The presence of stigma in patients with CHC was proven. The results indicate the need to strengthen anti-stigma programs that will reduce their psychological and social problems and reduce stigmatization in society.
P. aeruginosa was isolated most of the from urine, sputum and other materials. The majority often serovars were O1, O6 and O11. The most of isolates produced fluorescin (58.54%), while 22.94% producted pyocianin and 21.21% both pigments.
Introduction/Aim. Pseudomonas aeruginosa (P. aeruginosa) is the most common
cause of wound infections, following the disruption of the skin or mucous
membranes integrity. The aim of this study was to analyze of the presence P.
aeruginosa in wound swabs, antibiotics susceptibility testing, determination
of the minimum inhibitory concentrations (MICs) of antibiotics, testing of
the metallo-?-lactamases (MBLs) production, isolates serotyping and analysis
of the most common serotypes resistance. Methods. A total of 90 outpatients
and 55 intpatients wound swabs were cultivated. Wound swabs were taken from
the patients with wound infections symptoms. Antibiotics susceptibility
testing was performed to: meropenem, imipenem, piperacillin-tazobactam,
ceftazidime, cefepime, amikacin, gentamicin, netilmicin, ofloxacin,
ciprofloxacin and colistin (HiMedia). Polyvalent and monovalent antisera for
agglutination (Biorad) were used in P. aeruginosa agglutination. Results. P.
aeruginosa was isolated from 36.55% wound swabs (36.66% of the inpatients
wounds and 36.36% of the outpatients). The analyzed isolates showed the
highest degree of sensitivity to colistin (100%) and meropenem (93.44%) and
the lowest to cefepime (19.54%). The majority of the inpatients isolates had
12 ?g/mL (28.57%) MIC for piperacillin-tazobactam and 16 ?g/mL (28.57%) for
the outpatients. The most common MICs for ciprofloxacin were 0.19 ?g/mL
(31.81%) for the nosocomial isolates, and 0.25 ?g/mL (28.57%) for the
outpatients? ones. The most common MICs for amikacin of the nosocomial
isolates were 6 ?g/ml (40.9%), and for the outpatients ones 4 ?g/mL (33.33%).
Five (9.43%) isolates produced MBLs. The most common serotypes were P11
(22.64%), P6 (15.09%) and P1 (11.32%). Conclusion. Neither the increased
presence of P. aeruginosa was noticed in wounds swabs, nor the antibiotic
resistance in the nosocomial isolates compared to those from outpatients. The
analyzed isolates had the higest sensitivity to colistin and meropenem, and
the lowest to cefepime. [Projekat Ministarstva nauke Republike Srbije, br. TR
31080]
Hepatitis A is still a great problem in developing countries, especially those in which vaccination is not obligatory. It is well known that hepatitis A is associated with risk factors such as poor sanitation and inadequate hygiene. However, some investigations (e.g. in Spain and Greece) showed that the seroprevalence of antibodies against hepatitis A virus (HAV) in recent decades has decreased, especially in the younger adults, most likely due to improvements in living standards and hygienic conditions.
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