RESUMO
The sensitivity of Staphylococcus aureus to the principal antibiotics has been studied in a hospital environment during the period of 1989 to 1992. The resistance to methicillin was important in 1989, 1990, and 1991 (respectively 20.5; 24 and 25%). It showed an important decrease in 1992: 5%. The outstanding point over this last period is the appearance of a lower number of multi-resistant strains: M penicillin, aminoglycosides, macrolides. These strains represented 9, 10 and 11.5% in 1989, 1990 and 1991 and only 4% in 1992. This study indicates the need for increased control of the ecology and distribution of resistant strains.
Assuntos
Infecção Hospitalar/tratamento farmacológico , Resistência a Meticilina , Infecções Estafilocócicas/tratamento farmacológico , Aminoglicosídeos , Antibacterianos/uso terapêutico , Resistência Microbiana a Medicamentos , Departamentos Hospitalares , Humanos , Macrolídeos , Meticilina/uso terapêutico , Resistência às Penicilinas , Staphylococcus aureus/efeitos dos fármacos , TunísiaRESUMO
Treatment of rheumatoid arthritis (RA) with D-penicillamine (DP) is associated with development of dermatopolymyositis (DPM) in 0.2 to 1.2% of cases. A case of DPM which developed after four years DP therapy in a 58-year-old female with RA is reported. The favorable outcome after discontinuation of DP and administration of corticosteroids and the absence of recurrence or malignant disease after 4 years 9 months follow-up demonstrated the causal relationship between DP therapy and development of DPM. An analysis of 34 previously published cases of DP-induced DPM (DP/DPM) showed the following: development of DPM was not influenced by the dosage or duration of DP therapy; reported cases of DP/DPM were clinically identical with primary DPM but had a different outcome, with permanent recovery of DP/DPM occurring 1.5 to 6 months after withdrawal of DP; patients with DP/DPM had immune disorders, including antinuclear antibodies in 14 of 34 patients; the high prevalence of the B18, B35, DR4 haplotype in these patients denotes immunogenetic differences with primary DPM patients (B8-DR3) and DP-induced myasthenia (DR1).
Assuntos
Artrite Reumatoide/tratamento farmacológico , Dermatomiosite/induzido quimicamente , Penicilamina/efeitos adversos , Dermatomiosite/imunologia , Feminino , Humanos , Pessoa de Meia-Idade , Penicilamina/uso terapêuticoRESUMO
Conjunctival lesions of ocular myiasis are common in the mediterranean region. The authors report 23 cases of conjunctival myiasis. This affection is caused by fly's larvae: Oestrus ovis presenting typically with inflamed and oedematous eyes. We diagnose the affection by directly showing the larvae on conjunctiva. The treatment consisted to extirpate larvae one by one.