ABSTRACT
Community-acquired pneumonia (CAP) remains the leading cause of hospitalization among infectious disease in Europe, and a major cause of morbidity and mortality. In order to determine and characterize the aetiology of CAP in hospitalized adults in Cyprus, respiratory and blood samples were obtained from hospitalized patients with CAP, and analyzed using Multiplex Real-Time PCR/RT-PCR, and ID/AMR enrichment panel (RPIP) analysis. Probe-based allelic discrimination was used to investigate genetic host factors in patients. The aetiology could be established in 87% of patients. The most prevalent viral pathogens detected were influenza A, SARS-CoV-2, and human rhinovirus. The most common bacterial pathogens detected were Streptococcus pneumoniae, Staphylococcus aureus, and Haemophilus influenzae. Antimicrobial resistance genes were identified in 23 patients. S. aureus was the most common AMR correlated strain in our study. A positive correlation was detected between bacterial infections and the NOS3 rs1799983 G allele and the FCGR2A rs1801274 G allele. A positive correlation was also detected between the TNF-α rs1800629 A allele and sepsis, while a negative correlation was detected with the ACE rs1799752 insertion genotype and the severity of pneumonia. In conclusion, the targeted NGS panel approach applied provides highly sensitive, comprehensive pathogen detection, in combination with antimicrobial resistance AMR insights that can guide treatment choices. In addition, several host factors have been identified that impact the disease progression and outcome.
ABSTRACT
Development of graphene/perovskite heterostructures mediated by polymeric materials may constitute a robust strategy to resolve the environmental instability of metal halide perovskites and provide barrierless charge transport. Herein, a straightforward approach for the growth of perovskite nano-crystals and their electronic communication with graphene is presented. Methylammonium lead bromide (CH3NH3PbBr3) nano-crystals were grown in a poly[styrene-co-(2-(dimethylamino)ethyl methacrylate)], P[St-co-DMAEMA], bi-functional random co-polymer matrix and non-covalently immobilized on graphene. P[St-co-DMAEMA] was selected as a bi-modal polymer capable to stabilize the perovskite nano-crystals via electrostatic interactions between the tri-alkylamine amine sites of the co-polymer and the A-site vacancies of the perovskite and simultaneously enable Van der Waals attractive interactions between the aromatic arene sites of the co-polymer and the surface of graphene. The newly synthesized CH3NH3PbBr3/co-polymer and graphene/CH3NH3PbBr3/co-polymer ensembles were formed by physical mixing of the components in organic media at room temperature. Complementary characterization by dynamic light scattering, microscopy, and energy-dispersive X-ray spectroscopy revealed the formation of uniform spherical perovskite nano-crystals immobilized on the graphene nano-sheets. Complementary photophysical characterization by UV-Vis absorption, steady-state, and time-resolved fluorescence spectroscopy unveiled the photophysical properties of the CH3NH3PbBr3/co-polymer colloid perovskite solution and verified the electronic communication within the graphene/CH3NH3PbBr3/co-polymer ensembles at the ground and excited states.
