Emerging Strategies to Combat ESKAPE Pathogens in the Era of Antimicrobial Resistance: A Review

The acronym ESKAPE includes six nosocomial pathogens that exhibit multidrug resistance and virulence: Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, and Enterobacter spp. Persistent use of antibiotics has provoked the emergence of multidrug resistant (MDR) and extensively drug resistant (XDR) bacteria, which render even the most effective drugs ineffective. Extended spectrum β-lactamase (ESBL) and carbapenemase producing Gram negative bacteria have emerged as an important therapeutic challenge. Development of novel therapeutics to treat drug resistant infections, especially those caused by ESKAPE pathogens is the need of the hour. Alternative therapies such as use of antibiotics in combination or with adjuvants, bacteriophages, antimicrobial peptides, nanoparticles, and photodynamic light therapy are widely reported. Many reviews published till date describe these therapies with respect to the various agents used, their dosage details and mechanism of action against MDR pathogens but very few have focused specifically on ESKAPE. The objective of this review is to describe the alternative therapies reported to treat ESKAPE infections, their advantages and limitations, potential application in vivo, and status in clinical trials. The review further highlights the importance of a combinatorial approach, wherein two or more therapies are used in combination in order to overcome their individual limitations, additional studies on which are warranted, before translating them into clinical practice. These advances could possibly give an alternate solution or extend the lifetime of current antimicrobials

A new search-and-rescue service in the Mediterranean Sea: a demonstration of the operational capability and an evaluation of its performance using real case scenarios

Abstract. A new web-based and mobile decision support system (DSS) for search-and-rescue (SAR) at sea is presented, and its performance is evaluated using real case scenarios. The system, named OCEAN-SAR, is accessible via the website http://www.ocean-sar.com. In addition to the website, dedicated applications for iOS and Android have been created to optimise the user experience on mobile devices. OCEAN-SAR simulates drifting objects at sea, using as input ocean currents and wind data provided, respectively, by the CMEMS and ECMWF. The modelling of the drifting objects is based on the leeway model, which parameterises the wind drag of an object using a series of coefficients. These coefficients have been measured in field experiments for different types of objects, ranging from a person in the water to a coastal freighter adrift. OCEAN-SAR provides the user with an intuitive interface to run simulations and to visualise their results using Google Maps. The performance of the service is evaluated by comparing simulations to data from the Italian Coast Guard pertaining to actual incidents in the Mediterranean Sea

SeaConditions: a web and mobile service for safer professional and recreational activities in the Mediterranean Sea

Reliable and timely information on the environmental conditions at sea is key to the safety of professional and recreational users as well as to the optimal execution of their activities. The possibility of users obtaining environmental information in due time and with adequate accuracy in the marine and coastal environment is defined as sea situational awareness (SSA). Without adequate information on the environmental meteorological and oceanographic conditions, users have a limited capacity to respond, which has led to loss of lives and to large environmental disasters with enormous consequent damage to the economy, society and ecosystems. Within the framework of the TESSA project, new SSA services for the Mediterranean Sea have been developed. In this paper we present SeaConditions, which is a web and mobile application for the provision of meteorological and oceanographic observation and forecasting products. Model forecasts and satellite products from operational services, such as ECMWF and CMEMS, can be visualized in SeaConditions. In addition, layers of information related to bathymetry, sea level and ocean-colour data (chl a and water transparency) are displayed. Ocean forecasts at high spatial resolutions are included in the version of SeaConditions presented here. SeaConditions provides a user-friendly experience with a fluid zoom capability, facilitating the appropriate display of data with different levels of detail. SeaConditions is a single point of access to interactive maps from different geophysical fields, providing high-quality information based on advanced oceanographic models. The SeaConditions services are available through both web and mobile applications. The web application is available at www.sea-conditions.com and is accessible and compatible with present-day browsers. Interoperability with GIS software is implemented. User feedback has been collected and taken into account in order to improve the service. The SeaConditions iOS and Android apps have been downloaded by more than 105 000 users to date (May 2016), and more than 100 000 users have visited the web version

Length-weight and length-length relationships of seven loach species (Teleostei: Cypriniformes) from five localities in northern Western Ghats, India

Length-weight (LWR) and length-length (LLR) relationships of seven loach species (Teleostei: Cypriniformes): Botia striata, Lepidocephalichthys thermalis, Paracanthocobitis mooreh, Indoreonectes evezardi, Nemacheilus anguilla, Nemachilichthys rueppelli and Schistura denisoni were studied from five localities within the Krishna River system of the Indian Western Ghats: Lonawala (Indrayani River), Paud (Mula River), Warje (Mutha River), Bhor (Nira River) and Patan (Koyna River).  With the exception of L. thermalis all species are endemic to peninsular India, and to our knowledge this is the first presentation of LWR and LLR data for them.  New maximum lengths are also reported for I. evezardi, N. anguilla, N. rueppelli and S. denisoni. </div

Time-resolved microscopy for optimizing in-volume glass processing using ultra short laser pulses

Time-resolved in-situ microscopy is used to gain insights for tailoring material modifications inside a transparent material. The types of modifications are linked to the free electron densities within the laser-induced plasma. Densities below 1019 cm-3 lead to defect states and higher densities around 1020 cm-3 to disruptions and cracks. In this process the plasma ignition and densification crucially depends on the pulse duration

Fully coherent spectral broadening of femtosecond pulses from an Er:fiber system

Coherence properties of the ultrabroadband output from a highly nonlinear germanosilicate fiber pumped by a femtosecond Er:fiber source are investigated. Conditions necessary to achieve full spectral coherence are demonstrated experimentally and analyzed theoretically

Assessing the sustainability of lepidophagous catfish, Pachypterus khavalchor (Kulkarni, 1952), from a tropical river Panchaganga, Maharashtra, India

Abstract Background The Western Ghats of India, one of the global biodiversity hotspots and freshwater eco-regions, harbors several fish species which not just form the important part of the world’s freshwater biodiversity yet in addition are the vital segment of livelihood of the neighborhood population. The rate of fish decline in the Western Ghats is alarming. The absence of organized study and data scarcity on basic biology and life history traits of several species could be one reason behind the decline, and thus it is difficult to execute conservation action/s. This is especially true, particularly for data-deficient species for which definite data related to distribution, population size, and trend is not available. The present study deals with the detailed investigation of population dynamics of catfish species, Pachypterus khavalchor, which is data-deficient species inhabiting the Western Ghats of India and forms an important component of freshwater inland fishery, providing nutritional and financial security to the local community. Methods Specimens for the present study were collected monthly for a period of 1 year from the River Panchaganga and length–frequency data were analyzed using FiSAT II software. Results Length–weight analysis of pooled (male + female) data suggested the fish exhibited higher exponent than expected under isometry, indicating the positive allometric growth of P. khavalchor in the Panchaganga River. The asymptotic length (L∞) and the growth rate (K) were estimated as 149.63 mm and 0.71 year−1 respectively. Potential longevity (t max) and length at first capture (Lc) were estimated as 4.22 years and 73 mm respectively. The total (Z), natural (M), and fishing mortality (F) were estimated as 2.23 year−1, 0.88 year−1, and 1.35 year−1 respectively. The current exploitation rate (E cur = 0.60) was found to be almost 90% that gives the maximum relative yield per recruit (E max = 0.67). Recruitment pattern revealed two peaks, suggesting the fish have two spawning bouts each year. Conclusions The stock of P. khavalchor in the Panchaganga River may be in near full exploitation under the current harvesting strategy, with a high chance of recruitment failure in the future. Additional studies on the reproductive biology of P. khavalchor would be particularly welcome for the imposition of the seasonal closure for effective conservation of stock

Antibiofilm and antipersister activity of acetic acid against extensively drug resistant Pseudomonas aeruginosa PAW1.

Pseudomonas aeruginosa is an ESKAPE pathogen associated with difficult-to-treat burn wound and surgical-site infections. This study aimed to characterise an extensively drug resistant (XDR) P. aeruginosa isolate (designated PAW1) and to investigate the antibiofilm and antipersister effect of acetic acid on PAW1. PAW1 was identified using biotypic (VITEK) and genotypic (16S rDNA) analysis. Minimum inhibitory concentration (MIC) and disc susceptibility testing showed high level resistance against all antibiotics from classes including beta lactams, cephems, carbapenems and fluoroquinolones. It was therefore identified as extensively drug resistant (XDR), showing resistance to all antibiotics except for, aminoglycoside (gentamicin and netilmicin) and lipopeptides (polymyxin B). Time kill assays showed antibiotic tolerant, persister cell formation in presence of 100X MICs of gentamicin and polymyxin B. Other virulence traits such as ability to produce lipase, protease, haemolysin, and siderophores and to form biofilms were additional factors which may contribute to its pathogenicity. PAW1 showed promising susceptibility against acetic acid with MIC and minimum biofilm inhibitory concentration of 0.156% (v/v). Percent viability of PAW1 was dependent on dose and treatment time of acetic acid. 0.625% acetic acid treatment of 5 minutes was effective in killing >90% planktonic cells showing lesser toxicity to L929 cells (IC50 = 0.625%). Biofilm disruption caused due to acetic acid was also dose dependent, showing 40.57% disruption after treatment with 0.625% acetic acid for 5 minutes. FESEM imaging and live dead staining of planktonic and biofilm forms of PAW1 confirmed that acetic acid treatment caused 19.04% of cell shrinkage and disruption of extracellular matrix resulting in killing of cells. Antipersister activity of acetic acid was demonstrated by showing complete killing of PAW1 at 4X MIC. Overall, this study characterised an XDR isolate P. aeruginosa showing resistance and tolerance to various antibiotics. Antipersister and antibiofilm effect of acetic acid demonstrates the importance of forgotten topical agents as an effective strategy to treat XDR pathogens