4 results on '"Alicia Macias-Valcayo"'
Search Results
2. Comparative
- Author
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Alicia, Macias-Valcayo, John-Jairo, Aguilera-Correa, Antonio, Broncano, Raul, Parron, Alvaro, Auñon, Joaquin, Garcia-Cañete, Antonio, Blanco, and Jaime, Esteban
- Subjects
Biofilms ,Gram-Negative Bacteria ,Escherichia coli ,Humans ,Microbial Sensitivity Tests ,Anti-Bacterial Agents - Abstract
Prosthetic joint infections (PJIs) are typically caused by microorganisms that grow in biofilms. Traditional antimicrobial susceptibility tests are based on the study of planktonic bacteria that might lead to missing the biofilm behavior and to a treatment failure. This study was designed to analyze the antimicrobial susceptibility of clinical Gram-negative bacilli (GNB) isolates from PJIs in planktonic and sessile states and the possible relationship between antimicrobial resistance and biofilm formation. A total of 46 clinical isolates from patients with PJIs (mainly hip and knee prostheses) plus three GNB ATCC isolates were studied. The Minimal Inhibitory Concentration (MIC), minimal bactericidal concentration (MBC), minimal biofilm inhibitory concentration (MBIC), and minimal biofilm eradication concentration (MBEC) were assessed using a previously published methodology. Almost all of the GNB clinical isolates tested were biofilm forming. Pseudomonas aeruginosa was the largest biofilm-forming species. A comparison of MBIC
- Published
- 2022
3. Compassionate use of tocilizumab in severe SARS-CoV2 pneumonia
- Author
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María Jesús Rodríguez Nieto, Marta Lopez de las Heras, Silvia Calpena Martínez, Sarah Heili-Frades, Irene Carrillo Acosta, Aws Waleed Mohammed Al-Hayani, Laura Prieto-Pérez, Alba Naya, Javier Martinez, Miguel Ángel Piris Pinilla, Alicia Macias Valcayo, Marcel Jose Rodriguez Guzman, Ricardo Fernández Roblas, Miguel de Górgolas Hernández-Mora, Felipe Villar Álvarez, Alfonso Cabello Úbeda, José Fortes Alen, Pilar Carballosa, B. Alvarez, Fredeswinda Romero Bueno, Germán Peces-Barba Romero, Olga Sánchez Pernaute, Itziar Fernández Ormaechea, Marina Castellanos Gonzalez, Farah Ezzine, Antonio Broncano Lavado, Marta Martin Garcia, and Ana Cordero Guijarro
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Adult ,Compassionate Use Trials ,Male ,0301 basic medicine ,Microbiology (medical) ,ARDS ,medicine.medical_specialty ,Critical Care ,medicine.medical_treatment ,030106 microbiology ,Severe disease ,Antibodies, Monoclonal, Humanized ,Article ,lcsh:Infectious and parasitic diseases ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Tocilizumab ,Intensive care ,Internal medicine ,medicine ,Clinical endpoint ,Humans ,Immunologic Factors ,Intubation ,lcsh:RC109-216 ,030212 general & internal medicine ,ComputingMethodologies_COMPUTERGRAPHICS ,Aged ,Aged, 80 and over ,SARS-CoV-2 ,Interleukin-6 ,business.industry ,COVID-19 ,Pneumonia ,General Medicine ,Middle Aged ,medicine.disease ,COVID-19 Drug Treatment ,Treatment ,Cytokine release syndrome ,C-Reactive Protein ,Infectious Diseases ,chemistry ,Spain ,Female ,business - Abstract
Graphical abstract, Highlights • The survival rate is high (94% vs 72%) if tocilizumab is administered with a FiO2 ≤ 0.5%. • There are very limited side effects and secondary infections. • A significant decrease in the median serum ferritin and the median HSCRP was observed., Introduction Tocilizumab is an interleukin 6 receptor antagonist which has been used for the treatment of severe SARS-CoV-2 pneumonia (SSP), aiming to ameliorate the cytokine release syndrome (CRS) -induced acute respiratory distress syndrome (ARDS). However, there are no consistent data whom might benefit most from it. Methods We provided tocilizumab on a compassionate-use basis to patients with SSP hospitalized (excluding intensive care and intubated cases) who required oxygen support to have a saturation >93%. Primary endpoint was intubation or death after 24 hours of its administration. Patients received at least one dose of 400 mg intravenous tocilizumab during March 8-2020, through April 20-2020. Results A total of 207 patients were studied and 186 analysed. The mean age was 65 years and 68% were male. A co-existing condition was present in 68 % of cases. Death prognostic factors were older age, higher IL-6, D-dimer and high sensitivity C reactive protein (HSCRP), lower total lymphocytes and severe disease requiring higher oxygen support. The primary endpoint (intubation or death) was significantly worst (37% vs 13%, p 0.5%). Conclusions Tocilizumab is well tolerated in patients with severe SARS-CoV-2 pneumonia, but it has a limited effect on the evolution of cases with high oxygen support needs.
- Published
- 2021
4. 322. Evaluation of the BioFire® Bone and Joint Infection (BJI) Panel for the Detection of Microorganisms and Antimicrobial Resistance Genes in Synovial Fluid Specimens
- Author
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Corrin Graue, Bryan H Schmitt, Amy Waggoner, Frederic Laurent, Lelia Abad, Thomas Bauer, Irving Mazariegos, Joan-Miquel Balada-Llasat, Jarid Horn, Donna Wolk, Alexa Jefferis, Mirjam Hermans, Irma Verhoofstad, Susan Butler-Wu, Minette Umali-Wilcox, Caitlin N Murphy, Barbara J Cabrera, Jaime Esteban, Alicia Macias-Valcayo, David Craft, Benjamin von Bredow, Amy Leber, Kathy Everhart, Jennifer Dien Bard, Javier Mestas, Judy Daly, Rebecca Barr, Bart Kensinger, Benedicte Pons, and Corinne Jay
- Subjects
business.industry ,Microorganism ,medicine.medical_treatment ,Arthrocentesis ,Knee Joint ,Pathogenicity ,Microbiology ,AcademicSubjects/MED00290 ,Infectious Diseases ,Oncology ,Bsnd gene ,Poster Abstracts ,Antimicrobial resistance genes ,Synovial fluid ,Medicine ,Anaerobic bacteria ,business - Abstract
Background Bone and Joint Infections (BJIs) present with non-specific symptoms that may include pain, swelling, and fever and are associated with high morbidity and significant risk of mortality. BJIs can be caused by a variety of bacteria and fungi, including anaerobes and microorganisms that can be challenging to culture or identify by traditional microbiological methods. Clinicians primarily rely on culture to identify the pathogen(s) responsible for infection. The BioFire® Bone and Joint Infection (BJI) Panel (BioFire Diagnostics, Salt Lake City, UT) is designed to detect 15 gram-positive bacteria (including seven anaerobes), 14 gram-negative bacteria (including one anaerobe), two yeast, and eight antimicrobial resistance (AMR) genes from synovial fluid specimens in about an hour. The objective of this study was to evaluate the performance of an Investigational Use Only (IUO) version of the BioFire BJI Panel compared to various reference methods. Methods Remnant synovial fluid specimens, which were collected for routine clinical care at 13 study sites in the US and Europe, underwent testing using an IUO version of the BioFire BJI Panel. Performance of this test was determined by comparison to Standard of Care (SoC) consisting of bacterial culture performed at each study site according to their routine procedures. Results A total of 1544 synovial fluid specimens were collected and tested with the BioFire BJI Panel. The majority of specimens were from knee joints (77.9%) and arthrocentesis (79.4%) was the most common collection method. Compared to SoC culture, overall sensitivity was 90.2% and specificity was 99.8%. The BioFire BJI Panel yielded a total of 268 Detected results, whereas SoC yielded a total of 215 positive results for on-panel analytes. Conclusion The BioFire BJI Panel is a sensitive, specific, and robust test for rapid detection of a wide range of analytes in synovial fluid specimens. The number of microorganisms and resistance genes included in the BioFire BJI Panel, together with a reduced time-to-result and increased diagnostic yield compared to culture, is expected to aid in the timely diagnosis and appropriate management of BJIs. Disclosures Benjamin von Bredow, PhD, BioFire (Grant/Research Support) Jennifer Dien Bard, PhD, BioFire Diagnostic (Consultant, Scientific Research Study Investigator) Bart Kensinger, PhD, BioFire Diagnostics (Employee) Benedicte Pons, PhD, bioMerieux SA (Employee) Corinne Jay, PhD, bioMerieux SA (Employee)
- Published
- 2020
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