GolniÅ¡ki simpozij 2011 Zbornik povzetkov

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Methicillin-resistant Staphylococcus aureus and extended-spectrum b- lactamase producing Enterobacteriaceae in house pets Katja Øinkovec 1 , Dane Luænik 2 , Zlata Œop 3 , Viktorija Tomiœ 2 1 Department of Microbiology, Faculty for Biotechnology, University of Ljubljana 2 University Clinic of Respiratory and Allergic Diseases, Golnik 3 Veterinary Clinic, Lesce Background Resistant bacteria are a major public health concern. Methicillin-resistant Staphylococcus aureus (MRSA) is a major pathogen in human medicine and has become a recognized problem in farm animals (e.g. pigs). Pet owners as well as veterinary doctors and assistants can be colonized with MRSA and/or with entended-spectrum b-lactamase producing Enterobacteriaceae (ESBL-E) and they could transfer the pathogens to their pets through direct contact. We wanted to determine the carriage rate of both pathogens in house pets attending a busy veterinary clinic in Lesce (NW Slovenia). Methods A survey was conducted prospectively from February 1 to May 1, <strong>2011</strong> Veterinary Clinic Lesce. House pets, mainly cats and dogs were screened for carriage of ESBL-E and MRSA on a visit to the clinic. To assess carriage of MRSA nose and rectal swabs and for carriage of ESBL-E only rectal swabs were collected. All swabs were inoculated into brain-heart infusion broth. After 24 h of incubation, broths were subcultured onto BBL CHROMagar MRSA (BD, USA) and Brilliance ESBL agar (Oxoid, UK). Suspected colonies of MRSA and ESBL-E were identified by standard laboratory procedures. Results Screening samples were collected from 100 house pets, 42 cats (42%), 57 dogs (57%) and 1 guinea pig. Also nasal screening swabs for MRSA detection were collected from 6 veterinary workers (2 veterinary doctors and 4 assistants). We detected only 1 cat colonized with ESBL-E and no house pets colonized with MRSA. All screened employees of the veterinary clinic were free of MRSA. Conclusions Carriage of resistant bacteria in screened group of house pets was minimal. Since resistant bacteria can be easily transferred from owners to pets and vice versa periodic surveillance would seem reasonable. 44
Screening of persons after contact with a TB patient in the Shelter for the homeless Petra Svetina Øorli, Katja Pivk, Andraæ Jakelj University Clinic of Respiratory and Allergic Diseases, Golnik Background To prevent spreading the infection with tuberculosis (TB) in countries with low incidence of TB it is very important to screen people who were in contact with a TB patient. A contact person is defined as a person who was in close contact with a patient during his active phase of TB. 10% of infected contact persons will develop an active TB. Risk factors for infection are alcoholism, smoking, addiction to intravenous drugs, cachexia, chronic illnesses, and congenital or acquired imunnodeficiency. Methods We analyzed the data obtained from homeless persons who were several weeks in daily contact with a microscopically positive pulmonary TB patient living in the shelter for the homeless. The goal was to determine the incidence of both latent TB infection (LTBI) and active disease. This data was compared to the data from a Slovene retrospective study of contact persons in which the incidence of LTBI was 15% and of active disease 0.7%. 22 homeless people who were in contact with a TB patient were invited for an examination. Sputum samples for M. tuberculosis were obtained and physical exam, chest X-ray and QuantiFERON test (QFT) were done. Results 18 (82%) out of 22 invited homeless person from the shelter actually came for the examination. They were all unemployed and had never been treated for TB. Cough was present in 3 persons, other were symptomless. Only 2 chest X-rays were not normal. From each person sputum was obtained and they were all microscopically negative for TB. Only one (5.5%) person had culture-positive TB and standard antituberculosis therapy was initiated. In other 17 persons without TB QFT was done and in 10 (55.5%) of them latent TB infection was confirmed and 3 months chemoprofilactic therapy was initiated. Conclusions Only one (5.5%) of examined homeless contact person from the shelter had culture-positive pulmonary TB and was treated with standard regime of anti-TB therapy. In 10 (55.5%) of examined persons LTBI was confirmed. The number of patients with latent infection and active disease in homeless contact persons is higher than in general population of contact persons. In order to detect and prevent spreading the infection with M. tuberculosis examination of persons with history of contact with a TB patient, especially from high risk groups of the population, is very important. 45
Page 1 and 2: Golnik Symposium 2011 Congress Bled
Page 3 and 4: Content Oral presentations Kadivec
Page 5: Turnøek N, Mohorœiœ K, Neutropen
Page 9 and 10: Coordination of discharge in COPD S
Page 11 and 12: pensing should be undertaken in ord
Page 13 and 14: References 1. Plebani M. Errors in
Page 15 and 16: of lung fibrosis. In more detail, m
Page 17 and 18: Apart from the proliferation of fib
Page 19 and 20: POSTER PRESENTATIONS 19
Page 21 and 22: Licensing of medical laboratories i
Page 23 and 24: The intervention group had a signif
Page 25 and 26: Implementation of a medication reco
Page 27 and 28: Communication in palliative care: c
Page 29 and 30: tients with OHS were treated with C
Page 31 and 32: Videothoracoscopic resection of gia
Page 33 and 34: Electrocardiogram analysis of patie
Page 35 and 36: of COPD but not in the severity of
Page 37 and 38: Examination of resistance of bacter
Page 39 and 40: Pneumococcal bacteriemia in adults
Page 41 and 42: Aspergillosis Tina Jeriœ, Izidor K
Page 43: Carriage rate of extended-spectrum
Page 47 and 48: many years correctional facilities
Page 49 and 50: Conclusions The collaboration of di
Page 51 and 52: Conclusions NTM are not very often
Page 53 and 54: more serious measures in pre-analyt
Page 55 and 56: Nation-wide evaluation of three mol
Page 57 and 58: NSE and negative for cytokeratins a
Page 59 and 60: Videothoracoscopic lung lobectomy i
Page 61 and 62: Quantitative Methylation Profiles o
Page 63 and 64: Anti-angiogenic miRNAs let-7b and m
Page 65 and 66: MDR1 polymorphisms G2677T/A and C34
Page 67 and 68: Topoisomerase IIa in small cell lun
Page 69 and 70: tients with FN received antibiotic
Page 71 and 72: ing 45,9%, elevated liver enzymes 5
Page 73 and 74: stress and lipid status showed pote
Page 75 and 76: The significance of PET CT in diagn
Page 77 and 78: Peripheral invariant NKT cells and
Page 79 and 80: Allergy in patients with vocal fold
Page 81 and 82: ORMDL3 gene polymorphism is associa
Page 83 and 84: Baseline serum tryptase is not asso
Page 85 and 86: Rhinitis symptoms caused by grass p
Page 87 and 88: Conclusions We provide a protocol o
Page 89: Association analysis of polymorphis
Page 92 and 93: Organizirajoœa pljuœnica - histop
Page 94 and 95:
Organizirajoœa pljuœnica - spekte
Page 96 and 97:
Organizirajoœa pljuœnica - klini
Page 98 and 99:
Notes: 98
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Notes: 100
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Notes: 102
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Notes: 104
Page 106:
PARTNERS Congress was supported by
Page 109:
Najbolj predpisovano zdravilo za vz
Page 112 and 113:
z b f 160 µg/4,5 µg/odmerek
Page 114 and 115:
320 µg/9 µg/odmerek
Page 116 and 117:
SAMO ZA STROKOVNO JAVNOST.
Page 118 and 119:
^AS ZA ŽIVLJENJE. DOKAZANO PODALJ
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