RESUMEN
OBJECTIVE: To investigate the epidemiology, microbiology and outcome of infections caused by Capnocytophaga spp. at a single center. METHODS: We report on ten documented infectious episodes caused by Capnocytophaga observed between 1994 and 1999 at the Innsbruck University Hospital. RESULTS: In seven of ten patients, Capnocytophaga septicemia was diagnosed during periods of neutropenia. In contrast, the remaining three patients had normal white blood cell counts when acquiring Capnocytophaga septicemia (one) and pleural empyema (two). Blood cultures containing long, slender, Gram-negative rods, which grew slowly under anaerobic conditions and lacked susceptibility to metronidazole, were subcultivated in a CO2-enriched atmosphere (5%). Subcultivation yielded Capnocytophaga in all ten cases within 2-12 days. The patients were then placed on appropriate antibiotic therapy, with or without additional surgical intervention, and the organism was eradicated. CONCLUSION: Identification of Capnocytophaga facilitates appropriate, and in most cases effective, antimicrobial therapy.
Asunto(s)
Capnocytophaga/aislamiento & purificación , Infecciones por Bacterias Gramnegativas , Adulto , Anciano , Antibacterianos/farmacología , Capnocytophaga/efectos de los fármacos , Farmacorresistencia Bacteriana , Empiema Pleural/complicaciones , Femenino , Estudios de Seguimiento , Infecciones por Bacterias Gramnegativas/tratamiento farmacológico , Infecciones por Bacterias Gramnegativas/epidemiología , Infecciones por Bacterias Gramnegativas/microbiología , Humanos , Inmunocompetencia , Huésped Inmunocomprometido , Masculino , Pruebas de Sensibilidad Microbiana , Persona de Mediana Edad , Polimorfismo de Longitud del Fragmento de RestricciónAsunto(s)
Artritis Reactiva/parasitología , Entamoeba/patogenicidad , Entamebiasis/complicaciones , Administración Oral , Adulto , Animales , Antitricomonas/administración & dosificación , Antitricomonas/uso terapéutico , Artritis Reactiva/tratamiento farmacológico , Entamoeba/aislamiento & purificación , Entamebiasis/tratamiento farmacológico , Entamebiasis/parasitología , Heces/parasitología , Femenino , Estudios de Seguimiento , Humanos , Metronidazol/administración & dosificación , Metronidazol/uso terapéuticoRESUMEN
Importance of oral rehydration solution in the treatment of diarrhoeal diseases in well-known. It can be applied in all types of diarrhoea, practically, without any side effects, complications, such hypernatraemia is avoidable. It has proved to be effective for the dehydration, caused by diarrhoea, and for the diarrhoea, too. The authors review the position of oralis rehydration liquid in the therapy of diarrhoea, the pathophysiology and epidemiology of diarrhoeal diseases. The therapeutic practices, suitable composition of oral rehydration solution, cost-benefit considerations, further possible indications of solution are discussed as well. The authors give background information about the modification of the composition of oral rehydration solution, recommended by the World Health Organization, and call the attention to the importance of the alteration of health officer's view about the oral rehydration therapy.