Evaluation of Central Venous Catheter for Dialysis Associated with Bloodstream Infections.

Objective: Hemodialysis (HD) catheter-related bloodstream infections (CRBSIs) are a major complication of long-/short-term catheter. Material and Methods: Patients with HD CRBSIs were identified, and their blood was taken and sent to clinical pathology for culture and sensitivity testing. The inclusion criteria were adults with end-stage renal disease who required urgent HD access in the presence of a central venous catheter (CVC) infection. Results: The most common isolates among the patients with CRBSIs were gram-positive microorganisms (57.5%) and gram-negative organisms (42.5%). Overall, in our entire study, Staphylococcus aureus was the most common pathogen isolated, accounting for 30%, followed by Pseudomonas aeruginosa (20%), coagulase-negative staphylococci (CoNS) (12.5%), Klebsiella spp. and Acinetobacter (10%), Staphylococcus epidermidis (7.5%), and methicillin-resistant Staphylococcus aureus (MRSA), Escherichia coli, Staphylococcus hominis, and Enterococcus faecalis (2.5%). The commonest bacterial in femoral was S. aureus, and for subclavian was Pseudomonas aeruginosa. All S. aureus were sensitive to aminoglycosides and quinolones. P. aeruginosa was sensitive to the third generation of cephalosporins, especially cefoperazone and carbapenem. Conclusion: Nontunneled CVCs used for more than 2 weeks could increase the risk of CRBSIs. Procalcitonin and erythrocyte sedimentation rate could predict the CRBSIs in this study. This study also revealed that the gram-positive bacteria were primadonna in dialysis of CRBSIs, and most of them were sensitive to aminoglycosides.

Scarification and Seed Biomatriconditioning Effect Using Endophytic-Rhizobacteria in Areca Nut (Areca catechu L.) Seedling Vigor.

<b>Background and Objective:</b> Intensive and commercial development of areca nut requires the provision of high-vigour areca nut. This study aimed to evaluate the effect of scarification and seeds biomatriconditioning using endophytic-rhizobacteria in increasing seedlings vigor of areca nut. <b>Materials and Methods:</b> The research was carried out at the Agronomy Unit of Agrotechnology Laboratory, Agriculture Faculty, Halu Oleo University, from November, 2020-March, 2021. The research design was split-plot in a Completely Randomized Design (CRD). The main plot, seed scarification, consisted of 2 treatments, without scarification and scarification. Sub-plots, seeds biomatriconditioning using endophytic-rhizobacteria, consisted of 6 treatments, control, L1-R, M5-R, LA6-R, LA2-E and RJ6-R. <b>Results:</b> The results showed that the scarification treatment did not affect the seedlings vigor of the areca nut. Seed biomatriconditioning using endophytic-rhizobacteria was able to increase seedling vigor both without scarification and with scarification. There were 3 isolates of endophytic-rhizobacteria which were more able to increase the vigor of areca nut without scarification, namely L1-R, LA6-R and LA2-E, with an increase of 137, 104 and 102%, respectively compared to the control, while in scarified seeds, L1-R isolate was able to increase the seedlings vigor of areca nut by 194% compared to the control. <b>Conclusion:</b> Scarification treatment did not affect the vigor of the areca nut. Seed biomatriconditioning with endophytic-rhizobacteria was able to increase the vigor of areca nut seeds either without scarification or with scarification.