We describe a Klebsiella oxytoca infection outbreak in a renal transplant unit that involved seven patients. All strains belonged to a single pulsed-field gel electrophoresis pattern and were resistant to amoxicillin-clavulanate, cefuroxime, piperacillin-tazobactam, and aztreonam but susceptible to ceftriaxone, ceftazidime, cefepime, and imipenem. Chromosomal ␤-lactamase hyperproduction was caused by a point mutation in the bla OXY-2 gene promoter region.

The matrix-assisted laser desorption/ionization time-of-flight mass spectrometry technique known as MALDI-TOF MS is a tool used for the identification of clinical pathogens by generating a protein spectrum that is unique for a given species. In this study we assessed the identification of clinical yeast isolates by MALDI-TOF MS in a university hospital from Argentina and compared two procedures for protein extraction: a rapid method and a procedure based on the manufacturer's recommendations. A short protein extraction procedure was applied in 100 isolates and the rate of correct identification at genus and species level was 98.0%. In addition, we analyzed 201 isolates, previously identified by conventional methods, using the methodology recommended by the manufacturer and there was 95.38% coincidence in the identification at species level. MALDI TOF MS showed to be a fast, simple and reliable tool for yeast identification.

Objetivo: A pneumonia associada à ventilação mecânica (PAVM) é uma séria complicação da ventilação mecânica (VM). Entretanto, dados sobre PAVM em pacientes em VM prolongada (VMP) são escassos. Nosso objetivo foi descrever as características de pacientes com PAVM em VMP e identificar fatores associados à mortalidade. Métodos: Estudo de coorte retrospectivo incluindo pacientes com PAVM em VMP. Foram registradas características basais, bem como as taxas de mortalidade em 30 e 90 dias. As variáveis associadas à mortalidade foram determinadas por meio da análise de sobrevida de Kaplan-Meier e do modelo de regressão de Cox. Resultados: Foram identificados 80 episódios de PAVM em 62 indivíduos em VMP. As medianas de idade, índice de comorbidade de Charlson, pontuação no SOFA, e dias em VM foram, respectivamente, de 69,5 anos, 5, 4 e 56 dias. Os episódios de PAVM ocorreram entre o 21º e o 50º dia de VM em 28 pacientes (45,2%) e até o 90º dia de VM em 48 pacientes (77,4%). As taxas de mortalidade em 30 e 90 dias foram de 30,0% e 52,5%, respectivamente. A mortalidade em 30 dias associou-se a pontuação no SOFA (razão de risco [

No abstract

A demonstration algal-bacterial selenium removal (ABSR) facility has been treating agricultural drainage water in the Panoche Drainage District on the west side of the San Joaquin Valley since 1997. The project goals are to demonstrate the effectiveness of the ABSR technology for selenium removal, to investigate potential wildlife exposure to selenium at full-scale facilities, and to develop an operational plant configuration that will minimize the life-cycle cost for each pound of selenium removed. The facility consists of a series of ponds designed to promote native microorganisms that remove nitrate and selenium. Previous treatment research efforts sought to reduce selenium concentrations to less than 5pg/L, but the ABSR Facility demonstration focuses on providing affordable reduction of the selenium load that is discharged to the San Joaquin River. During 1997 and 1998, the best-performing ABSR plant configuration reduced nitrate by more than 95% and reduced total soluble selenium mass by 80%. Ongoing investigations focus on optimizing operational parameters and determining operational costs and scale-up engineering requirements. The preliminary total cost estimate for a 10-acre-foot per day ABSR facility is less than $200 per acre-foot of treated drainage water.