Dissolved and particulate metals and metalloids in the eastern Mekong Delta, Vietnam.

The article reports the concentration levels of particulate and dissolved metals and metalloids (Be, Se, Sb, Tl, V, Pb, Cd, Cu, Zn, Ni, Mo, Co, Fe As, Ag) in the eastern region of the lower Mekong Delta (Vietnam) in order to assess their possible influence on the environmental quality of river water. To measure the concentrations of trace elements, a mass spectrometric method was used. The critical particulate elements had included V, Cu, Ni, Co, Pb, Cd and potentially critical - Mo, Ag, Se, Tl. In the dissolved phase these were Cu, Zn, and Pb, Cd, Co, Ag, Se respectively. The high accumulation ability of studied elements to suspended particulate matter (102-107) suggests their important role in the distribution of elements. The water salinization boundary in the riverbeds of the delta moves upstream 30-50 km further in the dry season compared to the wet season.

The characterization of ESBL genes in Escherichia coli and Klebsiella pneumoniae causing nosocomial infections in Vietnam.

BACKGROUND: Extended-spectrum ß-lactamases (ESBLs) are enzymes capable of hydrolyzing oxyimino-ß-lactams and inducing resistance to third generation cephalosporins. The genes encoding ESBLs are widespread and generally located on highly transmissible resistance plasmids. We aimed to investigate the complement of ESBL genes in E. coli and Klebsiella pneumoniae causing nosocomial infections in hospitals in Ho Chi Minh City, Vietnam. METHODOLOGY: Thirty-two non-duplicate isolates of E. coli and Klebsiella pneumoniae causing nosocomial infections, isolated between March and June 2010, were subjected to antimicrobial susceptibility testing. All isolates were PCR-amplified to detect the blaSHV, blaTEM and blaCTX-M ESBL genes and subjected to plasmid analysis. RESULTS: We found that co-resistance to multiple antimicrobials was highly prevalent, and we report the predominance of the blaCTX-M-15 and blaCTX-M-27 genes, located on highly transmissible plasmids ranging from 50 to 170 kb in size. CONCLUSIONS: Our study represents a snap shot of ESBL-producing enteric bacteria causing nosocomial infections in this setting. We suggest that antimicrobial resistance in nosocomial E. coli and Klebsiella pneumoniae is rampant in Vietnam and ESBL organisms are widespread. In view of these data and the dramatic levels of antimicrobial resistance reported in Vietnam we advocate an urgent review of antimicrobial use in the Vietnamese healthcare system.