Raising awareness of antimicrobial resistance among the general public in the UK: the role of public engagement activities

In response to the accepted risk of emerging antimicrobial resistance, many organizations and institutions have developed and delivered events and activities designed to raise awareness of the issue and to change the behaviour of the intended audience. However, few of these events for a general public audience are documented or able to be sourced by those who might wish to repeat, adapt or modify, particularly those events that are successful. ‘Insider knowledge’ appears to be the best search tool. Moreover, evaluation of the success or impact of the event is rarely published. It would be useful if there were a ‘hub’ where descriptions of such activities could be deposited, enabling the building of a significant resource with real academic value

Development of an in vitro denture plaque biofilm to model denture malodour

This study aimed to develop an in vitro denture plaque biofilm to model denture malodour. No previous studies have attempted to characterize the malodour associated with dentures and the effect of Candida spp. (main aetiological agent of denture-related stomatitis) on malodour. Pooled denture plaque microcosms and 'model' denture plaque biofilms (pooled saliva supplemented with additional microbial species) with and without addition of candida were grown aerobically at 37 °C for up to 13 days in a constant depth film fermenter (CDFF) on denture acrylic discs. Sample discs were removed, rinsed in sterile water and placed in phosphate buffered saline (PBS). The discs were vortex mixed to remove the biofilms, diluted in PBS and plated in duplicate onto general and selective media. The composition and stability of the biofilms over time were assessed. CDFF-grown microcosms and 'model' denture plaque biofilms were relatively stable in composition, with streptococci remaining the dominant microbial group. Model denture plaque biofilms were comparable in composition to denture plaque microcosms. This model system has the potential for evaluation of agents that might affect these parameters such as denture cleansers and other oral hygiene treatments

Potential pathogenic aspects of denture plaque

Oral health status declines with age and as a result the need for removable prostheses increases. Oral health is a reflection of one's general health, affecting the ability of an individual to eat and speak, and contributes significantly to a sense of confidence and well-being. Currently, there are 15 million denture wearers in the UK, representing a significant consumer base and a special healthcare consideration. The microbiology of denture plaque has received little attention in comparison with dental plaque, yet it differs in location and composition. Denture plaque and poor denture hygiene is associated with stomatitis (Candida infection), may also serve as a reservoir of potentially infectious pathogens, and may contribute to oral malodour and to caries and periodontitis in people who have remaining natural teeth. Oral bacteria have been implicated in bacterial endocarditis, aspiration pneumonia, gastrointestinal infection and chronic obstructive pulmonary disease, among others, and dentures offer a reservoir for microorganisms associated with these infections. An effective oral hygiene regimen is important to control denture plaque biofilm and contributes to the control of associated oral and systemic diseases

Emerging Infectious Literatures and the Zombie Condition

The bookclub format has enabled expert and nonexpert exploration of infection and epidemiology as encountered in popular literature, revealing that fiction focusing on apocalyptic disease often uses the zombie as embodiment of infection, as well as an exemplar of current knowledge on emerging disease

What does the UK public want from academic science communication? [Version 1]

The overall aim of public academic science communication is to engage a non-scientist with a particular field of science and/or research topic, often driven by the expertise of the academic. An e-survey was designed to provide insight into respondent’s current and future engagement with science communication activities. Respondents provided a wide range of ideas and concerns as to the ‘common practice’ of academic science communication, and whilst they support some of these popular approaches (such as open-door events and science festivals), there are alternatives that may enable wider engagement. Suggestions of internet-based approaches and digital media were strongly encouraged, and although respondents found merits in methods such as science festivals, limitations such as geography, time and topic of interest were a barrier to engagement for some. Academics and scientists need to think carefully about how they plan their science communication activities and carry out evaluations, including considering the point of view of the public, as although defaulting to hands-on open door events at their university may seem like the expected standard, it may not be the best way to reach the intended audience

Analysis of University student responses to the pandemic in a formal microbiology assessment.

During the coronavirus pandemic, second year students on the BSc molecular biology and genetics degree at Istanbul Technical University sat an open-ended online exam for a microbiology course in which one of the compulsory questions asked how the course had helped them during the first phase of the pandemic (April-July 2020). Fifty of 69 students gave consent for their (anonymous) responses to be analysed in order to discern any key ways in which their knowledge had been applied. The aim of the study was to investigate whether taking an advanced microbiology course increases understanding of the SARS-CoV-2 pandemic and has a positive impact on student behaviours with respect to public health practices. Findings were divided into four major themes: course content (information), application of course content to behaviour change (practice), professionalism, and their 'audience' while at home in lockdown (family and friends). Social distancing, wearing facemasks, hand and surface hygiene were described as important behaviours, with this practice informed by their basic microbiology knowledge. This paper describes a scenario where rote assessment can be used to assess wider scientific literacy with respect to application in society, providing students with an opportunity to incorporate and apply their learning into real-life situations, whilst tutors can assess constructivist learning, conceptual understanding and impact on student behaviour

Comparison of detection methods used to determine Escherichia coli and meat exudate removal from stainless steel surfaces following different physical cleaning methods.

Food products can be contaminated by residual organic materials and food-borne pathogenic microorganisms through contact with biofouling present on surfaces. Efficient cleaning is needed to maintain hygienic requirements and for quality assurance of food contact surfaces. To evaluate the efficacy of cleaning procedures, it is essential to use reliable detection and quantification methods that can detect both organic material and microorganisms retained on surfaces. Repeated fouling with both organic material (meat exudate) and microorganisms (Escherichia coli) on 304 2B finish stainless steel surfaces was carried out. The surfaces were then cleaned using either a soak, spray or wipe method (in water) in order compare various biofouling detection methods. Following enumeration of the microorganisms by plate counting, the results demonstrated that the soak and spray washes were the best cleaning methods, whereas the wipe clean produced the least hygienic surface. ATP bioluminescence further demonstrated that the spray cleaned surface was the most hygienic followed by the soaked cleaned surfaces. However, percentage coverage counts demonstrated that the number of retained cells on following the soak wash was the greatest (77.38 % after 30 washes) and the amount of organic material retained was greater than 50% on all the surfaces, and was not significantly different between the different types of cleans or number of washes. Visualisation of the surfaces using epifluorescence microscopy and scanning electron microscopy demonstrated that the soak clean was the least hygienic in terms of bacterial retention. This suggests that the biofouling on the surface was difficult to remove following the soak cleaning method. UV detection demonstrated that it was difficult to detect organic material, regardless of the cleaning method used. However, when using more intense UV at selected wavelengths, the 330 nm - 360 nm illuminated the retained biofouling on the surfaces with the greatest intensity. The use of the different cleaning assays resulted in differences in cell and organic material distribution across the surfaces. The recorded level of contamination varied depending on the detection method used in this study. Our results highlighted that, in addition to the quantification method, visual images and quantification may help to better understand the fouling process on surfaces since certain cleaning methods may result in organic material being difficult to remove and detect

Interfacial surface properties of compression moulded hydrolysed Polyvinyl Acetate (PVAc) using different release materials

Understanding the effect surface production has on polymer properties is important in the design of advanced materials. The aim of this study was to determine how the moulding process affected the rate of hydrolysis and the topography, chemistry and physicochemistry of PVAc moulded, hydrolysed surfaces. Three different mould surface materials were used to produce compression moulded PVAc sheets which were treated with aqueous NaOH at a range of concentrations. The Textile moulded sheet demonstrated the best hydrolysis results. The topography of the moulded sheets was transferred to the surfaces and the Kapton release sheet was visually smooth at lower magnification and demonstrated some pitting at higher magnification. The Teflon surface had features transferred from the coated stainless steel at lower magnifications and linear features at higher magnifications and the textile surface had a wrinkled appearance and irregularly spaced peaks. The release sheet used to mould the PVAc surfaces, affected the physicochemical parameters. The Kapton moulded surface demonstrated the most polar attributes and the Teflon surface the most dispersive. It was clear that the selection of the mould material had an influence on surface properties and hydrolysis of moulded PVAc. Such information is important for engineering design in industrial processes

Environmental and Experimental Factors Affecting Efficacy Testing of Nonporous Plastic Antimicrobial Surfaces

Test methods for efficacy assessment of antimicrobial coatings are not modelled on a hospital environment, and instead use high humidity (>90%) high temperature (37 °C), and no airflow. Therefore, an inoculum will not dry, resulting in an antimicrobial surface exhibiting prolonged antimicrobial activity, as moisture is critical to activity. Liquids will dry quicker in a hospital ward, resulting in a reduced antimicrobial efficacy compared to the existing test, rendering the test results artificially favourable to the antimicrobial claim of the product. This study aimed to assess how hospital room environmental conditions can affect the drying time of an inoculum, and to use this data to inform test parameters for antimicrobial efficacy testing based on the hospital ward. The drying time of different droplet sizes, in a range of environmental conditions likely found in a hospital ward, were recorded (n = 630), and used to create a model to inform users of the experimental conditions required to provide a drying time similar to what can be expected in the hospital ward. Drying time data demonstrated significant (p < 0.05) variance when humidity, temperature, and airflow were assessed. A mathematical model was created to select environmental conditions for in vitro antimicrobial efficacy testing. Drying time in different environmental conditions demonstrates that experimental set-ups affect the amount of time an inoculum stays wet, which in turn may affect the efficacy of an antimicrobial surface. This should be an important consideration for hospitals and other potential users, whilst future tests predict efficacy in the intended end-use environment

Effects of Cationic and Anionic Surfaces on the Perpendicular and Lateral Forces and Binding of Aspergillus niger Conidia

The binding of conidia to surfaces is a prerequisite for biofouling by fungal species. In this study, Aspergillus niger subtypes 1957 and 1988 were used which produced differently shaped conidia (round or spikey respectively). Test surfaces were characterised for their surface topography, wettability, and hardness. Conidial assays included perpendicular and lateral force measurements, as well as attachment, adhesion and retention assays. Anionic surfaces were less rough (Ra 2.4 nm), less wettable (54°) and harder (0.72 GPa) than cationic surfaces (Ra 5.4 nm, 36° and 0.5 GPa, respectively). Perpendicular and lateral force assays demonstrated that both types of conidia adhered with more force to the anionic surfaces and were influenced by surface wettability. Following the binding assays, fewer A. niger 1957 and A. niger 1988 conidia bound to the anionic surface. However, surface wettability affected the density and dispersion of the conidia on the coatings, whilst clustering was affected by their spore shapes. This work demonstrated that anionic surfaces were more repulsive to A. niger 1998 spores than cationic surfaces were, but once attached, the conidia bound more firmly to the anionic surfaces. This work informs on the importance of understanding how conidia become tightly bound to surfaces, which can be used to prevent biofouling