Publications by authors named "Victor Augusto Camarinha de Castro Lima"

Article Synopsis
  • Vancomycin-resistant Enterococcus faecium (VREfm) poses significant risks for hospital infections, with specific resistance patterns linked to the vanA and vanD genes that require further exploration.
  • The study found that VRE isolates with a VanD-vanA phenotype showed a mix of susceptibility to teicoplanin and high resistance to vancomycin, while not sharing a common genetic lineage among samples.
  • Key genetic features revealed variations in important resistance genes and insertion elements, indicating the complexity of genetic mechanisms at play, emphasizing the need for deeper research into these patterns.
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Article Synopsis
  • * A retrospective study reviewed cases of colonization and infection, analyzing 42 isolates, including environmental samples, for carbapenemase genes and genetic mutations, revealing key resistance mechanisms and virulence factors.
  • * The findings suggested that a history of polymyxin use significantly increased the risk for infection and indicated that cross-transmission might be a factor in the spread of these resistant strains, emphasizing the importance of monitoring and controlling this pathogen.
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  • Yellow fever is a serious viral disease that can lead to liver damage, but this study focused on understanding the long-term effects of severe YF on liver health in survivors, specifically looking for liver fibrosis.* -
  • Researchers evaluated 18 patients who survived a recent outbreak in Brazil using ultrasound technology to assess liver stiffness, with findings indicating a low occurrence of significant liver fibrosis among them.* -
  • Age and cardiac failure appeared to be linked to increased liver stiffness, suggesting that certain risk factors could predict liver health post-YF, while a subset of patients treated with sofosbuvir showed no signs of liver fibrosis.*
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To evaluate 30-day mortality in human immunodeficiency virus (HIV) and non-HIV patients who acquired a healthcare-associated infection (HAI) while in an intensive care unit (ICU), and to describe the epidemiological and microbiological features of HAI in a population with HIV.This was a retrospective cohort study that evaluated patients who acquired HAI during their stay in an Infectious Diseases ICU from July 2013 to December 2017 at a teaching hospital in Brazil.Data were obtained from hospital infection control committee reports and medical records.

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Article Synopsis
  • Emergency medicine requires quick decision-making, but there's limited info about the profiles of emergency physicians in Brazil, particularly in Salvador.
  • A study was conducted with interviews from 659 doctors in emergency departments of 25 hospitals, revealing they were mostly young (median age 34), with a significant proportion having received minimal emergency training.
  • The findings show that only 13% of physicians were fully satisfied with their jobs, and a striking 81.3% plan to leave emergency medicine within 15 years, primarily due to high stress levels.
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  • * Resistance was linked to chromosome mutations, and treatment varied, with 8 patients on monotherapy and 19 on combination therapy; the overall mortality rate was 37%.
  • * In vitro tests showed a 74% synergy rate for combination therapies using colistin, amikacin, and tigecycline, but no significant survival difference was found based on drug combinations; major risk factors for mortality included dialysis and shock.
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