CARB-ES-19 Multicenter Study of Carbapenemase-Producing Klebsiella pneumoniae and Escherichia coli From All Spanish Provinces Reveals Interregional Spread of High-Risk Clones Such as ST307/OXA-48 and ST512/KPC-3

ObjectivesCARB-ES-19 is a comprehensive, multicenter, nationwide study integrating whole-genome sequencing (WGS) in the surveillance of carbapenemase-producing K. pneumoniae (CP-Kpn) and E. coli (CP-Eco) to determine their incidence, geographical distribution, phylogeny, and resistance mechanisms in Spain.MethodsIn total, 71 hospitals, representing all 50 Spanish provinces, collected the first 10 isolates per hospital (February to May 2019); CPE isolates were first identified according to EUCAST (meropenem MIC > 0.12 mg/L with immunochromatography, colorimetric tests, carbapenem inactivation, or carbapenem hydrolysis with MALDI-TOF). Prevalence and incidence were calculated according to population denominators. Antibiotic susceptibility testing was performed using the microdilution method (EUCAST). All 403 isolates collected were sequenced for high-resolution single-nucleotide polymorphism (SNP) typing, core genome multilocus sequence typing (cgMLST), and resistome analysis.ResultsIn total, 377 (93.5%) CP-Kpn and 26 (6.5%) CP-Eco isolates were collected from 62 (87.3%) hospitals in 46 (92%) provinces. CP-Kpn was more prevalent in the blood (5.8%, 50/853) than in the urine (1.4%, 201/14,464). The cumulative incidence for both CP-Kpn and CP-Eco was 0.05 per 100 admitted patients. The main carbapenemase genes identified in CP-Kpn were blaOXA–48 (263/377), blaKPC–3 (62/377), blaVIM–1 (28/377), and blaNDM–1 (12/377). All isolates were susceptible to at least two antibiotics. Interregional dissemination of eight high-risk CP-Kpn clones was detected, mainly ST307/OXA-48 (16.4%), ST11/OXA-48 (16.4%), and ST512-ST258/KPC (13.8%). ST512/KPC and ST15/OXA-48 were the most frequent bacteremia-causative clones. The average number of acquired resistance genes was higher in CP-Kpn (7.9) than in CP-Eco (5.5).ConclusionThis study serves as a first step toward WGS integration in the surveillance of carbapenemase-producing Enterobacterales in Spain. We detected important epidemiological changes, including increased CP-Kpn and CP-Eco prevalence and incidence compared to previous studies, wide interregional dissemination, and increased dissemination of high-risk clones, such as ST307/OXA-48 and ST512/KPC-3

4to. Congreso Internacional de Ciencia, Tecnología e Innovación para la Sociedad. Memoria académica

Este volumen acoge la memoria académica de la Cuarta edición del Congreso Internacional de Ciencia, Tecnología e Innovación para la Sociedad, CITIS 2017, desarrollado entre el 29 de noviembre y el 1 de diciembre de 2017 y organizado por la Universidad Politécnica Salesiana (UPS) en su sede de Guayaquil. El Congreso ofreció un espacio para la presentación, difusión e intercambio de importantes investigaciones nacionales e internacionales ante la comunidad universitaria que se dio cita en el encuentro. El uso de herramientas tecnológicas para la gestión de los trabajos de investigación como la plataforma Open Conference Systems y la web de presentación del Congreso http://citis.blog.ups.edu.ec/, hicieron de CITIS 2017 un verdadero referente entre los congresos que se desarrollaron en el país. La preocupación de nuestra Universidad, de presentar espacios que ayuden a generar nuevos y mejores cambios en la dimensión humana y social de nuestro entorno, hace que se persiga en cada edición del evento la presentación de trabajos con calidad creciente en cuanto a su producción científica. Quienes estuvimos al frente de la organización, dejamos plasmado en estas memorias académicas el intenso y prolífico trabajo de los días de realización del Congreso Internacional de Ciencia, Tecnología e Innovación para la Sociedad al alcance de todos y todas

Multicomponent precipitation of spherical particles with capillarity effects

Numerical and approximated analytical solutions for the multicomponent growth of spherical precipitates with capillarity effects are presented. Coates' interface velocity contours are presented when the diffusivity of the precipitate components differs by several orders of magnitude. They show that the effect of capillarity in spheres is to reduce the thickening rate, such that a particle that would grow under a regime where there is no long-range partitioning of the slow diffuser, can be shifted into a regime where such partitioning is necessary

Design of highly formable and strong titanium alloys through plasticity induced transformation

Preliminary studies show the existence of Plasticity induced Transformation in metastable β-Titanium alloys (PiTTi), an effect similar to TRIP in steels. Extensive studies have been carried out to understand the defining heat treatment parameters to promote PiTTi effect in Ti-10V-2Fe-3Al (wt.%) alloy for β and/or α+β conditions. Compression testing results show stress-induced martensite formation in β and β+(α+β) microstructures with ∼20% increase in strength. Based on Ghosh and Olson theory for martensite nucleation, a model was developed to estimate the M s temperature, a critical parameter for PiTTi optimization. The chemical inhomogeneities in the β phase are employed to predict its PiTTi ability

Modelling the strength of ultrafine-grained and nanocrystalline fcc metals

A model for predicting the steady-state flow stress in ultrafine-grained and nanocrystalline face-centred cubic metals based on irreversible thermodynamics is presented. Grain size, temperature and strain-rate effects are incorporated. Nanoscale effects are accounted for via dislocation propagation and annihilation mechanisms invoking an Orowan-type dislocation glide mechanism, and a vacancy-mediated annihilation mechanism at the interface, respectively. Model predictions show good agreement with experiments for pure Cu and Al

Modelling plastic deformation of metals over a wide range of strain rates using irreversible thermodynamics

Based on the theory of irreversible thermodynamics, the present work proposes a dislocation-based model to describe the plastic deformation of FCC metals over wide ranges of strain rates. The stress-strain behaviour and the evolution of the average dislocation density are derived. It is found that there is a transitional strain rate (~104 s-1) over which the phonon drag effects appear, resulting in a significant increase in the flow stress and the average dislocation density. The model is applied to pure Cu deformed at room temperature and at strain rates ranging from 10-5 to 106 s-1 showing good agreement with experimental results.Aerospace Materials & ManufacturingAerospace Engineerin

Hydrogen-trapping mechanisms in nanostructured steels

Nanoprecipitation-hardened martensitic bearing steels (100Cr6) and carbide-free nanobainitic steels (superbainite) are examined. The nature of the hydrogen traps present in both is determined via the melt extraction and thermal desorption analysis techniques. It is demonstrated that 100Cr6 can admit large amounts of hydrogen, which is loosely bound to dislocations around room temperature; however, with the precipitation of fine coherent vanadium carbide traps, hydrogen can be immobilized. In the case of carbide-free nanostructured bainite, retained austenite/bainite interfaces act as hydrogen traps, while concomitantly retained austenite limits hydrogen absorption. In nanostructured steels where active hydrogen traps are present, it is shown that the total hydrogen absorbed is proportional to the trapped hydrogen, indicating that melt extraction may be employed to quantify trapping capacity