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Background: Systematic studies to estimate the disease burden of typhoid and paratyphoid in India are limited. Therefore, a multicenter study on the Surveillance of Enteric Fever in India was carried out to estimate the incidence, clinical presentation, and antimicrobial resistance (AMR) trend. The data presented here represent the national burden of AMR in Salmonella Typhi and Salmonella Paratyphi A.Methods: Antimicrobial susceptibility testing was performed for S. Typhi and S. Paratyphi A (n = 2373) isolates collected prospectively during a 2-year period from November 2017 to January 2020.Results: Of 2373 Salmonella isolates, 2032 (85.6%) were identified as S. Typhi and 341 (14.4%) were S. Paratyphi A. Approximately 2% of S. Typhi were multidrug-resistant (MDR), whereas all 341 (100%) of S. Paratyphi A isolates were sensitive to the first-line antimicrobials. Among 98% of ciprofloxacin nonsusceptible isolates, resistance (minimum inhibitory concentration [MIC] >0.5 µg/mL) was higher in S. Typhi (37%) compared with S. Paratyphi A (20%). Azithromycin susceptibility was 99.9% and 100% with a mean MIC of 4.98 μg/mL for S. Typhi and 7.39 μg/mL for S. Paratyphi A respectively. Ceftriaxone was the only agent that retained 100% susceptibility. Moreover, beta-lactam/beta-lactamase inhibitors showed potent in vitro activity against the study isolates.Conclusions: Data obtained from this systematic surveillance study confirms the declining trend of MDR Salmonella isolates from India. The higher prevalence of ciprofloxacin nonsusceptibility enforces to limit its use and adhere to the judicious usage of azithromycin and ceftriaxone for enteric fever management. [ABSTRACT FROM AUTHOR]

Background: An earlier cohort in 1995-1996 showed a very high burden of typhoid in Delhi. Our aim was to estimate the current overall and age-specific incidence of culture-confirmed enteric fever among children aged 6 months to 15 years in Delhi.Methods: We enrolled a cohort of 6000 children aged 6 months to <14 years in South Delhi and followed them up weekly for 24 months or until 15 completed years of child age, whichever was earlier. Blood culture to confirm enteric fever was done in children with ≥3 consecutive days of fever.Results: We recorded a total of 14 650 episodes of fever in the 11 510 person-years (PY) of follow-up. A total of 81 fever episodes were positive for enteric fever. The incidence (95% confidence interval) of all enteric fever was 703.7 (560.5-874.7) per 100 000 PY. The incidences of typhoid and paratyphoid fevers were 608.1 (95% confidence interval, 481.1-768.7) and 111.7 (59.5-191.1) per 100 000 PY, respectively, highest among children aged 10-15 years.Conclusions: Despite a 35% reduction in incidence compared with the 1995-1996 cohort, our study suggested a substantial burden of enteric fever in the population. Continued efforts to improve water, sanitation, and hygiene parameters along with implementation of novel vaccination strategies and disease surveillance can help achieve the goal of disease elimination. [ABSTRACT FROM AUTHOR]

In order to gain insight into the magnetic behaviour of Ni-doped ZnO nanocrystals (NCs) the local structure was rigorously studied by extended x-ray absorption fine structure (EXAFS) along with the magnetic measurements. At low doping level of Ni, local structure remains identical to ZnO NCs with subtle increase in the bond length. EXAFS and the optical absorption measurements indicate valence of Ni to be +2. Undoped as well as Ni-doped ZnO NCs with very low Ni concentration are weakly ferromagnetic. Further increase in doping level yields paramagnetic NCs. The present studies clearly prove that ferromagnetic ordering in NCs is primarily a manifestation of point defects and incorporation of transition metal impurities plays a secondary role. [ABSTRACT FROM AUTHOR]

Abstract: The nonresonant third order nonlinear optical properties of three different sized Mn2+-doped ZnSe quantum dots (QDs) are investigated. The nonlinear absorption is measured at 532nm using 35 picosecond laser pulses in an open-aperture Z-scan setup. Two photon absorption (2PA) cross-section in ZnSe QDs is found to be three orders of magnitude higher than its bulk value. These nanostructures show size dependent nonlinear absorption coefficients. It is found that the 2PA further enhances with decrease in size of the QD and is twice that of its undoped counterpart due to change in the local electric field. [Copyright &y& Elsevier]