A long-term study examining the antibacterial effectiveness of Agion silver zeolite technology on door handles within a college campus.

Laboratory studies have shown that small concentrations of silver are effective at inhibiting the growth micro-organisms through the disruption of important cell structures and processes. The additional ability to incorporate silver into surfaces has increased the usage of silver in the medical field and expanded its use into the consumer market. To understand the impact of increased silver-containing antimicrobial use, it is important to determine whether silver-based consumer goods are effective at reducing bacterial populations. Our study examined the antibacterial effectiveness of Agion silver zeolite technology applied to 25 silver- and control-coated door handles across a college campus. Door handles were sampled for 6 week periods in both the fall and spring semester, and bacteria were cultured and enumerated on tryptic soy agar (TSA), MacConkey agar (MAC) and mannitol salt agar (MSA). A significant difference was observed between the bacterial populations isolated from silver- and control-coated door handles after 3 years. However, bacteria were consistently isolated from silver-coated door handles suggesting that the silver zeolite was only effective against a portion of the bacterial populations, and further studies are necessary to determine the identities of the isolated bacteria and the prevalence of silver resistance.

Temporal and spatial patterns in tumour prevalence in brown bullhead Ameiurus nebulosus (Lesueur) in the tidal Potomac River watershed (USA).

For two decades, fish tumour surveys have been used to monitor habitat quality in the Chesapeake Bay (USA) watershed. Tributaries with sediments contaminated with polynuclear aromatic hydrocarbons (PAHs), known to cause liver neoplasia, were frequently targeted. Here, we compare surveys in brown bullhead Ameiurus nebulosus conducted in 2009-2011 in the tidal Potomac River watershed (including the Anacostia River) with previous surveys. Using logistic regression, we identified length and sex as covariates for liver and skin tumours. We reported a statistically significant decrease in liver tumour probabilities for standardized 280 mm Anacostia bullheads between the 1996 and 2001 samplings (merged collections: female-77.5%, male-43.0%) and 2009-2011 (female-42.2%, male-13.6%). However, liver tumour prevalence in bullheads from the Anacostia, Potomac River (Washington, DC) and Piscataway Creek (17 km downriver) was significantly higher than that for Chesapeake Bay watershed reference locations. The causes of skin tumours in bullheads are uncertain, requiring further research. The similar liver tumour prevalence in these three locations suggests that the problem is regional rather than restricted to the Anacostia. To monitor habitat quality and the success of pollution control actions, we recommend conducting tumour surveys on a 5-year cycle coordinated with sediment chemistry analyses.

Early respiratory diagnosis: benefits of enhanced lung function assessment.

INTRODUCTION: The National Health Service for England Long Term Plan identifies respiratory disease as one of its priority workstreams. To assist with earlier and more accurate diagnosis of lung disease they recommend improvement in delivery of quality-assured spirometry. However, there is a likelihood that patients will present with abnormal gas exchange when spirometry results are normal and therefore there will be a proportion of patients whose time to diagnosis is still protracted. We wished to determine the incidence rate of this occurring within our Trust. METHODS: A retrospective review of all patients attending the lung function laboratory for their first pulmonary function assessment from June 2006 to December 2020 was undertaken. Forced expiratory volume in 1 s/forced vital capacity (FEV1/FVC) >-1.64 standardised residual (SR) was used to confirm no obstructive lung function abnormality and FVC >-1.64 SR to confirm no suggestion of a restrictive lung function abnormality. Lung gas transfer for carbon monoxide (TLCO) and transfer coefficient of the lung for carbon monoxide (KCO) <-1.64 SR confirmed the presence of a gas exchange abnormality. Spirometry and gas transfer reference values generated by the Global Lung Initiative were used to determine normality. RESULTS: Of 12 835 eligible first visits with normal FEV1/FVC and FVC, 4856 (37.8%) were identified as having an abnormally low TLCO and 3302 (25.7%) presenting with an abnormally low KCO. Of 3494 with FEV1/FVC SR <-1.64, 3316 also had a ratio of <0.70, meaning 178 (5%) of patients in this cohort would have been misclassified as having obstructive lung disease using the 0.70 cut-off recommended by the Global Initiative for Chronic Obstructive Lung Disease for diagnosing obstructive lung disease. DISCUSSION: In conclusion, to assist with ensuring more accurate and timely diagnosis of lung disease and enhance patients' diagnostic pathway, we recommend the performance of lung gas transfer measurements alongside spirometry in all healthcare settings. To assess and monitor gas transfer at the earliest opportunity we recommend this is implemented into new models being developed within community hubs. This will increase the identification of lung function abnormalities and provide patients with a definitive diagnosis earlier.