Single-center, prospective, and observational study on the management and treatment of impetigo in a pediatric population

OBJECTIVE

Ozenoxacin is a new antibiotic used to treat non-bullous impetigo. The aim of this study is to evaluate the microbiological and clinical efficacy of topical ozenoxacin 1% cream after 5-day twice-daily treatment, in pediatric patients with impetigo.

PATIENTS AND METHODS

This observational and prospective study included patients aged 6 months to 18 years, with non-bullous impetigo. Efficacy was measured using the Skin Infection Rating Scale (SIRS) and microbiological culture at the first visit (T0), at the second visit after 72 hours (T1) and after 5 days (T2). Safety and tolerability were also evaluated.

RESULTS

A total of 50 patients was enrolled. A reduction of SIRS score >10% after 72 hours of treatment was noticed in all patients, while a complete reduction was assessed after 5 days in all the population. Microbiologic success rates for ozenoxacin at T1 was 92% (four patients had original pathogens in the specimen culture from the skin area), whereas at T2, it was 100%.

CONCLUSIONS

Topical ozenoxacin has strong efficacy in treating impetigo in pediatric patients. Ozenoxacin's clinical and microbiological rapid onset of response led to consider this antibiotic a novel efficacy option for the treatment of impetigo.

Non-pharmacologic approaches to neurological stimulation in patients with severe brain injuries: a systematic review

OBJECTIVE

This review aimed to evaluate and summarize the current knowledge about the non-pharmacological neurological stimulation (NPNS) in patients with severe brain injuries (SBI). The approaches we analyzed included sensory stimulation, music therapy, virtual reality, transcranial direct current stimulation (tDCS) and transcranial magnetic stimulation (TMS).

MATERIALS AND METHODS

We performed a review following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) standards. The key words used for the search across electronic databases such as PubMed and the Cochrane Library were "brain injury" or "coma" or "vegetative state" and "neurological stimulation" or "sensory stimulation" or "music therapy" or "virtual reality" or "transcranial direct current stimulation" or "transcranial magnetic stimulation".

RESULTS

38 studies matched the inclusion criteria. These articles were categorized into five clusters: sensory stimulation, music therapy, virtual reality, transcranial direct current stimulation and transcranial magnetic stimulation. Hence, a concise summary of each study was made up, including study population characteristics, type of non-pharmacological neurological stimulation, neurological clinical outcomes or neuroimaging outcomes.

CONCLUSIONS

Overall, all the non-pharmacological approaches to neurological stimulation in patients with SBI seem to be innovative and promising. Further randomized clinical trials, including a wide range of patients, will be necessary to definitely validate these methods and develop standardized protocols shared in the scientific community.

Seismic risk of critical facilities in the Dominican Republic: case study of school buildings

The island of Hispaniola, shared by the Dominican Republic and Haiti, is located in a subduction zone between the North America plate and the Caribbean plate. In addition, there are 13 geological faults in the interior of the island, some of which have shown the potential to generate earthquakes of magnitude 7.5 and higher. Thus, the whole island is considered to be a high seismic risk region. In the past 100 years, several earthquakes have affected both parts of the island. In the case of the Dominican Republic, two earthquakes stand out: a magnitude 8.1 earthquake on August 4, 1946, north of the Samaná Province, which caused a tsunami, soil liquefaction, and the loss of about 100 lives, and a magnitude 6.5 earthquake on September 22, 2003, in the city of Puerto Plata, which caused significant damage for infrastructures. Among the observed effects, the partial and total collapse of several school buildings had a remarkable impact on local communities. In addition to the high seismic risk, a large part of the national infrastructure may exhibit high vulnerability to earthquakes because the seismic regulations had been the same for 32 years, namely from 1979 to 2011. During these three decades, thousands of structures were built nationwide, including essential facilities such as hospitals and schools. Considering that the current student population in public schools in the Dominican Republic is over 2 million, with the majority attending buildings that were designed with the 1979 seismic code and which proved to be highly vulnerable during the Puerto Plata earthquake, it is vital to take measures that reduce the risk and minimize potential earthquake damage to school buildings. In this context, the Technological Institute of Santo Domingo (INTEC) has undertaken recently a project with the main objective to assess the seismic vulnerability of 22 schools located in the San Cristóbal Province, in the south of the Dominican Republic. The latter schools were all built prior to the adoption of the current updated seismic code. This paper presents the results of the assessment of the Fernando Cabral Ortega School. Although only the results of a single RC building are presented, the response of such structure can be considered representative of a portfolio of existing schools in Dominican Republic.