Catheter-related infections in burn patients at the Burn Centre of the University Hospital in Ostrava.

We need central venous catheters (CVCs) in management of critically ill patients with severe burns, either for the administration of fluids or monitoring hemodynamic status. Central venous catheterization may cause different early or late complications, which depend on the physician's erudition, the quality of the catheters and quality of Intensive Care Unit (ICU) nursing care for insertion. 272 CVCs were inserted in 114 both adult and pediatric patients from 2004 to 2006 in the ICU of the Burn Centre in Ostrava.

Further studies of transferable antibiotic resistance in strains of Pseudomonas aeruginosa from four clinical settings in three countries.

This paper describes transferability of antibiotic resistance determinants in clinical isolates of Pseudomonas aeruginosa resistant to imipenem, cefotaxime and ceftazidime obtained from different clinical settings in three different countries. Two strains of Enterobacteriaceae (Escherichia coli K-12 and Proteus mirabilis P-38) and two strains of P. aeruginosa (PAO and ML) were used as recipient strains.

Two nosocomial strains of Stenotrophomonas maltophilia transferring antibiotic resistance to Proteus mirabilis P-38 recipient strain.

In this report we describe a specific transfer of carbenicillin and cephaloridine resistance determinants from two different strains of Stenotrophomonas maltophilia: No. 215 and 221 isolated from two critically ill patients treated in different Intensive Care Units of a large University Hospital in Ostrava, Czech Republic. These strains were resistant to flouroquinolones and the following beta-lactam drugs: carbenicillin, cephaloridine, cefotaxime, ceftazidime, cefepime, imipenem, meropenem and aztreonam.

Transfer of antibiotic resistance and production of extended-spectrum beta-lactamase (ESBL) in nosocomial Klebsiella pneumoniae strains from two hospitals in Czech Republic.

Six Klebsiella pneumoniae strains were collected from two hospitals in Ostrava, Czech republic. Four strains (Nos. 209, 217, 218, 222) were isolated from sputa of critically ill patients from Municipal Hospital Vítkovice-Ostrava.

Transferable antibiotic resistance in nosocomial Stenotrophomonas maltophilia strain.

Stenotrophomonas maltophilia (298/85) was isolated from the extensively inflamed conjunctiva of a neonate in a regional hospital in Ostrava, Czech Republic. It was resistant to all available antibiotics except cefepime and trimethoprim. The donor S.

Transferable resistance to specific antibiotics in nosocomial strains of Pseudomonas aeruginosa from two teaching hospitals.

We describe the transfer of resistance to kanamycin, carbenicillin and cephaloridine to a recipient strain of Escherichia coli K-12 No. 3110 from three strains of Pseudomonas aeruginosa out of 146 strains tested in 1995. The P.

Evaluation of the effects of a new Water-Jel system on specific bacterial and yeast strains in laboratory conditions.

In three previous studies the Water-Jel (WJ) system was found to protect burn wounds from microbial contamination, to have excellent analgesic and cooling effects when used as a first-aid dressing and to be bactericidal to 15 microorganisms including yeasts tested from the Ostrava Burn Unit. Now a new WJ system has been introduced without povidone iodine. An extensive bacteriological laboratory evaluation of the new WJ system showed quite clearly its excellent antimicrobial and antimycotic properties for 13 of the 15 strains of microorganisms tested, the only exceptions being Clostridium difficile and partially Streptococcus faecalis.

Water-Jel in the treatment of burns. A bacteriologic study.

In a previous study the Water-Jel system (dressings) was found to protect the burn wound from microbial contamination and to have excellent analgesic and cooling effects when used as the first-aid dressing. In an extensive bacteriologic study in vitro, both semiquantitative and qualitative, Water-Jel was bactericidal in all 15 microorganisms tested, including yeasts. All 15 microorganisms were from the Ostrava Burn Unit.

[Methods for the detection of resistance to oxacillin in strains of Staphylococcus aureus].

Methods suitable for detection of resistance of staphylococci to oxacillin were tested in a group of 77 strains of Staphylococcus aureus (39 strains sensitive and 38 strains resistant to oxacillin). The influence of the composition of the medium, the growth phase of the inoculum and time of incubation on detection of resistant strains was investigated. By none of the methods resistance to oxacillin was proved in the control group of sensitive strains.

[The incidence of Streptococcus pneumonia strains with resistance to penicillin].

In the submitted paper the authors give an account of the incidence of 10 strains of Streptococcus pneumoniae resistant to penicillin and other antibacterial substances in children under one year. In the majority otitis media was involved (8 x), in one instance with septic manifestations and detection of pneumococci also from the haemoculture. From a total number of 580 strains of Streptococcus pneumoniae isolated from the end of 1986 to the first half of 1988 the ratio of penicillin resistant strains was 1.

[Use of Septopal in the treatment of bone infections].

The authors evaluate a group of 29 patients where they used during treatment of a bone infection gentamicin pellets--Septopal Merck. The mean age of the patients was 46.6 years (9-75 years) the mean duration of the symptoms of inflammation before operation was 20 months.