Time to positivity of blood cultures causing candidemia and its relation to mortality.

Background and Objectives: Early diagnosis of candidemia is of vital importance in reducing mortality and morbidity. The main objective of the study was to determine the TTP (Time to Positivity) of different species of Candida causing bloodstream infection and to see whether TTP can help differentiate Candida glabrata which is frequently fluconazole resistant from Fluconazole sensitive Candida. Materials and Methods: TTP (Time to positivity) and AAT (Appropriate Antifungal therapy) were noted for Blood cultures becoming positive for Candida. Presence of Risk factors for candidemia like prolonged ICU stay, neutropenia, Total Parenteral Nutrition (TPN), use of steroids , broad spectrum antibiotics, use of Central Venous Catheter, Foleys catheter were also analyzed. Results: The most frequent isolates were Candida parapsilosis, Candida tropicalis and Candida albicans. The median TTP for all Candida isolates in our study was 34 hours. The diagnostic sensitivity of TTP for detecting C. glabrata and C. tropicalis in patients with candidemia was 88% and 85% respectively. TTP showed that there was no difference in survival between TTP <24 hrs. and > 24hrs. Initiation of antifungal therapy <24 hours and > 24hrs after onset of candidemia had no association with survival. Conclusion: Longer TTP maybe predictive of C. glabrata while shorter TTP may be predictive of C. tropicalis. In our study we found that fluconazole resistant Candida causing blood stream infection is quite unlikely if the TTP of the isolate is <48hrs.

Sustainable process for fractionation of lignin by the microwave-assisted chemical additive approach: Towards sugarcane leaf biorefinery and characterization.

The microwave assisted pretreatment on sugarcane leaf (SCL) biomass for delignification was studied to enhance cellulose digestibility. In this work, microwave assisted with additives were used to delignification SCL for maximize sugar yield recovery. Single factorial and Central composite design (CCD) were employed to optimize the microwave assisted pretreatment conditions for improve delignification efficiency and the sugar yield recovery. The optimized pretreatment conditions were determined to be 4 min pre-treatment time, 500 W microwave power, 1.0 M Na2CO3 and 10 % biomass loading condition produce maximum reducing sugar yield (601 mg g-1) and glucose sugar yield (231 mg g-1) were achieved during saccharification. Pretreated biomass produced reducing sugar and glucose yields that were 4.5 and 4.1 times higher than those of untreated (native) SCL-N biomass, respectively. Additionally, the recyclability study of black liquor, obtained from optimized conditioned treatment of SCL-MSC (Microwave-assisted sodium carbonate pretreated SCL) resulted in considerable saccharification yield up to three pretreatment cycles. The 1H NMR and 13C NMR spectra studies illustrate that aromatic units present in SCL fractionated lignin samples. The variations of structure features and chemical compositions of the raw and pretreated SCL biomass were analyzed by SEM, XRD and XPS analysis. Overall, SCL-MSC pretreatment condition significantly delignification of SCL and led to the maximum sugar production optimized strategies pretreatment conditions was produced maximum amount of sugar, which is great potential for bio-refinery product development.