I n t r o d u c t i o n: Infective endocarditis (IE) is a potentially life-threatening condition. According to current ESC (European Society of Cardiology) guidelines, the use of antibiotic prophylaxis should only be reserved for specific dental procedures with interruption of consistency of the oral mucosa such as extractions and should be reserved for patients with the highest risk of developing IE. The aim of this study was to assess the knowledge of need for IE prophylaxis in defi ned clinical settings among Polish dentists.
Ma t e r i a l a n d Me t h o d s: A specially self-designed internet questionnaire was created concerning the topic of infective endocarditis prophylaxis in specifi c clinical scenarios for patients undergoing dental extractions during outpatient visits. Th e survey was made available to the dentists via internet and was active in March 2018.
R e s u l t s: There were 352 Polish dentists who completed the survey. Antibiotic prophylaxis for IE during dental extractions was used in 93% of cases with prior IE, 89% with artifi cial heart valve, 69% with biological valve, 28% with pacemaker, 54% with coronary stent, 73% with cyanotic heart defect, 58% with diabetes mellitus, 20% after prior myocardial infarction and 54% with heart valve disease. There was a significant relationship between the time of working as a physician (>15 years) and more outdated or improper IE prophylaxis (p = 0.04).
C on c l u s i o n s: The management of patients for infective endocarditis prophylaxis undergoing dental extractions is suboptimal. Antibiotic therapy is overused in some clinical scenarios and on the other hand underutilized in those recommended by the current ESC guidelines.
B a c k g r o u n d: Parechovirus and enterovirus belong to a family of Picornaviridae, nonenveloped, small-sized RNA viruses, responsible for multiple human diseases. Recent introduction of molecular tests enabled the identifi cation of parechovirus and enterovirus infections. Our aim was a retrospective analysis of signs and symptoms associated with confirmed parechovirus or enterovirus infections among children treated in the Department of Neonatology, St. Louis Regional Children’s Hospital in Kraków, Poland.
M e t h o d s: Based on laboratory records, we identified all cases of parecho- or enterovirus infections confirmed by identification of viral RNA in nasal swab or cerebrospinal fluid samples. Hospital records and laboratory tests results of selected patients were then analyzed, and selected data were summarized, with emphasis on clinical and laboratory findings at admission.
R e s u l t s: We identified 11 cases of parechovirus and three of enterovirus infections. All cases were neonates admitted to hospital with fever and irritability. Except for leukopenia in 50% of patients, no significant abnormalities were noted in blood counts and serum biochemistry, including low C-reactive protein and procalcitonin. In nine cases, cerebrospinal fluid was collected, the fluid protein concentrations and cell counts were moderately increased. Final diagnosis was meningitis in 12 children, and other viral infections in two.
C o n c l u s i o n s: Viral infection, including parecho- and enteroviruses, should be considered in the etiology of fever and meningitis in neonates. The available molecular tests allow for detection of viral genetic material even in a scant biological specimen collected from neonates.
Thirty four specimens of bony fishes (5 species) and four specimens of skates (2 species) were examined. Skates were infected with adult representatives of Phyllobothrium sp. (Tetraphyllidea) and Macrobothridium sp. (Diphyllidea). Bony fishes were infected with three morphological forms of tetraphyllidean cercoids (with mono- and bilocular bothridia, and bothridia undivided with hook-like projections), diphyllobothrid plerocercoids and one pseudophyllidean species, Bothriocephalus antarcticus sp.n. This species, as well as two species found in skates, seems to be endemic for the Kerguelen subregion.
A total of 704 fishes representing 39 species were examined. Twenty five digenean species were recognized. Only one species previously found by the present author in a fiord of this area was absent in the material. Pelagic species were usually not parasitized by digeneans, while demersal fishes were normally found to be infected. Results of the present study are compared to those from fiords. Seven species were found to be widely distributed. Two of them, Macvicaria pennelli and Genolinea bowersi, were associated with an inshore fiord environment and could be used as biological tags indicating the association of hosts with this kind of environment. Three of widely distributed species, Lepidapedon garrardi, Elytrophalloides oatesi and Lecilhaster macrocotyle, were not clearly associated with any environment.
Gonocerca phycidis, Neolebouria antarctica and other less widely distributed species, with the exception of Postmonorchis variabilis, were associated with deep part of fiords and/or open sea shelf environment. The level of infection of open sea fish at the South Shetlands was low. Many fish species living at South Georgia were massively infected; the dominant species in this area is E. oatesi, which was rare off the South Shetland Islands. A total of 45 digenean species occurring in the Antarctic fish were listed. Eleven of them were not endemic.
In the recent years earlier appearance of late blight on potato crops and the increase of infection pressure of Phytophthora infestans has been observed due to the changes in its population. The occurrence of P. infestans on potato plants at early plant growth stages points to the possibility of existence of other infection sources such as infected seed tubers or volunteer plants and their increasing role in the disease epidemiology. These changes have led to late blight epidemics developing earlier and more severely than previously and changes in the occurrence and development of first symptoms of P. infestans infection on potato plants. In the years 1997–2006, field studies were conducted at the Plant Breeding and Acclimatization Institute of Bonin with the emphasis on comparison of time of the occurrence and incidence level of late blight of potato. The criteria for pathogen infection pressure assessment were assumed to be the percentage of haulm destruction at the end of growing season and area under the disease progress curve (AUDPC), the late blight development rate defining the increase of destruction of above ground plant parts in unit time and also tuber yield and its healthiness. The observations carried out at Bonin revealed that both time of occurrence and severity of late blight differed and were dependent upon meteorological conditions and upon the year. Late blight occurred the earliest at Bonin in 2001 (42 days after planting). The time of occurrence of late blight depends upon rainfall in May and June. A very high infection rate of the pathogen was observed, particularly in 2006 (0.517) and in 2004 (0.400) despite late time of late blight appearance in the season. In these years AUDPC on the unprotected cultivar was 0.071 and 0.508, respectively. The 10 years of observations conducted at Bonin revealed that the yield and occurrence of tuber late blight depended mostly upon meteorological conditions in particular years.
Canine distemper virus (CDV) infects wild and domestic Canidae worldwide. The hemag- glutinin (H) gene has the highest genetic variation in the genome of this virus. Thus, the H gene is commonly used for lineage identification and genetic analyses. In order to study the genetic characteristics and pathogenicity of CDV strains prevalent in China, 132 samples were collected from domestic dogs with suspected CDV infection, 58 samples were confirmed to be positive, and the H gene was successfully amplified from 15 samples. The epidemic strain was identified as type Asia-1 and the novel mutations, A51T, V58I, R179K and D262N, were detected in this strain. Isolated strains, BJ16B53, BJ16B14, and BJ17B8, were used for an animal infection experiment in raccoon dogs. BJ16B53 and BJ16B14 were found to cause clinical symptoms, death, and exten- sive lesions in various organs. These results are expected to facilitate the development of effective strategies to monitor and control CDV infection in China.
In total, 18 species and larval forms of endoparasitic worms were found in 19 newly examined notothenioid fishes of three species, Trematomus hansom, Notothenia coriiceps and Chionodraco hamatus, caught off Adelie Land. One digenean species, Neolepidapedon trema-tomi, was recorded in this area for the first time. A total list of endoparasitic worms prepared by Zdzitowiecki etal. (1998) increased from 20 to 21 species and larval forms and concerns 11 determined and one determined species of Digenea (the most diverse group), three larval forms of Cestoda, three species (one identified only to genus) of Acanthocephala, two species (one in the larval stage) and one larval form of Nematoda. All these species and forms, with the exception of the indetcrmined digenean, occur also in the deep Antarctica, in the Ross Sea and/or in the Weddell Sea. The prevalence and relative density of infection with each parasite in three host species is given based on summarized previous and new data.
The infections of four fish species, Trematomus newnesi, T. bernacchii, Lindbergichthys nudifrons and Harpagifer antarcticus with parasitic worms, in the coastal zone off the Vernadsky Station (Argentine Islands, West Antarctica) are described. Data on infections are compared with previous results from Admiralty Bay at the South Shetland Islands. Indices of infection are for each host-parasite relationship. In total, 16 taxa of parasites were recorded: 6 digeneans, 3 larval cestodes, 4 (adult and cystacanth) acanthocephalans, and 3 (adult and larval) nematodes. Fifteen of them have been previously recorded in Notothenia coriiceps from this area. Hence, the number of parasitic taxa recorded in this region increased from 21 to 22. Either the digenean Macvicaria georgiana or acanthocephalan Corynosoma pseudohamanni were dominants in different hosts. Trematomus bernacchii was the most strongly infected, especially with M. georgiana (prevalence 100%, mean abundance 113.7). The infection parameters of the majority of parasites were lower at the Vernadsky Station than in the Admiralty Bay, especially for host-parasite relations with larval cestodes and nematodes. The presently reported study have confirmed that the southern range of distribution of two acanthocephalans, Aspersentis megarhynchus and Corynosoma hamanni extends south to the area near the Argentine Islands.
The objectives of this study were to determine the genetic relatedness, antibiogram and virulence factors of Staphylococcus aureus (S. aureus) isolated from bovine mastitis, associated farm workers, dairy cow farm veterinarians (private veterinarians), veterinary students, and non-veterinary university students. A total of 84 S. aureus isolates (27 from mastitis, 11 from farm workers, 9 from private veterinarians, 22 from veterinary students, and 16 from non-veterinary university students) were used to determine antimicrobial sensitivity patterns using disk diffusion test, virulence factors using PCR technique and phylogenic analysis using pulsed field gel electrophoresis. All S. aureus isolates were resistant to 2 or more commonly used antibiotics. All isolates from mastitis, farm workers, and veterinary students carried the genes encoding coagulase and thermonuclease factors while isolates from non-veterinary university students carried the genes encoding coagulase, clumping, and thermonuclease factors. The mecA gene was detected in 22.2%, 81.8%, 100%, 95.5% and 100% of isolates from mastitis, farm workers, private veterinarians, veterinary students, and non-veterinary university students, respectively. In the phylogenic analysis, 10 (45.5%), 6 (66.7%) and 8 (72.7%) isolates from veterinary students, private veterinarians and farm workers, respectively were more than 80% similar to isolates from mastitis. Results of this study indicate that S. aureus isolates from mastitis milk and those from related dairy cow personnel and veterinarians share similar antimicrobial sensitivity patterns and virulence factors, therefore a common source of bacteria may exist. Furthermore, possible transmission of S. aureus between cows and cow-related personnel and vice versa could also exist.