Resumo Objetivo Estimar a frequência da colonização por Staphylococcus aureus e as bactérias não suscetíveis à cefalosporina, em pacientes com fratura proximal do fêmur durante a internação pré-operatória. Métodos Avaliação da prevalência e incidência em 63 pacientes hospitalizados ao longo de um ano. O tempo médio de internação pré-tratamento foi de 12 dias. As amostras foram coletadas das narinas, pele da virilha e mucosa anal, durante a internação prévia ao tratamento e testadas pela técnica de disco-difusão. Resultados A incidência da colonização hospitalar e a prevalência de resultados positivos foram de 14,3% e 44,4% para Staphylococcus aureus; 3,2% e 6,4% para S. aureus resistente à meticilina; 28,6% e 85,7% para Staphylococcus coagulase-negativo resistente à meticilina; 28,6% e 61,9% para Enterobacteriaceae não suscetível à cefazolina (KFNSE); e 20,6% e 28,6% para Enterobacteriaceae não suscetível à cefuroxima (CXNSE). Além da duração do período de internação pré-tratamento, os pacientes não deambularam previamente à ocorrência da fratura e nem fizeram uso de antimicrobiano. Além disso, a duração do período de internação pré-tratamento cirúrgico, ser não-deambulador antes da fratura, uso de antimicrobianos, risco cirúrgico IV pela American Society of Anesthesiologists (ASA) e internação anterior, estiveram relacionados a um aumento na incidência de aquisição hospitalar e prevalência de colonização pelas cepas avaliadas. A prevalência de colonização pela KFNSE foi três vezes maior do que pela CXNSE na admissão e duas vezes maior no momento do tratamento da fratura. Conclusão Observou-se uma alta incidência da colonização hospitalar e prevalência da colonização por todas as cepas estudadas, o que pode orientar a indicação de medidas profiláticas contra a infecção.

Abstract Objective To estimate the frequency of Staphylococcus aureus and cephalosporin nonsusceptible bacteria colonization in patients with proximal femoral fracture during preoperative hospitalization. Methods Prevalence and incidence assessment in 63 hospitalized patients over 1 year. The median time of pretreatment hospitalization was 12 days. Samples were collected from the nostrils, groin skin and anal mucosa during the pretreatment hospitalization and were tested by the disc-diffusion technique. Results The hospital colonization incidence and the prevalence of positive results were 14.3 and 44.4% for S. aureus; 3.2 and 6.4% for meticillin-resistant S. aureus; 28.6 and 85.7% for meticillin-resistant coagulase-negative Staphylococcus; 28.6 and 61.9% for cefazolin nonsusceptible Enterobacteriaceae (KFNSE); and 20.6 and 28.6% for cefuroxime nonsusceptible Enterobacteriaceae (CXNSE). In addition, factors such as to the duration of the pretreatment hospitalization period, being non-walker before fracture, antimicrobial use, American Society of Anesthesiologists (ASA) 4 surgical risk, and previous hospitalization, were related to an increase in the incidence of hospital acquisition and prevalence of colonization by the evaluated strains. The prevalence of colonization by KFNSE was three times higher than by CXNSE on admission, and twice as high at the time of fracture treatment. Conclusion There was a high incidence of hospital colonization and prevalence of colonization by all strains studied, which may guide the indication of prophylactic measures for infection.

Comanthera spp. são perenes e comumente utilizadas para ornamentação, de alto valor económico e social, esse fato tem comprometido a conservação de populações pelo fato de serem colhidas antes da maturação das sementes. O primeiro ensaio foi realizado para verificar a eficiência do sistema de análise de imagens na distinção de espécies de Comanthera em diferentes estádios de desenvolvimento das inflorescências, bem como o potencial germinativo das sementes. O segundo ensaio foi realizado com o objetivo de estimar o conteúdo de DNA nuclear na distinção de espécies, estabelecer o tampão adequado para isolamento de núcleos interfásicos e investigar a viabilidade de utilização de diferentes partes da planta para análises em citometria de fluxo. Constatou-se que o sistema de análise de imagens tem potencial para diferenciar espécies e estádios de desenvolvimento de inflorescências de sempre-viva. A espécie C. elegans possui valores de germinação superiores nos estádios 4 e 5, que apresentam capítulo com mais de 60% de abertura. Folhas, raízes e sementes de C. bisulcata, C. elegans e C. nitida podem ser utilizadas para quantificação de DNA nuclear em citometria. O tampão Marie é indicado para extração de DNA de tecidos foliares e radiculares e o tampão LB01 das sementes.

Comanthera spp. are perennial and commonly used for ornamentation, of high economic and social value, this fact has compromised the conservation of populations because they are harvested before the maturation of the seeds. The first experiment was carried to verify the efficiency of the image analysis system in the distinction of two Comanthera species at different development stages of inflorescence, as well as the germination potential of the seeds. The second assay was carried out to estimate the nuclear DNA content in the species distinction, establish the appropriate buffer for the isolation of interphase nuclei and investigate the feasibility of using different parts of the plant for analysis by flow cytometry. It was verified that the image analysis system has the potential to differentiate species and development stages of inflorescence of sempre-vivas. The C. elegans species has higher germination values in stages 4 and 5, presenting a head with opening higher than 60%. Leaves, roots and seeds of C. bisulcata, C. elegans and C. nitida can be used for quantification of nuclear DNA by cytometry. The Marie buffer is indicated for the extraction of DNA from leaf and root tissues and the LB01 buffer for seeds.

OBJECTIVE: High-resolution computed tomography (HRCT) allows the early detection of pathological changes in the lung structure, and reproducible scoring systems can be used to quantify chest computed tomography (CT) findings in patients with cystic fibrosis (CF). The aim of the study was to describe early HRCT findings according to a validated scoring system in infants with CF diagnosed by newborn screening (NBS). METHODS: This cross-sectional study included infants with CF diagnosed by NBS who were born between January 2013 and January 2017 and who underwent HRCT scanning within the first year after diagnosis when they were clinically stable. The CT scans were evaluated using the modified Bhalla score. RESULTS: Thirty-two subjects underwent HRCT scanning. The mean total-modified Bhalla score was 3.6±2.1, and 93.8% of the scans were abnormal. Pseudomonas aeruginosa airway colonization was associated with increased modified Bhalla score values. Bronchial wall thickening was the most common feature (90.6%), followed by bronchial collapse/consolidation (59.4%), mosaic attenuation/perfusion (50%), bronchiectasis (37.5%) and mucus plugging (15.6%). Bronchial wall thickening was diffuse in most of the patients. CONCLUSION: A substantial proportion of infants diagnosed with CF after detection by NBS already showed evidence of lung disease. P. aeruginosa colonization was associated with increased Bhalla scores, highlighting the importance of this CF pathogen in early structural lung disease. The presence of bronchial wall thickening at such a young age may reflect the presence of airway inflammatory processes. The detection and quantification of structural abnormalities with the modified Bhalla score may aid in the identification of lung disease before it is clinically apparent.

Abstract Identification of nonfermenting Gram-negative bacteria (NFGNB) of cystic fibrosis patients is hard and misidentification could affect clinical outcome. This study aimed to propose a scheme using polymerase chain reaction to identify NFGNB. This scheme leads to reliable identification within 3 days in an economically viable manner when compared to other methods.

ABSTRACT CONTEXT AND OBJECTIVE: The prevalence of a variety of potentially pathogenic microorganisms in cystic fibrosis patients, such as methicillin-resistant Staphylococcus aureus (MRSA), has increased over the past decade. Given the increasing prevalence of MRSA and the few data available in the literature, better understanding of the clinical repercussions of colonization by this bacterium in cystic fibrosis patients becomes essential. This study aimed to evaluate the repercussions of chronic colonization by MRSA in cystic fibrosis patients. DESIGN AND SETTING: Retrospective cohort study from January 2004 to December 2013 in a cystic fibrosis reference center. METHODS: Each patient with cystic fibrosis was evaluated for nutritional status (body mass index, BMI, and BMI percentile), pulmonary function and tomographic abnormalities (modified Bhalla scores) at the time of chronic colonization by MRSA or methicillin-susceptible Staphylococcus aureus (MSSA) and throughout the study period. RESULTS: Twenty pairs of patients were included. There were no significant differences between the groups regarding nutritional characteristics. Spirometric data showed a trend towards greater obstruction of the airways in patients with MRSA. Patients with MRSA presented greater structural damage to their lungs, demonstrated not only by the total Bhalla score but also by its parameters individually. CONCLUSIONS: Patients colonized by MRSA presented greater functional and structural respiratory impairment at the time of chronic colonization. Disease progression was also faster in patients chronically colonized by MRSA than in those with MSSA. This was shown through comparisons that avoided possible confounding variables.

Abstract The distinction between healthcare-associated MRSA (HA-MRSA) and community-associated MRSA (CA-MRSA) infections has become increasingly blurred. We assessed the molecular characterization and antimicrobial resistance profile for MRSA isolates from blood. Most of all (81.9%) isolates are related to known HA-MRSA and CA-MRSA epidemic lineages, such as, USA300, USA400, USA600, USA800 and USA1100. This is the first multicenter study in Rio de Janeiro.

Alarmingly, the isolation of methicillin-resistant Staphylococcus aureus (MRSA) has been increasing among patients with cystic fibrosis (CF). During a previous molecular characterisation of MRSA isolates obtained from patients with CF from Rio de Janeiro, Brazil, one isolate was identified as the ST398 clone, a livestock-associated (LA) MRSA. In this study, we report the draft genome sequence of an LA-MRSA ST398 clone isolated from a patient with CF.

Achromobacter species are being increasingly isolated from the respiratory tract of cystic fibrosis patients. Recent reports indicate that Achromobacter ruhlandii is a potential human pathogen in cystic fibrosis-related infections. Here we report the draft genome of four A. ruhlandii strains isolated from cystic fibrosis patients in Brazil. This report describes A. ruhlandii as a potential opportunistic pathogen in cystic fibrosis and provides a framework to for additional enquires into potential virulence factors and resistance mechanisms within this species.

Acinetobacter pittii has emerged as an important hospital pathogen that is associated with outbreaks and drug resistance. In cystic fibrosis (CF) patients, the detection of Acinetobacter spp. is rare; however, we isolated the A. pittii sequence type ST643 in several Brazilian CF patients treated in the same centre. The current study describes the draft genome of A. pittii ST643.

O objetivo deste trabalho foi avaliar a dormência e a atividade enzimática de sementes de cultivares de arroz durante o armazenamento em diferentes ambientes. Após a colheita, as sementes das cultivares de arroz BRS Ourominas (várzea) e BRSMG Caravera (terras altas) foram secadas ao sol, até atingirem teor de água em torno de 13%. Em seguida, foram acondicionadas em embalagem de papel e armazenadas em quatro ambientes: 5 ± 2 ºC/70 ± 5% UR, 12 ± 2 ºC/70 ± 5% UR, 18 ± 2 ºC/65 ± 5% UR e em condição natural. A germinação e a atividade enzimática foram avaliadas no início e aos 3, 6, 9 e 12 meses de armazenamento. O experimento foi realizado no esquema de parcelas subdivididas no delineamento inteiramente casualizado com três repetições. A dormência das sementes armazenadas em ambiente natural foi superada em menor tempo do que as sementes armazenadas em câmara fria. Houve aumento da atividade das enzimas catalase e ascorbato peroxidase, com maior evidência no armazenamento em ambiente natural, para a cultivar BRSMG Caravera. A atividade da enzima α-amilase diminuiu durante o período de armazenamento.

The objective of this study was to assess the dormancy and the enzymatic activity of seeds of rice cultivars during storage in different environments. After harvesting, the seeds of two rice cultivars (BRS Ourominas and BRSMG Caravera) were dried in the sun, to reach a moisture content around 13%. Then, they were packed in paper and stored in four environments: 5 ± 2 ºC / 70 ± 5% RH, 12 ± 2 ºC / 70 ± 5% RH, 18 ± 2 ºC / 65 ± 5% RH and in a natural condition. Germination and enzymatic activity were assessed at the beginning and at 3, 6, 9 and 12 months of storage. The experiment was conducted in split subplots in a completely randomized design with three replications. The dormancy of seeds stored in the natural environment was exceeded in a shorter time than the dormancy of seeds stored in cold. Catalase and ascorbate peroxidase activity increased during the storage period, the most obviously in storage in natural environment to cultivate BRSMG Caravera. The activity of the enzyme α-amylase decreased during the storage period.

Objetivou-se avaliar a dormência e a qualidade fisiológica de sementes de cultivares de arroz durante o armazenamento em diferentes ambientes. Após a colheita, as sementes de três cultivares de arroz (Seleta, Curinga e Relâmpago) foram secas ao sol, até atingirem teor de água em torno de 13%. Foram acondicionadas em embalagem de papel e armazenadas em quatro ambientes: 5 ± 2 ºC / 70 ± 5% UR, 12 ± 2 ºC / 70 ± 5% UR, 18 ± 2 ºC / 65 ± 5% UR e em condição não controlada de temperatura e umidade relativa (natural). A qualidade fisiológica foi avaliada no início e aos 3, 6, 9 e 12 meses de armazenamento pelos testes de germinação, condutividade elétrica, envelhecimento acelerado e emergência em areia. O experimento foi realizado no esquema de parcelas subsubdivididas no delineamento inteiramente casualizado com três repetições. O fator ambiente foi aplicado nas parcelas, cultivares nas subparcelas e tempo de armazenamento nas subsubparcelas. As sementes da cultivar Seleta apresentaram maior porcentagem de dormência, que foi superada durante o armazenamento independente do ambiente de conservação. Sementes armazenadas em ambiente natural apresentaram qualidade fisiológica inferior. Apenas as sementes da cultivar Seleta, independente do ambiente, mantiveram a germinação acima do mínimo exigido para comercialização até os seis meses de armazenamento.

The objective of this study was to evaluate dormancy and physiological quality of seeds of rice cultivars during storage in different environments. After harvesting, the seeds of three rice cultivars (Seleta, Curinga and Relâmpago) were dried in the sun, to reach moisture content at around 13%. Then, they were packed in paper and stored in four environments: 5 ± 2 ºC / 70 ± 5% RH, 12 ± 2 ºC / 70 ± 5% RH, 18 ± 2 ºC / 65 ± 5% RH and in uncontrolled condition of temperature and relative humidity (natural). Physiological quality was evaluated at the beginning and at 3, 6, 9 and 12 months of storage by germination test, electrical conductivity, accelerated aging and sand emergence. The experiment was conducted in split plots in a completely randomized design with three replications. Environmental factor was applied in the plots, cultivars in the subplots and storage period in subplots. Cultivar Seleta showed higher dormancy, which was surpassed during storage regardless of environment conservation. In general, seeds stored in natural environment showed lower physiological quality. Only the seeds of cultivar Seleta, regardless of the environment, maintained germination above the minimum required for commercialization until six months of storage.

OBJECTIVE: The present studywas designed to evaluate the molecular epidemiology of CTX-M producing Klebsiella pneumoniae, Enterobacter cloacae and Escherichia coli isolated from bloodstream infections at tertiary care hospitals in the State of Rio de Janeiro, Brazil. MATERIAL AND METHODS: A total of 231 nonduplicate Enterobacteriaceae were isolated from five Brazilian hospitals between September 2007 and September 2008. The antimicrobial susceptibility testing was performed by disk diffusion method according to the Clinical Laboratory Standard Institute. Isolates showing resistance to third-generation cephalosporins were screened for ESBL activity by the double-disk synergy test. The presence of blaCTX-M , blaCTX-M-15 and blaKPC genes was determined by Polymerase Chain Reaction (PCR) amplification andDNA sequencing. The molecular typing of CTX-M producing isolateswas performed by pulsed-field gel electrophoresis (PFGE). RESULTS AND DISCUSSION: Ninety-three isolates were screened as ESBL positive and 85 (91%) were found to carry CTX-M-type, as follows: K. pneumoniae 59 (49%), E. cloacae 15 (42%), and E. coli 11 (15%). Ten isolates resistant for carbapenems in K. pneumoniae were blaKPC-2 gene positive. Among CTX-M type isolates, CTX-M-15 was predominant in more than 50% of isolates for K. pneumoniae, E. coli, and E. cloacae. PFGE analysis of CTX-M producing isolates showed the predominance of CTX-M-15 in 10 of 24 pulsotypes in K. pneumoniae, 6 of 13 in E. cloacae and 3 of 6 in E. coli. CTX-M-15 was also predominant among KPC producing isolates. In conclusion, this study showed that CTX-M-15 was circulating in Rio de Janeiro state in 2007-2008. This data reinforce the need for continuing surveillance because this scenario may have changed over the years.