Molecular characterization of KPC-2–positive Klebsiella pneumoniae isolates from a neurosurgical centre in Argentina

Carbapenem-resistant Enterobacteriaceae is a growing concern worldwide. Klebsiella pneumoniae is an important nosocomial pathogen with a high capacity for nosocomial spread. We described the occurrence of plasmid-encoded KPC-2–harbouring K. pneumoniae isolates recovered from a neurosurgical centre in Argentina. The blaKPC-2 gene was surrounded by ISkpn6 and ISkpn7.Fil: Montaña, Sabrina Daiana. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones en Microbiología y Parasitología Médica. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones en Microbiología y Parasitología Médica; ArgentinaFil: Hernandez, M.. California State University; Estados UnidosFil: Fernandez, J. S.. California State University; Estados UnidosFil: Penini, M.. Stamboulian Servicios de Salud; ArgentinaFil: Centron, Daniela. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones en Microbiología y Parasitología Médica. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones en Microbiología y Parasitología Médica; ArgentinaFil: Sucari, A.. Stamboulian Servicios de Salud; ArgentinaFil: Iriarte, A.. Universidad de la República; UruguayFil: Ramirez, Maria Soledad. California State University; Estados Unido

Genetic Variability of AdeRS Two-Component System Associated with Tigecycline Resistance in XDR-Acinetobacter baumannii Isolates

The emergence of tigecycline resistance has increased in the last years. Although tigecycline-resistant Acinetobacter baumannii isolates were described all over the world, few reports regarding the molecular basis of this resistance are available. It has been recognized that the overexpression of AdeABC efflux pump is related to the tigecycline-resistant phenotype. In 37 clinical A. baumannii isolates we first determined the tigecycline-resistant phenotype and then, within a selected group, we analyzed the sequence of the adeRS operon, which is involved in the expression of the AdeABC efflux pump. Nucleotide sequence analysis of adeR and adeS showed the presence of 5 and 16 alleles, respectively. These results expose a high genetic variability in both genes, the adeS gene being more susceptible to genetic variation. The presence of 2 AdeR and 2 AdeS new variants were reported. Two of the new AdeRS variants were present in the intermediate and the resistant tigecycline A. baumannii isolates, suggesting a putative role in the development of the observed phenotype. More studies need to be addressed to determine the role of the genetic variability observed in the adeRS operon.Fil: Montaña, Sabrina Daiana. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones en Microbiología y Parasitología Médica. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones en Microbiología y Parasitología Médica; ArgentinaFil: Vilacoba, Elisabet. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones en Microbiología y Parasitología Médica. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones en Microbiología y Parasitología Médica; ArgentinaFil: Traglia, German Matias. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones en Microbiología y Parasitología Médica. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones en Microbiología y Parasitología Médica; ArgentinaFil: Almuzara, Marisa. Provincia de Buenos Aires. Ministerio de Salud. Hospital Interzonal de Agudos ; ArgentinaFil: Pennini, M.. Stamboulian Laboratorio. Unidad Microbiología; ArgentinaFil: Fernández, A.. Universidad Favaloro; Argentina. Fundación Favaloro; ArgentinaFil: Sucari, A.. Stamboulian Laboratorio. Unidad Microbiología; ArgentinaFil: Centron, Daniela. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones en Microbiología y Parasitología Médica. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones en Microbiología y Parasitología Médica; ArgentinaFil: Ramirez, Maria Soledad. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones en Microbiología y Parasitología Médica. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones en Microbiología y Parasitología Médica; Argentin

Important Teacher Qualities for Integrating Blended Learning in Higher Education

Blended learning is widely accepted in Peruvian higher education for a number of reasons, including the fact that it allows students more leeway to accommodate their own unique schedule and learning needs. The present qualitative research investigates the qualities of effective teachers that are crucial to the successful implementation of blended learning from the vantage point of experts, who can gain valuable insight into the causes of organizational problems and the best strategies for resolving them. There are seven positive characteristics of blended learning teachers, such as the ability to recognize the need for pedagogical change or the confidence to incorporate technology into learning processes, and four negative characteristics, such as a lack of familiarity with blended learning or anxiety about students use of technology. Blended learning in higher education is investigated here to identify the factors that influence it

Overproduction of a low-affinity penicillin-binding protein and high-level ampicillin resistance in Enterococcus faecium.

Five ampicillin-resistant clinical isolates of Enterococcus faecium were analyzed for a correlation between overproduction of the low-affinity penicillin-binding protein (PBP 5) and the level of ampicillin resistance. Comparison was made with one susceptible clinical isolate and its ampicillin-resistant derivative obtained in the laboratory by selection with increasing concentrations of penicillin. Overproduction of the low-affinity PBP relative to the susceptible isolate was noted in moderately resistant strains (MIC, 32 micrograms/ml) but not in highly resistant strains (MIC, 128 micrograms/ml). Polyclonal antibodies specifically reacting with the low-affinity PBP of Enterococcus hirae, Enterococcus faecalis, and Enterococcus faecium (M. Ligozzi, M. Aldegheri, S. C. Predari, and R. Fontana, FEMS Microbiol. Lett. 83:335-340, 1991) were used to determine the amount of this PBP in the E. faecium isolates. In all strains, the antibody preparation reacted with a membrane protein of the same molecular mass as PBP 5. The amount of this protein was very small in the susceptible strain but large in all of the resistant strains. These results suggest that the highly resistant strains also overproduced the low-affinity PBP, which, compared with PBP 5 of moderately resistant strains, appeared to be modified in its penicillin-binding capability

ISCR2 and IS26: Two Insertion Sequences Highly Dispersed among Acinetobacter spp. Clinical Strainss

The aim of this work is to study the dispersion of two ISs, ISCR2 and IS26, which are known to contribute in the acquisition of resistance determinants and genome plasticity, among a collection of hundred and seventy-four Acinetobacter spp. clinical isolates. PCR amplification reactions using total DNA were performed to search ISCR2, IS26, and different antibiotic resistance genes (tet(B), aphA6, sul2, floR, dfr9) previously described in the genetic context of ISCR2.Among A. baumannii, positive amplification for ISCR2 was obtained in 66% of the included isolates and most of them (93%) were positive for IS26 amplification. The platform tet(B)::ISCR2 was found in 57% of the ISCR2 positive isolates and only 14 gave negative amplification for tet(B). In these isolates positive amplifications of genes that were previously described associated to ISCR2 -such as, aphA6, sul2, floR, and dfr9- were observed. When searching these ISs in the non-baumannii Acinetobacter studied-collection, two isolates were positive for ISCR2 and two isolates for IS26. No positive results were obtained for tet(B), but the presence of sul2, floR and dfr9 was found. Our results exposed a great dispersion of ISCR2 as well as IS26 among Acinetobacter spp. clinical isolates reinforcing the idea that the ISs play a crucial role in the plasticity and evolution towards drug resistance in this genus.Fil: Montaña, Sabrina Daiana. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones en Microbiología y Parasitología Médica. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones en Microbiología y Parasitología Médica; ArgentinaFil: Almuzara, Marisa. Laboratorio de Bacteriología; ArgentinaFil: Pennini, M. Unidad Microbiología; ArgentinaFil: Sucari, A.. Unidad Microbiología; ArgentinaFil: Centron, Daniela. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones en Microbiología y Parasitología Médica. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones en Microbiología y Parasitología Médica; ArgentinaFil: Vay, C.. Laboratorio de Bacteriología; ArgentinaFil: Ramirez, Maria Soledad. California State University; Estados Unido

Evaluation of Future Internet Technologies for Processing and Distribution of Satellite Imagery

Satellite imagery data centres are designed to operate a defined number of satellites. For instance, difficulties when new satellites have to be incorporated in the system appear. This occurs because traditional infrastructures are neither flexible nor scalable. With the appearance of Future Internet technologies new solutions can be provided to manage large and variable amounts of data on demand. These technologies optimize resources and facilitate the appearance of new applications and services in the traditional Earth Observation (EO) market. The use of Future Internet technologies for the EO sector were validated with the GEO-Cloud experiment, part of the Fed4FIRE FP7 European project. This work presents the final results of the project, in which a constellation of satellites records the whole Earth surface on a daily basis. The satellite imagery is downloaded into a distributed network of ground stations and ingested in a cloud infrastructure, where the data is processed, stored, archived and distributed to the end users. The processing and transfer times inside the cloud, workload of the processors, automatic cataloguing and accessibility through the Internet are evaluated to validate if Future Internet technologies present advantages over traditional methods. Applicability of these technologies is evaluated to provide high added value services. Finally, the advantages of using federated testbeds to carry out large scale, industry driven experiments are analysed evaluating the feasibility of an experiment developed in the European infrastructure Fed4FIRE and its migration to a commercial cloud: SoftLayer®, an IBM Company

Comprehensive Evaluation and Implementation of Improvement Actions in Butcher Shops.

Foodborne pathogens can cause acute and chronic diseases and produce a wide range of symptoms. Since the consumption of ground beef is a risk factor for infections with some bacterial pathogens, we performed a comprehensive evaluation of butcher shops, implemented improvement actions for both butcher shops and consumers, and verified the impact of those actions implemented. A comprehensive evaluation was made and risk was quantified on a 1-100 scale as high-risk (1-40), moderate-risk (41-70) or low-risk (71-100). A total of 172 raw ground beef and 672 environmental samples were collected from 86 butcher shops during the evaluation (2010-2011) and verification (2013) stages of the study. Ground beef samples were analyzed for mesophilic aerobic organisms, Escherichia coli and coagulase-positive Staphylococcus aureus enumeration. Salmonella spp., E. coli O157:H7, non-O157 Shiga toxin-producing E. coli (STEC), and Listeria monocytogenes were detected and isolated from all samples. Risk quantification resulted in 43 (50.0%) high-risk, 34 (39.5%) moderate-risk, and nine (10.5%) low-risk butcher shops. Training sessions for 498 handlers and 4,506 consumers were held. Re-evaluation by risk quantification and microbiological analyses resulted in 19 (22.1%) high-risk, 42 (48.8%) moderate-risk and 25 (29.1%) low-risk butcher shops. The count of indicator microorganisms decreased with respect to the 2010-2011 period. After the implementation of improvement actions, the presence of L. monocytogenes, E. coli O157:H7 and stx genes in ground beef decreased. Salmonella spp. was isolated from 10 (11.6%) ground beef samples, without detecting statistically significant differences between both study periods (evaluation and verification). The percentage of pathogens in environmental samples was reduced in the verification period (Salmonella spp., 1.5%; L. monocytogenes, 10.7%; E. coli O157:H7, 0.6%; non-O157 STEC, 6.8%). Risk quantification was useful to identify those relevant facts in butcher shops. The reduction of contamination in ground beef and the environment was possible after training handlers based on the problems identified in their own butcher shops. Our results confirm the feasibility of implementing a comprehensive risk management program in butcher shops, and the importance of information campaigns targeting consumers. Further collaborative efforts would be necessary to improve foodstuffs safety at retail level and at home

Important Teacher Qualities for Integrating Blended Learning in Higher Education

Blended learning is widely accepted in Peruvian higher education for a number of reasons, including the fact that it allows students more leeway to accommodate their own unique schedule and learning needs. The present qualitative research investigates the qualities of effective teachers that are crucial to the successful implementation of blended learning from the vantage point of experts, who can gain valuable insight into the causes of organizational problems and the best strategies for resolving them. There are seven positive characteristics of blended learning teachers, such as the ability to recognize the need for pedagogical change or the confidence to incorporate technology into learning processes, and four negative characteristics, such as a lack of familiarity with blended learning or anxiety about students use of technology. Blended learning in higher education is investigated here to identify the factors that influence it