Authors:Miles Beaman, Mahdad Karimi, Meredith Hodge, Anthony Keil, and Peter Campbell
We assessed IgA antibodies and polymerase chain reaction (PCR) for diagnosis of pertussis in nasopharyngeal aspiration (NPA) samples from outpatients in Australia.A total of 1700 patients (849 adults, 851 children) from Western Australia and the Northern Territory fulfilled the laboratory case definition for pertussis between 2004 and 2013: 732 specimens were positive by NPA IgA alone, 559 by PCR alone, and 409 by both tests. Overall, 968 cases (56.8%) were positive by PCR and 1141 cases (67.2%) by IgA [p < 0.00025]. Among pediatric patients, PCR was positive in 524 (61.3%) and IgA in 569 (67%). In 849 adult cases, the respective proportions were 52.3% and 67.4% [p < 0.00025].The duration of cough in 507 patients was shorter in 262 pediatric cases (mean, 2.51 weeks; standard deviation [SD], 2.25) than 245 adult patients (3.27 weeks; SD, 2.79) [p = 0.0009]. PCR positivity showed a season-dependent variance (range, 5.6 to 85.9%) and peaked in the second week (71.7%) of illness. IgA antibodies peaked in the fifth week (89.5%) postinfection, and the positivity rate for NPA IgA was less variable (range, 38.3–97.2%).Nasopharyngeal Bordetella pertussis-specific IgA antibodies are valuable in diagnosis of pertussis in Australia. Reliance on PCR alone misses a significant proportion of pertussis cases, especially those with a delayed presentation.
Authors:Cosme Alvarado-Esquivel, Sandy Pacheco-Vega, Jesús Hernández-Tinoco, Diana Saldaña-Simental, Luis Sánchez-Anguiano, Misael Salcedo-Jáquez, Agar Ramos-Nevárez, Oliver Liesenfeld, José Márquez-Conde, Sandra Cerrillo-Soto, Lucio Martínez-Ramírez, and Carlos Guido-Arreola
The association of infection with Toxoplasma gondii and occupational exposure to animals has been scantly determined. We performed a case-control study with 200 subjects from Durango Province, Mexico, occupationally exposed to animals and 200 age- and gender-matched subjects without this occupation. Sera from all participants were analyzed for anti-T. gondii IgG and IgM antibodies using enzyme-linked immunoassays. The association of seroprevalence with sociodemographic, work, clinical, and behavioral characteristics in cases was determined.Cases and controls had similar frequencies of anti-T. gondii IgG antibodies (12/200: 6.0% and 11/200: 5.5%, respectively) (OR = 3.0; 95% CI: 0.12–73.64; P = 1.0). The frequency of sera with high (>150 IU/ml) levels of anti-T. gondii IgG antibodies was comparable among cases and controls (P = 0.61). Seroprevalence of anti-T. gondii IgM antibodies was similar in cases (4, 2.0%) than in controls (4, 2.0%) (P = 1.0). Multivariate analysis showed that seropositivity was associated with eating while working (OR = 7.14; 95% CI: 1.91–26.72; P = 0.003) and consumption of duck meat (OR = 5.43; 95% CI: 1.43–20.54; P = 0.01).No association between seropositivity to T. gondii and occupational exposure to animals was found. However, risk factors for infection found should be taken into account to reduce the exposure to T. gondii.
Authors:Olugbenga Olowe, Olufunmilola Makanjuola, Rita Olowe, and Daniel Adekanle
Vaginal infections in pregnancy are associated with considerable discomfort and adverse pregnancy outcomes including preterm delivery, low birth weight and increased infant mortality and also predisposition to HIV/AIDS. This study evaluated the prevalence and factors associated with vulvovaginal candidiasis, trichomoniasis and bacterial vaginosis among women attending antenatal clinic at a hospital in Nigeria. A semi-structured questionnaire was administered and high vaginal swab samples were obtained from consenting pregnant women. The samples were processed following standard protocols. The prevalence of vulvovaginal candidiasis was 36%, while those of trichomoniasis and bacterial vaginosis were 2% and 38%, respectively. Infections were higher in the third trimester and many women admitted to practices that increase risk of these infections. Significant association was found between recent intake of antibiotics and vaginal candidiasis, same association was also found with bacterial vaginosis. Adequate investigation and prompt treatment will reduce the morbidity and attendant effects of these prevalent infections on mother and fetus.
Authors:Sai Duraisingham, Steven Hanson, Matthew Buckland, Sofia Grigoriadou, and Hilary Longhurst
Pseudomonas aeruginosa (PA) is commonly isolated from the respiratory secretions of antibody deficiency patients, but the significance of this has not been well studied. We have reviewed our adult antibody deficiency cohort of 179 patients and assessed the prevalence and characteristics of PA infection and the effects of early antibiotic eradication treatments. Of the 34 patients with PA, 55.9% (19) underwent successful eradication and were infection-free, 38.2% (13) had intermittent infection, and 5.9% (2) had chronic PA. PA infection was significantly associated with bronchiectasis (p < 0.0001), with 36.1% (22 out of 61) of patients with bronchiectasis developing a PA infection. Infection status was also significantly associated with chronic sinusitis (p < 0.0001). Most treated PA exacerbations were symptomatic and with colony counts of ≥1000 cfu/ml. Current eradication protocols used at our center involve early treatment at first positive isolate with ciprofloxacin for 3 weeks and nebulized colomycin for 3 months, and if eradication fails, intravenous ceftazidime and gentamycin or colomycin is administered for 2 weeks. Continued sputum surveillance and early eradication treatments upon positive PA culture may help to limit chronic PA infection in antibody deficiency patients.
Authors:Sebastian Schmidt, Markus Heimesaat, André Fischer, Stefan Bereswill, and Matthias Melzig
The resistance of commensal bacteria to first and second line antibiotics has reached an alarming level in many parts of the world and endangers the effective treatment of infectious diseases. In this study, the influence of the plant-derived natural saponins glycyrrhizic acid, β-aescin, α-hederin, hederacoside C, and primulic acid 1 on the susceptibility of vancomycin-resistant enterococci (VRE) against antibiotics of clinical relevance was investigated in 20 clinical isolates. Furthermore, the antibacterial properties of saponins under study against VRE were determined in vitro. Results reveal that the susceptibility of VRE against gentamicin, teicoplanin, and daptomycin was enhanced in the presence of the saponin glycyrrhizic acid. Most importantly, glycyrrhizic acid (1 mg/ml) diminished the minimal inhibitory concentration (MIC) of gentamicin in gentamicin low-level intrinsic resistant VRE from 2 − >8 mg/l to ≤ 0.125−1 mg/l. The adding of β-aescin, α-hederin, hederacoside C, and primulic acid 1 to the antibiotics under study showed, compared to glycyrrhizic acid, less influence on the antibiotic potency. Only glycyrrhizic acid (1 mg/ml) and α-hederin (0.2 mg/ml) showed weak antibacterial properties against the clinical isolates. Our study points towards a therapeutic potential of saponins in the coapplication with antibiotics for bacterial infections.
Authors:M. Alutis, U. Grundmann, A. Fischer, A. Kühl, S. Bereswill, and M. Heimesaat
Increased levels of the matrix metalloproteinases-2 and -9 (also referred to gelatinase-A and -B, respectively) can be detected in intestinal inflammation. We have recently shown that selective gelatinase blockage by the synthetic compound RO28-2653 ameliorates acute murine ileitis and colitis. We here investigated whether RO28-2653 exerts anti-inflammatory effects in acute Campylobacter jejuni-induced enterocolitis of gnotobiotic IL-10−/− mice generated following antibiotic treatment. Mice were perorally infected with C. jejuni (day 0) and either treated with RO28-2653 (75 mg/kg body weight/day) or placebo from day 1 until day 6 post infection (p.i.) by gavage. Irrespective of the treatment, infected mice displayed comparable pathogen loads within the gastrointestinal tract. Following RO28-2653 administration, however, infected mice exhibited less severe symptoms such as bloody diarrhea as compared to placebo controls. Furthermore, less distinct apoptosis but higher numbers of proliferating cells could be detected in the colon of RO28-2653-treated as compared to placebo-treated mice at day 7 p.i. Remarkably, gelatinase blockage resulted in lower numbers of T- and B-lymphocytes as well as macrophages and monocytes in the colonic mucosa of C. jejuni-infected gnotobiotic IL-10−/− mice. Taken together, synthetic gelatinase inhibition exerts anti-inflammatory effects in experimental campylobacteriosis.
Authors:D. Wester, S. Rideout-Hanzak, C. Britton, and H. Whitlaw
Severe wildfires are increasing in extent in the western US. We used a matched-pairs design with plots in burned and non-burned areas to study effects of the East Amarillo Complex (EAC) wildfires on mixed grass prairie mean community composition and variability in composition. Species composition and ground cover data were collected at 5 study sites each year for three years following the EAC. Fire effects on mean species composition were analyzed with permutational analyses of variance; temporal patterns were analyzed with permutational anova and nonmetric multidimensional scaling; and an index of multivariate dispersion was used to assess variability in plant community composition. We found weak immediate impacts (year 1) of wildfire on mean species composition, but strong impacts by year three. Two general patterns of changes in mean species composition emerged: at 3 study sites, there was a progressive divergence in similarity between burned and non-burned areas following wildfire whereas at 2 study sites, wildfire effects lessened over time. In contrast, a trend of increased homogeneity in burned vegetation relative to non-burned vegetation was apparent at all 5 study sites 2 to 3 years post-fire; burned areas also had higher species diversity, higher evenness but similar species richness 3 years post-fire. Ground cover composition, which was immediately impacted by wildfire through removal of residual dry matter, was fully recovered to non-burned conditions 3 years after wildfire. We observed little seedling recruitment either of native or exotic species following wildfire. Community composition changes in burned areas were likely the result of changing dominance relationships among plants that survived the wildfires rather than the result of recruitment of new individuals in gaps created by dead plants. Given the growth form of perennial C4 grasses and the fact that these grasslands evolved in the context of repeated fire, it is likely that changes in mean species composition and compositional variability are short-term responses.
Notothylas irregularis Chantanaorr. is described and illustrated from Doi Chiang Dao Wildlife Sanctuary, Chiang Dao District, Chiang Mai Province, northern Thailand. It is similar to Notothylas yunnanensis T. Peng et R. L. Zhu, but differs in its capsules with a line of incrassate cells.
Different long-term experiments were carried on chernozem (Debrecen) and loamy (Hajdúböszörmény) soils. They included the most important agrotechnical, biological (hybrid) and agroecological (crop year, soil) factors in maize production. This paper evaluated the results of polyfactorial long-term experiments. For the maize the most favourable crop rotation was winter wheat (in a tri-culture) with an N 60–120, P2O5 60–70, K2O and 90–110 kg ha−1, and a density of 75–90,000 plants ha−1. The different input levels of maize crop management systems can modify an adaptive capacity to ecological conditions and the resilience of agro-ecosystems. The optimalization of agrotechnical elements reduces the harmful climatic effects. The yields of maize varied between 2–11 t ha−1 in extensive and 10–15 t ha−1 in intensive crop management systems, respectively.