Effective elimination of Staphylococcal contamination from hospital surfaces by a bacteriophage-probiotic sanitation strategy: a monocentric study.

Persistent contamination of hospital surfaces and antimicrobial resistance (AMR) are recognized major causes of healthcare-associated infections (HAI). We recently showed that a probiotic-based sanitation (PCHS) can stably decrease surface pathogens and reduce AMR and HAIs. However, PCHS action is slow and non-specific. By contrast, bacteriophages have been proposed as a decontamination method as they can rapidly attack specific targets, but their routine application has never been tested. Here we analyzed the feasibility and effectiveness of phage addition to PCHS sanitation, aiming to obtain a rapid and stable abatement of specific pathogens in the hospital environment. Staphylococcal contamination in the bathrooms of General Medicine wards was analyzed, being such areas the most contaminated and Staphylococci the most prevalent bacteria in such settings. Results showed that a daily phage application by nebulization induced a rapid and significant decrease of Staphylococcus spp. load on treated surfaces, up to 97% more than PCHS alone (p<0.001), suggesting that such system might be considered as a part of prevention and control strategies, to counteract outbreaks of specific pathogens and prevent associated infections

Energy savings in hospital patient rooms: the role of windows size and glazing properties

Abstract Large windows with increased exposure to daylight have strong positive effects on the well-being of building occupants and can provide energy savings when appropriate glazing specifications are employed. The work evaluates the impact of different window sizes and glazing on heating and cooling energy needs in a hospital patient room, in order to investigate the energy savings achievable by adopting wider openings and to identify the most effective glazing types. Simulations have been conducted for different commercially available glazing systems. The authors analyzed the energy performance of a base case window with 25% Window-to-Wall Ratio (WWR) and of a wall-to-ceiling window with 77% WWR, in rooms facing the four different orientations and located in Bologna, Italy. Results show that the adoption of wider windows with appropriate glazing can lower the heating and cooling energy demand

Dual-readout, Particle Identification, and 4th

The 4th detector is rich in particle identification measurements from the dual-readout calorimeters, the cluster-timing tracking chamber, the muon spectrometer, and combinations of these systems. In all, a total of 13 measurements contribute to the identification of all partons of the standard model.Comment: 3 pages, 6 figures, TIPP09 Conferenc

A Probiotic-Based Sanitation System for the Reduction of Healthcare Associated Infections and Antimicrobial Resistances: A Budget Impact Analysis

Healthcare Associated Infections (HAIs) and antibiotic resistance have high social and economic burdens. Healthcare environments play an important role in the transmission of HAIs. The Probiotic Cleaning Hygiene System (PCHS) showed to decrease hospital surface pathogens up to 90% vs. conventional chemical cleaning (CCC). This study compares PCHS to CCC as to reduction of HAIs and their severity, related antibiotic resistances, and costs. Incidence rates of HAIs/antibiotic resistances were estimated from a multicenter pre-post (6 months CCC + 6 months PCHS) intervention study after applying propensity score matching technique. A budget impact analysis compared the current scenario of use of CCC with future scenarios considering increasing utilization of PCHS, from 5% to 50% in the next five years, from the hospital perspective in Italy. The cumulative incidence of HAI was 4.6% and 2.4% (p <0.0001) for CCC (N=4,160) and PCHS (N=4,160) (OR = 0.47, CI 95% 0.37-0.60), with severe HAIs of 1.57% vs 1% and antibiotic resistances of 1.13% vs 0.53%, respectively. Increased use of PCHS over CCC in Italian internal medicine/geriatrics and neurology departments in the next 5 years is expected to avert at least about 31,000 HAIs and 8,500 antibiotic resistances, and save at least 14 million Euros, of which 11.6 for the treatment of resistant HAIs. Innovative, environmentally sustainable sanitation systems, like PCHS, might substantially reduce antibiotic resistance and increase protection of health worldwide

Experimental data and simulations of performance and thermal comfort in a patient room equipped with radiant ceiling panels

Hospitals require the highest energy demands in non-residential buildings. They provide healthcare 24/7/365 and, at the same time, they ensure indoor air quality, thermal comfort and sterility. However, several studies reveal that high indoor temperatures and low relative humidity (RH) are often perceived in patient rooms during the heating season, suggesting an important energy saving potential. Against this background, radiant ceiling panel (RCP) systems result to be one of the most appropriate solutions as they allow to achieve significant energy savings while providing the highest level of thermal and acoustic comfort, as well as of infection control. In the present study the microclimatic survey of a patient room at Maggiore Hospital in Bologna, Italy, equipped with an air conditioning system integrated with RCP, has reported occupant thermal discomfort. Experimental data were used to calibrate a building model and dynamic building energy simulations were carried out to analyse indoor air temperature, relative humidity, predicted mean vote (PMV) and predicted percentage of dissatisfied (PPD) indexes under different inlet air temperatures, to identify the best design conditions for energy efficiency and thermal comfort improvement. It was found that the highest advantages can be obtained when neutral air is supplied

Next-generation sequencing and PCR technologies in monitoring the hospital microbiome and its drug resistance

The hospital environment significantly contributes to the onset of healthcare-associated infections (HAIs), which represent one of the most frequent complications occurring in healthcare facilities worldwide. Moreover, the increased antimicrobial resistance (AMR) characterizing HAI-associated microbes is one of the human health’s main concerns, requiring the characterization of the contaminating microbial population in the hospital environment. The monitoring of surface microbiota in hospitals is generally addressed by microbial cultural isolation. However, this has some important limitations mainly relating to the inability to define the whole drug-resistance profile of the contaminating microbiota and to the long time period required to obtain the results. Hence, there is an urgent need to implement environmental surveillance systems using more effective methods. Molecular approaches, including next-generation sequencing and PCR assays, may be useful and effective tools to monitor microbial contamination, especially the growing AMR of HAI-associated pathogens. Herein, we summarize the results of our recent studies using culture-based and molecular analyses in 12 hospitals for adults and children over a 5-year period, highlighting the advantages and disadvantages of the techniques used

ILCRoot Tracker and Vertex Detector Hits Response to MARS15 Simulated Backgrounds in the Muon Collider

Abstract Results from a simulation of the background for a muon collider, and the hits response of a silicon tracking detector to this backgroundare presented.The backgroundcausedbydecaysofthe750 GeV/ c beam μ + and μ − was simulated using the MARS15 program, which included the infrastructure of the beam line elements near the detector and the 10 ∘ nozzles that shield the detector from this background. The ILCRoot framework, along with the Geant4 program, was used to simulate the hits response of the tracker and vertex silicon detectors to the muon-decay background remaining after the shielding nozzles. Results include the hit distributions in these detectors, the fractions of type-specific background particles producing these hits and illustrate the use of timing of the hits to suppress the muon beam background