Effect of preoperative chlorhexidine, essential oil, and cetylpyridinium chloride mouthwashes on bacterial contamination during dental implant surgery: A randomized controlled clinical trial.

Background: Although the role of chlorhexidine and other mouthwashes in periodontal therapy has been elucidated, little information is available on their use as routine preoperative mouth rinses before surgery, especially in periodontal procedures such as dental implant surgery. Objective: This study aimed to compare the efficacy of preoperative chlorhexidine, essential oil, and cetylpyridinium chloride mouthwashes in reducing bacterial contamination at the time of implant placement. Materials and Methods: Eligible patients who underwent dental implant surgery were randomly divided into four groups based on the mouthwash used: (1) 0.12 % chlorhexidine, (2) essential oil, (3) cetylpyridinium chloride, and (4) saline (served as the control group). All the patients of each group rinsed preoperatively with 15 mL of the respective mouthwash for 60 s. Saliva samples before (pre) and immediately after rinsing with the mouthwash (post) and after suturing the flap (end) were collected on the day of the implant placement. Real-time quantitative polymerase chain reaction (qPCR) was performed to analyze the samples and quantify the targeted periodontal pathogens using a propidium monoazide (PMA) dye. Results: Forty patients were included in the study. Real-time qPCR demonstrated a significant reduction in the number of pathogens in the saliva samples of the mouthwash groups compared to that of the control group. A statistically significant difference was observed between the groups for the pre-post and pre-end samples (p < 0.001) but not for the post-end samples (p = 0.203). A statistically significant difference was observed between the chlorhexidine, essential oil, and cetylpyridinium chloride mouthwash groups and the saline group (P < 0.001). The bacterial counts significantly differed with and without the use of the PMA dye. Conclusions: Preoperative chlorhexidine, essential oil, and cetylpyridinium chloride mouthwashes can reduce the bacterial load at the time of implant placement, thereby reducing the incidence of implant-related complications.

The expression of liver TNF-α gene, liver and small intestine histology of thermal stressed growing rabbits affected by allicin and lycopene.

OBJECTIVES: Thermal stress negatively affects the productive performance and immunity responses of rabbits. In this study, we examined the effects of two allicin (AL) and lycopene (LP) levels on performance index, a liver tumor necrosis factor (TNF-α) gene expression, histological parameters of liver, and small intestine of V-line growing rabbits exposed to thermal stress. METHODS: In nine replications of three rabbits per pen under thermal stress, 135 male rabbits (5 weeks old, average weight 772.02 ± 6.41 g) were randomly allocated to five dietary treatments in nine replications of three rabbits per pen under thermal stress (temperature-humidity index average 31.2). The 1st group served as the control, receiving no supplements; The 2nd and 3rd groups received 100 and 200 mg AL/kg of diet supplements; and the 4th and 5th groups were supplemented with 100 and 200 mg LP/kg diet, respectively. RESULTS: show that AL and LP rabbits had the best final body weight, body gain, and feed conversion ratio compared with the control. compared with control, rabbit liver TNF- α levels significantly decreased in diets containing AL and LP In contrast, AL rabbits were slightly more effective in downregulating the expression of the TNF-α gene than LP groups. Furthermore, dietary supplementation of AL and LP significantly improved antibody titers against sheep red blood titers. Compared with other treatments, AL100 treatment significantly improved immune responses to phytohemagglutinin. In all treatments, histological analysis revealed a significant reduction in binuclear hepatocytes. The diameter of the hepatic lobules, villi height, crypt depth, and absorption surface of heat-stressed rabbits were all positively affected by both doses of LP (100-200 mg/kg diet). CONCLUSION: rabbit dietary supplementation with AL or LP could positively affect performance, TNF-α, immunity, and histological parameters of growing rabbits under thermal stress.

Quality assessment of raw and pasteurized milk in Gondar city, Northwest Ethiopia: A laboratory-based cross-sectional study.

Milk is a complete and highly nutritious source of food for human beings. However, in many developing countries, including Ethiopia, the quality of milk products has become a major health concern for consumers, particularly for infants and children. Therefore, the aim of the present study was to assess the quality of raw and pasteurized milk marketed in Gondar city, Northwest Ethiopia. A laboratory-based cross-sectional study was conducted on 90 milk samples. The samples were chosen using a simple random sampling technique. For statistical analysis, ANOVA and the Pearson correlation coefficient were used. The specific gravity of pasteurized milk, farm milk, and milk vendors were found to be 1.021, 1.027, and 1.026, respectively. Farm milk, milk vendors, and pasteurized milk had fat contents of 3.38%, 3.22%, and 3.09%, respectively. The total bacterial count in pasteurized milk, farm milk, and milk vendors was found to be 7.08, 6.73, and 6.94 log10 CFU/mL, respectively. In raw milk, hydrogen peroxide (7.7%), formalin (7.7%), and water (3.8%) were found, whereas in pasteurized milk, hydrogen peroxide (50%), formalin (50%), and water (19.8%) were found. Based on the findings of this study, the quality of both raw and pasteurized milk was found to be poor as per the milk quality standards. This may cause significant public health-related problems. Therefore, an appropriate intervention should be conducted to improve the quality of milk.

Impact of oral hygiene on febrile neutropenia during breast cancer chemotherapy.

PURPOSE: Oral hygiene is crucial in the management of oral and febrile complications during chemotherapy for cancer. This study aimed to investigate the impact of oral hygiene on the incidence of febrile neutropenia (FN) throughout the course of chemotherapy for breast cancer. METHODS: A total of 137 patients with breast cancer who underwent four cycles of adjuvant chemotherapy with docetaxel and cyclophosphamide (TC) combination therapy or docetaxel alone were assessed for oral hygiene by quantifying the number of oral bacteria they harbored. These patients received professional oral health care (POHC). Eighteen patients underwent primary prophylaxis with granulocyte colony-stimulating factors. The relationship between oral bacteria count and FN incidence was retrospectively assessed. RESULTS: The FN incidence rate was 47.4% throughout all treatment cycles (32.8%, 13.5%, 14.3%, and 14.4% in cycles 1, 2, 3, and 4, respectively). The oral bacteria count decreased with each treatment cycle (cycle 1: 9.10 × 106 colony-forming units (CFU)/mL, cycle 2: 5.89 × 106 CFU/mL, cycle 3: 4.61 × 106 CFU/mL, cycle 4: 5.85 × 106 CFU/mL, P = 0.004). Among 281 treatment cycles, FN occurred in 63 (22.4%). In the treatment cycle-based analysis, high oral bacteria count was an independent risk factor for FN. CONCLUSION: FN incidence decreased with each treatment cycle and was associated with changes in oral bacteria counts. The oral bacterial count was one of risk factors for FN development in breast cancer.

Accuracy of urine flow cytometry and urine test strip in predicting relevant bacteriuria in different patient populations.

BACKGROUND: Urinary tract infection (UTI) is diagnosed combining urinary symptoms with demonstration of urine culture growth above a given threshold. Our aim was to compare the diagnostic accuracy of Urine Flow Cytometry (UFC) with urine test strip in predicting bacterial growth and in identifying contaminated urine samples, and to derive an algorithm to identify relevant bacterial growth for clinical use. METHODS: Species identification and colony-forming unit (CFU/ml) quantification from bacterial cultures were matched to corresponding cellular (leucocytes/epithelial cells) and bacteria counts per µl. Results comprise samples analysed between 2013 and 2015 for which urine culture (reference standard) and UFC and urine test strip data (index tests, Sysmex UX-2000) were available. RESULTS: 47,572 urine samples of 26,256 patients were analysed. Bacteria counts used to predict bacterial growth of ≥105 CFU/ml showed an accuracy with an area under the receiver operating characteristic curve of > 93% compared to 82% using leukocyte counts. The relevant bacteriuria rule-out cut-off of 50 bacteria/µl reached a negative predictive value of 98, 91 and 89% and the rule-in cut-off of 250 bacteria/µl identified relevant bacteriuria with an overall positive predictive value of 67, 72 and 73% for microbiologically defined bacteriuria thresholds of 105, 104 or 103 CFU/ml, respectively. Measured epithelial cell counts by UFC could not identify contaminated urine. CONCLUSIONS: Prediction of a relevant bacterial growth by bacteria counts was most accurate and was a better predictor than leucocyte counts independently of the source of the urine and the medical specialty ordering the test (medical, surgical or others).

Relationship between Oral Health Status and Postoperative Fever among Patients with Lung Cancer Treated by Surgery: A Retrospective Cohort Study.

A retrospective observational study using an oral bacteria counter was conducted to evaluate the trends in the number of oral bacteria in the perioperative period of lung cancer patients and to verify the relationship between oral health status and postoperative fever. All patients received perioperative oral management (POM) by oral specialists between April 2012 and December 2018 at Kagawa Prefectural Central Hospital, Kagawa, Japan prior to lung cancer surgery. Bacteria counts from the dorsum of the tongue were measured on the day of pre-hospitalization, pre-operation, and post-operation, and background data were also collected retrospectively. In total, 441 consecutive patients were enrolled in the study. Bonferroni's multiple comparison test showed significantly higher oral bacteria counts at pre-hospitalization compared to pre- and post-operation (p < 0.001). Logistic regression analysis showed that body mass index, performance status, number of housemates, number of teeth, and white blood cell count at pre-operation were significantly associated with postoperative fever. The study showed that POM can reduce the level of oral bacterial counts, that the risk of postoperative complications is lower with dentulous patients, and that appropriate POM is essential for prevent of complications. Therefore, POM may play an important role in perioperative management of lung cancer patients.

Cross-sectional study of the relationship between cloth udder towel management, towel bacteria counts, and intramammary infection in late-lactation dairy cows.

Because cloth udder towels (CUT) may function as a fomite for mastitis-causing pathogens, most udder health laboratories offer towel culture services as a tool to monitor towel hygiene. However, no studies have investigated if an association exists between bacteria levels in CUT and udder health outcomes. The objectives of this cross-sectional study were to (1) describe associations between herd-level measures of towel bacteria count (ToBC) and quarter-level intramammary infection (IMI) status in late-lactation cows, (2) establish pathogen-specific target levels of bacteria in CUT to aid the interpretation of towel culture reports, and (3) identify laundering-related risk factors for high ToBC. The study was conducted in 67 herds from 10 dairy states in the United States that used CUT. These 67 herds were originally recruited as part of a larger (80 herd) cross-sectional study of bedding management. Each herd was visited once during December 2017 to April 2018 and quarter-milk samples (n = 4,656) were collected from late-gestation (>180 d pregnant) cows (n = 1,313). Two recently laundered CUT were collected and a questionnaire was used to collect information about pre-milking teat preparation and CUT management practices. Quarter-level IMI status was determined using standard bacteriologic methods. In addition, colony-forming units of all bacteria (total bacteria), Staphylococcus spp., Streptococcus spp. or Streptococcus-like organisms (SSLO), coliforms, noncoliform gram-negatives, and Bacillus spp. were determined for each pair of CUT (log10 cfu/cm2). The association between ToBC and IMI was determined using multivariable logistic regression with mixed effects. After dichotomizing ToBC into high and low categories, associations between towel management practices and ToBC category were determined using unconditional logistic regression. The quarter-level prevalence of IMI was 19.6%, which was predominantly caused by non-aureus Staphylococcus spp. (NAS; 10.2%) and SSLO (5.1%). The predominant bacteria in CUT were Bacillus spp. (median = 3.13 log10 cfu/cm2). Total bacteria count was not associated with odds of IMI (odds ratio = 1.06), likely due to the predominance of Bacillus spp. in CUT and low number of IMI caused by Bacillus spp. In contrast, counts of Staphylococcus spp. and SSLO were positively associated with odds of IMI caused by NAS (odds ratio = 1.33) and SSLO (odds ratio = 1.45), respectively. Of 12 CUT management practices evaluated, only the failure to use a dryer was identified as a clear predictor of risk for a high ToBC (risk ratio of high coliform count = 8.17). Our study findings suggest that CUT may act as a fomite for NAS and SSLO. We recommend that herds aim to keep counts of Staphylococcus spp. and SSLO in CUT below 32 cfu/cm2 (or 5 cfu/in2), and that laundered towels be completely dried in a hot air dryer.

Relationships among bedding materials, bedding bacteria counts, udder hygiene, milk quality, and udder health in US dairy herds.

Bedding is an important source of teat end exposure to environmental mastitis pathogens. To better control environmental mastitis, we need an improved understanding of the relationships among bedding selection and management, bedding bacteria counts (BBC), and udder health (UH). The objectives of this cross-sectional observational study were (1) to describe BBC, bedding characteristics, udder hygiene scores, bulk tank milk (BTM) quality, and UH in US dairy herds using 1 of 4 bedding materials; (2) describe the relationship between BBC and herd measures of UH; and (3) identify benchmarks for monitoring bedding hygiene. Local dairy veterinarians and university researchers enrolled and sampled 168 herds from 17 states. Herds were on a Dairy Herd Improvement Association (DHIA) testing program and used 1 of 4 bedding types for lactating cows: new sand, reclaimed sand, manure solids (MNS), or organic non-manure materials. Each herd was sampled twice (winter and summer) in 2016. Samples and data collected included unused and used bedding, BTM samples, udder hygiene scores, DHIA test data, and descriptions of facilities and herd management practices. Bedding was cultured to determine the total bacteria count and counts of Bacillus spp., coliforms, Klebsiella spp., non-coliform gram-negative organisms, streptococci or streptococci-like organisms (SSLO), and Staphylococcus spp. Bedding dry matter, organic matter, and pH were also measured. Bulk tank milk samples were cultured to determine counts of coliforms, NAS, SSLO, Staphylococcus aureus, and Mycoplasma spp. Udder health measures included DHIA test-day average linear score (LS); the proportion of cows with an intramammary infection (IMI), where infection was defined as LS ≥4.0; the proportion of cows with a new IMI, where new IMI was defined as LS changing from <4.0 to ≥4.0 in the last 2 tests; the proportion of cows with a chronic infection, where chronic was defined as LS ≥4.0 on the last 2 tests; and the cumulative incidence of clinical mastitis in the 30-d period preceding sample collection. Although much variation existed within and among bedding types, mixed linear regression showed the use of MNS bedding to be generally associated with higher BBC, dirtier udders, increased coliform and SSLO counts in BTM, and poorer UH measures compared with organic non-manure materials, reclaimed sand, or new sand bedding materials. While controlling for important farm traits and management practices, mixed linear regression showed that increased counts of coliforms, Klebsiella spp., SSLO, and Staphylococcus spp. in both unused and used bedding were associated with poorer values for 1 or more herd-level measures of UH. Achievable benchmarks identified for counts of coliforms (unused: ≤500 cfu/cm3; used: ≤10,000 cfu/cm3), Klebsiella spp. (0 cfu/cm3 for unused and used), Staphylococcus spp. (0 cfu/cm3 for unused and used), and SSLO (unused: 0 cfu/cm3; used: ≤500,000 cfu/cm3) can be used to monitor bedding hygiene in most bedding materials, with minor variations suggested for SSLO in unused MNS (≤1,000 cfu/cm3).

Effect of seasonal conditions and milk management practices on bulk milk quality in Minas Gerais State - Brazil / Efeito da sazonalidade e práticas de manejo na qualidade do leite de tanque no estado de Minas Gerais - Brasil

The influence of seasonality and the training and implementation of good dairy farming practices on raw milk production and quality was evaluated on dairy farms in Minas Gerais State, Brazil. The physico-chemical composition, somatic cell count (SCC) and total bacterial count (TBC) were determined in 3,096 milk samples collected from bulk tanks originated from 43 dairy farms over a three-year period and correlated with key climatic factors. The recommended milking management practices were applied through a training program and correlated with the seasonal data in three stages: I) prior to training (dry period); II) 48 days after the training (transition period); III) 96 days after the training (rainy period). In the first stage, a diagnosis of the situation was performed with raw milk samplings for laboratory analysis, and training for implementation of good milking practices. In stages II and II, the checklist and laboratory analysis were also performed. The rainfall and high temperatures were found to represent the main factors affecting the milk composition and production, and TBC. The composition and physical properties of raw milk, and the TBC and SCC parameters can be controlled or minimized by applying proper milking management practices and constant monitoring.(AU)

Avaliou-se a influência das condições climáticas em regiões tropicais, bem como do treinamento e da implementação de boas práticas de manejo na produção e qualidade do leite em distintos períodos em fazendas leiteiras no estado de Minas Gerais, Brasil. No presente estudo, as características físico-químicas do leite, a contagem bacteriana total (CBT) e a contagem de células somáticas (CCS) foram determinadas em 3.096 amostras de tanques de leite proveniente de 43 fazendas leiteiras, durante um período de três anos, e correlacionadas com os principais fatores climáticos (temperatura diária do ar mínima, média e máxima; pluviosidade e umidade relativa). Foram avaliados os resultados obtidos nas análises das amostras de leite cru coletadas no ano anterior (2009/2010) e também no posterior (2011/2012) àquele em que foi realizado o treinamento para implementação das boas práticas de manejo de ordenha (2010/2011), compreendendo três etapas: antes do treinamento (período seco - tempo 0, etapa I), 48 dias após o treinamento (período de transição - etapa II) e 96 dias após o treinamento (período chuvoso - etapa III). Na etapa I foi realizado um diagnóstico de situação com coleta de amostras para análises laboratoriais, aplicação da lista de verificação padronizada e treinamento para a implementação das boas práticas de manejo de ordenha; na etapa II foram realizadas novas análises laboratoriais e reaplicação da lista de verificação para avaliar a eficiência do treinamento; e na etapa III foi realizada a repetição da etapa II. Com base no histórico dos três anos, observou-se que condições climáticas de alta temperatura e pluviosidade representam importantes fatores que afetam a composição do leite e o volume produzido, assim como parâmetros higiênico-sanitários do leite. Ademais, as boas condições de manejo são ferramentas úteis, eficazes, práticas e essenciais para a maior produção de leite com qualidade, desde que constantemente monitoradas.(AU)

A portable microfluidic platform for rapid determination of microbial load and somatic cell count in milk.

Microfluidics systems that have been emerged in the last 20 years and used for processing the fluid in a microchannel structure at microliter levels are alternative to the conventional methods. The objective of the study is to develop a microfluidic platform for determination of the microbial load and the number of somatic cells in milk. For this purpose, a polydimethylsiloxane (PDMS) chip with a channel size of 300 µm × 60 µm was produced. Cells/bacteria labeled with fluorescent stain in milk were counted with the proposed microfluidic platform and the results were compared with the reference cell concentration/the bacterial counts by conventional method. It was found that our platform could count somatic and bacterial cells with an accuracy above 80% in 20 min run for each analysis. The portable overall platform has an overall dimension of 25x25x25 cm and weighs approximately 9 kg.

Desenvolvimento de sorvete de kefir com polpa de manga: avaliação sensorial, físico-química e de bactérias ácido láticas / Development of kefir ice cream with mango pulp: sensory evaluation, physico-chemistry and lactic acid bacteria

O kefir é uma bebida probiótica que contribui com benefícios à saúde. A sua utilização em preparações como o sorvete contribui para incorporação de micro-organismos probióticos na formulação podendo estimular seu consumo com objetivo funcional, por meio de uma sobremesa apreciada entre os consumidores. O trabalho objetivou analisar as características sensoriais, físico-químicas e microbiológicas de sorvetes caseiros desenvolvidos com kefir e polpa de manga. A formulação 1 do sorvete foi elaborada com kefir à 5% e a formulação 2 com kefir a 10% (m/v) e avaliadas quanto a aceitação, pH, acidez titulável e contagem de BAL. As análises microbiológicas foram realizadas no leite integral, kefir à 5% e 10 % m/v e nos sorvetes antes do congelamento (T0), após o congelamento final (T29 h) e após uma semana do congelamento (T168 h). O pH do kefir a 5 % diferiu (p < 0,05) daquele encontrado no de 10%. A análise sensorial mostrou que as formulações foram bem aceitas (p > 0,05) em todos os atributos. Após T168 h os sorvetes apresentaram contagem BAL igual a 2,7 x107 para a formulação 1 e 1,1 x108 UFC/mL para a formulação 2. Conclui-se que o kefir apresentou características de um leite fermentado e que o sorvete de kefir com polpa de manga à 5% e 10% apresentaram após T168 h contagem mínima de bactérias ácido lácticas prevista na legislação (AU)

Kefir is a probiotic drink that contributes health benefits. Its use in preparations such as ice cream can stimulate its consumption through a dessert appreciated among consumers, in addition to allowing the ingestion of lactic acid bacteria. The objective of this work was to analyze the sensorial, physicalchemistry and microbiological characteristics of homemade ice creams developed with kefir and mango pulp. Formulation 1 of the ice cream was made with kefir at 5% and formulation 2 with kefir at 10%, (w/v) and was evaluated for acceptance, pH, titratable acidity and lactic acid bacteria count. Microbiological analyzes were performed in whole milk, kefir at 5% and 10%, and in ice cream before freezing (T0), after the final freezing (T29 h) and after one week of freezing (T168 h). The pH of the kefir at 5% differed (p <0.05) from that found in 10%. Sensory analysis showed that the formulations were accepted (P> 0.05) in all attributes. After T168 h, the ice creams had a lactic acid bacteria count (AU)

Phytochemicals and syneresis of osmo-dried mulberry incorporated yoghurt.

The research was aimed to study the effect of the addition of Osmo-air-dried mulberry (TSS 29.33%) in yoghurt on syneresis and a bioactive component of yoghurt. Two types of yoghurts, with or without Osmo-dried mulberry, were developed using standard culture (Streptococcus thermophilus and Lactobacillus bulgaricus), and changes at refrigerated temperature (<5°C) were studied. Fruit yoghurt showed high total soluble solids (TSSs) and low-fat content (dry basis) (17.67% and 11.84%) compared with normal yoghurt (9.5% and 17.21%). The addition of fruits increased the ascorbic acid (0.77 to 5.96 mg/100 g yoghurt), anthocyanins content (0 to 7.9 mg/100 g yoghurt), total phenol content (TPC) (6.63 to 68.03 mg GAE/100 g yoghurt), and antioxidant activity (20.73% to 47.6% radical scavenging activity) in yoghurt. During 18 days of storage at refrigerated condition (<5°C), the acidity of all samples increased, while pH decreased. Syneresis increased with a storage period in control samples while fruit incorporated yoghurt showed decreased syneresis with time. The viability of lactic acid bacteria (LAB) count went on decreasing at similar rates for both with and without the Osmo-dried mulberry incorporated yoghurt. There is an ample opportunity for utilization of Osmo-air-dried mulberry in yoghurt to prevent syneresis during storage with increased bioactive components.

Difference in efficacy between antibiotic lock technique and intramuscular injec- tion for the treatment central venous catheter-related infection in rabbit model / 中国感染控制杂志

Objective To compare the efficacy of antibiotic lock technique (ALT)and systemic medication on the treatment of central venous catheter-related infection(CRI).Methods Catheters which had been formed bacterial biofilm in vitro were implanted into the central venous of rabbits,and rabbits were randomly divided into two groups,catheter group received the injection of mixture of antibiotics and heparin,systemic group received intra-muscular injection of antibiotics and intraductal injection of heparin solution.Medicine was given continuously for 10 days,catheter blood and peripheral venous blood were taken every day before replacing the medicine,bacterial colo-ny counts were detected.All rabbits stopped using antibiotics on day 11,then removed catheters after a 5-day ob-servation of catheterization.Before extubation,the catheter blood and peripheral blood were collected to perform bacterial colony counting and antimicrobial susceptibility testing,and removed catheters were performed catheter tip bacterial culture and observation of biofilm.Results During the medication period,the average bacterial counts of catheter blood in catheter group at different time were all lower than systemic group,difference was statistically sig-nificant(all P < 0.05);from the 4th day,the catheter group gradually appeared positive specimens of peripheral blood culture(a total of 6 cases),and systemic group appeared positive specimens on the second day(a total of 31 ca-ses).During medicine withdrawal period,bacterial counts of catheter blood in two groups on the day of extubation were both higher than those on the day of medicine withdrawal,differences were both statistically significant(both P<0.05).On the day of medicine withdrawl,2 cases in catheter group and 8 cases in systemic group were isolated bacteria from peripheral blood;there was no new positive specimens in catheter group on the day of extubation,but there was 1 new positive specimen in systemic group.Catheter tip bacterial count in systemic group was higher than catheter group ([8.02±0.05]log10 CFU/mL vs [3.12±0.14]log10 CFU/mL,t =26.82,P <0.05).33.33% of specimens in catheter group could be observed scattered biofilm,while all specimens of systemtic group were cov-ered by biofilm.Bacterial culture and antimicrobial susceptibility testing of catheter blood and peripheral blood be-fore extubation revealed that diameter of the zone of inhibition in catheter group ranged 19-20 mm,in systemic group ranged 15 - 16 mm,bacteria from two groups were all sensitive to commonly used antimicrobial agents. Conclusion In the treatment of central venous CRI,the effect of ALT on local clearance of bacteria is better than that of systemic administration,and it can significantly reduce systemic infection.However,if bacterial biofilm in the catheter is not completely cleared,infection can still relapse after medicine withdrawal.Therefore,accurate dos-age and medication time is worthy of further quantitative study.

Difference in efficacy between antibiotic lock technique and intramuscular injec- tion for the treatment central venous catheter-related infection in rabbit model / 中国感染控制杂志

Objective To compare the efficacy of antibiotic lock technique (ALT)and systemic medication on the treatment of central venous catheter-related infection(CRI).Methods Catheters which had been formed bacterial biofilm in vitro were implanted into the central venous of rabbits,and rabbits were randomly divided into two groups,catheter group received the injection of mixture of antibiotics and heparin,systemic group received intra-muscular injection of antibiotics and intraductal injection of heparin solution.Medicine was given continuously for 10 days,catheter blood and peripheral venous blood were taken every day before replacing the medicine,bacterial colo-ny counts were detected.All rabbits stopped using antibiotics on day 11,then removed catheters after a 5-day ob-servation of catheterization.Before extubation,the catheter blood and peripheral blood were collected to perform bacterial colony counting and antimicrobial susceptibility testing,and removed catheters were performed catheter tip bacterial culture and observation of biofilm.Results During the medication period,the average bacterial counts of catheter blood in catheter group at different time were all lower than systemic group,difference was statistically sig-nificant(all P < 0.05);from the 4th day,the catheter group gradually appeared positive specimens of peripheral blood culture(a total of 6 cases),and systemic group appeared positive specimens on the second day(a total of 31 ca-ses).During medicine withdrawal period,bacterial counts of catheter blood in two groups on the day of extubation were both higher than those on the day of medicine withdrawal,differences were both statistically significant(both P<0.05).On the day of medicine withdrawl,2 cases in catheter group and 8 cases in systemic group were isolated bacteria from peripheral blood;there was no new positive specimens in catheter group on the day of extubation,but there was 1 new positive specimen in systemic group.Catheter tip bacterial count in systemic group was higher than catheter group ([8.02±0.05]log10 CFU/mL vs [3.12±0.14]log10 CFU/mL,t =26.82,P <0.05).33.33% of specimens in catheter group could be observed scattered biofilm,while all specimens of systemtic group were cov-ered by biofilm.Bacterial culture and antimicrobial susceptibility testing of catheter blood and peripheral blood be-fore extubation revealed that diameter of the zone of inhibition in catheter group ranged 19-20 mm,in systemic group ranged 15 - 16 mm,bacteria from two groups were all sensitive to commonly used antimicrobial agents. Conclusion In the treatment of central venous CRI,the effect of ALT on local clearance of bacteria is better than that of systemic administration,and it can significantly reduce systemic infection.However,if bacterial biofilm in the catheter is not completely cleared,infection can still relapse after medicine withdrawal.Therefore,accurate dos-age and medication time is worthy of further quantitative study.

Influence of raw milk quality on processed dairy products: How do raw milk quality test results relate to product quality and yield?

This article provides an overview of the influence of raw milk quality on the quality of processed dairy products and offers a perspective on the merits of investing in quality. Dairy farmers are frequently offered monetary premium incentives to provide high-quality milk to processors. These incentives are most often based on raw milk somatic cell and bacteria count levels well below the regulatory public health-based limits. Justification for these incentive payments can be based on improved processed product quality and manufacturing efficiencies that provide the processor with a return on their investment for high-quality raw milk. In some cases, this return on investment is difficult to measure. Raw milks with high levels of somatic cells and bacteria are associated with increased enzyme activity that can result in product defects. Use of raw milk with somatic cell counts >100,000cells/mL has been shown to reduce cheese yields, and higher levels, generally >400,000 cells/mL, have been associated with textural and flavor defects in cheese and other products. Although most research indicates that fairly high total bacteria counts (>1,000,000 cfu/mL) in raw milk are needed to cause defects in most processed dairy products, receiving high-quality milk from the farm allows some flexibility for handling raw milk, which can increase efficiencies and reduce the risk of raw milk reaching bacterial levels of concern. Monitoring total bacterial numbers in regard to raw milk quality is imperative, but determining levels of specific types of bacteria present has gained increasing importance. For example, spores of certain spore-forming bacteria present in raw milk at very low levels (e.g., <1/mL) can survive pasteurization and grow in milk and cheese products to levels that result in defects. With the exception of meeting product specifications often required for milk powders, testing for specific spore-forming groups is currently not used in quality incentive programs in the United States but is used in other countries (e.g., the Netherlands).

The effect of storage temperature and duration on the microbial quality of bulk tank milk.

The dairy industry in Ireland is currently undergoing a period of expansion and, as a result, it is anticipated that milk may be stored in bulk tanks on-farm for periods greater than 48 h. The objective of this study was to investigate the effects of storage temperature and duration on microbial quality of bulk tank milk when fresh milk is added to the bulk tank twice daily. Bulk tank milk stored at 3 temperatures was sampled at 24-h intervals during storage periods of 0 to 96 h. Bulk tank milk samples were analyzed for total bacterial count (TBC), psychrotrophic bacterial count (PBC), laboratory pasteurization count (LPC), psychrotrophic-thermoduric bacterial count (PBC-LPC), proteolytic bacterial count, lipolytic bacterial count, presumptive Bacillus cereus, sulfite-reducing Clostridia (SRC), and SCC. The bulk tank milk temperature was set at each of 3 temperatures (2°C, 4°C, and 6°C) in each of 3 tanks on 2 occasions during two 6-wk periods. Period 1 was undertaken in August and September, when all cows were in mid lactation, and period 2 was undertaken in October and November, when all cows were in late lactation. None of the bulk tank bacterial counts except the proteolytic count were affected by lactation period. The proteolytic bacterial count was greater in period 2 than in period 1. The TBC and PBC of milk stored at 6°C increased as storage duration increased. The TBC did not increase with increasing storage duration when milk was stored at 2°C or 4°C but the PBC of milk stored at 4°C increased significantly between 0 and 96 h. The numbers of proteolytic and lipolytic bacteria, LPC, or PBC-LPC in bulk tank milk were not affected by temperature or duration of storage. Presumptive B. cereus were detected in 10% of all bulk tank milk samples taken over the two 6-wk periods, with similar proportions observed in both. In bulk tank milk samples, a greater incidence of SRC was observed in period 2 (20%) compared with period 1 (3%). Milk produced on-farm with minimal bacterial contamination can be successfully stored at 2°C and 4°C for up to 96h with little effect on its microbial quality.

Detection of bacterial concentration variations based on dielectric magnetic flux.

This study is based on the development of bacterial count quantification generated by medium dielectric variations and consequent polarization material release. The proposed approach is an action method for the fast detection of bacterial concentration in orange juice. The sensing method relies on bacterial attachment up to biofilm formation. Furthermore, different media provide more oxygen group content to enhance capacitance and self-discharge. The test took only 30 min and it provided the means for rapid bacterial detection in the juice industry.

Multiplicação microbiana no leite cru armazenado em tanques de expansão direta / Microbial multiplication in raw milk stored in direct expansion bulk tanks

O presente estudo objetivou avaliar o efeito do tempo de armazenagem do leite em tanques de expansão direta, modelo de duas e quatro ordenhas, sobre a contagem bacteriana total (CBT) e a contagem de bactérias psicrotróficas (CBP). As avaliações foram conduzidas em 19 propriedades leiteiras, localizadas nas regiões Serrana e Oeste de Santa Catarina, as quais utilizavam equipamentos de refrigeração do leite por expansão direta, modelo de duas ou quatro ordenhas, com taxa de ocupação variando de 60 a 100% de sua capacidade. Antes e após cada ordenha, foram coletadas amostras de leite para análise de CBT, CBP e contagem de células somáticas (CCS), totalizando aproximadamente 36 horas de armazenagem (quatro ordenhas). O tempo de armazenagem do leite cru resfriado não afetou a CBT e CBP (P>0,05) em ambos os modelos. O modelo de tanque de expansão afetou somente a CBP (P<0,05), com média inferior para amostras de leite de tanques de duas ordenhas em relação ao de quatro ordenhas (3,61±0,104 e 4,00±0,120UFC mL-1 (log10), respectivamente). Conclui-se que tanques de resfriamento por expansão direta, utilizados dentro de suas especificações quanto ao volume de leite a ser resfriado, permitem a manutenção da CBT e da CBP em sistemas de transporte do leite ao laticínio a cada 48 horas.

The purpose of this study was to evaluate the effect of the cold storage period of raw milk in bulk tanks, using two and four milking models, on total bacterial count (TBC) and psychrotrophic bacterial count (PBC). A total of 19 dairy farms, located in West and Uplands of the Santa Catarina State - Brazil, was been evaluated. Each dairy farm had direct expansion bulk milk tank and an occupancy rate varying from 60% to 100%. Samples were collected before and after each milking procedure to determine PBC and TBC, totalizing four milking and a storage period of 36 hours. The storage time did not affect TBC and PBC (P>0.05). The bulk tank model only affected the PBC (P < 0.05), with two-milking model presenting a lower mean than four-milking model (3.61±0.104 and 4.00±0.120CFU mL-1 (log10)). It was possible to conclude that bulk tanks, when used properly concerning raw milk volume to be chilled, allow the TBC and PBC to remain stable in the transportation systems of raw milk to the industry each 48 hours.

Seasonal trends in milk quality in Ireland between 2007 and 2011.

The objectives of this study were to evaluate annual and seasonal trends in bulk tank somatic cell count (SCC), total bacterial count (TBC), and laboratory pasteurization count (LPC) in Ireland between 2007 and 2011 (inclusive), and to compare trends based on herd type and herd size. The unadjusted median SCC and TBC of all records were 266,000 and 17,000 cfu/mL, respectively. Data were transformed to log values and analyzed using a mixed model. Fixed effects included milk processor, year, month, and total monthly milk volume; milk producer was fitted as a random variable. After analysis, means were back transformed for interpretation. Annual SCC increased slightly from 259,000 cells/mL in 2007 to a peak of 272,647 cells/mL in 2009 and then declined slightly thereafter. Although statistically significant changes in annual TBC are probably not biologically relevant, values ranged between 23,922 and 26,290 cfu/mL. Annual LPC peaked in 2008 (265 cfu/mL), declined in 2009, and increased thereafter. Monthly mean SCC of all records increased from April onward, with the greatest increases seen from October to December, when the majority of cows entered late lactation. Monthly mean TBC exhibited a seasonal trend, whereby TBC was greatest at the beginning and end of the year, coinciding with winter housing. Seasonal milk production herds (n=8,002 herds) calve all cows in spring (February to April), whereas split-calving herds (n=1,829 herds) calve cows in the spring and autumn. From February to September, monthly SCC was lower for seasonal herds than for split-calving herds, whereas SCC was lower for split-calving herds for the remaining months. During winter (October to March), split-calving herds had lower monthly TBC than seasonal herds, most likely because of stricter regulations imposed upon them. Herd size was approximated using total annual milk production figures. Across all months, larger herds had lower SCC and TBC compared with smaller herds. No obvious improvements in milk quality were seen between 2007 and 2011. Farmers have the opportunity to improve milk quality by reducing bulk tank SCC in late lactation and by imposing stricter hygiene practices at the beginning and end of the year to overcome the seasonal variation of bulk tank TBC.

Relationship between oral bacteria count and pneumonia onset in elderly nursing home residents.

AIM: Oral bacteria, which are a source of infection for aspiration pneumonia, were examined in frail older adults with the aim of establishing a standard bacteria count that indicates the risk of pneumonia onset in this group. METHODS: A survey of bacteria count in the saliva using a simple instrument for measurement of the number of oral bacteria, along with factors including swallowing function and nutritional status, was carried out in 691 elderly individuals requiring care (137 men; mean age 82.6 ± 8.3 years; 554 women; mean age 88.0 ± 7.1 years; total mean age 86.7 ± 7.8 years) at 16 nursing homes in Japan. All participants gave their consent for inclusion in the present study. During a 6-month follow-up period, participants who developed pneumonia were identified, and relationships between the factors measured at the start of the period and pneumonia onset were examined. RESULTS: During the 6-month follow-up period, 33 participants (4.8%; 5 men, 28 women; mean age 88.3 ± 7.4 years) developed pneumonia. Pneumonia onset was significantly associated with reduced activities of daily living, swallowing dysfunction and undernourishment. Logistic regression analysis identified a saliva bacteria count of 10(8.5) colony-forming units/mL as an independent explanatory factor for pneumonia onset (P = 0.012, RR = 3.759). CONCLUSIONS: Oral bacteria count of 10(8.5) colony-forming units/mL saliva in an elderly person requiring care was identified as a risk factor for pneumonia onset.