Effect of Trypanosoma lewisi (Kinetoplastida: Trypanosomatidae) on the infection of white rats with Toxoplasma gondii (Eucoccidia: Sarcocystidae) oocysts

White rats were inoculated with 10(6) trypomastigotes of Trypanosoma lewisi, simultaneously or two days before and after inoculation with 10(5) oocysts of T. gondii. A greater number of cysts was found in the brain of the animals having concomitant inoculations, as compared with rats inoculated with either one of the two parasites. An apparent immunosuppressive effect is likely. Since both organisms can be found in rats, it is possible that infections with T. lewisi, could make this rodent another intermediate host for Toxoplasma infections.

Insult after injury: pressure ulcers in trauma patients

DESIGN

Nonexperimental-Descriptive.

SAMPLE

The inclusion criteria were trauma patients, ages 15 and older, who were hospitalized for > 2 days, and who did not have preexisting skin breakdown. A total of 148 consecutive trauma patients admitted to the study institution meeting the inclusion criteria were prospectively enrolled.

METHODS

Patients were assessed every 3 days for skin breakdown. Information on the patient's bed type, therapies, medical devices, and nutrition was collected. The Braden Scale for predicting pressure ulcer risk was completed at each assessment.

FINDINGS

Of the 148 patients enrolled, 30 developed at least one area of skin breakdown for a prevalence of 20.3% in patients hospitalized more than 2 days. The most common cause of breakdown was positional pressure (47.4%). Cervical collars were the second leading cause at 23.7%, followed by tracheostomy/endotracheal tubes at 10.5%. The mobility subscale of the Braden Pressure Ulcer Risk Assessment tool was significantly predictive of skin breakdown (p < .001).

IMPLICATIONS FOR NURSING RESEARCH

Skin breakdown is a significant problem in trauma patients who are hospitalized for more than 2 days. Aggressive protocols on positioning, cervical collar use, and airway adjuncts, as well as additional active nursing interventions for immobile patients, may be ways to decrease the skin breakdown prevalence in this population.

[A simple method for determining the presence of Toxoplasma gondii (Eucoccidia: Sarcocystidae) in meat]

Presence of T. gondii in meat from several sources was determined by traditional methods and by a new simplified method in which animals are fed meat directly without any previous treatment with artificial gastric fluid. Tissues are ground and the animals ingest them naturally. Determination of Toxoplasma in lungs or brain (as well as by specific antibody test), showed no statistically significant differences between both methods.

Increasing of Toxoplasma gondii (Coccidia, Sarcocystidae) infections by Trypanosoma lewisi (Kinetoplastida, Trypanosomatidae) in white rats

To demonstrate that T. lewisi infection increases T. gondii multiplication in white rats, groups of five Wistar or Sprague Dawley rats were inoculated with 10(6) T. lewisi trypomastigotes and four or seven days later infected with Toxoplasma tachyzoites. Host survival time was monitored, and the presence of T. gondii was confirmed in all dead rats by studying peritoneal exudate smears and lung tissue sections stained with haematoxylin-eosin. The presence of Toxoplasma cysts or antibodies was checked in the brain of surviving rats. The increase is observed four days after trypanosome inoculation and is dependent on rat strain, but not on inoculum size or rat age. Humoral and cellular factors may have a role in the increase as has been reported for other experimental infections with African trypanosomes and T. cruzi.

[Susceptibility of Sigmodon hispidus (Rodentia: Cricetidae) to Toxoplasma gondii (Eucoccidia: Sarcocystidae)]

Sigmodon hispidus, a cotton rat, was inoculated with tachyzoites or oocysts of Costa Rican strains of Toxoplasma gondii to demonstrate the resistance to this parasite, as compared with mice, hamster and white rat infection. Susceptibility to tachyzoite inoculation was higher in this animal than in white rats but lower than in the other animals. Independent to the Toxoplasma strain studied, oocyst infection was less lethal for S. hispidus when compared with mice and hamsters; the results were similar to those observed for white rats. There is a probable participation of this wild animal in the natural Toxoplasma life cycle.

Age influence in the natural resistance of white rat and mice to the protozoan Toxoplasma gondii

Groups of 1, 5, 10, 15 and 30 day old rats (Sprague Dawley) and Wistar mice were infected per os with different inocula of Toxoplasma gondii oocysts from an avirulent strain. Infection pattern was followed by determination of survival time, tissue lesions, parasite presence and serology. Although all the animals survived the total experimental period (30 day), there were important differences between both rodents regarding to Toxoplasma natural resistance. Brain cysts, as well as tachyzoites in other organs were regularly present in mice but not in rats. On the other hand, most of the organs from mice presented characteristic T. gondii lesions, while in rats a normal tissues were observed, with the exception of an acute reaction found in the brain of a 15d old animal.

Case-control evaluation of a school-age BCG vaccination programme in subtropical Australia

In 1956 a programme was initiated to vaccinate all children aged 12-14 years who were attending schools in Queensland, Australia. In view of the declining incidence of tuberculosis in Australia as a whole, there was a need to evaluate the effectiveness of the programme and its procedures. We therefore carried out a case-control study of Queensland's population, excluding certain known high-risk groups. Cases were Queensland residents with notified tuberculosis and of the appropriate age; two controls per case were chosen from the electoral roll. Information on vaccination status was obtained mainly from questionnaires and school records, where available. The results show that at best BCG vaccination had a modest protective effect, approximately 30% when the patients were diagnosed, which was on average 15 years after they had been vaccinated in the school programme. In the north the climate of Queensland is tropical, while in the more heavily populated south it is subtropical. A substantial proportion of the school records reported weak positive reactions to preliminary tuberculin testing, believed to be due largely to atypical mycobacteria. A similar phenomenon has been observed in other tropical regions, and may help to explain the apparent absence of a strongly protective effect for BCG vaccination.