• New tabs
• Suggestions
• Dynamic identification
• Usability improvements

New tabs

The new tabs in Microbiology replace the older radio buttons and make it easier to reach each function. For each category: Bacteria, Mycobacteria and Yeasts there is easy access to Identify or Lists.

Suggestions

GIDEON’s Microbiology Compare function, until now, has ranked phenotypic tests which are most likely to impact the Identification list. Now, the top four tests which are most likely to focus and shorten the list of possible organisms are displayed and dynamically updated as each new test result is entered. Clickable boxes which allow the user to enter a “yes”, “no” or “unknown”, appear and enlarge each time the mouse passes near a test.

Dynamic identification

The Identify button has been eliminated! Now, the Identification list is automatically updated as test results are entered. This feature demonstrates the effects of each new test result as it is entered.

The familiar buttons: Compare, Why Not, Open case, Save case, Remove All, Print, Email are all in the Identification list area.

Usability improvements

Updated lists

The organism lists have been updated to extend the length of the screen. The organisms can be selected by clicking the check boxes to their left and then Compared. Clicking on expands the list of synonyms.

Collapsible windows

Windows in Identify, such as Suggestions and Phenotypic Tests can be minimized and hidden. For example to not see suggestions, click on the minimize button  to the left title.

Mouse overs
More mouse-overs have been added: Clickable boxes expand as you mouse over them, and display clear symbols to select “yes” or “no.”

Phenotype
You can now click on the tests  in the Phenotype window.

Quick sorting
Identification results can be sorted alphabetically or by probability easily by clicking the column title.

Window resizing
Changing vertical window size expands size of Phenotypic tests and Identification list sub-windows in Identify and Organism list. This is a great feature for larger monitors.

Previous version
Click “Original Microbiology” to use the older interface.

Update: See video demonstration

Argentina:
2007 to 2007 – An outbreak (28 cases) of Mycobacterium immunogenum infection in Buenos Aires was associated with mesotherapy.

Brazil:
2002 to 2004 – An outbreak (14 cases) of mycobacterial wound infection associated with silicone breast implant surgery was reported in Campinas, Sao Paulo.
2003 – An outbreak (5 cases) in Sao Paulo of keratitis due to Mycobacterium immunogenum was associated with myopia surgery.
2004 to 2005 – An outbreak (311 cases) of Mycobacterium abscessus infections in Belem was associated with invasive procedures. Mycobacterium massiliense and M. bolletii were also identified in some cases.
2006 to 2007 – An outbreak (1,051 clinical cases) of Mycobacterium massiliense infections involving 63 hospitals in Rio de Janeiro state was related to contaminated instruments used in video-assisted surgery.
2008 – An outbreak (13 cases) of Mycobacterium fortuitum infections in Sao Paulo was associated with breast implant surgery.

Canada:
2002 – An outbreak (32 cases) of Mycobacterium abscessus infection in Toronto was reported from two acupuncture clinics.

Colombia
1996 (publication year) – An outbreak (232 cases) of Mycobacterium chelonae subsp. abscessus infection in Barranquilla was caused by contaminated lidocaine used in a single physician’s office.

Dominican Republic:
2003 – An outbreak (6 cases) of abdominal wall infections caused by Mycobacterium abscessus occurred among patients who had undergone liposuction at a single clinic in Santo Domingo.
2004 – An outbreak (12 cases) of M. abscessus infection were diagnosed among Americans who had visited various clinics in Santo Domingo for cosmetic surgery.

France:
1989 to 1993 – An outbreak (58 cases) of discitis due to Mycobacterium xenopi was reported in a hospital.
2006 to 2007 – An outbreak (16 cases) of subcutaneous Mycobacterium chelonae infections was associated with mesotherapy injections.
2008 (publication year) – An outbreak (8 cases) of mycobacteriosis was associated with a tattoo parlor.

Hong Kong:
1993 (publication year) – An outbreak of sternotomy infections due to Mycobacterium fortuitum was reported in cardiothoracic hospital.

India:
1995 – An outbreak (45 cases) of post-operative wound infections due to Mycobacterium abscessus was ascribed to contaminated water.
2006 (publication year) – An outbreak (145 cases) of Mycobacterium cheloniae port site infections in Bangalore was associated with contaminated laparoscopic equipment.

Israel:
2003 – An outbreak (15 cases) of “Mycobacterium jacuzzii” infection was associated with breast implant surgery.
2008 (publication year) – An outbreak (5 cases) of Mycobacterium mucogenicum bacteremia in a paediatric haematology-oncology ward was related to a contaminated faucet.

Mexico:
1991 (publication year) – An outbreak of post-rhinoplasty nasal cellulitis due to Mycobacterium chelonae was reported in Mexico City.

Peru
2004 to 2005 – An outbreak (35 cases) in Lima of persistent cutaneous abscesses due to Mycobacterium chelonae was associated with mesotherapy sessions.

Republic of Korea:
2001 – An outbreak (40 cases) of Mycobacterium abscessus infection was associated with an acupuncture clinic.
2007 (publication year) – An outbreak (12 cases) of Mycobacterium massiliense infections was associated with intramuscular injection of an antimicrobial agent (ribostamycin).
2008 – An outbreak (109 cases) of Mycobacterium abscessus infection was ascribed to contaminated glutaraldehyde disinfectant used in acupuncture.

Spain:
2009 (publication year) – An outbreak (39 cases) of Mycobacterium fortuitum infection in Rioja was associated with mesotherapy administered by a beauty salon.

United States:
1987 – An outbreak (17 cases) of Mycobacterium chelonae otitis media was caused by contaminated water used by an ENT practice in Louisiana.
1988 – An outbreak (8 cases) of foot infections due to Mycobacterium chelonae subspecies abscessus infections were associated with a jet injector used in a podiatric office.
1989 to 1990 – An outbreak (16 cases) of sputum colonization by Mycobacterium fortuitum was reported among patients on an alcoholism rehabilitation ward in Washington, D.C.
1991 (publication year) – An outbreak (6 cases) of Mycobacterium fortuitum infection in Washington was associated with contaminated electromyography needles.
1995 to 1996 – An outbreak (87 cases) of postinjection abscesses due to Mycobacterium abscessus in several states was ascribed to an adrenal cortex extract. 1999 – An outbreak (10 cases) of intra- and periarticular Mycobacterium abscessus infection in Texas was caused by contaminated benzalkonium chloride used for injection.
2000 to 2001 – An outbreak (110 cases) of skin infections due to Mycobacterium fortuitum was caused by contaminated footbaths in California nail salons.
2002 – An outbreak (14 confirmed and 11 suspected cases) of soft tissue infections due to Mycobacterium abscessus followed injections of cosmetic substances administered by unlicensed practitioners in New York City.
2002 – An outbreak (115 cases or more) of cutaneous infection by Mycobacterium fortuitum was associated with a contaminated footbath in a nail salon in California.
2002 (publication year) – An outbreak (34 cases) of Mycobacterium chelonae soft tissue infection in California was associated with liposuction.
2002 to 2003 – An outbreak (4 cases) of Mycobacterium chelonae infection among patients undergoing rhytidectomies in New Jersey was caused by a contaminated methylene blue solution.
2003 – An outbreak (3 cases) of Mycobacterium goodii infection was associated with surgical implants in a Colorado hospital.
2004 – An outbreak (12 cases) among Americans of soft tissue infections caused by Mycobacterium abscessus following cosmetic surgery performed at various clinics in the Dominican Republic.
2004 – An outbreak (143 cases) of mycobacterial skin and soft tissue infection (presumed M. fortuitum) was reported among persons attending nail salons in California.
2009 (publication year) – An outbreak (6 cases) of Mycobacterium chelonae infection was associated with a tattoo establishment.

Venezuela:
2005 – An outbreak (70 cases) of Mycobacterium cosmeticum infection was related to “mesotherapy” injections for fat removal.

Update: Appeared in ProMED

For comparison of key clinical and epidemiological features of infectious diseases, in the Diseases tab, click on a disease (step 1 in the image below), and – while holding down the control button – click on other diseases of your choice. Now click on the Compare button (step 2).

Choosing diseases to compare

The following chart will appear:

Disease comparison

Note that an explanation of symbols and further descriptive information regarding each disease appear at the bottom of the chart, in addition for icons used to print or transmit the chart itself.

Similar charts can be prepared by following identical steps in the Drugs and Microbiology modules:

Drug comparison

Drug comparison symbols

Pathogen comparison