Prevalence of vancomycin-resistant Enterococcus fecal colonization among kidney transplant patients

BACKGROUND: End stage renal disease patients are at risk of Vancomycin-Resistant Enterococcus (VRE) infections. The first reports of VRE isolation were from hemodialysis patients. However, to date, VRE fecal colonization rates as well as associated risk factors in kidney transplant patients have not yet been established in prospective studies. METHODS: We collected one or two stool samples from 280 kidney transplant patients and analysed the prevalence of VRE and its associated risk factors. Patients were evaluated according to the post-transplant period: group 1, less than 30 days after transplantation (102 patients), group 2, one to 6 months after transplantation (73 patients) and group 3, more than 6 months after transplantation (105 patients). RESULTS: The overall prevalence rate of fecal VRE colonization was 13.6% (38/280), respectively 13.7% for Group 1, 15.1% for group 2 and 12.4% for group 3. E. faecium and E. faecalis comprised 50% of all VRE isolates. No immunologic variables were clearly correlated with VRE colonization and no infections related to VRE colonization were reported. CONCLUSION: Fecal VRE colonization rates in kidney transplant patients were as high as those reported for other high-risk groups, such as critical care and hemodialysis patients. This high rate of VRE colonization observed in kidney transplant recipients may have clinical relevance in infectious complications

Evaluating the lingering effect of livestock grazing on functional potentials of microbial communities in Tibetan grassland soils

Background and aims: Livestock grazing is a widely practiced land-use regime that can impose lingering effects on global biogeochemical cycles. However, elucidating the mechanisms of related eco-processes, which are largely mediated by the microbial community, remains challenging. Methods: Here, we collected soil samples from two Tibetan grassland sites subjected to grazing in winter followed by a 3-month recovery. We then evaluated functional potentials of microbial communities via a metagenomic tool known as GeoChip 4.0. Results: Significant alterations were detected in post-grazing grassland soils, and further analysis showed that plant diversity was the best indicator of alterations in functional potentials. Relative abundances of labile C degradation genes decreased at the 3400-m site, but those of recalcitrant C degradation genes increased, which could be explained by the higher soil recalcitrant C input owing to their being substantially more forbs species at this site. Nitrification genes decreased at both sites, probably owing to increased soil moisture conducive to oxygen-limiting conditions. Relative abundance of denitrification genes increased at the 3200-m site, concomitant with increased N2O emissions. Conclusions: These results demonstrated that functional gene compositions of the microbial community were altered in post-grazing grassland soils, and linked to soil biogeochemical processes