Sensibility and resistance profiles to antibiotics of pathogens isolated in a hospital unit of food and nutrition / Perfil de sensibilidade e resistência a antimicrobianos de patógenos isolados em uma unidade de alimentação e nutrição hospitalar

The objective of this study was to evaluate the sensibility and resistance profiles to antibiotics of pathogens isolated in a hospital unit of food and nutrition. It was evaluated as sample spots, with repetitions, environmental samples, utensils, equipment, manipulators' hands and usually diet that would be served to the hospitalized patients. In the evaluated samples, coagulase positive Staphylococcus (CPS) and Gram negative bacillus were enumerated, and also, it was possible to isolate Klebsiella spp and Escherichia coli. The antimicrobial of less efficiency for CPS was oxacillin and penicillin-G, and for Klebsiella spp ampicillin e cephalothin. It should be emphasized that it was found strains multiresistants of CPS, Klebsiella spp and E. coli. The hospital unit of food and nutrition was evaluated as microbiological inadequate in several points, and it was verified resistance profiles to antibiotics of pathogens isolated in this unit.

O objetivo deste estudo foi avaliar os perfis de sensibilidade e resistência a antibióticos de patógenos isolados em uma unidade de alimentação e nutrição hospitalar. Foram analisados como pontos de amostragem, com repetições, de ambientes, de utensílios, de equipamentos, de mãos de manipuladores e de dieta normal a qual seria servida a pacientes hospitalizados. Nas amostras analisadas, Estafilococos coagulase positiva (ECP) e bacilos Gram negativos no ágar Mac Conkey foram enumerados, e Klebsiella spp e Escherichia coli foram isoladas. Os antimicrobianos de menor eficiência para ECP foram oxacilina e penicilina-G e para Klebsiella spp ampicilina e cefalotina. Cabe ressaltar que foram encontradas cepas multirresistentes de ECP, Klebsiella spp e E. coli. A unidade de alimentação e nutrição hospitalar foi avaliada como inadequada do ponto de vista microbiológico em diversos pontos e verificou-se a presença de perfis de resistência a antibióticos de patógenos isolados nesta unidade.

Campylobacter species isolated from poultry and humans, and their analysis using PFGE in southern Brazil.

Campylobacteriosis is a bacterial disease transmitted to humans through ingestion of contaminated food. Six hundred samples were collected, 200 from human stool samples, 200 from poultry products and 200 from poultry feces in Southern Brazil, and then inoculated on blood agar plates. A total of 58% of the poultry feces, 17% of the poultry meat, and 2% the of human stools tested positive for Campylobacter. Positive Campylobacter colonies were identified as Campylobacter jejuni or Campylobactercoli by multiplex PCR. Campylobacter isolates were analyzed using PFGE to compare different profiles according to the source. This study demonstrated that there are different Campylobacter clones distributed in different aviaries in Southern Brazil. In addition, PFGE molecular profiles suggested that broilers can be a source of contamination of poultry products. However, the human isolate studied did not show any relationship with other strains examined.

Listeriosis in the far South of Brazil: neglected infection?

Listeriosis is an under-diagnosed and under-reported infection; however, listeriosis is not a compulsorily notifiable disease in Brazil. We provide an overview of the rates of listeriosis in the United States of America (USA), Europe, Latin America, and Brazil during the past decade. We also report a case of miscarriage caused by listeriosis in which there was no suspicion of this infection. This overview and the case we report serve as reminders of the often-neglected threat of listeriosis and its potential to cause miscarriage while highlighting the necessity of recognizing listeriosis as a compulsorily notifiable disease in Brazil.

Listeriosis in the far South of Brazil: neglected infection?

Listeriosis is an under-diagnosed and under-reported infection; however, listeriosis is not a compulsorily notifiable disease in Brazil. We provide an overview of the rates of listeriosis in the United States of America (USA), Europe, Latin America, and Brazil during the past decade. We also report a case of miscarriage caused by listeriosis in which there was no suspicion of this infection. This overview and the case we report serve as reminders of the often-neglected threat of listeriosis and its potential to cause miscarriage while highlighting the necessity of recognizing listeriosis as a compulsorily notifiable disease in Brazil.

Staphylococcus aureus nasal colonization in HIV outpatients: persistent or transient?

BACKGROUND: Staphylococcus aureus nasal carriage in HIV patients remains incompletely characterized. The aim of the present study was to describe epidemiologic and molecular features of S. aureus nasal colonization in HIV outpatients. METHODS: HIV outpatients with no history of hospitalization within the previous 2 years were screened for S aureus nasal colonization. Three samples were collected from each patient, and the risk factors for colonization were assessed. Nasal carriage was classified as persistent colonization, transient colonization, or no colonization. Persistent colonization was subdivided into simple (same DNA profile) or multiple (different DNA profiles) using pulsed-field gel electrophoresis (PFGE) for genotyping the strains of S. aureus. RESULTS: A total of 111 patients were evaluated, of which 70 (63.1%) had at least 1 positive culture for S aureus. Patients in clinical stages of AIDS were more likely to be colonized than non-AIDS patients (P = .02). Among the patients with S aureus nasal carriage, 25.2% were transient carriers and 39.4% were persistent carriers. PFGE analysis showed that the persistent colonization was simple in 24 patients and multiple in 17 patients. CONCLUSION: The HIV patients had a high rate of S. aureus nasal colonization. The most common characteristic of colonization was simple persistent colonization showing the same genomic profile.