Spectrum and antimicrobial resistance in acute exacerbation of chronic obstructive pulmonary disease with pneumonia: a cross-sectional prospective study from Vietnam.

BACKGROUND: Respiratory infections have long been recognized as a primary cause of acute exacerbation of chronic obstructive pulmonary disease (AE-COPD). Additionally, the emergence of antimicrobial resistance has led to an urgent and critical situation in developing countries, including Vietnam. This study aimed to investigate the distribution and antimicrobial resistance of bacteria in patients with AE-COPD using both conventional culture and multiplex real-time PCR. Additionally, associations between clinical characteristics and indicators of pneumonia in these patients were examined. METHODS: This cross-sectional prospective study included 92 AE-COPD patients with pneumonia and 46 without pneumonia. Sputum specimens were cultured and examined for bacterial identification, and antimicrobial susceptibility was determined for each isolate. Multiplex real-time PCR was also performed to detect ten bacteria and seven viruses. RESULTS: The detection rates of pathogens in AE-COPD patients with pneumonia were 92.39%, compared to 86.96% in those without pneumonia. A total of 26 pathogenic species were identified, showing no significant difference in distribution between the two groups. The predominant bacteria included Klebsiella pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, and Streptococcus pneumoniae, followed by Acinetobacter baumannii and Streptococcus mitis. There was a slight difference in antibiotic resistance between bacteria isolated from two groups. The frequency of H. influenzae was notably greater in AE-COPD patients who experienced respiratory failure (21.92%) than in those who did not (9.23%). S. pneumoniae was more common in patients with stage I (44.44%) or IV (36.36%) COPD than in patients with stage II (17.39%) or III (9.72%) disease. ROC curve analysis revealed that C-reactive protein (CRP) levels could distinguish patients with AE-COPD with and without pneumonia (AUC = 0.78). CONCLUSION: Gram-negative bacteria still play a key role in the etiology of AE-COPD patients, regardless of the presence of pneumonia. This study provides updated evidence for the epidemiology of AE-COPD pathogens and the appropriate selection of antimicrobial agents in Vietnam.

Enhanced photocatalytic performance of ZnO under visible light by co-doping of Ta and C using hydrothermal method.

This study attempted to improve the photocatalytic activity of zinc oxide (ZnO) semiconductors in the visible light region by introducing the co-doping of carbon (C) and tantalum (Ta) to ZnO (ZTC) using a simple hydrothermal method with the respective precursors. The obtained uniform ZTC nanoparticles with an average crystal size of 29.30 nm (according to Scherrer's equation) revealed a redshift with a decrease in bandgap (Eg) from 3.04 eV to 2.88 eV, allowing the obtained photocatalyst to absorb the energy of the visible light for photocatalysis. Furthermore, the Zn 2p and Ta 4f core level spectra confirmed the presence of Zn2+ and Ta5+ in the ZTC sample. In addition, the infrared spectra identified hydrogen-related defects (HRDs), while the O 1s spectra indicated the existence of oxygen vacancies (VO). Electrochemical tests revealed improvement in the electron conductivity and charge separation of the obtained materials. To follow, the photocatalytic performance assessment was conducted by varying the C/Zn2+ ratios (5, 10, and 15 mol%) in ZTC samples, the initial RhB concentration (7, 15, and 30 ppm), and the pH of the RhB solution (3.0-10.0). The photodegradation on ZTC samples showed the most effectiveness for a 7 ppm RhB solution with a C/Zn2+ ratio of 10 mol% in the slightly alkaline medium (pH 9.0). Additionally, ZTC also exhibited commendable durability after being reused several times. The nature of RhB photodegradation was proposed and discussed via a mechanism at the end of this work.

Effect of Ultraviolet Radiation on Reducing Airborne Escherichia coli Carried by Poultry Litter Particles.

Airborne Escherichia coli (E. coli) originating in poultry houses can be transmitted outside poultry farms through the air, posing risks of barn-to-barn infection through airborne transmission. The objective of this study is to examine the effect of ultraviolet (UV) light on the inactivation of airborne E. coli carried by poultry dust particles under laboratory conditions. A system containing two chambers that were connected by a UV scrubber was designed in the study. In the upstream chamber of the system, airborne E. coli attached to dust particles were aerosolized by a dry aerosolization-based system. Two sets of air samplers were placed in the two chambers to collect the viable airborne E. coli. By comparing the concentration of airborne E. coli in the two chambers, the inactivation rates were calculated. The airborne E. coli inactivation rates were tested at different contact times with the aid of a vacuum pump (from 5.62 to 0.23 s of contact time) and different UV irradiance levels (of 1707 µW cm-2 and 3422 µW cm-2). The inactivation rates varied from over 99.87% and 99.95% at 5.62 s of contact time with 1707 µW cm-2 and 3422 µW cm-2 of UV irradiance to 72.90% and 86.60% at 0.23 s of contact time with 1707 µW cm-2 and 3422 µW cm-2 of UV irradiance. The designed system was able to create the average UV irradiation of 1707 µW cm-2 and 3422 µW cm-2 for one UV lamp and two UV lamps, respectively. The findings of this study may provide an understanding of the effect of UV light on the inactivation of airborne E. coli carried by dust particles and help to design an affordable mitigation system for poultry houses.

Survival of Escherichia coli in Airborne and Settled Poultry Litter Particles.

Airborne Escherichia coli (E. coli) in the poultry environment can migrate inside and outside houses through air movement. The airborne E. coli, after settling on surfaces, could be re-aerosolized or picked up by vectors (e.g., caretakers, rodents, transport trucks) for further transmission. To assess the impacts of airborne E. coli transmission among poultry farms, understanding the survivability of the bacteria is necessary. The objective of this study is to determine the survivability of airborne E. coli, settled E. coli, and E. coli in poultry litter under laboratory environmental conditions (22-28 °C with relative humidity of 54-63%). To determine the survivability of airborne E. coli, an AGI-30 bioaerosol sampler (AGI-30) was used to collect the E. coli at 0 and 20 min after the aerosolization. The half-life time of airborne E. coli was then determined by comparing the number of colony-forming units (CFUs) of the two samplings. To determine the survivability of settled E. coli, four sterile Petri dishes were placed on the chamber floor right after the aerosolization to collect settled E. coli. The Petri dishes were then divided into two groups, with each group being quantified for culturable E. coli concentrations and dust particle weight at 24-h intervals. The survivability of settled E. coli was then determined by comparing the number of viable E. coli per milligram settled dust collected in the Petri dishes in the two groups. The survivability of E. coli in the poultry litter sample (for aerosolization) was also determined. Results show that the half-life time of airborne E. coli was 5.7 ± 1.2 min. The survivability of E. coli in poultry litter and settled E. coli were much longer with the half-life time of 15.9 ± 1.3 h and 9.6 ± 1.6 h, respectively. In addition, the size distribution of airborne E. coli attached to dust particles and the size distribution of airborne dust particles were measured by using an Andersen impactor and a dust concentration monitor (DustTrak). Results show that most airborne E. coli (98.89% of total E. coli) were carried by the dust particles with aerodynamic diameter larger than 2.1 µm. The findings of this study may help better understand the fate of E. coli transmitted through the air and settled on surfaces and evaluate the impact of airborne transmission in poultry production.