Agricultural soil is related to food security and human health,antibiotics and heavy metals(HMs),as two typical pollutants,possess a high coexistence rate in the environmental medium,which is extremely prone to induci...Agricultural soil is related to food security and human health,antibiotics and heavy metals(HMs),as two typical pollutants,possess a high coexistence rate in the environmental medium,which is extremely prone to inducing antibiotic-HMs combined pollution.Recently,frequent human activities have led to more prominent antibiotics-HMs combined contamination in agricultural soils,especially the production and spread of antibiotic resistance genes(ARGs),heavy metal resistance genes(MRGs),antibiotic resistant bacteria(ARB),and antibiotics-HMs complexes(AMCs),which seriously threaten soil ecology and human health.This review describes the main sources(Intrinsic and manmade sources),composite mechanisms(co-selective resistance,oxidative stress,and Joint toxicity mechanism),environmental fate and the potential risks(soil ecological and human health risks)of antibiotics and HMs in agricultural soils.Finally,the current effective source blocking,transmission control,and attenuation strategies are classified for discussion,such as the application of additives and barrier materials,as well as plant and animal remediation and bioremediation,etc.,pointing out that future research should focus on the whole chain process of“source-processterminal”,intending to provide a theoretical basis and decision-making reference for future research.展开更多
[Objectives]This study was conducted to promote the rational use of special use level of antibiotics in clinic and delay the emergence of drug resistance.[Methods]The application of antibiotics for special use among i...[Objectives]This study was conducted to promote the rational use of special use level of antibiotics in clinic and delay the emergence of drug resistance.[Methods]The application of antibiotics for special use among inpatients of a hospital in 2019 was analyzed.The data in the drug information management system of the hospital were queried,and the collected expert consultation records of special-use antibiotics were sorted out.Indicators including the use rate of special-use antibiotics,antibiotic use density(AUD),defined daily dose system(DDDs)and defined daily dose system cost(DDDc)of each drug,the annual pathogen detection rate,disease distribution and pathogenic microorganism detection were summarized and analyzed for inpatients in the hospital retrospectively.[Results]In 2019,the average annual use rate of special-use antibiotics in the hospital was 1.53%,and the average annual use density was 1.59 DDDs.The antibiotics with the top three DDDs were imipenem and cilastatin,meropenem and cefepime.The antibiotics with the top three DDDc were voriconazole dispersible tablets,voriconazole for injection,and meropenem for injection.The average annual detection rate of microorganisms was 85.77%.The diseases were mainly diagnosed as respiratory infections such as pneumonia and secondary infections after radiotherapy and chemotherapy before medication,and the detected pathogens were mainly Candida and its subspecies,Escherichia coli,and Klebsiella and its subspecies.[Conclusions]The clinical use of special-use antibiotics in the hospital was basically reasonable,but there were still some problems.It is necessary to increase management efforts,strengthen training for relevant medical personnel,and provide management ideas for further standardizing the use of antibiotics in the hospital.展开更多
Both the broad-spectrum bactericidal properties of disinfectants and the inhibitory effects of antibiotics pose potential threats to the activity,functionality,and probiotic properties of Lactid acid bacteria(LAB).The...Both the broad-spectrum bactericidal properties of disinfectants and the inhibitory effects of antibiotics pose potential threats to the activity,functionality,and probiotic properties of Lactid acid bacteria(LAB).Therefore,it is essential to systematically evaluate the tolerance of lactic acid bacteria to common disinfectants and antibiotics.This study assessed 60 LAB strains isolated from the fermented foods for their tolerance to seven disinfectants and nine antibiotics.The results indicated that,compared to pathogenic bacteria,most LAB exhibited stronger tolerance to disinfectants.Sub-inhibitory concentrations of disinfectants inhibited biofilm formation in most LAB,while sub-inhibitory concentrations of glutaraldehyde tended to promote biofilm formation.This suggests that commonly used disinfectants can eliminate pathogenic bacteria without killing LAB,providing guidance for disinfectant use.LAB were highly sensitive to ampicillin and chloramphenicol,while showing some tolerance to norfloxacin,polymyxin,and sulfamethoxazole.This indicates LAB have a notable antibiotic resistance profile,which includes both natural resistance characteristics and instances of acquired resistance,along with multiple drug resistance and cross-resistance between antibiotics and disinfectants.This study provides an important guidance for disinfection practices in industrial utilizing LAB,such as food and biomedicine,and offers a reference for the use of antibiotics.展开更多
Introduction:Infections are the most feared complication of transrectal prostate biopsies,along with growing concerns of antibiotic resistance.Our institution transitioned to a transperineal approach without use of pe...Introduction:Infections are the most feared complication of transrectal prostate biopsies,along with growing concerns of antibiotic resistance.Our institution transitioned to a transperineal approach without use of perioperative antibiotics or bowel preparations.We aimed to compare the safety outcomes associated with transperineal and transrectal prostate biopsy techniques.Materials and Methods:A retrospective analysis of patients who underwent transrectal and transperineal prostate biopsies at our institution from 2019–2022 was performed.Results:We identified 319 patients—174 transrectal and 145 transperineal.8 patients who had transperineal biopsy(5.5%)received peri-operative antibiotics,compared to 100%with transrectal biopsy.35.86%of transperineal patients received a bowel preparation,compared to 100%in the transrectal group.44.14%and 49.43%of patients received a prior prostate biopsy in the transperineal and transrectal groups,respectively.Patients in the transperineal biopsy group had zero infectious complications,1 ER visit,and zero 30-day readmissions.This is compared to 9 infectious complications(5.17%,p=0.005),8 ER visits(4.60%,p=0.036),and 730-day readmissions(4.02%,p=0.015)in the transrectal group.Conclusions:In a single institution series,patients undergoing transperineal biopsy had fewer infectious complications compared to those undergoing transrectal biopsy.Despite only a small percentage of patients receiving perioperative antibiotics and a majority of patients not receiving a bowel preparation in the transperineal group,there were zero infectious complications or 30-day readmissions.With greater infectious complications with transrectal biopsy and growing antibiotic resistance,we underline the safety of transperineal prostate biopsy which can largely be done without perioperative antibiotics or a bowel preparation.展开更多
Developing environmental-friendly non-metal photocatalysts for the efficient removal of antibiotics from environment is a significant challenge.The construction of heterojunction is regarded as a powerful strategy to ...Developing environmental-friendly non-metal photocatalysts for the efficient removal of antibiotics from environment is a significant challenge.The construction of heterojunction is regarded as a powerful strategy to enhance the photodegradation efficiency of photocatalysts for pollutants,being due that this strategy can effectively suppress the recombination of the photo-induced electron and hole.In this research,a novel double Z-scheme BN/C_(60)/g-C_(3)N_(4) heterojunction was successfully synthesized via one-step synthetic approach.Based on a series of experimental characterization,BN/C_(60)/g-C_(3)N_(4) is most likely formed via the interaction between N element of BN and g-C_(3)N_(4) with C_(60) under UV-light irradiation.The band structures of BN,C_(60),g-C_(3)N_(4) and the internal electric field among them suggest that BN/C_(60)/g-C_(3)N_(4) may has a direct double z-type band arrangement,which facilitates efficient charge transfer.The photodegradation rate of BN/C_(60)/g-C_(3)N_(4) for tetracycline reached 90.1%,which is 2.9 times higher than that observed with BN and 2.3 times higher than that of g-C_(3)N_(4).BN/C_(60)/g-C_(3)N_(4) exhibits remarkable photocatalytic performance across a wide pH range and in the influence of different anions.This study offers significant insights about how to design double z-scheme metal-free photocatalyst with high photodegradation efficiency for antibiotic.展开更多
BACKGROUND Post-operative infection is a common and serious complication following drugeluting trans arterial chemo embolization(D-TACE)in patients with hepatocellular carcinoma(HCC),potentially compromising treatment...BACKGROUND Post-operative infection is a common and serious complication following drugeluting trans arterial chemo embolization(D-TACE)in patients with hepatocellular carcinoma(HCC),potentially compromising treatment efficacy and increasing morbidity.AIM To investigate the risk factors associated with post-operative infection in HCC patients undergoing D-TACE,and to provide evidence for clinical prevention and targeted intervention strategies.METHODS Clinical data of 77 primary HCC patients who underwent D-TACE in our hospital from January 2022 to December 2023 were retrospectively analyzed.Patient demographics,laboratory test results,tumor characteristics,and surgery-related parameters were collected.Univariate and multivariate logistic regression analyses were performed to identify risk factors for post-operative infection.RESULTS Post-operative infection occurred in 20 cases(25.97%)among the 77 patients.Univariate analysis showed that age≥65 years,Child-Pugh grade B,tumor diameter≥5 cm,operation time≥120 minutes,preoperative albumin<35 g/L,and comorbid diabetes were significantly associated with post-operative infection(P<0.05).Multivariate logistic regression analysis identified Child-Pugh grade B(OR=2.851,95%CI:1.426-5.698),operation time≥120 minutes(OR=2.367,95%CI:1.238-4.523),and preoperative albumin<35 g/L(OR=2.156,95%CI:1.147-4.052)as independent risk factors for post-operative infection.CONCLUSION Liver function status,operation time,and preoperative albumin level are significant factors affecting post-operative infection in HCC patients undergoing D-TACE.For high-risk patients,enhanced perioperative management,appropriate timing of surgery,and active improvement of nutritional status should be implemented to reduce the risk of post-operative infection.展开更多
As antibiotic pollutants cannot be incompletely removed by conventional wastewater treatment plants,ultraviolet(UV)based advanced oxidation processes(AOPs)such as UV/persulfate(UV/PS)and UV/chlorine are increasingly c...As antibiotic pollutants cannot be incompletely removed by conventional wastewater treatment plants,ultraviolet(UV)based advanced oxidation processes(AOPs)such as UV/persulfate(UV/PS)and UV/chlorine are increasingly concerned for the effective removal of antibiotics from wastewaters.However,the specific mechanisms involving degradation kinetics and transformation mechanisms are not well elucidated.Here we report a detailed examination of SO_(4)•−/Cl•-mediated degradation kinetics,products,and toxicities of sulfathiazole(ST),sarafloxacin(SAR),and lomefloxacin(LOM)in the two processes.Both SO_(4)•−/Cl•-mediated transformation kinetics were found to be dependent on pH(P<0.05),which was attributed to the disparate reactivities of their individual dissociated forms.Based on competition kinetic experiments and matrix calculations,the cationic forms(H_(2)ST^(+),H_(2)SAR^(+),and H_(2)LOM^(+))were more highly reactive towards SO_(4)•−in most cases,while the neutral forms(e.g.,HSAR^(0)and HLOM^(0))reacted the fastest with Cl•for the most of the antibiotics tested.Based on the identification of 31 key intermediates using tandem mass spectrometry,these reactions generated different products,of which the majority still retained the core chemical structure of the parent compounds.The corresponding diverse transformation pathways were proposed,involving S−N breaking,hydroxylation,defluorination,and chlorination reactions.Furthermore,the toxicity changes of their reaction solutions as well as the toxicity of each intermediate were evaluated by the vibrio fischeri and ECOSAR model,respectively.Many primary by-products were proven to be more toxic than the parent chemicals,raising the wider issue of extended potency for these compounds with regards to their ecotoxicity.These results have implications for assessing the degradative fate and risk of these chemicals during the AOPs.展开更多
Plant-based milk is rich in polyunsaturated fatty acids,polyphenols and other bioactive compounds.This study investigated the effect of 3 plant-based milk(flaxseed milk,oat milk and soy milk)on the ceftriaxone-induced...Plant-based milk is rich in polyunsaturated fatty acids,polyphenols and other bioactive compounds.This study investigated the effect of 3 plant-based milk(flaxseed milk,oat milk and soy milk)on the ceftriaxone-induced intestinal disorders,and compared the regulation patterns associated with gut microbiome and metabolome.The results showed plant-based milk alleviated the ceftriaxone caused cecum swelling,colonic tissue damage and intestinal microecological disorders.Meanwhile,administered plant-based milk decreased levels of pro-inflammatory cytokine(tumor necrosis factor-α(TNF-α),interleukin-6(IL-6),interleukin-1β(IL-1β)and oxidative stresses(malondialdehyde(MDA)and myeloperoxidase(MPO)in the colon,as well as increasing the levels of tight junction proteins(Occludin,Claudin-1,and ZO-1)in the colon.Moreover,administration of plant-based milk modulated the intestinal microbiota by promoting the relative levels of beneficial bacteria(Bifidobacterium),and inhibiting the harmful bacteria genus(Enterococcus).Furthermore,plant-based milk treatment significantly modulated glycerophospholipids metabolism(e.g.glycerophosphocholine)and arachidonic acid metabolism(e.g.prostaglandin G2 and arachidonic acid)in the serum.In conclusion,plant-based milk could alleviate antibiotic-related imbalance of barrier function damage,gut microbiota disorders and the reduction of metabolic disorders,which lays a foundation for exploring anti-inflammatory and intestinal micro-ecological approach to plant-based milk.展开更多
Objective:To analyze the positive impact of pharmaceutical care in the ophthalmology perioperative period on the rational use of antibiotics.Methods:A total of 115 patients who underwent ophthalmological surgery betwe...Objective:To analyze the positive impact of pharmaceutical care in the ophthalmology perioperative period on the rational use of antibiotics.Methods:A total of 115 patients who underwent ophthalmological surgery between March and June 2023 were selected as the control group,receiving routine medication management.Another 115 patients who underwent ophthalmological surgery between July and October 2023 were selected as the observation group,receiving pharmaceutical care.The rationality of medication use,mastery of medication knowledge,medication compliance,and adverse reaction rates were compared between the two groups.Results:The observation group had higher rationality of medication use,higher scores for mastery of medication knowledge,higher medication compliance,and a lower adverse reaction rate compared to the control group(P<0.05).Conclusion:The combination of antibiotic therapy and pharmaceutical care in the ophthalmology perioperative period can improve the rationality of medication use,enhance patients’mastery of medication knowledge,increase their medication compliance,and prevent adverse reactions to antibiotics.展开更多
Objective:To explore the adverse reactions associated with antibiotics and analyze strategies for their rational use.Methods:A retrospective analysis was conducted on 60 patients who experienced adverse reactions to a...Objective:To explore the adverse reactions associated with antibiotics and analyze strategies for their rational use.Methods:A retrospective analysis was conducted on 60 patients who experienced adverse reactions to antibiotics between August 2021 and August 2023.The types of antibiotics that caused adverse reactions were analyzed,and the symptoms of adverse reactions and measures for rational use of antibiotics were summarized.Results:Among the analyzed cases of adverse reactions to antibiotics,the highest rate was observed in patients aged 61–75 years,accounting for 38.33%,followed by patients aged 51–60 years,accounting for 20.00%.In terms of the types of antibiotics that caused adverse reactions,cephalosporins were the most common,accounting for 40.00%,followed by penicillins,accounting for 18.33%.Analysis of the systems involved in adverse reactions showed that skin and appendage disorders were the most common,accounting for 36.67%,followed by the digestive system,accounting for 28.33%.Conclusion:Irrational use of antibiotics can lead to adverse drug reactions.Therefore,it is necessary to analyze strategies for the rational use of antibiotics to reduce adverse drug reactions and ensure the safety of antibiotic use.展开更多
This study introduced a microwave-assisted pyrolysis method for the rapid and efficientpreparation of boron-doped porous biochar. The resulting biochar exhibited a large specificsurface area (933.39 m^(2)/g), a rich p...This study introduced a microwave-assisted pyrolysis method for the rapid and efficientpreparation of boron-doped porous biochar. The resulting biochar exhibited a large specificsurface area (933.39 m^(2)/g), a rich porous structure (1.044 cm3/g), and abundant active sites.Consequently, the prepared boron-doped porous biochar exhibited higher efficiency in adsorbingtetracycline with a maximum adsorption capacity of 413.223 mg/g, which significantlyexceeded that of unmodified biochar andmost commercial and reported adsorbents.The correlation analysis between the adsorption capacity and adsorbent characteristics revealedthat the formation of the –BCO_(2) group enhanced π–π electron donor–acceptor interactionsbetween boron-doped porous biochar and tetracycline. This mechanism mainlycontributed to the enhanced adsorption of tetracycline by boron-doped porous biochar. Additionally,the as-prepared boron-doped porous biochar exhibited broad applications in removingantibiotics (tetracycline), phenolics (bisphenol A), and dyes (methylene blue andrhodamine B). Moreover, the boron-doped porous biochar exhibited satisfactory stability,and its adsorption capacity can be nearly completely regenerated through simple heat treatment.This study provides new insights into the effectiveness of boron-doped carbonaceousmaterials in removing antibiotic contaminants.展开更多
Drugs and pesticide residues in broiler feed can compromise the therapeutic and production benefits of antibiotic(ANT)application and affect gene expression.In this study,we analyzed the expression of 13 key pancreati...Drugs and pesticide residues in broiler feed can compromise the therapeutic and production benefits of antibiotic(ANT)application and affect gene expression.In this study,we analyzed the expression of 13 key pancreatic genes and blood physiology parameters after administering one maximum residue limit of herbicide glyphosate(GLY),two ANTs,and one anticoccidial drug(AD).A total of 260 Ross 308 broilers aged 1-40 d were divided into the following four groups of 65 birds each:control group,which was fed the main diet(MD),and three experimental groups,which were fed MD supplemented with GLY,GLY+ANTs(enrofloxacin and colistin methanesulfonate),and GLY+AD(ammonium maduramicin),respectively.The results showed that the addition of GLY,GLY+ANTs,and GLY+AD caused significant changes in the expression of several genes of physiological and economic importance.In particular,genes related to inflammation and apoptosis(interleukin 6(IL6),prostaglandin-endoperoxide synthase 2(PTGS2),and caspase 6(CASP6))were downregulated by up to 99.1%,and those related to antioxidant protection(catalase(CAT),superoxide dismutase 1(SOD1)and peroxiredoxin 6(PRDX6))by up to 98.6%,compared to controls.There was also a significant decline in the values of immunological characteristics in the blood serum observed in the experimental groups,and certain changes in gene expression were concordant with changes in the functioning of the pancreas and blood.The changes revealed in gene expression and blood indices in response to GLY,ANTs,and AD provide insights into the possible mechanisms of action of these agents at the molecular level.Specifically,these changes may be indicative of physiological mechanisms to overcome the negative effects of GLY,GLY+ANTs,and GLY+AD in broilers.展开更多
Objective:To analyze the effect of pharmacist-led rational drug use management of antibiotics during the perioperative period in gynecology.Methods:Two hundred patients who underwent gynecological surgery between Marc...Objective:To analyze the effect of pharmacist-led rational drug use management of antibiotics during the perioperative period in gynecology.Methods:Two hundred patients who underwent gynecological surgery between March 2023 and December 2023 were selected and randomly divided into two groups.In the experimental group,the pharmacist led the medication management during the perioperative use of antibiotics,while the control group received routine antibiotic management.The management effects were compared between the two groups.Results:The irrational drug use rate,the incidence of adverse drug reactions,the cost of antibiotics,and the incidence of postoperative infection were all lower in the experimental group compared to the control group(P<0.05).Conclusion:Implementing pharmacist-led medication management during the perioperative period of gynecological surgery can prevent irrational drug use,reduce adverse drug reactions,control drug costs,and lower the risk of postoperative infection.展开更多
The widespread occurrence of antibiotics in urban rivers has raised global concerns for ecological security.Quantitative source-specific risk apportionment of antibiotics is crucial for targeted and effective ecologic...The widespread occurrence of antibiotics in urban rivers has raised global concerns for ecological security.Quantitative source-specific risk apportionment of antibiotics is crucial for targeted and effective ecological risk management,but is rarely studied.In this study,a source-specific ecological risk apportionment model for antibiotics was developed by combining the ecological risk quotient(RQ)method and the positive matrix factorization(PMF)model.Based on twenty-two antibiotics in sixty-five water samples from thirteen sites in Beijing in wet and dry seasons,the spatial variation and probabilistic distribution of ecological risk associated with antibiotics were analyzed,and source-specific ecological risk was evaluated.Results showed that for the sum of all antibiotics,the mean concentration of all samples was 671.48 ng/L,and the lower limit of the 90%confidence interval of RQs was more than ten times the threshold for the high-risk level.The main sources were identified as domestic sewage,pharmaceutical wastewater and livestock discharge.It should be noted that higher contributions to antibiotic concentrations from sources do not always result in higher levels of ecological risk.Domestic sewage and livestock discharge contributed roughly equivalent amounts(36.17%and 37.59%,respectively)to antibiotic concentrations.However,domestic sewage was the most dominant source for risk(63.30%),and livestock discharge only contributed 7.37%to risk.The study found that evaluating the source-specific ecological risk associated with antibiotics is essential in addition to identifying their sources.The source-specific ecological risk apportionment model developed in this study is also referential for related studies.展开更多
In this article, we have addressed the recent published article by Wang et al whichexamines risk factors associated with surgical site infections (SSIs) and evaluatesthe effectiveness of prophylactic antibiotics in th...In this article, we have addressed the recent published article by Wang et al whichexamines risk factors associated with surgical site infections (SSIs) and evaluatesthe effectiveness of prophylactic antibiotics in their prevention. Wang et al identifiedseveral significant risk factors of SSIs, including age ≥ 60 years, diabetesmellitus, and surgical complications such as insufficient cystic duct stump closure,gallbladder perforation, empyema, and postoperative hematoma. Their findingssuggest that prophylactic antibiotics can serve as a protective factor against SSIs.However, other reported risk factors and preventive strategies warrant considerationto further reduce the incidence of SSIs, lower healthcare costs, and enhancepatient outcomes. Additionally, the judicious use of prophylactic antibioticsis crucial in light of the growing global challenge of antibiotic resistance caused bythe misuse and overuse of antibiotics. Effective management strategies forprophylactic antibiotic use should be prioritized to balance infection control withthe need to combat antimicrobial resistance.展开更多
The widespread occurrence of antibiotics in wastewater aroused serious attention.UV-based advanced oxidation processes(UV-AOPs)are powerful technologies in removing antibiotics in wastewater,which include UV/catalyst,...The widespread occurrence of antibiotics in wastewater aroused serious attention.UV-based advanced oxidation processes(UV-AOPs)are powerful technologies in removing antibiotics in wastewater,which include UV/catalyst,UV/H_(2)O_(2),UV/Fenton,UV/persulfate,UV/chlorine,UV/ozone,and UV/peracetic acid.In this review,we collated recent advances in application of UV-AOPs for the abatement of fiuoroquinolones(FQs)as widely used class of antibiotics.Representative FQs of ciprofioxacin,norfioxacin,ofioxacin,and enrofioxacin were most extensively studied in the state-of-art studies.The evolvement of gas-state and solid-state UV light sources was presented and batch and continuous fiow UV reactors were compared towards practical applications in UV-AOPs.Generally,degradation of FQs followed the pseudo-first order kinetics in UV-AOPs and strongly affected by the operating factors and components of water matrix.Participation of reactive species and transformation mechanisms of FQs were compared among different UV-AOPs.Challenges and future prospects were pointed out for providing insights into the practical application of UV-AOPs for antibiotic remediation in wastewater.展开更多
The land application of livestock manure has been widely acknowledged as a beneficial approach for nutrient recycling and environmental protection.However,the impact of residual antibiotics,a common contaminant of man...The land application of livestock manure has been widely acknowledged as a beneficial approach for nutrient recycling and environmental protection.However,the impact of residual antibiotics,a common contaminant of manure,on the degradation of organic compounds and nutrient release in Eutric Regosol is not well understood.Here,we studied,how oxytetracycline(OTC)and ciprofloxacin(CIP)affect the decomposition,microbial community structure,extracellular enzyme activities and nutrient release from cattle and pig manure using litterbag incubation experiments.Results showed that OTC and CIP greatly inhibited livestock manure decomposition,causing a decreased rate of carbon(28%-87%),nitrogen(15%-44%)and phosphorus(26%-43%)release.The relative abundance of gramnegative(G-)bacteria was reduced by 4.0%-13%while fungi increased by 7.0%-71%during a 28-day incubation period.Co-occurrence network analysis showed that antibiotic exposure disrupted microbial interactions,particularly among G-bacteria,G+bacteria,and actinomycetes.These changes in microbial community structure and function resulted in decreased activity of urease,β-1,4-N-acetyl-glucosaminidase,alkaline protease,chitinase,and catalase,causing reduced decomposition and nutrient release in cattle and pig ma-nures.These findings advance our understanding of decomposition and nutrient recycling from manure-contaminated antibiotics,which will help facilitate sustainable agricultural production and soil carbon sequestration.展开更多
BACKGROUND Surgical site infections(SSIs)are a significant complication in laparoscopic cholecystectomy(LC),affecting patient outcomes and healthcare costs.AIM To identify risk factors associated with SSIs and evaluat...BACKGROUND Surgical site infections(SSIs)are a significant complication in laparoscopic cholecystectomy(LC),affecting patient outcomes and healthcare costs.AIM To identify risk factors associated with SSIs and evaluate the effectiveness of prophylactic antibiotics in reducing these infections.METHODS A comprehensive retrospective evaluation was conducted on 400 patients who underwent LC from January 2022 to January 2024.Patients were divided into infected(n=36)and non-infected(n=364)groups based on the occurrence of SSIs.Data collected included age,diabetes mellitus status,use of prophylactic antibiotics,and specific surgical complications.Statistical analyses using SPSS(Version 27.0)involved univariate and multivariate logistic regression to determine factors influencing the risk of SSIs.RESULTS The use of prophylactic antibiotics significantly reduced the incidence of SSIs(χ²=68.34,P<0.01).Older age(≥60 years)and comorbidities such as diabetes mellitus were identified as significant risk factors.Surgical complications like insufficient cystic duct stump,gallbladder perforation,and empyema also increased SSI risk.Notably,factors such as intraoperative blood loss and operation time did not significantly impact SSI occurrence.CONCLUSION Prophylactic antibiotics are effective in reducing the risk of SSIs in patients undergoing LC.Age,diabetes mellitus,and certain surgical complications significantly contribute to the risk.Effective management of these risk factors is essential to improve surgical outcomes and reduce the incidence of SSIs.展开更多
Solar-driven Fenton-like reactions are promising strategies for degrading pharmaceutical wastewater to address environmental challenges and antibiotic pollution.However,its efficacy is limited by suboptimal light abso...Solar-driven Fenton-like reactions are promising strategies for degrading pharmaceutical wastewater to address environmental challenges and antibiotic pollution.However,its efficacy is limited by suboptimal light absorption efficiency,rapid charge recombination,and inadequate interfacial charge transfer.In this study,an inorganic/organic S-scheme photo-Fenton system of pseudobrookite/carbon nitride(FTOCN)was synthesized via a hydrothermally coupled calcination process for the effective purification of tetracycline antibiotics under visible-light irradiation.The optimized FTOCN-2 heterostructure exhibits a significantly enhanced TC degradation capacity of 90%within 60 min.The rate constant of FTOCN-2 is 1.6 and 5.2 times greater than those of FTO and CN,respectively.Furthermore,FTOCN exhibits high antibacterial efficacy,highlighting its potential application in the purification of natural water.Measurements via a range of analytical techniques,including Kelvin probe force microscopy,density functional theory calculations,in situ X-ray photoelectron spectroscopy,and femtosecond transient absorption spectroscopy,corroborate the S-scheme mechanism.This study provides a novel perspective for the development of photo-Fenton systems with S-scheme heterojunctions for water purification.展开更多
A self-standing dual-electric field synergistic[TiO_(2)/polyvinylidene fluoride(PVDF)]//[g-C3 N4 tube/PVDF]Janus nanofibres(named as[TP]//[CTP]JNs)S-scheme heterostructure piezoelectric photocatalyst is designed and c...A self-standing dual-electric field synergistic[TiO_(2)/polyvinylidene fluoride(PVDF)]//[g-C3 N4 tube/PVDF]Janus nanofibres(named as[TP]//[CTP]JNs)S-scheme heterostructure piezoelectric photocatalyst is designed and constructed via conjugative electrospinning.Dual-fields of built-in electric fields supplied by S-scheme heterostructure and piezoelectric field formed by PVDF jointly boost separation and transfer of photo-induced charges.As a case study,piezoelectric photocatalytic efficiency of[TP]//[CTP]JNs for tetracycline hydrochloride(TCH)under ultrasonic united with simulated sunlight illumination is 93.35%(40 min),which is 1.39 times of the photocatalytic efficiency(light illumination only)and 5.32 times of piezoelectric catalytic efficiency(applying ultrasonic only),proving the advantages of the synergistic effect of piezoelectric catalysis and photocatalysis on contaminant degradation.The dynamic behaviors of photocatalysis and photo-generated charges are deeply revealed through fs-TA and TRPL decay spectra,and the degradation pathways of antibiotics are reasonably speculated by combining LCMS spectra with Fukui index.By the degradation ability,COMSOL simulation and DFT calculation,the structural advantage of Janus nanofibers is fully verified,and S-scheme charge transfer mechanism is confirmed by combining a series of sound ample experiments with theoretical calculations.Additionally,the construction mechanism of Janus nanofibers is proposed,and corresponding construction technique is established.展开更多
基金supported by the National Natural Science Foundation of China(No.32171615)the National Key R&D Program of China(2019YFC1804102)。
文摘Agricultural soil is related to food security and human health,antibiotics and heavy metals(HMs),as two typical pollutants,possess a high coexistence rate in the environmental medium,which is extremely prone to inducing antibiotic-HMs combined pollution.Recently,frequent human activities have led to more prominent antibiotics-HMs combined contamination in agricultural soils,especially the production and spread of antibiotic resistance genes(ARGs),heavy metal resistance genes(MRGs),antibiotic resistant bacteria(ARB),and antibiotics-HMs complexes(AMCs),which seriously threaten soil ecology and human health.This review describes the main sources(Intrinsic and manmade sources),composite mechanisms(co-selective resistance,oxidative stress,and Joint toxicity mechanism),environmental fate and the potential risks(soil ecological and human health risks)of antibiotics and HMs in agricultural soils.Finally,the current effective source blocking,transmission control,and attenuation strategies are classified for discussion,such as the application of additives and barrier materials,as well as plant and animal remediation and bioremediation,etc.,pointing out that future research should focus on the whole chain process of“source-processterminal”,intending to provide a theoretical basis and decision-making reference for future research.
基金Supported by National TCM Advantage Speciality Construction Project:Clinical Pharmacy(GZYYYZH[2024]90)Guizhou Provincial Key Discipline Construction Project of Traditional Chinese Medicine and Ethnic Medicine:Clinical Traditional Chinese pharmacy(QZYYZDXK(JS)-2023-04).
文摘[Objectives]This study was conducted to promote the rational use of special use level of antibiotics in clinic and delay the emergence of drug resistance.[Methods]The application of antibiotics for special use among inpatients of a hospital in 2019 was analyzed.The data in the drug information management system of the hospital were queried,and the collected expert consultation records of special-use antibiotics were sorted out.Indicators including the use rate of special-use antibiotics,antibiotic use density(AUD),defined daily dose system(DDDs)and defined daily dose system cost(DDDc)of each drug,the annual pathogen detection rate,disease distribution and pathogenic microorganism detection were summarized and analyzed for inpatients in the hospital retrospectively.[Results]In 2019,the average annual use rate of special-use antibiotics in the hospital was 1.53%,and the average annual use density was 1.59 DDDs.The antibiotics with the top three DDDs were imipenem and cilastatin,meropenem and cefepime.The antibiotics with the top three DDDc were voriconazole dispersible tablets,voriconazole for injection,and meropenem for injection.The average annual detection rate of microorganisms was 85.77%.The diseases were mainly diagnosed as respiratory infections such as pneumonia and secondary infections after radiotherapy and chemotherapy before medication,and the detected pathogens were mainly Candida and its subspecies,Escherichia coli,and Klebsiella and its subspecies.[Conclusions]The clinical use of special-use antibiotics in the hospital was basically reasonable,but there were still some problems.It is necessary to increase management efforts,strengthen training for relevant medical personnel,and provide management ideas for further standardizing the use of antibiotics in the hospital.
基金supported by the National Science Foundation of China (32001663)。
文摘Both the broad-spectrum bactericidal properties of disinfectants and the inhibitory effects of antibiotics pose potential threats to the activity,functionality,and probiotic properties of Lactid acid bacteria(LAB).Therefore,it is essential to systematically evaluate the tolerance of lactic acid bacteria to common disinfectants and antibiotics.This study assessed 60 LAB strains isolated from the fermented foods for their tolerance to seven disinfectants and nine antibiotics.The results indicated that,compared to pathogenic bacteria,most LAB exhibited stronger tolerance to disinfectants.Sub-inhibitory concentrations of disinfectants inhibited biofilm formation in most LAB,while sub-inhibitory concentrations of glutaraldehyde tended to promote biofilm formation.This suggests that commonly used disinfectants can eliminate pathogenic bacteria without killing LAB,providing guidance for disinfectant use.LAB were highly sensitive to ampicillin and chloramphenicol,while showing some tolerance to norfloxacin,polymyxin,and sulfamethoxazole.This indicates LAB have a notable antibiotic resistance profile,which includes both natural resistance characteristics and instances of acquired resistance,along with multiple drug resistance and cross-resistance between antibiotics and disinfectants.This study provides an important guidance for disinfection practices in industrial utilizing LAB,such as food and biomedicine,and offers a reference for the use of antibiotics.
基金the Cancer Institute of New Jersey is supported by a grant from the National Cancer Institute:P30CA072720Arnav Srivastava is supported by a training grant from the National Cancer Institute:T32CA180984.
文摘Introduction:Infections are the most feared complication of transrectal prostate biopsies,along with growing concerns of antibiotic resistance.Our institution transitioned to a transperineal approach without use of perioperative antibiotics or bowel preparations.We aimed to compare the safety outcomes associated with transperineal and transrectal prostate biopsy techniques.Materials and Methods:A retrospective analysis of patients who underwent transrectal and transperineal prostate biopsies at our institution from 2019–2022 was performed.Results:We identified 319 patients—174 transrectal and 145 transperineal.8 patients who had transperineal biopsy(5.5%)received peri-operative antibiotics,compared to 100%with transrectal biopsy.35.86%of transperineal patients received a bowel preparation,compared to 100%in the transrectal group.44.14%and 49.43%of patients received a prior prostate biopsy in the transperineal and transrectal groups,respectively.Patients in the transperineal biopsy group had zero infectious complications,1 ER visit,and zero 30-day readmissions.This is compared to 9 infectious complications(5.17%,p=0.005),8 ER visits(4.60%,p=0.036),and 730-day readmissions(4.02%,p=0.015)in the transrectal group.Conclusions:In a single institution series,patients undergoing transperineal biopsy had fewer infectious complications compared to those undergoing transrectal biopsy.Despite only a small percentage of patients receiving perioperative antibiotics and a majority of patients not receiving a bowel preparation in the transperineal group,there were zero infectious complications or 30-day readmissions.With greater infectious complications with transrectal biopsy and growing antibiotic resistance,we underline the safety of transperineal prostate biopsy which can largely be done without perioperative antibiotics or a bowel preparation.
基金supported by the Project of State Key Laboratory of Treatments and Recycling for Organic Effluents by the Adsorption in Petroleum and Chemical Industry,Soochow University(No.SDHY2207)the Key Laboratory of Integrated Regulation and Resource Development on Shallow Lakes,Ministry of Education,College of Environment,Hohai University(No.B230203006)A Project funded by the Priority Academic Program Development of Jiangsu Higher Education Institutions.
文摘Developing environmental-friendly non-metal photocatalysts for the efficient removal of antibiotics from environment is a significant challenge.The construction of heterojunction is regarded as a powerful strategy to enhance the photodegradation efficiency of photocatalysts for pollutants,being due that this strategy can effectively suppress the recombination of the photo-induced electron and hole.In this research,a novel double Z-scheme BN/C_(60)/g-C_(3)N_(4) heterojunction was successfully synthesized via one-step synthetic approach.Based on a series of experimental characterization,BN/C_(60)/g-C_(3)N_(4) is most likely formed via the interaction between N element of BN and g-C_(3)N_(4) with C_(60) under UV-light irradiation.The band structures of BN,C_(60),g-C_(3)N_(4) and the internal electric field among them suggest that BN/C_(60)/g-C_(3)N_(4) may has a direct double z-type band arrangement,which facilitates efficient charge transfer.The photodegradation rate of BN/C_(60)/g-C_(3)N_(4) for tetracycline reached 90.1%,which is 2.9 times higher than that observed with BN and 2.3 times higher than that of g-C_(3)N_(4).BN/C_(60)/g-C_(3)N_(4) exhibits remarkable photocatalytic performance across a wide pH range and in the influence of different anions.This study offers significant insights about how to design double z-scheme metal-free photocatalyst with high photodegradation efficiency for antibiotic.
文摘BACKGROUND Post-operative infection is a common and serious complication following drugeluting trans arterial chemo embolization(D-TACE)in patients with hepatocellular carcinoma(HCC),potentially compromising treatment efficacy and increasing morbidity.AIM To investigate the risk factors associated with post-operative infection in HCC patients undergoing D-TACE,and to provide evidence for clinical prevention and targeted intervention strategies.METHODS Clinical data of 77 primary HCC patients who underwent D-TACE in our hospital from January 2022 to December 2023 were retrospectively analyzed.Patient demographics,laboratory test results,tumor characteristics,and surgery-related parameters were collected.Univariate and multivariate logistic regression analyses were performed to identify risk factors for post-operative infection.RESULTS Post-operative infection occurred in 20 cases(25.97%)among the 77 patients.Univariate analysis showed that age≥65 years,Child-Pugh grade B,tumor diameter≥5 cm,operation time≥120 minutes,preoperative albumin<35 g/L,and comorbid diabetes were significantly associated with post-operative infection(P<0.05).Multivariate logistic regression analysis identified Child-Pugh grade B(OR=2.851,95%CI:1.426-5.698),operation time≥120 minutes(OR=2.367,95%CI:1.238-4.523),and preoperative albumin<35 g/L(OR=2.156,95%CI:1.147-4.052)as independent risk factors for post-operative infection.CONCLUSION Liver function status,operation time,and preoperative albumin level are significant factors affecting post-operative infection in HCC patients undergoing D-TACE.For high-risk patients,enhanced perioperative management,appropriate timing of surgery,and active improvement of nutritional status should be implemented to reduce the risk of post-operative infection.
基金supported by the Key Research and Development Program of Shaanxi Province(No.2024SF-YBXM-567)the National Natural Science Foundation of China(Nos.21976045,22076112)the China Scholarship Council(CSC)Scholarship(No.202308610123).
文摘As antibiotic pollutants cannot be incompletely removed by conventional wastewater treatment plants,ultraviolet(UV)based advanced oxidation processes(AOPs)such as UV/persulfate(UV/PS)and UV/chlorine are increasingly concerned for the effective removal of antibiotics from wastewaters.However,the specific mechanisms involving degradation kinetics and transformation mechanisms are not well elucidated.Here we report a detailed examination of SO_(4)•−/Cl•-mediated degradation kinetics,products,and toxicities of sulfathiazole(ST),sarafloxacin(SAR),and lomefloxacin(LOM)in the two processes.Both SO_(4)•−/Cl•-mediated transformation kinetics were found to be dependent on pH(P<0.05),which was attributed to the disparate reactivities of their individual dissociated forms.Based on competition kinetic experiments and matrix calculations,the cationic forms(H_(2)ST^(+),H_(2)SAR^(+),and H_(2)LOM^(+))were more highly reactive towards SO_(4)•−in most cases,while the neutral forms(e.g.,HSAR^(0)and HLOM^(0))reacted the fastest with Cl•for the most of the antibiotics tested.Based on the identification of 31 key intermediates using tandem mass spectrometry,these reactions generated different products,of which the majority still retained the core chemical structure of the parent compounds.The corresponding diverse transformation pathways were proposed,involving S−N breaking,hydroxylation,defluorination,and chlorination reactions.Furthermore,the toxicity changes of their reaction solutions as well as the toxicity of each intermediate were evaluated by the vibrio fischeri and ECOSAR model,respectively.Many primary by-products were proven to be more toxic than the parent chemicals,raising the wider issue of extended potency for these compounds with regards to their ecotoxicity.These results have implications for assessing the degradative fate and risk of these chemicals during the AOPs.
基金funded by Earmarked Fund for China Agriculture Research System(CARS-14)the Central Public-interest Scientific Institution Basal Research Fund(11021716001100B)。
文摘Plant-based milk is rich in polyunsaturated fatty acids,polyphenols and other bioactive compounds.This study investigated the effect of 3 plant-based milk(flaxseed milk,oat milk and soy milk)on the ceftriaxone-induced intestinal disorders,and compared the regulation patterns associated with gut microbiome and metabolome.The results showed plant-based milk alleviated the ceftriaxone caused cecum swelling,colonic tissue damage and intestinal microecological disorders.Meanwhile,administered plant-based milk decreased levels of pro-inflammatory cytokine(tumor necrosis factor-α(TNF-α),interleukin-6(IL-6),interleukin-1β(IL-1β)and oxidative stresses(malondialdehyde(MDA)and myeloperoxidase(MPO)in the colon,as well as increasing the levels of tight junction proteins(Occludin,Claudin-1,and ZO-1)in the colon.Moreover,administration of plant-based milk modulated the intestinal microbiota by promoting the relative levels of beneficial bacteria(Bifidobacterium),and inhibiting the harmful bacteria genus(Enterococcus).Furthermore,plant-based milk treatment significantly modulated glycerophospholipids metabolism(e.g.glycerophosphocholine)and arachidonic acid metabolism(e.g.prostaglandin G2 and arachidonic acid)in the serum.In conclusion,plant-based milk could alleviate antibiotic-related imbalance of barrier function damage,gut microbiota disorders and the reduction of metabolic disorders,which lays a foundation for exploring anti-inflammatory and intestinal micro-ecological approach to plant-based milk.
文摘Objective:To analyze the positive impact of pharmaceutical care in the ophthalmology perioperative period on the rational use of antibiotics.Methods:A total of 115 patients who underwent ophthalmological surgery between March and June 2023 were selected as the control group,receiving routine medication management.Another 115 patients who underwent ophthalmological surgery between July and October 2023 were selected as the observation group,receiving pharmaceutical care.The rationality of medication use,mastery of medication knowledge,medication compliance,and adverse reaction rates were compared between the two groups.Results:The observation group had higher rationality of medication use,higher scores for mastery of medication knowledge,higher medication compliance,and a lower adverse reaction rate compared to the control group(P<0.05).Conclusion:The combination of antibiotic therapy and pharmaceutical care in the ophthalmology perioperative period can improve the rationality of medication use,enhance patients’mastery of medication knowledge,increase their medication compliance,and prevent adverse reactions to antibiotics.
文摘Objective:To explore the adverse reactions associated with antibiotics and analyze strategies for their rational use.Methods:A retrospective analysis was conducted on 60 patients who experienced adverse reactions to antibiotics between August 2021 and August 2023.The types of antibiotics that caused adverse reactions were analyzed,and the symptoms of adverse reactions and measures for rational use of antibiotics were summarized.Results:Among the analyzed cases of adverse reactions to antibiotics,the highest rate was observed in patients aged 61–75 years,accounting for 38.33%,followed by patients aged 51–60 years,accounting for 20.00%.In terms of the types of antibiotics that caused adverse reactions,cephalosporins were the most common,accounting for 40.00%,followed by penicillins,accounting for 18.33%.Analysis of the systems involved in adverse reactions showed that skin and appendage disorders were the most common,accounting for 36.67%,followed by the digestive system,accounting for 28.33%.Conclusion:Irrational use of antibiotics can lead to adverse drug reactions.Therefore,it is necessary to analyze strategies for the rational use of antibiotics to reduce adverse drug reactions and ensure the safety of antibiotic use.
基金supported by the National Natural Science Foundation of China(Nos.52100062,and 52230001)China Postdoctoral Science Foundation(No.2023M732785).
文摘This study introduced a microwave-assisted pyrolysis method for the rapid and efficientpreparation of boron-doped porous biochar. The resulting biochar exhibited a large specificsurface area (933.39 m^(2)/g), a rich porous structure (1.044 cm3/g), and abundant active sites.Consequently, the prepared boron-doped porous biochar exhibited higher efficiency in adsorbingtetracycline with a maximum adsorption capacity of 413.223 mg/g, which significantlyexceeded that of unmodified biochar andmost commercial and reported adsorbents.The correlation analysis between the adsorption capacity and adsorbent characteristics revealedthat the formation of the –BCO_(2) group enhanced π–π electron donor–acceptor interactionsbetween boron-doped porous biochar and tetracycline. This mechanism mainlycontributed to the enhanced adsorption of tetracycline by boron-doped porous biochar. Additionally,the as-prepared boron-doped porous biochar exhibited broad applications in removingantibiotics (tetracycline), phenolics (bisphenol A), and dyes (methylene blue andrhodamine B). Moreover, the boron-doped porous biochar exhibited satisfactory stability,and its adsorption capacity can be nearly completely regenerated through simple heat treatment.This study provides new insights into the effectiveness of boron-doped carbonaceousmaterials in removing antibiotic contaminants.
基金supported by the Russian Science Foundation(No.22-16-00128),“Investigation of the Toxic Effect of Glyphosates on the Functional State of the Bird Intestinal Microbial Community,Their Growth and Development,and the Development of a Biological Product Based on the Glyphosate Degrading Strain”.
文摘Drugs and pesticide residues in broiler feed can compromise the therapeutic and production benefits of antibiotic(ANT)application and affect gene expression.In this study,we analyzed the expression of 13 key pancreatic genes and blood physiology parameters after administering one maximum residue limit of herbicide glyphosate(GLY),two ANTs,and one anticoccidial drug(AD).A total of 260 Ross 308 broilers aged 1-40 d were divided into the following four groups of 65 birds each:control group,which was fed the main diet(MD),and three experimental groups,which were fed MD supplemented with GLY,GLY+ANTs(enrofloxacin and colistin methanesulfonate),and GLY+AD(ammonium maduramicin),respectively.The results showed that the addition of GLY,GLY+ANTs,and GLY+AD caused significant changes in the expression of several genes of physiological and economic importance.In particular,genes related to inflammation and apoptosis(interleukin 6(IL6),prostaglandin-endoperoxide synthase 2(PTGS2),and caspase 6(CASP6))were downregulated by up to 99.1%,and those related to antioxidant protection(catalase(CAT),superoxide dismutase 1(SOD1)and peroxiredoxin 6(PRDX6))by up to 98.6%,compared to controls.There was also a significant decline in the values of immunological characteristics in the blood serum observed in the experimental groups,and certain changes in gene expression were concordant with changes in the functioning of the pancreas and blood.The changes revealed in gene expression and blood indices in response to GLY,ANTs,and AD provide insights into the possible mechanisms of action of these agents at the molecular level.Specifically,these changes may be indicative of physiological mechanisms to overcome the negative effects of GLY,GLY+ANTs,and GLY+AD in broilers.
文摘Objective:To analyze the effect of pharmacist-led rational drug use management of antibiotics during the perioperative period in gynecology.Methods:Two hundred patients who underwent gynecological surgery between March 2023 and December 2023 were selected and randomly divided into two groups.In the experimental group,the pharmacist led the medication management during the perioperative use of antibiotics,while the control group received routine antibiotic management.The management effects were compared between the two groups.Results:The irrational drug use rate,the incidence of adverse drug reactions,the cost of antibiotics,and the incidence of postoperative infection were all lower in the experimental group compared to the control group(P<0.05).Conclusion:Implementing pharmacist-led medication management during the perioperative period of gynecological surgery can prevent irrational drug use,reduce adverse drug reactions,control drug costs,and lower the risk of postoperative infection.
基金funded by the National Natural Science Foundation of China(Nos.52400245 and 5221101156)the National Key Research and Development Program of China(No.2017ZX07103)。
文摘The widespread occurrence of antibiotics in urban rivers has raised global concerns for ecological security.Quantitative source-specific risk apportionment of antibiotics is crucial for targeted and effective ecological risk management,but is rarely studied.In this study,a source-specific ecological risk apportionment model for antibiotics was developed by combining the ecological risk quotient(RQ)method and the positive matrix factorization(PMF)model.Based on twenty-two antibiotics in sixty-five water samples from thirteen sites in Beijing in wet and dry seasons,the spatial variation and probabilistic distribution of ecological risk associated with antibiotics were analyzed,and source-specific ecological risk was evaluated.Results showed that for the sum of all antibiotics,the mean concentration of all samples was 671.48 ng/L,and the lower limit of the 90%confidence interval of RQs was more than ten times the threshold for the high-risk level.The main sources were identified as domestic sewage,pharmaceutical wastewater and livestock discharge.It should be noted that higher contributions to antibiotic concentrations from sources do not always result in higher levels of ecological risk.Domestic sewage and livestock discharge contributed roughly equivalent amounts(36.17%and 37.59%,respectively)to antibiotic concentrations.However,domestic sewage was the most dominant source for risk(63.30%),and livestock discharge only contributed 7.37%to risk.The study found that evaluating the source-specific ecological risk associated with antibiotics is essential in addition to identifying their sources.The source-specific ecological risk apportionment model developed in this study is also referential for related studies.
基金Supported by Scientific Research Foundation of Shanghai Municipal Health Commission of Changning District,No.20234Y038Medical Science and Technology Research Foundation of Guangdong Province,China,No.C2022023.
文摘In this article, we have addressed the recent published article by Wang et al whichexamines risk factors associated with surgical site infections (SSIs) and evaluatesthe effectiveness of prophylactic antibiotics in their prevention. Wang et al identifiedseveral significant risk factors of SSIs, including age ≥ 60 years, diabetesmellitus, and surgical complications such as insufficient cystic duct stump closure,gallbladder perforation, empyema, and postoperative hematoma. Their findingssuggest that prophylactic antibiotics can serve as a protective factor against SSIs.However, other reported risk factors and preventive strategies warrant considerationto further reduce the incidence of SSIs, lower healthcare costs, and enhancepatient outcomes. Additionally, the judicious use of prophylactic antibioticsis crucial in light of the growing global challenge of antibiotic resistance caused bythe misuse and overuse of antibiotics. Effective management strategies forprophylactic antibiotic use should be prioritized to balance infection control withthe need to combat antimicrobial resistance.
基金the financial support from National Natural Science Foundation of China(Nos.52100204 and 52330005)Beijing Outstanding Young Scientist Program(No.BJJWZYJH01201910004016)。
文摘The widespread occurrence of antibiotics in wastewater aroused serious attention.UV-based advanced oxidation processes(UV-AOPs)are powerful technologies in removing antibiotics in wastewater,which include UV/catalyst,UV/H_(2)O_(2),UV/Fenton,UV/persulfate,UV/chlorine,UV/ozone,and UV/peracetic acid.In this review,we collated recent advances in application of UV-AOPs for the abatement of fiuoroquinolones(FQs)as widely used class of antibiotics.Representative FQs of ciprofioxacin,norfioxacin,ofioxacin,and enrofioxacin were most extensively studied in the state-of-art studies.The evolvement of gas-state and solid-state UV light sources was presented and batch and continuous fiow UV reactors were compared towards practical applications in UV-AOPs.Generally,degradation of FQs followed the pseudo-first order kinetics in UV-AOPs and strongly affected by the operating factors and components of water matrix.Participation of reactive species and transformation mechanisms of FQs were compared among different UV-AOPs.Challenges and future prospects were pointed out for providing insights into the practical application of UV-AOPs for antibiotic remediation in wastewater.
基金supported by the National Natural Science Foundation of China(No.U20A2047)the Key Research and Development Project for Tibet Autonomous Region(No.XZ202201ZY0003N)+2 种基金the National Key Research and Development Program of China(No.2022YFD1901402)the Lasa Science and Technology Bureau(No.LSKJ202206)the Foundation of Graduate Research and Innovation in Chongqing(No.CYB22127).
文摘The land application of livestock manure has been widely acknowledged as a beneficial approach for nutrient recycling and environmental protection.However,the impact of residual antibiotics,a common contaminant of manure,on the degradation of organic compounds and nutrient release in Eutric Regosol is not well understood.Here,we studied,how oxytetracycline(OTC)and ciprofloxacin(CIP)affect the decomposition,microbial community structure,extracellular enzyme activities and nutrient release from cattle and pig manure using litterbag incubation experiments.Results showed that OTC and CIP greatly inhibited livestock manure decomposition,causing a decreased rate of carbon(28%-87%),nitrogen(15%-44%)and phosphorus(26%-43%)release.The relative abundance of gramnegative(G-)bacteria was reduced by 4.0%-13%while fungi increased by 7.0%-71%during a 28-day incubation period.Co-occurrence network analysis showed that antibiotic exposure disrupted microbial interactions,particularly among G-bacteria,G+bacteria,and actinomycetes.These changes in microbial community structure and function resulted in decreased activity of urease,β-1,4-N-acetyl-glucosaminidase,alkaline protease,chitinase,and catalase,causing reduced decomposition and nutrient release in cattle and pig ma-nures.These findings advance our understanding of decomposition and nutrient recycling from manure-contaminated antibiotics,which will help facilitate sustainable agricultural production and soil carbon sequestration.
文摘BACKGROUND Surgical site infections(SSIs)are a significant complication in laparoscopic cholecystectomy(LC),affecting patient outcomes and healthcare costs.AIM To identify risk factors associated with SSIs and evaluate the effectiveness of prophylactic antibiotics in reducing these infections.METHODS A comprehensive retrospective evaluation was conducted on 400 patients who underwent LC from January 2022 to January 2024.Patients were divided into infected(n=36)and non-infected(n=364)groups based on the occurrence of SSIs.Data collected included age,diabetes mellitus status,use of prophylactic antibiotics,and specific surgical complications.Statistical analyses using SPSS(Version 27.0)involved univariate and multivariate logistic regression to determine factors influencing the risk of SSIs.RESULTS The use of prophylactic antibiotics significantly reduced the incidence of SSIs(χ²=68.34,P<0.01).Older age(≥60 years)and comorbidities such as diabetes mellitus were identified as significant risk factors.Surgical complications like insufficient cystic duct stump,gallbladder perforation,and empyema also increased SSI risk.Notably,factors such as intraoperative blood loss and operation time did not significantly impact SSI occurrence.CONCLUSION Prophylactic antibiotics are effective in reducing the risk of SSIs in patients undergoing LC.Age,diabetes mellitus,and certain surgical complications significantly contribute to the risk.Effective management of these risk factors is essential to improve surgical outcomes and reduce the incidence of SSIs.
文摘Solar-driven Fenton-like reactions are promising strategies for degrading pharmaceutical wastewater to address environmental challenges and antibiotic pollution.However,its efficacy is limited by suboptimal light absorption efficiency,rapid charge recombination,and inadequate interfacial charge transfer.In this study,an inorganic/organic S-scheme photo-Fenton system of pseudobrookite/carbon nitride(FTOCN)was synthesized via a hydrothermally coupled calcination process for the effective purification of tetracycline antibiotics under visible-light irradiation.The optimized FTOCN-2 heterostructure exhibits a significantly enhanced TC degradation capacity of 90%within 60 min.The rate constant of FTOCN-2 is 1.6 and 5.2 times greater than those of FTO and CN,respectively.Furthermore,FTOCN exhibits high antibacterial efficacy,highlighting its potential application in the purification of natural water.Measurements via a range of analytical techniques,including Kelvin probe force microscopy,density functional theory calculations,in situ X-ray photoelectron spectroscopy,and femtosecond transient absorption spectroscopy,corroborate the S-scheme mechanism.This study provides a novel perspective for the development of photo-Fenton systems with S-scheme heterojunctions for water purification.
基金supported by the National Natural Science Foundation of China(No.52173155)the Natural Science Foundation of Jilin Province(Nos.YDZJ202101ZYTS130,YDZJ202101ZYTS059)the Natural Science Foundation of Chongqing(Nos.cstc2021jcyj-msxmX1076,cstc2021jcyj-msxmX0798).
文摘A self-standing dual-electric field synergistic[TiO_(2)/polyvinylidene fluoride(PVDF)]//[g-C3 N4 tube/PVDF]Janus nanofibres(named as[TP]//[CTP]JNs)S-scheme heterostructure piezoelectric photocatalyst is designed and constructed via conjugative electrospinning.Dual-fields of built-in electric fields supplied by S-scheme heterostructure and piezoelectric field formed by PVDF jointly boost separation and transfer of photo-induced charges.As a case study,piezoelectric photocatalytic efficiency of[TP]//[CTP]JNs for tetracycline hydrochloride(TCH)under ultrasonic united with simulated sunlight illumination is 93.35%(40 min),which is 1.39 times of the photocatalytic efficiency(light illumination only)and 5.32 times of piezoelectric catalytic efficiency(applying ultrasonic only),proving the advantages of the synergistic effect of piezoelectric catalysis and photocatalysis on contaminant degradation.The dynamic behaviors of photocatalysis and photo-generated charges are deeply revealed through fs-TA and TRPL decay spectra,and the degradation pathways of antibiotics are reasonably speculated by combining LCMS spectra with Fukui index.By the degradation ability,COMSOL simulation and DFT calculation,the structural advantage of Janus nanofibers is fully verified,and S-scheme charge transfer mechanism is confirmed by combining a series of sound ample experiments with theoretical calculations.Additionally,the construction mechanism of Janus nanofibers is proposed,and corresponding construction technique is established.
