.9%). Levy et al and Bassagio et al reported the highest incidence rate (IR 0.15 and 0.6 deaths per million persons-year). The PR of anaphylaxis was approximately one quarter of patients with anaphylaxis due to cow's milk, while deaths from anaphylaxis caused by cow's milk were very rare, although some studies report rates as high as 15 times the lowest IR.


Asunto(s)
Anafilaxia , Hipersensibilidad a la Leche , Humanos , Animales , Leche/efectos adversos , Anafilaxia/epidemiología , Anafilaxia/etiología , Estudios Transversales , Alérgenos
3.
Cancers (Basel) ; 15(10)2023 May 17.
Artículo en Inglés | MEDLINE | ID: mdl-37345137

RESUMEN

The MAL family of integral membrane proteins consists of MAL, MAL2, MALL, PLLP, CMTM8, MYADM, and MYADML2. The best characterized members are elements of the machinery that controls specialized pathways of membrane traffic and cell signaling. This review aims to help answer the following questions about the MAL-family genes: (i) is their expression regulated in cancer and, if so, how? (ii) What role do they play in cancer? (iii) Might they have biomedical applications? Analysis of large-scale gene expression datasets indicated altered levels of MAL-family transcripts in specific cancer types. A comprehensive literature search provides evidence of MAL-family gene dysregulation and protein function repurposing in cancer. For MAL, and probably for other genes of the family, dysregulation is primarily a consequence of gene methylation, although copy number alterations also contribute to varying degrees. The scrutiny of the two sources of information, datasets and published studies, reveals potential prognostic applications of MAL-family members as cancer biomarkers-for instance, MAL2 in breast cancer, MAL2 and MALL in pancreatic cancer, and MAL and MYADM in lung cancer-and other biomedical uses. The availability of validated antibodies to some MAL-family proteins sanctions their use as cancer biomarkers in routine clinical practice.

4.
J Opt Soc Am A Opt Image Sci Vis ; 40(3): 411-416, 2023 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-37133007

RESUMEN

Coherence quantifies the statistical fluctuations in an optical field and has been extensively studied in the space, time, and polarization degrees of freedom. In the context of space, coherence theory has been formulated between two transverse positions as well as between two azimuthal positions, referred to as transverse spatial coherence and angular coherence, respectively. In this paper, we formulate the theory of coherence for optical fields in the radial degree of freedom and discuss the associated concepts of coherence radial width, radial quasi-homogeneity, and radial stationarity with some physically realizable examples of radially partially coherent fields. Furthermore, we propose an interferometric scheme for measuring radial coherence.

5.
Int Arch Allergy Immunol ; 184(4): 353-365, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36634625

RESUMEN

INTRODUCTION: The drug provocation test (DPT) is the gold standard for the drug allergy workup; however, it is not free from severe adverse reactions. Our aim was to obtain robust data that predict a reaction during or after the DPT at the first contact with the patient in the allergy outpatient clinic. METHODS: The population of this cross-sectional study comprised all patients undergoing a drug allergy workup (clinical assessment, specific IgE, or skin tests, or DPT) at University Hospital Fundacion Alcorcon in 2016. DPTs were performed until therapeutic doses were reached, and late reactions were checked. The clinical disorders assessed in our study were classified mainly as absence of allergic reactions, morbilliform rash, urticaria, anaphylaxis, and other cutaneous disorders. RESULTS: Physicians from the Allergy Unit programmed drug allergy workups in 977 patients (median age, 52 years; women, 64.54%). DPTs were not performed for 165 drugs involved in the reactions. Patients who did not undergo DPT were older than patients who did (positive or negative) (p = 0.0001). Positive DPT results were detected in 6.00% of DPTs performed, and most were for amoxicillin and metamizole (15-25% each). Multinomial logistic regression showed that positive reactions were more probable after DPT if the same clinical disorder was diagnosed at the first visit, including the episodes not considered allergic episodes (OR = 0.2, <0.01), except for anaphylaxis, which favored not performing DPTs (OR = 11, p < 0.001). CONCLUSION: We conclude that clinical practice in the diagnosis of drug allergy in our Allergy Department is safe, without over-diagnosis.


Asunto(s)
Anafilaxia , Hipersensibilidad a las Drogas , Humanos , Femenino , Persona de Mediana Edad , Antibacterianos/efectos adversos , Anafilaxia/diagnóstico , Anafilaxia/epidemiología , Anafilaxia/inducido químicamente , Estudios Transversales , Hipersensibilidad a las Drogas/diagnóstico , Hipersensibilidad a las Drogas/epidemiología , Pruebas Cutáneas/métodos , Hospitales
6.
Phys Rev Lett ; 129(20): 204301, 2022 Nov 11.
Artículo en Inglés | MEDLINE | ID: mdl-36461995

RESUMEN

Polarization singularities and topological polarization structures are generic features of inhomogeneous vector wave fields of any nature. However, their experimental studies mostly remain restricted to optical waves. Here, we report the observation of polarization singularities, topological Möbius-strip structures, and skyrmionic textures in 3D polarization fields of inhomogeneous sound waves. Our experiments are made in the ultrasonic domain using nonparaxial propagating fields generated by space-variant 2D acoustic sources. We also retrieve distributions of the 3D spin density in these fields. Our results open the avenue to investigations and applications of topological features and nontrivial 3D vector properties of structured sound waves.

7.
J Opt Soc Am A Opt Image Sci Vis ; 39(12): C167-C178, 2022 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-36520768

RESUMEN

We study the conditions under which fluorescent beads can be used to emulate single fluorescent molecules in the calibration of optical microscopes. Although beads are widely used due to their brightness and easy manipulation, there can be notable differences between the point spread functions (PSFs) they produce and those for single-molecule fluorophores, caused by their different emission patterns and sizes. We study theoretically these differences for various scenarios, e.g., with or without polarization channel splitting, to determine the conditions under which the use of beads as a model for single molecules is valid. We also propose methods to model the blurring due to the size difference and compensate for it to produce PSFs that are more similar to those for single molecules.


Asunto(s)
Colorantes Fluorescentes , Calibración
8.
Cell Mol Life Sci ; 79(11): 571, 2022 Oct 28.
Artículo en Inglés | MEDLINE | ID: mdl-36306014

RESUMEN

In INF2-a formin linked to inherited renal and neurological disease in humans-the DID is preceded by a short N-terminal extension of unknown structure and function. INF2 activation is achieved by Ca2+-dependent association of calmodulin (CaM). Here, we show that the N-terminal extension of INF2 is organized into two α-helices, the first of which is necessary to maintain the perinuclear F-actin ring and normal cytosolic F-actin content. Biochemical assays indicated that this helix interacts directly with CaM and contains the sole CaM-binding site (CaMBS) detected in INF2. The residues W11, L14 and L18 of INF2, arranged as a 1-4-8 motif, were identified as the most important residues for the binding, W11 being the most critical of the three. This motif is conserved in vertebrate INF2 and in the human population. NMR and biochemical analyses revealed that CaM interacts directly through its C-terminal lobe with the INF2 CaMBS. Unlike control cells, INF2 KO cells lacked the perinuclear F-actin ring, had little cytosolic F-actin content, did not respond to increased Ca2+ concentrations by making more F-actin, and maintained the transcriptional cofactor MRTF predominantly in the cytoplasm. Whereas expression of intact INF2 restored all these defects, INF2 with inactivated CaMBS did not. Our study reveals the structure of the N-terminal extension, its interaction with Ca2+/CaM, and its function in INF2 activation.


Asunto(s)
Actinas , Proteínas de Microfilamentos , Humanos , Forminas , Actinas/metabolismo , Proteínas de Microfilamentos/genética , Proteínas de Microfilamentos/metabolismo , Citoesqueleto de Actina/metabolismo , Unión Proteica
9.
Nat Commun ; 13(1): 4573, 2022 Aug 05.
Artículo en Inglés | MEDLINE | ID: mdl-35931684

RESUMEN

Optical wave packets that are localized in space and time, but nevertheless overcome diffraction and travel rigidly in free space, are a long sought-after field structure with applications ranging from microscopy and remote sensing, to nonlinear and quantum optics. However, synthesizing such wave packets requires introducing non-differentiable angular dispersion with high spectral precision in two transverse dimensions, a capability that has eluded optics to date. Here, we describe an experimental strategy capable of sculpting the spatio-temporal spectrum of a generic pulsed beam by introducing arbitrary radial chirp via two-dimensional conformal coordinate transformations of the spectrally resolved field. This procedure yields propagation-invariant 'space-time' wave packets localized in all dimensions, with tunable group velocity in the range from 0.7c to 1.8c in free space, and endowed with prescribed orbital angular momentum. By providing unprecedented flexibility in sculpting the three-dimensional structure of pulsed optical fields, our experimental strategy promises to be a versatile platform for the emerging enterprise of space-time optics.

10.
Cell Mol Life Sci ; 79(5): 236, 2022 Apr 10.
Artículo en Inglés | MEDLINE | ID: mdl-35399121

RESUMEN

Proteolipids are proteins with unusual lipid-like properties. It has long been established that PLP and plasmolipin, which are two unrelated membrane-tetra-spanning myelin proteolipids, can be converted in vitro into a water-soluble form with a distinct conformation, raising the question of whether these, or other similar proteolipids, can adopt two different conformations in the cell to adapt their structure to distinct environments. Here, we show that MALL, another proteolipid with a membrane-tetra-spanning structure, distributes in membranes outside the nucleus and, within the nucleus, in membrane-less, liquid-like PML body biomolecular condensates. Detection of MALL in one or other environment was strictly dependent on the method of cell fixation used, suggesting that MALL adopts different conformations depending on its physical environment -lipidic or aqueous- in the cell. The acquisition of the condensate-compatible conformation requires PML expression. Excess MALL perturbed the distribution of the inner nuclear membrane proteins emerin and LAP2ß, and that of the DNA-binding protein BAF, leading to the formation of aberrant nuclei. This effect, which is consistent with studies identifying overexpressed MALL as an unfavorable prognostic factor in cancer, could contribute to cell malignancy. Our study establishes a link between proteolipids, membranes and biomolecular condensates, with potential biomedical implications.


Asunto(s)
Condensados Biomoleculares , Neoplasias , Núcleo Celular , Humanos , Conformación Molecular , Proteolípidos/química
11.
Cell Mol Life Sci ; 79(1): 61, 2022 Jan 09.
Artículo en Inglés | MEDLINE | ID: mdl-34999972

RESUMEN

Apical localization of Intercellular Adhesion Receptor (ICAM)-1 regulates the adhesion and guidance of leukocytes across polarized epithelial barriers. Here, we investigate the molecular mechanisms that determine ICAM-1 localization into apical membrane domains of polarized hepatic epithelial cells, and their effect on lymphocyte-hepatic epithelial cell interaction. We had previously shown that segregation of ICAM-1 into apical membrane domains, which form bile canaliculi and bile ducts in hepatic epithelial cells, requires basolateral-to-apical transcytosis. Searching for protein machinery potentially involved in ICAM-1 polarization we found that the SNARE-associated protein plasmolipin (PLLP) is expressed in the subapical compartment of hepatic epithelial cells in vitro and in vivo. BioID analysis of ICAM-1 revealed proximal interaction between this adhesion receptor and PLLP. ICAM-1 colocalized and interacted with PLLP during the transcytosis of the receptor. PLLP gene editing and silencing increased the basolateral localization and reduced the apical confinement of ICAM-1 without affecting apicobasal polarity of hepatic epithelial cells, indicating that ICAM-1 transcytosis is specifically impaired in the absence of PLLP. Importantly, PLLP depletion was sufficient to increase T-cell adhesion to hepatic epithelial cells. Such an increase depended on the epithelial cell polarity and ICAM-1 expression, showing that the epithelial transcytotic machinery regulates the adhesion of lymphocytes to polarized epithelial cells. Our findings strongly suggest that the polarized intracellular transport of adhesion receptors constitutes a new regulatory layer of the epithelial inflammatory response.


Asunto(s)
Adhesión Celular/fisiología , Células Epiteliales/metabolismo , Hepatocitos/metabolismo , Molécula 1 de Adhesión Intercelular/metabolismo , Proteínas Proteolipídicas Asociadas a Mielina y Linfocito/metabolismo , Linfocitos T/metabolismo , Línea Celular Tumoral , Células Hep G2 , Humanos , Hígado/metabolismo , Proteínas Proteolipídicas Asociadas a Mielina y Linfocito/genética , Transcitosis/fisiología
13.
J Pers Med ; 13(1)2022 Dec 21.
Artículo en Inglés | MEDLINE | ID: mdl-36675671

RESUMEN

The definition of metabolic syndrome (MetS) based on dichotomous cut-off points is efficient in the adult population. However, to date, there is no international consensus on how to define MetS in the pediatric population. For that reason, a continuous MetS score (cMetS) has been proposed for the pediatric population. However, despite multiple attempts, cMetS has not been fully validated as there is no agreement about the most accurate score to calculate it. The purpose of the present study was to compare the validity of different scores (three siMS scores, z-score, principal components analysis (PCA), the sum of PCA, and confirmatory factor analysis) to calculate cMetS and determine MetS in Spanish adolescents. There were 981 subjects, ranging 11-16 years old, recruited for this cross-sectional study. Seven different approaches to pediatric cMetS scores were calculated. All cMetS scores calculated strongly correlated with each other, especially siMS scores. The area under the curve obtained from receiving operating characteristic curves was particularly elevated for z-scores 0.81 (95% CI: 0.784-0.838), showing a specificity of 64.4%. Our study shows that cMetS based on z-scores is accurate and efficient to be used for research instead of the dichotomized definition of MetS in adolescents; and cMetS based on siMS scores is useful for clinical practice.

14.
Small Methods ; 5(2): e2000711, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-34927881

RESUMEN

Lipid liquid-liquid immiscibility and its consequent lateral heterogeneity have been observed under thermodynamic equilibrium in model and native membranes. However, cholesterol-rich membrane domains, sometimes referred to as lipid rafts, are difficult to observe spatiotemporally in live cells. Despite their importance in many biological processes, robust evidence for their existence remains elusive. This is mainly due to the difficulty in simultaneously determining their chemical composition and physicochemical nature, whilst spatiotemporally resolving their nanodomain lifetime and molecular dynamics. In this study, a bespoke method based on super-resolution stimulated emission depletion (STED) microscopy and raster imaging correlation spectroscopy (RICS) is used to overcome this issue. This methodology, laser interleaved confocal RICS and STED-RICS (LICSR), enables simultaneous tracking of lipid lateral packing and dynamics at the nanoscale. Previous work indicated that, in polarized epithelial cells, the midbody remnant licenses primary cilium formation through an unidentified mechanism. LICSR shows that lipid immiscibility and its adaptive collective nanoscale self-assembly are crucial for the midbody remnant to supply condensed membranes to the centrosome for the biogenesis of the ciliary membrane. Hence, this work poses a breakthrough in the field of lipid biology by providing compelling evidence of a functional role for liquid ordered-like membranes in primary ciliogenesis.


Asunto(s)
Membrana Celular/química , Cilios/fisiología , Membrana Dobles de Lípidos/química , Animales , Línea Celular , Citocinesis , Perros , Células de Riñón Canino Madin Darby , Análisis Espacio-Temporal
15.
Cells ; 10(10)2021 09 27.
Artículo en Inglés | MEDLINE | ID: mdl-34685534

RESUMEN

Almost 25 years have passed since a mutation of a formin gene, DIAPH1, was identified as being responsible for a human inherited disorder: a form of sensorineural hearing loss. Since then, our knowledge of the links between formins and disease has deepened considerably. Mutations of DIAPH1 and six other formin genes (DAAM2, DIAPH2, DIAPH3, FMN2, INF2 and FHOD3) have been identified as the genetic cause of a variety of inherited human disorders, including intellectual disability, renal disease, peripheral neuropathy, thrombocytopenia, primary ovarian insufficiency, hearing loss and cardiomyopathy. In addition, alterations in formin genes have been associated with a variety of pathological conditions, including developmental defects affecting the heart, nervous system and kidney, aging-related diseases, and cancer. This review summarizes the most recent discoveries about the involvement of formin alterations in monogenic disorders and other human pathological conditions, especially cancer, with which they have been associated. In vitro results and experiments in modified animal models are discussed. Finally, we outline the directions for future research in this field.


Asunto(s)
Enfermedad/genética , Forminas/genética , Femenino , Humanos , Masculino
16.
STAR Protoc ; 2(3): 100727, 2021 09 17.
Artículo en Inglés | MEDLINE | ID: mdl-34409307

RESUMEN

This protocol enables correlative light and electron microscopy (CLEM) imaging of cell surface features without using dedicated equipment. Cells are cultured and fixed on transparent substrates for confocal microscopy imaging. No conductive coating is employed in the scanning electron microscopy workflow, providing a clean cell surface observation, with fiducial markers assisting alignment of optical and topographical images. This protocol describes CLEM imaging for midbody remnants in MDCK cells but can also be applied to different cell types and surface features. For complete details on the use and execution of this protocol, please refer to Casares-Arias et al. (2020).


Asunto(s)
Células Cultivadas/metabolismo , Microscopía Confocal/métodos , Microscopía Electrónica de Rastreo/métodos , Animales , Línea Celular , Perros , Tomografía con Microscopio Electrónico/métodos , Imagenología Tridimensional/métodos , Células de Riñón Canino Madin Darby , Microscopía Fluorescente/métodos , Programas Informáticos , Flujo de Trabajo
17.
Public Health Nurs ; 38(6): 1131-1134, 2021 11.
Artículo en Inglés | MEDLINE | ID: mdl-34231283

RESUMEN

OBJECTIVE: We assessed the prevalence of bullying and cyberbullying in 12-16-year-olds and the association with student self-reports after a police informative talk. DESIGN: We used a survey to assess the impact of the intervention: 1458 high school students received a police informative talk during the 2018-2019 school year and completed the self-administered EBIP-Q and ECI-Q questionnaires. Perceptions of conduct and bystanders' attitudes were assessed. Correspondence indexes were calculated using Cohen's kappa and gender differences studied using logistic regression. RESULTS: 81.34% (95% CI: 79.33-83.34) of students were involved in bullying and 54.75% (95% CI: 52.19-56.76) in cyberbullying. Almost 90% of participants did not perceive their real bullying correctly. Girls were more frequently victims of bullying and cyberbullying (OR = 1.67 and OR = 1.22, p = .004), but more frequently self-reported being bullies or victim/bully (OR = 0.57 and 0.39, p < .05). Male bystanders reported 7.33% (p < .001) more feelings of inadequacy than girls when witnessing bullying. CONCLUSION: Poor self-reporting reflects poor understanding of bullying and cyber-bullying. Police information sessions might produce the opposite reactions in adolescents, as they reduce bullying to visible, harmful violence. Educators should focus on adolescent relationships rather than violence prevention. A friendly, male-targeted approach is needed.


Asunto(s)
Acoso Escolar , Víctimas de Crimen , Adolescente , Femenino , Humanos , Masculino , Policia , Prevalencia , Autoinforme , Encuestas y Cuestionarios
18.
Methods ; 193: 136-147, 2021 09.
Artículo en Inglés | MEDLINE | ID: mdl-34126167

RESUMEN

The primary cilium is a specialized plasma membrane protrusion with important receptors for signalling pathways. In polarized epithelial cells, the primary cilium assembles after the midbody remnant (MBR) encounters the centrosome at the apical surface. The membrane surrounding the MBR, namely remnant-associated membrane patch (RAMP), once situated next to the centrosome, releases some of its lipid components to form a centrosome-associated membrane patch (CAMP) from which the ciliary membrane stems. The RAMP undergoes a spatiotemporal membrane refinement during the formation of the CAMP, which becomes highly enriched in condensed membranes with low lateral mobility. To better understand this process, we have developed a correlative imaging approach that yields quantitative information about the lipid lateral packing, its mobility and collective assembly at the plasma membrane at different spatial scales over time. Our work paves the way towards a quantitative understanding of the spatiotemporal lipid collective assembly at the plasma membrane as a functional determinant in cell biology and its direct correlation with the membrane physicochemical state. These findings allowed us to gain a deeper insight into the mechanisms behind the biogenesis of the ciliary membrane of polarized epithelial cells.


Asunto(s)
Membrana Celular , Células Epiteliales , Lípidos
19.
Cells ; 10(5)2021 04 30.
Artículo en Inglés | MEDLINE | ID: mdl-33946345

RESUMEN

The MAL gene encodes a 17-kDa protein containing four putative transmembrane segments whose expression is restricted to human T cells, polarized epithelial cells and myelin-forming cells. The MAL protein has two unusual biochemical features. First, it has lipid-like properties that qualify it as a member of the group of proteolipid proteins. Second, it partitions selectively into detergent-insoluble membranes, which are known to be enriched in condensed cell membranes, consistent with MAL being distributed in highly ordered membranes in the cell. Since its original description more than thirty years ago, a large body of evidence has accumulated supporting a role of MAL in specialized membranes in all the cell types in which it is expressed. Here, we review the structure, expression and biochemical characteristics of MAL, and discuss the association of MAL with raft membranes and the function of MAL in polarized epithelial cells, T lymphocytes, and myelin-forming cells. The evidence that MAL is a putative receptor of the epsilon toxin of Clostridium perfringens, the expression of MAL in lymphomas, the hypermethylation of the MAL gene and subsequent loss of MAL expression in carcinomas are also presented. We propose a model of MAL as the organizer of specialized condensed membranes to make them functional, discuss the role of MAL as a tumor suppressor in carcinomas, consider its potential use as a cancer biomarker, and summarize the directions for future research.


Asunto(s)
Membrana Celular/metabolismo , Proteínas Proteolipídicas Asociadas a Mielina y Linfocito/metabolismo , Neoplasias/metabolismo , Animales , Células Epiteliales/metabolismo , Humanos , Linfocitos/metabolismo , Proteínas Proteolipídicas Asociadas a Mielina y Linfocito/química , Proteínas Proteolipídicas Asociadas a Mielina y Linfocito/genética , Células de Schwann/metabolismo
20.
J Patient Saf ; 17(4): 323-330, 2021 06 01.
Artículo en Inglés | MEDLINE | ID: mdl-33994534

RESUMEN

BACKGROUND: Although recommendations to prevent COVID-19 healthcare-associated infections (HAIs) have been proposed, data on their effectivity are currently limited. OBJECTIVE: The aim was to evaluate the effectivity of a program of control and prevention of COVID-19 in an academic general hospital in Spain. METHODS: We captured the number of COVID-19 cases and the type of contact that occurred in hospitalized patients and healthcare personnel (HCP). To evaluate the impact of the continuous use of a surgical mask among HCP, the number of patients with COVID-19 HAIs and accumulated incidence of HCP with COVID-19 was compared between the preintervention and intervention periods. RESULTS: Two hundred fifty-two patients with COVID-19 have been admitted to the hospital. Seven of them had an HAI origin (6 in the preintervention period and 1 in the intervention period). One hundred forty-two HCP were infected with SARS-CoV-2. Of them, 22 (15.5%) were attributed to healthcare (2 in the emergency department and none in the critical care departments), and 120 (84.5%) were attributed to social relations in the workplace or during their non-work-related personal interactions. The accumulated incidence during the preintervention period was 22.3 for every 1000 HCP and 8.2 for every 1000 HCP during the intervention period. The relative risk was 0.37 (95% confidence interval, 0.25 to 0.55) and the attributable risk was -0.014 (95% confidence interval, -0.020 to -0.009). CONCLUSIONS: A program of control and prevention of HAIs complemented with the recommendation for the continuous use of a surgical mask in the workplace and social environments of HCP effectively decreased the risk of COVID-19 HAIs in admitted patients and HCP.


Asunto(s)
Centros Médicos Académicos , COVID-19/prevención & control , Infección Hospitalaria/prevención & control , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Adulto , COVID-19/epidemiología , COVID-19/transmisión , Infección Hospitalaria/epidemiología , Femenino , Humanos , Incidencia , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/estadística & datos numéricos , Masculino , Máscaras/estadística & datos numéricos , Persona de Mediana Edad , Personal de Hospital/estadística & datos numéricos , Evaluación de Programas y Proyectos de Salud , Medición de Riesgo/estadística & datos numéricos , SARS-CoV-2/aislamiento & purificación , España/epidemiología
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