Study describes incidence, risk factors for MDR Enterobacteriaceae in kidsA study yesterday in BMC Infectious Diseases shows that critically ill children with tracheal Enterobacteriaceae infection are at risk for multidrug-resistant (MDR) infections.The retrospective, single-center analysis was performed on ventilated patients admitted to the pediatric intensive care unit of the University Children’s hospital in Tubingen, Germany, from 2005 to 2014. While mechanically ventilated pediatric patients are known to be at risk for tracheal colonization with MDR Enterobacteriaceae, the underlying risk factors are poorly understood. The investigators were looking to determine the incidence of children with suspected MDR infection and the predisposing risk factors.During the study period, 167 Enterobacteriaceae isolates were obtained from the lower respiratory tracts of 123 intubated patients. Of those isolates, 116 (69%) were susceptible and 51 (31%) were identified as MDR Enterobacteriaceae. The most prevalent isolates were Enterobacter spp, followed by Escherichia coli and Klebsiella spp. The most prevalent MDR organisms were E coli, Klebsiella, and Enterobacter spp.Using a classification and regression tree (CRT) analysis to predict risk factors, the investigators determined that antibiotic pre-treatment for more than 7 days increased the risk of infection with an MDR isolate by 62%. In addition, they found that gastrointestinal comorbidity increased the chance of MDR infection from 25% to 40% in patients who received less than 7 days of antibiotic therapy.”Collectively, our results imply that early identification of patients at risk, rapid microbiological diagnostics and tailored antibiotic therapy are essential to improve management of critically ill children infected with Enterobacteriaceae,” the authors write.Feb 21 BMC Infect Dis studyResearchers report MCR-1 in pets, pet food in ChinaAbout 9% of pets and 20% of pet food samples tested in Beijing, China, contained the MCR-1 gene, which confers resistance to the last-resort antibiotic colistin, according to a study yesterday in Emerging Infectious Diseases.An international team of experts tested 566 Enterobacteriaceae isolates collected from cats and dogs via nasal and rectal swabs in the city from 2012 through 2016. Of the total, 49 (8.7%) of the isolates harbored the MCR-1 gene, which was first reported late last year in a 50-year-old man in China. The gene was found on 47 E coli isolates and 2 Klebsiella pneumonia samples. The overall count of colistin-resistant isolates was 79, mostly E coli.The researchers also isolated the MCR-1 gene from 1 of 25 Enterobacteriaceae samples collected from 32 nasal swabs from pet owners. The isolate had the same genetic fingerprint as 5 of the pet samples.In addition, the team tested 35 dog and cat food samples, 7 of which (20%) were positive for MCR-1, signifying a possible source for the animal infections.The authors noted that colistin is not used to treat companion animals in China, and the pets tested had minimal to no contact with food-producing animals that might have been treated with the drug. They conclude, “Because of frequent and close contact between humans and companion animals, our study proposes that opportunities exist to transmit colistin-resistant Enterobacteriaceae to and from both groups.”Feb 21 Emerg Infect Dis study Study: Xpert TB test not tied to increased rates of second-line treatmentA South African study yesterday concluded that the Xpert MTB/RIF tuberculosis (TB) test was associated with a reduction in treatment delay from a median of 44 days in 2011 to 22 days in 2013 for patients with drug-resistant TB but did not significantly improve the proportion of patients receiving proper antibiotics. The study appeared in PLoS Medicine.South African and Dutch researchers aimed to assess second-line antibiotic treatment before and after the Xpert MTB/RIF test was implemented in South Africa, so they analyzed data from 2011 and 2013 on more than 5,000 TB cases resistant to the key first-line drug rifampin.The investigators found that treatment delays were halved after Xpert implementation, from 44 to 22 days. But they found no difference in those who started second-line drug treatment within 6 months of diagnosis by Xpert (62%) and those diagnosed by other methods (64%). They also found substantial variation across the country’s nine provinces in both the rate of second-line 6-month treatment initiation and the median time to treat.Although Xpert appeared to have not improved rates of appropriate treatment, the authors wrote, “given improved case detection, a larger proportion of the total population of individuals with rifampicin-resistant TB will receive treatment.” They added, “Further strategies to improve linkage to treatment for all patients diagnosed with rifampicin-resistant TB are required.”Feb 21 PLoS Med study
Share PORT-AU-PRINCE, Haiti (CMC) – The Special Representative of the United Nations Secretary General for Haiti, Sandra Honoré, says the deportations being carried out by the Dominican Republic must not result in statelessness of people of Haitian descent.She says such acts should be consistent with the dignity, human rights and international humanitarian law.Last Friday, the Office of the UN High Commissioner for Refugees (UNCHR) appealed to the government of the Dominican Republic to ensure that people who were arbitrarily deprived of their nationality as a result of a 2013 ruling of the Dominican Constitutional Court would not be deported.According to UNHCR, in May 2014, the Dominican Republic adopted a naturalization law which provided for the re-issuance of nationality documents for some individuals born in the Dominican Republic and gave others the possibility to apply for special registration until February 2015, opening a path to eventual citizenship.In an interview with UN Radio, Honoré said that in a recent meeting with the Foreign Minister and the immigration authorities in the Dominican Republic, those officials explained to her that during the process of deportation they would “take all necessary measures so that there was full respect for the basic guarantees of the people”. Honoré, who is also head of UN Stabilization Mission in Haiti (MINUSTAH), said that to date, there has been an increase in the flow of returnees and that both governments have decided that there would be two official points for carrying out deportations.“We encourage the dialogue recently begun at the level of foreign ministers of both countries to continue, to agree on the best way to…address these measures,” she said.She said that at several points along the border where people have gathered, the Haitian Government does not have the capability to receive or process them.“This will, in fact, be a challenge for the government,” she said, acknowledging that in response, Haitian authorities have established a committee of national solidarity to deal with the question of returnees from the Dominican Republic.In addition, Honoré said the government of Haiti does have a contingency plan that it has developed to deal with the return of large numbers of Haitian citizens and the Government is working with UN agencies, funds and programmes regarding the support it needs to enact the plan.“Our mandate for stabilization in Haiti dictates that we support the Government as best we can and within the resources that are available to us,” she said, explaining that two rounds of elections – legislative and presidential – are scheduled to take place in Haiti over the coming months.She said the UN would aim to maintain support for the Government to ensure that the climate surrounding these elections would be a serene as possible, and “we would do everything that we possibly can to ensure that the challenges posed by this situation do not translate into any undesirable effects on the overall election process”. Share 43 Views no discussions InternationalNewsPrintRegional UN calls on Dom Rep to re-think deportation policy by: Caribbean Media Corporation – June 26, 2015 Share Sharing is caring! Tweet
Pabrik Airbus di Getafe, Spanyol. Foto: airbus.com Setelah Boeing yang mengumumkan kasus karyawan yang positif terkena corona, kini karyawan Airbus di pabrik Getafe, Spanyol di diagnosa positif terinfeksi virus corona dan harus dikarantina. Airbus merilis salah satu karyawannya yang terinfeksi virus corona pada 9 maret 2020.Baca juga: Tiga Pekerja Boeing di Washington Positif Terinfeksi Covid-19Dilansir KabarPenumpang.com dari laman flightglobal.com (12/3/2020), pihak manufaktur mengatakan, telah menyarankan karantina pribadi selama 14 hari bagi pekerja yang telah melakukan kontak langsung dengan karyawan yang terinfeksi virus corona. Airbus menegaskan, bahwa kesehatan dan keselamatan adalah prioritas nomor satu bagi mereka. Dalam tindakan pencegahan penyebaran virus tersebut, Airbus mengikuti protokol medis dari otoritas kesehatan global dan nasional serta telah menerapkan pedoman staf dalam kaitannya dengan interaksi sosial, kebersihan, perjalanan dan kunjungan ke fasilitas Airbus. Pabrik Airbus di Gertafe sendiri membuat stabilisator horisontal untuk seri A350, A330 serta untuk keluarga A320 dan membangun tail-cone untuk A350.Selain itu, di pabrik Getafe, Airbus juga melakukan pekerjaan konversi untuk pesawat tanker militer A330 MRTT, memasang pengisian bahan bakar dan sistem avionik khusus pada twinjet.Selain Airbus, tiga karyawan Boeing di pabrik jet Everett, Washington juga positif terinfeksi virus corona. Ketiga karyawan tersebut kini dalam karantina dan tengah menerima perawatan. Karena hal ini, Boeing juga merumahkan sepuluh karyawan lainnya untuk mengkarantina diri mereka di rumah selama 14 hari.“Kami telah memberitahu karyawan lain dan mengikuti saran pejabat kesehatan masyarakat. Sebagai tindakan pecegahan, kami telah meminta semua rekan kerja karyawan yang terinfeksi dan berada dalam kontak dekat untuk tetap tinggal di rumah agar dikarantina dan mengawasi diri sendiri,” ujar Boeing dalam sebuah pernyataan yang dikutip KabarPenumpang.com dari laman seattletimes.com (9/3/2020).Adanya karyawan Boeing yang terinfeksi, membuat mereka melakukan pembersihan menyeluruh terhadap area kerja dan ruang umum. Meski adanya karyawan yang positif corona, Boeing mengaku pekerjaan produksi maupun rantai pasokan mereka belum terpengaruh.Baca juga: Akibat Virus Corona, Airbus Tangguhkan Produksi Pesawat di Pabrik Tianjin, CinaSeattle sendiri merupakan satu dari beberapa wilayah Amerika Serikat yang menangani virus corona. Washington yang merupakan hotspot infeksi virus ini sudah melaporkan 267 kasus yang dikonfirmasi termasuk 54 kasus di Snohomush County yang mencakup Everett.Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Like this:Like Loading… RelatedTiga Pekerja Boeing di Washington Positif Terinfeksi Covid-1912/03/2020In “Featured”Akibat Virus Corona, Airbus Tangguhkan Produksi Pesawat di Pabrik Tianjin, Cina06/02/2020In “Analisa Angkutan”Airbus Masih Hentikan Produksi, Serikat Pekerja Layangkan Protes23/03/2020In “Analisa Angkutan”
Rugby League BY MICHAEL WARTOVO Agmark Rabaul Gurias showed class of brilliance during the Digicel Cup round 16 game at the Kalabond Oval defeating the Waghi Tumbe 20-8 on Sunday. Gurias now have moved up to second spot clear on the ladder on 23 points behind Enga Mioks who are on 24 points, the win by the Gurias on Sunday also atoned for their loss against Bintangor Goroka Lahanis the previous weekend in Goroka. In third spot are Waghi Tumbe on 21 points, Lae Snax Tigers 20, Hela Wigmen 17, Lahanis 17, Vipers 15, Muruks 13, PRK Gulf Isou 6 and Chimbu Warriors 4. Gurias, with their strong defensive play and slick passing earned them their first try in the 17th minute of the first stanza when five-eighth Solomon Pokare’s grubber into the in-goal of Tumbe saw Edward Goma scoring to put the Gurias in front by 4 points with an unsuccessful conversion attempt. The game seesawed for the last 30 minutes with Waghi Tumbe using their bigger opponents to penetrate into the Guria territory but to no avail as they opponents continued to muscle their defence and keep them in their territory. The Gurias onslaught lead by their big forwards Francis Takai and Kingston Paul were devastating causing havoc on the visitors with Tumbe trying desperately to defend their line. The home side got another chance in the 20th minute after the referee awarded a penalty for a high shot on dynamic hooker Brian Gispe in front of the Tumbe tryline. Another conversion attempt went begging. And before they could head into the sheds, Pokare again sent out one of his lengthy grubber kicks from 15m line out wide for John Ragi Jr’s try to extend the Gurias lead to 10 points. This time Pokare added the extras. Waghi Tumbe came back strongly in the second half and scored a try to winger Gary Lo who outsprinted his opposite number to score a four-pointer. They failed to find the uprights and the scores remained 10-4 to the Gurias. The Gurias regrouped soon after to send Gispe over for a well deserved try from a 40m mark to score under the black dot to put the Guria’s further in front on 16 points. Lo was in the thick of things again – this time showing his blistering pace to run 60m down the side line before offloading to his centre to score for the Tumbe to trail Gurias 16-8. But Gurias fullback Terry Wapi picked up a try to extend their lead to 20-8.
Related iStock/Thinkstock(GLASGOW, Mo.) — A former Dairy Queen manager accused of bullying a Missouri teen to the point that he took his own life has now been charged with involuntary manslaughter, following the suicide of her former employee just days before Christmas, according to court documents.Kenny Suttner, 17, died on Dec. 21, 2016 after he committed suicide outside of his home in Glasgow, Missouri. Earlier this month Harley Branham, 21, Suttner’s former manager from his part-time job at a local Dairy Queen, was charged with the felony of involuntary manslaughter in connection with Suttner’s death, the documents say.The move comes after the Howard County Coroner’s Office performed an inquest into what caused the death of Suttner. The verdict of the inquest, filed Jan. 31 and released by the Howard County Coroner’s Office, found that Suttner had been harassed, “both at Dairy Queen and at school.”The coroner’s jury of six people said that they found Branham, “was the principal in the cause of death.”Branham, who made her first court appearance Tuesday, denied the bullying allegations brought against her.“There’s a lot of people at Dairy Queen saying I was the reason,” Branham testified during the inquest, “but I don’t understand why it would be that way.”Branham’s attorney, Jeff Hilbrenner, told to local ABC News affiliate KMIZ-TV in Columbia, Missouri, “We look forward to the opportunity to present additional evidence and reviewing the evidence that the state intends to present in court.”Branham did not enter a plea Tuesday and is out on $25,000 bond. Her preliminary hearing is set for May 25, 2017. If convicted, she faces up to four years in prison.Dairy Queen’s corporate headquarters said in a statement that their Fayette, Missouri location “is independently owned and operated by a franchisee. American Dairy Queen Corporation does not employ the employees at the location and did not hire, employ or supervise the manager. Our thoughts and prayers continue to be with the Suttner family. We are still in the process of gathering information but understand from the franchisee that the manager is no longer employed at this location.”Suttner was a junior at Glasgow High School at the time of his death, according to the Columbia Daily Tribune. The Glasgow School District, found negligent by the inquest’s six-person jury, said in response to the inquest that they were not permitted to fairly defend themselves at the hearing.April Wilson, the special prosecutor who filed the charges against Branham, said that the inquest that generated the charges had about 20 witnesses, and that “each witness was able to testify to different and specific instances to which they had knowledge of Kenny being bullied,” in an interview with Good Morning America that aired Wednesday.Wilson said that during Suttner’s time at Dairy Queen, “there is one specific time that Kenny is standing next to the fryers that have hot grease in them and a cheeseburger is thrown at him and there were some disparaging remarks made to him about do it right or get out, and of course it was much more harsh than that.”She added that some witnesses testified that Suttner was also forced to lie on his stomach on the floor in order to clean “under machines that could be moved, but he was forced to do it on his stomach.”Wilson added that despite the unusual charges, she is treating this case as she would any other. “In this case, I come into the picture really little too late. The one person I want to talk to in this case is Kenny Suttner, and I can’t talk to him,” Wilson said.Mike and Angela Suttner, the parents of Kenny, said that they hoped this case would help enact change to prevent other cases of bullying.“It is long overdue that the issue of bullying be brought to light so that we can all work together to make change,” Mike and Angela Suttner said in a statement.Mike and Angela Suttner also expressed their appreciation to their community for the support during the difficult time for the family.Copyright © 2017, ABC Radio. All rights reserved.Powered by WPeMatico