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Biomedical subjects

E P Trallero

Publications and source records attributed to E P Trallero.

8 recordsLinked to original sources
PubMed1983

Appendiceal perforation and shigellosis.

Appendiceal perforation and shigella enteritis were concomitantly observed in a 5-year-old boy. S. Sonnei was recovered from peritoneal exudate and faeces. This association must be kept in mind when treating patients with abdominal pain and gastroenteritis.

Appendicitis↗
PubMed1983

[Wound infection in pediatric surgery].

During the five-year period 1977-1982, 97 (3,37%) out of 2,898 pediatric surgical wounds became infected, 23 out of 2,140 (1,07%) corresponded to "clean" wounds, 18/475 (3,8%) belonged to the "clean-contaminated", 14/91 (15,4%) to the "contaminated" and 42/192 (21,8%) to the "dirty" groups. These rates were somewhat lower than those found in similar studies carried out in adults. The bacteriologic studies revealed that the source of infection of "clean" wounds was exogenous and almost exclusively due to --Staphylococci, whereas that of most of the remaining wounds was the patient's own enteric flora, with aerobic and anaerobic bacteria and very constant presence of E. coli and B. fragilis. Our antibiotic policies were guided by this evidence. In spite of the lack of mortality related to this minor complication, the risk and uncomfort incurred by the patients aside with the higher cost of hospital stay justify every effort to prevent this complication.

Bacterial Infections↗
PubMed1981

Unusual multiresistant Staphylococcus aureus in a newborn nursery.

An apparently unique strain of Staphylococcus aureus, resistant to penicillins (including penicillinase-resistant penicillins), cephalosporins, cephamycins, aminoglycosides (all but amikacin), tetracycline, lincomycin, erythromycin, and, in a lesser percentage, to chloramphenicol as well, was isolated on more than 100 occasions over a 20-month period in a general hospital in San Sebastian, Spain. Forty-two (60%) of the 70 patients infected were patients in the newborn nursery. Many of these infants contracted serious disease. In the epidemiologic study of the nursery, this Staphylococcus strain was found in the air and on the clothing of the staff, although no nasal, perineal, or axillary carriers were found among the personnel.

Anti-Bacterial Agents↗
PubMed1981

[Analysis of germ cultures in 57 cases of appendicular peritonitis and 16 postoperative septic complications].

Reliable bacteriological data were obtained from 53 and 16 out of 64 pediatric appendiceal peritonitis an 17 of their suppurative complications. Studies for aerobic and anaerobic flora ws performed in all. Each primitive peritoneal exudate contained a mixed flora with an average of 1.3 aerobic and 2.27 anaerobic species. E. coli and B. fragilis were almost constantly found among other enteric bacteria. Exudates from wound or intraabdominal complicative infections contained an average of 1.3 aerobic and 3 anaerobic species, and again E. coli and B. fragilis were constantly present. In eleven patients, there were exudates available from both the peritonitis and the complications, and the flora was coincident for, at least, one gram in all, and for two or more in eight. These facts enable us to point out the importance of anaerobes in peritoneal infections and their complications. At the same time, we recall that antibiotic treatment of peritonitis must be prescribed with this evidence in mind.

Abscess↗
PubMedDate not supplied

[Microbial resistance: what is to be done? Information from the panel of experts].

This document represents the recommendations of a panel of Spanish experts on antibiotic use and resistance. In a Task Force, under the auspices of the Spanish Ministry of Health and Consumer Affairs that took place in 1994 in Madrid, the members were gravely concerned about the national increase in antibiotic resistance. They analysed the development, evolution and spread of antibiotic resistance among community-acquired human bacterial pathogens in Spain, its relation with antibiotic consumption, and they proposed future surveillance strategies for monitoring the patterns of antibiotic use and consumption. Success will require a collective action among the producers (pharmaceutical industry), prescribers (doctors, veterinarians), dispensers (pharmacists), and consumers (patients). Two similar documents have been recently published by the American Society of Microbiology and the World Health Organization showing the global concern about this topic.

Anti-Bacterial Agents↗