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Biomedical subjects

M Sulcová

Publications and source records attributed to M Sulcová.

13 recordsLinked to original sources
PubMed2001

Prospective study of fungaemia in a single cancer institution over a 10-y period: aetiology, risk factors, consumption of antifungals and outcome in 140 patients.

Over a 10-y period (1989-99) we prospectively evaluated all patients with fungaemia among 16,555 admissions (21,004 blood cultures) at a national cancer referral institution in the Slovak Republic. A prospective protocol was completed on 140 patients with fungaemia, which was then analysed in terms of aetiology, clinical characteristics, potential risk factors and outcome. The most frequently isolated organism was C. albicans, in 75 patients (52.9%), followed by non-albicans Candida spp. in 45 patients (32.1%). Non-Candida spp. yeasts represented 16 episodes in 16 patients (11.4%). Moulds caused 4 episodes in 4 patients (3.6% of all fungaemias) and all were caused by Fusarium spp. Mucositis (p = 0.025), > or = 3 positive blood cultures (p = 0.02), acute leukaemia (p = 0.00001), neutropenia (p = 0.0015), quinolone prophylaxis (p < 0.000005) and breakthrough fungaemia (p = 0.004) during prophylaxis with fluconazole (p = 0.03) and itraconazole (p = 0.005) were significantly more associated with non-Candida than C. albicans spp. Furthermore, attributable mortality was higher in the subgroup of non-Candida than C. albicans spp. (50.0 vs. 18.7%, p < 0.02). The only independent risk factor for inferior outcome was antifungal therapy of < 10 d duration (odds ratio 2.1, 95% confidence interval, p < 0.001). Aetiology, neutropenia and mucositis were not independent risk factors for higher mortality in multivariate analysis; however, they were risk factors for inferior outcome in univariate analysis (p < 0.05-0.005).

Adolescent↗
PubMed1999

Ciprofloxacin in treatment of nosocomial meningitis in neonates and in infants: report of 12 cases and review.

Twelve cases of neonatal and infant nosocomial meningitis treated with intravenous ciprofloxacin in doses of 10 to 60 mg/kg/day are described. Four neonates were 21 to 28 days old and eight infants were 2 to 6 months old. Six presented with Gram-negative meningitis: Escherichia coli (2), Salmonella enteritidis (1), Acinetobacter calcoaceticus (1), two with two organisms, and (H. influenzae plus Staphylococcus epidermidis, Acinetobacter spp. plus S. epidermidis), and six were attributable to Gram-positive cocci (four S. aureus and two Enterococcus faecalis). Ten cases were cured. In two cases, reversible hydrocephalus appeared that responded to intraventricular punctures. In seven children, no neurologic sequellae appeared after a 2- to 4-year follow-up. One neonate had relapse of meningitis 3 months later and was ultimately cured, but developed a sequellae of psychomotoric retardation. Follow-up varied from 27 months to 10 years. Current published case reports from Medline on quinolone use in meningitis in neonates and infants are reviewed.

Anti-Infective Agents↗
PubMed1991

Investigation of professional nickel exposure in nickel refinery workers.

For assessing the real exposure level of nickel in electrolytical nickel production workers we monitored the following indicators of Ni load. (a) Stationary air sampling of Ni, (b) personal air sampling of Ni, (c) urine Ni excretion determined on group basis, (d) the 4 hours specimen of Ni excretion determined on an individual basis. A tentative limit for Ni in urine, roughly corresponding to the MAC 0.05 mg/m3 was 12 micrograms/l Ni according to (c) and 30 micrograms/l Ni according to (d). The occupational exposure limit for Ni in urine accepted in Czechoslovakia is 30 micrograms/l Ni.

Air Pollutants, Occupational↗
PubMed1990

[Intestinal parasitoses in Laos].

The authors give an account of the contemporary parasitological position in Laos, based on data from abroad, data provided by the Laos health services and results of the authors' parasitological examinations. Examination of clinical material (in Laos by Willis method and after fixation with SAF by examination of the sediment in the CSR) revealed a high immunity rate of the population with ascaridosis, ancylostomosis, trichuriosis and opisthorchosis and a relatively low prevalence of Protozoan infections.

Adult↗