Appropriateness of antimicrobial therapy: a multicentre prevalence survey in the Netherlands, 2008-2009.

A survey was carried out to determine the prevalence and appropriateness of antimicrobial therapy (AMT) in the Netherlands and to identify determinants for inappropriate AMT. Prevalence surveys of patients hospitalised in the Netherlands were performed three times in 2008 and 2009. Patients' demographic, infection-related and AMT-related data were collected from hospital wards. A total of 19 hospitals participated, consisting of a mix of university, teaching and general hospitals, which were distributed evenly across the country. The appropriateness of AMT was assessed using a standardised algorithm based on local AMT prescription guidelines. A total of 7,853 patients were included, of which 2,327 (29.6%) patients were on AMT (range: 20.8­39.5%). In 372 patients (16% of patients on AMT), treatment was considered inappropriate. In 265 (11.4%) patients on AMT, appropriateness of treatment was not judged because of insufficient information. The percentage of patients without a judgment varied considerably between the participating hospitals (range: 1.3­36.2%). Appropriate AMT use was significantly associated with a patient being in an intensive care unit, having a central venous catheter and being given beta-lactamase-sensitive penicillins. The use of fluoroquinolones was significantly associated with more frequent inappropriate use. There was considerable and significant variation between the participating hospitals in the amount of antimicrobials prescribed and the appropriateness of their use. To improve the completeness and reliability of such surveys, there is a need for intensive training of observers and medical staff in recording information.

Development of Cuscuta species on a partially incompatible host: induction of xylem transfer cells.

The growth of dodders, Cuscuta reflexa and Cuscuta japonica, on the partially incompatible host poinsettia ( Euphorbia pulcherrima) is studied. Poinsettia responds by bark growths to the formation of the dodder haustoria and prevents dodder from obtaining normal growth. The growth instead becomes extremely branched, coral-like, and dodder lacks the ability to form haustoria. After a period of coral-like growth, long shoots sprout, resembling the normal growth. These long shoots mark an ending phase for dodder, which dies shortly after without having flowered. During the coral-like growth phase, dodder develops transfer cells in the parenchyma cells bordering the vessels of the xylem in the shoot. The transfer cells have not been observed when dodder is grown on the compatible host Pelargonium zonale. A coral-like growth phase has also been observed at the establishing phase when dodder is grown in vitro on agar; later a more normal growth form takes over. In this coral phase, xylem transfer cells are also developed. The fluorochromes carboxyfluorescein and Texas Red were loaded into the host in the phloem and xylem, respectively, and detection of these fluorochromes in the dodder stem indicated that a functional haustorial contact developed for both vascular systems. The results show that Cuscutaspp. have the genetic ability to develop xylem transfer cells and use this in response to developmental stress.

Molecular, functional and ultrastructural characterisation of plastids from six species of the parasitic flowering plant genus Cuscuta.

Plastids of Cuscuta reflexa Roxb., C. subinclusa D. et H., C. gronovii Willd. and C. campestris Yunck. possess thylakoids and contain both chlorophyll a and b in a ratio similar to that of stem tissue of the systematically closely related but 'normal' green Ipomoea tricolor. In contrast, plastids of C. odorata R. et P. and C. grandiflora H.B.K. do not contain any chlorophyll or possess thylakoids. Light-driven electron transport, as measured by oxygen evolution and indicated by analysis of chlorophyll fluorescence, was present in all chlorophyll-containing species. The photosystem II efficiency was low and ranged from 0.511 to 0.687. The plastid rbcL gene could not be detected in C. odorata, but was present in all other tested species. Neither rbcL transcripts nor the large subunit of ribulose-1,5-bisphosphate carboxylase-oxygenase (Rubisco) could be detected in C. odorata and C. grandiflora. Low amounts of the large subunit of Rubisco were detected immunologically in all other Cuscuta species. Apparently, the genus Cuscuta comprises species with different degrees of plastid functionality, ranging from intact chloroplasts, via plastids with impaired protein production and gene expression to plastids with reduced plastome gene content.

Uptake and metabolism of sulphur dioxide by Arabidopsis thaliana.

Arabidopsis thaliana (L.) Heynh. was exposed to various concentrations of SO2 during almost the entire life cycle. No negative effects of SO2 on shoot biomass production were observed. There was a linear relation between the deposition of SO2 and the atmospheric SO2 concentration. Sulphur accumulated substantially in the shoots upon SO2 exposure. SO2 was either oxidized to sulphate or converted into extra organic sulphur compounds in a sulphate to organic sulphur ratio of 3:1, independently of the atmospheric SO2 concentration. Exposure to SO2 resulted in an increase in water soluble non-protein sulphydryl content and a slight increase in the amount of glucosinolates, but both of these play a minor role as sinks for the excess sulphur. The ratio of total nitrogen to total sulphur decreased upon SO2 , exposure as a result of the increased sulphate content. The organic nitrogen to organic sulphur ratio did not change upon SO2 exposure, indicating no changes in the composition of sulphur-containing compounds.

Fructosebisphosphatase isoenzymes of the chemoautotroph Xanthobacter flavus.

Xanthobacter flavus employs two fructosebisphosphatase (FBPase)-sedoheptulosebisphosphatase (SBPase) enzymes. One of these is constitutively expressed and has a high FBPase-to-SBPase ratio. The alternative enzyme, which is encoded by cbbF, is induced during autotrophic growth. The cbbF gene was expressed in Escherichia coli, and the FBPase was purified to homogeneity. The purified enzyme has a specific FBPase activity of 114 mumol/min/mg of protein, a Michaelis constant for fructosebisphosphate of 3 microM, and a low FBPase-to-SBPase ratio. CbbF was activated by ATP and inhibited by Ca2+.

Responses to iron deficiency in Arabidopsis thaliana: the Turbo iron reductase does not depend on the formation of root hairs and transfer cells.

Arabidopsis thaliana (L.) Heynh. Columbia wild type and a root hair-less mutant RM57 were grown on iron-containing and iron-deficient nutrient solutions. In both genotypes, ferric chelate reductase (FCR) of intact roots was induced upon iron deficiency and followed a Michaelis-Menten kinetic with a Km of 45 and 54 microM FeIII-EDTA and a Vmax of 42 and 33 nmol Fe2+.(g FW)-1.min-1 for the wild type and the mutant, respectively. The pH optimum for the reaction was around pH 5.5. The approximately four fold stimulation of FCR activity was independent of formation of root hairs and/or transfer cells induced by iron deficiency. Iron-deficiency-induced chlorosis and the development of a rigid root habit disappeared when ferric chelate was applied to the leaves, while FCR activity remained unchanged. The time course of the responses to iron deficiency showed that morphological and physiological responses were controlled separately.

Long-term chilling of young tomato plants under low light and subsequent recovery : I. Growth, development and photosynthesis.

The influence of unfavourable climatic conditions at the onset of the growth period on chilling-sensitive tomato (Lycopersicon esculentum Mill., cv. Abunda) was studied by exposing young plants to combinations of low temperature and low light (60-100 µmol quanta · m(-2) · s(-1)) for several weeks. When the temperature did not decrease below a critical point (8 ° C) no loss of developmental capacity of the plants was detected. However, while new leaves were readily formed upon return to normal growth conditions (22/18 °C, day/night, in a greenhouse), net accumulation of biomass showed a lag phase of approximately one week. This delay was accompanied by a strong, irreversible inhibition of photosynthesis in the fully expanded leaves which had been exposed to the chilling treatment. When plants were subjected to temperatures below 8 ° C, survival rates decreased after three weeks at 6 ° C and irreversible damage of apical meristematic tissue occurred. Drought-hardening prior to chilling ensured survival at 6 ° C and protected the plants against meristem loss.

Long-term chilling of young tomato plants under low light and subsequent recovery : II. Chlorophyll fluorescence, carbon metabolism and activity of ribulose-1,5-bisphosphate carboxylase/oxygenase.

To identify possible reasons for the persisting impairment of photosynthesis after long-term chilling, young tomato (Lycopersicon esculentum Mill.) plants were exposed to 6-10° C for two weeks under low illumination during the daily light period (60-100 µmol quanta · m(-2) · s(-1)). The time courses of leaf carbohydrate contents, phosphorylated intermediates and chlorophyll-fluorescence parameters were followed. While starch formation was impaired during chilling at 6° C, soluble sugar contents increased from the first day onwards and reached up to eightfold the values found in unchilled plants within two weeks. At 8 and 10° C, a less drastic increase in soluble-carbohydrate contents was observed. During chilling, glucose-6-phosphate and fructose-6-phosphate accumulated up to 16 mM (assuming they are restricted to the cytoplasm). At the same time, non-photochemical quenching of chlorophyll fluorescence had increased and did not return to control values during the first week of recovery. The 3-phosphoglyceric acid/triose phosphate ratio remained nearly unaffected by the chilling treatment, indicating that the assimilatory power of the plants was still high even at the low temperatures. As a consequence of the chilling treatment, ribulose-1,5-biphosphate carboxylase/oxygenase (Rubisco) activity in the chilled leaves was irreversibly decreased. It is suggested that, in addition to a possible (orthophosphate-mediated) feedback inhibition by internal sugar accumulation, the low activity of Rubisco can play a significant role in the strong decrease of photosynthetic capacity during long-term chilling in tomato.