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Biomédica Revista Del Instituto Nacional De Salud Volumen 39, Suplemento No I-ISSN 2590-7379 (Electrónico) Biomédica Revista del Instituto Nacional de Salud Volumen 39, Suplemento No. 1 - Microbiología médica - Mayo de 2019 Bogotá, D.C., Colombia, S.A. 1 Portada: Miguel Antonio Guzmán Urrego,1933-2019 Fundador de la revista Biomédica y miembro de su Comité Editorial Instituto Nacional de Salud Bogotá, D.C., Colombia 2 Biomédica Instituto Nacional de Salud Volumen 39, suplemento 1 - Bogotá, D.C., Colombia - Mayo de 2019 Comité Editorial EDITORES LUIS ALBERTO GÓMEZ CARLOS ARTURO HERNÁNDEZ RUBÉN SANTIAGO NICHOLLS Instituto Nacional de Salud Instituto Nacional de Salud Organización Panamericana de la Salud Bogotá, D.C., Colombia Bogotá, D.C., Colombia Washington, D.C., Estados Unidos EDITORES ASOCIADOS ENRIQUE ARDILA LEONARD MUNSTERMANN Bogotá, D.C., Colombia Yale University School of Medicine New Haven, CT, Estados Unidos JOSÉ MORENO-MONTOYA Fundación Universitaria de Ciencias de la Salud-FUCS OMAR SEGURA Bogotá, D.C., Colombia Federación Médica Colombiana Bogotá, D.C., Colombia JULIÁN ALFREDO FERNÁNDEZ-NIÑO Universidad del Norte ORLANDO TORRES-FERNÁNDEZ Barranquilla, Colombia Instituto Nacional de Salud Bogotá, D.C., Colombia MIGUEL A. GUZMÁN Investigador Emérito RAÚL PARDO Instituto Nacional de Salud Instituto Nacional de Salud Bogotá, D.C., Colombia Bogotá, D.C., Colombia Comité Científico ARNOLDO BARBOSA ANDRÉS DE FRANCISCO JOHN MARIO GONZÁLEZ Universidad del Tolima Organización Mundial de la Salud Universidad de los Andes Ibagué, Colombia Ginebra, Suiza Bogotá, D.C., Colombia ANTONIO BERMÚDEZ FERNANDO DE LA HOZ FELIPE GUHL Instituto Nacional de Salud Universidad Nacional de Colombia Universidad de los Andes Bogotá, D.C., Colombia Bogotá, D.C., Colombia Bogotá, D.C., Colombia JORGE H. BOTERO JOSÉ LUIS DI FABIO ANTONIO IGLESIAS Universidad de Antioquia Organización Panamericana de la Salud Universidad Nacional de Colombia Medellín, Colombia Washington, D.C., Estados Unidos Bogotá, D.C., Colombia JORGE HERNANDO DONADO GUSTAVO ALONSO CABRERA JORGE JARA Universidad de Antioquia Universidad Pontificia Bolivariana Centers for Disease Control and Medellín, Colombia Medellín, Colombia Prevention, Regional Office for CARLOS ANDRÉS FANDIÑO Central America and Panama, VÍCTOR CÁRDENAS Universidad del Valle CDC-CAP University of Texas Cali, Colombia Ciudad de Guatemala, Guatemala El Paso, TX, Estados Unidos JOSÉ FIGUEROA ERNESTO JARAMILLO ALBERTO CONCHA-EASTMAN World Health Organization Organización Mundial de la Salud Guatapé, Colombia Ginebra, Suiza Ginebra, Suiza OILO UÉLLAR Z C LUIS FERNANDO GARCÍA MARCELO LABRUNA Academia Nacional de Medicina Universidad de Antioquia Universidade de São Paulo Bogotá, D.C., Colombia Medellín, Colombia São Paulo, Brasil LUIS GABRIEL CUERVO ALBERTO GÓMEZ JAIRO LIZARAZO Organización Panamericana Pontificia Universidad Javeriana Hospital Universitario Erasmo Meoz de la Salud Bogotá, D.C., Colombia Cúcuta, Colombia Washington, D.C., Estados Unidos ENRIQUE GONZÁLEZ JUAN GUILLERMO MCEWEN PATRICIA DEL PORTILLO University of Texas Health Science Center Corporación para Investigaciones Corpogén at San Antonio Biológicas Bogotá, D.C., Colombia San Antonio, TX, Estados Unidos Medellín, Colombia 1 ROBERTO MENDOZA VÍCTOR E. REYES NANCY GORE SARAVIA The Hospital for Sick Children University of Texas Medical Branch Centro Internacional de Toronto, Ontario, Canada Galveston, TX, Estados Unidos Entrenamiento e Investigaciones Médicas ÁLVARO MONCAYO GUSTAVO C. ROMÁN Cali, Colombia Universidad de los Andes Methodist Neurological Institute Bogotá, D.C., Colombia Houston, TX, Estados Unidos ROBERT TESH EDRO OMERO University of Texas RICARDO NEGRONI P R GALVESTON, TX, ESTADOS UNIDOS Hospital de Infecciosas Ludwig Center for Cancer Research University of Lausanne Francisco Javier Muñiz BRUNO TRAVI Buenos Aires, Argentina Lausana, Suiza University of Texas ÁLVARO RUIZ Galveston, TX, Estados Unidos MARÍA TERESA OCHOA Pontificia Universidad Javeriana University of California Los Ángeles GUSTAVO VALBUENA Bogotá, D.C., Colombia Los Ángeles, CA, Estados Unidos University of Texas GIOCONDA SAN BLAS Galveston, TX, Estados Unidos JUAN P. OLANO Instituto Venezolano de University of Texas Medical Branch Investigaciones Científicas JUAN MIGUEL VILLALOBOS Galveston, TX, Estados Unidos Caracas, Venezuela Universidade Federal de Rondônia Porto Velho, Brasil BLANCA RESTREPO ÁLVARO SANABRIA University of Texas Hospital Pablo Tobón Uribe MOISÉS WASSERMAN Brownsville, TX, Estados Unidos Medellín, Colombia Investigador Emérito Universidad de la Sabana Instituto Nacional de Salud GERZAÍN RODRÍGUEZ Chía, Colombia Universidad Nacional de Colombia Investigador Emérito Bogotá, D.C., Colombia Instituto Nacional de Salud RICARDO SÁNCHEZ Universidad de la Sabana Universidad Nacional de Colombia Bogotá, D.C., Colombia Bogotá, D.C., Colombia CARLOS ARTURO HERNÁNDEZ LINDA GRACE MOLANO MARTHA RENZA ELIZABETH GUZMÁN LUZ ÁNGELA SALGADO Edición y corrección de estilo Asistencia editorial Corrección de estilo Mercadeo digital Diagramación © Instituto Nacional de Salud La revista Biomédica del Instituto Nacional de Salud es una publicación trimestral, eminentemente científica. Está amparada por la resolución número 003768 de 1981, emanada del Ministerio de Gobierno, y con tarifa postal reducida según resolución número 1128 del 5 de mayo de 1982. Ninguna publicación, nacional o extranjera, podrá reproducir ni traducir sus artículos ni sus resúmenes sin previa autorización escrita del editor. Ni la revista, ni el Instituto asumen responsabilidad alguna por los puntos de vista expresados por los autores. La revista no publicará ningún tipo de propaganda comercial. Los nombres de equipos, materiales y productos manufacturados que eventualmente puedan mencionarse, no implican recomendación ni propaganda para su uso y sólo se mencionan como identificación genérica. La revista Biomédica aparece reseñada en Index Medicus/Medline de la National Library of Medicine, en el Science Citation Index Expanded (also known as SciSearch®) y Journal Citation Reports/Science Edition de Thomson Scientific, en SciELO Colombia (Scientific Electronic Library Online), en el índice de la Literatura Latinoamericana en Ciencias de la Salud (LILACS), en la Red de Revistas Científicas de América Latina, el Caribe, España y Portugal (RedAlyC), en el Índice Mexicano de Revistas Biomédicas Latinoamericanas (Imbiomed), en Scopus de Elsevier B.V., en el Sistema de Información Bibliográfica Regional Andina (SIBRA), en CAB Abstracts, Review of Medical and Veterinary Entomology, y forma parte del Índice Nacional de Publicaciones Seriadas Científicas y Tecnológicas Colombianas de Colciencias y del Índice Latinoamericano de Revistas Científicas y Tecnológicas (LATINDEX). INSTITUTO NACIONAL DE SALUD Avenida Calle 26 No. 51-20 Apartado aéreo 80334 y 80080 Bogotá, D.C., Colombia, S.A. URL: http://www.ins.gov.co [email protected] 2 Contenido Editorial Cambios significativos en el manejo y control del HIV/sida Jorge Alberto Cortés 5 Presentación de caso Melioidosis en Colombia, descripción de un caso clínico y consideraciones epidemiológicas José Y. Rodríguez, Carlos A. Álvarez-Moreno, Jorge A. Cortés, Gerson J. Rodríguez, Kelin Esquea, Heidy Pinzón, María J. Mendoza, Yiceth Acosta 10 Artículo original Caracterización epidemiológica de la infección por Leptospira spp. en caballos de trabajo y en personas ocupacionalmente expuestas en seis unidades de la Policía Nacional de Colombia Juan Camilo Calderón, Miryam Astudillo, Marlyn H. Romero 19 Costos médicos directos de las infecciones urinarias por bacilos Gram negativos resistentes a betalactámicos en un hospital de alta complejidad de Medellín, Colombia Carlos Andrés Vargas-Alzate, Luis Felipe Higuita-Gutiérrez, Judy Natalia Jiménez-Quiceno 35 Un tipo de secuencia común de Salmonella Enteritidis de origen aviar y de humano con gastroenteritis en Ibagué, Colombia Luz Clemencia Fandiño, Noel Verjan-García 50 Infección por Clostridium difficile: descripción de las cepas NAP1/027 y de otros serotipos en un centro de alta complejidad de Cali, Colombia, 2012-2015 José Millán Oñate-Gutiérrez, Janier Segura, Adriana Correa, Erika Cantor, María Virginia Villegas 63 Genotipificación de aislamientos del complejo Mycobacterium tuberculosis mediante MIRU-VNTR,Cali, Colombia, 2013-2015 David Felipe García, Myriam Astudillo 71 Caracterización de los pacientes con bacteriemia por Staphylococcus aureus resistente a la meticilina en un hospital militar de alta complejidad Natalie Náder, Ramón Iván Medina, Luz Ángela Pescador, Barbarita María Mantilla, Juan Sebastián Bravo, Carlos Hernando Gómez 86 Multirresistencia a medicamentos y factores de riesgo asociados con infecciones urinarias por Escherichia coli adquiridas en la comunidad, Venezuela Militza Guzmán, Elsa Salazar, Vicmaris Cordero, Ana Castro, Andreína Villanueva, Hectorina Rodulfo, Marcos De Donato 96 Caracterización clínica de la leptospirosis grave en un hospital de alta complejidad de Cali, Colombia, 2010-2016 Jorge Cedano, Sarita Rodríguez, Winy Kujundzic, Juan Sebastián Arana, Robinson Pacheco, Fernando Rosso 108 La importancia de investigar Mycobacterium bovis en muestras clínicas de procedencia humana Julio Cesar Martínez, Claudia Llerena, Yanely Angélica Valbuena 117 Helicobacter pylori: resistencia múltiple en pacientes de Bogotá, Colombia Azucena Arévalo, William Otero, Alba Alicia Trespalacios 125 Detección de enterobacterias multirresistentes aisladas en aguas de los ríos que desembocan en la bahía de Guanabara y en muestras de hospitales de Río de Janeiro, Brasil
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