Search

Aim: The aim of this study was to highlight antimicrobial resistance among Enterobacteriaceae isolated from bloodstream infections in hospitals in southern Poland. Materials and Methods: The present study includes laboratory-confirmed secondary bloodstream infections (LC-BSIs), in the years 2015–2018, in hospitalized adult patients (≥18). Episodes of BSIs were defined according to the strictly described guidelines. Antimicrobial susceptibility testing was performed with the automated system and the disc diffusion method. Extended-spectrum β-lactamases (ESBLs)-producing Enterobacteriaceae were detected using the double-disc synergy test. Results: Between 2015 and 2018, 356 episodes of secondary BSIs in 997 patients aged 21–96 years were documented in a prospective study, including 134 (37.6%) ESBL-producing Enterobacteriaceae. Escherichia coli was the predominant pathogen in internal medicine (37.6%) and surgery units (46.8%); in intensive care units (ICUs), Klebsiella pneumoniae was isolated more frequently (33.3%). Enterobacteriaceae were highly resistant to most antimicrobial agents. K. pneumoniae isolates had a higher level of resistance than E. coli, regardless of the unit. Conclusions: The increase in AMR and the widespread distribution of ESBL-producing Enterobacteriaceae in Polish hospitals can be related to the lack of or inappropriate antibiotic treatment.

Background and Aims. Bloodstream infections (BSIs) are one of the most frequently observed hospital-acquired infections (HAIs). We sought to describe the epidemiology and drug resistance secondary Enterobacterales BSIs in surgical patients and check for any correlation with the type of hospital ward. Materials and Methods. This multicenter (13 hospitals in southern Poland) laboratory-based retrospective study evaluated adults diagnosed with BSI secondary to surgical site infection (SSI) hospitalized in 2015–2018; 121 Enterobacterales strains were collected. The drug resistance was tested according to the EUCAST recommendations. Tests confirming the presence of extended-spectrum β-lactamases (ESBLs) and bla resistance genes were carried out. The occurrence of possible clonal epidemics among K. pneumoniae strains was examined. Results. The prevalence of Enterobacterales in secondary BSI was 12.1%; the most common strains were E. coli (n = 74, 61.2%) and Klebsiella spp. (n = 33, 27.2%). High resistance involved ampicillin and ampicillin/sulbactam (92, 8–100%), fluoroquinolones (48–73%), and most cephalosporins (29–50%). Carbapenems were the antimicrobials with the susceptibility at 98%. The prevalence of ESBL strains was 37.2% (n = 45). All the ESBL strains had blaCTX-M gene, 26.7% had the blaSHV gene, and 24.4% had blaTEM gene. The diversity of Klebsiella strains was relatively high. Only 4 strains belonged to one clone. Conclusions. What is particularly worrying is the high prevalence of Enterobacterales in BSI, as well as the high resistance to antimicrobial agents often used in the empirical therapy. To improve the effectiveness of empirical treatment in surgical departments, we need to know the epidemiology of both surgical site infection and BSI, secondary to SSI. We were surprised to note high heterogeneity among K. pneumoniae strains, which was different from our previous experience.

The aim of the study was to assess the differences in the bacterial community physiological profiles in soils contaminated with heavy metalsversussoils without metal contaminations. The study’s contaminated soil originated from the surrounding area of the Szopienice non-ferrous metal smelter (Silesia Region, Poland). The control was soil unexposed to heavy metals. Metal concentration was appraised by flame atomic absorption spectrometry, whereas the the community-level physiological profile was determined with the Biolog EcoPlatesTMsystem. The soil microbiological activity in both sites was also assessedviadehydrogenase activity. The mean concentrations of metals (Cd and Zn) in contaminated soil samples were in a range from 147.27 to 12265.42 mg kg−1, and the heavy metal contamination brought about a situation where dehydrogenase activity inhibition was observed mostly in the soil surface layers. Our results demonstrated that there is diversity in the physiological profiles of microorganisms inhabiting contaminated and colntrol soils; therefore, for assessment purposes, these were treated as two clusters. Cluster I included colntrol soil samples in which microbial communities utilised most of the available substrates. Cluster II incorporated contaminated soil samples in which a smaller number of the tested substrates was utilised by the contained microorganisms. The physiological profiles of micro-organisms inhabiting the contaminated and the colntrol soils are distinctly different.

Background: Untreated staphylococcal ocular infections may cause injuries in the ocular structure and lead to visual impairments, lesions in the anatomical ocular surface, and blindness. The aim of the study was to describe the characteristic of 90 Staphylococcus aureus (SA) strains from hospital and community treated ocular infections with a special emphasis on ability of biofilm formation and drug resistance. The biofilm formation was carried out using the Congo red agar (CRA) method applying Congo red dye. Studies have demonstrated that the CRA method is simple, fast, and repeatable and that modifications of some components can easily increase its accuracy. Methods: Biofilm formation was examined by the method with CRA test. On CRA, slime-producing strains formed black colonies, whereas nonproducing strains developed red colonies in 6 kinds of colors, from very red to very black: very red, red, burgundy, almost black, black, and very black. Antimicrobial susceptibility testing was performed by disc diffusion or the E-test method according to the current guidelines of the EUCAST. The MRSA, and MLSB phenotypes were detected. Polymerase chain reaction (PCR) was used to detect the mecA, and mupA genes. Erythromycin resistance genes (ermA, ermB, ermC, and msr) were detected by multiplex PCR. Results: A positive result of the CRA test was accomplished in 66.2% cases; significantly more often in hospital strains (73.4% vs 45.4%; OR, 3.3; 55% CI, 1.2–9.3). Moreover, 73.4% isolates were fully susceptible. In hospitalized patients, the level of resistance to at least 1 antimicrobial category has been identified as 40.9%, and this rate was 27.2% in outpatients. Among the tested strains, 5 (6.0%) had the resistance phenotype MRSA and 22 (26.5%) the resistance phenotype MLSB; 4 strains manifested both mechanisms; erythromycin resistance was 25.3% in those resistant to fluoroquinolones. Resistance to fluoroquinolones was 5 times more often found in ambulatory patients. All of the tested isolates were vancomycin sensitive. Conclusions: Biofilm formation is an important risk factor for developmental staphylococcal hospital-acquired ocular infections. Our results prove that hospital strains have demonstrated much greater biofilm-forming ability than nonhospital strains. Studies indicate the high efficacy of chloramphenicol and fluoroquinolones treatments, as well as the need to implement new solutions due to the aforementioned bacteria’s high resistance to neomycin and anatomic barriers difficulties.Disclosures: NoneFunding: None

Background: Bloodstream infections (BSIs) are one of the most frequently observed hospital-acquired infections (HAIs). Objectives: We aimed to describe the epidemiology and drug resistance of hospital-acquired Enterobacteriaceae BSIs and to check for any correlation with the type of hospital care. Methods: In 2015–2018, 333 Enterobacteriaceae isolates were collected from hospitalized internal medicine and surgical patients. The drug-resistance testing was conducted according to the EUCAST recommendations, using the disc-diffusion method to determine resistance to penicillin, cephalosporins, carbapenems, aminoglycosides, fluoroquinolones, and sulfamethoxazole with trimethoprim. Tests confirming the presence of extended-spectrum β-lactamases (ESBLs) and KPC, NDM, and OXA-48 carbapenemases were performed. We determined the minimum inhibitory concentration (MIC) values (mg/L) for selected antibiotics. To detect the resistance genes, a single PCR reaction, a multiplex PCR, and a real-time PCR were conducted. Results: The prevalence rate of Enterobacteriaceae bacilli in BSIs was 23.5%. Penicillin resistance remained at a very high level of almost 100%, with only the piperacillin-tazobactam resistance remaining at 19%–22%. The same was true for cephalosporins: the bacilli have only shown a high susceptibility to cefoperazone with sulbactam (4%–14% of them were resistant). Ciprofloxacin (53%–62%) and sulfamethoxazole with trimethoprim (48–55%) have proven highly resistant. Carbapenems were the only antibiotics with susceptibility at 98%–99%. No difference was found between the types of hospital care (surgical vs nonsurgical) and the levels of antimicrobial resistance in the studied Enterobacteriaceae isolates (Table 1). Conclusions: The high prevalence of Enterobacteriaceae bacilli in BSI is particularly worrying, as is the high rate of resistance to cephalosporins and aminoglycosides, which are often used in the empirical therapy. Unfortunately, our results indicate the need to base the empirical therapy on carbapenems.Funding: This work was supported by a grant from Jagiellonian Univerity Medical School (No. N41/DBS/000053)Disclosures: None

An article deals with the problematic of language as a kind of pharmakon in the sense that was introduced into linguistics and philosophy by Plato. This kind of understanding of language reveals not only its positive and creative character, but also its destructive traits. Article presents the changes in the understanding of what traditionally was found to be a language. Starting with Platonian vision of language, through its Derridian explanation, to contemporary specialists dealing with theory of translation process – we follow the evolution of the phenomena that shaped our contemporary thinking about the human being. Keywords: pharmakon, language, meaning, translation Streszczenie Artykul dotyczy problematyki jezyka jako farmakonu w sensie nadanym mu przez Platona. Ten rodzaj rozumienia jezyka odkrywa nie tylko jego pozytywny i tworczy charakter, ale rowniez jego destrukcyjne cechy. Artykul prezentuje zmiany w rozumieniu tego, jak jezyk byl postrzegany w tradycji jezykoznawczej i filozoficznej. Śledzimy jego zmiany poczynając od Platona, poprzez Derridianskie wyjaśnienie jezyka, az do jego ujecia przez klasykow zajmujących sie procesami tlumaczenia. W ten sposob w artykule śledzimy ewolucje zjawiska, ktore uksztaltowalo nasze myślenie o podmiocie.

Among the different age groups of children, newborns are most exposed to hospital-acquired bloodstream infection (HA-BS1), especially those who are burdened with additional risk factors, such as low birth weight, immaturity or exposition to medical procedures. The aim of this study was to analyze the aetiology of HA-BS1 among children at high risk, including incidence and drug resistance. The data was obtained from the PubMed database and included medico/ articles as welI as UNICEF and WHO reports published from 2002 to 2017. The study focused on newborns and older children (under 18 years old) with BS1. The main eligibility criteria, aport from age, were Enterobacteriaceae HA-BS1, and the use of invasive medico/ procedures. It was demonstrated that the main risk factors of infection were age and medico/ procedures. Due to non-specific symptoms, sepsis is difficult to diagnose, a fact which leads to a high mortality rate in newborns. The existence of such mufti-drug resistant strains as Extended-Spectrum β-Lactamases (ESBLs) or Carbapenem-Resistant Enterobacteriaceae (CRE) phenotypes is a grave couse for concern.

An article deals with the problematic of language and its main notions as meaning, discourse, text and translation. It is assumed as the recapitulation of these main notions and is directed to present these terms as necessary for the understanding of modern branches of linguistics and philosophy, such as f.ex. transhumanism. The problem of language is here treated as an integral part of the discussion on conscious being and as precondition of an understanding of its character. The author finds, in contrast to some modern currents in linguistics, that the problematic of language still constitutes the irreplaceable element of the consideration on the character of the subject and its relation with the outside world. Keywords: language, meaning, discourse, text, translation. Streszczenie Artykul dotyczy problematyki jezyka i jego glownych pojec, takich jak: znaczenie, dyskurs, tekst i tlumaczenie. Jest on pomyślany jako rekapitulacja tych pojec i jest nakierowany na przedstawienie ich jako koniecznych dla zrozumienia wspolczesnych dziedzin jezykoznawstwa i filozofii, takich jak np. transhumanizm. Problem jezyka jest tu potraktowany jako integralna cześc dyskusji na temat świadomego podmiotu i jako warunek wstepny zrozumienia jego charakteru. Autor uwaza, ze problematyka jezyka stanowi niezastąpiony element namyslu nad charakterem podmiotu i jego relacji do zewnetrznego świata.

The study was performed to show how industrial activity affected soil quality in terms of soil DNA quality and quantity as well as soil characteristics. Soil material originated from an urban area of the Silesia Region (SW Poland). The soil characteristics were estimated: texture, moisture, pH, redox potential (Eh), and total carbon content (TOC), followed by determination of selected heavy metals (Pb, Cd, Zn, Cr, Fe, Cu). The last step was the isolation of soil DNA, its concentration and identification of microorganisms. The results showed that although the studied soil was heavily contaminated with heavy metals, there were still some metal-resistant microorganisms able to sustain soil activity. Moreover, these organisms are not present in the NCBI database, which encourages further studies aimed at identification of new organisms that may be useful in research of metal resistance as well as soil reclamation and remediation. Keywords: Heavy metal, metal resistant bacteria, soil, t-DNA.