Sign in to use this feature.

Years

Between: -

Subjects

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Journals

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Article Types

Countries / Regions

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Search Results (1,335)

Search Parameters:
Keywords = N-gram

Order results
Result details
Results per page
Select all
Export citation of selected articles as:
23 pages, 3121 KiB  
Article
Seasonal Changes in the Soil Microbiome on Chernozem Soil in Response to Tillage, Fertilization, and Cropping System
by Andrea Balla Kovács, Evelin Kármen Juhász, Áron Béni, Costa Gumisiriya, Magdolna Tállai, Anita Szabó, Ida Kincses, Tibor Novák, András Tamás and Rita Kremper
Agronomy 2025, 15(8), 1887; https://doi.org/10.3390/agronomy15081887 - 5 Aug 2025
Abstract
Soil microbial communities are crucial for ecosystem services, soil fertility, and the resilience of agroecosystems. This study investigated how long-term (31 years) agronomic practices—tillage, NPK fertilization, and cropping system—along with measured environmental variables influence the microbial biomass and its community composition in Chernozem [...] Read more.
Soil microbial communities are crucial for ecosystem services, soil fertility, and the resilience of agroecosystems. This study investigated how long-term (31 years) agronomic practices—tillage, NPK fertilization, and cropping system—along with measured environmental variables influence the microbial biomass and its community composition in Chernozem soil under corn cultivation. The polyfactorial field experiment included three tillage treatments ((moldboard (MT), ripped (RT), strip (ST)), two fertilization regimes (NPK (N: 160; P: 26; K: 74 kg/ha), and unfertilized control) and two cropping systems (corn monoculture and corn–wheat biculture). The soil samples (0–30 cm) were collected in June and September 2023. Microbial biomass and community structure were quantified using phospholipid fatty acid (PLFA) analysis, which allowed the estimation of total microbial biomass and community composition (arbuscular mycorrhizal (AM) fungi, fungi, Gram-negative (GN) and Gram-positive (GP) bacteria, actinomycetes). Our results showed that microbial biomass increased from June to September, rising by 270% in unfertilized plots and by 135% in NPK-fertilized plots, due to higher soil moisture. Reduced tillage, especially ST, promoted significantly higher microbial biomass, with biomass reaching 290% and 182% of that in MT plots in June and September, respectively. MT had a higher ratio of bacteria-to-fungi compared to RT and ST, indicating a greater sensitivity of fungi to disturbance. NPK fertilization lowered soil pH by about one unit (to 4.1–4.8) and reduced microbial biomass—by 2% in June and 48% in September—compared to the control, with the particular suppression of AM fungi. The cropping system had a smaller overall effect on microbial biomass. Full article
Show Figures

Figure 1

16 pages, 459 KiB  
Article
Ceftazidime–Avibactam in Critically Ill Patients: A Multicenter Observational Study
by Olivieri Silvia, Mazzanti Sara, Gelo Signorino Gabriele, Pallotta Francesco, Ficola Andrea, Canovari Benedetta, Di Muzio Vanessa, Di Prinzio Michele, Cerutti Elisabetta, Donati Abele, Giacometti Andrea, Barchiesi Francesco and Brescini Lucia
Antibiotics 2025, 14(8), 797; https://doi.org/10.3390/antibiotics14080797 - 5 Aug 2025
Abstract
Ceftazidime–avibactam (CAZ-AVI) is a second-generation intravenous β-lactam/β-lactamase inhibitor combination. In recent years, substantial evidence has emerged regarding the efficacy and safety of CAZ-AVI. However, data on its use in critically ill patients remain limited. Background/Objectives: This multicenter, retrospective, observational cohort study was conducted [...] Read more.
Ceftazidime–avibactam (CAZ-AVI) is a second-generation intravenous β-lactam/β-lactamase inhibitor combination. In recent years, substantial evidence has emerged regarding the efficacy and safety of CAZ-AVI. However, data on its use in critically ill patients remain limited. Background/Objectives: This multicenter, retrospective, observational cohort study was conducted across four Intensive Care Units (ICUs) in three hospitals in the Marche region of Italy. The primary objective was to evaluate the 30-day clinical outcomes and identify risk factors associated with 30-day clinical failure—defined as death, microbiological recurrence, or persistence within 30 days after discontinuation of therapy—in critically ill patients treated with CAZ-AVI. Methods: The study included all adult critically ill patients admitted to the participating ICUs between January 2020 and September 2023 who received CAZ-AVI for at least 72 h for the treatment of a confirmed or suspected Gram-negative bacterial (GNB) infection. Results: Among the 161 patients included in the study, CAZ-AVI treatment resulted in a positive clinical outcome (i.e., clinical improvement and 30-day survival) in 58% of cases (n = 93/161), while the overall mortality rate was 24% (n = 38/161). Relapse or persistent infection occurred in a substantial proportion of patients (25%, n = 41/161). Notably, acquired resistance to CAZ-AVI was observed in 26% of these cases, likely due to suboptimal use of the drug in relation to its pharmacokinetic/pharmacodynamic (PK/PD) properties in critically ill patients. Furthermore, treatment failure was more frequent among immunosuppressed individuals, particularly liver transplant recipients. Conclusions: This study demonstrates that the mortality rate among ICU patients treated with this novel antimicrobial combination is consistent with findings from other studies involving heterogeneous populations. However, the rapid emergence of resistance underscores the need for vigilant surveillance and the implementation of robust antimicrobial stewardship strategies. Full article
Show Figures

Figure 1

12 pages, 639 KiB  
Article
Clinical Relevance of PCR Versus Culture in Urinary Tract Infections Diagnosis: Quantification Cycle as a Predictor of Bacterial Load
by Pallavi Upadhyay, Arjuna Vallabhaneni, Edward Ager, Barbara Alexander, Adriana Rosato and Vijay Singh
Diagnostics 2025, 15(15), 1939; https://doi.org/10.3390/diagnostics15151939 - 1 Aug 2025
Viewed by 217
Abstract
Background: Unambiguous clinical interpretation of PCR results for urinary tract infections (UTIs) remains a challenge. Here we compare and correlate multiplex qPCR results (quantification cycle values) with traditional microbial culture results (colony forming units) for clinical samples. Methods: Serial dilutions [10 [...] Read more.
Background: Unambiguous clinical interpretation of PCR results for urinary tract infections (UTIs) remains a challenge. Here we compare and correlate multiplex qPCR results (quantification cycle values) with traditional microbial culture results (colony forming units) for clinical samples. Methods: Serial dilutions [108 to 100 colony forming units (CFU)/mL] were performed on five Gram-negative and two Gram-positive UTI-causing bacterial pathogens. For each dilution, quantitative cultures on solid media to confirm CFU/mL values and a real-time PCR UTI panel employing a nanofluidic Open ArrayTM platform producing quantification cycle (Cq) values were performed. Cq values were correlated with CFU/mL values, generating a semi-quantitative interpretive scale for clinical samples. The clinical utility of the scale was then assessed using PCR and culture data from 168 clinical urine samples. Results: For Gram-negative bacteria, Cq values of <23, 23 to 28, and >28 corresponded with ≥105 CFU/mL, <105 CFU/mL and negative cultures, respectively. For Gram-positive bacteria, Cq values of <26, 26 to 30, and >30 corresponded with ≥105 CFU/mL, <105 CFU/mL and negative cultures, respectively. Among 168 urine specimens (including 138 Gram-negative and 30 Gram-positive bacteria), there was 83.3% agreement (n = 140/168) and 16.6% non-agreement (n = 28/168) between culture CFU/mL and qPCR Cq. Gram-negative bacteria had higher agreement (87.6%, 121/138) than Gram-positive bacteria (63.3%, 19/30). Conclusions: This study demonstrates that qPCR Cq results can be directly correlated with traditional urine quantitative culture results and reliably identify the clinically relevant cutoff of 105 CFU/mL for detected uropathogens. Full article
(This article belongs to the Special Issue Urinary Tract Infections: Advances in Diagnosis and Management)
Show Figures

Figure 1

18 pages, 2188 KiB  
Article
Rational Engineering of a Brevinin-2 Peptide: Decoupling Potency from Toxicity Through C-Terminal Truncation and N-Terminal Chiral Substitution
by Aifang Yao, Zeyu Zhang, Zhengmin Song, Yi Yuan, Xiaoling Chen, Chengbang Ma, Tianbao Chen, Chris Shaw, Mei Zhou and Lei Wang
Antibiotics 2025, 14(8), 784; https://doi.org/10.3390/antibiotics14080784 - 1 Aug 2025
Viewed by 98
Abstract
Background/Objectives: The clinical potential of antimicrobial peptides (AMPs) against dual threats like antimicrobial resistance (AMR) and cancer is often limited by their high host cell toxicity. Here, we focused on brevinin-2OS (B2OS), a novel peptide from the skin of Odorrana schmackeri with [...] Read more.
Background/Objectives: The clinical potential of antimicrobial peptides (AMPs) against dual threats like antimicrobial resistance (AMR) and cancer is often limited by their high host cell toxicity. Here, we focused on brevinin-2OS (B2OS), a novel peptide from the skin of Odorrana schmackeri with potent haemolytic activity. The objective was to study the structure–activity relationship and optimise the safety via targeted modifications. Methods: A dual-modification strategy involving C-terminal truncation and subsequent N-terminal D-amino acid substitution was employed. The bioactivities and safety profiles of the resulting analogues were evaluated using antimicrobial, haemolysis, and cytotoxicity assays. Result: Removal of the rana box in B2OS(1-22)-NH2 substantially reduced haemolysis while maintaining bioactivities. Remarkably, the D-leucine substitution in [D-Leu2]B2OS(1-22)-NH2 displayed a superior HC50 value of 118.1 µM, representing a more than ten-fold improvement compared to its parent peptide (HC50 of 10.44 µM). This optimised analogue also demonstrated faster bactericidal kinetics and enhanced membrane permeabilisation, leading to a greater than 22-fold improvement in its therapeutic index against Gram-positive bacteria. Conclusions: The C-terminal rana box is a primary determinant of toxicity rather than a requirement for activity in the B2OS scaffold. The engineered peptide [D-Leu2]B2OS(1-22)-NH2 emerges as a promising lead compound, and this dual-modification strategy provides a powerful design principle for developing safer, more effective peptide-based therapeutics. Full article
(This article belongs to the Section Antimicrobial Peptides)
Show Figures

Figure 1

23 pages, 978 KiB  
Article
Emotional Analysis in a Morphologically Rich Language: Enhancing Machine Learning with Psychological Feature Lexicons
by Ron Keinan, Efraim Margalit and Dan Bouhnik
Electronics 2025, 14(15), 3067; https://doi.org/10.3390/electronics14153067 - 31 Jul 2025
Viewed by 264
Abstract
This paper explores emotional analysis in Hebrew texts, focusing on improving machine learning techniques for depression detection by integrating psychological feature lexicons. Hebrew’s complex morphology makes emotional analysis challenging, and this study seeks to address that by combining traditional machine learning methods with [...] Read more.
This paper explores emotional analysis in Hebrew texts, focusing on improving machine learning techniques for depression detection by integrating psychological feature lexicons. Hebrew’s complex morphology makes emotional analysis challenging, and this study seeks to address that by combining traditional machine learning methods with sentiment lexicons. The dataset consists of over 350,000 posts from 25,000 users on the health-focused social network “Camoni” from 2010 to 2021. Various machine learning models—SVM, Random Forest, Logistic Regression, and Multi-Layer Perceptron—were used, alongside ensemble techniques like Bagging, Boosting, and Stacking. TF-IDF was applied for feature selection, with word and character n-grams, and pre-processing steps like punctuation removal, stop word elimination, and lemmatization were performed to handle Hebrew’s linguistic complexity. The models were enriched with sentiment lexicons curated by professional psychologists. The study demonstrates that integrating sentiment lexicons significantly improves classification accuracy. Specific lexicons—such as those for negative and positive emojis, hostile words, anxiety words, and no-trust words—were particularly effective in enhancing model performance. Our best model classified depression with an accuracy of 84.1%. These findings offer insights into depression detection, suggesting that practitioners in mental health and social work can improve their machine learning models for detecting depression in online discourse by incorporating emotion-based lexicons. The societal impact of this work lies in its potential to improve the detection of depression in online Hebrew discourse, offering more accurate and efficient methods for mental health interventions in online communities. Full article
(This article belongs to the Special Issue Techniques and Applications of Multimodal Data Fusion)
Show Figures

Figure 1

15 pages, 1374 KiB  
Article
Nutrient Recovery from Dairy Processing Wastewater Using Biochar
by Toby Shapiro Ellis, Md Sydur Rahman, Michael Ingram, Shane McIntosh and Dirk Erler
Water 2025, 17(15), 2250; https://doi.org/10.3390/w17152250 - 28 Jul 2025
Viewed by 166
Abstract
In this study, we examined the capacity of magnesium-amended biochar to recover nutrients from dairy processing wastewater (DPW). Our results suggest that biochar engineered with magnesium (Mg–BC) was successful at recovering over 3 mg of PO43−-P per gram of biochar [...] Read more.
In this study, we examined the capacity of magnesium-amended biochar to recover nutrients from dairy processing wastewater (DPW). Our results suggest that biochar engineered with magnesium (Mg–BC) was successful at recovering over 3 mg of PO43−-P per gram of biochar (96%) in synthetic and raw DPW through a combination of adsorption and chemical precipitation. The addition of Mg–BC to increase the pH of the synthetic and raw DPW was likely important in promoting chemical precipitation and increased nutrient recovery. The Mg-dosed biochar also recovered 1.7 mg of NH4+-N per gram of biochar (24%) from raw DPW. However, the raw biochar (R-BC) was only capable of recovering a maximum of 0.5 mg of PO43−-P and an insignificant amount (˂0.1 mg) of NH4+-N per gram of biochar. Full article
(This article belongs to the Section Wastewater Treatment and Reuse)
Show Figures

Graphical abstract

32 pages, 465 KiB  
Article
EsCorpiusBias: The Contextual Annotation and Transformer-Based Detection of Racism and Sexism in Spanish Dialogue
by Ksenia Kharitonova, David Pérez-Fernández, Javier Gutiérrez-Hernando, Asier Gutiérrez-Fandiño, Zoraida Callejas and David Griol
Future Internet 2025, 17(8), 340; https://doi.org/10.3390/fi17080340 - 28 Jul 2025
Viewed by 164
Abstract
The rise in online communication platforms has significantly increased exposure to harmful discourse, presenting ongoing challenges for digital moderation and user well-being. This paper introduces the EsCorpiusBias corpus, designed to enhance the automated detection of sexism and racism within Spanish-language online dialogue, specifically [...] Read more.
The rise in online communication platforms has significantly increased exposure to harmful discourse, presenting ongoing challenges for digital moderation and user well-being. This paper introduces the EsCorpiusBias corpus, designed to enhance the automated detection of sexism and racism within Spanish-language online dialogue, specifically sourced from the Mediavida forum. By means of a systematic, context-sensitive annotation protocol, approximately 1000 three-turn dialogue units per bias category are annotated, ensuring the nuanced recognition of pragmatic and conversational subtleties. Here, annotation guidelines are meticulously developed, covering explicit and implicit manifestations of sexism and racism. Annotations are performed using the Prodigy tool (v1. 16.0) resulting in moderate to substantial inter-annotator agreement (Cohen’s Kappa: 0.55 for sexism and 0.79 for racism). Models including logistic regression, SpaCy’s baseline n-gram bag-of-words model, and transformer-based BETO are trained and evaluated, demonstrating that contextualized transformer-based approaches significantly outperform baseline and general-purpose models. Notably, the single-turn BETO model achieves an ROC-AUC of 0.94 for racism detection, while the contextual BETO model reaches an ROC-AUC of 0.87 for sexism detection, highlighting BETO’s superior effectiveness in capturing nuanced bias in online dialogues. Additionally, lexical overlap analyses indicate a strong reliance on explicit lexical indicators, highlighting limitations in handling implicit biases. This research underscores the importance of contextually grounded, domain-specific fine-tuning for effective automated detection of toxicity, providing robust resources and methodologies to foster socially responsible NLP systems within Spanish-speaking online communities. Full article
(This article belongs to the Special Issue Deep Learning and Natural Language Processing—3rd Edition)
Show Figures

Figure 1

20 pages, 2984 KiB  
Article
Influence of Rice–Crayfish Co-Culture Systems on Soil Properties and Microbial Communities in Paddy Fields
by Dingyu Duan, Dingxuan He, Liangjie Zhao, Chenxi Tan, Donghui Yang, Wende Yan, Guangjun Wang and Xiaoyong Chen
Plants 2025, 14(15), 2320; https://doi.org/10.3390/plants14152320 - 27 Jul 2025
Viewed by 383
Abstract
Integrated rice–crayfish (Oryza sativaProcambarus clarkii) co-culture (RC) systems have gained prominence due to their economic benefits and ecological sustainability; however, the interactions between soil properties and microbial communities in such systems remain poorly understood. This study evaluated the effects [...] Read more.
Integrated rice–crayfish (Oryza sativaProcambarus clarkii) co-culture (RC) systems have gained prominence due to their economic benefits and ecological sustainability; however, the interactions between soil properties and microbial communities in such systems remain poorly understood. This study evaluated the effects of the RC systems on soil physicochemical characteristics and microbial dynamics in paddy fields of southern Henan Province, China, over the 2023 growing season and subsequent fallow period. Using a randomized complete design, rice monoculture (RM, as the control) and RC treatments were compared across replicated plots. Soil and water samples were collected post-harvest and pre-transplanting to assess soil properties, extracellular enzyme activity, and microbial community structure. Results showed that RC significantly enhanced soil moisture by up to 30.2%, increased soil porosity by 9.6%, and nearly tripled soil organic carbon compared to RM. The RC system consistently elevated nitrogen (N), phosphorus (P), and potassium (K) throughout both the rice growth and fallow stages, indicating improved nutrient availability and retention. Elevated extracellular enzyme activities linked to carbon, N, and P cycling were observed under RC, with enzymatic stoichiometry revealing increased microbial nutrient limitation intensity and a shift toward P limitation. Microbial community composition was significantly altered under RC, showing increased biomass, a higher fungi-to-bacteria ratio, and greater relative abundance of Gram-positive bacteria, reflecting enhanced soil biodiversity and ecosystem resilience. Further analyses using the Mantel test and Random Forest identified extracellular enzyme activities, PLFAs, soil moisture, and bulk density as major factors shaping microbial communities. Redundancy analysis (RDA) confirmed that total potassium (TK), vector length (VL), soil pH, and total nitrogen (TN) were the strongest environmental predictors of microbial variation, jointly explaining 74.57% of the total variation. Our findings indicated that RC improves soil physicochemical conditions and microbial function, thereby supporting sustainable nutrient cycling and offering a promising, environmentally sound strategy for enhancing productivity and soil health in rice-based agro-ecosystems. Full article
Show Figures

Figure 1

14 pages, 6271 KiB  
Article
Intestinal Alkaline Phosphatase Expression in Response to Escherichia coli Infection in Nursery Pigs
by Sireethon Maksin, Attapon Kamlangdee, Alongkot Boonsoongnern and Prapassorn Boonsoongnern
Animals 2025, 15(15), 2179; https://doi.org/10.3390/ani15152179 - 24 Jul 2025
Viewed by 243
Abstract
Intestinal alkaline phosphatase (IAP) is a brush border enzyme secreted by enterocytes, playing a crucial role in maintaining gut mucosal defense. This study investigated the expression dynamics of IAP in the small intestine of pigs challenged with Escherichia coli (E. coli) K88, compared [...] Read more.
Intestinal alkaline phosphatase (IAP) is a brush border enzyme secreted by enterocytes, playing a crucial role in maintaining gut mucosal defense. This study investigated the expression dynamics of IAP in the small intestine of pigs challenged with Escherichia coli (E. coli) K88, compared to healthy controls. Five-week-old pigs (n = 8) were orally administered E. coli K88 at a concentration of 2 × 108 CFU/mL, with a dose of 2 mL per pig at 0 and 24 h. Five days post-challenge, tissue samples from the duodenum, jejunum, and ileum were collected for mucosal morphometric analysis and evaluation of IAP expression via immunohistochemistry, Western blotting, and real-time PCR. The results revealed the presence of IAP on the apical surface of villi throughout the small intestine, along with significantly upregulated IAP expression in E. coli-challenged pigs compared to controls. These findings suggest that Gram-negative bacteria such as E. coli can induce IAP expression, likely through lipopolysaccharide (LPS) stimulation, thereby enhancing its enzymatic activity as part of the intestinal defense mechanism. This study provides insight into the protective role of IAP and highlights its potential as a biomarker for assessing gut health and diagnosing enteric infections in animals. Full article
(This article belongs to the Section Pigs)
Show Figures

Figure 1

11 pages, 1067 KiB  
Article
Assessment of the Anti-Biofilm Effect of Cefiderocol Against 28 Clinical Strains of Multidrug-Resistant Gram-Negative Bacilli
by Marta Díaz-Navarro, Emilia Cercenado, Andrés Visedo, Mercedes Marín, Marina Machado, Álvaro Irigoyen-von-Sierakowski, Belén Loeches, Juana Cacho-Calvo, Julio García-Rodríguez, Enea G. Di Domenico, Patricia Muñoz and María Guembe
Antibiotics 2025, 14(8), 738; https://doi.org/10.3390/antibiotics14080738 - 23 Jul 2025
Viewed by 265
Abstract
Objectives: Cefideroccol (FDC) is a siderophore cephalosporin with potent antibacterial activity against a wide range of Gram-negative multidrug-resistant (MDR) microorganisms. We investigated the anti-biofilm capacity of FDC against clinical strains. Methods: This multicenter study was conducted on 28 selected strains of [...] Read more.
Objectives: Cefideroccol (FDC) is a siderophore cephalosporin with potent antibacterial activity against a wide range of Gram-negative multidrug-resistant (MDR) microorganisms. We investigated the anti-biofilm capacity of FDC against clinical strains. Methods: This multicenter study was conducted on 28 selected strains of MDR Gram-negative bacilli isolated from clinical samples of Pseudomonas aeruginosa (n = 5), Acinetobacter baumannii (n = 11), and Klebsiella pneumoniae (n = 12). We first determined the minimum inhibitory concentration (MIC) of each strain using the microdilution method. We also defined the minimum biofilm inhibitory concentration (MBIC) as a ≥50% reduction in tetrazolium salt (XTT) (as recommended in the 2017 Spanish Microbiology Protocols [SEIMC] for the microbiological diagnosis of infections related to the formation of biofilms). We also analyzed the reduction in the following biofilm variables after an 8 mg/mL FDC treatment: the CFU count, the cell viability, the biomass, the metabolic activity, and extracellular α or β polysaccharides. Results: The MIC50 and MBIC50 of FDC were 0.5 mg/L and 64 mg/L, respectively. We observed a mean (SD) fold increase in the susceptibility to FDC between planktonic and sessile cells for P. aeruginosa, A. baumannii, and K. pneumoniae of 9.60 (0.55), 6.27 (2.28), and 6.25 (2.80), respectively. When 8 mg/mL of FDC was tested, we observed that the best median (IQR) percentage reductions were obtained for cell viability and the extracellular matrix (73.1 [12.4–86.5] and 79.5 [37.3–95.5], respectively), particularly for P. aeruginosa. The lowest percentage reduction rates were those obtained for biomass. Conclusions: We demonstrated that the susceptibility to FDC was significantly reduced when strains were in a biofilm state. The best percentage reduction rates for all biofilm-defining variables were observed for P. aeruginosa. Our results need to be validated using a larger collection of clinical samples. Full article
Show Figures

Figure 1

16 pages, 296 KiB  
Article
The Impact of Synbiotics on the Bacterial Flora During the Course of Chronic Sinusitis
by Karolina Goroszkiewicz, Grażyna Lisowska, Grażyna Stryjewska-Makuch, Olga Karłowska-Bijak and Maciej Misiołek
Medicina 2025, 61(7), 1306; https://doi.org/10.3390/medicina61071306 - 20 Jul 2025
Viewed by 267
Abstract
Background and objectives: Chronic rhinosinusitis (CRS) is a multifactorial inflammatory condition often associated with microbiome imbalance (dysbiosis). Recent studies highlight the potential role of synbiotics—combinations of probiotics and prebiotics—in modulating the microbiota and supporting immune responses. The authors of this study aimed [...] Read more.
Background and objectives: Chronic rhinosinusitis (CRS) is a multifactorial inflammatory condition often associated with microbiome imbalance (dysbiosis). Recent studies highlight the potential role of synbiotics—combinations of probiotics and prebiotics—in modulating the microbiota and supporting immune responses. The authors of this study aimed to evaluate the impact of oral synbiotic supplementation on the sinus microbiota in patients undergoing endoscopic sinus surgery (ESS) for CRS. Materials and Methods: A total of 425 adult patients with CRS were enrolled in a multicenter retrospective study. According to EPOS 2020 guidelines, participants qualified for ESS. The intervention group (n = 194) received a synbiotic preparation for 6–8 weeks before and after surgery; the control group (n = 231) received no supplementation. Intraoperative and follow-up bacteriological samples were collected and analyzed. Statistical analysis included chi-square, t-tests, Wilcoxon tests, and ANOVA models. Results: Patients receiving synbiotics showed a significant reduction in pathogenic bacterial colonies postoperatively compared to the control group. In the synbiotic group coagulase-negative staphylococci appeared more frequently. Patients in the synbiotic group required significantly less postoperative antibiotic therapy (p < 0.05). Both groups exhibited an increase in Gram-positive and physiological flora and a decrease in Gram-negative bacteria following ESS. Conclusions: Synbiotic supplementation may beneficially influence the composition of the sinus microbiota and reduce pathogenic bacterial colonization following ESS. The findings suggest that synbiotics could serve as a supportive strategy in CRS treatment, potentially decreasing the need for postoperative antibiotics. Full article
(This article belongs to the Section Translational Medicine)
26 pages, 477 KiB  
Review
Global Epidemiology and Antimicrobial Resistance of Klebsiella Pneumoniae Carbapenemase (KPC)-Producing Gram-Negative Clinical Isolates: A Review
by Matthew E. Falagas, Christina-Maria Asimotou, Maria Zidrou, Dimitrios S. Kontogiannis and Charalampos Filippou
Microorganisms 2025, 13(7), 1697; https://doi.org/10.3390/microorganisms13071697 - 19 Jul 2025
Viewed by 610
Abstract
Klebsiella pneumoniae carbapenemases (KPCs) are a group of class A β-lactamases of Gram-negative bacteria leading to difficult-to-treat infections. We evaluated the global epidemiology of KPC-producing Gram-negative clinical isolates. A systematic search of six databases (Cochrane Library, Embase, Google Scholar, PubMed, Scopus, and Web [...] Read more.
Klebsiella pneumoniae carbapenemases (KPCs) are a group of class A β-lactamases of Gram-negative bacteria leading to difficult-to-treat infections. We evaluated the global epidemiology of KPC-producing Gram-negative clinical isolates. A systematic search of six databases (Cochrane Library, Embase, Google Scholar, PubMed, Scopus, and Web of Science) was conducted. Extracted data were tabulated and evaluated. After screening 1993 articles, 119 were included in the study. The included studies originated from Asia (n = 49), Europe (n = 29), North America (n = 14), South America (n = 11), and Africa (n = 3); 13 studies were multicontinental. The most commonly reported KPC-producing species were Klebsiella pneumoniae (96 studies) and Escherichia coli (52 studies), followed by Enterobacter cloacae (31), Citrobacter spp. (24), Klebsiella oxytoca (23), Serratia spp. (15), Enterobacter spp. (15), Acinetobacter baumannii complex (13), Providencia spp. (11), Morganella spp. (11), Klebsiella aerogenes (9), Pseudomonas aeruginosa (8), Raoultella spp. (8), Proteus spp. (8), and Enterobacter aerogenes (6). Among the studies with specific blaKPC gene detection, 52/57 (91%) reported the isolation of blaKPC-2 and 26/57 (46%) reported blaKPC-3. The antimicrobial resistance of the studied KPC-producing isolates was the lowest for ceftazidime–avibactam (0–4%). Resistance to polymyxins, tigecycline, and trimethoprim–sulfamethoxazole in the evaluated studies was 4–80%, 0–73%, and 5.6–100%, respectively. Conclusions: The findings presented in this work indicate that KPC-producing Gram-negative bacteria have spread globally across all continents. Implementing proper infection control measures, antimicrobial stewardship programs, and enhanced surveillance is crucial. Full article
(This article belongs to the Special Issue ß-Lactamases, 3rd Edition)
Show Figures

Figure 1

7 pages, 788 KiB  
Case Report
Nocardia cyriacigeorgica in a Mallard (Anas platyrhynchos) from Arizona, USA
by Susan Knowles, Brenda M. Berlowski-Zier, Anne Justice-Allen, Barbara L. Bodenstein and Jeffrey M. Lorch
Pathogens 2025, 14(7), 698; https://doi.org/10.3390/pathogens14070698 - 15 Jul 2025
Viewed by 307
Abstract
Nocardia spp. are opportunistic pathogens of humans, domestic animals, and wildlife that can cause high levels of morbidity and mortality. Here, we present a unique case of nocardial airsacculitis in a free-ranging mallard (Anas platyrhynchos) from Arizona, USA, and compare it [...] Read more.
Nocardia spp. are opportunistic pathogens of humans, domestic animals, and wildlife that can cause high levels of morbidity and mortality. Here, we present a unique case of nocardial airsacculitis in a free-ranging mallard (Anas platyrhynchos) from Arizona, USA, and compare it to the hosts, geographic distribution, diagnostic methodology, and infection site of known nocardiosis cases in birds. A gross necropsy, histopathology, and bacterial culture were performed. There were no gross findings associated with the nocardiosis. Histopathology showed multiple granulomas expanding the air sac with intralesional filamentous bacteria that were Grocott’s methenamine silver-positive, Fite–Faraco and Ziehl–Neelsen acid-fast, positive with the Periodic acid–Schiff reaction, and variably Gram-positive. The organism was isolated in culture and identified as Nocardia cyriacigeorgica based on the sequencing of a 463 bp portion of the 16S rRNA gene. While reports of nocardiosis in the class Aves are rare and some are possibly misdiagnosed due to limited diagnostics, cases are reported globally, sometimes resulting in epizootics. More information is needed to understand whether immunosuppression plays a role in disease development in birds. Known to be an emerging pathogen in humans, N. cyriacigeorgica can be considered as a differential diagnosis for pulmonary and potentially cutaneous or disseminated infections in birds. Full article
Show Figures

Figure 1

26 pages, 3391 KiB  
Article
Poly(hydromethylsiloxane) Networks Functionalized by N-allylaniline
by Anita Wysopal, Maria Owińska, Ewa Stodolak-Zych, Mariusz Gackowski and Magdalena Hasik
Int. J. Mol. Sci. 2025, 26(14), 6700; https://doi.org/10.3390/ijms26146700 - 12 Jul 2025
Viewed by 195
Abstract
Polymers containing biocidal moieties (e.g., amino or ammonium groups) are considered promising materials that can help combat the growing resistance of pathogens to commonly used antimicrobials. Searching for new polymeric biocides, in this work, non-porous and porous poly(hydromethylsiloxane) (PHMS) networks were prepared and [...] Read more.
Polymers containing biocidal moieties (e.g., amino or ammonium groups) are considered promising materials that can help combat the growing resistance of pathogens to commonly used antimicrobials. Searching for new polymeric biocides, in this work, non-porous and porous poly(hydromethylsiloxane) (PHMS) networks were prepared and post-functionalized by N-allylaniline (Naa). Non-porous networks were obtained by cross-linking PHMS in the bulk and porous—in W/O high-internal-phase emulsion (HIPE). Linear divinyldisiloxane (M2Vi) or cyclic tetravinyltetrasiloxane (D4Vi) were used as cross-linkers. Studies confirmed the expected non-porous and open macroporous microstructure of the initial networks. They also showed that functionalization by Naa was more efficient for the non-porous networks that swelled to lower extents in toluene and contained higher amounts of Si-H groups than the porous ones. In the reactions with benzyl chloride or 1-bromoctane, some amino groups present in these materials were transformed to ammonium groups. It was found that activity against Gram-positive S. aureus and Gram-negative E. coli bacteria depended on the functionalization degree, cross-linking level and the microstructure of the modified materials. Full article
Show Figures

Figure 1

14 pages, 258 KiB  
Article
Evaluation of Infections Caused by Carbapenem-Resistant Pseudomonas aeruginosa, Acinetobacter baumannii, and Klebsiella pneumoniae in an Intensive Care Unit: A Retrospective Study
by Elif Kerimoglu, Tuba Catak and Anil Kilinc
Antibiotics 2025, 14(7), 700; https://doi.org/10.3390/antibiotics14070700 - 12 Jul 2025
Viewed by 519
Abstract
Objectives: Carbapenem-resistant Gram-negative bacteria (CR-GNB) infections in intensive care units (ICUs) are increasingly prevalent and associated with high mortality. This study aimed to investigate the distribution of isolated bacteria and determine the factors associated with mortality among ICU patients diagnosed with CR-GNB infections. [...] Read more.
Objectives: Carbapenem-resistant Gram-negative bacteria (CR-GNB) infections in intensive care units (ICUs) are increasingly prevalent and associated with high mortality. This study aimed to investigate the distribution of isolated bacteria and determine the factors associated with mortality among ICU patients diagnosed with CR-GNB infections. Methods: This retrospective study included 95 patients admitted to the ICU between February 2022 and July 2024 who were diagnosed with CR-GNB infections via culture and initiated on treatment. Thirty-day mortality was defined as the clinical outcome, and patients were divided into two groups: survivors (Group 1, n = 42) and deceased (Group 2, n = 53). Demographic, clinical, laboratory, and microbiological data were analyzed. Results: Advanced age, the presence of malignancy, an elevated Charlson Comorbidity Index (CCI), lower platelet counts, and higher C-reactive protein (CRP) levels were significantly associated with mortality (p < 0.05). Trauma-related admissions were more common among survivors, while sepsis-related admissions predominated among non-survivors. No statistically significant associations were observed between antibiotic regimen type and mortality. Culture-based pathogen distribution revealed A. baumannii as the predominant organism in respiratory samples, while K. pneumoniae was more frequently isolated from bloodstream and urinary specimens. Conclusions: Mortality in ICU patients with CR-GNB infections is influenced by both baseline comorbidities and infection-related inflammatory markers. This study provides region-specific insights from a high-resistance ICU setting and may inform risk stratification, prognostication, and management strategies in critically ill patients with CR-GNB infections. Full article
(This article belongs to the Section Antibiotic Therapy in Infectious Diseases)
Show Figures

Graphical abstract

Back to TopTop