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Syphilis is a Sexually Transmitted Infection (IST) with significant importance to public health, due to its impact during pregnancy (Gestational Syphilis—GS); especially because syphilis can affect fetus and neonates’ development (mother-to-child transmission—MTCT of syphilis), by increasing susceptibility to abortion, premature birth, skeletal malformations, meningitis and pneumonia. Measures to control and eliminate MTCT of syphilis have failed on the last few years in Brazil and this research aimed to identify the seasonality of notified cases of syphilis in a region of São Paulo state. The studied region, Pontal do Paranapanema, comprises 32 cities located in the West of São Paulo state, in Brazil. Data collected from the National System of Aggravations and Notification (SINAN) website was used to calculate the incidence rate of GS and MTCT. The incidence rate of GS was acquired dividing number of cases by number of women in each municipality and MTCT using number of live births in each year (from 2007 to 2013) in each municipality. This result was then, standardized multiplying incidence rate by 10,000 and expressed as incidence/10,000 women or live births, for GS and MTCT, respectively. To identify possible endemic/epidemic periods, a control diagram was performed using the standard deviation (SD) of incidence rate. Thematic maps representing the spatial distribution of incidence rates were constructed using a Geographic Information System software (GIS, based on cartographic vector available on the Brazilian Institute of Geography and Statistics (IBGE) website. Eighty cases of GS and 61 cases of MTCT were notified in the studied region. An increase of GS notification was detected in the Pontal do Paranapanema in 2011 followed by an increase in number of MTCT cases in the subsequent year, suggesting inefficacy in the treatment during gestational period. Most of those cases were reported on February and November which suggested seasonality for this IST in the region. The control diagram, based on the inputs collected from SINAN, showed no endemic period; however, the most susceptible month to happen an endemic event of GS and MTCT was February. Our study provided a new methodology to understand the syphilis dynamics as a potential tool to improve the success of future measures to control and possibly eliminate MTCT of syphilis.

Staphylococcus aureus can cause a variety of infections due to its high transmissibility, high pathogenic potential and resistance to multiple drugs, factors that contribute to the relevance of infections in healthcare services. The aim of this study was to document phenotypic and genotypic resistance factors of Staphylococcus aureus strains, isolated from nasal mucosa of medical students. A nasal swab was collected from the nares (nostrils) of 222 medical students. After collection, the samples were submitted to isolation and identification procedures. From 204 valid samples, 20.6% (42 samples) were positive for S. aureus. For the assessment of phenotypic resistance by disk-diffusion technique, from 42 samples, 95.2% showed resistance to erythromycin, 42.8% to clindamycin, 16.6% to cephoxitin and 9.5% to oxacillin. The D test showed that 26.2% of samples were resistant to macrolides, lincosamides and streptogramin B. A PCR assay allowed for the evaluation of a genotypic resistance profile, in which 16.6% of the samples were positive for the mecA gene, 35.7% positive for the ermC gene or ermA gene and 28.5% were positive for both genes. These results demonstrate that medical students can enter the healthcare service previously colonized by multidrug resistant strains and become potential spreaders in the hospital environment.

Acetylsalicylic acid or aspirin is the most widely used drug globally for its anti-inflammatory characteristics, although little is known about its actions on the central nervous system (CNS). We investigated aspirin's potential neuroprotective effects against paraquat-induced neurotoxicity (PQ) in the present study. Adult male wild-type flies were exposed to a diet containing PQ (3 mM) and/or aspirin (1 μM; 5 μM; 10 μM). Flies fed with PQ reduced locomotion and increased mortality. PQ-induced neurotoxicity has also been associated with a marked decrease in acetylcholinesterase (AChE) activity and lipid peroxidation. Co-exposure to aspirin (5 μM) increased survival, improved motor performance, increased AChE activity, and decreased lipid peroxidation. Our results suggest aspirin's neuroprotective effects, probably due to its lysosomal action and antioxidant characteristics. Thus, we demonstrate that the Drosophila melanogaster model can elucidate basic aspirin mechanisms to assist the evaluations carried out in higher animals to minimize the neurodegenerative effects caused by diseases such as Parkinson's and Alzheimer's.

A contaminação por microrganismos patogênicos pode estar relacionada com o contato com superfícies inanimadas como vasos sanitários. Diante dessa realidade, o presente estudo teve como objetivo avaliar a atividade bactericida de cinco desinfetantes comerciais (o-benzil pclorofenol 0,9%, quaternário de amônio -0,45%; 0,30%; 0,28% e 0,25%), contra bactérias isoladas de vasos sanitários públicos. As amostras foram coletadas por meio de Swabs e coradas pela coloração de Gram. Das amostras isoladas, E. coli, Proteus e Staphylococcus sp. foram escolhidas para os demais testes. Foram realizados testes de esterilidade dos desinfetantes utilizando os meios MacConkey e Muller-Hinton a fim de evitar resultados falso positivos. Os resultados mostraram que o princípio ativo a o-benzil p-clorofenol 0,9% obteve eficácia contra os três microrganismos, ao passo que o princípio ativo de quaternário de amônia, em diferentes concentrações foi eficaz contra algumas bactérias, com eficácia reduzida durante o período de 21 dias. Palavras-chave: atividade bactericida, desinfecção, desinfetantes, princípio ativo, vasos sanitários. EVALUATION OF BACTERICIDAL ACTIVITY OF COMMERCIAL DISINFECTANTS ON BACTERIAL SAMPLES ISOLATED FROM PUBLIC TOILETS.

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The genus Eugenia sp. (Myrtaceae) comprises plants with reported antioxidant and antidiarrheal capability among other therapeutic potentials. The aim of this study was to evaluate the antimicrobial activity of essential oil; diuretic and hypotensive activities of aqueous extracts from leaves of Eugenia uniflora. The antimicrobial activity was evaluated . The diuretic and hypotensive activities were evaluated in normotensive Wistar rats by measuring blood pressure and urine flow after received four different concentrations of aqueous extracts (10%, 15%, 20% and 25%). Essential oil inhibited the growth of Candida parapsilosis and Candida albicans with MIC values lower than 14.41 mg/mL, equal to 57.75 mg/mL for Candida krusei. Among antibacterial effect, essential oil inhibited growth with a MIC equals to 153.93 mg/mL for all strains tested, except for Escherichia coli (MIC equals to 307.96 mg/mL. Aqueous extracts showed powerful reductions of the arterial pressure (34% and 31% lower than the control), after administration of 10% and 25% of aqueous extract, respectively. However, the animals that received the aqueous extract at the 15% and 20% concentrations presented a discrete hypotensive effect (20% and 21% lower than control group, respectively) concomitantly to powerful diuretic effect (280% and 91% higher than control group, respectively). These data confirmed the potential biological effect of this species, and represents an important step toward a depth study on the therapeutic properties of this species.Keywords: Eugenia uniflora, aqueous extracts, essential oil, antimicrobial effect, diuretic effect, hypotensive potential, in vitro activity, in vitro assay.

Hospital environment has factors that promote increased infections caused by microorganisms allowing them to remain viable for long periods on surfaces and fomites. The aim of our study was to identify the viability of Candida albicans in hospital environment common surfaces with biological fluids presence and disinfectants. Four surfaces (cotton fabric, synthetic fabric, egg crate foam mattress and, ceramic floor) were contaminated with a strain of Candida albicans ATCC 26790 and with an association of distilled water, blood, saliva and urine. Also, combinations of surfaces and fluids with addition of 70% alcohol and 2% sodium hypochlorite were tested. Viability was identified at 1, 3, 7, 14 and 21 days by Colony Forming Units counting. C. albicans presented 14 days viability in hospitals fabrics with absence of liquids and maintained this persistence under influence of distilled water and blood. It also showed low growth with urine addition and there was growth inhibition with 2% sodium hypochlorite while with 70% alcohol and blood there was persistence for up to 7 days in synthetic fabric and mattress. The understanding of these yeasts persistence in hospital surfaces and fomites is essential for a better delineation of protocols control the spread and these infections prevention in healthcare environments.