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B Mirelis

Publications and source records attributed to B Mirelis.

At least 55 records · Page 3Linked to original sources
PubMed1992

[The duration of the effect of norfloxacin on the fecal flora in cirrhosis patients].

The aim of the study has been to assess if intermittent treatment with norfloxacin could be able to maintain selective intestinal decontamination in cirrhotic patients in order to prevent bacterial infections. Group I (n = 10, subgroup Ia, n = 5, hospitalized cirrhotics, subgroup Ib, n = 5, outpatient cirrhotics) received 400 mg/24 h norfloxacin 7 days. Group II (n = 5, outpatient cirrhotics) received 400 mg/12 h norfloxacin 7 days. Gram-negative aerobic bacilli of the fecal floral were strongly suppressed in all patients at the end of the treatment, and they totally (Group I) or partially (Group II) recovered the initial concentrations 7 days after the end of the treatment. There were not significant differences between subgroups Ia and Ib. These results suggest that prophylactic treatment with norfloxacin in cirrhotic patients at high risk of infection should be continuous during the period in whom patients must be submitted to selective intestinal decontamination.

Administration, Oral↗
PubMed1990

[Diagnosis of Campylobacter pylori infection of the gastric mucosa: histologic and microbiologic aspects].

The usefulness of culturing gastric biopsies obtained by endoscopic visualization, Gram stain, immediate and late urease test, and histologic observation of Campylobacter pylori in the diagnosis of gastric mucosa infection by Campylobacter pylori was assessed in 75 patients. Four antral biopsies were obtained in 75 patients, 35 with duodenal ulcer and 40 with nonulcerous dyspepsia and all specimens were subjected to the above procedures. Positive criteria for infection were either a positive culture or the concurrence of positive Gram stain, positive urease test before 24 hours and observation of the Campylobacter pylori at the histologic preparations. The sensitivity and specificity of every test was calculated. The most useful tests were the biopsy culture and the early urease reaction. It should be pointed out that the ureasa test is rapidly done, has a low cost, and possess a high degree of reliability. Therefore it is very useful to the clinician and to the endoscopist.

Adult↗
PubMed1990

[Primary and initial bacterial resistances in tuberculosis patients at a general hospital, 1983-1987].

From july 1982 to december 1987 we prospectively evaluated the primary resistance (PR) of 248 strains of M. tuberculosis isolated from patients with several clinical forms of tuberculosis. The results were compared with those of a similar study carried out between 1978-1982. PR persisted relatively stable with time, although it showed a trend towards reduction. Isoniazide resistance (4.8%) still has a leading epidemiological interest. The 89% of strains showed isolated resistance to a single drug. Only two strains had associated resistance to INH and SM. Strains with PR to RIF, ETB or PZA were not detected. Of the 248 evaluated strains, 32 were isolated from intravenous drug abusers with AIDS. Only one of these strains had a low level (0.2 mg/l) PR to INH. At last two of these drug abusers developed acquired resistance to INH and ETB-RIF, respectively. Considering the difficulty to control chemotherapy in this group of patients, our finding has a considerable epidemiological interest.

Acquired Immunodeficiency Syndrome↗
PubMed1989

[Morphology of chronic gastritis associated with Campylobacter pylori infection].

Recently, a close relation has been found between infection of the gastric mucosa by Campylobacter pylori and chronic gastritis. To establish the possible existence of characteristic morphologic changes in this disease, which can be differentiated from other unrelated forms of gastritis, we analyzed the antral biopsies obtained from 75 patients, 35 with duodenal peptic ulcer and 40 with nonulcerous dyspepsia. The diagnosis of C. pylori infection is based on positive biopsy culture or, if not, when following three requirements are met: positive urease test before 24 hours, identification of the germ by Gram stain and visualization in the tissue of microorganisms with morphology similar to that of C. pylori. We found that 85.5% of the 55 patients with C. pylori infection present active chronic gastritis with lymphoid nodes (GCA + NL), while this morphology is only found in 5 of the 20 uninfected patients. The association of GCA + NL with C. pylori infection is highly significant (p less than 0.0001). We think that it could be a local immunologic response to the stimulus of the bacterial antigen, and that it has sufficient morphologic entity to differentiate it from other inflammatory processes of the gastric mucosa of still unknown etiology.

Adult↗
PubMed1988

Epidemiology of Yersiniae in Barcelona, Spain.

Between April 1980 to December 1984 we undertook a study on the epidemiology of pathogenic Yersinia. Stool specimens from 5.199 patients with acute gastroenteritis were studied and Y. enterocolitica biotype 4 serotype 3 was isolated in 42 cases (0.8%). The serological response was studied in 21 of these patients. Faecal specimens from 784 non-laboratory animals were also studied. The only pathogenic isolates from these animals were seven strains of Y. enterocolitica biotype 4 serotype 3 from six pigs and one dog and one strain of Y. pseudotuberculosis from a pig. The search of pathogenic Yersinia in 424 samples form row foods allowed the isolation of eight strains of Y. enterocolitica serotype 3 and one strain of Y. pseudotuberculosis from pig's tongue.

Animals↗
PubMed1987

Human isolates of Enterobacter intermedium.

The phenotypic characters of four clinical strains of Enterobacter intermedium (a species usually isolated from surface water and soil) are described and compared to those of E. cloacae and E. asburiae.

Child, Preschool↗
PubMed1987

Efficacy of orally administered penicillin V for prophylaxis of experimentally induced streptococcal endocarditis.

Four oral penicillin V regimens were compared for the ability to prevent Streptococcus sanguis infection of experimentally induced valvular heart lesions in rabbits. Challenge doses of 10(4), 10(6), and 10(8) CFU of a penicillin-susceptible strain of S. sanguis were used in this study. Measured by recovery of test organisms from endocardial lesions, the lowest-concentration inoculum was infective for 53% of the recipients; the higher-concentration inocula were infective for all recipients. A single-oral-dose penicillin V regimen (36 mg/kg of body weight) prevented endocarditis when rabbits were challenged with 10(4) CFU, but protection diminished with increasing inoculum concentrations. In contrast, addition of a second penicillin V dose (18 mg/kg of body weight) administered with a 7-h interval between doses achieved fully effective prophylaxis against even the highest inoculum tested (10(8) CFU). A repeated set of experiments in which half the dose of penicillin V was administered showed significantly reduced protection against S. sanguis endocarditis.

Adult↗
PubMed1986

Gastroenteritis etiology in a university hospital during 1983.

This paper reports the results of a microbiological study of the patients seen with diarrhea at the Hospital de la Santa Creu i Sant Pau (Barcelona) through 1983. Two thousand seven hundred sixty three specimens were studied in search of an enteropathogenic bacteria, 1341 were submitted to parasitologic study and 684 to rotavirus search. Two hundred fifty one Salmonella spp., 233 C. jejuni, 152 Shigella spp., 47 Yersinia spp., 96 G. intestinalis and 181 positive Rotavirus specimens were detected. Data about efficacy of the methods employed, seasonal and age incidence and sensitivity to the antimicrobials of the bacterial isolated strains are reported.

Bacterial Infections↗
PubMed1986

In vitro activity of clofazimine against rapidly growing nonchromogenic mycobacteria.

The in vitro activity of clofazimine against 80 isolates of rapidly growing nonchromogenic mycobacteria was studied by an agar dilution method. The drug inhibited 96% of strains tested at concentrations less than or equal to 1 microgram/ml, and it appears to be an agent of potential efficacy against Mycobacterium fortuitum and M. chelonae.

Clofazimine↗
PubMed1986

Incidence of enteroinvasive Escherichia coli in Spain. A 14-month prospective study.

Between February 1984 and May 1985, a prospective study was performed in patients with acute enteritis to determine the incidence of enteroinvasive Escherichia coli (ECEI) in our environment. Eight hundred and forty-three strains of E. coli were studied by agglutination with antisera for serogroups O28ac, 029, 0112, 0124, 0136, 0144, 0152 and 0164. Eleven strains were found to pertain to one or another of these serogroups: 6 to 029, 2 to 0124, 2 to 0164 and 1 to 0143. Of these, only the two corresponding to 0124 invaded HeLa cells and had a positive Sereny test. These strain were lysine decarboxylase and lactose negative and did not produce gas. In 125 strains that did not belong to any of the enteroinvasise serogroups indicated, but had been isolated from patients with febrile enteritis in which no other enteropathogen could be isolated (32 strains), or had metabolic characteristics of enteroinvasive Escherichia coli (93) strains, the Sereny test and invasion of HeLa cells were studied. In every case, both tests were negative.

Agglutination↗