8 results on '"Galmés Truyols A"'
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2. An outbreak of cutaneous infection due to Mycobacterium abscessus associated to mesotherapy
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Jaume Giménez-Duran, Catalina Bosch-Isabel, Antonio Nicolau-Riutort, Mercedes Gumá-Torá, Isabel Martí-Alomar, Bartolomé Seguí-Prat, Antònia Galmés-Truyols, Mikel Ruiz-Veramendi, Joana Vanrell-Berga, Margarita Portell-Arbona, and María Ángeles Rojo-Arias
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Adult ,Microbiology (medical) ,medicine.medical_specialty ,medicine.drug_class ,Injections, Subcutaneous ,Mesotherapy ,Antibiotics ,Mycobacterium Infections, Nontuberculous ,Mycobacterium abscessus ,Vial ,Disease Outbreaks ,Young Adult ,Pharmacotherapy ,Clarithromycin ,Internal medicine ,medicine ,Humans ,Technology, Pharmaceutical ,Amikacin ,Aged ,Skin ,biology ,business.industry ,Sterilization ,Outbreak ,Mycobacterium chelonae ,Skin Diseases, Bacterial ,Middle Aged ,biology.organism_classification ,Abscess ,Anti-Bacterial Agents ,Surgery ,Spain ,Materia Medica ,Wound Infection ,Drug Therapy, Combination ,Female ,Drug Contamination ,business ,Paenibacillus ,medicine.drug - Abstract
Introduction In February 2009 an outbreak of subcutaneous abscesses due to Mycobacterium abscessus was detected in Spain which affected healthy women who had undergone mesotherapy procedures in an aesthetic clinic. Methods Epidemiological research, health inspection and microbiological studies were conducted. The patients were given antibiotic treatment (according to susceptibility testing) with clarithromycin, and in some cases, combined with amikacin. Results Seventeen out of 77 patients treated in the clinic were affected. The products used for the injections were homeopathic drugs in multi-dose vials. The environmental samples were negative. The sterile injection equipment and the clinical procedures were evaluated as correct. The storage conditions for the drugs were also correct, and all the samples tested negative for Mycobacteria. However Paenibacillus provencensis was isolated from samples of unused multi-dose vials and the withdrawal of the product from distribution was ordered. Deficiencies were detected in the sterile products process of at the homeopathic drug factory, so the production line was suspended. Conclusions The results of environmental investigation suggest the most likely cause of the outbreak could have been the contamination of the products in the factory, although there was no laboratory confirmation. The widespread use of homeopathic products in invasive procedures requires extreme control during the manufacturing, handling and packaging process. It is important to consider mesotherapy and parenteral use of homeopathic medicines as potential sources of infection and therefore the same precautions in the procedures and quality assurance of products should be applied as with any other drug or medical activity.
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- 2011
3. BROTE DE GRIPE POR VIRUS PANDÉMICO (H1N1) 2009 EN UNA RESIDENCIA PARA PERSONAS DISCAPACITADAS PSÍQUICAS EN LAS ISLAS BALEARES
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Antonio Pareja Bezares, Jaume Giménez Duran, Antònia Galmés Truyols, M.ª del Carmen Gallegos Álvarez, Antonio Nicolau Riutort, Jorge Reina Prieto, and Juana María Vanrell Berga
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Pandemia ,Brote ,business.industry ,lcsh:Public aspects of medicine ,España ,lcsh:R ,lcsh:Medicine ,Influenza a ,lcsh:RA1-1270 ,General Medicine ,Disease control ,Gripe humana ,Subtipo H1N1 del Virus de la Influenza A ,Medicine ,Personas con discapacidad mental ,business ,Humanities - Abstract
Fundamentos: La temporada gripal 2009-2010 ha sido más corta y benigna de lo esperado. Desde enero de 2010 los sistemas de vigilancia de gripe indicaban unas tasas de incidencia muy bajas sin detección de circulación del virus. En este contexto, un hospital comunicó una sospecha de brote de enfermedad respiratoria grave, cuya etiología resultó ser gripe (H1N1) 2009. Describimos el brote y las actuaciones de Salud Pública para su control. Métodos: Estudio descriptivo de un brote epidémico por virus gripal pandémico en una residencia para discapacitados mentales. Establecimiento de vigilancia activa. La definición de caso de gripe fue muy sensible para detectar los nuevos casos al inicio, tratarlos precozmente y minimizar la transmisión. Se adoptaron medidas de contención de la infección por virus gripal. Resultados: De 38 casos detectados 7 (todos con factores de riesgo) sufrieron complicaciones graves. No hubo defunciones. La tasa global de ataque fue del 35,2%. Los primeros casos eran trabajadores. Los casos en residentes se acumularon en el pico del brote y entre trabajadores la presentación fue más dispersa. Ninguno de los trabajadores y sólo tres residentes habían sido vacunados. Conclusiones: El brote se inició en los trabajadores de la residencia, a partir de los cuales se difundió a las personas residentes. Destacamos la necesidad de cumplir las recomendaciones de vacunación, no sólo de las personas con factores de riesgo, sino también muy especialmente de los trabajadores en contacto con aquellos.
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- 2010
4. Oral and Poster Papers Submitted for Presentation at the 5th Congress of the EUGMS 'Geriatric Medicine in a Time of Generational Shift September 3–6, 2008 Copenhagen, Denmark
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M. T. Lonergan, B. Hovmand, M. Sánchez Cuervo, M. Tange Kristensen, C. Yau, Stefano Volpato, K. Christensen, K. Guha, J. Duggan, Y. Sawayama, J. F. M. de Jonghe, R. Rosenberg, K. Goupal, N. R. Jørgensen, P. Jordá, H. Kubšová, B. Riou, M. Monami, L. Özdemir, B. R. Duus, J. M. Fernandez Ibanez, Add Neuromed Study, S. Maertens, R. Winder, N. Akdemir, Carmelinda Ruggiero, F. Cambien, D. Bonnet, G. Barban, M. Fuentes, C. Datu, B. Ni Mhaille, D. G. Seymour, Toshio Hayashi, S. Lord, I. Kjeken, E. J. Schaefer, I. Raducanu, E. Tung, A. Truyols Bonet, D. Power, N. Morel, S. Edwards, C. Vigder, K. Promsopa, C. Geny, L. Derame, A. Dukat, A. Vilches-Moraga, K. Lihavainen, Z. Yang, R. M. Pircalabu, P. Huber, C. Eddy, A. Cella, C. Napoli, A. B. L. Pedersen, A. Fedeli, I. Sleiman, P. Weber, W. Kitisomprayoonkul, E. L. Marcus, K. Given, J. Sinclair-Cohen, S. O. Mahony, S. Vinkler, M. Krogseth, S. Otaguro, C. V. U. Øresund, D. Schoevaerdts, R. Pircalabu, B. Brack, H. Sasaki, F. Retornaz, I. Ionescu, M. Dubiel, J. Florian, L. Rokkedal, N. Quinlan, G. Dell’aquila, B. Way, C. Ionescu, T. Bermejo Vicedo, P. Eikelenboom, D. O’neill, T. Koga, A. Kachhia, M. R. Padilla Clemente, G. Batist, K. Moynier Vantieghem, P. Moerland, J. M. Bjordal, A. Pilotto, M. Michelet, R. Shafiei, Mirko Petrovic, J. Sulicka, J. Wagle, T. B. Wyller, J. Hrubanová, B. Stensrød, R. Ferretti, E. Turcu, S. Opris, A. Moreira, A. Zamora Mur, F J Martín Sánchez, N. Cogan, Marcello Maggio, Y. Kreslov, D. Ni Chroinin, G. Hanson, L. Kaiser, P. A. Kocaturk, S. Trainor, P. Takahashi, D. R. Collins, L. Campos, A. Björg Jönsdóttir, M. Cappuccio, V. Massart, T. Pattison, G. Notaridis, S. L. Ktvelä, S. Ghiorghe, Ruth Piers, L. Viati, M. Hollmann, Anja Velghe, Mikko P. Björkman, A. Zwinderman, K. Damkjær, P. Marsden, G. Cuneo, N. Bartoli, P. Gómez De Abia, A. Vilches Moraga, P. Campbell, Didem Sener Dede, B. Kirby, J. Oristrell, C. O’regan, T. Sander Pedersen, A. Hickey, R. Rozzini, B. Jansen, G. Fisher, N. Vogt-Ferrier, E. Kovari, B. Gasperini, K. Kalisvaart, N. Rye Jørgensen, K. Soda, U. Muster, K. Overgaard, J. Duiez-Domingo, M. Urbano, A. Oto, M. C. Cavallini, R. J. Van Marum, F. Gozukara, M. Cabrera Orozco, M. T. Olcoz-Chiva, A. Colvez, M. Di Bari, I. Cilesi, M. Migale, W. He, C. Dwyer, S. Engels, F. Hermmann, D. Small, Adam L. Gordon, Roberto Bernabei, R. Hnidei, C. Gonzalez-Rios, L. B. Husted, B. Dallapiccola, A. Moreau, R. Baron, U. Sveen, D. Chaiwanichsiri, A. Lopez Sierra, D. Villaneau, A. Mathur, G. Vedel Sørensen, P. Hemmi, F. Lattanzio, T. Frühwald, C. Marquis, A. Forest, B. Dalla Piccola, S. Lee, E. Ogawa, F. Coindreau, C. Rada, F. Lally, M. Yamada, K. Bakker, F. Comte, L. C. P. G. M. De Groot, H. L. Jørgensen, A. T. Isk, P. Schwarz, E. Portegijs, M. Kawakami, P. Giannakopoulos, A. Escolante Melich, M. O’ Connor, M. Rafanelli, P. Abete, M. Trabucchi, G. Clpaera, J. Vierendeels, M. Ramos, A. Salpakoski, G. Ziere, M. Ai, T. Fujisawa, K. I. Sørensen, C. Berard, K. Cobbaert, R. Fellin, M. Angel Mas, Phyo K. Myint, Burcu Balam Yavuz, K. Benmedjahed, P. Lampela, S. White, L. del Bianco, E. O. Ospedali Galliera, A. Frøland, L. Kozlov, M. T. Pacitti, P. Dave, B. Oeser, K. Kanaya, M. Rachita, Jean-Pierre Michel, Nadia Sourial, D. O’ Mahony, A. A. Piette, H. O’brien, K. Eiklid, A. J. Cruz-Jentoft, C. Shou, T. Bruun Wyller, J. Geerts, J. Korevaar, A. H. Johansen, P. Nimann Kannegaard, T. Korfitsen, A. Ayub, P. Baker, C. Scarcelli, A. Juszczak, L. S. Seest, A. Blundell, S. Bandinelli, P. A. F. Jansen, A. Maraviglia, E. S. Cankurtaran, B. Orhan, J. Vanakoski, K. J. Kalisvaart, M. Sakai, J. Oh, M. Henry, I. Kiviranta, S. Sanders, T. Mariani, A. H. Ranhoff, Mehmet Cankurtaran, B. Böhmdorfer, A. Tekeira, A. Lund, A. M. J. Maclullich, J. Hayashi, M. J. Lopez-Sanchez, S. M. I. Park, S. Willicombe, B. L. Langdahl, E. Lupeanu, A. Michael, R. Dias, G. Berrut, E. Ruffolo, D. Giet, Marianne Schroll, G. Onose, S. D. Shenkin, J. Driesen, T. Katsuya, C. Moe, M. San-Martin, Koenraad Vandewoude, A. Bambi, E. Shelley, C. Lamanna, B. Mc Eniry, B. Yoo, C. Colombi, H. Ekstrom, P. Gallagher, O. Mkhailova, A. Hnidei, F. P. Cariello, I. Moy, J. M. Vega Andion, G. Balci, F. Orso, W. Schrauwen, Patrizia Mecocci, J. L. Gallais, J. Saunders, M. Koefoed, J. Petrovicova, E. Paredes-Galan, C. Gutiérrez Fernández, Simon Lovestone, N. Berg, N. Weerasuriya, S. Biswas, K. Van Puyvelde, C. Chamot, T. Rantanenv, C. Rosen, K. O’connor, J. Ryg, L. Le Saint, D. A. Jones, M. Boncinelli, S. Baldasseroni, P. Barbisoni, E. Jones, C. F. Ambien, N. Dzerovych, P. Barry, A. Falanga, M. T. Olcoz Chiva, A. Skerris, S. Samandel, Antonio Cherubini, N. Binkley, A. Landi, P. Belli, G. Ditloto, M. Mellingsaeter, K. Wieczorowska-Tobis, L. Alonso Boix, C. Fernandez, V. Strelkova, G. Carmona, S. Amici, S. Mehrabian, J. Lietava, M. Iso-Aho, M. Masotti, I. G. Ftta, J. Carbonero Malberti, I. Carriere, A. Toornvliet, N. Grygoryeva, J. Soubeyrand, M. Cavalieri, Z. Malla, K. D. Pedersen, G. Clapera, J. M. Anton, N. R. Chopra, P. Eiken, S. Kapucu, G. Ventura, E. Cirinei, O. Vazquez, M. Checa, M. Filipa Seabra Pereira, R. Sylvest Mortensen, A. Osawa, J. Cunniffe, M. White, V. Batalha, A. Chatterjee, K. Bjøro, D. Zintchouk, E. Guillemard, R. Vreeswijk, C. Quinn, B. Romboli, G. Pepe, F. Simonsen, B. Morosanu, S. S. Celik, E. Kaykov, C. Bouras, B. Schousboe, N. van der Velde, P. Mowinckel, L. Toutous Trellu, J. Frimann, N. Vergis, T. Wulff, M. Salonoja, H. Doruk, A. Gonzalez, Dominique Benoit, L. Santos, Y. Ben-Israel, B. Grandal Leiros, F. Addante, C. Twomey, C. Sieber, C. Bonomini, P. Ziccardi, D. Carratelli, T. Jørgensen, F. Kasagi, A. Cebrian, M. Frisher, M. S. Brandt, W. Hussain, J. Mora, M. Alen, Maurits Vandewoude, C. Lidy, M. Burke, M. Mørch, A. Lyager, F. Huwez, J González Del Castillo, M. Cankuran, C. Prete, S. Anniss, S. Briggs, E. Bozoglu, S. Sipila, C. Fernandez Rios, H. Nomura, N. Faucher, L. Al-Dhahi, M. Gross, M. G. Longo, C. Schiaffini, H. Petersen, S. Crane, K. Brixen, C. Yucel, A. Leiro Manso, B. Yavuz, J. Petermans, W. Nielsen, T. Jokinen, C. L. Tofteng, D. Wan-Chow-Wah, B. Fantino, I. Barat, M. J. Lopez Sanchez, A. E. Larsen, E. Farrelly, S. Rostoft Kristjansson, J. M. Vega-Andion, V. Andrei, E. Pressel, B. Ni Bhuachalla, Steven Boonen, D. Simoni, M. G. Matera, E. Santillo, R. Sival, Dirk Vogelaers, Anna Skalska, S. Van Der Mark, H. Hirai, V. M. Chisciotti, R. Scoyni, M. Kallinen, A. Lopez-Sierra, E. Paredes Galan, D. Hagedorn, J. B. Lauritzen, Sölve Elmståhl, P. Mikes, M. Cohen, T. Vahlberg, L. E. Matzen, Gerda Verschraegen, H. Blain, E. Rees, R. Melton, T. L. J. Tammela, D. Aw, R. Miralles, E. Lopilato, M. van Zutphen, S. Ghorghe, N. Nissen, M. Lopponen, A. Oestergaard, A. Sorva, F. O’sullivan, M. Vanmeerbeek, A. Sclater, V. Juliebo, M.E. Fuentes Ferrer, S. Prada, E. Bryden, I. Maeve Rea, N. Furusyo, K. Cho, H. Cronin, F. Tigoulet, V. Povoroznyuk, F. Paris, P. Clarkson, P. E. Cotter, S. Rodriguez-Justo, F. Mazzella, E. de Waele, S. Trasciatti, O. Beauchet, E. Mannucci, K. N. Raun, C. Verdejo, S. Pautex, M. M. Mørch, P. Giniès, R. Garavan, J. Nobrega, S. Kinsella, L. Skippari, Howard Bergman, J. E. B. Jensen, T. Lee, P. Godart, B. Montero Errasquin, C. Nyhuus, Reijo S. Tilvis, G. Mancioli, D. Dawe, M. D’imperio, I. Miralles, J. Serra, M. Baglioni, C. Fallon, Y. Tatsukawa, J. Forristall, J. C. Leners, G. D’onofrio, J. de Backer, K. Flekkøy, L. Kyne, V. Dubois-Ferrière, C. Ryan, M. P. Sibret, A. Nesbakken, V. Ochiana, T. Iwamoto, E. Lotti, M. Marchionni, A. Clemmensen, J. Puustinen, S. Amor Andres, L. Wileman, Anette Hylen Ranhoff, S. Gillett, F. Lauretani, M. Gullo, H. Meluzínová, M. Seidahamd, P. de Antonio, A. Sgadari, E. Jespersen, A. Morelli, Palacios Huertas, C. Fraguglia, A. S. Rigaud, H. E. Andersen, B. Wizner, D. Fedak, J. Boddaert, Shaun T. O'Keeffe, D. O. ’Neill, B. Felli, C. Morales Ballesteros, S. Mcintosh, P. Such, O. Akyol, I. S. Young, J. M. Guralnik, A. Leiro-Manso, L. P. D’ambrosio, S. Rooij, G. Gold, H. Lee, C. Sohrt, A. Egan, D. Susanne Nielsen, C. Gravina, P. Rinaldi, C. Lestrup, S. F. Syed Farooq, M. Nuotio, L. Rexach Cano, C. Maraldi, F. Mangiaasche, Z. Mikes, E. M. Damsgaard, C. Di Serio, S. Pecchioni, S. Caplan, E. Gonzalez, M. Baccini, Y. Caine, J. Gladman, J. M. Ribera, B. Lundgren, V. Sharma, M. Morocutti, Sara Ercolani, B. H. C. Stricker, C. Popescu, M. Carpena-Ruiz, M. Verny, B. Hofman, A. Ungar, Y. Kumei, E. Topikova, L. Franceschi, S. Hussain, V. Serafini, K. Shipman, F. Sioulis, T. Coughlan, S. Bhat, B. Comert, K. Engedal, B. Kream, A. Iguchi, D. F. Vitale, M. Fornal, K. Kristiansen, I. Palma-Reis, E. Sixt, C. H. Foss, R. Rizzoli, M. Bartley, B. Fure, P. Freitas, C. Fernández Alonso, R. Njemini, F. Kelleher, A. Zamora Catevilla, S. Hoeck, F. Rashidi, J.M. Ribera Casado, M. Honing, A. Rajska-Neumann, B. D. Pedersen, A. Martins, C. M. J. Van Der Linden, D. Sharpe, R. Grue, Denis O'Mahony, J. Van der Heyden, J. Cristoffersen, Marianna Noale, U. Sommeregger, V. Goffredo, A. Qvist, Y. Akkuþ, M. T. E. Puts, M. Luque, M. P. De Antonio García, T. Takagi, N. Carroll, A. Salakowski, M. Belladonna, A. Hylen Ranhoff, S. Otokozawa, C. Ekdahl, E. Delgado Silveira, Stijn Blot, H. Mcgee, U. Senin, G. C. Parisi, S. Pedersen, F. Rengo, A. Renom, E. Vestbo, Y. Akkus, G. Van Hal, S. Murphy, V. Ducasse, G. Ryzhak, M. I. Arranz Peña, W. Knol, V. Lesauskaite, F. Patacchini, S. Abe, M. Narro-Vidal, C. Lund, N. Hayashi, M. van Breemen, H. Ohnishi, M. Torrente-Carballido, B. Bogen, H. Kayihan, Z. Tuna, C. Verdejo-Bravo, B. Battacharya, F. M. Borgbjerg, Kudret Aytemir, A. C. Drenth-Van Maanen, F. Gori, O. Duems, T.J.M. van der Cammen, Servet Ariogul, P. Villarroel, M. Kat, N. Petitpierre, I. Akyar, M. Franceschi, M. Ohishi, S. Cassano, Roy L. Soiza, T. Patel, A. M. Herghelegiu, M. Clarfield, S. Ballentyne, L. Lambertucci, Cm. Pena, A. Bayer, A. Salam, E. Moriarty, C. Roux, Y. Takasugi, M. García, C. Rodriguez-Pascual, P. Mikus, Y. Akyar, M. Torrente Carballido, V. Vayda, F. Rønholt, M. Khayat, K. Ina, O. Hazer, M. Falconer, H. N. Jacobsen, R. Custureri, H. Kasem, T. Bandholm, A. Allue Bergua, M. Levi, R. Rehman, M. Monette, C. Verdejo Bravo, O. Millot, N. Caffrey, Y. Kano, C. Cherubini, J. Kolesar, S. Maeshima, J. Fox, P. Aarnio, E. Henderson, J. Monette, M. MacMahon, L. Rytter, J. Nurminen, A. Abbas, A. S. Whitehead, G. Longobardi, Zekeriya Ulger, M. Hamada, A. Sofia Duque, Luigi Ferrucci, P. Lavikainen, J. Kennedy, I. Saez, E. Hegarty, Stefania Maggi, J. Touchon, A. Chandra, A. Bhangu, M. Labib, A. Rnould, A. Bojan, S. Mukherjee, N. Ferrara, F. Raschilas, G. Popescu, C. Annweiler, D. Hevey, D. Seripa, C. Danneels, I. Crome, M. Karlsson, Y. Kamiya, C. Carvell, I. Trani, T. van der Ploeg, G. Zulian, J. Bencke, V. Curran, P. Gherasim, B. Sejtved, R. Meade, Rose Anne Kenny, V. Curiale, A. Yu-Ballard, E. Azevedo, A. Leiros, P. Gil Gregorio, J. Gonzalez Armengol, H. Rakugi, M. C. Esculier, O. Poire, R. Raz, R. Gugliotta, M. Carpena Ruiz, Tony Mets, Ivan Bautmans, T. Karasevskaya, P. Eoin Cotter, T. Masud, C. Jeandel, K. Leckie, J. P. Lopes, R. Isoaho, A. E. Evans, F. Lacoin, C. Cho, B. Vincent, M. Lazaro, R. Cecchetti, M. Carpena, A. Kavanagh, S. Juhl Pedersen, Niccolò Marchionni, C. Swine, François Herrmann, G. O. Kavas, F. J. Garcia Garcia, S. Quintela, G. I. Prada, C. Hertogh, S. Sun Kapucu, P. Granberg, S. Byrne, R. Mcdermott, R. Van Der Stichele, A. M. Mello, A. Waldir Bezerra, J. de Jonghe, L. F. Moreno Ramiez, A. de Tena Fontaneda, M. H. Saldanha, H. Kehlet, G. V. Sørensen, M. Jylhä, J. Silvestre, K. Czabanowska, L. Gowran, F. Albertí Homar, M. de Saint-Hubert, R. Huupponen, P. le Lous, T. Bertsch, P. Dieppe, R. Topor-Madry, R. Van Gara, W. Bemelmans, V. Polcarová, C. Donnellan, B. Jørgensen, G. Leandro, S. L. Kivela, C. Boubakri, Sirpa Hartikainen, K. Ferguson, Z. Barrou, E. Costanzi, H. Hilleret, L. Danbaek, A. O’hanlon, C. Hürny, O. G. Olaru, V. Seux, C. Divoy, M. Mowe, E. Holm, H. J. Heppner, J. Martin, M. Isik, B. Gryglewska, A. Lilja, E. Romero, I. Pillay, V. Kijowska, M. Therese Lonergan, A. Alfaro Acha, M. Uyanik, A. Gabelle, P. Bueso, S. Sinha, M. Corritore, T. Shingo, E. Lacey, L. Cascavilla, R. Sulkava, K. Terumalai, S. Pellerito, Gaetano Crepaldi, R. Moe-Nilssen, Francesco Cacciatore, J. Breda, J. M. Del Rey, J. Teixeira, N. B. Nielsen, E. Granot, D. Speijer, S. A. Anstey, G. Masotti, I. G. Fita, S. Krajèík, P. Brynningsen, S. Maeda, N. Vanden Noortgate, J. Wiersinga, M. Teixeira Veríssimo, J. Cooke, N. Van Den Noortgate, K. Daly, M. M. Bisschop, A. Galmés Truyols, W.A. van Gool, J. Fernandez Soria, C. Sánchez Castellano, A. M. Cervera, E. Mossello, T. Lindhardt, C. Boulanger, E. Oziol, C. Hendriksen, A. M. Pazienza, L. Farner, P. Bastiani, F. Horgan, A. Deniz, P. Ammann, H. Takeoka, J. Lauritsen, L. Sandvik, S. S. Kapucu, I. Nakagawa, A. Jung, L. Brewer, Anne-Marie Schott, S. Zanieri, A. Teixeira, G. Parisi, P. Lund Nielsen, J. Holckova, P. Alcalde, B. Whelan, K. Toyoda, B. Dieudonne, G. Guerra, Meltem Halil, E. Garcia-Villar, R. Paz Maya, C. E. Mogensen, M. O’connor, A. Bonnerup Vind, L. Vich Martorell, F. Tarantini, Katarzyna Szczerbińska, I. Ozerov, R. Turk, M. Kamigaki, E. Mirewska, H. Bayes, S. Arino, P. Lyngholm-Kxærby, B.C. van Munster, F. Konishi, A. Morrione, C. Pena, P. Harbig, D. Gradinaru, F. Kee, B. Knold, L. Aiello, T. de Man, Renaat Peleman, Taina Rantanen, P. Birschel, P. Crome, R. Meyling, V. Khavinson, D. H. Kim, T. Luukkaala, Q. Garcia, K. Elkholy, D. Gillain, M. L. Seux, S. Greffard, P. Kjear, S. Sihvonen, Patricia M. Kearney, Tomasz Grodzicki, F. Favier, Dominique Vandijck, E. Palummeri, F. Caldi, Y. Parel, E. Jorge, L. O’connor, S. Dahlin Ivanoff, L. Tiret, K. Adie, G. Lucchetti, M. Lauridsen, A. C. Berggren, M. Simon, D. Adane, P. O. Lang, and V. Niro
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Gerontology ,Geriatrics ,0303 health sciences ,medicine.medical_specialty ,Nutrition and Dietetics ,030309 nutrition & dietetics ,Geriatrics gerontology ,business.industry ,media_common.quotation_subject ,Alternative medicine ,Medicine (miscellaneous) ,03 medical and health sciences ,Presentation ,0302 clinical medicine ,medicine ,030212 general & internal medicine ,Geriatrics and Gerontology ,business ,Quality of Life Research ,media_common - Published
- 2008
5. Brote de norovirus en Mallorca asociado al consumo de ostras
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Margarita Portell Arbona, Catalina Bosch Isabel, Antonio Nicolau Riutort, Jaume Giménez Duran, Gabriel Arbona Cerdá, Joana Maria Vanrell Berga, and Antònia Galmés Truyols
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Veterinary medicine ,Oyster ,biology ,business.industry ,Norovirus ,Public Health, Environmental and Occupational Health ,food and beverages ,Outbreak ,Food-borne outbreak ,Microbiological quality ,Ostras ,medicine.disease_cause ,Oysters ,Brote alimentario ,biology.animal ,Medicine ,business ,Feces - Abstract
ResumenSe describe la investigación de un brote de gastroenteritis por norovirus asociado al consumo de ostras. Se encuestaron 346 expuestos (266 afectados). Solamente se enviaron 14 muestras de heces de pacientes al Centro Nacional de Microbiología. Se mandaron ostras recogidas en el lugar de producción al Centro Nacional de Alimentación. Las ostras cumplían los parámetros microbiológicos de calidad aplicables antes de la comercialización, que no incluyen investigación de virus. El análisis epidemiológico asoció la aparición de la enfermedad al consumo de ostras (odds ratio [OR]=60,4; intervalo de confianza del 95% [IC95%]: 26,2-139,3) y de navajas (OR=3,13; IC95%: 1,4-6,9). Los análisis microbiológicos identificaron norovirus en los afectados, pero no en las ostras que habían estado sometidas a un tiempo mayor de depuración que las consumidas. Es necesario un control riguroso de los alimentos de especial riesgo para la transmisión de norovirus y disponer de recursos de laboratorio para investigar brotes alimentarios por norovirus.AbstractWe describe investigation into an outbreak of norovirus gastroenteritis associated with oyster consumption. A survey was conducted in 346 exposed persons, 266 of whom were cases. Only 14 feces samples from patients were sent to the National Microbiology Laboratory. Oysters collected at the production site were sent to the National Food Center. The oysters met the microbiological quality standard required before sale, which did not include virus investigation. Epidemiological analysis showed an association between gastroenteritis and consumption of oysters (OR=60.4; 95% CI: 26.2-139.3) and razor shells (OR=3.13; 95% CI: 1.4-6.9). Microbiological analysis confirmed norovirus in affected individuals but not in the oysters that had been tested after a longer purification period than those consumed. Food with a special risk of norovirus transmission should be strictly monitored. Investigators should dispose of the necessary laboratory resources to study food-borne norovirus outbreaks.
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- 2011
6. Outbreak of Hepatitis A in a Nursery School
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Catalina Bosch-Isabel, Margarita Portell-Arbona, Antonio Nicolau-Riutort, Antònia Galmés-Truyols, Juana Maria Vanrell-Berga, and Jaume Giménez-Duran
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Adult ,Male ,Pediatrics ,medicine.medical_specialty ,Adolescent ,Article Subject ,lcsh:Medicine ,Schools, Nursery ,Asymptomatic ,General Biochemistry, Genetics and Molecular Biology ,Disease Outbreaks ,Medicine ,Humans ,Young adult ,Aged ,General Immunology and Microbiology ,business.industry ,Incidence (epidemiology) ,lcsh:R ,Age Factors ,Hepatitis A ,Outbreak ,General Medicine ,Middle Aged ,medicine.disease ,Vaccination ,Spain ,Clinical Study ,Pre school ,Female ,medicine.symptom ,Outbreak control ,business - Abstract
In a background of very low incidence of hepatitis A HA in the last decade (annual average of 1.8 cases per 100,000 inhabitants) we describe an outbreak of HA which evolved in Mallorca between May and August 2010, whose main focus was a nursery school where more cases were parents and other young relatives of the children of the institution. Thirty-four cases were defined as outbreak cases. Ten were children of the nursery or their siblings and 22 adults (3 staff members of the nursery and 19 relatives; median age 33 years). The first detected cases were children of the same class. There were 2 adults with haematological complications, though not severe. All children, nursery staff members, parents, and siblings of the cases of the first affected class were immediately offered HA vaccination, but only 43.3% eligible individuals accepted it. None of the cases had been vaccinated. The outbreak spread mostly from asymptomatic children to young adults, showing the changes in HA pattern. That is of great concern as the risk of severe illness rises with age. This incident shows the need to implement new HA vaccination policies in outbreak control. This was later carried out.
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- 2013
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7. Cohort study of an outbreak of viral gastroenteritis in a nursing home for elderly, Majorca, Spain, February 2008
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A Galmés Truyols, M A Luque Fernández, F Sancho Gayá, D Herrera Guibert, G Arbona Cerdá, and Instituto de Salud Carlos III
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Male ,medicine.medical_specialty ,Pediatrics ,Epidemiology ,Attack rate ,Risk Assessment ,Rotavirus Infections ,Disease Outbreaks ,Cohort Studies ,Risk Factors ,Virology ,Humans ,Medicine ,Aged ,Caliciviridae Infections ,Aged, 80 and over ,business.industry ,Incidence ,Incidence (epidemiology) ,Public health ,Public Health, Environmental and Occupational Health ,Outbreak ,Retrospective cohort study ,Gastroenteritis ,Nursing Homes ,Spain ,Population Surveillance ,Family medicine ,Cohort ,Etiology ,Female ,business ,Cohort study - Abstract
An outbreak of acute gastroenteritis occurred in a nursing home for elderly in Majorca between 4 and 23 February 2008. To know its aetiology and mechanism of transmission a retrospective cohort study was conducted with a fixed cohort including 146 people (96 residents and 50 employees). The data were collected from clinical histories and through a survey by questionnaire. In total 71 cases were identified (53 residents, 18 employees), corresponding to an overall attack rate (AR) of 48.6%. The consumption of tap water, adjusted by age, sex and consumption of meals provided at the nursing home, presented a relative risk (RR) of 4.03 (95%CI, 1.4-11.4). The microbiological analyses confirmed the presence of norovirus and/or rotavirus in five of the seven stool samples submitted. The slow appearance of cases at the beginning of the outbreak is characteristic of a person to person transmission, while the sudden peak in the middle of the month suggests a common source such as the tap water. We therefore concluded that the outbreak likely originated from two sources: an infected employee of the nursing home and the tap water. The high number of dependent residents most probably facilitated the spread of the outbreak.
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- 2008
8. Tuberculosis surveillance in the Balearic Islands and characteristics of unreported cases from 2005 to 2007
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Antònia Galmés Truyols, Catalina Bosch Isabel, Joan Caylà Buqueras, Miguel Ángel Luque Fernández, Jaume Giménez Duran, Luis A. Bonilla Vargas, Antoni Nicolau Riutort, Dionisio Herrera Guibert, and Instituto de Salud Carlos III
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Adult ,Male ,medicine.medical_specialty ,Disease notification ,Tuberculosis ,Multivariate analysis ,MEDLINE ,Emigrants and Immigrants ,Logistic regression ,HIV Infections ,government.political_district ,Comorbidity ,Primary care ,Infradeclaración ,Vigilancia epidemiológica ,medicine ,Electronic Health Records ,Humans ,Substance Abuse, Intravenous ,Disease Notification ,Poverty ,Regresión logística ,Balearic islands ,Primary Health Care ,Intravenous drug ,Hospitals, Public ,business.industry ,Public Health, Environmental and Occupational Health ,Middle Aged ,medicine.disease ,Surgery ,Substance abuse ,Alcoholism ,Epidemiologic surveillance ,Socioeconomic Factors ,Spain ,Population Surveillance ,Family medicine ,Notificación de enfermedad ,Multivariate Analysis ,government ,Underreporting ,Female ,business - Abstract
[ES] Estudio descriptivo de los casos de tuberculosis detectados por el Sistema de Vigilancia Epidemiológicaen Baleares, en el trienio de 2005 a 2007. El objetivo fue caracterizar los casos infradeclarados en términos sociodemográficos y de su contacto con la atención primaria de salud. Globalmente, la infra declaraciónde la tuberculosis se sitúa en torno al 20%. Las características que resultan significativas en el análisis multivariado son la marginalidad social (alcoholismo, usuarios de drogas por vía parenteral o indigencia) (odds ratio ajustada [ORa]:2,6 [1,2-5,3]), el contacto con la atención primaria (ORa:3,2 [1,4-7,1]) y la tuberculosis extrapulmonar (ORa:5,5 [3,2-9,6]). Se recomienda reforzar la notificación de los especialistas hospitalarios mediante la adecuación informática de la historia clínica hospitalaria, y se observa quela información obtenida desde la informatización de la historia en atención primaria resulta de utilidad para mejorar la vigilancia epidemiológica de la tuberculosis. [EN] We performed a descriptive study of tuberculosis cases detected by the Epidemiological Surveillance System in the Balearic Islands in the triennium 2005-2007. Our goal was to characterize underreported cases in sociodemographic terms and their contact with primary care. Overall, underreporting of tuberculosis was approximately 20%. Significant factors in multivariate analysis were social marginality (consisting of alcoholism, intravenous drug use or indigence) (aOR: 2.6 [1.2 to 5.3]), contact with primary care (aOR: 3.2 [1.4 to 7.1]), and extrapulmonary tuberculosis (aOR: 5.5[3.2-9.6]). We recommend strengthening notification by hospital specialists through the use of hospital electronic records. Our findings show that the information obtained from the primary care computerized history is helpful in improving the epidemiological surveillance of tuberculosis. Sí
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