Publications by authors named "Mercedes Marin-Arriaza"

Background: Coagulase-negative staphylococci (CoNS) are an increasingly common cause of infective endocarditis (IE) and lack recent data from large studies.

Objectives: Our aim was to describe the epidemiology, clinical characteristics, and outcomes of staphylococcal IE in a contemporary nationwide cohort study, while comparing coagulase-negative staphylococcal IE (CoNSIE) to IE from Staphylococcus aureus (SAIE), and among IE caused by Staphylococcus epidermidis (SE), S. lugdunensis (SL), and other CoNS.

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Article Synopsis
  • Information on infective endocarditis (IE) caused by Cutibacterium spp. is scarce, and the effectiveness of new Duke-ISCVID criteria for diagnosis is still under study.
  • A national study from 2008 to 2023 found that 1% of IE cases were caused by Cutibacterium, predominantly in men, leading to serious intracardiac complications and significant mortality rates.
  • The new diagnostic criteria and molecular testing show promise for identifying Cutibacterium IE, highlighting the importance of cardiac surgery and device removal in reducing patient mortality.
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Background: Pneumocystis jirovecii pneumonia (PJP) is an opportunistic, life-threatening disease commonly affecting immunocompromised patients. The distribution of predisposing diseases or conditions in critically ill patients admitted to intensive care unit (ICU) and subjected to diagnostic work-up for PJP has seldom been explored.

Materials And Methods: The primary objective of the study was to describe the characteristics of ICU patients subjected to diagnostic workup for PJP.

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Q fever osteomyelitis has been rarely reported in children. This infection has an unclear pathophysiology and the optimal therapy is unknown. We report a 2-year-old girl with Coxiella burnetti recurrent multifocal osteomyelitis: femur, metatarsal, cuneiform, and calcaneus.

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Article Synopsis
  • The study compared infective endocarditis (IE) in children and adolescents to adults, using data from 31 hospitals in Spain between 2008 and 2020.
  • Among 5590 patients, only 49 were under 18, with 63.2% having congenital heart disease (CHD), which showed a preference for right-sided IE compared to adults.
  • Pediatric patients with CHD experienced a lower rate of heart failure, while those without CHD had clinical profiles similar to adults, including a focus on left-sided IE.
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Background: Infective endocarditis (IE) due to non-HACEK bacilli (Haemophilus species, Actinobacillus, Cardiobacterium, Eikenella, or Kingella) is uncommon and poorly described. The objectives of this study were to describe non-HACEK Gram-Negative Bacilli (GNB) IE cases and compare characteristic of IE produced by Enterobacterales and non-fermenting (NF) GNB.

Methods: From January 2008 to December 2018, 3910 consecutive patients with definitive IE diagnosis, defined with Modified Duke criteria, either clinical or pathological criteria (e.

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Background: is the leading cause of prosthetic joint infection (PJI). Beyond the antibiogram, little attention has been paid to the influence of deep microbiological characteristics on patient prognosis. Our aim was to investigate whether microbiological genotypic and phenotypic features have a significant influence on infection pathogenesis and patient outcome.

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Aims: Patients with infective endocarditis (IE) frequently have cardiac implantable electronic devices (CIEDs). Here, we aim to define the clinical profile and prognostic factors of IE in these patients.

Methods And Results: Infective endocarditis cases were prospectively identified in the Spanish National Endocarditis Registry.

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Objetive: In this review we try to update the new procedures applicable in the microbiological diagnosis of bacteriemia and fungemias.

Method: Review of scientific literature.

Results And Conclusions: After defining the process and indicating its fundamental principles, the main biomarkers used in clinical practice are reviewed.

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Introduction: Our objectives were to describe the incidence, clinical characteristics, and risk factors for Clostridium difficile infection (CDI) in critically ill patients and to determine C. difficile PCR-ribotypes.

Methods: Prospective, observational study in 26 Spanish ICUs.

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Clostridium difficile is the leading cause of nosocomial diarrhoea in developed countries, and is one of the main aetiologic agents of community diarrhea. The eruption of the hypervirulent strain BI/NAP1/027 has given rise to an increase in the morbidity and mortality of C.difficile infection (CDI).

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The use of surgically implanted medical devices has increased greatly over the last few years. Despite surgical advances and improvements in the materials and design of devices, infection continues to be a major complication of their use. Device-associated infections are produced mainly during their implantation and, are caused by microorganisms that are part of the skin flora.

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We evaluated the ability of a novel DNA strip assay (Speed-oligo® Mycobacteria) to differentiate mycobacterial species. It is based on polymerase chain reaction targeting 16S rRNA and 16S-23S rRNA regions and double-reverse hybridization on a dipstick using probes bound to colloidal gold and to the membrane. We blindly tested its capacity to identify 182 acid-fast bacilli grown on fresh liquid (BacT/Alert, MGIT) and solid (Lowenstein-Jensen) cultures (from Spanish mycobacteriology laboratories), previously identified by means of Genotype(®) Mycob.

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We evaluated 117 isolates of Mycobacterium tuberculosis for susceptibility to linezolid by the proportion and E-test methods. Linezolid showed high in vitro activity, with all the strains inhibited by View Article and Find Full Text PDF