Trends in the susceptibility of methicillin-resistant Staphylococcus aureus to nine antimicrobial agents, including ceftobiprole, nemonoxacin, and tyrothricin: results from the Tigecycline In Vitro Surveillance in Taiwan (TIST) study, 2006-2010.

This study investigated the in vitro susceptibilities of methicillin-resistant Staphylococcus aureus (MRSA) to nine antimicrobial agents in Taiwan. A total of 1,725 isolates were obtained from 20 hospitals throughout Taiwan from 2006 to 2010. The minimum inhibitory concentrations (MICs) of the nine agents were determined by the agar dilution method. The MICs of mupirocin and tyrothricin were determined for 223 MRSA isolates collected from 2009 to 2010. For vancomycin, 99.7 % were susceptible; however, 30.0 % (n = 517) exhibited MICs of 2 µg/ml and 0.3 % (n = 6) demonstrated intermediate susceptibility (MICs of 4 µg/ml). Nearly all isolates (≥ 99.9 %) were susceptible to teicoplanin, linezolid, and daptomycin. The MIC90 values were 2 µg/ml for ceftobiprole and 1 µg/ml for nemonoxacin. The MIC90 values of mupirocin and tyrothricin were 0.12 and 4 µg/ml, respectively. MIC creep was noted for daptomycin during this period, but not for vancomycin, teicoplanin, linezolid, or tigecycline. For isolates with vancomycin MICs of 2 µg/ml, the MIC90 values were 2 µg/ml for teicoplanin, 0.5 µg/ml for daptomycin, and 0.5 µg/ml for tigecycline. Those values were four- to eight-fold higher than those among isolates with vancomycin MICs of 0.5 µg/ml (2, 0.06, and 0.12 µg/ml, respectively). Of the nine MRSA isolates exhibiting non-susceptibility to vancomycin (n = 6), teicoplanin (n = 1), daptomycin (n = 2), or tigecycline (n = 1), all had different pulsotypes, indicating the absence of intra-hospital or inter-hospital spread. The presence of a high proportion of MRSA isolates with elevated MICs (2 µg/ml) and MIC creep of daptomycin might alert clinicians on the therapy for serious MRSA infections in Taiwan.

Occurrence and assessment of treatment efficiency of nonylphenol, octylphenol and bisphenol-A in drinking water in Taiwan.

Occurrence and methods for the removal of nonylphenolic compounds in drinking water have been gaining increased attention due to their widespread presence in natural water and the potential health risks from the consumptions of drinking water. The purpose of this study was to assess the occurrence of nonylphenol (NP), octylphenol (OP), and bisphenol-A (BPA) in water sources and treated water in Taiwan, to evaluate the treatment efficiencies of these compounds in both the conventional (coagulation, sedimentation, filtration and chlorination) and advanced treatment processes. The treatment efficiencies of these chemicals were assessed based on their concentrations in water sources, and the results were verified with laboratory simulated treatment processes. A survey of NP, OP, and BPA in 11 Taiwanese water sources showed that all of them could be identified in most of the sampled sources, and that higher concentrations of NP were found when the raw water was contaminated by domestic wastewater. However, higher treatment efficiency could be observed when the NP concentration in water source is high. Laboratory simulation studies of conventional treatment processes showed that chlorination played an important role in the degradation of NP in raw water. Treatment efficiencies of 60%-90% were achieved for NP removal when sufficient chlorine dosages were applied to satisfy chlorine demands. However, results also showed that conventional coagulation and rapid filtration processes were less effective in the reduction of phenolic compounds in water.

Relationship between chlorine consumption and chlorination by-products formation for model compounds.

The objective of this research is to investigate the relationship between chlorine decay and the formations of disinfection by-products (DBP), including trichloromethane (TCM) and chloroacetic acid (CAA) in the presence of four model compounds, i.e., resorcinol, phloroglucinol, p-hydroxybenzoic acid, and m-hydroxybenzoic acid. The chlorine degradation in model compounds with OH and/or COOH functional groups were rapid after chlorination. The TCM yields of carboxylic group substituted compounds (3-hydroxybenzoic acid [3-HBA], 4-hydroxybenzoic acid [4-HBA]) were found to be lower than that of the m-dihydroxy substituted compounds. Phloroglucinol, with one more OH substitution group than resorcinol, tends to form significant amounts of CAA after chlorination. However, it was observed that with the COOH substitution of 3-HBA and 4-HBA tend to exhibit more CAA formation potential than resorcinol. The developed parallel second and first-order reaction model for chlorine demand has been successfully utilized for TCM, CAA and DBP formation modeling. A high correlation between CAA and TCM was observed for the model compounds.

Decomposition of 2-mercaptothiazoline in aqueous solution by ozonation.

This study investigates the ozonation of 2-mercaptothiazoline (2-MT). The 2-MT is one of the important organic additives for the electroplating solution of the printed wiring board industry and has been widely used as a corrosion inhibitor in many industrial processes. It is of concern for the aquatic pollution control especially in the wastewaters. Semibatch ozonation experiments in the completely stirred tank reactor are performed under various concentrations of input ozone. The concentrations of 2-MT, sulfate, and ammonium are analyzed at specified time intervals to elucidate the decomposition of 2-MT during the ozonation. In addition, the time variation of the dissolved ozone concentration (C(ALb)) is continuously monitored in the course of experiments. Total organic carbon (TOC) is chosen and measured as a mineralization index of the ozonation of 2-MT. The results indicate that the decomposition of 2-MT is efficient, while the mineralization of TOC is limited via the ozonation only. Simultaneously, the yield of sulfate with the maximum value of about 47% is characterized by the increases of TOC removal and ozone consumption. These results can provide some useful information for assessing the feasibility of the treatment of 2-MT in the aqueous solution by the ozonation.

Pollutant sources investigation and remedial strategies development for the Kaoping River Basin, Taiwan.

The Kaoping River Basin, located in southern Taiwan, flows through approximately 171 km and drains towards the South Taiwan Strait. It is the largest and the most intensively used river basin in Taiwan. Based on the results from the pollutant sources investigation and water quality analysis, the main water pollution sources of the Kaoping River were livestock wastewater from hog farms, municipal wastewater, industrial wastewater, leachate from riverbank landfills, and non-point source (NPS) pollutants from agricultural areas in the upper catchment. Concern about the deteriorating condition of the river led the Government of Taiwan to amend the relevant legislation and strengthen the enforcement of the discharge regulations to effectively manage the river and control the pollution. The following remedial strategies have been taken to improve the river water quality since 2001: (1) hog ban in the upper catchment of the Kaoping River Basin, thus, 510 thousand hogs have been removed/relocated; (2) removal of riverbank landfills; (3) enforcement of the industrial wastewater discharge standards; (4) sewer system construction in five cities along the river corridor; (5) application of best management practices for NPS pollutant control; (6) application of natural wastewater treatment systems (e.g. land treatment, constructed wetland, overland flow, riverbank sedimentation/aeration pond) for domestic wastewater treatment in rural areas; and (7) construction of the watershed geographical information system (GIS) and real time water quality monitoring system to effectively monitor and manage the watershed. Recent water quality investigation results indicate that the biochemical oxygen demand (BOD) and nutrient loadings to the Kaoping River have been significantly reduced and the water quality has been improved after the implementation of the remedial strategies described above. Results and experience obtained from this study will be helpful in designing the watershed management strategies for other similar river basins.

Modeling VOCs adsorption onto activated carbon.

The activated carbon adsorption process is affected by the characteristics of adsorbent, adsorbate and environmental conditions. In this study, both adsorption and desorption processes are assumed to occur simultaneously and a numerical model was developed with a non-linear driving force in conjunction with the Langmuir model for predicting the overall adsorption process. The numerical model provides both adsorption and desorption rate constants and activation energies. The resultant equilibrium constants are of the same order of magnitude as reported by other studies. Results show that the model could well predict the adsorption isotherms and breakthrough curves under various conditions.

Dynamic behavior of ozonation with pollutant in a countercurrent bubble column with oxygen mass transfer.

The dynamic behavior of ozonation with pollutants in a countercurrent bubble column is studied for the model establishment. Bubble columns have been widely used for an ozonation system in the plants and laboratories. In addition, a countercurrent bubble column has been commonly recommended than a cocurrent one because it has a higher ozone transfer efficiency. Therefore, the investigation of this paper focuses on the countercurrent bubble column. As an ozonation process starts, the gas mixture of ozone and oxygen is introduced into the bottom of a column, and then transferred into the liquid. The pollutants in the wastewater are eliminated subsequently via oxidation by the dissolved ozone. There certainly exists a temporary and unsteady period before the ozonation system reaches steady state. However, available ozonation models employed to describe ozone and pollutant profiles have commonly been developed for steady state. The treating qualities of wastewater in the early stage of ozonation are usually not predicted, and the time required for the steady-state establishment remains to be determined. Moreover, oxygen mass transfer is usually neglected in previous ozonation models so that the increase of dissolved oxygen is uncertain. These information is desirable for the proper design and operation of ozonation system in a bubble column. Thus, the aim of this study is to model and investigate the dynamic processes of ozonation with pollutants including oxygen mass transfer. The dynamic axial dispersion model proposed is employed to predict the variation of the ozone, pollutant, and oxygen concentrations profiles. The validity of the model was demonstrated by comparing the predicted results with the experimental data. The o-cresol was chosen as the model pollutant. The temporal concentration variations of the residual o-cresol and dissolved oxygen in the effluent liquid, and the off-gas ozone in the free volume were measured accordingly. Furthermore, the variation of the enhancement factor of ozone and the amount of off-gas were predicted. Note that it usually needs 2-5 hydraulic retention times to approach steady state under the conditions of this study. Further, the effects of dimensionless system parameters on the performance of the ozonation processes are examined. As a result, the proposed dynamic model of ozonation with pollutants is useful for proper prediction of the variables of an ozonation system in a countercurrent bubble column.

Decomposition of 2-naphthalenesulfonate in aqueous solution by ozonation with UV radiation.

This study investigates the ozonation of 2-naphthalenesulfonate (2-NS) combined with ultraviolet (UV) radiation. Naphthalenesulfonic acids are of importance as dye intermediates for the dye and textile auxiliary industries. Its derivatives, such as 2-NS, have been found in rivers and tannery effluents causing pollution problems. Thus, the 2-NS is of concern for the aquatic pollution control especially in the surface and waste waters. Ozonation combined with UV radiation is employed for the removal of 2-NS in the aqueous solution. Semibatch ozonation experiments were proceeded under different reaction conditions to study the effects of ozone dosage and UV radiation on the oxidation of 2-NS. The concentrations of 2-NS and sulfate are analyzed at specified time intervals to elucidate the decomposition of 2-NS. In addition, values of pH and oxidation reduction potential are continuously measured in the course of experiments. Total organic carbon is chosen as a mineralization index of the ozonation of 2-NS. The mineralization of 2-NS via the ozonation is remarkably enhanced by the UV radiation. These results can provide useful information for the proper removal of 2-NS in the aqueous solution by the ozonation with UV radiation.

The surface characteristics of activated carbon as affected by ozone and alkaline treatment.

The surface chemical characteristics of activated carbon treated by ozone and alkaline are determined in terms of surface functional groups and surface acidity. Surface functional groups are analyzed by the IR spectroscopic method and Boehm's titration technique. The surface acidity of activated carbon is determined by electrophoretic mobility measurements. The oxygen concentration of activated carbon increases upon ozone and NaOH treatment. Surface functional groups increase mostly in the hydroxyl and carboxyl categories rather than the carbonyl category upon ozone and NaOH treatment.

Ozonation of activated carbon and its effects on the adsorption of VOCs exemplified by methylethylketone and benzene.

Ozonation can modify the surface property of an activated carbon such as specific surface area, pore volume, and functional group. Results indicate that ozonation can increase the specific surface area of an activated carbon from 783+/-51 to 851+/-25 m2/g due in part to increasing micropores (those below 15 A). However, there is no change in macropore and mesopore upon ozonation. The amount of oxygen functional group (OFG) increases from 197+/-4 to 240+/-4 microeq/g, mostly in hydroxyl and carboxyl groups upon ozone treatment. These oxygen-containing functional groups are stable in the temperature range 30-250 degrees C, but begin to decompose when temperature increases beyond 300 and 350 degrees C. When the temperature reaches 1200 degrees C, all OFGs virtually disappear. The effect of ozone treatment on the adsorption of volatile organic carbon (VOC) was exemplified by methylethylketone (MEK) and benzene. The adsorption density of MEK and benzene by ozone treated activated carbon (AC(O3)) are greater than that by the untreated (AC), with MEK being more adsorbable than benzene. Results of factorial analysis indicate that physical characteristics, namely, micropore, BET surface area, pore diameter (PD), micropore volume (MV) play an important role on benzene and MEK adsorption.

NOM characteristics and treatabilities of ozonation processes.

The objectives of this study were intended to evaluate the effects of the characteristics of natural organic matter on the treatabilities of ozonation, coagulation, filtration, and granular activated carbon processes. The ultra-violet absorbance (UV254) was used as a surrogate parameter to assess each process in reducing the disinfection by-product formation potential (DBPFP). The results indicate that the DBPFP varies with the sources of water samples and treatment processes, but is closely related to the measurement of UV254/DOC. Coagulation/sedimentation can eliminate large molecular weight organic fractions. Both pre- and post-ozonation processes can reduce some of DBP precursors than the conventional treatment process, and are more reliable for reducing the overall DBPFP.

The adsorption of benzene and methylethylketone onto activated carbon: thermodynamic aspects.

The adsorption of volatile organic compounds (VOCs), exemplified by benzene and methylethylketone (MEK), onto seven different types of activated carbon was investigated. Results show that for benzene adsorption the adsorption characteristic energy, enthalpy, free energy and entropy are in the range 17.12-36.86, -20.8 to -44.7, -11.89 to -16.22 kJ/mole and -29.4 to -85.3 J/mole/K, respectively. For the adsorption of MEK, the adsorption characteristic energy, enthalpy, free energy and entropy are in the range 14.47-32.34, -18.3 to -40.8, -10.78 to -15.56 kJ/mole and -24.8 to approximately -60.3 J/mole/K, respectively. The adsorption enthalpy can be calculated indirectly from statistical thermodynamic method and directly from the immersion enthalpy method. The adsorption characteristic energy is calculated by the Dubinin-Astokhov equation. The free energy is calculated by the measured equilibrium adsorption constant.

Comparisons of metal leachability for various wastes by extraction and leaching methods.

The objective of this research was to evaluate three extraction tests, i.e., toxicity characteristic leaching procedures (TCLP), extraction procedure (EP), and American Society for Testing and Materials (ASTM) methods, for their ability to extract metals in chemical sludge and incineration bottom ash, in terms of the precision of analytical results. Typical chemical sludges, including the electroplating and dye-stuff sludges, the municipal solid waste incineration bottom ash, the leather debris, and the steel-mill bottom residue containing Cd, Cr, Cu, Pb, and Zn were prepared for the lysimetry test (dynamic testing) to compare with the extraction results. Results show that for bottom residue and dye-stuff sludge, the concentration of metal leached was almost the same between the lysimetry leaching and the TCLP tests. The metal concentration followed the order: TCLP approximately = EP > ASTM. TCLP and EP exhibited almost the same relative standard deviation (RSD) value. Therefore, the results of the TCLP tests for bottom residue and dye-stuff sludge, which have a low metal content and alkalinity, can be used to estimate the metal concentration leached by typical acid rain in Taiwan; whereas the ASTM extraction test may be a better indicator of the lysimetry test.

Characteristics of organic precursors and their relationship with disinfection by-products.

The molecular weight distribution and chemical composition of precursors and their relationship with disinfection by-products (DBPs) were investigated. Most of the organic matter responsible for the major DBP precursors in the Pan-Hsin water are small compounds with a molecular weight less than 1 kDa. The hydrophobic acids display the greatest ability to produce DBP. Therefore, effective removal of small molecules or hydrophobic acidic organics prior to disinfection process will significantly reduce the DBP concentration in the finished water. Although the coagulation process is effective in removing large organic precursors and the removal efficiencies of CHCl3 formation potential and organic carbon increase proportionally to the molecular weight of the precursors, the conventional treatment methods have limited efficiency in eliminating small precursors, which have high DBP formation potential.

Effects of bromide on the formation of THMs and HAAs.

The role of bromide in the formation and speciation of disinfection by-products (DBPs) during chlorination was investigated. The molar ratio of applied chlorine to bromide is an important factor in the formation and speciation of trihalomethanes (THMs) and halogenacetic acids (HAAs). A good relationship exists between the molar fractions of THMs and the bromide incorporation factor. The halogen substitution ability of HOBr and HOCl during the formation of THMs and HAAs can be determined based on probability theory. The formation of HAAs, and their respective concentrations, can also be estimated through use of the developed model.

Photocatalytic degradation of azo dye in TiO2 suspended solution.

The photocatalysis of azo dye, Orange G, by P-25 anatase TiO2 was investigated in this research. The experiments were conducted in a batch reactor with TiO2 powder suspension. Four near-UV lamps were used as the light source. The experimental variables included solution pH level, amount of TiO2, illumination light intensity, and reaction time. A pseudo-first order reaction kinetic was proposed to simulate the photocatalytic degradation of Orange G in the batch reactor. More than 80% of 10 mg/L Orange G decomposition in 60-minute reaction time was observed in this study and fast decomposition of Orange G only occurred in the presence of both TiO2 and suitable light energy. Faster degradation of Orange G was achieved under acid conditions. The degradation rates of Orange G at pH = 3.0 were about two times faster than those at pH = 7.0. Faster degradation of azo dye was observed for greater irradiated light intensity and more TiO2 present during the reaction. The reaction rates were proportional to TiO2 concentration and light intensity with the power order of 0.726 and 0.734, respectively.

Klebsiella pneumoniae bacteremia: community-acquired vs. nosocomial infections.

BACKGROUND: This study attempted to determine the clinical manifestations and influential factors affecting the prognosis of patients with community-acquired and nosocomial bacteremia of Klebsiella pneumoniae (K. pneumoniae). METHODS: We retrospectively reviewed the medical records of 211 patients who had a clinically significant episode of K. pneumoniae bacteremia from January 1997 until December 1999. RESULTS: Most reports describe K. pneumoniae bacteremia as typically nosocomial, but in our study approximately 3 of 4 episodes were community-acquired. Without including "unknown origin", the most common infectious site for both community-acquired and nosocomial bacteremia was the hepatobiliary tract. The overall mortality for all 211 patients with K. pneumoniae bacteremia was 25.1%. Significantly higher mortality rates occurred in patients who were elderly (> 65 years), had a nosocomial infection, for whom the respiratory tract was the portal of entry, and ultimately fatal conditions or acute complications were due to shock or renal insufficiency. CONCLUSIONS: Patients with community-acquired and nosocomial bacteremia had different types of underlying diseases. Isolates from nosocomial infections were significantly more frequently resistant to aminoglycosides, antipseudomonal penicillin, and all three generations of cephalosporins. In this regard, an aggressive empirical therapeutic approach to infections of K. pneumoniae is suggested.

Characteristics of new coccine dye adsorption onto digested sludge particulates.

The adsorption characteristics of an anionic azo dye (new coccine) onto digested sludge have been studied. Results show that the dye can effectively be removed by sludge. It was found that the adsorption rate is very rapid and the equilibrium can be reached in 10 min. The adsorption kinetics can be expressed by the modified Freundlich equation. Also, the solution pH, ionic strength, and temperature are the key factors affecting the adsorption. The effect of electrical double layer thickness on the adsorption was also discussed. The adsorption standard free energy, enthalpy, and entropy were determined. The adsorption follows a nonlinear multilayer adsorption isotherm. The specific surface area of sludge was determined as 82 to approximately 150m2/g on the basis of its monolayer dye adsorption capacity.

Residue characteristics and pore development of petrochemical industry sludge pyrolysis.

Petrochemical industry bio-sludge was pyrolyzed to investigate the composition and pore size distribution of pyrolytic residue. Results indicated that the carbon, nitrogen, and hydrogen concentrations could be reduced after an increase in pyrolytic temperature. The trace element analysis indicated that Al, Ca, Fe, Mg. K, Cu, Sr, and Sb concentrated during the pyrolytic process. When forty grams of pre-dried sludge were pyrolyzed at various pyrolytic temperatures, the transfers from the gas phase to liquid phase to residue were from 21.2 to 36.0%, from 49.0 to 70.0%, and from 8.3 to 16.5%. Results of the pore size distribution examination indicated that the mesopore had the greatest effect on the bio-sludge pyrolysis. The optimal pyrolytic temperatures and times were approximately 800 degrees C for 30 min and 900 degrees C for 10 min. The conceptual model can reasonably explain the pore structure development during the pyrolysis process.