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The emergence of carbapenemase-producing Enterobacterales has been increasing globally, causing growing concerns. #link# Although Kluyvera ascorbata is not known as a metallo-β-lactamase (MBL)-producer, in the present study we isolated a K. ascorbata strain producing IMP-1 MBL from catheter-associated urine of a paediatric patient and performed whole-genome analysis to elucidate the features of this strain and the origin of IMP-1.
Carbapenemase production was confirmed by a modified carbapenemase inactivation method. Whole-genome sequencing was performed using NovaSeq 6000 and GridION. Conjugation ability was evaluated using Escherichia coli ML1410 by a broth mating assay.
Thebla
gene was located on a 149 316-bp transferable plasmid (pKATP2) and formed a class 1 integron structure. In addition, this plasmid had two types of repA genes as well as astA encoding a putative heat-stable enterotoxin. Comparison with other plasmids from Enterobacterales and Pseudomonas aeruginosa suggested that this plasmid might have originated by the integration of multiple plasmids. In addition, pKATP2 harboured conjugation-associated genes and was transferable.
This is the first report of MBL-producing K. ascorbata. Therefore, our findings suggest that species which do not typically produce MBL could acquire the corresponding genes, attracting attention as potential MBL-producing pathogens.
This is the first report of MBL-producing K. ascorbata. Therefore, our findings suggest that species which do not typically produce MBL could acquire the corresponding genes, attracting attention as potential MBL-producing pathogens.Coronaviruses such as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and influenza viruses increase oxidative stress in the body leading to cellular and tissue damage. To combat this, administration of high-dose vitamin C (ascorbic acid or ascorbate), in addition to standard conventional supportive treatments, has been shown to be a safe and effective therapy for severe cases of respiratory viral infection. Morbidity, mortality, infectiveness and spread of infectious diseases are dependent on the host-pathogen relationship. Given the lack of effective and safe antiviral drugs for coronaviruses, there should be more attention in supporting host immune defence, cytoprotection and immunoregulation. Implementation of high-dose vitamin C therapy could dramatically reduce the need for high doses of corticosteroids, antibacterials and antiviral drugs that may be immunosuppressive, adrenal depressive and toxic, complicating the disease course. In order to effectively fight the novel SARS-CoV-2 virus, medical professionals should explore readily available pharmaceutical and nutritional therapeutic agents with proven antioxidant, anti-inflammatory and immunosupportive properties. Supplemental vitamin C may also provide additional benefits for the prevention of viral infections, shorten the disease course and lessen complications of the disease.
This study presents real-life experience with cefiderocol used on a compassionate basis for treatment of three patients with severe infections caused by extensively/pan-drug resistant (XDR/PDR) Acinetobacter baumannii (Ab).
Serum bactericidal activity was determined and considered as a surrogate of cefiderocol susceptibility.
Clinical improvement and microbiological eradication of A. baumannii were observed in all three patients, who were affected by extremely complex conditions either for type of infection, adverse effect or resistance profile of A. baumannii.
Cefiderocol for XDR/PDR-Ab infections might be reconsidered, especially in light of the recent disappointing results of the CREDIBLE-CR study.
Cefiderocol for XDR/PDR-Ab infections might be reconsidered, especially in light of the recent disappointing results of the CREDIBLE-CR study.Moisture content (MC) influences substance transformation during composting and the function of exogenous microbial agents. Unsuitable MC could cause leaching, nutrient loss, and secondary contamination. In this study, chicken manure composting with varied MC (45-61%) was conducted under functional microbial agent inoculation to explore the optimum condition for composting and the potential mechanism. Due to the enhanced decomposing, nitrosation, and nitrification effect lead by the functional microorganism, treatment with the optimal MC (53%) exhibited the highest composting temperature (61 °C) and longest high-temperature period (15 days), achieving a final carbon-nitrogen ratio (C/N), humic acids and fulvic acids ratio (HA/FA), and NH4+-N/NO3--N at 19.20, 2.00, and 0.93, respectively. After composting, the total nitrogen (TN) increased by 13.01-22.10% in the treatments with microbial agent inoculation compared with original stack, while it decreased by 7.76% in control. The highest nutrient (5.63%, 5.63-14.20% higher than the other composts) and better product safety (11.43-23.58% higher seed germination than others) were observed in treatment with MC at 53%, exceeding the Chinese national standard for organic fertilizer. Obviously, under optimum MC, microbial agent augmentation lead to high quality and safe compost products after a short composting period (25 days) without any leaching, which suggested an efficient way to promote the recycling and recovery of husbandry waste.Ethylenediamine-functionalized Zr-based metal-organic framework (MOF, UiO-66-EDA) was prepared via Michael addition reaction to investigate its potential for adsorption of heavy metal ions from water. Specifically, ARV-771 of agitation time, solution pH, the dosage of the adsorbent, initial metal ion concentration, temperature, and coexistence of other metal ions was investigated on the removal efficiency of UiO-66-EDA towards Pb(II), Cd(II), and Cu(II) metal ions. The pseudo-second-order kinetic model governed the adsorption of these ions onto the UiO-66-EDA. Langmuir isotherm model matched the experimental isotherm of adsorption with a maximum adsorption capacity of 243.90, 217.39, and 208.33 mg/g for Pb, Cd, and Cu ions, respectively. The adsorption of Pb, Cd, and Cu ions onto UiO-66-EDA was dependent on electron exchange, electron sharing, electrostatic and covalent interactions between the metal ions as well as the abundant functional groups on UiO-66-EDA surface. Thermodynamic parameters such as free energy changes (ΔG), standard enthalpy changes (ΔH), and standard entropy changes (ΔS) were calculated, which revealed spontaneous and endothermic nature of the adsorption process.
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