Friday, 07 September 2012 16:18

Publican las conclusiones para prevenir otro brote de E. coli como el de 2011 en Alemania

Tras el brote de E. coli que afectó a Alemania y posteriormente a Francia la primavera del año pasado, la Academia Europea de Microbiología reunió el pasado diciembre en París a un grupo de expertos a nivel mundial para analizar lo sucedido y proponer estrategias para evitar o al menos minimizar los efectos de otros posibles brotes. En la revista científica EMBO Molecular Medicine y coordinado por el investigador del Centro Nacional de Biotecnología del CSIC Miguel Vicente, se publica ahora un artículo que recoge las conclusiones de la reunión.

Escherichia coli A pesar de la rapidez con la que se secuenció el genoma de la cepa de E. coli causante del brote, la mal llamada en España crisis de los pepinos se saldó con la muerte de 54 personas, en su mayoría ciudadanos alemanes, y una enormes pérdidas económicas en varios países, entre ellos España. Pese a todos los esfuerzos por identificarlo, no se tiene certeza de dónde ni cómo se originó el brote epidémico y solo existen explicaciones circunstanciales. Lamentablemente, un brote similar puede volver a darse en cualquier momento por lo que los científicos de la Academia Europea de Microbiología señalan una serie de recomendaciones para minimizar en lo posible sus efectos.

  •  La cepa O104:H4 muestra una sorprendente capacidad de adhesión al intestino y produce una toxina que provoca graves daños renales. Estos efectos por ahora sólo se pueden paliar eliminando la toxina mediante diálisis y manteniendo el equilibrio de electrolitos en sangre.
  • Algunos antibióticos como meropenem, azitromicina o tigeciclina podrían utilizarse ya que la cepa es sensible a ellos. Otros antibióticos como la ciprofloxacina han de usarse con mucha precaución pues en dosis no inhibitorias pueden provocar un aumento en la producción de la toxina.
  • Un anticuerpo comercializado como Eculizumab puede disminuir los efectos negativos de la respuesta inmunitaria que se genera en el organismo contra las toxinas de esta cepa de E. coli, pero tiene el riesgo asociado de disminuir la propia capacidad de defensa del cuerpo.
  • Los expertos recomiendan que las autoridades sanitarias dispongan de procedimientos para que en este tipo de brotes el genotipado de las bacterias causantes se haga a la mayor brevedad posible. De el depende tanto el tratamiento como la eliminación de los focos de infección.
  • Se hace asimismo hincapié en la necesidad de investigar a fondo los mecanismos por los que la toxina hace su efecto para así conseguir fármacos que impidan su acción en el riñón, y en la búsqueda de nuevos antibióticos que frenen la infección.
  • Por último, proponen que se mejore la comunicación entre los científicos, los responsables políticos y los medios de difusión para que se afronten estos sucesos con una base científica fiable y adecuada a cada caso para minimizar los efectos sobre los ciudadanos y los sectores productivos.

NOTE! This site uses cookies and similar technologies.

If you continue browsing or do not change browser settings, we consider your acepptance for using. Learn more

I understand

COOKIES POLICY

A cookie is a text file that is stored on your computer or mobile device via a web server and only that server will be able to retrieve or read the contents of the cookie and allow the Web site remember browser preferences and navigate efficiently. Cookies make the interaction between the user and the website faster and easier.

General information

This Website uses cookies. Cookies are small text files generated by the web pages you visit, which contain the session data that can be useful later in the website. In this way this Web remembers information about your visit, which can facilitate your next visit and make the website more useful.

How do cookies?

Cookies can only store text, usually always anonymous and encrypted. No personal information is ever stored in a cookie, or can be associated with identified or identifiable person.

The data allow this website to keep your information between the pages, and also to discuss how to interact with the website. Cookies are safe because they can only store information that is put there by the browser, which is information the user entered in the browser or included in the page request. You can not run the code and can not be used to access your computer. If a website encrypts cookie data, only the website can read the information.

What types of cookies used?

The cookies used by this website can be distinguished by the following criteria:

1. Types of cookies as the entity that manages:

Depending on who the entity operating the computer or domain where cookies are sent and treat the data obtained, we can distinguish:

- Own cookies: are those that are sent to the user's terminal equipment from a computer or domain managed by the editor itself and from which provides the service requested by the user.

- Third party cookies: these are those that are sent to the user's terminal equipment from a machine or domain that is not managed by the publisher, but by another entity data is obtained through cookies.

In the event that the cookies are installed from a computer or domain managed by the editor itself but the information collected by these is managed by a third party can not be considered as party cookies.

2. Types of cookies as the length of time that remain active:

Depending on the length of time that remain active in the terminal equipment can be distinguished:

- Session cookies: cookies are a type designed to collect and store data while the user accesses a web page. Are usually used to store information that only worth preserving for the service requested by the user at any one time (eg a list of products purchased).

- Persistent cookies: cookies are a type of data which are stored in the terminal and can be accessed and treated for a period defined by the head of the cookie, and can range from a few minutes to several years.

3. Cookies types according to their purpose:

Depending on the purpose for which the data are processed through cookies, we can distinguish between:

- Technical cookies: these are those that allow the user to navigate through a web page or application platform and the use of different options or services it exist as, for example, control traffic and data communication, identify the session, access to restricted access parts, remember the elements of an order, make the buying process an order, make an application for registration or participation in an event, use security features while browsing store content for dissemination videos or sound or share content via social networks.

- Customization cookies: these are those that allow the user to access the service with some general characteristics based on a predefined set of criteria in the user terminal would eg language, the type of browser through which you access the service, the locale from which you access the service, etc.

- Analysis cookies: they are those that allow the responsible for them, monitoring and analyzing the behavior of users of the web sites that are linked. The information gathered through such cookies are used in measuring the activity of web sites, application or platform and for the profiling of user navigation of such sites, applications and platforms, in order to make improvements function data analysis how users use the service.

Management tool cookies

This Website uses Google Analytics.

Google Analytics is a free tool from Google that primarily allows website owners know how users interact with your website. Also, enable cookies in the domain of the site in which you are and uses a set of cookies called "__utma" and "__utmz" to collect information anonymously and reporting of website trends without identifying individual users..

For statistics of use of this website use cookies in order to know the level of recurrence of our visitors and more interesting content. This way we can concentrate our efforts on improving the most visited areas and make the user more easily find what they are looking for. On this site you can use the information from your visit for statistical evaluations and calculations anonymous data and to ensure the continuity of service or to make improvements to their websites. For more details, see the link below privacy policy [http://www.google.com/intl/en/policies/privacy/]

How to manage cookies on your computer: disabling and deleting cookies

All Internet browsers allow you to limit the behavior of a cookie or disable cookies within settings or browser settings. The steps for doing so are different for each browser, you can find instructions in the help menu of your browser.

If you decline the use of cookies, since it is possible thanks to the preferences menu of your browser or settings, reject, this website will continue to function properly without the use of the same.

Can you allow, block or delete cookies installed on your computer by setting your browser options installed on your computer:

- For more information about Internet Explorer click here.
- For more information on Chrome click here.
- For more information about Safari click here.
- For more information about Firefox click here.

Through your browser, you can also view the cookies that are on your computer, and delete them as you see fit. Cookies are text files, you can open and read the contents. The data within them is almost always encrypted with a numeric key corresponding to an Internet session so often has no meaning beyond the website who wrote it.

Informed consent

The use of this website on the other hand, implies that you paid your specific consent to the use of cookies, on the terms and conditions provided in this Cookies Policy, without prejudice to the measures of deactivation and removal of cookies that you can take, and mentioned in the previous section.