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dc.contributor.authorHurtado, Juan Carlos-
dc.contributor.authorQuintó, Llorenç-
dc.contributor.authorCastillo, Paola-
dc.contributor.authorCarrilho, Carla-
dc.contributor.authorFernandes, Fabiola-
dc.contributor.authorJordao, Dercio-
dc.contributor.authorLovane, Lucilia-
dc.contributor.authorNavarro, Mireia-
dc.contributor.authorCasas, Isaac-
dc.contributor.authorBene, Rosa-
dc.contributor.authorNhampossa, Tacilta-
dc.contributor.authorSantos Ritchie, Paula-
dc.contributor.authorBandeira, Sónia-
dc.contributor.authorSambo, Calvino-
dc.contributor.authorChicamba, Valeria-
dc.contributor.authorMocumbi, Sibone-
dc.contributor.authorJaze, Zara-
dc.contributor.authorMabota, Flora-
dc.contributor.authorIsmail, Mamudo R.-
dc.contributor.authorLorenzoni, Cesaltina-
dc.contributor.authorGuisseve, Assucena-
dc.contributor.authorRakislova, Natalia-
dc.contributor.authorMarimon, Lorena-
dc.contributor.authorCastrejon, Natalia-
dc.contributor.authorSanz, Ariadna-
dc.contributor.authorCossa, Anelsio-
dc.contributor.authorMandomando, Inácio-
dc.contributor.authorMunguambe, Khátia-
dc.contributor.authorMaixenchs, Maria-
dc.contributor.authorMuñoz-Almagro, Carmen-
dc.contributor.authorMacete, Eusébio-
dc.contributor.authorAlonso, Pedro-
dc.contributor.authorVila Estapé, Jordi-
dc.contributor.authorBassat Orellana, Quique-
dc.contributor.authorMenéndez, Clara-
dc.contributor.authorMartínez Yoldi, Miguel Julián-
dc.contributor.authorOrdi i Majà, Jaume-
dc.description.abstractPostmortem studies, including the complete diagnostic autopsy (CDA) and the minimally invasive autopsy (MIA), an innovative approach to post-mortem sampling and cause of death investigation, are commonly performed within 24 hours after death because the quality of the tissues deteriorates over time. This short timeframe may hamper the feasibility of the procedure. In this study, we compared the diagnostic performance of the two postmortem procedures when carried out earlier and later than 24 hours after death, as well as the impact of increasing postmortem intervals (PMIs) on the results of the microbiological tests in a series of 282 coupled MIA/CDA procedures performed at the Maputo Central Hospital in Mozambique between 2013 and 2015. 214 procedures were conducted within 24 hours of death (early autopsies), and 68 after 24 hours of death (late autopsies). No significant differences were observed in the number of non-conclusive diagnoses (2/214 [1%] vs. 1/68 [1%] p = 0.5645 for the CDA; 27/214 [13%] vs. 5/68 [7%] p = 0.2332 for the MIA). However, increasing PMIs were associated with a raise in the number of bacteria identified (rate: 1.014 per hour [95%CI: 1.002-1.026]; p = 0.0228). This increase was mainly due to rising numbers of bacteria of the Enterobacteriaceae family and Pseudomonas genus strains. Thus, performing MIA or CDA more than 24 hours after death can still render reliable diagnostic results, not only for non-infectious conditions but also for many infectious diseases, although, the contribution of Enterobacteriaceae and Pseudomonas spp. as etiological agents of infections leading to death may be overestimated.-
dc.format.extent10 p.-
dc.publisherNature Publishing Group-
dc.relation.isformatofReproducció del document publicat a:
dc.relation.ispartofScientific Reports, 2018, vol. 8, num. 16112-
dc.rightscc-by (c) Hurtado, Juan Carlos et al., 2018-
dc.subject.classificationMicrobiologia sanitària-
dc.subject.classificationMalalties infeccioses-
dc.subject.classificationSalut pública-
dc.subject.otherSanitary microbiology-
dc.subject.otherCommunicable diseases-
dc.subject.otherPublic health-
dc.titlePostmortem Interval and Diagnostic Performance of the Autopsy Methods-
Appears in Collections:Articles publicats en revistes (Fonaments Clínics)
Articles publicats en revistes (ISGlobal)

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