Head-to-head comparison of CAMPYAIR aerobic culture medium versus standard microaerophilic culture for Campylobacter isolation from clinical samples.

Campylobacter spp. are considered the most frequent cause of acute gastroenteritis worldwide. However, outside high-income countries, its burden is poorly understood. Limited published data suggest that Campylobacter prevalence in low- and middle-income countries is high, but their reservoirs and age distribution are different. Culturing Campylobacter is expensive due to laboratory equipment and supplies needed to grow the bacterium (e.g., selective culture media, microaerophilic atmosphere, and a 42°C incubator). These requirements limit the diagnostic capacity of clinical laboratories in many resource-poor regions, leading to significant underdiagnosis and underreporting of isolation of the pathogen. CAMPYAIR, a newly developed selective differential medium, permits Campylobacter isolation without the need for microaerophilic incubation. The medium is supplemented with antibiotics to allow Campylobacter isolation in complex matrices such as human feces. The present study aims to evaluate the ability of the medium to recover Campylobacter from routine clinical samples. A total of 191 human stool samples were used to compare the ability of CAMPYAIR (aerobic incubation) and a commercial Campylobacter medium (CASA, microaerophilic incubation) to recover Campylobacter. All Campylobacter isolates were then identified by MALDI-TOF MS. CAMPYAIR showed sensitivity and specificity values of 87.5% (95% CI 47.4%-99.7%) and 100% (95% CI 98%-100%), respectively. The positive predictive value of CAMPYAIR was 100% and its negative predictive value was 99.5% (95% CI 96.7%-99.9%); Kappa Cohen coefficient was 0.93 (95% CI 0.79-1.0). The high diagnostic performance and low technical requirements of the CAMPYAIR medium could permit Campylobacter culture in countries with limited resources.

Genomic Analysis of Chilean Strains of Campylobacter jejuni from Human Faeces.

Campylobacter spp., especially C. jejuni, are recognized worldwide as the bacterial species that most commonly cause food-related diarrhea. C. jejuni possesses many different virulence factors, has the ability to survive in different reservoirs, and has shown among isolates the emergence of Antimicrobial Resistance (AMR). Genome association analyses of this bacterial pathogen have contributed to a better understanding of its pathogenic and AMR associated determinants. However, the epidemiological information of these bacteria in Latin American countries is scarce and no genomic information is available in public databases from isolates in these countries. Considering this, the present study is aimed to describe the genomic traits from representative Campylobacter spp. strains recovered from faecal samples of patients with acute diarrhoea from Valparaíso, Chile. Campylobacter spp. was detected from the faeces of 28 (8%) out of 350 patients with acute diarrhoea, mainly from young adults and children, and 26 (93%) of the isolates corresponded to C. jejuni. 63% of the isolates were resistant to ciprofloxacin, 25.9% to tetracycline, and 3.5% to erythromycin. Three isolates were selected for WGS on the basis of their flaA-RFLP genotype. They belonged to the multilocus sequence typing (MLST) clonal clomplex (CC) 21(PUCV-1), CC-48 (PUCV-3), and CC-353 (PUCV-2) and presented several putative virulence genes, including the Type IV and Type VI Secretion Systems, as well as AMR-associated genes in agreement with their susceptibility pattern. On the basis of the wgMLST, they were linked to strains from poultry and ruminants. These are the first genomes of Chilean C. jejuni isolates available in public databases and they provide relevant information about the C. jejuni isolates associated with human infection in this country.

Influence of a self-regulated cognitive dual task on time to failure and complexity of submaximal isometric force control.

PURPOSE: To determine the effects of performing a self-regulated cognitive dual task on time to failure and neuromuscular force control during submaximal isometric contractions. METHODS: Fifteen young sedentary males performed isometric contractions at 50% of each individual's maximal voluntary contraction (MVC) under single-task (without cognitive load) and dual-task (with self-regulated mathematical task) conditions. Force signal complexity and biceps brachialis muscle activity were determined at the start, middle, and end of each trial. The slope of the linear regression of median frequency determined the rate of muscle fatigue. Force-task error was established as any amplitude percentage greater or less than 50% MVC. RESULTS: The dual-task condition resulted in a 42 s longer time to failure than the single-task condition. EMG amplitude did not differ between conditions. The rate of muscle fatigue was higher in the single-task (- 0.35%/s) than the dual-task (- 0.2%/s) condition. Force signal complexity was, on average, 22% lower in the dual-task condition. The dual-task condition, as compared to the single-task condition, elicited a higher rate of force-task error below (6.37 versus 4.76%) and over (2.11 versus 1.68%) the force threshold. CONCLUSION: The dual-task condition resulted in a longer time to failure and decreased motor output complexity and fatigue rate when performing a submaximal force task. As the dual task also increased the force-task error, we suggest cognitive dual tasks as a possible strategy for delaying fatigue in sedentary young males when exerting submaximal isometric force, contributing to neuromuscular training when error in force control can be ignored.

Embarazo ectópico intersticial: reporte de un caso en el IHSS, San Pedro Sula / Interstitial ectopic pregnancy: a case report at the IHSS , San Pedro Sula

Se presenta um caso de embarazo intersticial en una paciente a quien se le había practicado Salpingectomía controlateral parcial por embarazo ectópico

Embarazo ectópico intersticial: Reporte de un caso en el IHSS, San Pedro Sula / Interstitial ectopic pregnancy; one case report at the IHSS, San Pedro Sula

En el presente caso se comprueba nuestra baja incidencia, al igual que el sustentado por otros autores y que la histerectomía sigue siendo para el embarazo ectópico intersticial y que la clínica y la mayor dedicación al paciente el diagnóstico puede ser fuertemente sospechado. Valdría la pena intentar el tratamiento de los embarazos ectópicos sin cirugía, sino que con fármacos como el Metotrexate que está dando resultados satisfactorios en algunos lados. En una serie de 200 casos de embarazo tubárico que no tuvieron complicaciones quirúrgicas, 122 se embarazaron de nuevo y de los cuales 24 se repitió el embarazo ectópico