Impact of coronavirus disease 2019 (COVID-19) on antimicrobial resistance among major pathogens causing healthcare-associated infection.

BACKGROUND: Coronavirus disease 2019 (COVID-19) has caused great impact on healthcare systems, including antibiotic usage and multi-drug resistant (MDR) bacterial infections at hospitals. We aim to investigate the trends of antimicrobial resistance among the major pathogens causing healthcare-associated infection (HAI) at intensive care units (ICU). MATERIAL AND METHODS: The demographic characteristics of hospitalization, usage of antimicrobial agents, counted by half-an-year DID (defined daily dose per 1000 patient-days), and HAI density of five major MDR bacteria, including methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), carbapenem-resistant Acinetobacter baumannii (CRAB), carbapenem-resistant Klebsiella pneumoniae (CRKP), and carbapenem-resistant Pseudomonas aeruginosa (CRPA), of ICU patients at a medical center in Taiwan during January 2017 to December 2021 were collected and analyzed. RESULTS: The total antibiotic usage, counted by DID, had a significant increasing trend, before COVID-19 occurrence in 2017-2019, but no further increase during the pandemic period in 2020-2021. However, comparing the two time periods, antibiotics consumption was significantly increased during pandemic period. There was no significant change of HAI density in MRSA, VRE, CRAB, CRKP, and CRPA, comparing the pandemic to the pre-pandemic period. Although, CRKP and CRPA infection rates were increasing during the pre-pandemic period, there was no further increase of CRKP and CRPA HAI rates during the pandemic period. CONCLUSION: During COVID-19 pandemic, there was no significant increase in HAI density of five major MDR bacteria at ICU in Taiwan, despite increased antibiotic usage. Strict infection prevention measures for COVID-19 precautions and sustained antimicrobial stewardship probably bring these effects.

Aggregation-induced emission enhancement (AIEE) of tetrarhenium(I) metallacycles and their application as luminescent sensors for nitroaromatics and antibiotics.

The self-assembly of tetrarhenium metallacycles [{Re(CO)3}2(µ-dhaq)(µ-N-N)]2 (3a, N-N = 1,3-bis(1-butylbenzimidazol-2-yl)benzene; 3b, N-N = 1,3-bis(1-octylbenzimidazol-2-yl)benzene), (H2-dhaq = 1,4-dihydroxy-9,10-anthraquinone) and [{Re(CO)3}2(µ-thaq)(µ-N-N)]2 (4, N-N = 1,3-bis(1-butylbenzimidazol-2-yl)benzene), (H2-thaq = 1,2,4-trihydroxy-9,10-anthraquinone) under solvothermal conditions is described. The metallacycles 3a,b and 4 underwent aggregation-induced emission enhancement (AIEE) in THF upon the incremental addition of water. TEM images revealed that metallacycle 3a in a 60% aqueous THF solution formed rectangular aggregates with a wide size distribution, while a 90% aqueous THF solution resulted in the formation of a mixture of nanorods and amorphous aggregates due to rapid and abrupt aggregation. UV-vis and emission spectral profiles supported the formation of nanoaggregates of metallacycles 3a,b and 4 upon the gradual addition of water to a THF solution containing metallacycles. Further studies indicated that these nanoaggregates were excellent probes for the sensitive and selective detection of nitro group containing picric acid (PA) derivatives as well as antibiotics.

Frequency-induced negative magnetic susceptibility in epoxy/magnetite nanocomposites.

The epoxy/magnetite nanocomposites express superparamagnetism under a static or low-frequency electromagnetic field. At the microwave frequency, said the X-band, the nanocomposites reveal an unexpected diamagnetism. To explain the intriguing phenomenon, we revisit the Debye relaxation law with the memory effect. The magnetization vector of the magnetite is unable to synchronize with the rapidly changing magnetic field, and it contributes to diamagnetism, a negative magnetic susceptibility for nanoparticles. The model just developed and the fitting result can not only be used to explain the experimental data in the X-band but also can be used to estimate the transition frequency between paramagnetism and diamagnetism.

Rhenium-Based Molecular Trap as an Evanescent Wave Infrared Chemical Sensing Medium for the Selective Determination of Amines in Air.

An evanescent wave infrared chemical sensor was developed to selectively detect volatile amines with heterocyclic or phenyl ring. To achieve this goal, a rhenium-based metallacycle with a "molecular-trap" structure was designed and synthesized as host molecules to selectively trap amines with heterocyclic or phenyl ring through Re-amine and π-π interactions. To explore the trapping properties of the material, a synthesized Re-based molecular trap was treated on an IR sensing element, and wide varieties of volatile organic compounds (VOCs) were examined to establish the selectivity for detection of amines. Based on the observed IR intensities, the Re-based molecular trap favors interaction with amines as evidenced by the variation of absorption bands of the Re molecular trap. With extra π-π interaction force, molecules, such as pyridine and benzylamine, could be detected. After optimization of the parameters for IR sensing, a rapid response in the detection of pyridine was observed, and the linear ranges were generally up to 10 mg/L with a detection limit around 5.7 µg/L. In the presence of other VOCs, the recoveries in detection of pyridine were all close to 100%.

Large-Area Nano-patterning and Fabrication of Vertical Transistor Array by Non-close-packed Polystyrene Spheres.

We demonstrated a large-area nanopatterning technique with the help of a non-close-packed PS sphere layer over a large-area substrate. The non-close-packed PS sphere layer is fabricated by blade coating method. It was demonstrated that non-close-packed PS spheres can be achieved within an area of 18 cm × 25 cm on a rigid glass substrate and within an area of 10 cm × 10 cm on a flexible substrate. We also demonstrated that the blade-coated non-close-packed PS sphere layer was suitable for the mass production of vertical organic transistors over a large area.

Multielectron redox chemistry of a neutral, NIR-active, indigo-pillared Re(I)-based triangular metalloprism.

Self-assembled, hexarhenium(I), triangular metalloprism compound [{(CO)(3)Re(µ-2)Re(CO)(3)}(3)(µ(3)-1)(2)] (3) featuring three bis-chelating pillarlike indigo dianions (µ-2), each of which connects two fac-Re(CO)(3) cores, which are interconnected by a tritopic N donor, that is, a 2,4,6-tris(4-pyridyl)-1,3,5-triazine (µ(3)-1, tPyTz) ligand, has been synthesized in high yield and characterized. Metalloprism 3 exhibits a strong absorption in the near-infrared (NIR) region. The reversible, multielectron redox properties of the electrogenerated 3(n) species, where n=3+, 0, 3-, 4-, 5-, 8-, in the visible and especially in the NIR region were investigated in THF solution by cyclic voltammetry (CV), chronocoulometry, EPR spectroscopy, and thin-layer UV/Vis/NIR spectroelectrochemistry (SEC). Stepwise, site-specific electrochemical reductions lead to the formation of a series of highly stable ion (radical) species in which electrons associated with µ-2 or µ(3)-1 components of the molecule can be clearly distinguished. An EPR investigation revealed interaction of unpaired electrons with the metal nuclei ((185,187)Re, I=5/2) in the reduced intermediates. The framework has C(2) symmetry, and accidental degeneracies suffice. Detailed theoretical calculations by structure-based DFT confirm that the triply degenerate HOMO has ≥70% indigo character with a sizable dπ-Re character, while the LUMO is dominated by the triply degenerate indigo ligands, and the LUMO+1 by doubly degenerate tPyTz ligands. A comparison of 3 and previously reported 2,2'-bis-benzimidazolate- (BiBzlm) or alkoxy-pillared Re(I) metalloprisms indicates a very low switching potential with a potential window of less than 1 V and reversibly accessible optical properties with higher stability of the intermediates. The properties exhibited by 3 appear to be due to the slight tuning of the bridging ligand from N,N(-) to N,O(-).

Quinonoid-bridged chair-shaped dirhenium(I) metallacycles: synthesis, characterization, and spectroelectrochemical studies.

Self-assembled, chair-shaped dirhenium(I) macrocyclic compounds featuring the two different bis-chelating quinone dianions (1, L = dhnq(2-); 2, L = dhaq(2-); H(2)dhnq = 6,11-dihydroxy-5,12-naphthacenedione; H(2)dhaq = 1,4-dihydroxy-9,10-anthraquinone) that interface with two fac-Re(CO)(3) cores and a ditopic semirigid N-donor 1,4-bis(5,6-dimethylbenzimidazol-1-ylmethyl)naphthalene (L' = p-NBimM) ligand coordinated to the remaining orthogonal site were prepared in high yields. Their structures were confirmed by single-crystal X-ray diffraction analysis. Electrochemical assessments, using cyclic voltammetry (CV) and UV-vis-NIR spectroelectrochemistry (SEC), revealed the existence of two well-separated, single-electron quinone ligand-centered, reversibly accessible 0, -1, and -2 redox states. Among the two singly reduced radical complexes, the symmetrically bridged quinone complex 1(•-), showed a strong absorption in the NIR regions, which was not observed for the neutral and doubly reduced states, analogous to that of the free dhnq(3•-) quinone. In contrast, when 2 was reduced to 2(•-), a broad signal at 866 nm was observed, very similar to the reduced dhaq(3•-) quinone. This difference in spectral behavior in the singly reduced states is likely due to the annealed benzene ring in 1 and dhnq(2-) because of its symmetrical π-electron system, which is perturbed to a lesser degree compared to asymmetric 2 and dhaq(2-). Reduction to 1(•-) produces a small but not negligible g factor anisotropy (Δg = 0.024) in the electron spin resonance (ESR) signal, indicative of a very small metal-centered spin (5%), but 2(•-) shows a g value in the expected range for organic radicals (no detectable Δg). Thus, the combined investigations reveal that the singly reduced metallacycles are best described as being highly stable, noncommunicating, localized, quinonoid-centered radical complexes, [(CO)(3)Re(I)(µ-L(3•-))(µ-L')Re(I)(CO)(3)](•-).

Ground and excited electronic states of quininone-containing Re(I)-based rectangles: a comprehensive study of their preparation, electrochemistry, and photophysics.

The self-assembly of two rectangular compounds [{(CO)(3)Re(mu-QL)Re(CO)(3)}(2)(mu-bpy)(2)] (1, QL = 6,7-dimethyl 1,4-dioxido-9,10-anthraquinone (QL(1)); 2, QL = 1,4-dioxido-9,10-anthraquinone (QL(2)), bpy = 4,4'-bipyridine) via an orthogonal-bonding approach was achieved in high yields. Their structures were characterized by single-crystal X-ray diffraction analysis. The rectangles exhibited multielectron-redox properties. The introduction of a bridging quininone moiety made notable changes in two well-separated single-electron reductions of the bpy moiety, as compared with other 2,2'-bisbenzimidazolate (BiBzlm) or thiolate- or alkoxide-bridged rectangles, followed by quasi-reversible reduction of the quininone moiety to allow the existence of different redox states. Electrochemical assessment using cyclic voltammetry and UV-vis-NIR spectroelectrochemistry revealed reversibly accessible 0, 1-, and 2- redox states. The comproportionation constant of the successive reduction processes was K(c) = 4.18 x 10(8) for complex 1 and 4.08 x 10(8) for 2. In spite of the high K(c) values, no obvious intervalence charge transfer bands were detected in either the vis, NIR, or IR regions, suggesting very weak electronic coupling between the ligand centers in the mixed-valent intermediates. In the mixed-valent intermediate, the overlap between donor and acceptor orbitals of the two bpy ligands engendered weak electronic coupling associated with distance that exceeded van der Waals ligand/ligand distances and created a class I fully isolated, non-interacting, valence-localized situation. Furthermore, unusual ligand-to-metal-to-ligand charge-transfer (LMLCT) transitions of complexes 1 and 2 at 298 K were observed in the visible region. Molecule 2 exhibited multiple emissions from the triplet-centered pi-pi* intraligand ((3)IL), metal-to-ligand charge-transfer ((3)MLCT) and triplet ligand-ligand charge transfer ((3)LLCT) levels and showed biexponential decay. By contrast, in complex 1, (3)IL emission was absent and only single-exponential decay was observed. These results reveal the different nature of the electronically excited states between 1 and 2. The mechanisms of the photophysical deactivation processes in these systems can be explained in terms of the electronic characteristics of the quininone molecules and possible geometrical differences of the excited states involved. In addition, the energies, characteristics, and molecular structures of the ground and lowest triplet excited state were calculated using the density functional theory method.

Unusual face-to-face pi-pi stacking interactions within an indigo-pillared M3(tpt)-based triangular metalloprism.

A triangular metalloprism, [((CO)3Re(mu-2)Re(CO)3)3(mu3-1)2], self-assembled from Re2(CO)10, 2,4,6-tri-4-pyridyl-1,3,5-triazine (tpt, 1), and indigo (H2(2)), represents a fairly novel example of strong face-to-face pi-pi interactions between the central triazine rings of the tpt ligands that bow significantly inward distorting the prismatic structure.

Rigidity-modulated conformation control: a strategy for incorporating flexible building motifs into metallacycles.

A rigidity-modulated strategy for the conformational control of a flexible motif in the self-assembly of metallacycles is described; the span of the rigid ligand directs the conformation of the flexible motif by fixing the M ... M separation, thereby dictating the structure of the metallacycles.