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Biomedical subjects

D C Sheppard

Publications and source records attributed to D C Sheppard.

14 recordsLinked to original sources
PubMed1999

Entamoeba histolytica and Entamoeba dispar: epidemiology and comparison of diagnostic methods in a setting of nonendemicity.

Recent studies suggest that stool antigen assays are more sensitive and specific than microscopy for the diagnosis of Entamoeba histolytica infection. One hundred twelve patients presenting at 3 centers with symptoms or risk factors of E. histolytica infection were prospectively enrolled in this study to evaluate new diagnostic tests for infections with E. histolytica and Entamoeba dispar. Four ELISA-based stool antigen kits for detecting E. histolytica or E. dispar were blindly compared with stool microscopy. Amebic serology was assessed by indirect hemagglutination. When antigen assays were used as the reference standard, microscopy performed at referral centers was more specific (68.4% vs. 9.5%) but less sensitive (70.4% vs. 92.1%) than microscopy performed in community laboratories. Diagnosis with the E. histolytica test and Merlin Optimun S ELISA indicated that only 3 (4.2%) of 72 coproantigen-positive stools were positive for E. histolytica. Indirect hemagglutination was a good predictor of E. histolytica infection when titers of antibody to ameba were >/=1:512.

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PubMed1999

Risk factors for nosocomial candiduria due to Candida glabrata and Candida albicans.

The aims of this study were to analyze the clinical characteristics and risk factors associated with catheter-associated candiduria due to Candida glabrata and due to Candida albicans and to compare patients with candiduria due to C. glabrata or C. albicans (cases) with controls. Controls were a randomly chosen sample of inpatients with Foley catheters for whom urine cultures were negative for Candida species. Univariate and multivariate analyses were performed. There were 40 cases of C. glabrata candiduria and 289 cases of C. albicans candiduria. Factors strongly associated with both C. albicans candiduria and C. glabrata candiduria were female gender (P <. 05) and being in the intensive care unit (P <. 01). Fluconazole use (adjusted odds ratio, 4.37; P <. 01) and quinolone use (adjusted odds ratio, 3.16; P <. 01) were specifically associated with C. glabrata candiduria but not with C. albicans candiduria. In conclusion, patients receiving fluconazole treatment are at risk of developing C. glabrata candiduria.

Aged↗
PubMed1999

Simple strategy for direct identification of medically important yeast species from positive blood culture vials.

We compared direct inoculation of the Auxacolor yeast identification system from positive blood culture vials to standard identification with the API 20C AUX (API 20C), using 44 prospectively collected clinical specimens and 25 seeded blood culture vials. Direct inoculation of the Auxacolor system was accurate and more rapid than standard identification with the API 20C.

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PubMed1998

Onset of resistance to fenvalerate, a pyrethroid insecticide in Argentine horn flies (Diptera: Muscidae).

Haematobia irritans (L.) horn flies recently have immigrated into Argentina from Brazil or Paraguay. Bioassays were conducted with fenvalerate to develop baseline information on pyrethroid susceptibility. Four populations tested in 1994 and 1995 were more susceptible than a laboratory strain of horn fly not exposed to insecticides since 1970, but 3 populations from Corrientes Province tested in 1996 were moderately resistant to fenvalerate, with resistance ratios ranging from 3 to 26. Argentine horn fly populations were exposed to pyrethroid treatments of pour-on, spray, and dip formulations for 4 yr before developing resistance. Horn flies in the United States developed pyrethroid resistance after 2 yr of treatment with pyrethroid ear tags.

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PubMed1992

High levels of pyrethroid resistance in horn flies (Diptera: Muscidae) selected with cyhalothrin.

Lambdacyhalothrin cattle ear tags controlled horn fly, Haematobia irritans (L.), for 14 wks or longer during 1986-1988 in Georgia, USA. In 1989 and 1990, control of < 50 horn flies per side of cow was achieved for < or = 4 wk because of high levels of pyrethroid resistance in horn flies selected with lambdacyhalothrin. The highest resistance ratios (RRs) were seen in 1989. These were 498 for lambdacyhalothrin; 92,000 for fenvalerate; and 54 for permethrin. RRs for cypermethrin as high as 8,800 were estimated in 1990 when the RR for fenvalerate was only 1,060. No cross-resistance to diazinon was detected. These high levels of pyrethroid resistance seem to have a large component of metabolic resistance. Synergistic coefficients as high as 3,600 were determined by addition of nonlethal amounts of piperonyl butoxide. Resistance development in a no-pyrethroid-use area indicates movements of > or = 3km by sufficient numbers of horn flies can significantly change the RR.

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PubMed1989

Effect of temperature on toxicity of three pyrethroids to horn flies.

Predictive models describing best-fit regression equations for per cent mortality of horn flies as a function of temperature were determined for each of three pyrethroid insecticides (fenvalerate, flucythrinate and permethrin) over the temperature range 20-35 degrees C. Susceptible horn flies, Haematobia irritans (L.), were exposed to c. an LC70 dose of each pyrethroid using a residue-on-glass method. This technique used confined exposure in chambers with temperatures of 20, 25, 30 and 35 degrees C. Within this range, mortality was greatest at 25 degrees C with all three insecticides. Estimated temperature-mortality equations for each pyrethroid revealed different responses of horn flies to each of these insecticides. Horn flies exposed to flucythrinate demonstrated a linear mortality response that varied inversely with temperature. The response to permethrin was described by a quadratic equation, while the response to fenvalerate was best fitted by a cubic equation.

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PubMed1986

Temporal occurrence of third-stage larvae of Elaeophora schneideri in Tabanus lineola hinellus on South Island, South Carolina.

The occurrence of third-stage larvae of the arterial worm (Elaeophora schneideri) in populations of the horse fly, Tabanus lineola hinellus, was studied on South Island, Georgetown County, South Carolina. Over the period from mid-April to mid-October 1982, horse flies had a bimodal pattern of abundance with peak populations in June and September. During individual bimonthly horse fly collections, the prevalence of infection of T. l. hinellus ranged from 0 to 1.23%. Prevalence of infected horse flies was biphasic with peaks in mid-May (1.23%) and mid-August (1.22%), 2 to 4 wk prior to peaks in horse fly populations. The intensity of infection of T. l. hinellus increased as time progressed and was highest in late summer. This increase resulted in greater recovery of infective larvae during August-September (mean intensity = 25) than in May-June (mean intensity = 4). Both prevalence and intensity of infection of T. l. hinellus were low compared to primary intermediate hosts of E. schneideri in the western U.S.

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