Publications (4)6.8 Total impact
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Article: [Chikungunya fever in a Spanish traveller].
Medicina Clínica 07/2007; 129(3):118-9. · 1.38 Impact Factor -
Article: [Cervical lymphadenitis, pancytopenia and fever in a patient with HIV infection].
Enfermedades Infecciosas y Microbiología Clínica 03/2007; 25(2):157-8. · 1.49 Impact Factor -
Article: Epidemiology of urinary tract infections caused by extended-spectrum beta-lactamase-producing Escherichia coli.
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ABSTRACT: To describe the epidemiology of urinary tract infections caused by extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli. We performed three studies: a trend study (1999 to 2004) to assess the evolution and origin of ESBL-producing E. coli isolates from urine samples; a comparison of the susceptibility patterns of ESBL-producing E. coli and a random sample of non-ESBL-producing E. coli isolated in the same interval, and a retrospective chart review to determine the risk factors for acquisition of, and outcomes from, urinary tract infections caused by ESBL-producing E. coli (n = 61) compared with a random sample of non-ESBL-producing E. coli urinary tract infections (n = 61) from patients attending our institution and matched by temporal occurrence. ESBL-producing E. coli significantly increased from 2 (0.20%) to 89 (5.52%) isolates per year (P value for trend = 0.000). Of the 161 patients with urinary tract infections caused by ESBL-producing E. coli, 100 (62%) were attending ambulatory health centers, and 61 (38%) were attending the hospital. ESBL-producing E. coli showed a significant reduction in the susceptibility to most antimicrobials, although carbapenems and fosfomycin retained significant activity. The chart review study showed that previous treatment with fluoroquinolones (odds ratio 12.98, 95% confidence interval 1.81 to 106.51, P = 0.017) and the presence of a urinary catheter (odds ratio 2.64, 95% confidence interval 1.01 to 6.88, P = 0.047) were independent risk factors associated with infections caused by ESBL-producing E. coli. ESBL-producing E. coli is a problem of increasing importance. Our study results may help physicians select appropriate antimicrobial therapy in patients suspected of having urinary tract infections caused by ESBL-producing E. coli.Urology 01/2007; 68(6):1169-74. · 2.43 Impact Factor -
Article: [Parasitosis in an Ecuadorian girl].
Enfermedades Infecciosas y Microbiología Clínica 04/2006; 24(3):207-8. · 1.49 Impact Factor
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Institutions
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2006
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Marina Hospital
Marina del Rey, CA, USA
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