Adherence to antibiotic treatment guidelines and outcomes in the hospitalized elderly with different types of pneumonia

Background: Few studies evaluated the clinical outcomes of Community Acquired Pneumonia (CAP), Hospital-Acquired Pneumonia (HAP) and Health Care-Associated Pneumonia (HCAP) in relation to the adherence of antibiotic treatment to the guidelines of the Infectious Diseases Society of America (IDSA) and the American Thoracic Society (ATS) in hospitalized elderly people (65 years or older). Methods: Data were obtained from REPOSI, a prospective registry held in 87 Italian internal medicine and geriatric wards. Patients with a diagnosis of pneumonia (ICD-9 480-487) or prescribed with an antibiotic for pneumonia as indication were selected. The empirical antibiotic regimen was defined to be adherent to guidelines if concordant with the treatment regimens recommended by IDSA/ATS for CAP, HAP, and HCAP. Outcomes were assessed by logistic regression models. Results: A diagnosis of pneumonia was made in 317 patients. Only 38.8% of them received an empirical antibiotic regimen that was adherent to guidelines. However, no significant association was found between adherence to guidelines and outcomes. Having HAP, older age, and higher CIRS severity index were the main factors associated with in-hospital mortality. Conclusions: The adherence to antibiotic treatment guidelines was poor, particularly for HAP and HCAP, suggesting the need for more adherence to the optimal management of antibiotics in the elderly with pneumonia

Composts from green sources show an increased suppressiveness to soilborne plant pathogenic fungi: Relationships between physicochemical properties, disease suppression, and the microbiome

The need for studying tailored composts, as new feedstocks become available with time, increases the in-depth studies of suppressive composts derived from green sources and agro-wastes recycling. The composition, diversity and variability of microbiomes within a collection of 10 composts were investigated by amplicon sequencing and bioinformatics analyses. The observed differences in microbiome structure were related to the different compost origin. The multi-suppressive properties of composts from agricultural residues, agro-industrial co/by-products, and plant green-waste showed the most complex microbiome structure, which included either biocontrol agents associated with the control of Rhizoctonia damping-off in bean and Verticillium wilt in eggplant or microbial consortia for controlling Pythium damping-off in cucumber and zucchini and Phytophthora root rot in tomato and azalea. In contrast, the pathogen-specific property of composts from municipal solid waste and co-composted cow manure household waste showed a microbiome that overall included biocontrol agents against Fusarium wilt in tomato, melon and basil. The highest correlations between physicochemical properties, disease suppression, and the microbiome have allowed to make a helpful matrix to know how relationships among these variables of composts could be established and quantified for predicting their suppressive properties basing on the physicochemical properties and the microbiome

Co-products from a biofuel production chain in crop disease management: A review

The economic importance of biofuel industrial production chains will increase in the coming years and will be a promising source of co-products that are useful for sustainable farming systems. However, the use of co-products that are obtained from the biofuel production chains, especially for crop disease management, is an under-explored area in the research community. The liquid and solid co-products that are related to the biofuel outputs of particular interest in crop protection are 1) oil-less seed meals and glycerin derived from the biodiesel chain, 2) steam-exploded liquid waste derived from a 2nd-generation bioethanol chain, and 3) charcoal (bio-char) obtained from the pyrolysis of plant biomass. It is interesting to include the suppressive composts that are obtained by composting agricultural waste and the exhausted biomasses originating from the different biofuel chains. This overview summarizes the nature, the effects, the mechanisms, the possible applications, and the use in crop protection of the most important solid and liquid co-products that are obtained from industrial processes, focusing on 2nd-generation biofuel outputs to control economically important plant diseases that are caused by soil-borne pathogens. The aim of this work is to review the available studies on the employment perspectives of biofuel chain co-products in crop protection by distinguishing the two concepts that are most important in sustainable farming systems: 1) the possible effects of these organic inputs in terms of interaction with beneficial soil microbial populations and 2) the possible relationships of these organic inputs in terms of interaction with the physiological and ecological processes of the crop-pathogen systems. This distinction will permit a good definition of the potential advantages of biofuel chain co-products with respect to the traditional organic amendments that are usually used in crop protection. It is evident from this review that biofuel chain co-products have great potential but sometimes give inconsistent disease control, which limits their use in crop protection. There is no doubt that the benefits of biofuel chain co-products outweigh their drawbacks, but the impact of this approach on pathogen populations and disease suppression is often unpredictable

Short-term effects of sewage sludge compost amendment on semiarid soil

The adoption of sewage sludge as an agricultural management strategy to improve soil properties and crop production is attracting great interest. Despite many positive effects on soil inorganic and organic components reported for different soil types, little information is available on sewage sludge application on Mediterranean soils, as well as on its use at different dose rates. The objectives of the present research was to evaluate, through an integrated approach, the effects of sewage sludge compost from urban wastewater on physicochemical, hydrological, biochemical parameters, and microbiota composition in soil pots under a three-year crop rotation system. Four different doses of sewage sludge compost (C3, C6, C9, C12) from municipal wastewater and a dose of them in combination with mineral fertilizer (C6N) were used. We have used 3-6-9-12 Mg/ha of sewage sludge compost for the treatments C3, C6, C9 and C12, respectively, and 6 Mg/ha of sewage sludge compost in combination with 60 kg/ha of ammonium nitrate for the treatment C6N.The effects were compared to non-fertilized (C0) and mineral fertilized (Min) sets of controls. The electrical conductivity, soil pH, stability of soil aggregates, percent of moisture of the dry soil both at the field capacity and at the wilting point, available P, and exchangeable K were all positively affected by increasing the amounts of composted sludge. The organic carbon and total N increased up to 66% and 39%, respectively. Increased enzymatic activities and microbial biomass were also observed in soil after the application of sewage sludge compost when compared to un-amended control. A higher richness and evenness among the soil plots amended with sewage sludge compost was observed, with no significant differences among the application dose rates, when compared to the un-amended soil control and soil treated with a mineral fertilizer. A three-year amendment was able to separate soil plots amended with high doses of sewage sludge compost from the low dose amended and control samples. Among the microbial groups responsible for such marked separation, bacteria belonging to Actinobacteria, Acidobacteria, Cyanobacteria and Bacteroidetes contribute the most, with a shift from oligotrophic to copiotrophic taxa. Significant changes in bacterial composition and taxonomic structure should be considered in order to properly balance agronomic and economic advantages with environmental concerns. After all, our results have evidenced the effects of sewage sludge amendment on different soil properties, microbial activity, and composition already after a short period of application. The findings are particularly relevant in semiarid soils, where an immediate restoration of soil fertility by short-term compost application is needed