The role of veterinarians in zoonosis prevention: Advising families of immunocompromised children with pets.

Background: Pet ownership is widespread, offering numerous benefits to individuals and families. However, the risk of zoonotic diseases must be carefully considered, especially for immunosuppressed patients. Knowledge gaps in preventive measures for zoonoses have been identified, underscoring the vital role of veterinarians in addressing this issue. Objectives: This study aimed to assess the knowledge and recommendations of veterinarians regarding pet ownership by immunocompromised individuals. Additionally, we compared these insights with responses from European healthcare professionals specializing in pediatric transplant recipients. Methods: We conducted an observational, cross-sectional study involving small animal veterinarians in Spain. An online survey was administered to gather information on veterinarians' knowledge of zoonoses and their recommendations for immunocompromised pet owners. Results: A survey of 514 individuals was collected from experienced veterinarians mainly working in primary care clinics. Surprisingly, 63% of respondents did not routinely inquire about the presence of immunocompromised individuals among pet owners, although 54% offered specific recommendations for this group. Most respondents adhered to deworming guidelines for pets owned by immunocompromised individuals and demonstrated sound practices in Leishmania and Leptospira prevention, as well as the avoidance of raw food. However, gaps were noted concerning Bordetella bronchiseptica vaccination. Notably, veterinarians outperformed medical professionals in their knowledge of zoonotic cases and identification of zoonotic microorganisms. The presence of specific recommendations in veterinary clinics was viewed positively by nearly all respondents. Conclusions: Our findings indicate that veterinarians possess a superior understanding of zoonotic pathogens and exhibit greater proficiency in diagnosing zoonoses compared with physicians. They stay well-informed about recommendations outlined in established guidelines and are more likely to provide written recommendations in their clinics than physicians. Nevertheless, knowledge gaps among veterinarians emphasize the need for enhanced communication between medical and veterinary professionals. Reinforcing the "One Health" concept is imperative, with veterinarians playing a pivotal role in this collaborative effort.

Antibiotic Utilization in Hospitalized Children with Bronchiolitis: A Prospective Study Investigating Clinical and Epidemiological Characteristics at a Secondary Hospital in Madrid (2004-2022).

Bronchiolitis is a viral respiratory infection, with respiratory syncytial virus (RSV) being the most frequent agent, requiring hospitalization in 1% of affected children. However, there continues to be a noteworthy incidence of antibiotic prescription in this setting, further exacerbating the global issue of antibiotic resistance. This study, conducted at Severo Ochoa Hospital in Madrid, Spain, focused on antibiotic usage in children under 2 years of age who were hospitalized for bronchiolitis between 2004 and 2022. In that time, 5438 children were admitted with acute respiratory infection, and 1715 infants (31.5%) with acute bronchiolitis were included. In total, 1470 (87%) had a positive viral identification (66% RSV, 32% HRV). Initially, antibiotics were prescribed to 13.4% of infants, but this percentage decreased to 7% during the COVID-19 pandemic thanks to adherence to guidelines and the implementation of rapid and precise viral diagnostic methods in the hospital. HBoV- and HAdV-infected children and those with viral coinfections were more likely to receive antibiotics in the univariate analysis. A multivariate logistic regression analysis revealed a statistically independent association between antibiotic prescription and fever > 38 °C (p < 0.001), abnormal chest-X ray (p < 0.001), ICU admission (p = 0.015), and serum CRP (p < 0.001). In conclusion, following guidelines and the availability of rapid and reliable viral diagnostic methods dramatically reduces the unnecessary use of antibiotics in infants with severe bronchiolitis.

Toxicity of superparamagnetic iron oxide nanoparticles to the microalga Chlamydomonas reinhardtii.

Superparamagnetic iron oxide nanoparticles (SPION) have been widely studied for different biomedical and environmental applications. In this study we evaluated the toxicity and potential alterations of relevant physiological parameters caused to the microalga Chlamydomonas reinhardtii (C. reinhardtii) upon exposure to SPION. The results showed dose-dependent toxicity. A mechanistic study combining flow cytometry and physiological endpoints showed a toxic response consisting of a decrease in metabolic activity, increased oxidative stress and alterations in the mitochondrial membrane potential. Additionally, and due to the light absorption of SPION suspensions, we observed a significant shading effect, causing a marked decrease in photosynthetic activity. In this work, we demonstrated for the first time, the internalization of SPION by endocytosis in C. reinhardtii. These results demonstrated that SPION pose a potential risk for the environment if not managed properly.

Peroxiredoxin (2-cys-prx) and catalase (katA) cyanobacterial-based bioluminescent bioreporters to detect oxidative stress in the aquatic environment.

The detection of oxidative stress caused by emerging pollutants in aquatic systems is essential to carry out toxicological analysis since they can bring us information about the mechanisms of toxic action of the pollutants, which might be useful to address this contamination. To achieve this goal, two self-bioluminescent strains that respond to oxidative stress based on the filamentous cyanobacterium Nostoc sp. PCC7120, which has a high ecological relevance in aquatic continental systems, have been constructed. Nostoc sp. PCC7120 pBG2172 harbours the promoter region of the 2-cys-prx gene (P2-cys-prx), encoding a cytoplasmic peroxiredoxin, fused to luxCDABE genes of the bacterium Photorhabdus luminescens. Nostoc sp. PCC7120 pBG2173 harbours the promoter region of the KatA gene (PkatA), a cytoplasmic catalase, also fused to luxCDABE genes. Both strains have been characterized by exposing them to H2O2: Nostoc sp. PCC7120 pBG2172 responded while Nostoc sp. PCC7120 pBG2173 did not respond to this pollutant. In order to know their specificity, they were exposed to methyl viologen (MV), an herbicide that produces superoxide anion (O2-) and a bioluminescence response was observed in both strains. Besides, the utility of these strains for the detection of H2O2 and MV in natural water samples, both pristine and wastewater samples has been tested by spiking experiments. Finally, the possible application of these strains for the detection of the emerging pollutant triclosan has also been tested showing to be suitable bioreporters to study oxidative stress in aquatic environments.

Use of Cyanobacterial Luminescent Bioreporters to Report on the Environmental Impact of Metallic Nanoparticles.

Due to their ecological relevance, low cost, and easy maintenance, cyanobacteria have been used for bioreporter development. In this study, a battery of cyanobacterial bioreporters has been used to assess the ecotoxicity of four highly used metallic nanoparticles (NPs). The toxicity of these NPs was tested using the bioreporter Nostoc CPB4337 (Anabaena CPB4337). As oxidative stress is a primary toxic mechanism of metallic NPs, cyanobacterial reactive oxygen species (ROS)-detecting bioreporters were used. Metallic NPs release metal ions, which contribute to their toxic effect and the formation of ROS, so a metal-detecting bioreporter was also used to detect the bioavailable metals. The results confirm that ROS production by NPs was due to the NPs per se and not by released free-ions, which in fact were almost undetectable. Although the metal-detecting bioreporter could not detect the dissolved metal ions, it was able to detect the metallic NPs themselves, indicating that this bioreporter may be useful to detect them in the environment. ROS production varied depending on the growth medium or environmental matrices conditions and on the NP type. This work demonstrated the different levels of ROS production by metallic NPs and the importance of nanotoxicology studies in real matrices.