The objective of this study was to determine and compare the antimicrobial resistance profiles of clinical Staphylococcus pseudintermedius (n = 90) and Staphylococcus aureus (n = 61) isolates from different animal species in Bosnia and Herzegovina. Among S. pseudintermedius isolates from dogs (n = 86), resistance to penicillin (87.2%) was most common followed by amoxicillin (76.7%) and amoxicillin/clavulanic acid (67.4%). A total of 25 isolates were found to be resistant to oxacillin of which 21 were mecA-positive and multidrug resistant (MDR). The most frequent MDR pattern was penicillins-lincosamides-cephalosporins-macrolides-fluoroquinolones. Among the 61 methicillin-susceptible S. pseudintermedius isolates, 18 were MDR (penicillins-lincosamides-macrolides). Most of S. aureus isolates were resistant to penicillin (50.8%), followed by amoxicillin (41%) and amoxicillin/clavulanic acid (31%). Resistance to cefoxitin was detected in only two isolates. All S. aureus isolates were mecA and mecC-negative. MDR was observed in six S. aureus isolates of which five were from cattle (penicillins-lincosamides-fluoroquinolones). Isolates from red foxes (Vulpes vulpes) were sensitive to most of the antimicrobials tested. The high number of methicillin-resistant S. pseudintermedius and MDR isolates in dogs exposed in this study underlines the urgent need for establishment of national antimicrobial resistance surveillance program in animals in the country, as well as for the surveillance of veterinary antimicrobial consumption.

Department of Clinical Microbiology, Institute for Health and Food Safety Zenica, Fra Ivana Jukića 2, 72000 Zenica, Bosnia and Herzegovina Department of Epidemiology, Institute for Health and Food Safety Zenica, Fra Ivana Jukića 2, 72000 Zenica, Bosnia and Herzegovina Autoimmune Diseases Department, Vasculitis Research Unit, IDIBAPS, CELLEX 4B, Hospital Clinic Barcelona, Spain Department of Chemistry Diagnostics, Institute for Health and Food Safety Zenica, Fra Ivana Jukića 2, 72000 Zenica, Bosnia and Herzegovina Department for Epizootiology, Institute for Health and Food Safety Zenica, Fra Ivana Jukića 2, 72000 Zenica, Bosnia and Herzegovina

Background and Aims: This study aimed to understand the use of massive transfusion (MT) for gastrointestinal bleeding (GIB). Patients and Methods: We performed a retrospective analysis of patients admitted to our medical Intensive Care Unit (ICU) with GIB for the type of bleeding, quantity of blood products transfused, and risk of transfusion-related acute lung injury (TRALI) and death. MT was defined as transfusion of 10 or more units of red blood cell (RBC) within a 24-h period in a 1-unit RBC: 1-unit fresh frozen plasma: and 1-unit platelet ratio. TRALI was defined as development of acute lung injury (ALI), within 6 h of transfusion, with new bilateral pulmonary infiltrates, absence of circulatory overload, or other explanation for ALI. Results: In a 43-month interval, 169 patients were admitted to the ICU with GIB and received blood products, of whom 13 received MT. Ten patients developed TRALI, of whom 7 (70%) had received MT. MT was associated with an increased risk of TRALI (odds ratio [OR]: 17.9, 95% confidence interval [CI]: 2.9–111.2, P = 0.002) after adjusting for age, sex, body mass index, baseline vitals, and laboratory data. Death was predicted by MT (OR: 5.6, 95% CI: 1.6–19.7, P = 0.007), TRALI (OR: 2.3, 95% CI: 1.1–4.6, P = 0.02), and Acute Physiologic Chronic Health Evaluation II score (OR: 1.17 per unit increase, 95% CI: 1.09–1.26, P < 0.001) after adjusting for age and sex. Conclusions: MT for GIB is associated with an increased risk of TRALI and death. Prospective studies assessing the use of MT in this population are needed to understand and improve outcomes.

Zbog visokog stepena adaptibilnosti i postojanja velikog broja vrsta, stafilokoke spadaju u grupu siroko rasprostranjenih mikroorganizama. Ove bakterije se gotovo redovno mogu naci na koži, krznu i dlaci, te sluznicama nosne supljine i ždrijela razlicitih životinja i ljudi. Pojava otpornosti stafilokoka na razlicite grupe antibiotika, kao i potreba za boljim razumjevanjem mehanizma stafilokokne antibiotske rezistencije, predstavljaju ozbiljan izazov za efikasniju borbu sa ovim globalnim problemom. Meticilin-oksacilin rezistencija danas predstavlja poseban problem u veterinarskoj i humanoj medicini. Ekonomski gubici izazvani stafilokoknim infekcijama u stocarskoj proizvodnji sirom svijeta, jedan su od najvažnijih veterinarskih problema. Visok stepen morbiditeta i dugotrajna lijecenja oboljelih životinja, dodatno intenziviraju i aktualiziraju ovu problematiku. Posebnu grupu meticilin-oksacilin rezistentnih stafilokoka predstavljaju stafilokokni sojevi povezani sa stokom LA-MRSA ( eng . Livestock-associated Methicillin-resistant Staphylococcus aureus ). Zbog cinjenice da je moguc prenos ovih mikroorganizama sa životinja na ljude, ali i obratno, koagulaza pozitivne stafilokoke zauzimaju posebno mjesto u javnom zdravstvu opcenito.

For many years, there are tendencies to support collaborative work of companies of the energy sector, but only the arrival of cloud computing open the door for the implementation of these ideas and aspirations. This actually means a transition to advanced business model and platform with possibilities for launching energy efficient convergent services. From currently available cloud deployment models, as adequate for the energy sector will be considered a hybrid model, as a very efficient, flexible and comprehensive solution. Immediately after the establishment of a common cloud environment the focus of research redirects to the crucial problem of the organization and management of this complex, highly-distributed environment? Especially regarding transactional cloud database and maintaining its consistency. So far, there have been applied conventional methods for preserving consistency and the other ACID rules in highly-distributed transactional environments. However, the actual goal is to make a step forward and to find the optimal solution for preserving the consistency of the entire cloud DBMS. Therefore, this paper discusses adaptable and dynamic approach to preserving consistency of transactional cloud database called TBC (Tree-Based Consistency) approach. It will be shown that this approach provides optimal results and the expected performance of the entire cloud environment.