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Background: Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is a common cause of hospitalization. Patient outcome and prognosis following AECOPD are variable. The aim of this study is to identify the factors associated with the incidence of serious adverse events (SAE), defined as need for ICU admission, noninvasive ventilation, death during hospitalization or early readmission, in those patients admitted with AECOPD. Methods: We conducted a retrospective study by reviewing the medical records of all patients admitted with AECOPD in the University Hospital Complex of Santiago de Compostela in 2007 and 2008. To identify variables independently associated with SAE incidence, we conducted a logistic regression including those variables which proved to be significant in the univariate analysis. Results: 757 patients were assessed (mean age 74.8 years, SD 11.26), 77.2 % male, and 186 (24.6 %) of the patients assessed experienced an SAE. Factors associated with SAE in multivariate analysis were anticholinergic therapy (OR 3.19; CI 95 %: 1.16; 8.82), oxygen therapy at home (OR 3.72; CI 95 %: 1.62; 8.57), oxygen saturation at admission (OR 0.93; CI 95 %: 0.88; 0.99) and serum albumin (OR 0.26; CI 95 %: 0.1; 0.66). Conclusion: Oxygen therapy at home, anticholinergic therapy as baseline treatment, lower oxygen saturation at admission and lower serum albumin level seem to be associated with higher incidence of SAE in patients with AECOPD. [ABSTRACT FROM AUTHOR]

The gut microbiota plays an important role in host health. The ageing process affects this microbial community, and therefore, the use of functional foods to restore the microbiota of elderly constitutes an interesting strategy. To this end, probiotics and prebiotics targeted at correcting the specific microbiota alterations occurring during senescence are needed. We performed an in vitro selection of bifidobacterial strains and prebiotic substrates on the basis of their ability to counterbalance the specific microbiota aberrancies previously identified in the elderly population. Batch cultures of faeces from elderly were carried out adding different strains of Bifidobacterium or prebiotics. The effects of these strains/prebiotics upon gut microbiota were assessed by quantitative PCR and the concentrations of short chain fatty acids determined by gas chromatography-FID/MS. The target-specific selection process applied in this study allowed the preliminary selection of two Bifidobacterium strains and a prebiotic fructooligosaccharide on the basis of their specific properties for the modulation of the microbiota of elders. Overall, this study identifies potentially probiotic strains and prebiotic substrates for the development of functional foods specifically targeted to the senior population. [ABSTRACT FROM AUTHOR]

During the last years, clays have been increasingly explored as hosts for drugs. In the present paper, we have been able to host the non-steroidal anti-inflammatory drug, Tramadol, into the clay Li-fluorohectorite (Li-Fh). We preliminary evaluate its incorporation by means of UV spectroscopy and X ray diffraction. Our results indicate that the clay hosts the drug molecule in its interlayer space. We suggest a set of parameters to guarantee an efficient incorporation process. Future studies will concentrate on the release of the drug from the clay nanofluid. [ABSTRACT FROM AUTHOR]

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Copyright of Infection is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)