Clinical experience of cefiderocol

Infections by antibiotic-resistant microorganisms could be considered a "stealth pandemic" that we fight daily in most hospitals. Some estimates suggest that today 700,000 deaths per year can be attributed to antimicrobial resistance. By the year 2050, it is estimated that this will increase to ten million deaths per year as a result of infections by multidrug-resistant microorganisms. In this context, the availability of antimicrobial therapy that is effective against these pathogens is essential to be able to "save the lives" of our patients. Cefiderocol, a new cephalosporin with a different mechanism of action, will be an essential treatment in many infections caused by resistant aerobic gram-negative bacteria. Cefiderocol has been used to treat patients with complicated urinary tract infections (cUTI); hospital-acquired pneumonia (HAP), ventilator-associated pneumonia (VAP), healthcare-associated pneumonia (HAP); in patients with sepsis and bacteremia, some without an identified primary focus of infection

Rapid estimation of potato quality parameters by a portable near-infrared spectroscopy device

The aim of the present work was to determine the main quality parameters on tuber potato using a portable near-infrared spectroscopy device (MicroNIR). Potato tubers protected by the Protected Geographical Indication (PGI “Patata de Galicia”, Spain) were analyzed both using chemical methods of reference and also using the NIR methodology for the determination of important parameters for tuber commercialization, such as dry matter and reducing sugars. MicroNIR technology allows for the attainment/estimation of dry matter and reducing sugars in the warehouses by directly measuring the tubers without a chemical treatment and destruction of samples. The principal component analysis and modified partial least squares regression method were used to develop the NIR calibration model. The best determination coefficients obtained for dry matter and reducing sugars were of 0.72 and 0.55, respectively, and with acceptable standard errors of cross-validation. Near-infrared spectroscopy was established as an effective tool to obtain prediction equations of these potato quality parameters. At the same time, the efficiency of portable devices for taking instantaneous measurements of crucial quality parameters is useful for potato processors.Xunta de Galicia | Ref. FEADER 2017/045BMinisterio de Educación, Cultura y Deporte | Ref. FPU 17/0026

Screening pulmonary arteriovenous malformations in a large cohort of Spanish patients with hemorrhagic hereditary telangiectasia

39 p.-1 fig.-7 tab.Background and objectives Because of the serious nature of potential complications, screening for pulmonary arteriovenous malformations is required in patients with hereditary hemorrhagic telangiectasia. The aim of this study was to evaluate the utility of contrast echocardiography and compare the performance of two contrast agents: agitated saline and Gelofusine.Material and methods Two hundred and five patients screened for PAVMs using TTCE and computed tomography (CT) performed with an interval of less than 180 days. Contrast echocardiography studies were graded on a 4-point semiquantitative scale based on the amount of microbubbles seen in left heart chambers.Results Positive TTCE findings were seen in 137 (66.8%) patients, whereas CT confirmed PAVMs in 59 (43.1%). Two of 67 grade 1 patients; 18 of 42 grade 2; 17 of 22 grade 3 and all grade 4 had PAVMs on CT. Embolotherapy was feasible in 38.9% patients in grade 2 and 82.3% and 95.2% in grades 3–4. No patients in grade 1 were embolized. The mean cardiac cycle in which bubbles were first seen in the left heart in patients without and with PAVMs on CT was 6.1 and 3.9 (p < 0.0001). Compared to saline, Gelofusine produced an overall increase in grade.Conclusions No grade 1 patients had treatable PAVMs. There is a need for improvement in the selection of patients for CT in grade 2, where less than half have PAVMs on CT. The cardiac cycle may help to differentiate between patients with and without PAVMs. Gelofusine was not better than saline for PAVM screening.This study has been supported by grants from Instituto de Salud Carlos III (ISCIII; PI11/0246 to JAP), FEDER (to JAP), Ministerio de Economía y Competitividad of Spain (SAF2011-23475 to LMB and SAF2013-43421-R to CB), and Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER; ISCIIICB06/ 07/0038 to CB).Peer reviewe

Factors influencing the airborne sporangia concentration of Phytophthora infestans and its relationship with potato disease severity

Financiado para publicación en acceso aberto: Universidade de Vigo/CISUGForecasting systems are widely used to predict the application of fungicides for managing late blight. However, airborne inoculum has rarely been included in these forecasting systems. Monitoring the sporangia in crop environments may offer an opportunity to improve late blight forecast systems by integrating pathogen pressure. Hence, this experiment aiming to analyze relationships between weather based risk systems and sporangia levels in the atmosphere of potato crops. The experiments were conducted during two growing seasons in a potato field. During the study, the concentration of Phytophthora infestans in the air, the weather conditions, the phenology of cultivars and r-AUPDC during the crop cycle were recorded. The weather-based risk of late blight was estimated using infection pressure (IP) and the daily risk value (DRV) based on hourly relative humidity (RH) and temperature (T). The effect of weather parameters on sporangia levels was analyzed. IP and DRV showed a strong positive correlation with sporangia concentration, standing out the pronounced effect of RH on the sporangia levels. Analysis of the hourly sporangia concentration within a day showed an increase in the sporangia concentration from 9 h to 18 h. This increase in sporangia was linked to an increase in T, spore release, and a decrease in RH. Our results identified a T of 10 ◦C and RH of 80% as the minimum threshold for significant sporangia concentration in the air. However, maximum sporangia level was found in the air at 88% (average relative humidity) and 17 ◦C (average temperature). Finally, the effect of weekly P. infestans sporangia was observed on cultivars with different susceptibility to late blight.Ministerio de Educación, Cultura y Deporte | Ref. FPU 17/0026

Importance of meteorological parameters and airborne conidia to predict risk of alternaria on a potato crop ambient using machine learning algorithms

Secondary infections of early blight during potato crop season are conditioned by aerial inoculum. However, although aerobiological studies have focused on understanding the key factors that influence the spore concentration in the air, less work has been carried out to predict when critical concentrations of conidia occur. Therefore, the goals of this study were to understand the key weather variables that affect the hourly and daily conidia dispersal of Alternaria solani and A. alternata in a potato field, and to use these weather factors in different machine learning (ML) algorithms to predict the daily conidia levels. This study showed that conidia per hour in a day is influenced by the weather conditions that characterize the hour, but not the hour of the day. Specifically, the relative humidity and solar radiation were the most relevant weather parameters influencing the conidia concentration in the air and both in a linear model explained 98% of the variation of this concentration per hour. Moreover, the dew point temperature three days before was the weather variable with the strongest effect on conidia per day. An improved prediction of Alternaria conidia level was achieved via ML algorithms when the conidia of previous days is considered in the analysis. Among the ML algorithms applied, the CART model with an accuracy of 86% were the best to predict daily conidia level.Ministerio de Educación, Cultura y Deportes | Ref. FPU 17/0026

Percepciones que tiene la comunidad educativa acerca de la importancia de la Educación Infantil para el desarrollo y aprendizaje de los niños y niñas del III nivel, del colegio público “Las Américas” del distrito VI del municipio de Managua, durante el II semestre del año 2021

En el presente trabajo investigativo, consiste en determinar la percepción que tiene la comunidad educativa acerca de la importancia de la educación inicial en el desarrollo y aprendizaje de los niños del III nivel del preescolar del colegio Las América de la ciudad de managua en el segundo semestre del año 2021. La atención que se le da a los niños de educación inicial en el centro es responsabilidad principal de la docente con el apoyo de los padres de familia pues ello son los principales formadores, esto incluye en los valores, hábitos y estimulando en ellos el respeto por sí mismo y la importancia que le deben de dar a la educación inicial para el desarrollo y aprendizaje de los niños y niñas. Es precisamente en la etapa de la primera infancia en la cual se amplía extraordinariamente la esfera de experiencias del niño o niña, se adquieren diversos conocimientos y se desarrollan habilidades. Es aquí donde podemos señalar que las impresiones afectivas positivas que se adquieren durante la primera infancia, por supuesto dentro de la escuela infantil, estabilizan el desarrollo cognitivo, motriz, psicológico y emocional para que el niño siente las bases de su aprendizaje y pueda seguir aprendiendo durante el resto de su vida, enfrentando positivamente las diferentes situaciones. Consideramos importante el desarrollo de esta investigación ya que con esto podemos indagar la forma en que los padres le dan importancia a la educación inicial de sus hijos, así como la forma en que se involucran en sus aprendizajes y poder comprender el problema de las constantes ausencias a la sala educativa por parte de los niños y a la ausencia de los padres en las diferentes actividades en que son llamados. Palabras clave: percepciones, educación inicial, desarrollo y aprendizaj

Clinical management of cUTI, cIAI, and HABP/VABP attributable to carbapenem-resistant Gram-negative infections in Spain

Carbapenemasa; Infeccions gramnegatives; Infeccions associades a l'assistència sanitàriaCarbapenemasa; Infecciones gramnegativas; Infecciones asociadas a la asistencia sanitariaCarbapenemase; Gram-negative infections; Healthcare-associated infectionsIntroduction. Carbapenem-resistant Gram-negative (CRGN) infections are a major public health problem in Spain, often implicated in complicated, healthcare-associated infections that require the use of potentially toxic antibacterial agents of last resort. The objective of this study was to assess the clinical management of complicated infections caused by CRGN bacteria in Spanish hospitals. Methods. The study included: 1) a survey assessing the GN infection and antibacterial susceptibility profile in five participating Spanish hospitals and 2) a non-interventional, retrospective single cohort chart review of 100 patients with complicated urinary tract infection (cUTI), complicated intra-abdominal infection (cIAI), or hospital-acquired bacterial pneumonia/ventilator-associated bacterial pneumonia (HABP/VABP) attributable to CRGN pathogens. Results. In the participating hospitals CRGN prevalence was 9.3% amongst complicated infections. In the retrospective cohort, 92% of infections were healthcare-associated, and Klebsiella pneumoniae and Pseudomonas aeruginosa were the most common pathogens. OXA was the most frequently detected carbapenemase type (71.4%). We found that carbapenems were frequently used to treat cUTI, cIAI, HABP/VABP caused by CRGN pathogens. Carbapenem use, particularly in combination with other agents, persisted after confirmation of carbapenem resistance. Clinical cure was 66.0%, mortality during hospitalization 35.0%, mortality at the time of chart review 62.0%, and 6-months-post-discharge readmission 47.7%. Conclusion. Our results reflect the high burden and unmet needs associated with the management of complicated infections attributable to CRGN pathogens in Spain and highlight the urgent need for enhanced clinical management of these difficult-to-treat infections.Funding for this research was provided by Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Kenilworth, NJ, USA

Changes in the morphological characteristics of potato plants attributed to seasonal variability

The development of a potato crop differs according to the environmental conditions and growing season of an area. Periods of high temperatures and drought have been frequent in recent years, and this has affected crops worldwide. The effect of meteorological factors on the plant morphology of potato cultivars growing in A Limia was analyzed for three consecutive years. The crop cycle with the highest temperatures and least accumulated rainfall (2016) showed plants with a higher number of leaflets, which were shorter in length. The crop cycle (2014) with a lower temperature and more rainfall had the tallest plants, the highest degree of flowering, fewer pairs of leaflets and the highest length of the floral peduncle. Kennebec and Fontane were the varieties that showed the least variability in morphological characteristics during the seasons analyzed. Considering the meteorological and morphological data, a principal component analysis was carried out, which explained 80.1% of the variance of the data. Spearman rank correlations showed higher significant coefficients between the temperature and foliar characteristics. The leaf size of plants was estimated using a multiple linear regression analysis, which included the mean temperature, explaining 64% of the variability of the data.Xunta de Galicia | Ref. 2014/2020-FEADE

Mannose-binding lectin gene variants and infections in patients receiving autologous stem cell transplantation

BACKGROUND: Serious infections are common in patients undergoing autologous stem cell transplantation (ASCT) mainly because of the effects of immunosuppression. The innate immune system plays an important role in the defense against different infections. Mannose binding lectin (MBL) is a central molecule of the innate immune system. There are several promoter polymorphisms and structural variants of the MBL2 gene that encodes for this protein. These variants produce low levels of MBL and have been associated with an increased risk for infections. METHODS: Prospective cohort study. The incidence, severity of infections and mortality in 72 consecutive patients with hematologic diseases who underwent ASCT between February 2006 and June 2008 in a tertiary referral center were analyzed according to their MBL2 genotype. INNO-LiPA MBL2 was used for MBL2 gene amplification and genotyping. Relative risks (RR) (IC95%) as measure of association were calculated. Multivariate analysis was performed using logistic regression. RESULTS: A statistically significant higher number of fungal infections was found in patients with MBL2 variants causing low MBL levels (21.1%versus1.9%, p=0.016). In this MBL2 variant group infection was more frequently the cause of mortality than in the MBL2 wild-type group (p=0.05). Although not statistically significant, there was a higher incidence of major infections in the MBL2 variant group as well as a higher number of infections caused by gram-positive bacteria. CONCLUSIONS: Low-producer MBL2 genotypes were associated with an increased number of fungal infections in ASCT patients, which would suggest that MBL has a protective role against such infections. ASCT patients with MBL2 variant genotypes are more likely to die as a result of an infection

Describing the pollen content in the gastrointestinal tract of Vespa velutina larvae

Vespa velutina is an invasive species that exhibits flexible social behavior, which may have contributed to its introduction in several European countries. It is important to understand its behavior in order to combat the effects of its introduction in different areas. This implies knowing the resources that it uses during its biological cycle. Hornets require protein resources taken from insects and organic matter as well as carbohydrates as an energy source to fly and also to forage for food and nest-building materials. The gastrointestinal tract of adults and larvae contains a wide variety of pollen types. The identification of this pollen in larvae collected from nests could offer information about the plant species that V. velutina visits as a foraging place. The main objective of this research was to study the pollen content in the gastrointestinal tract of larvae. Patterns of pollen content and pollen diversity were established according to the nest type, altitude, season, and location in the nest comb. The abundance of pollen types such as Eucalyptus, Castanea, Foeniculum vulgare, Hedera helix, Taraxacum officinale, Echium, or Cytisus pollen type stands out in many of the samples.Simple Summary: The yellow-legged hornet is an invasive species from southeast Asia that has turned the European beekeeping sector upside down. The spread of this species has been advancing in recent years, and today, several European countries are threatened by Vespa velutina. The need to study its behavior is urgent given the increasingly evident economic and environmental impacts. In this regard, there is little information about the feeding habits and the resources it uses during the life cycle. Like other Hymenoptera, hornets require carbohydrates and proteins as their primary nutrients. Sugary secretions such as floral nectar, honeydew, or fruit juices are the main sources of carbohydrates but the protein intake is provided by the consumption of a diverse diet of insects such as the honey bee. There is scarce information on the presence of pollen grains in the gastrointestinal content of larvae other than secondary contamination from hunting. This content could represent the surrounding flora of its habitat that is used as a resource. Therefore, the objective of this study was to describe the main pollen types present in the gastrointestinal system of larvae taken from V. velutina nests.Fundación Centro de Estudos Eurorrexionais Galicia - Norte de Portugal | Ref. EAPA_800/2018-Atlantic-POSitiveXunta de Galicia | Ref. ED481D-2022-02