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Martínez-Bra M, Galeano-Fernández T, Garduño Eseverri E, Rodríguez-Vidigal FF. Muscle abscess of rare etiology. ENFERMEDADES INFECCIOSAS Y MICROBIOLOGIA CLINICA (ENGLISH ED.) 2024; 42:51-52. [PMID: 37423852 DOI: 10.1016/j.eimce.2023.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Revised: 04/17/2023] [Accepted: 04/18/2023] [Indexed: 07/11/2023]
Affiliation(s)
- María Martínez-Bra
- Servicio de Microbiología, Hospital Universitario de Badajoz, Badajoz, Spain
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Godoy-Mancilla J, Oyarzun-Barrientos C, Marín-Cornuy M, Carrasco-Sanhueza E, Águila-Torres P. Bacterial eye infections associated with sexual transmission infections: A review. ARCHIVOS DE LA SOCIEDAD ESPANOLA DE OFTALMOLOGIA 2022; 97:17-27. [PMID: 35027140 DOI: 10.1016/j.oftale.2021.01.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Accepted: 01/19/2021] [Indexed: 06/14/2023]
Abstract
The objective of this work was to collect updated information on Treponema pallidum, Chlamydia trachomatis and Neisseria gonorrhoeae, causing sexually transmitted infections (STIs) and etiological agents of eye infections, to provide relevant information on this public health problem. For this, a bibliographic review was carried out using different electronic databases such as: PubMed central, google academic, Lilacs, Scopus, Science Direct and Scielo, between March 2009 and August 2019. According to the WHO, more than a million people a day contract a sexually transmitted infection. For T. pallidum, a global prevalence of 0.5% is estimated for both men and women. It is a causative agent of syphilis and ocular syphilis, which manifests as uveitis. Overall, a prevalence of 2.8% in men and 3.8% in women for C. trachomatis is estimated. It is associated with oculo-genital disease, which includes STIs, inclusion conjunctivitis in adults and neonatal ophthalmia. Among its complications is trachoma, which is the leading cause of infectious blindness worldwide. Regarding N. gonorrhoeae, it has a global selection of 0.9% and 0.7% in women and men, respectively. It manifests with gonococcal conjunctivitis and neonatal ophthalmia. We can conclude that the information that relates T. pallidum, C. trachomatis and N. gonorrhoeae with their ocular compromise problems is insufficient, and even more so if we seek to find them related to each other, which makes it difficult to access data of clinical utility for visual health.
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Affiliation(s)
- J Godoy-Mancilla
- Laboratorio de Microbiología Molecular, Escuela de Tecnología Médica, Universidad Austral de Chile, Puerto Montt, Chile
| | - C Oyarzun-Barrientos
- Laboratorio de Microbiología Molecular, Escuela de Tecnología Médica, Universidad Austral de Chile, Puerto Montt, Chile
| | - M Marín-Cornuy
- Laboratorio de Microbiología Molecular, Escuela de Tecnología Médica, Universidad Austral de Chile, Puerto Montt, Chile
| | - E Carrasco-Sanhueza
- Laboratorio de Microbiología Molecular, Escuela de Tecnología Médica, Universidad Austral de Chile, Puerto Montt, Chile
| | - P Águila-Torres
- Laboratorio de Microbiología Molecular, Escuela de Tecnología Médica, Universidad Austral de Chile, Puerto Montt, Chile.
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Otero-Guerra L, Gil-Alonso L, López-de Munain J, Del Romero-Guerrero J, Serra-Pladevall J, Vazquez F. Survey of diagnostic resources for STI in Spain. ACTA ACUST UNITED AC 2021; 39:390-394. [PMID: 34362706 DOI: 10.1016/j.eimce.2021.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2020] [Accepted: 06/23/2020] [Indexed: 11/24/2022]
Abstract
BACKGROUND Scarce information is available on the resources to deal with the Sexually Transmitted Infections (STIs), both in the clinic and in the laboratory. The objective is to describe and know the reality of the clinics and laboratories that treat these infections in Spain. METHODS Cross-sectional observational study with data collection through a survey aimed at the members of the GEITS Group. RESULTS Responses were obtained from 24 centers (response rate 38.1%) belonging to 10 Autonomous Communities. Regarding STI consultations, 38% require that the patient present a health card to provide assistance, and 31.8% only provide it by referral from another doctor. The 52.4% perform diagnostic methods in the care center. Regarding laboratories, 18.2% do not offer immediate response diagnostic tests, although 100% have PCR against Neisseria gonorrhoeae and Chlamydia trachomatis, 47.8% against Mycoplasma genitalium and 65% detect lymphogranuloma venereum genotypes. All laboratories continue to perform culture and gonococcal sensitivity techniques, and 20% perform molecular methods for detection of MG antimicrobial resistance. CONCLUSION There is great variability in the provision of human and material resources both in the clinics and in the laboratories that attend STIs. In a significant number of centers there are limitations for patient access. Although laboratories have molecular biology technologies, not all of them offer immediate response tests. All laboratories detect N. gonorrhoeae infection by PCR and also by culture, which allows sensitivity testing in all centers.
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Affiliation(s)
- Luis Otero-Guerra
- Servicio de Microbiología, Hospital Universitario de Cabueñes, Gijón, Asturias; Grupo de Microbiología Translacional, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA); Grupo de Estudio de Infecciones de Transmisión Sexual, GEITS, SEIMC, Spain.
| | - Leire Gil-Alonso
- Unidad de Enfermedades Infecciosas, Hospital Universitario Donostia, San Sebastián; Grupo de Estudio de Infecciones de Transmisión Sexual, GEITS, SEIMC, Spain
| | - Josefina López-de Munain
- Servicio de Enfermedades Infecciosas, Hospital Universitario Basurto (OSI Bilbao-Basurto, Osakidetza), Bilbao; Grupo de Estudio de Infecciones de Transmisión Sexual, GEITS, SEIMC, Spain
| | - Jorge Del Romero-Guerrero
- Centro Sanitario Sandoval, IdISSC, Hospital Clínico San Carlos, Madrid; Universidad Complutense de Madrid, Madrid; Grupo de Estudio de Infecciones de Transmisión Sexual, GEITS, SEIMC, Spain
| | - Judit Serra-Pladevall
- Servicio de Microbiología, Hospital Universitario Vall d'Hebron, Barcelona; Universidad Autónoma de Barcelona, Barcelona; Grupo de Estudio de Infecciones de Transmisión Sexual, GEITS, SEIMC, Spain
| | - Fernando Vazquez
- Servicio de Microbiología, Hospital Universitario Central de Asturias, Oviedo, Asturias; Área de Microbiología, Facultad de Medicina, Universidad de Oviedo; Grupo de Microbiología Translacional, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA); Instituto Universitario Fernández Vega (IUFV) y Fundación de Investigación Oftalmológica (FIO), Oviedo; Grupo de Estudio de Infecciones de Transmisión Sexual, GEITS, SEIMC, Spain
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de Lannoy LH, da Silva RJDC, Nahn EP, de Oliveira EC, Gaspar PC. Brazilian Protocol for Sexually Transmitted Infections, 2020: infections that cause urethral discharge. Rev Soc Bras Med Trop 2021; 54:e2020633. [PMID: 34008729 PMCID: PMC8210486 DOI: 10.1590/0037-8682-633-2020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Accepted: 03/10/2021] [Indexed: 11/21/2022] Open
Abstract
This article approaches infections that cause urethral discharge. This theme is part of the Clinical Protocol and Therapeutic Guidelines for Comprehensive Care for People with Sexually Transmitted Infections, published by the Ministry of Health of Brazil in 2020. These guidelines were prepared based on scientific evidence and validated in discussions with experts. Urethritis can cause severe and even irreversible health damage when not properly treated, or when the microorganism develops antimicrobial resistance. It is noteworthy that the high levels of antimicrobial resistance grown by pathogens that cause urethritis comprises a global emergency in public health. This article presents epidemiological and clinical aspects, recommendations on diagnostic and treatment, and strategies for surveillance, prevention, and control actions for infections that cause urethral discharge, to contribute to managers' and health professionals' care qualification. Associated factors with urethritis are: young age, low socioeconomic level, multiple partnerships or new sexual partnership, history of STI, irregular use of condoms, and lack of access to adequate diagnosis and treatment.
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Affiliation(s)
- Leonor Henriette de Lannoy
- Ministério da Saúde, Secretaria de Vigilância em Saúde, Brasília, DF, Brasil
- Universidade Federal do Espírito Santo, Programa de Pós-Graduação em Infectologia, Vitória, ES, Brasil
| | - Roberto José de Carvalho da Silva
- Faculdade das Américas, Centro Universitário, São Paulo, SP, Brasil
- Secretaria de Estado da Saúde de São Paulo, Programa Estadual de DST/Aids, São Paulo, SP, Brasil
| | - Edilbert Pellegrini Nahn
- Universidade Federal do Estado do Rio de Janeiro, Campus Macaé, RJ, Brasil
- Faculdade de Medicina de Campos, Campos dos Goytacazes, RJ, Brasil
| | - Eduardo Campos de Oliveira
- Secretaria de Estado da Saúde de Santa Catarina, Gestão Estadual de DST/Aids/HIV de Santa Catarina, Florianópolis, SC, Brasil
| | - Pâmela Cristina Gaspar
- Ministério da Saúde, Secretaria de Vigilância em Saúde, Brasília, DF, Brasil
- Universidade de Brasília, Programa de Pós-Graduação em Saúde Coletiva, Brasília, DF, Brasil
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Lannoy LHD, Silva RJDCD, Nahn Júnior EP, Oliveira ECD, Gaspar PC. [Brazilian Protocol for Sexually Transmitted Infections 2020: infections that cause urethral discharge]. ACTA ACUST UNITED AC 2021; 30:e2020633. [PMID: 33729412 DOI: 10.1590/s1679-4974202100009.esp1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Accepted: 10/01/2020] [Indexed: 11/21/2022]
Abstract
This article approach infections that cause urethral discharge, theme which is part of the Clinical Protocol and Therapeutic Guidelines for Comprehensive Care for People with Sexually Transmitted Infections, published by the Ministry of Health of Brazil in 2020. These guidelines were prepared based on scientific evidence and validated in discussions with experts. When urethritis is not treated correctly, or when the microorganism develops antimicrobial resistance, it can cause serious and even irreversible health damage. It is noteworthy that the high levels of antimicrobial resistance developed by pathogens that causes urethritis comprises a global emergency in public health. This article presents epidemiological and clinical aspects, recommendations on diagnostic and treatment, and strategies for surveillance, prevention and control actions of infections that cause urethral discharge, with the purpose of contributing with managers and health professionals to care qualification.
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Affiliation(s)
| | | | | | - Eduardo Campos de Oliveira
- Secretaria de Estado da Saúde de Santa Catarina, Gerência Estadual de IST/Aids/HV, Florianópolis, SC, Brasil
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Otero-Guerra L, Gil-Alonso L, López-de Munain J, Del Romero-Guerrero J, Serra-Pladevall J, Vazquez F. Survey of diagnostic resources for STI in Spain. Enferm Infecc Microbiol Clin 2020; 39:S0213-005X(20)30255-X. [PMID: 32826099 DOI: 10.1016/j.eimc.2020.06.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2020] [Revised: 06/20/2020] [Accepted: 06/23/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND Scarce information is available on the resources to deal with the Sexually Transmitted Infections (STIs), both in the clinic and in the laboratory. The objective is to describe and know the reality of the clinics and laboratories that treat these infections in Spain. METHODS Cross-sectional observational study with data collection through a survey aimed at the members of the GEITS Group. RESULTS Responses were obtained from 24 centers (response rate 38.1%) belonging to 10Autonomous Communities. Regarding STI consultations, 38% require that the patient present a health card to provide assistance, and 31.8% only provide it by referral from another doctor. The 52.4% perform diagnostic methods in the care center. Regarding laboratories, 18.2% do not offer immediate response diagnostic tests, although 100% have PCR against Neisseria gonorrhoeae and Chlamydia trachomatis, 47.8% against Mycoplasma genitalium and 65% detect lymphogranuloma venereum genotypes. All laboratories continue to perform culture and gonococcal sensitivity techniques, and 20% perform molecular methods for detection of MG antimicrobial resistance. CONCLUSION There is great variability in the provision of human and material resources both in the clinics and in the laboratories that attend STIs. In a significant number of centers there are limitations for patient access. Although laboratories have molecular biology technologies, not all of them offer immediate response tests. All laboratories detect N.gonorrhoeae infection by PCR and also by culture, which allows sensitivity testing in all centers.
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Affiliation(s)
- Luis Otero-Guerra
- Servicio de Microbiología, Hospital Universitario de Cabueñes, Gijón, Asturias; Grupo de Microbiología Translacional, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA); Grupo de Estudio de Infecciones de Transmisión Sexual, GEITS, SEIMC, España.
| | - Leire Gil-Alonso
- Unidad de Enfermedades Infecciosas, Hospital Universitario Donostia, San Sebastián; Grupo de Estudio de Infecciones de Transmisión Sexual, GEITS, SEIMC, España
| | - Josefina López-de Munain
- Servicio de Enfermedades Infecciosas, Hospital Universitario Basurto (OSI Bilbao-Basurto, Osakidetza), Bilbao; Grupo de Estudio de Infecciones de Transmisión Sexual, GEITS, SEIMC, España
| | - Jorge Del Romero-Guerrero
- Centro Sanitario Sandoval, IdISSC, Hospital Clínico San Carlos, Madrid; Universidad Complutense de Madrid, Madrid; Grupo de Estudio de Infecciones de Transmisión Sexual, GEITS, SEIMC, España
| | - Judit Serra-Pladevall
- Servicio de Microbiología, Hospital Universitario Vall d'Hebron, Barcelona; Universidad Autónoma de Barcelona, Barcelona; Grupo de Estudio de Infecciones de Transmisión Sexual, GEITS, SEIMC, España
| | - Fernando Vazquez
- Servicio de Microbiología, Hospital Universitario Central de Asturias, Oviedo, Asturias; Área de Microbiología, Facultad de Medicina, Universidad de Oviedo; Grupo de Microbiología Translacional, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA); Instituto Universitario Fernández Vega (IUFV) y Fundación de Investigación Oftalmológica (FIO), Oviedo; Grupo de Estudio de Infecciones de Transmisión Sexual, GEITS, SEIMC, España
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Vassallo C, Borg AA, Farrugia D, Mercieca C. The Epidemiology and Outcomes of Septic Arthritis in the Maltese Islands: A Hospital-Based Retrospective Cohort Study. Mediterr J Rheumatol 2020; 31:195-205. [PMID: 32676557 PMCID: PMC7362118 DOI: 10.31138/mjr.31.2.195] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2019] [Revised: 04/20/2020] [Accepted: 05/01/2020] [Indexed: 12/19/2022] Open
Abstract
Objective/Aim: Septic arthritis is an uncommon but important disease with significant morbidity and mortality, especially if inadequately managed. The aim of this epidemiological study was to identify the characteristics and outcomes of patients treated for septic arthritis at Mater Dei Hospital, Malta, over a 10-year period. Methods: This was a retrospective observational study. Patients diagnosed with septic arthritis between 2008 and 2018 were recruited. Cases were identified by reviewing all inhospital episodes of patients diagnosed with septic arthritis according to Newman criteria. Results: There were 124 cases of native joint septic arthritis and 138 of prosthetic joint infection. Cases were present amongst all age groups, with the highest incidence amongst those aged 61–70 years for both native and prosthetic infections. Fever was present in around 40% of cases. Raised white cell count was prevalent in 66.9% of native joint infections and 52.9% of prosthetic joints. Elevated C-reactive protein was overwhelmingly seen in most cases, present in 93.5% (median=159.5 mg/L; IQR=85.8–291) of native joints and 92.0% of prosthetic joint infections (median=68.7 mg/L; IQR=20.5–186). Over 55% of patients had one or more risk factors for joint sepsis, diabetes mellitus being the most prevalent clinical comorbidity (22.6% and 24.6% for native and prosthetic joint infections respectively). Synovial cultures were positive in 66% and 82% of native and prosthetic joint aspirates respectively. Staphylococcus aureus was the most commonly isolated organism from both native and prosthetic joint infection, followed by streptococcal infections in native joints and coagulase negative staphylococci and gram-negative infections in prosthetic joints. Fifteen deaths were directly attributed to joint sepsis. Conclusion: Absence of fever and elevated white cell count does not exclude the diagnosis. The mortality rate due to septic arthritis in this cohort of patients was found to be 5.7%. All deaths occurred in elderly patients with clinical comorbidities suggesting that this group is at highest risk.
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