Authors:Elisabetta Gerace, Vincenzo Di Marco Lo Presti, and Carmelo Biondo
Cryptosporidium is a protozoan that infects a wide variety of vertebrates, including humans, causing acute gastroenteritis. The disease manifests with abdominal pain and diarrhea similar to that of choleric infection. In the immunocompromised hosts, the parasite causes prolonged infections that can also be fatal. For this reason, cryptosporidiosis is considered one of riskiest opportunistic infections for patients with acquired immunodeficiency syndrome. The best way to control the infection in these patients is setting up sensitive and specific diagnostic tests for epidemiological surveillance and morbidity reduction. Here, we summarized the general aspects of Cryptosporidium infection focusing on available diagnostic tools used for the diagnosis of cryptosporidiosis. Molecular methods currently available for its detection and progress in the development of new diagnostics for cryptosporidiosis are also discussed.
Authors:Renáta Petrikovszki, Franciska Tóthné Bogdányi, F. Tóth, and P. Nagy
Few researches address the compatibility of organic mulching and entomopathogenic (EPN) and slug-parasitic (SPN) nematodes, although organic mulching may provide favourable conditions for these beneficial organisms. Our aim was to examine the effect of different concentrations (0.1, 0.5, 1 and 5%) of aqueous extracts of green waste compost, the dry leaf litters of the common walnut (Juglans regia) and Norway maple (Acer platanoides) on EPN (Heterorhabditis bacteriophora, Steinernema carpocapsae, Steinernema feltiae, Steinernema kraussei) and SPN (Phasmarhabditis hermaphrodita) species. Experiments were set up in 96-well, flat-bottom microplates. After a 24-hour exposure time, the number of dead animals was counted under a transmission microscope. Green waste compost extracts caused quite low or no mortality in case of all examined species. Mortality caused by the 5% Norway maple leaf litter extract was moderate (34.6%) in the case of S. carpocapsae juveniles, while 100% of juveniles of other species died. The highest (5%) concentration of the common walnut leaf litter extract caused 100% mortality in all species. As a conclusion, green waste compost mulch seems to be more compatible with EPN and SPN species than common walnut or Norway maple leaf litter mulch.
In gravel pits, a mosaic of habitats with various environmental conditions created during mining has a great potential for persistence of many species. We focused on such a mosaic in a gravel pit surrounded by agricultural landscape. We investigated which habitats within sludge deposits in different successional stages (from bare sands to secondary forest) and agriculturally reclaimed area enhanced diversity, species richness and abundance of carabids and supported occurrence of threatened species. Since some of these habitats were extensively managed while others were invaded by the alien plant Solidago gigantea, we also tested the effect of management and the cover of S. gigantea on carabid assemblages. We found a gradient in carabid assemblages from psammophilous ones in bare sandy soils towards similar assemblages in plots with well-developed vegetation cover. Here, carabid assemblages were represented predominantly by common species of agricultural and forest lands without higher habitat requirements. Contrarily, plots with bare sand could serve as a refuge for rare psammophilous carabid species, which cannot occur in surrounding landscape due to vanished suitable habitats. Therefore, keeping some of habitats in early plant successional states is important for maintaining habitat mosaic and for persistence of such species as well. Management of grasslands and cover of S. gigantea had no effect on carabid assemblage. We presume that carabids were likely more affected by vegetation structure and density than species composition.
Authors:Patricia Patricio, José Artur Paiva, and Luís Miguel Borrego
Sepsis leads to a systemic immune response, and despite the progress of modern medicine, it is still responsible for a high mortality rate.
The immune response to sepsis is dependent on the innate and adaptive immune systems. The first line is the innate system, which requires complex and multiple pathways in order to eliminate the invading threats. The adaptive responses start after the innate response. The cell-mediated arm of CD4+ and CD8+ T and B cells is the main responsible for this response.
A coordinated cytokine response is essential for the host immune response. A dysregulated response can lead to a hyperinflammatory condition (cytokine storm). This hyperinflammation leads to neutrophils activation and may also lead to organ dysfunction. An imbalance of this response can increase the anti-inflammatory response, leading to compensatory anti-inflammatory response syndrome (CARS), persistent inflammation-immunsupression, catabolism syndrome (PICS), and, above all, an immune paralysis stat.
This immune paralysis leads to opportunistic infections, Candida species being one of the emerging microorganisms involved. The host immune response is different for bacterial or Candida sepsis.
Immune responses for bacterial and Candida sepsis are described in this paper.
Authors:N. von Allmen, K. Gorzelniak, O. Liesenfeld, M. Njoya, J. Duncan, E. M. Marlowe, T. Hartel, A. Knaust, B. Hoppe, and M. Walter
Rapid detection of methicillin-resistant Staphylococcus aureus (MRSA) colonization status facilitates isolation and decolonization and reduces MRSA infections. Liquid but not dry swabs allow fully automated detection methods. However, the accuracy of culture and polymerase chain reaction (PCR) using liquid and dry swabs has not been analyzed. We compared different swab collection systems for routine nasal–throat MRSA screening in patients admitted to a tertiary care trauma center in Germany. Over 3 consecutive months, dry swabs (month 1), ESwabs (month 2), or MSwabs (month 3) were processed using Cepheid GeneXpert, Roche cobas and BD-MAX™ MRSA tests compared to chromogenic culture. Among 1680 subjects, the MRSA detection rate using PCR methods did not differ significantly between dry swabs, ESwab, and MSwab (6.0%, 6.2%, and 5.3%, respectively). Detection rates using chromogenic culture were 2.9%, 3.9%, and 1.9%, using dry, ESwab, and MSwab, respectively. Using chromogenic culture as the “gold standard”, negative predictive values for the PCR tests ranged from 99.2–100%, and positive predictive values from 33.3–54.8%. Thus, efficient and accurate MRSA screening can be achieved using dry, as well as liquid E- or MSwab, collection systems. Specimen collection using ESwab or MSwab facilitates efficient processing for chromogenic culture in full laboratory automation while also allowing molecular testing in automated PCR systems.
Authors:Hagen Frickmann, Andreas Hahn, Stefan Berlec, Johannes Ulrich, Moritz Jansson, Norbert Georg Schwarz, Philipp Warnke, and Andreas Podbielski
Introduction: Escherichia coli and Staphylococcus aureus are important causes of severe diseases like blood stream infections. This study comparatively assessed potential differences in their impact on disease severity in local and systemic infections.
Methods: Over a 5-year interval, patients in whom either E. coli or S. aureus was detected in superficial or primary sterile compartments were assessed for the primary endpoint death during hospital stay and the secondary endpoints duration of hospital stay and infectious disease as the main diagnosis.
Results: Significance was achieved for the impacts as follows: Superficial infection with S. aureus was associated with an odds ratio of 0.27 regarding the risk of death and of 1.42 regarding infectious disease as main diagnosis. Superficial infection with E. coli was associated with a reduced duration of hospital stay by −2.46 days and a reduced odds ratio of infectious diseases as main diagnosis of 0.04. The hospital stay of patients with E. coli was increased due to third-generation cephalosporin and ciprofloxacin resistance, and in the case of patients with S. aureus due to tetracycline and fusidic acid resistance.
Conclusions: Reduced disease severity of superficial infections due to both E. coli and S. aureus and resistance-driven prolonged stays in hospital were confirmed, while other outcome parameters were comparable.
Authors:E. Feoli, P. Ganis, J. J. Ibáñez, and R. Pérez-Gómez
In this paper, we want to support the idea of using a family of indices of similarity, that we call the Simpson's family indices or nestedness-based similarity functions (NBSF) for comparing operational geographic units (OGUs) (phytosociological relevés, animal traps, watersheds, administrative units, industrial areas, islands etc.). In these cases, similarity-dissimilarity depends, in addition to factors that induce replacement, also on factors that produce reduction or increment in the number of features within the same typology of OGUs (e.g., extent, reduction of fertility, anthropogenic pressure etc.). To keep into consideration this aspect, the indices are defined to be equal to 1 when the OGUs are completely nested. The results of the application to four simulated data sets prove that, when the data set does not show clear nested pattern, the use of NBSF produces results similar to the nestedness-free similarity functions, however since NBSF clearly detect nested situations, we should prefer their use in the circumstances where we think important to put in evidence nestedness. In conclusion, we support the idea of using both types of indices in order to improve the knowledge about the structure of any data set.
Authors:Carina Gottwald, Norbert Georg Schwarz, and Hagen Frickmann
Introduction: The study was performed to estimate the prevalence and determinants of occurrence of sexually transmitted infections (STIs) in paratroopers and navy soldiers by anonymously analyzing medical records from the medical departments of two large German barracks in order to assess the need for medical STI prevention.
Methods: Medical records from 80 paratroopers and 80 navy soldiers were screened for records of STI. Results were anonymously collected next to information on risk factors, as well as diagnostic and therapeutic management, and comparatively assessed.
Results: Proportions of suspected STIs were 17.5% and 20%, and proportions of diagnosed STIs were 13.9% and 11.3% for paratroopers and navy soldiers, respectively. Chlamydia trachomatis, human papillomavirus, and genital scabies were observed in paratroopers and navy soldiers, while Gardnerella vaginalis, herpes simplex virus, Molluscum contagiosum virus, Neisseria gonorrhoeae, and Trichomonas vaginalis were additionally identified in navy soldiers.
Conclusions: Although clinical hints for STIs were frequently observed, clinical management was usually restricted to syndrome-based antibiotic treatment without detailed diagnostic workup, leaving room for procedural improvement. Ongoing need for medical STI prevention in the military could be confirmed.
We briefly complement Endrédi et al. (2019) forum paper from terrestrial animal ecological points of view. We discuss the origins of trait-based approach, challenges of trait classifications, and we provide an example of a commonly used trait, body size.
Authors:Ainoosh Golpour, Stefan Bereswill, and Markus M. Heimesaat
Antimicrobial multidrug-resistance (MDR) constitutes an emerging threat to global health and makes the effective prevention and treatment of many, particularly severe infections challenging, if not impossible. Many antibiotic classes have lost antimicrobial efficacy against a plethora of infectious agents including bacterial species due to microbial acquisition of distinct resistance genes. Hence, the development of novel anti-infectious intervention strategies including antibiotic-independent approaches is urgently needed. Vitamins such as vitamin D and vitamin D derivates might be such promising molecular candidates to combat infections caused by bacteria including MDR strains. Using the Pubmed database, we therefore performed an in-depth literature survey, searching for publications on the antimicrobial effect of vitamin D directed against bacteria including MDR strains. In vitro and clinical studies between 2009 and 2019 revealed that vitamin D does, in fact, possess antimicrobial properties against both Gram-positive and Gram-negative bacterial species, whereas conflicting results could be obtained from in vivo studies. Taken together, the potential anti-infectious effects for the antibiotic-independent application of vitamin D and/or an adjunct therapy in combination with antibiotic compounds directed against infectious diseases such as tuberculosis, H. pylori infections, or skin diseases, for instance, should be considered and further investigated in more detail.