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San Sebastián de los Reyes, Spain

Marimon J.M.,Hospital Universitario Donostia Biodonostia | Marimon J.M.,Biomedical Research Center Network for Respiratory Diseases | Morales M.,Biomedical Research Center Network for Respiratory Diseases | Cilla G.,Hospital Universitario Donostia Biodonostia | And 6 more authors.
Future Microbiology | Year: 2015

Aim: To study the etiology and the utility of new molecular methods in the diagnosis of complicated pneumonia with empyema. Materials & methods: Bacteria and viruses detection was performed by several traditional and molecular methods in the pleural fluid (PF) of 60 patients (38 children) with community-acquired pneumonia (CAP). Results: Despite prior antimicrobial therapy in 49 (81.7%) CAP patients, an etiological diagnosis could be established in 41 (68.3%), 35 being (58.3%) Streptococcus pneumoniae. PF culture was positive in only 6 patients but each molecular test detected more than 82% of cases. Conclusion: Traditional culture methods have poor diagnostic sensitivity in PF because most CAP patients are under antimicrobial therapy when it is obtained. S. pneumoniae detection by molecular methods highly improves diagnosis. © 2015 Future Medicine Ltd.

Cilla G.,Hospital Universitario Donostia Biodonostia | Cilla G.,Biomedical Research Center Network for Respiratory Diseases | Montes M.,Hospital Universitario Donostia Biodonostia | Montes M.,Biomedical Research Center Network for Respiratory Diseases | And 9 more authors.
Infection, Genetics and Evolution | Year: 2014

The mumps virus (MuV) is genetically diverse and is divided into 12 genotypes. The World Health Organization has recommended expanding virological surveillance for MuV, and therefore molecular characterization of circulating strains (i.e. genotypes) is increasingly performed. Nevertheless, little is known about the genotypes circulating before the massive vaccination of children and adolescents. The present study analyzed the strains causing the 1988-1989 mumps epidemic in the Basque Country, northern Spain, which occurred in the early vaccination period, before the endemic circulation of mumps virus was blocked. The epidemic reached an annual incidence rate of more than 400 cases/100,000 inhabitants, and caused a large number of cases of mumps meningitis. MuV RNA was amplified from the cerebrospinal fluid of 15 infected patients during the epidemic and from three more patients affected shortly before or after this epidemic (1987, early 1988 and 1990). Genotyping of the complete small hydrophobic gene (316 nucleotides), amplified in the 18 strains, as well as of the entire hemagglutinin-neuraminidase gene (1749 nucleotides), amplified in four strains, assigned all strains to genotype K, a genotype infrequently detected at present. Although the putative HN protein sequence differed by 4.8-5.5% in relation to Jeryl Lynn 5 strain (the main strain used in the vaccination program in this region), the vaccine was effective, and dramatically reduced the incidence of mumps over the following years. The presence of genotype K strains in Spain in the 1980s, together with their contemporary detection in Scandinavia, suggests that this genotype could have caused the Spanish epidemic and was also circulating widely in Europe at that time. © 2014 Elsevier B.V.

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