Arctic Paleoceanography Cruise KH21-234 with R/V Kronprins Haakon

We set sail from Longyearbyen on 30.6.2021 to collect surface sediments, long sediment archives, water and plankton samples. The study area is located north of Svalbard, within the seasonal and permanent sea ice covered Arctic Ocean. We took stations N of Svalbard, near Nordaustlandet, Sophia Basin, Yermak Plateau and on the shelf east of Svalbard. In total, we had 52 stations. We deployed the multicorer at least once at every station and sampled the core tops already onboard. These samples will be included in the Arctic Surface Sediment DNA Database, which we will use to establish new aDNA based sea ice proxies. We recovered gravity cores from 12 stations that can be used to reconstruct the Arctic sea ice history in the Holocene, last glacial and likely also Last Interglacial. We collected ice and water and filtered these for eDNA and biomarkers, and water for tracing the isotope signal of the different water masses in the region (Atlantic Water, Polar Water).publishedVersio

High Diagnostic Accuracy of Nitrite Test Paired with Urine Sediment can Reduce Unnecessary Antibiotic Therapy

Abstract: Background: Urinary tract infections (UTIs) are common bacterial infections dominated by lower UTI in women (LUTIW). Symptoms only are insufficient for diagnosis and accordingly, near patient diagnostic tests confidently confirming significant bacteriuria are desirable. The nitrite test (NIT) has low sensitivity, while bacterial and leukocyte counts disjunctively paired in urine sediment microscopy (SED) have high sensitivity. Similar symptomatic cure rates are found post antibiotic vs. placebo therapy in patients with negative cultures. Consequently, prescription on symptoms only implies unnecessary antibiotic therapy. Aims: to evaluate the diagnostic outcomes of NIT, SED and NIT disjunctively paired with SED (NIT+SED) vs. urine culture, with special focus on bladder incubation time (BIT), and to assess if NIT+SED can reduce unnecessary antibiotic therapy. Methods: A diagnostic, primary care, multicentre study including 1070 women with symptoms suggestive of lower UTI. Results: Significant bacteriuria was found in 77%. The BIT highly influenced the diagnostic outcomes and the optimal duration was 4h with sensitivity of 66, 90 and 95% for NIT, SED and NIT+SED, respectively. SED performed only in NIT negative specimens could reduce unnecessary antibiotics by 10% vs. prescription on symptoms only. The number needed to test with SED to reduce one unnecessary antibiotic course was five patients at BIT 4h and six patients at 3h or overall. Conclusion: The BIT highly influences the diagnostic outcomes with the highest accuracy of NIT+SED. Diagnosis of LUTIW with NIT+SED can reduce unnecessary antibiotic therapy and subsequently decrease antimicrobial resistance. Trial registration: The Swedish Medical Product Agency 1995 03 01:151:01783/94

Pulsed-field gel electrophoresis typing of Escherichia coli strains from samples collected before and after pivmecillinam or placebo treatment of uncomplicated community-acquired urinary tract infection in women

The primary infecting Escherichia coli strains from 156 women with community-acquired uncomplicated urinary tract infection (UTI) randomized to pivmecillinam or placebo and the E. coli strains causing UTI at two follow-up visits were typed using pulsed-field gel electrophoresis (PFGE). In the pivmecillinam treatment group PFGE showed that among patients having a negative urine culture at the first follow-up 77% (46/60) had a relapse with the primary infecting E. coli strain and 23% (14/60) had reinfection with a new E. coli strain at the second follow-up. Among patients having E. coli at the first follow-up PFGE showed that 80% (32/40) had persistence with the primary infecting E. coli strain, 15% (6/40) had reinfection with a new E. coli strain, and 5% (2/40) had different E. coli strains at the two follow-up visits (one had reinfection followed by relapse, and the other had persistence followed by reinfection). In the placebo group the majority had E. coli at the first follow-up. PFGE showed that among these patients 96% (50/52) had persistence with the primary infecting E. coli strain and 4% (2/50) had different E. coli strains at the two follow-up visits (both had persistence followed by reinfection). The finding that the majority of UTIs at follow-up are caused by the primary infecting E. coli strain supports the theory of a vaginal and rectal reservoir but could also support the recent discovery that E. coli strains are able to persist in the bladder epithelium despite appropriate antibiotic treatment, constituting a reservoir for recurrent UTI

Arctic Paleoceanography Cruise KH21-234 with R/V Kronprins Haakon

We set sail from Longyearbyen on 30.6.2021 to collect surface sediments, long sediment archives, water and plankton samples. The study area is located north of Svalbard, within the seasonal and permanent sea ice covered Arctic Ocean. We took stations N of Svalbard, near Nordaustlandet, Sophia Basin, Yermak Plateau and on the shelf east of Svalbard. In total, we had 52 stations. We deployed the multicorer at least once at every station and sampled the core tops already onboard. These samples will be included in the Arctic Surface Sediment DNA Database, which we will use to establish new aDNA based sea ice proxies. We recovered gravity cores from 12 stations that can be used to reconstruct the Arctic sea ice history in the Holocene, last glacial and likely also Last Interglacial. We collected ice and water and filtered these for eDNA and biomarkers, and water for tracing the isotope signal of the different water masses in the region (Atlantic Water, Polar Water)