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PubMed2003

Quantitative microbiologic models for preterm delivery.

Preterm delivery (PTD) is the leading cause of infant morbidity and mortality in the United States. An epidemiological association between PTD and various bacteria that are part of the vaginal microflora has been reported. No single bacterial species has been identified as being causally associated with PTD, suggesting a multifactorial etiology. Quantitative microbiologic cultures have been used previously to define normal vaginal microflora in a predictive model. These techniques have been applied to vaginal swab cultures from pregnant women in an effort to develop predictive microbiologic models for PTD. Logistic regression analysis with microbiologic information was performed for various risk groups, and the probability of a PTD was calculated for each subject. Four predictive models were generated by using the quantitative microbiologic data. The area under the curve (AUC) for the receiver operating curves ranged from 0.74 to 0.94, with confidence intervals (CI) ranging from 0.62 to 1. The model for the previous PTD risk group with the highest percentage of PTDs had an AUC of 0.91 (CI, 0.79 to 1). It may be possible to predict PTD by using microbiologic risk factors measured once the gestation period has reached the 20-week time point.

Bacteria↗

PubMed2006

Yield of sputum microbiological examination in patients hospitalized for exacerbations of chronic obstructive pulmonary disease with purulent sputum.

BACKGROUND: Whether sputum microbiological examination should be performed systematically in hospitalized patients with chronic obstructive pulmonary disease (COPD) exacerbations remains unclear. OBJECTIVES: To assess the yield of sputum microbiological examination in COPD patients hospitalized in a medical ward for an acute exacerbation with purulent sputum. METHODS: Two hundred consecutive exacerbations in 118 patients were studied. Patients underwent sputum microbiological examination on admission and baseline lung function tests and CT scans were recorded. Factors associated with positive culture were analyzed. RESULTS: Sputum culture was positive (>or=10(7) CFU/ml) in 59% of samples, Haemophilus influenzae and Streptococcus pneumoniae being the most frequent pathogens. Factors associated with positive culture were bronchiectasis, long-term oxygen therapy and low FEV1. Pseudomonas spp. were found in 8.5% of all patients, who all had a FEV1<50% of predicted and were older. Only 25% of sputum samples satisfied all quality criteria. Sputum culture was positive in a high proportion of these samples (80.5%), but also in one half of samples with >25 leukocytes but >10 epithelial cells per field. Microbiological results induced a change in antibiotic therapy in 43.9% of cases with both quality criteria but also in 25.2% of cases with only one quality criterion. Finally, a predominant aspect after Gram stain was found in all positive samples. CONCLUSIONS: These data suggest that sputum microbiological examination with direct examination and leukocyte count should be performed routinely in patients hospitalized for COPD exacerbations with purulent sputum, especially when FEV1 is less than 50% predicted and in patients with bronchiectasis.

Aged↗

PubMedDate not supplied

Conjunctival scrapings and impression cytology in chronic conjunctivitis. Correlation with microbiology.

To assess the utility of exfoliative cytology in the diagnosis of chronic conjunctivitis, we compared its findings with microbiological examination and established the correlation between cytology and microbiology in 32 patients with conjunctivitis lasting four weeks or more, with a nonspecific clinical picture. The material for cytology was collected by scraping and by imprint of the ocular surface on Millipore filter paper. The specimens were stained with Giemsa. Material for bacterial culture and fluorescent antibody test for viruses and Chlamydia were obtained at the same time. In 12 patients neutrophils predominated in cytology, in six eosinophils were found and in four there were more lymphocytes. One patient had a basophilic intracytoplasmic inclusion specific for Chlamydia infection. In eight patients coagulase-negative Staphylococcus species and in one Staphylococcus aureus were isolated, in two the fluorescent antibody test for Chlamydia was positive and in three for viruses. In all patients with a positive bacterial culture, a predominance of neutrophils was observed. All patients with a positive test for viruses had lymphocytosis in conjunctival scrapings. In two patients microbiology detected Chlamydia, but characteristic intracytoplasmic inclusions were observed only in one. Scrapings gave more specific results, that correlated well with microbiology in bacterial and viral infection, whereas the results of impression cytology showed minor metaplastic changes of epithelial cells that were nonspecific for the type of inflammation. Cytology remains a useful non-invasive tool and is an adjunct to clinical and microbiological examination. It proved especially helpful in allergic conjunctivitis.

Antibodies, Bacterial↗

PubMed2001

Comparisons of microbiological evaluations of selected kitchen areas with visual inspections for preventing potential risk of foodborne outbreaks in food service operations.

Most local health departments utilize visual, but not microbiological, methods when inspecting food service operations. To evaluate the marginal utility of microbial testing for minimizing potential risks of foodborne outbreaks in restaurants, swab samples were taken from handwashing sink faucets, freshly cleaned and sanitized food-contact surfaces, and from cooler or freezer door handles in 70 of 350 category-three (high-risk) food service operations in Toledo, Ohio. The swabs were inoculated onto different selective media, and standard procedures were used to identify pathogenic and nonpathogenic bacteria. Microbiological evaluations of the sampled food service operations were compared with visual inspection reports, using a numeric rating scale. Enteric bacteria (that may indicate fecal contamination) were found on food contact surfaces, on cooler or freezer door handles, and on handwashing sink faucets in 86, 57, and 53% of the food service operations, respectively. Approximately 27, 40, and 33% of the restaurants received visual ratings of very poor to poor, fair, and good to very good, respectively. In comparison, 10, 17, and 73% of the restaurants received microbiological rating scores of very poor to poor, fair, and good to very good, respectively. Restaurants with trained personnel received significantly higher visual rating scores than restaurants without trained personnel (P < 0.01). Although more restaurants received poor rating scores by visual inspection than by microbiological evaluation, the presence of fecal bacteria from different sites in more than 50% of the food service operations indicated that visual inspection alone might not be sufficient for minimizing potential risk for foodborne disease outbreaks. Therefore, we recommend periodic microbiological evaluation of high-risk food service operations, in addition to visual inspection, for minimizing the risk of foodborne disease outbreaks.

Colony Count, Microbial↗

PubMed2001

Microbiological quality of Australian sheep meat.

Microbiological quality of sheep carcasses and boneless sheep meat produced in Australia was surveyed during the period June to November 1998. Sponge samples were collected from 917 carcasses, and meat samples were drilled from 467 cartons of frozen boneless meat. Carcass and boneless meat samples were respectively collected from 7 and 10 establishments that concentrated on export, and from 36 and 5 establishments supplying the Australian domestic market of which 31 were very small plants slaughtering cattle and sheep but no more than 1,200 sheep equivalents per week. The mean log total viable counts were 3.55/cm2 and 3.30/g for carcasses and boneless meat, respectively. Escherichia coli was detected on 29.2% of carcasses and 24.5% of boneless meat samples and coagulase-positive staphylococci on 24.1% of carcasses, and 38.6% of boneless meat samples. Salmonella was detected on 0.1% of carcasses and 1.3% of boneless meat samples. E. coli O157:H7 was recovered from 0.7% of carcasses and 1.3% of boneless sheep meat. There were statistically significant differences between establishment types for some microbiological criteria, although there were no significant differences in prevalence of Salmonella or E. coli O157:H7 between establishment types. While there were differences in sampling and microbiological techniques between this study and another conducted in 1993 to 1994 that require detailed consideration, there were small but significant improvements in several microbiological criteria for boneless meat. While data that would allow for comparison of carcass data were not gathered, it is unlikely that improvements in the microbiological quality of boneless sheep meat could accrue without improvements to carcasses.

Abattoirs↗

PubMedDate not supplied

[Microbiological evaluation of the vagina in women being screened for inflammatory and precancerous conditions of female genitalia].

The aim of this work was to study the microbiology of vaginal secretion in 3665 (19 to 72 year old) women investigated in the screening programme for inflammatory and malignant diseases. Microbiological examinations of the vaginal contents were carried out using direct preparations (Miller and Gram methods) and different media for cultures. Normal biocenosis (I and II grade of cleanliness) of the vagina was observed in 40.74% investigated patients. Abnormal biocenosis was classified as early, advanced and chronic state infections. In our study we present data on isolated strains of saprophytic organisms and pathogens including yeasts and Trichomonas vaginalis in early and chronic infections. There were homogeneous and mixed infections. The role of the physiological Lactobacillus species inhibiting development of pathogenic flora is suggestive of beneficial influence on the vaginal environment. Candidiasis of the vagina was identified in 11.35% examined women. High percentage Candida growth was found together with Lactobacillus vaginalis. It is noteworthy that trichomoniasis was less frequent compared to our previous reports. Totally we were able to isolate 2597 strains of bacteria. Bacteria type of abnormal biocenosis was found in 46.82%. The data from this study indicated that microbiological pictures (stained acc. to both Miller and Gram methods) are still of importance for the evaluation of vaginal contents. The second significant factor in microbiology of human vagina is the role of culture. This role of cultures for microbiologic studies of vaginal contents is beyond any doubt.

Adult↗

PubMed2001

Surgical microbiology in risk patients undergoing abdominal surgery.

INTRODUCTION: Incidence of surgical infection is greater among elderly patients undergoing surgery than among the general population, with a serious compromise regarding morbidity and mortality in this group of patients with increased risk. AIM OF THE STUDY: To determine the microbiological features of surgical infections in patients over 65 years of age compared with those younger than 65. PATIENTS AND METHODS: Over the past 2 years, 2,064 patients underwent surgery in our Department. One thousand three hundred sixty seven of those patients (66.7%) had 65 years of age or less and 688 (33.3%) were over 65. Patient characteristics regarding the type of surgery (degree of contamination) and the nature and type of the condition requiring surgery are reported. One hundred five hundred sixty two samples were submitted for microbiological study. The microbiological infectious pathogens and their characteristics were determined. The Chi-square test was used for the analysis of potential differences related to the age of the patient. RESULTS: The rate of samples sent for microbiological study is higher among patients over 65. In addition, these patients show both quantitative and qualitative differences in their infectious microbiological spectrum, mainly in clean-contaminated, contaminated and dirty surgical procedures. Fungal infections play a significant role in this group of patients. CONCLUSIONS: Facultative gram-negative bacilli, aerobic gram-positive cocci, and fungi are the main pathogens responsible of surgical infections in elderly patients, compared to all other patients, thus requiring specific antibiotic prophylactic and therapeutic regimes.

Abdomen↗

PubMed2002

[Organizational and methodological approaches to improving the microbiological diagnosis of tuberculosis in Russia].

The practice of the researchers of the Central Research Institute of Tuberculosis in Russia's experimental areas yielded approaches to improving the microbiological diagnosis of tuberculosis in both specialized and general health care facilities. A decisive role in enhancing the efficiency of microbiological identification of patients with tuberculosis is played by the following factors: laboratory staff training, provision of laboratories with qualitative equipment and reagents, introduction of unified methods and those approved by the Ministry of Health of the Russian Federation, regular supervision of jurisdictional laboratories, and outside test quality control. The efficiency of microbiological diagnosis of bacillary patients primarily depends on the expediency of formation of groups of patients under study, the observance of the frequency of examinations, and the assurance of the quality of collected materials. With this, the centralization of microbiological tests for tuberculosis at the most trained, certified, and licensed large laboratories that exercise a centralized control over the quality of microbiological tests.

Bacteriological Techniques↗

PubMed2004

[Microbiological findings in patients with recurrent vulvovaginal candidiasis in the Hradec Králové Faculty Hospital 1995-2002].

OBJECTIVE: To evaluate the microbiological findings in the patients with the recurrent vulvovaginal candidiasis (RVVC) with a focus on the establishment of fungal etiology and its in vitro antifungal susceptibility. DESIGN: Retrospective clinical and laboratory study. SETTING: Department of Obstetrics and Gynecology, Medical Faculty Hradec Králové, Charles University, Prague, Department of Clinical Microbiology, Medical Faculty Hradec Králové, Charles University, Prague, Department of Biological and Medical Sciences, Faculty of Pharmacy Hradec Králové, Charles University, Prague. METHODS: An analysis of clinical and anamnestic data in outpatients of the Dept. of Obstetrics and Gynecology and the laboratory data from the microbiological examinations performed in the Dept. of Clinical Microbiology from 1995 to 2002. RESULTS: Candida albicans accounted for 88.5% of the episodes of RVVC in the setting of 56 patients. Non-albicans Candida species were represented especially by C. glabrata (4.9%) and C. krusei (3.1%). There were no considerable differences between the spectrum of RVVC and acute vulvovaginal candidiasis with the exception of Saccharomyces cerevisiae (0.7% in RVVC vs. 3.7% in acute VVC). Mycological findings in 61 (20.5%) samples were accompanied by bacterial microbiota with the predominance of Streptococcus agalactiae (n = 15) and Gardnerella vaginalis (n = 9). Decreased antifungal susceptibility determined by the disk test was observed in the strains of C. glabrata, C. krusei and S. cerevisiae, the other yeast isolates being susceptible to all ten antifungal drugs tested. CONCLUSION: The microbiological examination was decisive for the establishment of the diagnosis of RVVC in most cases. The most frequent etiological agents responsible for the attacks of RVVC as well as for acute vulvovaginal candidiasis was C. albicans, which was generally susceptible to antifungal drugs.

Acute Disease↗

PubMed1999

American Society for Microbiology--99th general meeting. 30 May-3 June 1999, Chicago, IL, USA.

The American Society for Microbiology (ASM) celebrated its centenary at this meeting, which aimed to appeal to an audience with diverse microbiological interests. The program comprised six colloquia, division lectures and award sessions, division sessions, poster and special interest sessions, as well as pre-meeting workshops. The colloquia topics, selected by the ASM members advisory committee, were: pathogenesis; microbes and public health; microbial diversity; beyond the recombinant RNA revolution; molecular dissection of complex biological processes; and, host defenses. The divisional groups were: diagnostic microbiology and epidemiology; pathogenesis and host response mechanisms; general microbiology; and, molecular microbiology, physiology and virology. Each group highlighted a topic of importance to scientists from all divisions within that group and the divisional lecture was given by a distinguished scientist within one of the division's sessions.

Journal Article↗

PubMedDate not supplied

[Quality control in microbiology (author's transl)].

The microbiology quality control importance is emphasized and some particular problems that quality control presents in microbiology are also indicated. There are two types of microbiology quality control as well as for hematology and chemical chemistry: collective quality control, between more laboratories, and individual quality control, in the sphere of each laboratory. A.M.O.I. (Associazione Microbiologi Ospedalieri Italiani) and I.S.V.T. (Istituto Sieroterapico Vaccinogeno Toscano) Sclavo collaborating, have organized a collective quality control between laboratories of different hospitals during the year 1974 and 1975. The results of this control are reported. Although preliminary, they indicate practical importance of microbiology control. During 1975, in fact, the pathogens isolated have been in high percentage than 1976. At last, the future quality control's program aiming at methods's standardization and technical, methodical instructions is indicated.

Bacteriological Techniques↗

PubMed1994

Comparison of microbiologic culture, an enzyme-linked immunosorbent assay, and determination of somatic cell count for diagnosing Staphylococcus aureus mastitis in dairy cows.

Results of using microbiologic culture of a single milk sample, determination of somatic cell count (SCC), an ELISA, and a combination of determination of SCC and ELISA to diagnose Staphylococcus aureus mastitis in dairy cattle were compared. Cows were considered to have S aureus intramammary infections if microbiologic culture of at least 2 of 3 consecutive sets of milk samples yielded growth of the organism. Data were analyzed from milk samples collected over a 4-month period from 185 cows in 5 herds. Sensitivity, specificity, and likelihood ratio of a positive test result for microbiologic culture of a single milk sample were 93%, 99%, and 93.0, respectively. Sensitivity, specificity, and likelihood ratio of a positive test result for ELISA were 69%, 61%, and 1.8, respectively, and for determination of SCC, they were 79%, 72%, and 2.9, respectively. Combination of determination of SCC and ELISA had sensitivity, specificity, and likelihood ratio of a positive test result of 80%, 62%, and 3.4, respectively. Results from microbiologic culture of consecutive milk samples were more consistent than results of ELISA performed on consecutive samples. These data suggest that microbiologic culture of a single milk sample is the best of the 3 tests studied for diagnosing S aureus intramammary infection.

Animals↗

PubMed2003

Corridor consultations and the medical microbiological record: is patient safety at risk?

The performance procedures of the General Medical Council are aimed at identifying seriously deficient performance in a doctor. The performance procedures require the medical record to be of a standard that enables the next doctor seeing the patient to give adequate care based on the available information. Setting standards for microbiological record keeping has proved difficult. Over one fifth of practising medical microbiologists (including virologists) in the UK (139 of 676) responded to a survey undertaken by the working group developing the performance procedures for microbiology, to identify current practice and to develop recommendations for agreement within the profession about the standards of the microbiological record. The cumulative frequency for the surveyed recording methods used indicated that at various times 65% (90 of 139) of respondents used a daybook, 62% (86 of 139) used the back of the clinical request card, 57% (79 of 139) used a computer record, and 22% (30 of 139) used an index card system to record microbiological advice, suggesting wide variability in relation to how medical microbiologists maintain clinical records.

Health Care Surveys↗

PubMed2000

Acquisition of microbiological data to enhance food safety.

The routine acquisition and archiving of microbiological data is undertaken for two reasons. The first is the development of historical microbiological profiles of foods, ingredients, or processes in order to determine or verify that microorganisms of concern are being controlled to the level desired. The second reason is data concerning the pathogenicity or virulence of foodborne pathogens and their behavior in foods in order to develop strategies and criteria for assuring microbiological safety. Both types of microbiological data are essential to effective food safety programs. A firm understanding of the uses and limitations of both is essential to correct acquisition, interpretation, and use of such data.

Databases, Factual↗

PubMed1995

[Revolution in diagnostic microbiology. Needs, driving forces and consequences].

Introducing molecular biological technology into medical microbiology promotes deeper insight into the epidemiology, pathogenesis, diagnostics and treatment of infectious diseases. New technology has helped to highlight the complicated biological interaction between host and microbes and has created a need for more advanced technology both in microbiological diagnostics and in microbiological science. Extra-professional factors like the high prestige of new techniques have also been of considerable significance. Medical microbiologists will become an important link between the inventors of new technology and the physicians who diagnose and treat the patients. Through these contacts and their diagnostic laboratory work, they will become important generators and communicators of knowledge. In this connection it will be important to represent reason in introducing technology in medical microbiological diagnostics. Since patients are expected to play a more active part in health care, communicating knowledge to patients and the population in general will become an obligation.

Genetic Techniques↗

PubMed1993

[The development of an information network for new techniques in clinical microbiology].

In accordance with changes in our life styles and our social and biological environment, the techniques and methods of clinical microbiology must change and develop. New techniques, such as selected zone culture, direct drug susceptibility test, ATP bio-luminescence assay on membrane filter and expiratory gas analysis are among these developments. To ensure equal development among medical laboratories, an information network concerning these new microbiological methods in needed. An enormous quality of information can be contained and managed usefully by a two dimensional bar-code system. Clinical microbiology must not only contribute to clinical medicine but also respond to changes in the social and biological environment, and must include cost effectiveness, and preservation of natural resources. Using the new techniques effectively and introducing automatic systems will facilitate practical, useful and rapid clinical microbiological diagnoses.

Computer Communication Networks↗

PubMed1978

[Search for nucleic acid influencing, as well as membrane active, potential cancerostatic fungal metabolites using microbiological and cytological screening methods].

A prescreening program including microbiological and cytological assays was employed in search of potential cancerostatic antibiotics in crude extracts of mushrooms. The microbiological tests based on agar diffusion techniques consist of prophage induction test and BIP-test. All active compounds selected by these microbiological models are potential inhibitors of nucleic acid metabolism. Cytological assays on leukemia L 1210 cells have been carried out by microscopic examination and by evaluation using an electronic particle counter. Activity was expressed as decrease of the number of single cells caused by agglutination or lysis of cells, changes in cell surface area, dye exclusion, and increase of cell volume. A wide variety of mushrooms was demonstrated to exhibit interesting activities in some of these screening systems. The influence of primary metabolic products of mushrooms on microbiological models was studied additionally. In vivo assays have not yet been accomplished.

Antibiotics, Antineoplastic↗

PubMed2005

Microbiological risk assessment of Agios Georgios source supplies in Northwestern Greece based on faecal coliforms determination and sanitary inspection survey.

The assessment of potential risks from microbiological contamination of drinking water supplies is of greatest concern to human health. The study involves the examination of water samples from Agios Georgios source that supplies the capitals, the major towns and several villages of Arta, Preveza and Lefkada prefectures, in Northwestern Greece. The study includes the sanitary inspection survey of the source and the microbiological examination of water samples on a monthly basis during the period February 1996-June 1999 except of Augusts (n=38). The microbiological risk assessment (MRA) approach of World Health Organisation (WHO) guidelines was applied to enhance the source protection. The faecal contamination of the source water was quantified using faecal coliforms (FC) as indicator bacteria. Microbiological analyses indicate that of the 38 samples analyzed the FC failure rate (positive samples) was 63.2% according to the limit set by the 98/83 directive of the European Union. The 36.8% of the source water samples was found in conformity with WHO guidelines, 42.1% of low risk, 21.1% of intermediate risk while there was not found samples of high or very high risk. Failure rates displayed a seasonal trend being greater during the winter, decreased during spring and autumn and lower during summer. This observation was explained partially by a significant positive relationship with the rainfall amount (r(Spearmann)=0.890, P=0.001). The sanitary inspection score was found 5/10 during the whole survey period that corresponds to an intermediate risk of source contamination. The color-code classification for FC contamination was found 36.8% A (blue, no risk), 42.1% B (green, low risk) and 21.1% C (yellow, intermediate risk). The previous risks were combined for the assessment of waterborne risk, which was determined as intermediate to high; therefore there is a need for high action priority. The potential remedial actions were also suggested in order to improve the source protection of such supplies.

Colony Count, Microbial↗