La etnoeducación es la forma de enseñanza y aprendizaje de saberes culturales incluidos dentro de los programas académicos de los colegios y los consejos comunitarios, que permite tener en cuenta la multiculturalidad como parte esencial... more
La etnoeducación es la forma de enseñanza y aprendizaje de saberes culturales incluidos dentro de los programas académicos de los colegios y los consejos comunitarios, que permite tener en cuenta la multiculturalidad como parte esencial del modelo educativo tradicional. En Colombia es uno de los procesos culturales y educativos implementados para las comunidades, bien sean indígenas o afrocolombianas. A través del reconocimiento legal de la Ley 70 de 1993 y el Decreto reglamentario 804 de 1995 se logró consolidar un modelo educativo articulado a la educación pública y potestativo a la educación privada con condiciones diversas culturalmente que permitiera, entre otras cosas, el reconocimiento intercultural necesario. Sin embargo, los impactos no han sido muy claros y es que estos deben verse reflejados en dos vías: La generación de un nuevo conocimiento con base en la forma de enseñar y aprender de las comunidades y los efectos que este proceso tiene en la vida económica y laboral d...
We report the emergence of a novel VIM variant (VIM-24) in a Klebsiella pneumoniae isolate in Colombia. The isolate displays MICs for carbapenems below the resistance breakpoints, posing a real challenge for its detection. The bla VIM-24... more
We report the emergence of a novel VIM variant (VIM-24) in a Klebsiella pneumoniae isolate in Colombia. The isolate displays MICs for carbapenems below the resistance breakpoints, posing a real challenge for its detection. The bla VIM-24 gene was located within a class 1 integron carried on a large plasmid. Further studies are needed to clarify its epidemiological and clinical impact.
The plasmid-mediated class A carbapenemase KPC-2 was isolated from unrelated Klebsiella pneumoniae isolates in Medellin, Colombia. These KPC enzymes are the first from South America and the second isolation outside of the United States.... more
The plasmid-mediated class A carbapenemase KPC-2 was isolated from unrelated Klebsiella pneumoniae isolates in Medellin, Colombia. These KPC enzymes are the first from South America and the second isolation outside of the United States. The expanding geographic spread of KPC carbapenemases underscores the importance of clinical recognition of these enzymes.
OXA-72 has been reported in few countries around the world. We report the first case in Colombia in an Acinetobacter pittii clinical isolate. The arrival of a new OXA, into a country with high endemic resistance, poses a significant... more
OXA-72 has been reported in few countries around the world. We report the first case in Colombia in an Acinetobacter pittii clinical isolate. The arrival of a new OXA, into a country with high endemic resistance, poses a significant threat, especially because the potential for widespread dissemination is considerable.
In Medellin, Colombia, three Pseudomonas aeruginosa isolates with high-level carbapenem resistance (MIC ≥ 256 μg/ml) and an isolate of Citrobacter freundii with reduced susceptibility to imipenem produced the plasmid-mediated class A... more
In Medellin, Colombia, three Pseudomonas aeruginosa isolates with high-level carbapenem resistance (MIC ≥ 256 μg/ml) and an isolate of Citrobacter freundii with reduced susceptibility to imipenem produced the plasmid-mediated class A carbapenemase KPC-2. This is the first report of a KPC-type β-lactamase identified outside of the family Enterobacteriaceae .
Carbapenem resistance rates in Pseudomonas aeruginosa isolates in Colombia, as in many South American countries, are high for reasons that remain unclear. From our nationwide network, we describe the first detection of the... more
Carbapenem resistance rates in Pseudomonas aeruginosa isolates in Colombia, as in many South American countries, are high for reasons that remain unclear. From our nationwide network, we describe the first detection of the metallo-β-lactamase VIM-2 in clinical isolates of P. aeruginosa from multiple cities within Colombia. Metallo-β-lactamases were not detected in the two centers with the highest imipenem resistance rates. Clonality was noted in five of the eight centers with strains meeting the criteria for molecular typing. The high carbapenem resistance in P. aeruginosa in Colombia may be attributable to a combination of factors, including the presence of metallo-β-lactamases and nosocomial transmission.
During 2005, 66 carbapenem-resistant isolates of Acinetobacter baumannii were collected from seven tertiary-care hospitals participating in a nationwide surveillance network in Colombia. The isolates were multidrug resistant and produced... more
During 2005, 66 carbapenem-resistant isolates of Acinetobacter baumannii were collected from seven tertiary-care hospitals participating in a nationwide surveillance network in Colombia. The isolates were multidrug resistant and produced the carbapenemases OXA-23 and OXA-51. Forty-five belonged to four clones while 21 were unique pulsotypes. One clone was present in two hospitals within one city, while another had spread between two hospitals in different cities. Blood, secretions, and abdominal fluids were the most frequent sites of isolation. This is the first description of widespread dissemination of OXA-23 in South America.
Ten bla KPC-2 -harboring Pseudomonas aeruginosa isolates from hospitals located in five different Colombian cities have been characterized. Isolates were multidrug resistant, belonged to five different pulsotypes, and possessed naturally... more
Ten bla KPC-2 -harboring Pseudomonas aeruginosa isolates from hospitals located in five different Colombian cities have been characterized. Isolates were multidrug resistant, belonged to five different pulsotypes, and possessed naturally chromosome-encoded bla AmpC and bla OXA-50 genes and the acquired bla KPC-2 gene. In most cases, the bla KPC-2 genes were carried by plasmids of different sizes and were associated with Tn 4401b or a new structure containing only part of the Tn 4401 sequence. This study revealed that several clones of P. aeruginosa producing bla KPC-2 are disseminating in Colombia.
