The geomicrobiological characterization of Río Tinto, an extreme acidic environment, has proven the importance of the iron cycle, not only in generating the extreme conditions of the habitat (low pH, high concentration of toxic heavy metals) but also in maintaining the high level of microbial diversity detected in the water column and the sediments. The extreme conditions detected in the Tinto basin are not the product of industrial contamination but the consequence of the presence of an underground bioreactor that obtains its energy from the massive sulfide minerals of the Iberian Pyrite Belt (IPB). To test this hypothesis, a drilling project (IPBSL) to intersect ground waters interacting with the mineral ore is under way, to provide evidence of subsurface microbial activities. A dedicated geophysical characterization of the area selected two drilling sites due to the possible existence of water with high ionic content. Two wells have been drilled in Peña de Hierro, BH11 and BH10, with depths of 340 and 630 meters respectively, with recovery of cores and generation of samples in anaerobic and sterile conditions. The geological analysis of the retrieved cores showed an important alteration of mineral structures associated with the presence of water, with production of expected products from the bacterial oxidation of pyrite. Ion chromatography of water soluble compounds from uncontaminated samples showed the existence of putative electron donors, electron acceptors, as well as variable concentration of metabolic organic acids, which suggest the presence of an active subsurface ecosystem associated to the high sulfidic mineral content of the IPB. Enrichment cultures from selected samples showed evidences of an active iron and sulfur cycle, together with unexpected methanogenic, methanotrophic and acetogenic activities. The geological, geomicrobiological and molecular biology analyses which are under way, should allow the characterization of this ecosystem of biohydrometallurgical interest

This study confirms information previously obtained in other countries, which show a decrease in the incidence of pneumonia associated with the implementation of a pneumococcal vaccine at the population level. Ongoing surveillance is required to evaluate if this effect is maintained over time and expands to older populations.

period of time and had a worse clinical outcome, as evidenced by > hemodynamic instability, > sepsis, CRP > 90 mg/L for a longer time, more days of hospitalization, > frequency of hospitalization in ICU, > bacteremia, mainly by Streptococcus viridans group, > change of antimicrobial treatment, > use of antifungal therapy. Conclusions: This study demonstrates that FN episodes in children with ALML further evolve unfavorably, compared with episodes of FN in children with ALL. FN episodes in children with ALML require a more aggressive diagnostic and therapeutic approach, related to its severity.]]>

Infecciones del sistema nervioso central asociadas a dispositivos de derivación de LCR en niños, en un centro neuro-quirúrgico de referencia nacional Central nervous system infections associated with CSF shunt devices in children, at a national reference hospital