In a Tunisian hospital 27 babies, including 12 who were premature, in a single intensive care unit suffered acute gastroenteritis in the period from January to May 1988. The mean age at the onset of gastroenteritis was 8.4 days; nine babies died. Salmonella wien was isolated from stools (all babies) and blood (4 babies). It was also isolated from the stools of one nurse and from a mattress. Twelve of the babies had received cefotaxime, which was successfully replaced by oral colimycin. The outbreak was stopped by the implementation of infection control measures. All isolates of Salmonella wien were of the same biotype, and had the same antibiotic resistance pattern (third generation cephalosporins, monobactams, aminoglycosides, chloramphenicol, trimethoprim and sulphonamides) and plasmid DNA restriction pattern. The isolates were all susceptible to a combination of cefotaxime and clavulanic acid (a beta-lactamase inhibitor), which displayed synergy, suggesting the presence of a beta-lactamase (geometric mean MICs 11.24 micrograms/ml for cefotaxime alone and 0.24 micrograms/ml in combination with 0.1 micrograms/ml potassium clavulanate). All isolates produced TEM-1 and SHV-2 beta-lactamase which was not transferable to Escherichia coli by conjugation. The presence of the SHV-2 enzyme in Salmonella wien may allow it to adapt to newer beta-lactams which is a cause for concern in this hospital.
'In connection with the Taparura Project, we studied the distribution of phytoplankton and zooplankton communities in relation to environmental variables at 18 stations sampled during four coastal cruises conducted between October 2009 and July 2010 on the north coast of Sfax (Tunisia, western Mediterranean Sea). The inshore location was largely dominated by diatoms (66 %) represented essentially by members of the genera Navicula, Grammatophora, and Licmophora. Dinophyceae were numerically the second largest group and showed an enhanced species richness. Cyanobacteriae developed in association with an important proliferation of colonial Trichodesmium erythraeum, contributing 39.4 % of total phytoplankton abundances. The results suggest that phytoplankters are generally adapted to specific environmental conditions. Copepods were the most abundant zooplankton group (82 %) of total zooplankton. A total of 21 copepod species were identified in all stations, with an overwhelming abundance of Oithona similis in autumn and summer, Euterpina acutifrons in winter, and Oncaea conifera in spring. The phosphogypsum restoration had been acutely necessary allowing dominant zooplankton species to exploit a wide range of food resources including phytoplankton and thus improving water quality.
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