From environment to clinic: the role of pesticides in antimicrobial resistance

Antimicrobial resistance (AMR) in pathogens has been associated mainly with excessive use of antibiotics. Most studies of resistance have focused on clinical pathogens; however, microorganisms are exposed to numerous anthropogenic substances. Few studies have sought to determine the effects of chemical substances on microorganisms.

Evolution of the performance of Latin America Reference Laboratories in the detection of mechanisms of antimicrobial resistance

Objective.

The objective is to present the results of the Latin American Program for Quality Assurance in Bacteriology and Antimicrobial Resistance (LA-EQAS) between 2000 and 2018 and the evolution of the detection of resistance mechanisms with clinical impact.

Identification and susceptibility profile of Candida species isolated from hemocultures in hospitals in Paraguay

Objective.

To report the species identified in candidemia isolated in hospitals in Paraguay, their distribution by age groups, and their susceptibility to fluconazole, voriconazole, and amphotericin B.

Methods.

Retrospective study of candidemia reported to the Central Health Public Laboratory by seven hospitals between 2010 and 2018. Identification and susceptibility testing were performed using the automated Vitek 2® system.

Antimicrobial resistance

Antimicrobial resistance is considered one of the most serious threats to public health worldwide, with the potential to affect anyone, at any age and in any country. Without coordinated and urgent action from all stakeholders, the world is heading towards a post-antibiotic era in which common infections that have been treated effectively for decades can be difficult and expensive to treat. In addition, antimicrobial resistance has a serious impact on the economic development of countries, including agriculture and livestock.

Risk of Zika virus-associated birth defects in congenital confirmed cases in the Brazilian Amazon

Objective.

To establish the risk of microcephaly in neonates born to women infected with ZIKV during pregnancy.

Methods.

A cohort of laboratory-confirmed ZIKV cases of congenital infections (109 mothers infected during pregnancy and 101 newborns) among 308 suspect cases was followed in Belem, Pará, Brazil, from October 2015 to December 2017.

Recommendations for reopening elective surgery services during the SARS-CoV-2 pandemic

Given the uncertainty that accompanies the SARS-CoV-2 pandemic and the need to respond to multiple chronic and acute health problems affecting the general population, including those requiring surgical intervention, the recommendations implemented in clinics and hospitals in Colombia are presented as a guide to achieve a reopening of elective surgery services in a safe, staggered and monitored manner in accordance with the

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