Influencing factors for intestinal colonization and secondary infection of CRKP in neonates / 中国感染控制杂志

Objective To analyze the influencing factors for intestinal colonization and secondary infection of car-bapenem-resistant Klebsiella pneumoniae(CRKP)in neonates,and provide a basis for formulating prevention and control strategies for CRKP infection.Methods Neonates who were admitted to the neonatal ward of a hospital from January 2021 to October 2022 were selected as the study subjects,and the first screening of CRKP was con-ducted within 48 hours after admission.In addition,active anal swab screening for carbapenem-resistant Ente-robacterales(CRE)was performed weekly during hospitalization,and the infection status of CRKP strains was mo-nitored.Clinical data of neonates in the colonization group,non-colonization group,and infection group were ana-lyzed.Intestinal colonized strains and the non-repetitive CRKP strains isolated from clinical specimens of neonates with secondary infection after colonization were performed carbapenemase gene detection,multilocus sequence ty-ping(MLST)and pulsed-field gel electrophoresis(PFGE)analysis.Results A total of 1 438 neonates were active-ly screened for CRE,174 were CRKP positive,CRKP colonization rate was 12.1％.Among 174 neonates,35 were with secondary infection,with the incidence of 20.1％.The independent risk factors for neonatal CRKP intestinal colonization were cesarean section(OR=2.050,95％CI:1.200-3.504,P=0.009),use of cephalosporins(OR=1.889,95％CI:1.086-3.288,P=0.024),nasogastric tube feeding(OR=2.317,95％CI:1.155-4.647,P=0.018).Protective factors were breast-feeding(OR=0.506,95％CI:0.284-0.901,P=0.021),oral probiotics(OR=0.307,95％CI:0.147-0.643,P=0.002),and enema(OR=0.334,95％CI:0.171-0.656,P=0.001).Independent risk factors for secondary infection after intestinal colonization of neonatal CRKP were carbapenem anti-biotic use(OR=19.869,95％CI:1.778-222.029,P=0.015)and prolonged hospital stay(OR=1.118,95％CI:1.082-1.157,P＜0.001).The detection results of drug resistance genes showed that carbapenemase-producing genes of CRKP strains were all blaKPC-2,all belonged to type ST11.Homologous analysis showed that intestinal CRKP colonization was highly homologous with the secondary infection strains after colonization.Conclusion CRKP intestinal colonization during neonatal hospitalization may increase the risk of CRKP infection.Risk and pro-tective factors of neonatal intestinal colonization and secondary infections after colonization should be paid attention,and corresponding preventive and control measures should be taken,so as to reduce the occurrence and transmission CRKP healthcare-associated infection.

The Nomogram model was established for the risk assessment of intestinal colonization with neonatal CRKP / 实用医学杂志

Objective To establish a Nomogram model for assessing the risk of intestinal colonization by Carbapenem-Resistant Klebsiella pneumoniae(CRKP)to determine the specific probability of colonization and adopt individualized prevention strategies for the purpose of reducing the occurrence of colonization and secondary infection of neonatal CRKP.Methods A total of 187 neonates hospitalized between January 2021 and October 2022 and diagnosed with CRKP colonization by rectal swab/fecal culture as well drug sensitivity identification 48 h after admission were assigned to the CRKP group.Another 187 neonates without non-CRKP colonization during the same period were set as the non-CRKP group.All the data of the two groups were used for a retrospective analysis.The caret package in R 4.2.1 was used to randomly divide the 374 cases into the model group and validation group at a ratio of 3∶1.Then the glmnet package in R 4.2.1 was used to conduct a LASSO regression analysis over the data from the model group to determine the predictive factors for modeling and the rms software package was used to build a Nomogram model.The pROC and rms packages in R 4.2.1 were used to examine the data,analyzing the consistency indexes(Cindex),receiver operating characteristic curves(ROC),and area under the curves(AUC)and performing the internal and external validation of the efficacy of the Nomogram model via the calibration curves.Results LASSO regression analysis determined eight predictors from the 35 factors probably affecting neonatal CRKP colonization:gender,cesarean section,breastfeeding,nasogastric tube,enema,carbapenems,probiotics,and hospital stay.The Nomogram model constructed using these eight predictors as variables could predict CRKP colonization to a moderate extent,with the area under the ROC curve of 0.835 and 0.800 in the model and validation group,respectively.The Hos-mer-Lemeshow test showed that the predicted probability was highly consistent with the actual probability(the modeling group:P = 0.678>0.05;the validation group:P = 0.208>0.05),presenting a higher degree of fitting.Conclusion The Nomogram model containing such variables as gender,cesarean section,breastfeeding,nasogastric tube,enema,carbapenems,probiotics,and hospital stay is more effective in predicting the risk of neonatal CRKP colonization.Therefore,preventive measures should be individualized based on the colonization probability predicted by the Nomogram model in order to keep neonates from CRKP colonization and reduce the incidence of secondary CRKP infections among them.

Advances in Xpert MRSA/SA technology for colonisation and decolonisation of methicillin-anti staphylococcus aureus / 中国综合临床

Methicillin-anti staphylococcus aureus(MRSA) is one of the common pathogenic bacteria in hospital infection. Many asymptomatic MRSA carriers have been found in clinical practice, which can not only transmit the strain to others, but also cause secondary infection due to their own reasons. Decolonization measures can reduce the number of MRSA colonizers, thereby reducing the risk of endogenous infection and secondary transmission. Early identification is the first step to prevent transmission and secondary infection, which requires high accuracy and sensitivity of detection methods. Xpert MRSA/SA assay (Cepheid, Sunnyvale, CA, USA) may be a better choice, which can shorten the time of traditional methods, and has high specificity and sensitivity. Unlike other rapid detection methods, the Xpert MRSA/SA assay may be more suitable for MRSA colonisation detection.

Interação de cepas de Lactobacillus crispatus com Streptococcus agalactiae em culturas celulares mimetizando o ambiente vaginal / Interaction between Lactobacillus crispatus and Streptococcus agalactiae strains in cell cultures mimicking the vaginal environment

A microbiota vaginal é dominada pelo gênero Lactobacillus, mantendo um pH ácido crucial para a saúde. Alterações hormonais e a menopausa podem impactar essa microbiota. Estreptococos do Grupo B (EGB) são associados a infecções neonatais e podem colonizar a microbiota vaginal. A interação entre Lactobacillus e EGB é complexa, com resultados conflitantes em estudos in vitro e in vivo. O uso de probióticos contendo Lactobacillus pode ter benefícios, como alterar a positividade para EGB em um grupo que recebeu o tratamento. Contudo a replicabilidade deste resultado é limitada, e os mecanismos envolvidos nessa interação ainda são pouco elucidados. Portanto o objetivo desse estudo foi caracterizar cepas de EGB, avaliar sua interação com L. crispatus em diversas condições. Neste estudo foram selecionadas seis cepas, pertencentes aos sorotipos Ia, II, III e V. Essas cepas foram caracterizadas de acordo com o sorotipo capsular, presença de genes de virulência (hialuronidase, ß-citolisina/hemolisina, e ilhas de pili 1, 2a e 2b), resistência a antimicrobianos (penicilina, cefepima, vancomicina, eritromicina e clindamicina), curva de crescimento, Restriction Fragment Length Polymorphism (RFLP) e Multi-Locus Sequence Typing (MLST). O resultado de MLST identificou os sequence types ST1, ST23 ST28 e ST182, e os clonal complexes CC1, CC19 e CC23. Cepas possuem a maior parte dos genes de virulência testados. Somente uma cepa apresentou alguma resistência, no caso à eritromicina e clindamicina. Resultados que estão de acordo com a literatura como os principais descritos em isolados clínicos. Os ensaios de interação realizados foram: crescimento em co-cultura, formação de biofilme, ensaios de adesão e exclusão em cultura celular e por fim, análise do perfil proteico. Alguns efeitos de L. crispatus no EGB observados foram aumento na formação de biofilme de EGB e diminuição da sua proliferação quando em co-cultura. Contudo esses resultados variaram de acordo com a cepa de EGB. Nos ensaios de competição em cultura celular, a presença de L. crispatus levou à diminuição da adesão em uma cepa pertencente ao sorotipo III, e aumento de adesão em uma cepa pertencente ao sorotipo V. Quando a cultura de células recebeu tratamento prévio de L. crispatus, nos ensaios de exclusão, houve menor adesão de EGB. Contudo todos os efeitos observados são cepa-dependente; não foram encontradas associações entre o comportamento das cepas e seu sorotipo capsular ou fenótipo MLST. Estudos futuros podem elucidar as respostas ativadas na presença de microrganismos comensais

The vaginal microbiota is dominated by the genus Lactobacillus, which helps to maintain a crucial acidic pH for health. Hormonal changes and menopause can impact this microbiota. Group B Streptococcus (GBS) are associated with neonatal infections and can colonize the vaginal microbiota. The interaction between Lactobacillus and GBS is complex, with conflicting results in in vitro and in vivo studies. The use of probiotics containing Lactobacillus may have benefits, such as altering GBS positivity in a treated group. However, the replicability of this result is limited, and the mechanisms involved in this interaction are still poorly understood. The use of probiotics containing Lactobacillus may have some benefits, but further research is needed. These strains were characterized based on capsular serotype, presence of virulence genes (hyaluronidase, ß-cytolysin/hemolysin, and pili islands 1, 2a, and 2b), antimicrobial resistance (penicillin, cefepime, vancomycin, erythromycin, and clindamycin), growth curve, Restriction Fragment Length Polymorphism (RFLP), and Multi-Locus Sequence Typing (MLST) Therefore, the aim of this study was to characterize GBS strains, evaluate their interaction with L. crispatus under various conditions. Six strains were selected for this study, belonging to serotypes Ia, II, III, and V. MLST results identified sequence types ST1, ST23, ST28, and ST182, and clonal complexes CC1, CC19, and CC23. Most strains possessed the tested virulence genes, with only one strain showing resistance to erythromycin and clindamycin. These results are in line with the literature. Interaction assays included co-culture growth, biofilm formation, adhesion and exclusion assays in cell culture, and, finally, protein profile analysis. Some observed effects of L. crispatus on GBS included an increase in GBS biofilm formation and a decrease in GBS proliferation during co-culture. However, these results varied according to the GBS strain. GBS interaction with L. crispatus resulted in increased biofilm formation and decreased proliferation in co-culture. In cell culture competition assays, the presence of L. crispatus led to decreased adhesion in one GBS strain belonging to serotype III and increased adhesion in one strain belonging to serotype V. When cell culture received pre-treatment with L. crispatus, exclusion assays showed lower GBS adhesion. However, all observed effects are strain-dependent; no associations were found between strain behavior and capsular serotype or MLST phenotype. Future studies may elucidate the responses activated in the presence of commensal microorganisms

Can habits and behaviors predict colonization by community-associated MRSA in patients admitted to a Brazilian hospital?

ABSTRACT This study aimed to identify factors associated with colonization by community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) in adult patients admitted to a Brazilian hospital. This is a cross-sectional study, in which patients underwent a nasal swab and were asked about hygiene behavior, habits, and clinical history. Among the 702 patients, 180 (25.6%) had S. aureus and 21 (2.9%) MRSA. The factors associated with MRSA colonization were attending a gym (OR 4.71; 95% CI; 1.42 - 15.06), smoking habit in the last year (OR 2.37; 95% CI; 0.88 - 6.38), previous hospitalization (OR 2.18; CI 95%; 0.89 - 5.25), and shared personal hygiene items (OR 1.99; 95% CI; 0.71 - 5.55). At the time of admission, colonization by CA-MRSA isolates was higher than that found in the general population. This can be an important public health problem, already endemic in hospitals, whose factors such as those associated with habits (smoking cigarettes) and behaviors (team sports practice and activities in gyms) have been strongly highlighted. These findings may help developing infection control policies, allowing targeting patients on higher-risk populations for MRSA colonization.

Diet composition affects the rearing of Mansonia humeralis (Diptera: Culicidae) immatures under laboratory conditions

ABSTRACT Mansonia Blanchard mosquitoes are aggressive and opportunistic, making it difficult for habitation in certain areas. However, there is no data regarding their rearing in laboratory in Brazil. Therefore, the aim of this study was to evaluate the effect of different diet composition on the development of Mansonia humeralis immatures. The plant Pistia stratiotes was used as a substrate for larval attachment, and fish food (Tetra Marine® Flakes) and baker's yeast (Saccharomyces cerevisiae) in various combinations were used as feed. Eggs and larvae were obtained from mosquitoes collected in the field using protected human catches, and the experiments were conducted in the laboratory (25-27°C and 70-80% relative humidity) with 200 larvae per container (n=15). Mortality rate, larval development time, pupation rate, emergence rate, and the number of eggs and larvae were recorded. Overall, a high mortality rate (0.5 - 0.7) was observed in the first 12 days of the experiment in all diets, up to 50% of adults emerged from the remaining larvae with a male to female ratio of 1.1 to 1.3. The use of yeast in combination with fish food resulted in lower mortality rate (0.52), a shorter larval development time (34 days), a higher pupation rate (0.21) and number of eggs (21 eggs) compared to the other diets. However, fertility was very low (1%) regardless of the diet used. The use of yeast is recommended as part of the diet offered to this mosquito species under the laboratory conditions used in our study.

Contamination of equipment and surfaces in the operating room anesthesia workspace: a cross-sectional study

ABSTRACT BACKGROUND: Contamination of the breathing circuit and medication preparation surface of an anesthesia machine can increase the risk of cross-infection. OBJECTIVE: To evaluate the contamination of the anesthetic medication preparation surface, respiratory circuits, and devices used in general anesthesia with assisted mechanical ventilation. DESIGN AND SETTING: Cross-sectional, quantitative study conducted at the surgical center of a philanthropic hospital, of medium complexity located in the municipality of Três Lagoas, in the eastern region of the State of Mato Grosso do Sul. METHODS: Eighty-two microbiological samples were collected from the breathing circuits. After repeating the samples in different culture media, 328 analyses were performed. RESULTS: A higher occurrence of E. coli, Enterobacter spp., Pseudomonas spp., Staphylococcus aureus, and Streptococcus pneumoniae (P < 0.001) were observed. Variations were observed depending on the culture medium and sample collection site. CONCLUSION: The study findings underscore the inadequate disinfection of the inspiratory and expiratory branches, highlighting the importance of stringent cleaning and disinfection of high-touch surfaces.

Racismo e Sexismo: Estruturas de Transmissão, Incidências da História e Insistências do Real / Racism and Sexism: Transmission Structures, History Incidences and Insistences of the Real / Racismo y Sexismo: Estructuras de Transmisión, Incidencias de la Historia e Insistencias de lo Real

Este artigo propõe articulações entre as estruturas coloniais de incidência do racismo e do sexismo no laço social e suas vias de inscrição no inconsciente e no corpo. Partimos de um debate sobre o enquadre colonial da subjetividade e de questões levantadas por Frantz Fanon acerca do modo como o racismo se conecta com a lógica fálica do complexo de Édipo para avaliar sua validade em relação à realidade de povos colonizados. Retomamos formulações freudianas e lacanianas úteis para abordar essa encruzilhada, a partir dos caminhos apontados por Lélia Gonzalez ao discutir as subversões operadas pela mulher negra diante do racismo e do sexismo no contexto brasileiro. Com base em alguns fragmentos clínicos, sustentamos que uma abordagem clínica da perspectiva interseccional antecipada por Lélia Gonzalez demanda uma tomada dialética das relações entre estrutura e história, entre o coletivo e o singular e entre o inconsciente colonizado e o resto que escapa e subverte as relações de dominação.

This article proposes articulations between the colonial structures of incidence of the racism and sexism in the social bond and their ways of inscription in the unconscious and in the body. Starting from a debate about the colonial framework of subjectivity and from questions raised by Frantz Fanon about how the racism connects with the phallic logic of the Oedipus complex to assess its validity in relation to the reality of colonized peoples. We return to useful Freudian and Lacanian formulations to address this crossroads, based on the paths pointed out by Lélia Gonzalez when discussing the subversions operated by black women in the face of racism and sexism in the Brazilian context. Based on some clinical fragments, we argue that a clinical approach to the intersectional perspective anticipated by Lélia Gonzalez demands a dialectical approach to the relations between structure and history, between the collective and the singular, and between the colonized unconscious and the rest that escapes and subverts the relations of domination.

Este artículo propone articulaciones entre las estructuras coloniales de incidencia del racismo y del sexismo en el lazo social y sus formas de inscripción en el inconsciente y en el cuerpo. Partimos de un debate sobre el marco colonial de la subjetividad y de las preguntas planteadas por Frantz Fanon sobre la forma en que el racismo se relaciona con la lógica fálica del complejo de Edipo para evaluar su validez con relación a la realidad de los pueblos colonizados. Retomamos formulaciones freudianas y lacanianas útiles para abordar esta encrucijada, a partir de los caminos señalados por Lélia González al discutir las subversiones operadas por las mujeres negras frente al racismo y al sexismo en el contexto brasileño. En función de algunos fragmentos clínicos, sostenemos que una aproximación clínica de la perspectiva interseccional, anticipada por Lélia González, exige un abordaje dialéctico de las relaciones entre estructura e historia, entre lo colectivo y lo singular y entre el inconsciente colonizado y el resto que escapa y subvierte las relaciones de dominación.

Mobile phones of anesthesiologists as reservoirs of nosocomial bacteria in a quaternary teaching hospital: an observational study

Abstract Background: Mobile phones in hospital settings have been identified as an important source of cross-contamination because of the low frequency with which mobile phones are cleaned by health workers and cyclical contamination of the hands and face. The aim of this study was to investigate whether the mobile phones of the anesthesia team at a teaching hospital are potential reservoirs of nosocomial bacteria. In addition, differences in device sanitization and hand hygiene habits between attending and resident anesthesiologists were correlated with mobile phone colonization. Methods: A prevalence study was conducted over a 6-month period from 2017 to 2018 that involved the collection of samples from the mobile phones of the anesthesiology team and culturing for surveillance. A questionnaire was administered to assess the mobile phone sanitization and hand washing routines of the anesthesia team in specific situations. Results: Bacterial contamination was detected for 86 of the 128 mobile phones examined (67.2%). A greater presence of Micrococcus spp. on devices was correlated with a higher frequency of mobile phone use (p = 0.003) and a lower frequency of sanitization (p = 0.003). The presence of bacteria was increased on the mobile phones of professionals who did not perform handwashing after tracheal intubation (p = 0.003). Conclusion: Hand hygiene and device sanitization habits were more important than the use behavior, as a higher presence of bacteria correlated with poorer hygiene habits. Furthermore, handwashing is the best approach to prevent serious colonization of mobile devices and the possible transmission of pathogens to patients under the care of anesthesiologists.

Seasonal Variation of Mycorrhizal Association (Root Colonization and Spore Density) in Selected Industrial Sites in Kota District of Rajasthan, India

This paper aims to assess the impact of seasonal variation on mycorrhizal association in selected industrial wastelands in the Kota district of Rajasthan. In the study mycorrhizal association was quantified in terms of percentage root colonization and spore density in three different seasons. The study was conducted during 2019-2021 and the data was collected for 3 seasons; summer (March-June), Rainy (July–October), and winter (November-February) to study the response to variable climatic factors to the root colonization and spore density of mycorrhiza. To determine the significance of variations in AMF spore density and percentage root colonization during different seasons, one-way ANOVA was performed. Results showed that in all the sites maximum mean spore density was observed in the summer (March-June) season but in the case of percentage root colonization, the value was found maximum in the humid season (July-October) in the control site whereas, in the three experimental sites, the maximum root colonization was observed in summer season (march-June). Hence, it may be concluded that hot climatic condition is favourable for mycorrhizal spore formation and root colonization was also favoured by hot climate.

Systemic infection caused by the methicillin-resistant Staphylococcus aureus USA300-LV lineage in a Brazilian child previously colonized

ABSTRACT The methicillin-resistant Staphylococcus aureus (MRSA) USA300-Latin American variant (USA300-LV) lineage is well documented in northern Latin American countries. It has replaced established clones in hospital environments. We herein report a systemic infection caused by a USA300-LV isolate in a 15-year-old boy, from a low-income area of Rio de Janeiro, previously colonized by the same strain. During hospital stay, seven pvl-positive MRSA USA300-LV isolates were recovered by nasal swab, blood and abscess secretion. The patient underwent intravenous vancomycin, daptomycin, and oral sulfamethoxazole/trimethoprim, and was discharged after 45 days after full recovery. This is the first documented case of a community-acquired MRSA infection caused by the USA300-LV variant in Brazil in a previously colonized adolescent with no history of recent travel outside of Rio de Janeiro. The need for improved surveillance programs to detect MRSA colonization in order to control the spread of hypervirulent lineages among community and hospital settings is highlighted.

Bacterial colonization of infusion connectors in neonatal intensive care unit and countermeasures / 中国感染控制杂志

Objective To investigate the bacterial colonization and disinfection effect of infusion connectors in neo-natal intensive care unit(NICU),and provide clinical reference for improving the safety management of intravenous infusion in neonates.Methods 59 infusion connectors in NICU were selected as the control group.52 disinfected infusion connectors during the same period were selected as the observation group A,meanwhile,disinfection time and method used by nurses were observed.After training on disinfection method,50 disinfected infusion connectors were selected as the observation group B.All infusion connectors were sampled for culture.Results In the control group,bacteria were detected from 53 connectors,with a detection rate of 89.8％.Among them,39 connectors were isolated 1 bacterial specie respectively,13 were isolated 2 bacterial species respectively and 1 was isolated 3 bacterial species.Bacteria were detected from 13 connectors in observation group A,and the detection rate was 25.0％.In observation group B,bacteria were detected from 4 connectors,with a detection rate of 8.0％.Diffe-rence in the positive rates of bacterial culture before and after training was statistically significant(x2=84.418,P＜0.001).Conclusion Infusion connectors in NICU are prone to be contaminated.Effective disinfection can significantly reduce bacterial colonization.Health care workers should be aware of the risks of infusion-associated infection,standardize infusion operation,strengthen the management of infusion devices,and explore more effective disinfection methods.

Tissue distribution and analysis of human umbilical cord mesenchymal stem cells in NOG mice following single intravenous injection / 中国实验动物学报

Objective To establish a quantitative polymerase chain reaction(PCR)method for the analysis of human-derived SRY DNA in mouse tissues,and to study the tissue distribution of human umbilical cord mesenchymal stem cells(HUCMSCs)in immunodeficient NOG mice after a single intravenous injection.Methods We established a quantitative PCR method for the analysis of human SRY DNA in mouse tissues,and validated the standard curve,linear range,accuracy,precision,and stability.Thirty-six NOG mice(18 male,18 female)were administered 3.5×107 HUCMSCs/kg by single intravenous injection.Six mice were then anesthetized and dissected after blood collection(EDTA anticoagulation)at 6,12,24,and 72 h,and at 1 and 2 weeks,respectively.DNA was extracted from lung,kidney,heart,liver,brain,spinal cord,stomach,small intestine,fat,skin,spleen,testis,uterus,and ovary tissues,and the distribution of HUCMSCs in each tissue was determined by the validated quantitative PCR method for detecting the human-derived SRY gene in mouse tissues.In addition,18 NOG mice(9 male,9 female)were divided into control(n = 6)and treatment groups(n = 12)injected intravenously with 0.9%sodium chloride and 3.5×107 cells/kg,respectively.Acute toxic reactions were observed during the administration period,and four animals were dissected at 72 h and at 2 and 4 weeks after administration to observe the gross organs.Mitochondrial protein expression was detected in paraffin sections of lung tissues by immunohistochemistry to analyze the colonization of HUCMSCs in lung tissues.Results The established RT-qPCR method for human-derived SRY DNA in mouse tissues met the validation criteria for each index.After a single intravenous injection in NOG mice,HUCMSCs were mainly distributed in the lungs and blood within 1 week after administration,with higher concentrations in lung tissues than in blood.The concentrations of HUCMSCs in lung tissue and blood remained relatively stable within 6～24 h and 6～72 h,respectively,and then decreased over time.The distribution of HUCMSCs in other tissues was not measured at all sampling points.The colonization result showed that HUCMSCs were detected in lungs 72 h after intravenous injection,but not at 2 and 4 weeks.No obvious acute toxicity was observed in NOG mice after single intravenous administration of HUCMSCs.Conclusions The above method for analyzing the distribution of HUCMSCs in mouse tissue is reliable and feasible.HUCMSCs were mainly distributed in lung and blood in NOG mice within 1 week after a single intravenous injection,and mainly colonized lung tissue at 72 h.A single intravenous administration of HUCMSCs has a good safety profile.

Colonization and antagonistic activity of endophytic fungi in seagrasses: Understanding endophyte interactions

Aims@#This study assessed the colonization and antagonistic interaction of endophytic fungi isolated from the Philippine seagrasses. @*Methodology and results@#A total of 2690 explants from Enhalus acoroides, Thalassia hemprichii and Cymodocea serrulata were examined in this study. The colonization rate per seagrass species and tissue type were calculated from the number of explants with fungal growth after 14-day incubation on PDA culture media. The presence of fungal structures in seagrass tissues was examined by a histological method. The co-culture method and non-volatile compound assays determined the interaction between endophytic fungal species. Results showed that eight species of endophytic fungi colonized seagrasses, varying with host species and tissue types. Aspergillus ochraceopetaliformis and Penicillium citrinum were the most predominant particularly in E. acoroides leaves. Histological examination of seagrass explants revealed that endophytic fungi preferably colonize the intercellular and intracellular spaces of the cortical tissues. No fungal hyphae were detected in the vascular tissues of the three seagrass species suggesting no systemic fungal growth. The endophytic fungi in seagrasses interact antagonistically with each other in which hyphal interference, the presence of a demarcation line at the interaction zone, changes in colony colour and growth inhibition were observed during the interaction.@*Conclusion, significance and impact of study@#Seagrasses were colonized by a dynamic assemblage of endophytic fungi, which interact antagonistically with each other. Endophytes’ ability to restrict the growth of other fungal species during interaction suggested their importance in biocontrol and the production of inhibitory molecules.

Study on the nasal colonization of Staphylococcus aureus among healthcare workers in a hospital in Shaanxi Province / 中国热带医学

@#Abstract: Objective　To determine the rate of nasal carriage Staphylococcus aureus among healthcare workers in Department of Infectious Diseases department of the First Affiliated Hospital of Xi'an Jiaotong University Hospital, and to perform characterization on isolated strains. Methods　A cross-sectional study was performed on 86 healthcare workers from February 2022 to June. Nasal swabs were collected from the healthcare workers, and S. aureus were identified after incubation. Antibiotic susceptibility, including chlorhexidine and mupirocin, was assessed by disk diffusion and minimal inhibitory concentration method. The PCR technique was used to detect the biocide resistance genes (qacAB, smr, lmrS mepA, and sepA), virulence genes (pvl, fnbA/fnbB, sea, seb, sec, sed, tst, eta, etb) and mecA gene. SCCmec typing and multilocus sequence typing was performed. For mupirocin-resistant strains, PCR amplification and sequencing were used to identify whether the strains had ileS gene mutations or carried resistant genes (mupA and mupB). Results　S. aureus was isolated from 37 of the 86 healthcare workers (43.02%) , including 13 methicillin-resistant Staphylococcus aureus (MRSA) strains. The strains showed low resistance rates to levofloxacin (2.70%, 1/37), chloramphenicol (8.11%, 3/37), tetracycline (8.11%, 3/37), gentamicin (10.81%, 4/37), and ciprofloxacin (10.81%, 4/37). A total of 17 strains were identified as multidrug-resistant strains. Four SCCmec types were identified in MRSA strains, with the type II being the most frequent (53.85%, 7/13), followed by type IV (30.77%, 4/13). ST59 (46.15%, 6/13) was the most frequent among MRSA strains, while ST5 (41.67%, 10/24) was the most frequent among methicillin-susceptible S. aureus (MSSA) strains. sea was the most frequent virulence gene (56.76%, 21/37). sepA and mepA were detected in all 37 isolates. One Staphylococcus aureus strain was not sensitive to chlorhexidine, two strains had the missense mutation V588F (G1762T) and showed low level resistance to mupirocin, and one strain carrying mupA gene was highly resistant to mupirocin. Conclusion　The nasal colonization rate of Staphylococcus aureus among healthcare worker in the investigated hospital was high, indicating a risk for nosocomial infections. Strengthened monitoring and decolonization treatment should be carried out to reduce these risks.

Research progress of intestinal microecological disorders caused by antibiotics and the treatment / 药学学报

There is a variety of gut microbiota in human body, which is closely associated with the health and disease. Normal gut microbiota can produce colonization resistance to pathogens. Antibiotics can affect the composition of gut microbiota and change the intestinal microenvironment, resulting in intestinal microecological disorders, which in turn cause intestinal pathogenic infections and other diseases. In this paper, the concept of intestinal microecology, the mechanism of intestinal colonization resistance, the effect of antibiotics on intestinal microecology, and the treatment methods were reviewed, aiming to provide the information for the rational use of antibiotics and the development of more effective treatment methods to maintain the stability of intestinal microecology.

Group B Streptococcal Colonization among Pregnant Women and Neonates in a Tertiary Care Hospital in South India

Objectives To assess the prevalence of maternal and neonatal group B Streptococcal colonization, incidence of neonatal systemic illness, and antibiotic sensitivity of isolates. Methods This prospective cohort study was conducted in a South Indian tertiary care hospital. Rectovaginal swabs from pregnant mothers at 360/7–376/7 wk gestation and throat and rectal swabs from their neonates at 48 h of age were collected. Presence of group B Streptococcus (GBS) was identifed by broth enrichment step, and traditional microbiologic methods and antibiotic sensitivity of isolates was noted. All mothers received intrapartum antibiotic prophylaxis (IAP). Culture-positive sepsis, clinical sepsis, pneumonia, meningitis, and urinary tract infection were defned as neonatal systemic illness. Neonates of colonized mothers were followed at 3 mo for late-onset sepsis. Results Of the 310 mothers, 40 were GBS colonized (prevalence: 12.9%; 95% CI 9.2%, 17.6%). None of the neonates were colonized. Maternal GBS colonization was signifcantly associated with premature rupture of membrane (RR - 2.93, 95% CI - 1.66–5.16) and neonatal systemic illness (RR - 2.78, 95% CI - 1.39–5.54). Positive correlation was noted between duration of IAP?4 h and neonatal illness and between maternal GBS colonization and Apgar at 1 min?4. Clindamycin resistance was noted in 20%. All neonates remained well at 3 mo follow-up. Conclusion High maternal colonization alerts the need for GBS screening in India. Clindamycin resistance among GBS isolates questions its efectiveness as alternative therapy in penicillin allergy.

A Colonização dos Corpos e dos Afetos pelo Capitalismo: Um Debate Necessário / The Colonization of Bodies and Affections for Capitalism: A Necessary Debate / La Colonización de los Cuerpos y el Afecto por el Capitalismo: Un Debate Necesario

O presente estudo teórico tem por objetivo problematizar uma prática consolidada no contemporâneo: o consumo. Longe de responder à satisfação de necessidades básicas, as práticas de consumo são engendradas por uma série de enquetes realizadas por áreas como o marketing, a publicidade e o design. Elas visam não apenas conhecer as expectativas dos consumidores, mas também incutir neles o prazer de consumir, valendo-se de elementos simbólicos, afetivos e subjetivos. A argumentação teórica deste estudo, pautada na Psicologia Social, percorre o seguinte trajeto: primeiro, busca-se compreender o processo de colonização pela via do consumo atentando para como elas incidem sobre os corpos e os afetos. Na sequência, é colocada em análise a complexa relação com o que chamamos de estrangeiro, que pode tomar contornos colonizadores, mas também engendrar outras sensibilidades e maneiras de se vincular ao mundo. Ao final do estudo constata-se o quanto o sujeito contemporâneo deixa-se colonizar pelas promessas midiáticas de felicidade, satisfação e prazer que são proclamadas de maneira idealizada nas campanhas publicitárias em favor do consumo. Isso coloca à Psicologia Social o desafio de dar visibilidade aos processos de colonização, analisando criticamente os efeitos estéticos, afetivos, econômicos e políticos gerados para a população e para o planeta.

The present theoretical study aims to analyze a consolidated practice in the contemporary: consumption. Far from responding to the satisfaction of basic needs, consumer practices are engendered through surveys conducted by areas such as marketing, advertising and design. They aim not only to know the expectations of consumers, but also to instill in them the pleasure of consuming, using symbolic, affective and subjective elements. The theoretical argumentation of this study, based on Social Psychology, follows the following path: first, we seek to understand the process of colonization through consumption by looking at how they affect bodies and affections. Next, the complex relationship with what we call the alien, which can take colonizing contours, but also engender other sensitivities and ways of linking to the world, is put into analysis. At the end of the study, it is verified how much the contemporary subject is colonized by the media promises of happiness, satisfaction and pleasure that are proclaimed in an idealized way in advertising campaigns in favor of consumption. This gives social psychology the challenge of giving visibility to colonization processes, critically analyzing the aesthetic, affective, economic and political effects generated for the population and for the planet.

El presente estudio teórico pretende problematizar una práctica consolidada en lo contemporáneo: el consumo. Lejos de responder a la satisfacción de las necesidades básicas, las prácticas de consumo se engendran a través de encuestas realizadas por áreas como el marketing, la publicidad y el diseño. Su objetivo no es solo conocer las expectativas de los consumidores, sino también inculcarles el placer de consumir, utilizando elementos simbólicos, afectivos y subjetivos. La argumentación teórica de este estudio, basada en la Psicología Social, sigue el siguiente camino: en primer lugar, busca comprender el proceso de colonización a través del consumo observando cómo afectan a los cuerpos y a las afecciones. A continuación, se analiza la compleja relación con lo que llamamos el extranjero, que puede tomar contornos colonizadores, pero también engendrar otras sensibilidades y formas de vincularse con el mundo. Al final del estudio, se verifica hasta qué punto el sujeto contemporáneo está colonizado por las promesas mediáticas de felicidad, satisfacción y placer que se proclaman de manera idealizada en las campañas publicitarias a favor del consumo. Esto pone a la Psicología Social el desafío de dar visibilidad a los procesos de colonización, analizando críticamente los efectos estéticos, afectivos, económicos y políticos generados para la población y para el planeta.

Caesarian Vs Vaginal Delivery: From A Human Microbiota Perspective

The route of the birth delivery influences new born's health. Children born via Cesarean section are at increased risk of developing asthma, systemic connective tissue disorders, juvenile arthritis, inflammatory bowel disease, immune deficiencies and leukemia. Part of these diseases is believed to be related to maturation of neonatal immune system. During vaginal delivery, the contact with the maternal vaginal and intestinal flora is an important source for the start of the infant's colonisation. During Caesarean delivery, this direct contact is absent, and non-maternally derived environmental bacteria plays an important role for infant's gastro-intestinal colonisation. The primary function of microbial colonisation during the foetal period, intrapartum and after the birth is crucial in maturation and development of new-bornimmune system. This review supports the choice of the route of birth delivery and consequently favours a decrease in unnecessary Cesarean sections. It is crucial to provide this information to pregnant women and/or couples and health workers to make informed and educated decisions

Descripción morfológica y caracterización molecular de los hongos asociados a la raíz de Masdevallia coccinea Linden ex Lindl / Morphological description and molecular characterization of fungi associated with the root of Masdevallia coccinea Linden ex Lindl

RESUMEN Masdevallia coccinea es una orquídea llamativa, endémica de Colombia, empleada en la generación de híbridos ornamentales con más de una década, clasificada como una especie en peligro de extinción. Entre las técnicas usadas para la propagación in vitro y ex situ de especies de la familia Orchidaceae, se estudia la simbiosis micorrízica, debido a que esta familia micoheterótrofa depende de una correlación con estos hongos para subsistir en las primeras etapas de desarrollo en estado silvestre. Con el objetivo de caracterizar e identificar los hongos asociados a las raíces de M. coccinea, se realizó un estudio histológico en raíces y, a partir de micropreparados, se caracterizó morfológicamente micro, macroscópica y molecularmente diez aislamientos. Se identificó a M. coccinea como una orquídea que presenta diferentes patrones de colonización micorrízicos y con posibles efectos endófitos de los géneros Aspergillus, Scopulariopsis, Trichoderma, Ilyonectria y del orden Xylariales en condiciones ex situ.

ABSTRACT Masdevallia coccinea is a striking orchid, endemic to Colombia, used in the generation of ornamental hybrids, with more than a decade classified as an endangered species. Among the techniques used for in vitro and ex situ propagation of species of the Orchidaceae family, mycorrhizal symbiosis is studied, because this mycoheterotrophic family depends on a correlation with these fungi to survive in the early stages of development in the wild. In order to characterize and identify the fungi associated with the roots of M. coccinea, a histological study was carried out on roots and 10 isolates were morphologically, macroscopically and molecularly characterized from micropreparations. M. coccinea is identified as an orchid with different mycorrhizal colonization patterns and with possible endophytic effects of the genera Aspergillus, Scopulariopsis, Trichoderma, Ilyonectria and the order Xylariales under ex situ conditions.