Publications by authors named "D Garcia-Somoza"

Background: bloodstream infection (SABSI) arising from a urinary tract source (UTS) is poorly understood.

Methods: We conducted a retrospective analysis in 3 major teaching hospitals in Spain of prospectively collected data of hospitalized patients with SABSI. SABSI-UTS was diagnosed in patients with urinary tract symptoms and/or signs, no evidence of an extra-urinary source of infection, and a urinary count of ≥10 cfu/mL.

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Background: Although surgical site infections after a craniotomy (SSI-CRANs) are a serious problem that involves significant morbidity and costs, information on their prevention is scarce. We aimed to determine whether the implementation of a care bundle was effective in preventing SSI-CRANs.

Methods: A historical control study was used to evaluate the care bundle, which included a preoperative shower with 4% chlorhexidine soap, appropriate hair removal, adequate preoperative systemic antibiotic prophylaxis, the administration of 1 g of vancomycin powder into the subgaleal space before closing, and a postoperative dressing of the incisional surgical wound with a sterile absorbent cover.

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Background: To describe the prevalence, clinical characteristics, impact of systemic steroids exposure and outcomes of delayed cerebral vasculopathy (DCV) in a cohort of adult patients with pneumococcal meningitis (PM).

Methods: Observational retrospective multicenter study including all episodes of PM from January 2002 to December 2015. DCV was defined as proven/probable/possible based upon clinical criteria and pathological-radiological findings.

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Article Synopsis
  • The study analyzed 55 cases of Nocardia pneumonia from 2010 to 2016 in five Spanish hospitals, revealing an average of six to nine cases annually.
  • Major underlying conditions included chronic obstructive pulmonary disease, bronchiectasis, and asthma, with many patients on corticosteroids, and a significant portion had neoplastic or hematological malignancies.
  • The one-year mortality rate was notably high at 38.2%, linked to the patients' existing pulmonary diseases, while most Nocardia species identified were susceptible to common antibiotics like linezolid.
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The role of pre-hospital antibiotic therapy in invasive meningococcal diseases remains unclear with contradictory data. The aim was to determine this role in the outcome of invasive meningococcal disease. Observational cohort study of patients with/without pre-hospital antibiotic therapy in invasive meningococcal disease attended at the Hospital Universitari de Bellvitge (Barcelona) during the period 1977-2013.

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