20 years of DIEAP flap breast reconstruction : a big data analysis

With every hospital admission, a vast amount of data is collected from every patient. Big data can help in data mining and processing of this volume of data. The goal of this study is to investigate the potential of big data analyses by analyzing clinically relevant data from the immediate postoperative phase using big data mining techniques. A second aim is to understand the importance of different postoperative parameters. We analyzed all data generated during the admission of 739 women undergoing a free DIEAP flap breast reconstruction. The patients' complete midcare nursing report, laboratory data, operative reports and drug schedule were examined (7,405,359 data points). The duration of anesthesia does not predict the need for revision. Low Red Blood cell Counts (3.53 x 10(6)/mu L versus 3.79 x 10(6)/mu L, p < 0.001) and a low MAP (MAP = 73.37 versus 76.62; p < 0.001) postoperatively are correlated with significantly more revisions. Different drugs (asthma/COPD medication, Butyrophenones) can also play a significant role in the success of the free flap. In a world that is becoming more data driven, there is a clear need for electronic medical records which are easy to use for the practitioner, nursing staff, and the researcher. Very large datasets can be used, and big data analysis allows a relatively easy and fast interpretation all this information

New Bacteriophages against Emerging Lineages ST23 and ST258 of Klebsiella pneumoniae and Efficacy Assessment in Galleria mellonella Larvae

Klebsiella pneumoniae is a bacterial pathogen of high public health importance. Its polysaccharide capsule is highly variable but only a few capsular types are associated with emerging pathogenic sublineages. The aim of this work is to isolate and characterize new lytic bacteriophages and assess their potential to control infections by the ST23 and ST258 K. pneumoniae sublineages using a Galleria mellonella larvae model. Three selected bacteriophages, targeting lineages ST258 (bacteriophages vB_KpnP_KL106-ULIP47 and vB_KpnP_KL106-ULIP54) and ST23 (bacteriophage vB_KpnP_K1-ULIP33), display specificity for capsular types KL106 and K1, respectively. These podoviruses belong to the Autographivirinae subfamily and their genomes are devoid of lysogeny or toxin-associated genes. In a G. mellonella larvae model, a mortality rate of 70% was observed upon infection by K. pneumoniae ST258 and ST23. This number was reduced to 20% upon treatment with bacteriophages at a multiplicity of infection of 10. This work increases the number of characterized bacteriophages infecting K. pneumoniae and provides information regarding genome sequence and efficacy during preclinical phage therapy against two prominent sublineages of this bacterial species.status: publishe

New Bacteriophages against Emerging Lineages ST23 and ST258 of <i>Klebsiella pneumoniae</i> and Efficacy Assessment in <i>Galleria mellonella</i> Larvae

Klebsiella pneumoniae is a bacterial pathogen of high public health importance. Its polysaccharide capsule is highly variable but only a few capsular types are associated with emerging pathogenic sublineages. The aim of this work is to isolate and characterize new lytic bacteriophages and assess their potential to control infections by the ST23 and ST258 K. pneumoniae sublineages using a Galleria mellonella larvae model. Three selected bacteriophages, targeting lineages ST258 (bacteriophages vB_KpnP_KL106-ULIP47 and vB_KpnP_KL106-ULIP54) and ST23 (bacteriophage vB_KpnP_K1-ULIP33), display specificity for capsular types KL106 and K1, respectively. These podoviruses belong to the Autographivirinae subfamily and their genomes are devoid of lysogeny or toxin-associated genes. In a G. mellonella larvae model, a mortality rate of 70% was observed upon infection by K. pneumoniae ST258 and ST23. This number was reduced to 20% upon treatment with bacteriophages at a multiplicity of infection of 10. This work increases the number of characterized bacteriophages infecting K. pneumoniae and provides information regarding genome sequence and efficacy during preclinical phage therapy against two prominent sublineages of this bacterial species

Teaching biosecurity standard operating procedures in the Veterinary Faculty, University of Liege, using eCampus learning platform

peer reviewedIntroduction and aim: In veterinary medicine, biosecurity relies on the implementation and respect of procedures that reduce the risk of the introduction and spread of pathogens. The concept has recently attained great importance in veterinary medicine, especially in veterinary teaching hospitals, with regard to the accreditation processes of Veterinary Education Establishments in Europe. Indeed, standard operating procedures (SOPs) and practices regarding hygiene, biosecurity and infection control were implemented. The main objective of the study was to assess the usefulness of observations in estimating the compliance of veterinary students with biosecurity measures implemented in the necropsy room of a Faculty of Veterinary Medicine (n = 122 observations) and in a private slaughterhouse (n = 56 observations) in Belgium, during day sessions of practical work. Materials and methods: Checklists compiling the biosecurity rules to apply in both contexts were established (31 rules were considered for the necropsy room and 35 for the slaughterhouse). Observations were performed by a single person to ensure standardisation. Results: The level of compliance with biosecurity rules was intermediate and reached 42% vs. 37% for the necropsy room and the slaughterhouse, respectively. No significant difference was observed between these compliance rates. Conclusions: These results are comparable to the estimations reported in human medicine with a compliance rate reported between 33% and 54% for the therapeutic compliance and long-term follow-up of preventive recommendations by patients (Haynes et al., 1979). Increasing staff supervision of students and increasing awareness through education should be encouraged. Concomitant with this study, a biosecurity e-learning platform for veterinary students was implemented in Belgium, at the University of Liege. The follow-up of observations through time could be used to assess the evolution of compliance with biosecurity measures