The occurrence, temporal variation, and spatial variation of antibiotics in coastal bays and estuaries worldwide are not well documented or understood. Fifteen target antibiotics within the five classes of β-lactams, amphenicols, macrolides, fluoroquinolones, and sulfonamides were measured during the summer and winter in the water of Jiaozhou Bay in China, which is a semi-enclosed urbanized bay. Fourteen antibiotics (excluding tylosin) were detected, thus demonstrating the widespread occurrence of their residues in the bay. The total antibiotic concentration ranged from 71.8 ng L to 840 ng L for the estuarine water, which was significantly higher than that for the bay water (38.7-181 ng L). The antibiotic classes in the bay water were dominated by fluoroquinolones and β-lactams, which accounted for nearly 90% of the total antibiotic concentration. In addition, amoxicillin contamination was the most prominent among the 14 detected antibiotics as it accounted for ~44% of the total antibiotic concentration. The concentrations of amoxicillin, leucomycin, enrofloxacin, and sulfamonomethoxine in the bay water were usually higher than those reported for coastal bays and estuaries worldwide. The average total antibiotic concentration in the bay water was 84.7 ng L during the summer, which was significantly lower than that during the winter (129.0 ng L). This was mainly due to high dilution by runoff during the summer. The florfenicol concentration in the bay water was significantly higher during the summer than in winter due to its higher usage in aquaculture during the summer. Spatially, the total antibiotic concentration (both summer and winter) was higher in the water along the eastern coast of the bay, where the population and hospital densities are high. However, the sum of the veterinary antibiotic concentrations was higher in the northeastern aquaculture area of the bay during the summer. A risk assessment revealed that amoxicillin and enrofloxacin could pose high risks (risk quotient of > 1) to algae in the bay. The synergic effects of pharmaceutical mixtures and the bioaccumulation of antibiotics through the food web should be considered in future studies.
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http://dx.doi.org/10.1016/j.watres.2020.116187 | DOI Listing |
Intensive Care Med Exp
January 2025
Freie Universität Berlin and Humboldt-Universität Zu Berlin, Department of Anesthesiology and Intensive Care Medicine, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany.
Purpose: CytoSorb® (CS) adsorbent is a hemoadsorption filter for extracorporeal blood purification often integrated into continuous kidney replacement therapy (CKRT). It is primarily used in critically ill patients with sepsis and related conditions, including cytokine storms and systemic inflammatory responses. Up to now, there is no evidence nor recommendation for the use of CS filters in sepsis (22).
View Article and Find Full Text PDFLett Appl Microbiol
January 2025
Department of Veterinary Microbiology, West Bengal University of Animal and Fishery Sciences, 37, K.B. Sarani, Belgachia, Kolkata, West Bengal, India.
The study was conducted to detect the occurrence and phenotypic resistance pattern of ESBL-producing Enterobacteriaceae in livestock using docking based analysis to reveal the classes of antibiotics against which ESBL-producers are active. Rectal swabs from healthy cattle (n=100), goats (n=88), pigs (n=66) were collected from backyard farms in Andaman and Nicober island (India). In total, 304 isolates comprising E.
View Article and Find Full Text PDFJ Coll Physicians Surg Pak
January 2025
Department of Pathology, Jinnah Sindh Medical University, Karachi, Pakistan.
Objective: To determine the clinical microbial synergy in skin and soft tissue infections (SSTIs) based on bacterial groups and explore the likelihood ratios of clinical parameters.
Study Design: Descriptive cross-sectional study. Place and Duration of the Study: The study was conducted at the Department of Microbiology, University of Karachi in collaboration with Jinnah Postgraduate Medical Centre, and Jinnah Sindh Medical University, Karachi, Pakistan, from June 2023 to May 2024.
Ann Pharmacother
January 2025
Department of Pharmacy, Methodist Charlton Medical Center, Methodist Health System, Dallas, TX, USA.
Background: Pharmacy-to-dose (PTD) services describe an established practice where providers consult pharmacists for various medication dosing. In 2019, several institutions approved a daptomycin protocol, which allowed pharmacists to select doses based on provider-selected indications, renal function, and body mass index (BMI).
Objective: This study aims to determine the utility of a daptomycin PTD consult service.
Crit Care
January 2025
Department of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Background: Carbapenem-Resistant Gram-Negative Bacteria, including Carbapenem-Resistant Enterobacterales (CRE) and Carbapenem-Resistant Pseudomonas aeruginosa (CRPA), are common causes of infections in intensive care units (ICUs) in Italy.
Objective: This prospective observational study evaluated the epidemiology, management, microbiological characterization, and outcomes of hospital-acquired CRE or CRPA infections treated in selected ICUs in Italy.
Methods: The study included patients with hospital-acquired infections due to CRE and CRPA treated in 20 ICUs from June 2021 to February 2023.
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