[Outbreak of Raoultella ornithinolytica infection in patients cared at a hemodialysis center].

Objective: In July 2022, an outbreak of Raoultella ornithinolytica infection was detected in users of a hemodialysis center in Granada and central venous catheter (CVC) users. The aim of this study was to describe the development of the outbreak and the control measures implemented as well as to identify the risk factors that may have been related to its origin.

Methods: A study of a series of thirteen cases with positive blood culture for Raoultella ornithinolytica was conducted during July 2022.

A 5-year study of bloodstream infections caused by carbapenemase-producing Gram-negative bacilli in southern Spain.

Objective: The aim of this study was to evaluate the microbiological epidemiology of carbapenemase-producing Gram-negative bacilli (CPGNB) isolated from blood during a 5-year period.

Methods: A total of 80 isolates from 78 patients were finally included; fifty-five (70.5%) were men and the mean age was 60 years.

NT-proBNP as predictor factor of cardiotoxicity during trastuzumab treatment in breast cancer patients.

Background: Trastuzumab is a drug used in HER2-positive breast cancer that increases patient survival. Due to cardiotoxicity is the most important side effect of trastuzumab treatment, cardiac monitoring should be a priority. The purpose of this study is to evaluate plasma NT-proBNP level and major cardiovascular risk factors as possible early predictors of trastuzumab-induced cardiotoxicity in HER2-positive breast cancer patients.

A general presentation on how to carry out a CHARMS analysis for prognostic multivariate models.

The CHARMS (critical appraisal and data extraction for systematic reviews of prediction modelling studies) checklist was created to provide methodological appraisals of predictive models, based on the best available scientific evidence and through systematic reviews. Our purpose is to give a general presentation on how to carry out a CHARMS analysis for prognostic multivariate models, making clear what the steps are and how they are applied individually to the studies included in the systematic review. This tutorial is aimed at providing such a resource.

[Evaluation of medical reports received from the second level of care].

Objectives: To quantify the monthly inter-clinic rate (MIR), the medical reports received, their quality and the period of delay until the first second-level consultation.

Design: Cross-sectional, descriptive study.

Setting: Rural health centre.