PubMed Health⌕ Search

Biomedical subjects

F Baldelli

Publications and source records attributed to F Baldelli.

54 records · Page 3Linked to original sources
PubMed1988

The behaviour of specific antibody classes in human hydatid disease.

The behaviour of IgE antibodies was investigated by the micro-ELISA method (IgE-ELISA) in patients affected by hydatidosis or in patients who had already been operated on. The results were correlated with those obtained by IgG-ELISA, IgM-ELISA, IgA-ELISA and IHA tests. In the preoperative phase the IgG-ELISA method proved to be as sensitive (80%) as the IHA test (78.5%); the IgE-ELISA method showed a good sensitivity (72.8%) with a positive rate for the IgE-ELISA/IHA of 92.7%. The IgM- and IgA-ELISA methods were of moderate sensitivity. The IgE-ELISA proved to be much more suitable than the other methods for postoperative control, since the persistence of positivity 4 years after surgery suggests the involvement of a relapse.

Antibodies↗
PubMed1988

[Study on the presence of Cryptosporidium in Umbria].

Cryptosporidium is an intestinal protozoan parasite belonging to the same family as Isospora and Toxoplasma. Cryptosporidium can cause severe, life-threatening enteritis in immunocompromised patients; he can also cause much less severe diarrhea in immunocompetent humans and in several animal species. Cryptosporidiosis has been diagnosed by identification of characteristic cocysts in fecal smear. In order to detect the small numbers of oocysts excreted, a modified Teleman-Miyagawa concentration technique was used. After, the faecal smears were stained by means of the dimethyl-sulfoxide (DMSO) acid-fast method. During 12 months, 157 specimens of faeces of patients with diarrhoea and 75 stool samples of asymptomatic humans were examined. Cryptosporidium was identified, only, in 2 of 157 stools of patients with diarrhoea. These two patients were less than 2 years of age. Cryptosporidial oocysts not were seen in the faeces of 75 asymptomatic humans and of 35 (only 20 with diarrhoea) immunocompromised patients. Failure to detect the agent in immunosuppressed patients in likely related to poor number of examinated cases. In conclusion, routine laboratory studies to identify Cryptosporidium in the stools of immunocompromised patients seem justified, since the parasite causes in these patients severe opportunistic also extra-intestinal infections.

Adolescent↗
PubMed1987

Prospective randomized clinical trial of teicoplanin for empiric combined antibiotic therapy in febrile, granulocytopenic acute leukemia patients.

The increasing prevalence of bacteremia caused by gram-positive bacteria in granulocytopenic acute leukemia patients prompted us to evaluate, in a prospective randomized trial, the role of teicoplanin, a new glycopeptide antibiotic, when it was added to amikacin plus ceftazidime, as an empiric therapy of fever in these patients. Of 47 evaluable episodes, 22 were treated with the teicoplanin regimen and 25 were treated with the combination of amikacin and ceftazidime. The overall response to therapy of patients treated with teicoplanin was slightly better (82% improvement) than that obtained with amikacin plus ceftazidime (52%). The response rate of patients with gram-positive bacteremias was 80% (4 of 5) to the regimen that included teicoplanin; 25% (1 of 4) of the patients treated with amikacin plus ceftazidime responded to treatment; and for patients with gram-negative bacteremias, the response rates were, respectively, 100% (4 of 4) and 70% (7 of 10). The better results obtained with amikacin-ceftazidime-teicoplanin treatment were most evident in patients with profound (less than 100/mm3) and persistent neutropenia (83 versus 30% improvement). Furthermore, a good response rate of patients with gram-positive bacteremias (seven of eight; 87% improvement) was achieved in a small group of bone marrow transplant patients who were all treated with amikacin-ceftazidime-teicoplanin. No severe side effects were documented in any patient. Teicoplanin, as a drug administered as a single daily dose, seems to be a safe and useful anti-gram-positive agent when used in combination with amikacin-ceftazidime as an empiric therapy of febrile episodes in granulocytopenic acute leukemia patients.

Acute Disease↗
PubMed1987

[Prevalence of anti-HTLV III antibodies in detainees at the jail in Perugia].

The Authors studied anti-HTLV III antibodies prevalence in jailed people of Perugia jail. Out of 207 healthy subjects, 10.6% were positive to anti-HTLV III. Prevalence in drug abusers (27.5%) was not apparently different from that observed in a control population of addicts who lived in the community. Prevalence in prisoners who were not intravenous drug abusers (2.2%) was higher, when compared with prevalence in general, "not at risk", population. This result can be explained by the exposition to different risk factors, some of which could depend on prisoner status.

Antibodies, Viral↗
PubMed1984

Specific IgM antibody response, evaluated by micro-ELISA, to various antigen fractions from sheep hydatid fluid and scolices of E. granulosus, in sera from patients affected by hydatid disease, before and after surgery.

Antigen fractions 0.8 M, (1.6-0.8) M and (2.5-1.6) M were prepared from sheep fertile hydatid fluid and scolices of E. granulosus by differential precipitation with ammonium sulphate. The micro-ELISA technique was used to study the specific IgM antibody response towards these six antigen fractions in sera from patients affected by hydatid disease before and after surgery. The results show 0.8 M hydatid fluid antigen to be the most suitable for eliciting a specific IgM response both during the pre-surgery phase and after operation. Furthermore the finding of specific IgM positivity in patients with active hydatidosis raises the suspicion of open or fissured cysts whereas the positivity after operation would seem to be due to the release of antigen by surgical procedures and not prognostic for relapse.

Animals↗
PubMed1982

[Epidemiological results in recovered cases of viral hepatitis at the Infectious Disease Clinic of the University of Perugia from 1971 to 1978].

A retrospective epidemiological survey on patients admitted for hepatitis to the Infectious Disease Institute of Perugia University was undertaken. 255 out of 610 patients, examined during the 1971-1978 period, had type B hepatitis. The incidence of post transfusional hepatitis was 15.7%, while the disease showed significant increase in drug addict patients and in hospital staff. HBsAg was positive in 40 of 94 patients (43.7%) with post-transfusional hepatitis.

Adolescent↗
PubMedDate not supplied

Clonal spread of Acinetobacter baumannii in a general intensive care unit.

The epidemiological characterization of multiply resistant Acinetobacter baumannii isolates from a six-bed Intensive Care Unit (ICU) is described. Investigations for A. baumannii were performed in three subsequent surveillance studies. In the first study, surveillance cultures were taken from patients, health care personnel and the environment; in the second study surveillance cultures were taken at 0, 4, and 7 days from all patients admitted consecutively to the ward; and in the third study surveillance cultures were taken from patients, health care personnel and the environment. During the first study all four hospitalized patients were found to harbour A. baumannii. Hand cultures did not grow any A. baumannii when staff entered the ward from home, but 7 positive health care workers were identified out of 25 samples taken during work, and two cultures of environmental specimens grew A. baumannii. During the second study, 4 of 86 (4.6%) patients resulted colonized with A. baumannii. In the third epidemiological study, no A. baumannii was cultured from either patients, health care personnel or the environment. All isolates recovered from various patients or sources produced conserved macrorestriction Pulsed-Field Gel Electrophoresis (PFGE) patterns and showed the same antibiotic resistance; therefore, they can be considered indistinguishable. The same antibiotic resistance and macrorestriction patterns were observed in previously isolated A. baumannii strains in the ward during May 1997, suggesting the persistence of a single A. baumannii in the ICU. The present study confirms that molecular typing is an essential tool in the epidemiology and control of nosocomial infections, showing here the persistence of a single A. baumannii clone in the ICU. The origin of this strain remains unknown but, when basic infection control measures were reinforced, emphasizing the importance of hand antisepsis and judicious use of gloves, control of A. baumannii spread in the ward was achieved.

Acinetobacter baumannii↗
PubMedDate not supplied

[Septicemia and systemic inflammatory response].

To determine the relation between endocarditis/septicemia and systemic inflammatory response syndrome (SIRS), septic shock, MODS, we performed a retrospective analysis in 196 HIV-negative patients, with endocarditis/septicemia. No deaths were observed between 20 patients with endocarditis without severe infective SIRS/septic shock. On the other hand among 10 patients with endocarditis with severe infective SIRS/septic shock we registered 3 deaths (P = 0.052). No deaths were registered among 93 patients with septicemia without severe infective SIRS/septic shock. Between 73 patients with septicemia and severe infective SIRS/septic shock 9 (12.3%) patients died and, precisely, 7/61 in severe infective SIRS (11.4%) and 2/.12 (16.6%) in septic shock (P = 0.003). The definition of septicemia according to Schottmüller (1914), as a generalized bacterial infection with a persistent bacteremia is still justified. The term "sepsis" has become ambiguous because it has been used as synonym of "acute response to infection", while in the past and presently, at least in Europe, it is synonym of septicemia, persistent bacteremia. The term of SIRS could avoid the misunderstanding. The words: "infective SIRS", "severe infective SIRS", may label properly the reactive events mounted by the host as a useful defence against infections but they become dangerous and bring about septic shock, organ failure and mortality when excessive.

Adolescent↗