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Infectious Disease Reports

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https://www.readbyqxmd.com/read/28626539/resistance-to-colistin-in-klebsiella-pneumoniae-a-4-0-strain
#1
REVIEW
Guido Granata, Nicola Petrosillo
The global rise of multidrug-resistant gram-negative bacteria represents an increasing threat to patient safety. From the first observation of a carbapenem-resistant gram-negative bacteria a global spread of extended-spectrum beta-lactamases and carbapenemases producing Klebsiella pneumoniae has been observed. Treatment options for multidrug-resistant K. pneumoniae are actually limited to combination therapy with some aminoglycosides, tigecycline and to older antimicrobial agents. Unfortunately, the prevalence of colistin-resistant and tigecycline-resistant K...
May 31, 2017: Infectious Disease Reports
https://www.readbyqxmd.com/read/28626538/septic-thrombophlebitis-with-persistent-methicillin-resistant-staphylococcus-aureus-bacteremia-and-de-novo-resistance-to-vancomycin-and-daptomycin
#2
Yael Koton, Zafrir Or, Naiel Bisharat
Persistent methicillin-resistant Staphylococcus aureus (MRSA) bacteremia is associated with significant risk of mortality, especially when it occurs while on appropriate antimicrobial therapy. We herein describe an unusual case of a patient with prosthetic aortic tissue valve, who suffered from central venous catheter related MRSA bacteremia with septic thrombus formation in the superior vena cava. MRSA bacteremia persisted despite removal of the catheter and appropriate antimicrobial therapy including vancomycin, rifampin, and daptomycin...
May 31, 2017: Infectious Disease Reports
https://www.readbyqxmd.com/read/28626537/epidemiological-distribution-of-rodents-as-potent-reservoirs-for-infectious-diseases-in-the-provinces-of-mazandaran-gilan-and-golestan-northern-iran
#3
Behzad Esfandiari, Hossein Nahrevanian, Mohammad Reza Pourshafie, Mohammad Mehdi Gouya, Pejvak Khaki, Ehsan Mostafavi, Jamshid Darvish, Hamed Hanifi
Rodents are mammals that comprise more than 2000 species and approximately 30 families. There are many morphological and ecological differences among them as variations in their shape, size, weight and habitat. In addition to significant economic losses, rodents have a major role in the dissemination of infectious diseases caused by viruses, bacteria, parasites or other micro-organisms. Rodents are important reservoirs of diseases which have been observed in many cities of Iran provinces especially along Caspian Sea border to Alborz Mountain...
May 31, 2017: Infectious Disease Reports
https://www.readbyqxmd.com/read/28626536/school-based-health-education-in-yucatan-mexico-about-the-chikungunya-virus-and-mosquito-illness-prevention
#4
Monica Seungah Choo, R Alexander Blackwood
The Chikungunya virus (CHIKV) has been rapidly spreading throughout Latin America, utilizing pre-existing vectors to infiltrate the immunologically naïve populations. With the current rise of the Zika Virus, there is an urgent need for more rigorous vector control efforts to prevent further Zika breakout. We designed a school-based education module on CHIKV and mosquito prevention and presented it to the local students of ages of 6-18 in a rural town called Sudzal in Yucatan, Mexico. We distributed questionnaires before and after education to test the students' knowledge of CHIKV and mosquito prevention...
May 31, 2017: Infectious Disease Reports
https://www.readbyqxmd.com/read/28458802/combating-the-complex-global-challenge-of-antimicrobial-resistance-what-can-antimicrobial-stewardship-contribute
#5
EDITORIAL
Jan-Willem H Dik, Alexander W Friedrich, Dilip Nathwani, Bhanu Sinha
No abstract text is available yet for this article.
March 30, 2017: Infectious Disease Reports
https://www.readbyqxmd.com/read/28458801/how-can-multi-professional-education-support-better-stewardship
#6
REVIEW
Nuno Rocha Pereira, Enrique Castro-Sanchez, Dilip Nathwani
Antimicrobial stewardship is widely accepted as an efficient strategy to combat the growing threat of antimicrobial resistance. Education is one of the cornerstones of successful antimicrobial stewardship programs. There is also general agreement that antimicrobial stewardship is a team effort that must involve the whole continuum of healthcare workers. Providing adequate education for all different professionals although challenging is deemed crucial to achieve good results. This paper reviews the different strategies available to educate the multiple healthcare workers, discusses how education can improve antimicrobial stewardship programs and outlines some of the challenges faced and research gaps that need to be addressed in order to improve education in this field...
March 30, 2017: Infectious Disease Reports
https://www.readbyqxmd.com/read/28458800/challenges-for-a-sustainable-financial-foundation-for-antimicrobial-stewardship
#7
REVIEW
Jan-Willem H Dik, Bhanu Sinha
Antimicrobial resistance is a worldwide threat and a problem with large clinical and economic impact. Antimicrobial Stewardship Programs are a solution to curb resistance development. A problem of resistance is a separation of actions and consequences, financial and clinical. Such a separation makes it difficult to create support among stakeholders leading to a lack of sense of responsibility. To counteract the resistance development it is important to perform diagnostics and know how to interpret the results...
March 30, 2017: Infectious Disease Reports
https://www.readbyqxmd.com/read/28458799/the-use-of-bloodstream-infection-mortality-to-measure-the-impact-of-antimicrobial-stewardship-interventions-assessing-the-evidence
#8
REVIEW
Sonali Coulter, Jason A Roberts, Krispin Hajkowicz, Kate Halton
This review sets out to evaluate the current evidence on the impact of inappropriate therapy on bloodstream infections (BSI) and associated mortality. Based on the premise that better prescribing practices should result in better patient outcomes, BSI mortality may be a useful metric to evaluate antimicrobial stewardship (AMS) interventions. A systematic search was performed in key medical databases to identify papers published in English between 2005 and 2015 that examined the association between inappropriate prescribing and BSI mortality in adult patients...
March 30, 2017: Infectious Disease Reports
https://www.readbyqxmd.com/read/28458798/advances-in-rapid-identification-and-susceptibility-testing-of-bacteria-in-the-clinical-microbiology-laboratory-implications-for-patient-care-and-antimicrobial-stewardship-programs
#9
REVIEW
Florian P Maurer, Martin Christner, Moritz Hentschke, Holger Rohde
Early availability of information on bacterial pathogens and their antimicrobial susceptibility is of key importance for the management of infectious diseases patients. Currently, using traditional approaches, it usually takes at least 48 hours for identification and susceptibility testing of bacterial pathogens. Therefore, the slowness of diagnostic procedures drives prolongation of empiric, potentially inappropriate, antibacterial therapies. Over the last couple of years, the improvement of available techniques (e...
March 30, 2017: Infectious Disease Reports
https://www.readbyqxmd.com/read/28458797/linking-sustainable-use-policies-to-novel-economic-incentives-to-stimulate-antibiotic-research-and-development
#10
REVIEW
Ursula Theuretzbacher, Christine Årdal, Stephan Harbarth
There is now global recognition that antibiotic resistance is an emerging public health threat. Policy initiatives are underway to provide concrete suggestions for overcoming important obstacles in the fight against antibiotic resistance, like the alarming current paucity of antibacterial innovation. New economic models are needed as incentives for the discovery and development of novel antibacterial therapies especially for infections with too few patients today to justify private sector research and development (R&D) investments...
March 30, 2017: Infectious Disease Reports
https://www.readbyqxmd.com/read/28458796/technology-to-support-integrated-antimicrobial-stewardship-programs-a-user-centered-and-stakeholder-driven-development-approach
#11
REVIEW
Nienke Beerlage-de Jong, Lisette van Gemert-Pijnen, Jobke Wentzel, Ron Hendrix, Liseth Siemons
The rise of antimicrobial resistance (AMR) is a severe global health problem. Tackling this problem requires the prudent prescribing of antimicrobials. This is promoted through Antimicrobial Stewardship Programs (ASPs). In this position paper we describe i) how a socio-technical multidisciplinary approach (based on the CeHRes Roadmap) can be applied in the development and implementation of Antimicrobial Stewardship technologies and ii) how this approach can be of value to support Antimicrobial Stewardship in practice...
March 30, 2017: Infectious Disease Reports
https://www.readbyqxmd.com/read/28458795/a-systematic-review-of-quality-indicators-for-appropriate-antibiotic-use-in-hospitalized-adult-patients
#12
REVIEW
Marlot C Kallen, Jan M Prins
Many quality indicators for appropriate antibiotic use have been developed. We aimed to make a systematic inventory, including the development methodology and validation procedures, of currently available quality indicators (QIs) for appropriate antibiotic use in hospitalized adult patients. We performed a literature search in the Pubmed interface. From the included articles we abstracted i) the indicators developed ii) the type of infection the QIs applied to iii) study design used for the development of the QIs iv) relation of the QIs to outcome measures v) whether the QIs were validated and vi) the characteristics of the validation cohort...
March 30, 2017: Infectious Disease Reports
https://www.readbyqxmd.com/read/28458794/antimicrobial-stewardship-initiatives-throughout-europe-proven-value-for-money
#13
Edwin J M Oberjé, Marit A C Tanke, Patrick P T Jeurissen
Antimicrobial stewardship is recognized as a key component to stop the current European spread of antimicrobial resistance. It has also become evident that antimicrobial resistance is a problem that cannot be tackled by single institutions or physicians. Prevention of antimicrobial resistance needs rigorous actions at ward level, institution level, national level and at supra-national levels. Countries can learn from each other and possibly transplant best practices across borders to prevent antimicrobial resistance...
March 30, 2017: Infectious Disease Reports
https://www.readbyqxmd.com/read/28191300/a-case-report-of-neisseria-mucosa-peritonitis-in-a-chronic-ambulatory-peritoneal-dialysis-patient
#14
Alan Awdisho, Maria Bermudez
Peritonitis is a leading complication of chronic ambulatory peritoneal dialysis. However, very rarely does Neisseria mucosa cause peritonitis. We describe an unusual case of N. mucosa peritonitis in a chronic ambulatory peritoneal dialysis patient. A 28-year-old Hispanic male presents with diffuse abdominal pain exacerbated during draining of the peritoneal fluid. Peritoneal fluid examination was remarkable for leukocytosis and gramnegative diplococci. Bacterial cultures were positive for N. mucosa growth. The patient was treated with ciprofloxacin with preservation of the dialysis catheter...
December 31, 2016: Infectious Disease Reports
https://www.readbyqxmd.com/read/28191299/streptococcus-pneumoniae-intracranial-abscess-and-post-infectious-vasculitis
#15
Alexandra Lucas, Ko Ko Maung, Ryan Ratts
Intracranial abscesses are rare complications of Streptococcus pneumoniae infections, and to our knowledge, there have been no case reports of post-infectious vasculitis developing in such patients. Here we describe the case of a 48-year-old post-splenectomy male who developed post-infectious vasculitis following S. pneumoniae otitis media complicated by mastoiditis, osteomyelitis, meningitis, and intracranial abscess. Clinicians ought to be aware of the possible adverse outcomes of invasive S. pneumoniae and the limitations of current treatment options...
December 31, 2016: Infectious Disease Reports
https://www.readbyqxmd.com/read/28191298/asymptomatic-epstein-barr-virus-shedding-in-the-urine-of-kidney-transplant-recipients-case-reports-and-review-of-the-literature
#16
Maryam Rahbar, Gholamreza Poormand, Masoud Karkhaneh Mahmoodi, Aboozar Jazayeri, Seyed Mohammad Jazayeri
Epstein-Barr virus (EBV) is associated with a wide range of malignancies and complications like post-transplant lymphoproliferative disorder (PTLD). To suppress active EBV infection in transplant recipients, who are at a heightened risk of developing PTLD, EBV DNAemia monitoring has been recommended. Quantitative multiplex real time polymerase chain reaction (QMRTPCR) offered the advantage of detection of more than one target in the same sample. We present four cases of kidney transplant recipient who were admitted for rising serum creatinine between 9 and 20 months post-transplant with a suspicion of BKV-associated nephropathy...
December 31, 2016: Infectious Disease Reports
https://www.readbyqxmd.com/read/28191297/leishmania-infantum-and-epstein-barr-virus-co-infection-in-a-patient-with-hemophagocytosis
#17
Zied Gaifer, Mohamed-Rachid Boulassel
The authors describe a rare case of a 27- year old previously healthy male presenting with high grade fever, pancytopenia, hepatosplenomegaly, high levels of ferritin and triglyceride, suggesting a diagnosis of hemophagocytic lymphohistiocytosis (HLH) syndrome. Other investigations showed a positive Leishmania infantum serology and high Epstein-Barr virus (EBV) viremia. The diagnosis of a visceral leishmaniasis was confirmed by bone morrow biopsy, which showed Leishman-Donovan bodies and evidence of HLH. The patient received liposomal amphotericin B and he had a complete resolution of his symptoms and clearance of EBV viremia...
December 31, 2016: Infectious Disease Reports
https://www.readbyqxmd.com/read/27403271/a-new-era-in-the-control-of-tuberculosis
#18
Enrico Girardi, Giuseppe Ippolito
No abstract text is available yet for this article.
June 24, 2016: Infectious Disease Reports
https://www.readbyqxmd.com/read/27403270/active-tuberculosis-case-finding-interventions-among-immigrants-refugees-and-asylum-seekers-in-italy
#19
Monica Sañé Schepisi, Gina Gualano, Pierluca Piselli, Marta Mazza, Donatella D'Angelo, Francesca Fasciani, Alberto Barbieri, Giorgia Rocca, Filippo Gnolfo, Piefranco Olivani, Maurizio Ferrarese, Luigi Ruffo Codecasa, Fabrizio Palmieri, Enrico Girardi
In Italy tuberculosis (TB) is largely concentrated in vulnerable groups such as migrants and in urban settings. We analyzed three TB case finding interventions conducted at primary centers and mobile clinics for regular/irregular immigrants and refugees/asylum seekers performed over a four-year period (November 2009-March 2014) at five different sites in Rome and one site in Milan, Italy. TB history and presence of symptoms suggestive of active TB were investigated by verbal screening through a structured questionnaire in migrants presenting for any medical condition to out-patient and mobile clinics...
June 24, 2016: Infectious Disease Reports
https://www.readbyqxmd.com/read/27403269/tuberculosis-2015-burden-challenges-and-strategy-for-control-and-elimination
#20
REVIEW
Mario Raviglione, Giorgia Sulis
Tuberculosis (TB) is a leading cause of morbidity and mortality worldwide, accounting for about 9.6 million new cases and 1.5 million deaths annually. The poorest and socially excluded groups carry the largest burden of disease, which makes it essential to properly address the social determinants of health through poverty reduction measures and targeted interventions on high-risk populations. The spread of multidrug-resistance TB requires special attention and highlights the need to foster research on TB diagnostics, new drugs and vaccines...
June 24, 2016: Infectious Disease Reports
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