Study of Normal Flora in the Pharynx of Healthy Children.

To improve our current understanding of normal flora in children, we investigated bacterial isolates from the pharynx and nasopharynx of 173 and 233 healthy children, respectively. The bacterial isolation rates were compared among three age groups: infants (<1 year), toddlers (1-5 years), and school-aged children (6-15 years). Gram-positive cocci were the predominant bacteria in the pharynx (Streptococcus mitis/oralis, 87.3%; Streptococcus salivarius, 54.3%; Rothia mucilaginosa, 41.6%; Staphylococcus aureus, 39.3%). Among infants, S. salivarius and Neisseria subflava, which are related to the development of teeth, were significantly lower than in the other age groups (P <0.0001, S. salivarius; P <0.01, N. subflava). With the exception of Corynebacterium pseudodiphtheriticum (44.2%, gram-positive rods), gram-negative rods largely predominated the nasopharynx (Moraxella catarrhalis, 32.1%; Moraxella nonliquefaciens, 28.3%). Among toddlers, M. catarrhalis and Streptococcus pneumoniae, which are the most common pathogens in acute otitis media, were significantly higher than in the infant group (P <0.05). Among the bacterial species implicated in pediatric respiratory infections, Streptococcus pyogenes was isolated in 3.5% of the pharyngeal samples. S. pneumoniae and Haemophilus influenzae were isolated in 22.3% and 17.2% of the nasopharyngeal samples, respectively. In conclusion, the normal flora of the respiratory tract differs not only by the sampling site but also by the age group.

Bacteriemia nosocomial por Cupriavidus pauculus en paciente con colitis ulcerosa / Nosocomial bacteremia due to Cupriavidus pauculus in a patient with ulcerative colitis

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Obstrucción nasal en paciente marroquí / Nasal obstruction in a Moroccan patient

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Bacteriemia por Herbaspirillum huttiense en un paciente neonato / Bacteremia caused by Herbaspirillum huttiense in a newborn

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Control microbiológico de las comidas servidas en centros de educación infantil del Ministerio de Defensa durante el año 2017 / Microbiological control of the food served in children's education centres of the Ministry of Defense in 2017

Introducción: La población infantil es más vulnerable a las enfermedades de transmisión alimentaria que otros grupos demográficos. En los últimos años se han notificado brotes de enfermedades de origen alimentario en guarderías causados por agentes patógenos como Salmonella spp., Listeria monocytogenes o Cronobacter sakazakii. Objetivos: Determinar la calidad microbiológica de las comidas servidas en los comedores de las guarderías en relación con los criterios de seguridad alimentaria y de higiene de los procesos. Materiales y Métodos: Se analizaron 241 muestras del menú de iniciación y del menú completo en 13 guarderías. Se investigó la presencia de Salmonella spp. y Cronobacter spp. y se realizó el recuento de L. moncytogenes y de los microorganismos indicadores de la higiene de los procesos (aerobios mesófilos, enterobacterias totales, coliformes totales, Escherichia coli ß-glucuronidasa positivos y Staphylococcus aureus). Resultados: Salmonella spp. y L. monocytogenes no se detectaron en ninguna de las muestras analizadas. Cronobacter spp. se aisló en la guarnición de ensalada de un segundo plato. E. coli no se detectó en ninguna muestra y para el resto de indicadores de higiene las prevalencias fueron las siguientes: aerobios mesófilos 36,10 %, enterobacterias 13,28 %, coliformes totales 7,47 % y S. aureus 4,14 %. El grupo de frutas fue siempre el que presentó mayor prevalencia en todos los parámetros, seguido por los segundos platos debido principalmente a la presencia de ensaladas en la guarnición. Conclusiones: Conforme a los resultados microbiológicos obtenidos, se considera que las comidas servidas tienen un alto grado de calidad microbiológica

Introduction: Infants and children are more vulnerable to foodborne illnesses than other demographic population. In recent years, foodborne outbreaks have been reported in kindergartens because of the presence of pathogenic agents like Salmonella spp., Listeria monocytogenes and Cronobacter sakazakii. Objective: To determine the microbiological quality of foods ready for consumption in kindergarten foodservices regarding food safety and process hygiene criteria. Materials and Methods: 241 food samples from the initiation menu and full menu were analyzed in 13 kindergartens. Salmonella spp. and Cronobacter spp. were investigated and an enumeration of L. monocytogenes and of the hygiene indicator microorganisms (mesophilic aerobes, enterobacteriaceae, ß-glucuronidase positive Escherichia coli, total coliforms and Staphylococcus aureus) was carried out. Results: No Salmonella spp. or L. monocytogenes were isolated from any of the samples. Cronobacter spp. was isolated in the fresh salad of a second plate. E. coli was not detected in any sample and the results shown in the rest of the hygiene indicators were the following: mesophilic aerobes 36,10 %, enterobacteriaceae 13,28 %, total coliforms 7,47 % and S. aureus 4,14 %. The fruits group was always the one that showed the highest prevalence in all the parameters, followed by the second courses mainly due to the presence of fresh salads. Conclusions: According to the microbiological results obtained, it is considered that the meals served have a high level of microbiological quality

Roseithermus sacchariphilus gen. nov., sp. nov. and proposal of Salisaetaceae fam. nov., representing new family in the order Rhodothermales.

A novel bacterium with cells that were pinkish-cream-coloured, aerobic, rod-shaped, 0.62-1.00 µm wide and 2.3-3.3 µm long, designated as strain MEBiC09517T, was isolated from Buksung-Po, a small port in Incheon, Republic of Korea. Strain MEBiC09517T had low 16S rRNA gene sequence similarity to validly reported strains; among them, Rubrivirgaprofundi SAORIC-476T displayed highest sequence similarity (89.9 %). Nevertheless, the novel strain shared a phylogenetic line with members of the genus Rhodothermus, not the genus Rubrivirga. Optimum growth conditions of strain MEBiC09517T were at 50-55 °C, pH 7 and in 2.0-4.0 % salt concentration. Strain MEBiC09517T was found to be an obligate marine bacterium that requires KCl, MgCl2 and CaCl2 as well as NaCl for growth. A phosphatidylethanolamine, a diphosphatidylglycerol, three glycolipids and four unidentified lipids were the strain's predominant polar lipid components. The fatty acid of the cell wall mainly consisted of carbons with 16 or 18 chain lengths such as C16 : 0, C18 : 0, C18 : 1 and summed feature 3 (C16 : 1ω6c and/or C16 : 1ω7c). The predominant menaquinone was MK-7. The DNA G+C content is 68.65 mol%. Strain MEBiC09517T differs from genera of the order Rhodothermales in terms of fatty acid composition, growth conditions, and range of carbon source utilization. Based on phylogenetic analysis using the strain's 16S rRNA gene sequence and results of physiological tests, strain MEBiC09517T (KCCM=43267T, JCM=32374T) is proposed as Roseithermus sacchariphilus gen. nov., sp. nov. Additionally, the novel family Salisaetaceae fam. nov. based on phylogenetic analysis and physiological characteristics is suggested.

Trinickia diaoshuihuensis sp. nov., a plant growth promoting bacterium isolated from soil.

A novel Gram-stain-negative, aerobic, rod-shaped plant growth promoting bacterium, NEAU-SY24T, was isolated from soil in Diaoshuihu, Heilongjiang, China. The isolate grew at temperatures 10-40 °C (optimum, 30 °C), pH 5-8 (optimum, pH 6) and in the presence of up to 1 % (w/v) NaCl, although NaCl was not required for growth. Phylogenetic analysis based on the 16S rRNA gene sequence indicated that strain NEAU-SY24T belonged to the genus Trinickia and was closely related to Trinickia dabaoshanensis NRRL B-59553T (99.16 % similarity) and Trinickia soli DSM 18235T (99.11 %). The average nucleotide identity values between NEAU-SY24T and its most closely related species were 79.30-87.09 %. The in silico DNA-DNA hybridization values between NEAU-SY24T and T. dabaoshanensis NRRL B-59553T and T. soli DSM 18235T were 29.30 and 24.00 %, respectively, again indicating they belong to different taxa. The genomic DNA G+C content was 63.3 mol%. The major cellular fatty acids were C17 : 0cyclo, C18 : 1ω7c, C16 : 0, summed feature 2 (comprising C14 : 0 3-OH and/or C16 : 1iso I) and C16 : 0 3-OH. The predominant respiratory quinone was Q-8 and the whole-cell sugars contained ribose, glucose and galactose. The polar lipids consisted of diphosphatidylglycerol, phosphatidylglycerol, phosphatidylethanolamine, hydroxyphosphatidylethanolamine and two unidentified aminolipids. On the basis of morphological, physiological, biochemical and chemotaxonomic analysis, strain NEAU-SY24T was classified as a novel species in the genus Trinickia, for which the name Trinickiadiaoshuihuensis sp. nov. is proposed. The type strain is NEAU-SY24T (=DSM 106065T=CCTCC AA 2018003T).

Capsulimonas corticalis gen. nov., sp. nov., an aerobic capsulated bacterium, of a novel bacterial order, Capsulimonadales ord. nov., of the class Armatimonadia of the phylum Armatimonadetes.

An aerobic bacterial strain designated AX-7T was isolated from the trunk surface of a Japanese beech (Fagus crenata). Cells of strain AX-7T were Gram-stain-negative, non-spore-forming, non-motile rods (1.0-1.2 µm in width and 1.2-3.0 µm in length) with peritrichous fimbriae. Cells were capsulated, and a number of them were surrounded by a thick slime layer. During growth, large aggregates formed, and the culture medium became viscous probably owing to exopolysaccharide release from the slime layer. The temperature range for growth was 10-37 °C, with an optimum at 30 °C. The pH range for growth was 5.0-7.0, with an optimum at pH 6.0. Strain AX-7T used various sugars, including polysaccharides, and yeast extract as growth substrates. Strain AX-7T contained menaquinones MK-9 and MK-10 as the respiratory quinones, and C16 : 1ω5c, C16 : 1ω11c, C16 : 0 and C14 : 0 as the major cellular fatty acids. Four unidentified phospholipids and 11 unidentified polar lipids constituted the polar lipids. The DNA G+C content was 61.0 mol%. The cell-wall peptidoglycan contained ll-diaminopimelic acid. Phylogenetic analysis based on 16S rRNA gene sequences revealed that strain AX-7T belonged to the class Armatimonadia, its closest relative being Armatimonas rosea YO-36T, with sequence similarity of 88.1%. Based on data from this polyphasic study, we propose that strain AX-7T represents a new genus of a novel species within the novel order Capsulimonadales ord. nov. of the class Armatimonadia, for which the name Capsulimonas corticalis gen. nov., sp. nov. is proposed. The type strain of C. corticalis is AX-7T (=DSM 105890T=NBRC 113044T).

In vitro detection of common rhinosinusitis bacteria by the eNose utilising differential mobility spectrometry.

Acute rhinosinusitis (ARS) is a sudden, symptomatic inflammation of the nasal and paranasal mucosa. It is usually caused by respiratory virus infection, but bacteria complicate for a small number of ARS patients. The differential diagnostics between viral and bacterial pathogens is difficult and currently no rapid methodology exists, so antibiotics are overprescribed. The electronic nose (eNose) has shown the ability to detect diseases from gas mixtures. Differential mobility spectrometry (DMS) is a next-generation device that can separate ions based on their different mobility in high and low electric fields. Five common rhinosinusitis bacteria (Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, Staphylococcus aureus, and Pseudomonas aeruginosa) were analysed in vitro with DMS. Classification was done using linear discriminant analysis (LDA) and k-nearest neighbour (KNN). The results were validated using leave-one-out cross-validation and separate train and test sets. With the latter, 77% of the bacteria were classified correctly with LDA. The comparative figure with KNN was 79%. In one train-test set, P. aeruginosa was excluded and the four most common ARS bacteria were analysed with LDA and KNN; the correct classification rate was 83 and 85%, respectively. DMS has shown its potential in detecting rhinosinusitis bacteria in vitro. The applicability of DMS needs to be studied with rhinosinusitis patients.

Gracilimonas amylolytica sp. nov., isolated from deep-sea sediment.

A Gram-stain-negative, aerobic, non-motile and rod-shaped bacterium, designated LA399T, was isolated from deep-sea sediment collected from the Pacific Ocean. Cells of strain LA399T grew in the medium containing 0-10.0 % of NaCl (w/v; optimum 3.0-5.0 %), pH 6.5-8.0 (optimum 7.0) and 20-40 °C (optimum 37 °C). Aesculin, gelatin, starch and Tween 80 were hydrolysed. Strain LA399T was closely related to Gracilimonas halophila WDS2C40T (97.0 % sequence similarity), Gracilimonas mengyeensis YIM J14T (96.4 %), Gracilimonas rosea CL-KR2T (96.4 %) and Gracilimonas tropica DSM 19535T (96.0 %), and exhibited equal or less than 96.0 % sequence similarity to other type strains of species with validly published names. Phylogenetic analyses revealed that strain LA399T clustered with the clade comprising the Gracilimonas species and formed an independent lineage. Strain LA399T contained menaquinone 7 as the sole isoprenoid quinone and iso-C15 : 0, anteiso-C15 : 0, summed feature 3 (C16 : 1ω7c/C16 : 1ω6c) and summed feature 9 (iso-C17 : 1ω9c/10-methyl C16 : 0) as the predominant cellular fatty acids. The major polar lipids were diphosphatidylglycerol, phosphatidylglycerol, phosphatidylethanolamine, one unidentified phospholipid and three unidentified glycolipids. The DNA G+C content was 45.3 mol%. According to the phylogenetic, chemotaxonomic and phenotypic data, it represents a novel species of the genus Gracilimonas, for which the name Gracilimonas amylolytica is proposed. The type strain is LA399T (=CGMCC 1.16248T=KCTC 52885T).

Rhodohalobacter barkolensis sp. nov., isolated from a saline lake and emended description of the genus Rhodohalobacter.

A Gram-stain-negative, non-motile, aerobic, rod-shaped bacterium, designated 15182T, was isolated from a saline lake in China. The novel strain 15182T was able to grow at 10-40 °C (optimum, 37 °C), pH 7.0-8.0 (optimum, 7.5) and with 0.5-4 % NaCl (optimum, 2-3 %, w/v). The phylogenetic analysis based on 16S rRNA gene sequences revealed that strain 15182T was most closely related to the genus Rhodohalobacter by sharing the highest sequence similarity of 97.0 % with Rhodohalobacter halophilus JZ3C29T. Chemotaxonomic analysis showed that the sole respiratory quinone was menaquinone 7, the major fatty acids included C16 : 0 N alcohol and C16 : 1ω11c. The major polar lipids included diphosphatidylglycerol, phosphatidylglycerol, phosphatidylethanolamine, four uncharacterized glycolipids, one uncharacterized phospholipid and two uncharacterized lipids. The genomic DNA G+C content of the strain 15182T was 42.4 mol%. The average nucleotide identity value between 15182T and R. halophilus JZ3C29T was 75.4 %, and the in silico DNA-DNA hybridization value of the two strains was 19.1 %. On the basis of its phenotypic, chemotaxonomic, genotypic and genomic characteristics presented in this study, strain 15182T is suggested to represent a novel species in the genus Rhodohalobacter, for which the name Rhodohalobacter barkolensis sp. nov. is proposed. The type strain is 15182T (=KCTC 62172T=MCCC 1K03442T). An emended description of the genus Rhodohalobacter is also presented.

[Uncommon non-fermenting Gram-negative rods as pathogens of lower respiratory tract infection]. / Ritkábban eloforduló, alsó légúti fertozést okozó Gram-negatív nem fermentáló pálcák.

INTRODUCTION: Glucose non-fermenting Gram-negative bacteria are ubiquitous environmental organisms. Most of them are identified as opportunistic, nosocomial pathogens in patients. Uncommon species are identified accurately, mainly due to the introduction of matrix-assisted laser desorption-ionization time of flight mass spectrometry (MALDI-TOF MS) in clinical microbiology practice. Most of these uncommon non-fermenting rods are isolated from lower respiratory tract samples. Their significance in lower respiratory tract infections, such as rules of their testing are not clarified yet. AIM: The aim of this study was to review the clinical microbiological features of these bacteria, especially their roles in lower respiratory tract infections and antibiotic treatment options. METHOD: Lower respiratory tract samples of 3589 patients collected in a four-year period (2013-2016) were analyzed retrospectively at Semmelweis University (Budapest, Hungary). Identification of bacteria was performed by MALDI-TOF MS, the antibiotic susceptibility was tested by disk diffusion method. RESULTS: Stenotrophomonas maltophilia was revealed to be the second, whereas Acinetobacter baumannii the third most common non-fermenting rod in lower respiratory tract samples, behind the most common Pseudomonas aeruginosa. The total number of uncommon non-fermenting Gram-negative isolates was 742. Twenty-three percent of isolates were Achromobacter xylosoxidans. Beside Chryseobacterium, Rhizobium, Delftia, Elizabethkingia, Ralstonia and Ochrobactrum species, and few other uncommon species were identified among our isolates. The accurate identification of this species is obligatory, while most of them show intrinsic resistance to aminoglycosides. Resistance to ceftazidime, cefepime, piperacillin-tazobactam and carbapenems was frequently observed also. CONCLUSIONS: Ciprofloxacin, levofloxacin and trimethoprim-sulfamethoxazole were found to be the most effective antibiotic agents. Orv Hetil. 2018; 159(1): 23-30.

Respuesta a "Biopsia ósea percutánea es diferente a biopsia ósea transulcerosa». Comentarios a «Osteomielitis de pie diabético: ¿es posible un manejo conservador?" / Reply to "Percutaneou bone biopsy is different to the probe to bone test». Comments on "Diabetic foot osteomyelitis: Is conservative treatment possible?"

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Use of Aerosolized Antibiotics in Gram-Negative Ventilator-Associated Pneumonia in Trauma Patients.

Ventilator-associated pneumonia (VAP) is associated with significant morbidity (ventilator days, ICU days, and cost) and mortality increase in trauma patients. Multidrug-resistant strains of causative VAP pathogens are becoming increasingly common. Aerosolized antibiotics achieve high alveolar concentrations and provide valuable adjuncts in the treatment of VAP. This study examined the impact of aerosolized antibiotics in the treatment of VAP in trauma patients. Patients with either Acinetobacter baumannii or Pseudomonas aeruginosa VAP over 10 years treated with aerosolized antibiotics (cases) were stratified by age, severity of shock, and injury severity. A frequency-matched (by causative pathogen) control group treated without aerosolized antibiotics was used for comparison. Multivariable logistic regression was used to identify predictors for the use of aerosolized antibiotics. One hundred twenty VAP episodes were identified in 100 patients. Microbiologic resolution was achieved in all patients treated with aerosolized antibiotics. There was no difference in mortality (14.5% vs 15.7%, P = 0.87) and no antibiotic-related complications in either group. Multivariable logistic regression identified VAP persistence and relapse as independent predictors for the use of aerosolized antibiotics. Combined with systemic therapy, aerosolized antibiotics broaden the spectrum of therapy. They are valuable adjuncts with minimal risk of antibiotic resistance and/or systemic complications.

Meiothermus luteus sp. nov., a slightly thermophilic bacterium isolated from a hot spring.

A slightly thermophilic, aerobic bacterium, designated YIM 72257T, was isolated from a sediment sample taken from a hot spring in Tengchong county, Yunnan province, south-west China. The isolate was Gram-stain-negative, non-sporulating and forms non-motile rods, appearing in chains. The isolate grew at 50-65 °C, pH 6.0-9.0 and with 0.5-1 % NaCl (w/v). 16S rRNA gene sequence analysis showed that strain YIM 72257T was most closely related to Meiothermus cateniformans LY1T (95.6 %), Meiothermus ruber DSM 1279T (95.1 %) and Meiothermus taiwanensis WR-30T (94.6 %). The genomic DNA G+C content of strain YIM 72257T was 62.6 mol%. The main cellular fatty acids (>5 %) were anteiso-C15 : 0, anteiso-C17 : 0, iso-C16 : 0, iso-C17 : 0, iso-C15 : 0 and C16 : 0. The polar lipids consisted of an uncharacterized phospholipid and two glycolipids. Based on phenotypic, phylogenetic and chemotaxonomic characteristics, strain YIM 72257T is proposed to be a representative of a novel species of the genus Meiothermus, for which the name Meiothermus luteus sp. nov. is proposed. The type strain is YIM 72257T (=KCTC 52599T=CCTCC AB 2017100T).

Comparación bacteriana de 30 piezas de alta velocidad antes y después de ser utilizadas en la facultad de odontología, Región Veracruz / Bacterial comparison of 30 high speed handpieces before and after being used at the school of dentistry, Veracruz Region

Introducción: en los procedimientos odontológicos se está expuestoa gran cantidad de microorganismos y las intervenciones clínicas provocan un contacto directo o indirecto con éstos, ya sea a través del instrumental, equipo odontológico contaminado con saliva, sangre, exudados, etcétera. Por esta razón debe tomarse en cuenta el tipo de contaminación de las piezas de mano por ser parte del equipo de uso cotidiano para realizar tratamientos odontológicos. Objetivos generales:Determinar la carga bacteriana en las piezas de alta velocidad antes y después de su uso en diferentes clínicas de la Facultad de Odontologíade la UV Región Veracruz. Metodología: Investigación transversal, descriptiva y observacional. Material y métodos: Se seleccionaron al azar 30 piezas de mano de los estudiantes de la Universidad Veracruzana Facultad de Odontología Región Veracruz, a las cuales se tomó una muestra con un hisopo de algodón antes y después de su uso en la práctica dental. Se realizaron cultivos con las muestras obtenidas que se observaron durante tres días seguidos bajo microscopio para comprobar la presencia de colonias bacterianas. Resultados: De las30 piezas antes de ser utilizadas se detectó Bacillus grampositivos en24 por ciento de las muestras; en 20 por ciento Bacillus gramnegativos, en 6 por ciento Streptobacillus gram-positivos; en 20 por ciento Staphylococcus grampositivos; en 3 por ciento Cocobacillus gramnegativos y en 22 por ciento Actinomyces gramnegativos. El restante 2 por ciento no reveló unidades formadoras de colonias (UFC). En un segundo muestreo, 33 por ciento desarrolló Bacillus grampositivos, 10 por cientoBacillus gramnegativos, 20 por ciento adquirió Sthapylococcus grampositivos, 3 por ciento Sthapylococcus gramnegativo y 34 por ciento no reveló UFC. Conclusión:En el primer muestreo se detectaron microorganismos en 98% de laspiezas de mano, mientras que en el segundo muestreo 66% se contaminócon microorganismos y en 34% no se observó contaminación.

Introduction: dental activity is exposed to a lot of microorganisms,and clinical interventions have a direct or indirect contact with them.Whether through the instruments, dental equipment contaminatedwith saliva, blood, etc; so you should take into account the type ofcontamination of handpieces for being the most widely used equipmentfor dental treatment. General Objectives: Determine the bacterialload in high-speed parts before and after being used in diff erentclinical uses in Dentistry School at UV, Veracruz. Methodology:Cross-sectional, descriptive and observational research. Materialand methods: 30 pieces of students from the Universidad VeracruzanaSchool of Dentistry, Veracruz region, which a sample was takenwith a swab to pieces before and after use in dental practice wererandomly selected. Cultures with samples obtained observedduring three days in a row microscope to determine the presenceof bacterial colonies were made. Results: Of the 30 pieces beforebeing used 24% of Bacillus Gram-positive samples were found; 20%Bacillus Gram-negative, Gram-positive Streptobacillus 6%; 20%Gram-positive Staphylococcus, 3% developed Coccobacillus Gramnegativeand 22% Gram negative Actinomyces. The remaining 2%no colony forming units development (UFC). In a second sampling;33% developed Bacillus Gram-positive, Gram-negative Bacillus10%, 20% obtained Sthapylococcus Gram-positive, Gram-negativeSthapylococcus 3% and 34% did not develop colony forming unit(CFU). Conclusion: In the first sampling 98% of the pieces were microorganism growth, while in the second 66% and the presence ofmicroorganisms obtained 34% no development.

Time-to-positivity, type of culture media and oxidase test performed on positive blood culture vials to predict Pseudomonas aeruginosa in patients with Gram-negative bacilli bacteraemia / Tiempo de positividad, tipo de medio de cultivo y prueba de oxidasa realizada en viales de hemocultivo positivos para predecir Pseudomonas aeruginosa en pacientes con bacteriemia por bacilos gramnegativos

Introduction. The aim of this study was to determine the usefulness of oxidase test and time-to-positivity (TTP) in aerobic and anaerobic blood culture vials to detect the presence of Pseudomonas aeruginosa in patients with Gram-negative bacilli (GNB) bacteraemia. Material and methods. TTP was recorded for each aerobic and anaerobic blood culture vial of monomicrobial bacteraemia due to GNB. Oxidase test was performed in a pellet of the centrifuged content of the positive blood culture. An algorithm was developed in order to perform the oxidase test efficiently taking into account TTP and type of vial. Results. A total of 341 episodes of GNB bacteraemia were analysed. Sensitivity, specificity, positive predictive value and negative predictive value of the oxidase test performed on positive vials with GNB to predict P. aeruginosa were 95%, 99%, 91%, and 99%, respectively. When growth was first or exclusively detected in anaerobic vials, P. aeruginosa was never identified hence the performance of the oxidase test could be avoided. When growth was only or first detected in aerobic vials, a TTP≥8h predicted P. aeruginosa in 37% or cases (63 of 169), therefore oxidase test is highly recommended. Conclusions. Oxidase test performed onto positive blood culture vials previously selected by TTP and type of vials is an easy and inexpensive way to predict P. aeruginosa. In most cases, this can lead to optimization of treatment in less than 24 hours (AU)

Introducción. El objetivo del estudio fue determinar la utilidad de la prueba de oxidasa y del tiempo de positividad del hemocultivo (TPH) para detectar la presencia de Pseudomonas aeruginosa en pacientes con bacteriemia por bacilos gramnegativos (BGN). Material y métodos. Se registró el TPH de cada vial aerobio y anaerobio en todos los episodios de bacteriemia monomicrobiana por BGN. La prueba de oxidasa se realizó sobre el contenido centrifugado del hemocultivo positivo. Se diseñó un algoritmo para optimizar la realización de la prueba de oxidasa según el TPH y el tipo de vial. Resultados. Se analizaron 341 episodios de bacteriemia por BGN. La sensibilidad, especificidad, valor predictivo positivo y valor predictivo negativo de la prueba de oxidasa para predecir P. aeruginosa fueron del 95%, 99%, 91% y 99%, respectivamente. Cuando el crecimiento se detectó primero o exclusivamente en viales anaerobios, nunca se identificó P. aeruginosa pudiendo evitar la realización de la prueba de oxidasa. Cuando el crecimiento se detectó antes o exclusivamente en viales aerobios un TPH ≥8h predijo la presencia de P. aeruginosa en el 37% de los casos (63 de 169), por lo que es recomendable la realización de la prueba de oxidasa. Conclusiones. La prueba de oxidasa realizada a viales de hemocultivos positivos previamente seleccionados por el TPH y el tipo de medio es una forma fácil y económica de predecir P. aeruginosa. En la mayoría de los casos, esto puede contribuir a la optimización del tratamiento antibiótico en menos de 24h (AU)

Bacteriobilia: un problema sin resolver / Bacteriobilia: a non-resolved problem

La vía biliar habitualmente es estéril, y el aislamiento de microorganismos (bacteriobilia) se ha relacionado con diversos factores, como la edad, el drenaje biliar previo a la cirugía de páncreas o la litiasis biliar. Los gramnegativos continúan siendo los microorganismos más frecuentes, especialmente Escherichia coli. Entre los grampositivos cabe destacar a Enterococcus spp. Actualmente, existe controversia acerca de si la presencia de bacteriobilia tiene impacto en la mala evolución de la enfermedad biliar o de los procedimientos quirúrgicos o en las tasas de mortalidad, con complicaciones como infecciones del sitio quirúrgico o bacteriemia. En los pacientes de mayor riesgo, como los inmunosuprimidos o en los que se practica duodenopancreatectomía, los cultivos sistemáticos de bilis, aunque no existan datos clínicos de infección, pueden ser necesarios para iniciar tratamiento antibiótico o para reducir su espectro (AU)

Bile duct is usually sterile, and the isolating of microorganisms (bacteriobilia) has been related to some factors, such as age, biliary drainage before pancreatic surgery or bile duct stones. Gramnegative strains remain the most frequent pathogens, especially Escherichia coli. Among grampositives Enterococcus spp should be mentioned. Currently, there is controversy about whether the presence of bacteriobilia has an impact on unfavorable outcome of biliary disease or surgical procedures or mortality rates, with complications such as surgical site infections or bacteremia. In high-risk patients, such as immunosuppressed or those underwent pancreaticoduodenectomy, bile duct cultures performed routinely, even if there are not clinical data of infection, could be necessary in order to start antibiotic treatment or to reduce its spectrum (AU)

Longimicrobium terrae gen. nov., sp. nov., an oligotrophic bacterium of the under-represented phylum Gemmatimonadetes isolated through a system of miniaturized diffusion chambers.

A novel chemo-organoheterotroph bacterium, strain CB-286315T, was isolated from a Mediterranean forest soil sampled at the Sierra de Tejeda, Almijara and Alhama Natural Park, Spain, by using the diffusion sandwich system, a device with 384 miniature diffusion chambers. 16S rRNA gene sequence analyses identified the isolate as a member of the under-represented phylum Gemmatimonadetes, where 'Gemmatirosa kalamazoonensis' KBS708, Gemmatimonas aurantiaca T-27T and Gemmatimonas phototrophica AP64T were the closest relatives, with respective similarities of 84.4, 83.6 and 83.3 %. Strain CB-286315T was characterized as a Gram-negative, non-motile, short to long rod-shaped bacterium. Occasionally, some cells attained an unusual length, up to 35-40 µm. The strain showed positive responses for catalase and cytochrome-c oxidase and division by binary fission, and exhibited an aerobic metabolism, showing optimal growth under normal atmospheric conditions. Strain CB-286315T was also able to grow under micro-oxic atmospheres, but not under anoxic conditions. The strain is a slowly growing bacterium able to grow under low nutrient concentrations. Major fatty acids included iso-C17 : 1ω9c, summed feature 3 (C16 : 1ω7c and/or iso-C15 : 0 2-OH), C16 : 0 and iso-C17 : 0. The major polar lipids were phosphatidylglycerol, phosphatidylethanolamine, phosphatidylcholine, two unidentified glycolipids and three phospholipids. The major isoprenoid quinone was MK-8 and the diagnostic diamino acid was meso-diaminopimelic acid. The DNA G+C content was 67.0 mol%. Based on a polyphasic taxonomic characterization, strain CB-286315T represents a novel genus and species, Longimicrobium terrae gen. nov., sp. nov., within the phylum Gemmatimonadetes. The type strain of Longimicrobium terrae is strain CB-286315T ( = DSM 29007T = CECT 8660T). In order to classify the novel taxon within the existing taxonomic framework, the family Longimicrobiaceae fam. nov., order Longimicrobiales ord. nov. and class Longimicrobia classis nov. are also proposed.