Search

Background: Non-typeable Haemophilus influenzae (NTHi) and Streptococcus pneumoniae are major causes of bacterial acute otitis media (AOM). Data regarding AOM are limited in Latin America. This is the first active surveillance in a private setting in Venezuela to characterize the bacterial etiology of AOM in children < 5 years of age., Methods: Between December 2008 and December 2009, 91 AOM episodes (including sporadic, recurrent and treatment failures) were studied in 87 children enrolled into a medical center in Caracas, Venezuela. Middle ear fluid samples were collected either by tympanocentesis or spontaneous otorrhea swab sampling method. Standard laboratory and microbiological techniques were used to identify bacteria and test for antimicrobial resistance. The results were interpreted according to Clinical Laboratory Standards Institute (CLSI) 2009 for non-meningitis isolates. All statistical analyses were performed using SAS 9.1 and Microsoft Excel (for graphical purposes)., Results: Overall, bacteria were cultured from 69.2% (63 of the 91 episodes); at least one pathogen (S. pneumoniae, H. influenzae, S. pyogenes or M. catarrhalis) was cultured from 65.9% (60/91) of episodes. H. influenzae (55.5%; 35/63 episodes) and S. pneumoniae (34.9%; 22/63 episodes) were the most frequently reported bacteria. Among H. influenzae isolates, 62.9% (22/35 episodes) were non-capsulated (NTHi) and 31.4% (11/35 episodes) were capsulated including types d, a, c and f, across all age groups. Low antibiotic resistance for H. influenzae was observed to amoxicillin/ampicillin (5.7%; 2/35 samples). NTHi was isolated in four of the six H. influenzae positive samples (66.7%) from recurrent episodes., Conclusions: We found H. influenzae and S. pneumoniae to be the main pathogens causing AOM in Venezuela. Pneumococcal conjugate vaccines with efficacy against these bacterial pathogens may have the potential to maximize protection against AOM.

The organic geochemical features of 30 sampled oils from the northern Bolivar Coastal Complex (Lake Maracaibo Basin, NW Venezuela) were examined by combining carbon isotope, classical biomarker, and extended diamondoid analyses to clarify source facies and to assess the thermal maturity and extent of biodegradation of the oils analyzed. In this work, oils are understood as a mixture of two episodes of petroleum generation from the La Luna Formation: a paleobiodegraded oil pulse during Paleogene times and a late pulse having a higher maturity in the post-Oligocene. For the oil samples analyzed, results revealed a mixing composed of different proportions of almost a terrestrially derived siliciclastic-sourced and a purely marine carbonate-sourced oil pulse. Moreover, two main groups of oils were identified by means of hierarchical cluster analysis. Finally, inter- and intrafield variations in the extent of biodegradation were also assessed using two classification schemes (Peters and Moldowan, and Manco scales). [ABSTRACT FROM AUTHOR]