Revista cubana de medicina tropical
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Rev Cubana Med Trop · Sep 2003
[In vitro susceptibility of vaginal isolates of Candida vs clotrimazole and nystatin].
The susceptibility in vitro of 123 isolates of Candida against clotrimazole and nystatin was determined. The isolates were obtained by vaginal smears from 404 women that attended "Ramón Gonzalez Coro" Gynecoobstetric Hospital, in Havana City According to the number of colonies obtained in the primary isolation, the strains were separated into 2 categories: colonization and infection. The inhibitory minimum concentration (IMC) was detemined for each antigunfal by a method of microdilution in casitone broth. ⋯ C glabrata showed the highest IMC values (16 mg/mL) against antifungals. Only the isolates of C. lusitaniae showed a significant difference (p < 0.001) between the IMC values of nystatin according to the number of colonies in the primary isolation. In isolates from women treated with clotrimazole and/or nystatin in previous episodes of candidiasis, there were observed more elevated values of the means of IMC against nystatin than against clotrimazole, although this difference was not statistically remarkable.
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The number of children born to HIV/AIDS-seropositive mothers in Cuba is small due to the implementation of the program for the prevention of maternal-infant transmission of HIV/AIDS in Cuba. During the studied period (January 1st, 1985, to December 31st, 1999) 64 children were born, 9 were infected with HIV, 7 of them have developed AIDS (3 have died due to this cause and 4 are under treatment with antiviral agents and proteases inhibitors) and 2 are asymptomatic HIV seropositive. ⋯ Since 1997, when AZT began to be administered to mothers and children, none of the 8 children that finished the study have been infected. Up to now, 10 HIV/AIDS-seropositive children, 9 by perinatal route and 1 by blood transfusion, already dead, have been reported in the country.
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It is described a pulmonary mucormycosis in an 11-year-old child with AIDS. The diagnosis was obtained by direct examination of the bronchial aspiration. ⋯ The child was cured with the specific treatment with Amphotericin B, since he died a year later and this affection did not appear in the necropsy. This combination of pulmonary mucormycosis and AIDS has never been reported in Cuba.
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Rev Cubana Med Trop · Jan 1996
Case Reports[Aeromonas hydrophila pneumonia associated with a traffic accident. Report of a case].
The case of a patient who was driving a car after getting drunk is presented. His car turned over and he fell into an irrigation canal, and, as a result, he suffered from an incomplete drowning syndrome. ⋯ The patient's evolution was favorable. It is the first report on a case like this in our country.
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Rev Cubana Med Trop · Jan 1992
[The surveillance of nosocomial bacteremia in the Intensive Care Unit of the Hospital Pediátrico Docente Centro Habana].
A prospective study was carried out in order to assess nosocomial bacteremia in the Intensive Care Unit of the Centrohabana Teaching Pediatric Hospital, from January to May 1988. 66.7% of the bacteremia episodes diagnosed were of a nosocomial origin, mostly secondary. Nosocomial bacteremia rate was 15.5 per 100 admissions, with predominance in the age group under 1 year of age. Risk factors for acquiring nosocomial bacteremia were hospital stay longer than 72 hours, age under 1 year, tracheal intubation, deep venous catheterization and urinary catheterization. The most frequently associated microorganisms were Staphylococcus epidermis, Escherichia coli and Pseudomonas aeruginosa.