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Results for “PROTEUS INFECTIONS”

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At least 289 records · Page 16Linked to original sources
PubMed1992

[The use of applied sorbents in the surgical management of wounds of the extremities].

970 laboratory experiments, 202 chronic experiments on animals and 102 clinic observations were performed to study the possibilities of sorbents to enhance the efficiency of surgical treatment in gunshot wounds of the extremities. Gravimetric, climatic, morphometrical, microbiological, spectrofluorometric, clinical and roentgenological methods of studies were used for this matter. It was ascertained that the sorbent application contributed to the optimization of the wound process. The studies have proved the advantages of composite sorbent with biologically active supplements: it has a high sorption capacity, pronounced bacteriostatic and local-anaesthetic features.

Adult↗
PubMedDate not supplied

[Regulation of the blood-brain barrier permeability in suppurative-inflammatory diseases of the maxillofacial area].

Hematoencephalic barrier (HEB) permeability was studied in 78 rabbits. HEB permeability for 32P was examined in animals with phlegmons on the posterior paws and on the maxillofacial area; HEB permeability was sharply increased in the latter group animals. Central cholinolytics and antioxidants were used to normalize this parameter in the rabbits with maxillofacial phlegmons.

Animals↗
PubMed1993

Third ventriculostomy for shunt infections in children.

Four children with extracranial shunts for noncommunicating hydrocephalus suffered from recurrent or intractable shunt infections. All patients were resistant to or relapsed after treatment with intravenous and intrathecal antibiotics with change of the shunt apparatus. They were treated with neuroendoscopic third ventriculostomy and the removal of all implants, except for a reservoir in one patient. That child later had the reservoir removed because of persistent proteus infection. All patients received antibiotics for approximately 2 weeks after the operation. There was no morbidity associated with the procedure, and all patients remain shunt independent with follow-up periods of 21 to 46 months (mean, 33 mo), although one has needed another third ventriculostomy. We have shown that third ventriculostomy is a successful surgical intervention for the management of shunt infections in patients with noncommunicating hydrocephalus.

Cerebrospinal Fluid Shunts↗
PubMed1975

Aromatic esters of 5-O-desosaminylerythronolide A oxime.

Several substituted aromatic esters of the C-3 hydroxyl of 5-O-desosaminylerythronolide A oxime were prepared. Ribosomal binding studies showed that meta substituents on the aromatic ring gave the most active analogs. The esters described were all inactive in vivo at the maximum level tested.

Bacillus subtilis↗
PubMed1987

The bacteriology of nosocomial infections at Tikur Anbessa Teaching Hospital, Addis Ababa.

Patients admitted to a teaching hospital in Addis Ababa were studied for nosocomial infection. Of 2506 patients, 13% developed clinical infections, with the highest rate among obstetric/gynaecologic patients (17.0%). Wound infection was the most frequent type of nosocomial infection (49%) followed by urinary tract infection (25%). Antibiotic prophylaxis was given to 43% of the patients. Gram-negative bacteria comprised 88% of all isolated strains Enterobacteriaceae; 75% of all isolates were found in over 60% of the infection, Proteus 25%, Escherichia coli 20% and Klebsiella 19%. The most widely used antibiotics were ineffective against 65 to 85% of the Gram-negative strains. Cefotaxime and gentamicin were more effective. Staphylococcus aureus isolates were also similarly resistant, against which cephalothin, lincomycin and gentamicin were the more effective ones. Over 70% of the strains were multiple resistant. The findings underscore the need for a surveillance program and infection control system to reduce the high rate of infection and to institute appropriate guidelines for the use of prophylactic and therapeutic antibiotics.

Anti-Bacterial Agents↗
PubMed1983

Bacterial colonization of the lower urinary tract in women with long-term indwelling urethral catheter.

The bacterial colonization of urethra and urine was studied over long periods in 16 hospitalized women with long-term indwelling bladder catheter. The cultured flora was polymicrobic and, except for Proteus mirabilis and Escherichia coli, rapidly changing. The colonization patterns showed marked inter-species variations. P. mirabilis was the species most commonly found, and in the urethra it was significantly more persistent than the other species. Unlike the other species, P. mirabilis was rarely found in urine without concomitant urethral growth. Prophylactic measures aimed to reduce the risk of permanent colonization by this pathogen, which is rendered particularly harmful by its urease production, should therefore be directed towards the urethra and the periurethral area.

Adult↗
PubMed1987

Expanded clinical spectrum of infections caused by Proteus penneri.

Strains of Proteus penneri from seven abdominal wounds (after bowel resection), five urine samples, and eight other sites were isolated in mixed cultures. Seven urine isolates were in pure cultures. All infections were nosocomially acquired, indicating that complete identification of P. penneri in the clinical laboratory is warranted.

Aged↗
PubMed1984

Euthyroid sick syndrome. Association with urosepsis in an elderly man.

A 91-year-old man with chronic incontinence managed by indwelling catheter was hospitalized for investigation of fever, hypotension, and cloudy urine. Dopamine was administered to maintain adequate blood pressure, and cefazolin and tobramycin were given for presumed urosepsis. Persistent bradycardia suggested hypothyroidism, but laboratory data were consistent with euthyroid sick syndrome. Thyroid values returned to normal with correction of the sepsis and improvement in nutrition. Exogenous thyroid was not necessary. The case reported here demonstrates that proper assessment of thyroid function in an acutely or chronically ill elderly patient requires attention to the factors that can influence thyroid values--such as non-thyroidal illness like sepsis, poor nutritional status, and use of medication like dopamine--as well as careful correlation of results of thyroid function studies with clinical findings. Euthyroid sick syndrome resolves with correction of the underlying disease and improvement in nutrition. In addition, the total thyroxine (T4) value in this condition is a good predictor of risk of death.

Aged↗
PubMed2002

Brain abscess complicating cerebral infarct.

PRESENTATION: We report a case of a 68-year-old man who suffered ischemic strokes in the left middle cerebral artery territory and three months later, following urosepsis, developed a cerebral abscess in the infarcted area. DISCUSSION: A literature search found only eight other cases. We discuss herein the common clinical aspects of brain abscess complicating strokes, the co-existent diseases, and point out the possibility of underreporting this rare but treatable complication. CONCLUSION: Cerebral abscess should be suspected in patients with a previous brain infarction or haemorrhage, who develop bacteremia and impaired consciousness without a clear explanation to their condition. Advanced age, and medical conditions known adversely to affect immunological competence reinforce the clinical suspicion.

Aged↗
PubMed1986

[A case of soft vesical calculi].

A case of soft vesical calculi is reported. A 72-year-old male, visited our clinic complaining of discharge of white muddy substance. KUB film revealed calcification in the vesical region. Urinalysis showed UTI, and culture of urine was positive for Proteus mirabilis. Thereafter, the patient suffered from discharges of similar calculi several times. Two of three infrared spectroscopic charts showed mixture of calcium phosphate and ammonium hydrogen urate and that of the remaining disclosed magnesium ammonium phosphate. An alcian blue-PAS double staining of this calculus revealed the presence of acid and neutral glycosaminoglycans, and bacterial colonies. These calculi were thought to be different from the so called 'matrix calculi'.

Aged↗
PubMed2004

Antibacterial and antipeptide antibodies in Japanese and Finnish patients with rheumatoid arthritis.

It has been suggested that Proteus infection may be involved in the pathogenesis of rheumatoid arthritis (RA). Bacterial and peptide immune responses in patients with RA and other control subjects were investigated in two geographically different populations. Serum samples from Finnish patients with early ( n=72) and advanced ( n=27) RA and 30 Finnish healthy controls, as well as from Japanese RA patients from two different locations: Tokyo ( n=30) and Otsu ( n=30), 18 patients with systemic lupus erythematosus (SLE) and 23 Japanese healthy controls were all screened for the total, and class-specific (IgG, IgA and IgM) antibodies against Proteus mirabilis, Escherichia coli and Serratia marcescens by indirect immunofluorescence assay. These samples were also tested for the determination of levels of isotypic antibodies against the shared epitope involving 16-mer synthetic peptides containing the EQRRAA or ESSRAL sequences and compared to scrambled control peptide by using an enzyme-labeled immunosorbent assay method. Significantly elevated levels of IgG and IgM antibodies to P. mirabilis and antibodies against both EQRRAA and ESSRAL peptides were detected in sera of Finnish patients with early and advanced RA, and in Japanese patients from Otsu or Tokyo compared to their corresponding control groups. In contrast, no difference either in the total or in any of the isotypic antibodies were observed between these groups when serum samples were screened against each of E. coli and S. marcescens or against the control peptide. Furthermore, there was a significant correlation between the antibody levels against Proteus bacteria only and both EQRRAA and ESRRAL peptides. Our findings support the possibility for specific involvement of P. mirabilis in the etiopathogenesis of RA even in early cases.

Antibodies, Anti-Idiotypic↗