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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Journal of materials science 5 (1994), S. 601-605 
    ISSN: 1573-4838
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Technology
    Notes: Catheters explanted from nephropathic children were tested for microbial colonization, biofilm formation and surface defects chargeable to the implantation into the organism. Infection symptoms were detected in 13.6% of cases, versus 16% of colonization detected in the absence of clinical signs of infection. PU catheters showed slightly higher colonization/infection rates, perhaps due to the implant location. Biofilm was observed on both silicone and PU catheters, independently of the duration of catheterization; a lower amount of organic deposits was observed on the external catheter surfaces. Surface morphology of the catheters seemed to affect biofilm deposition, cavities and scratches present on both unused and explanted catheters providing preferential sites of deposit formation. Surface characteristics as well as biofilm possibly affected bacterial attachment in an in vitro adherence test. The presence of antibiotic molecules trapped in the biofilm was hypothesized to explain partial inhibition of S. epidermidis and S. aureus adhesion to catheter implanted in patients who underwent antibiotic therapy.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-198X
    Keywords: Key words  Nocardia farcinica ; Renal transplant recipient ; Resistance to therapy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Six years after a renal cadaver transplant, a 20-year-old girl developed multiple painful cutaneous abscesses and bilateral pneumonia secondary to Nocardia farcinica infection. Despite broad in vitro sensitivity to several antibiotic agents and aggressive medical treatment, the patient failed to respond and died after 10 weeks of therapy. We conclude that Nocardia farcinica is a very aggressive organism in immunocompromised patients and is often resistant to antimicrobial agents.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric nephrology 14 (2000), S. 365-366 
    ISSN: 1432-198X
    Keywords: Key words Automated peritoneal dialysis ; Peritonitis ; Paecilomyces variotii ; Fluconazole
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Fungal peritonitis is a serious complication of chronic peritoneal dialysis (CPD) and is frequently associated with CPD drop-out. Paecilomyces variotii, a common saprophytic fungus, rarely causes human infection. To date, only nine adult or adolescent patients with P. variotii peritonitis during continuous ambulatory peritoneal dialysis have been reported. In all patients, successful treatment required antifungal therapy and removal of the peritoneal catheter. We report the first case of P. variotii peritonitis in an infant on automated peritoneal dialysis successfully treated with combined intraperitoneal and oral fluconazole, without removal of the peritoneal catheter.
    Type of Medium: Electronic Resource
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