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Bibliographic Details
Main Author:	Juan Diego Vélez
Format:	Artículo científico
Language:	es
Published:	Universidad del Valle 1999
Subjects:	Medicina Bacteremia Meningitis Septicemia Listeria monocytogenes
Online Access:	https://www.redalyc.org/articulo.oa?id=28330206
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Aislamiento de Listeria monocytogenes en un hospital de tercer nivel Juan Diego Vélez Claudia Castañeda Fabiola Hoyos Martha Ligia López Juan Carlos Salazar María del Pilar Crespo Ortiz Medicina Bacteremia Meningitis Septicemia Listeria monocytogenes La Listeria monocytogenes es un cocobacilo Gram positivo de amplia distribución en lanaturaleza y que causa bacteremia y meningitis en pacientes inmunosuprimidos. Sinembargo, desde 1981 también se ha implicado en individuos inmunocompetentes asociadacon brotes entéricos por alimentos contaminados particularmente quesos y leches. A pesarde su importante morbilidad y mortalidad en países industrializados, son pocos losinformes de infección invasiva en países en desarrollo. En la Fundación Clínica Valle delLili (FCVL) se ha visto desde 1994 la aparición cada vez más frecuente de listeriosis enpacientes inmunosuprimidos y en neonatos, razón por la cual, se decidió realizar unanálisis descriptivo de los casos. De un total de 19 casos confirmados bacteriológicamente10 se presentaron en adultos inmunosuprimidos, 2 en mujeres embarazadas, 6 en neonatosy una adolescente, la mayoría con septicemia. Los aislados obtenidos fueron muy sensiblesa ampicilina y penicilina (97.3%), mientras que la sensibilidad a T. sulfametoxazol uno delos antibióticos de primera línea, sólo fue 82.9%. Del total de casos, 5 murieron a causa dela listeriosis. A continuación se describen los casos y las connotaciones de tipo terapéutico,epidemiológico y de prevención de la infección por Listeria. Este enfoque está dirigido a unmayor conocimiento y diagnóstico de la infección, la cual debe ser incluida dentro delamplio rango de infecciones que afectan pacientes inmunosuprimidos, también a establecerla necesidad urgente de mecanismos de control de alimentos potencialmente contaminadostipo leche y quesos (no pasteurizados), para evitar el aumento de casos y de posibles brotesentéricos en la población inmunocompetente. 1999 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28330206 es http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.2 Vol.30

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// Anecdotal testing Today and Yesterday seems to indicate destroy() // is called by the garbage collector and everything is good. // Something to keep in mind though. return 0; } /** * Write function that is called when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ public function write($sessId, $data): bool { if ($this->writesDisabled) { return true; } return $this->saveSession($sessId, $data); } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ abstract protected function saveSession($sessId, $data): bool; }

* * @return void */ public function writeClose() { // The assumption is that we're using PHP's ext/session. // session_write_close() will actually overwrite $_SESSION with an // empty array on completion -- which leads to a mismatch between what // is in the storage object and $_SESSION. To get around this, we // temporarily reset $_SESSION to an array, and then re-link it to // the storage object. // // Additionally, while you _can_ write to $_SESSION following a // session_write_close() operation, no changes made to it will be // flushed to the session handler. As such, we now mark the storage // object isImmutable. $storage = $this->getStorage(); if (! $storage->isImmutable()) { $_SESSION = $storage->toArray(true); session_write_close(); $storage->fromArray($_SESSION); $storage->markImmutable(); } } /** * Attempt to set the session name * * If the session has already been started, or if the name provided fails * validation, an exception will be raised. * * @param string $name * @return SessionManager * @throws Exception\InvalidArgumentException */ public function setName($name) { if ($this->sessionExists()) { throw new Exception\InvalidArgumentException( 'Cannot set session name after a session has already started'

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