Search PubMed⌕ Search

Biomedical subjects

T M Haslett

Publications and source records attributed to T M Haslett.

14 recordsLinked to original sources

African swine fever virus infection in the soft tick, Ornithodoros (Alectorobius) puertoricensis (Acari: Argasidae).

In total, 1,186 second instar Ornithodoros (Alectorobius) puertoricensis Fox second instars were fed on a pig when it had a viremia of 10(5.2) hemadsorption units (HAd50/ml) and 420 second-instar O. puertoricensis were fed on an uninfected pig. Subsequent blood meals for ticks in both groups were from uninfected pigs. The effects of African swine fever virus (ASFV) infection on O. puertoricensis populations were evaluated for the following parameters: mortality; mean time to death; percentage molted per instar; percentage molted to male, female, or subsequent instar; effects on duration of premolt period; and the number of blood meals per instar. The cumulative virus-induced mortality rate for all immature stages (second to fifth instar) of O. puertoricensis that had been fed as second instars on a pig infected with ASFV was 43.2%. In contrast, 23.1% mortality was observed among ticks fed on uninfected pigs. The mortality rate among third instars that fed on the viremic pig was 55.3% versus 4.8% among nymphs fed on normal pigs. One-third to more than one-half of all third, fourth, and fifth instars required at least two blood meals to molt. Mean premolt periods for second, third, fourth, fifth, and sixth instars fed on uninfected pigs were approximately 12, 15, 32, 22, and 14 d, respectively. Mean weights for unfed second to fifth instars, males, and females were: 0.6, 1.0, 1.5, 1.7, 1.5, and 3.1 mg per tick, respectively.

African Swine Fever↗

Laboratory biology of Ornithodoros (Alectorobius) puertoricensis (Acari: Argasidae).

The laboratory biology of Ornithodoros (Alectorobius) puertoricensis Fox was studied over a 2-yr period. Approximately 100-150 ticks were reared individually at each of four temperatures: 22, 27, 33, and 40 degrees C and 90-95% RH. The mean egg incubation periods at those temperatures were 20.3, 11.1, 7.3, and 6.1 d, respectively. The average larval feeding period was 5.8 +/- 1.5 d for 15,875 larvae that fed on guinea pigs. The development times for first to fourth nymphal instars were as follows: 11.7, 48.5, 75.1, and 92.1 d, respectively, at 22 degrees C; 5.8, 18.8, 38.0, and 36.0 d, respectively, at 27 degrees C; 4.2, 10.5, 14.9, and 38.1 d, respectively, at 33 degrees C; and 5.8, 10.7, 21.2, and 35.3 d, respectively, at 40 degrees C. Males usually eclosed after three or four molts, and females usually eclosed after four or five molts. Approximately 10% of all nymphs required more than one blood meal per instar at least once during development. Twenty pairs of adults were held at each of three temperatures (22, 27, and 33 degrees C) for a year to study reproductive behavior. The number of gonotrophic cycles per female per year was 6.9, 9.8, and 10.8 at 22, 27, and 33 degrees C, respectively. The mean duration of the gonotrophic cycle was 42.3 d at 22 degrees C, 25.5 d at 27 degrees C, and 20.5 d at 33 degrees C. Mean egg production per female per gonotrophic cycle was 151 at 22 degrees C, 117 at 27 degrees C, and 130 at 33 degrees C and was not affected by temperature. O. puertoricensis did not exhibit autogeny or parthenogenesis. Hyperparasitism was observed in immatures and adults.

Animals↗

Experimental transmission of African swine fever virus by the tick Ornithodoros (Alectorobius) puertoricensis (Acari: Argasidae).

The soft tick Ornithodoros puertoricensis Fox has been found on the Caribbean island of Hispaniola (Haiti and the Dominican Republic) where African swine fever (ASF) was endemic from 1978 to 1984. To evaluate the vector potential of O. puertoricensis for African swine fever virus (ASFV), second-instar nymphs were experimentally infected by feeding on a viremic pig that was infected with the Dominican Republic isolate (DR-II) of ASFV. Subsequent infection rates and mean virus titers for individually triturated ticks were: second-instar nymph (95.4%, 10(4.38 +/- 0.85)), third-instar nymph (48.9%, 10(4.59 +/- 0.61)), male (46.7%, 10(4.36 +/- 0.61)), and female (35.3%, 10(4.38 +/- 1.09)). Infected ticks transmitted ASFV to susceptible pigs by bite 23, 85, 126, 160, 182, and 239 d after the infective blood meal. These findings show that ASFV is passed transstadially among O. puertoricensis and that O. puertoricensis can be an efficient vector of African swine fever virus.

African Swine Fever↗

Documenting concurrent clinical pharmacy interventions.

The documentation of clinical pharmacy activities is an important issue and the authors describe a relatively simple and easily implemented method of documenting concurrent clinical pharmacy interventions. This quality assurance measure was added to the quality assurance calendar of a tertiary care medical center/teaching hospital to: (1) document to the Joint Commission on Accreditation of Healthcare Organizations that the pharmacy department is involved in direct patient care, and (2) demonstrate to hospital administrators that pharmacists are an integral and necessary component of the health care team. At least 115 of 428 (27%) documented interventions during 1988 prevented patients from suffering potentially serious side effects and adverse drug reactions. Physicians and nurses initiated consultations by contacting pharmacists, either by phone or in person, and asking them to: (1) recommend dosages for renally impaired patients; (2) monitor patients receiving medications such as aminoglycosides, digoxin, and phenytoin; (3) suggest appropriate doses for specific indications; (4) recommend a formulary drug for a specific condition; and (5) provide drug information. Pharmacists initiated consultations by contacting physicians and nurses, either by phone or in person, to clarify an order or make recommendations regarding drug therapy. Nurses, pharmacists, and physicians initiated 37%, 33%, and 30% of the clinical interventions, respectively. Most of the physician (89%) and nurse (82%) initiated interventions were requests for drug information, whereas most of the pharmacist initiated interventions were order clarifications (51%). The daily documentation of clinical pharmacy interventions demonstrated that the quality of patient care and patient outcome was improved and served as an effective method of cost-justifying pharmacist positions in this era of fiscal constraints.

Concurrent Review↗

A mouse lethal dose assay for detection and titration of Cowdria ruminantium (Kwanyanga strain) in goats and ticks.

A mouse lethal dose assay was used to detect a mouse pathogenic strain (Kwanyanga) of Cowdria ruminantium, the etiological agent of heartwater in goats and ticks. The titer of the rickettsial organisms in goat blood was directly related to the febrile response of the goat and the rickettsia were undetectable after the fever subsided. The maximum rickettsial titer in goat blood was 10(3) mouse LD50 ml-1. Cowdria-infected goat blood was shown to retain infectivity when held on ice for up to 2 h, but when held at room temperature infectivity declined by greater than 50% in 2 h. The mouse assay detected Cowdria in feeding female Amblyomma variegatum only on the eighth day of feeding and in feeding males on the second and eleventh days of feeding. Cowdria was shown to persist in the hemolymph of the soft tick Ornithodoros coriaceus for a period of at least 2 years.

Animals↗

Central catheter infections: single- versus triple-lumen catheters. Influence of guide wires on infection rates when used for replacement of catheters.

A prospective study was conducted over six months to determine if triple-lumen catheters were associated with a higher rate of infection than single-lumen catheters. A total of 502 central intravascular catheters were prospectively collected from 362 consecutive patients in the adult intensive care units. Semiquantitative and broth cultures were performed on distal and proximal catheter segments, with peripheral blood culture specimens drawn in febrile patients. The overall infection rate for the 502 catheters was 11.8 percent or 2.2 infections per 100 days at risk. The infection rates were: single-lumen lines, 8 percent; triple-lumen lines, 32 percent; and triple-lumen pulmonary artery catheters, 12 percent. When corrected for time at risk, the triple-lumen lines and the triple-lumen pulmonary artery catheters had the same rate of infection, which was three times greater than that of the single-lumen catheters. After correction for confounding variables such as the presence of diabetes mellitus, the use of hyperalimentation, the degree of illness, dialysis, or ultrafiltration, and the use of a guide wire to place a replacement line over a pre-existing one, the risk of infection remained significantly higher for triple-lumen than for single-lumen catheters. The use of a guide wire to place a new line over an old one also was associated with a trend towards an increased risk of infection.

Adult↗

Microbiology of indwelling central intravascular catheters.

Indwelling central-line catheters (n = 502) from 362 patients in intensive care units were analyzed prospectively. The skin site, 6-cm-distal and -proximal subcutaneous segments of the catheter, exudates, and blood were cultured. Semiqualitative roll plate cultures of the catheter segments were followed by broth cultures and examined for 72 h. All isolates were identified, and susceptibilities were determined. Line infections, defined clinically, yielded 22 different microbial species; 10 different species were recovered from colonized lines. Of the Staphylococcus epidermidis isolates recovered, 39% occurred singly and 21% occurred in combination with other microorganisms; Enterococcus faecalis, S. hominis, and Pseudomonas aeruginosa were next in frequency of isolation. Line infections also yielded other staphylococci, viridans group streptococci, several members of the family Enterobacteriaceae, acinetobacters, anaerobic bacteria, Candida spp., and Aspergillus fumigatus. While S. epidermidis was also the most frequent isolate among the line colonizers, different species and different frequencies of isolation were found among this group. The study showed that the distal catheter segment broth culture was the best predictor of clinical line infections; in addition, gram-negative bacteria were isolated only from the catheters of patients with overt infections.

Bacteria↗

Aminoglycoside utilization study.

A retrospective review of aminoglycoside (AG) use in a tertiary care medical center/teaching hospital was conducted and use patterns were evaluated. Guidelines for AG use were approved by the Pharmacy and Therapeutics Committee and study criteria were developed to assess several parameters involving AG therapy, such as appropriateness of drug use, dosage, duration of therapy, and monitoring for toxicity. The study was conducted as part of a pharmacy quality assurance program in combination with the pharmacokinetic consultation service. A study population of 100 patients receiving an AG (gentamicin: 51, tobramycin: 33, amikacin: 16) was randomly selected from a total population of 250 patients who received AG therapy during August 1985. Medical patients accounted for 65% of AG use while surgical patients accounted for 30%. The majority of patients (84%) received an AG for an appropriate indication. Pretreatment culture/susceptibility and renal function was assessed for 89% and 91% of the patients, respectively. The study revealed problems with loading doses, maintenance doses and serum drug level monitoring. The majority of study patients did not have serum drawn for drug level determination at an appropriate time; therefore, dosage regimen decisions could not be made based on peak and trough values. No clinical nephrotoxicity was detected during treatments. The results of this study indicated the need for educating clinicians with respect to basic and applied AG pharmacokinetic principles and the importance of monitoring patients using the pharmacokinetic consultation service.

Adult↗

Potential arthropod vectors of African swine fever virus in North America and the Caribbean basin.

In an effort to identify arthropods that might serve as vectors and perhaps reservoirs of African swine fever virus (ASFV) if it were to enter the U.S.A., the blood-sucking insect Triatoma gerstaeckeri and four species of ticks of the genus Ornithodoros were established in colonies capable of reproducing in numbers sufficient to enable thorough studies to be made of their ASFV vector potentials. A nymphal stage of T. gerstaeckeri carried the virus for 41 days and retained it through one molt, but was unable to transmit it to susceptible pigs. Studies on O. coriaceus revealed that the species is able to harbor and transmit the virus for greater than 440 days, passing it trans-stadially from the first nymphal stage to the adult, sustaining it through at least four molts. Trans-ovarial passage was not demonstrated and nearly 40% of the ticks died, apparently, of the ASFV infection. O. turicata collected in Florida was also found to be capable of becoming infected with ASFV and transmitting it by bite to susceptible pigs. O. puertoricensis collected during the ASF eradication programs in the Dominican Republic and Haiti was not only readily infected experimentally, but it was also able to transmit the virus trans-stadially and trans-ovarially. However, ASFV was not isolated from any of the 350 O. puertoricensis collected in the Dominican Republic and Haiti. O. parkeri from a long-established laboratory colony were able to carry the virus through at least one molt, but they were unable to transmit it to susceptible pigs.

African Swine Fever↗

Identification of African swine fever viral antigens in the hemolymph of soft ticks (Argasidae: Ornithodoros) by the immunodot blot test.

The immunodot blot test was used to identify African swine fever virus (ASFV) antigens in the hemolymph from soft ticks (Ornithodoros coriaceus) fed on ASFV-infected pigs. The immunodot blot test was sensitive and specific for ASFV antigens and has potential field application. Hemolymph from field-collected ticks can be screened for ASFV and a variety of other tick-borne pathogens using this test.

African Swine Fever Virus↗

Occurrence and attempted transmission of Toxoplasma gondii in European starlings (Sturnus vulgaris).

Serums of 563 fledgling starlings (Sturnus vulgaris) trapped during a 14 month period near Lodi, California were examined for antibodies to Toxoplasma gondii using the microtiter indirect hemagglutination method. Titers ranging from 1:64 to 1:512 were found in 4.8% of the birds. Starlings collected during May through October had a higher prevalence of antibody than those collected during November through April. Rats inoculated with individual heart and brain suspensions from 10 seropositive starlings remained seronegative for T. gondii antibodies when tested at 22 and 82 days post-inoculation. Peritoneal smears made from these rats at post-inoculation day 82 were negative for T. gondii.

Animals↗