Search Results (241)

Aerosol-generating procedures (AGPs) expose healthcare personnel to airborne pathogens and require portable engineering controls that can be integrated into routine clinical workflows. We developed a portable, foldable negative-pressure aerosol-containment system (FNPACS) combining adaptive fan control, an H14 high-efficiency particulate air (HEPA) filter, and a disposable metal-oxide prefilter in a mobile filtration module. Bench performance was evaluated using pressure-flow testing in accordance with National Environmental Balancing Bureau (NEBB) procedures and International Organization for Standardization (ISO) 14644-3, polyalphaolefin aerosol challenge testing, and smoke visualization, while an exploratory clinical study assessed environmental contamination via real-time reverse-transcription PCR (rRT-PCR) in 11 patients (31 assay analyses). Bench testing demonstrated HEPA filtration efficiencies of 99.994–99.997%, stable negative-pressure generation across fan duty cycles, no detectable downstream breakthrough beyond the HEPA filter under the tested conditions, and effective inward airflow on smoke testing. A Lagrangian discrete phase model (DPM) particle-tracking simulation further characterized size-dependent aerosol-surrogate transport. Under HEPA-ON active-extraction conditions, 73.0–86.1% of simulated 0.3–10 µm water-equivalent particles were transported to the HEPA suction pathway, while 13.9–27.0% were deposited on internal wall surfaces. In the clinical evaluation, SARS-CoV-2 RNA detection on environmental swabs was limited and predominantly low level. The clearest reproducible signal occurred on the top interior surface under HEPA-OFF conditions, whereas HEPA-ON detections were isolated or presumptive high-Ct signals without reproducible confirmation. These findings provide preliminary engineering and usability support for FNPACS as a feasible near-source aerosol-control platform for AGPs. The patient swab component should be interpreted as an exploratory, proof-of-concept assessment rather than confirmatory evidence of clinical containment efficiency because several clinical cases had non-supportive patient-related controls and were therefore not used in the primary containment interpretation. Full article

Background/objectives: Obesity is a multifactorial condition influenced by interactions between genetic susceptibility and environmental factors. The fat mass and obesity-associated (FTO) gene has been widely linked to obesity risk, particularly the rs9939609 polymorphism, which is associated with higher body mass index (BMI) and adiposity. However, evidence in adolescents remains inconsistent, and lifestyle factors such as physical activity and diet may modify genetic risk. The objectives of this study were: (i) to examine the influence of environmental, genetic, physical activity, and dietary factors on the BMI and overweight-related variables of adolescents, and (ii) to assess the impact of the rs9939609 polymorphism in the FTO gene on these variables. Methods: A cross-sectional study was conducted involving 206 adolescents aged 12 to 16 years. Body mass index (BMI), physical fitness, physical activity levels, adherence to the Mediterranean diet, mobile phone usage, and FTO rs9939609 genotyping from buccal swabs were collected. Results: No significant associations were found between the FTO genotype and BMI, or with physical activity, mobile phone usage and dietary habits. Boys showed higher physical fitness and physical activity levels than girls (p < 0.05). The only factor significantly associated with BMI was regular breakfast consumption: adolescents who habitually ate breakfast had a lower prevalence of overweight (χ² = 7.98, p = 0.005). Conclusions: The rs9939609 polymorphism in the FTO gene was not associated with overweight in this adolescent cohort. The findings underscore the relevance of healthy behaviours, particularly regular breakfast consumption and physical activity, especially among boys, as factors potentially associated with lower prevalence of overweight during adolescence. Full article

Background: Human hospitals and veterinary centres are hotspots for resistant microbes and plasmids, and metagenomic sequencing offers an agnostic insight into microbiomes, resistomes, and mobilomes, informing strategies for reducing AMR spread. Methods: Environmental samples, including wastewater and surface swabs, were taken from a tertiary human hospital ward (36 samples) and a companion animal veterinary hospital (48 samples) in London. Whole DNA was extracted and metagenomic sequencing undertaken using Oxford Nanopore Technologies’ MinION. Data were analyzed for microbiomes, resistomes and mobilomes and compared. Results: Microbial diversity analyses highlight higher richness across human hospital (HH) environmental samples, but more evenness in veterinary hospital (VH) environmental samples. Diversity showed distinct microbial communities in the HH and VH samples. There were significantly more total antimicrobial resistance gene (ARG) types (p < 0.0001) in the environmental HH samples compared with the environmental VH samples. There was a significantly higher mean number of Enterobacteriales plasmid types (p ≤ 0.0001) in the HH samples. There were significantly more total Gram-Positive plasmid types (p ≤ 0.0001) in the VH samples. Discussion: This research highlights the presence of human and animal pathogens, ARGs and mobile genetic elements in clinical environments, underscoring the importance of multisectoral surveillance. Integrating taxonomic, resistome, and mobilome analyses provides a better understanding of the potential for AMR dissemination at the human–animal–environment interface. This provides insights relevant for the development of targeted surveillance and mitigation strategies within a OH framework. Full article

Background: While equine patient-mediated introduction of A. baumannii into hospital settings has been documented, its environmental dissemination and the risk of hospital-acquired surgical site infection remain poorly understood. Objective: Therefore, this descriptive observational study examined (a) the environmental distribution of Acinetobacter spp. in an equine university hospital, (b) the impact of the implementation of new hygiene protocols, (c) the specification of resistance patterns, and (d) the evaluation of the presence of Acinetobacter spp. in hospital-acquired wound infections. Methods: During three sampling periods, environmental samples of the stables, the treatment, and surgery areas were collected before and after cleaning and disinfection. After sampling period 1 (December 2021), the cleaning routines were optimized by reviewing the cleaning and disinfection process, as well as including further surfaces in the cleaning schedule for January 2022). This was followed by a second (February 2022) and a third (June 2022) sampling period. During sampling periods 1 and 2, 76 surfaces were sampled; in sampling period 3, only 21 critical surfaces were examined. Samples were cultured on selective agar plates and incubated at 37 °C, with bacterial growth evaluated after 24–48 h. Wound swabs were enriched in broth before culturing. Bacteria were identified using MALDI-TOF mass spectrometry. During the first sampling period, antibiotic susceptibility testing was performed using broth microdilution according to CLSI-vet standards. Results: During each sampling period, Acinetobacter spp. was detected in at least one sample in each of the different areas; however, there was a reduced detection rate from sampling period 1 throughout sampling period 3. The isolates were highly resistant against beta-lactam and macrolide antibiotics but mostly sensitive to fluroquinolones (enrofloxacin, 2.2% resistance; marbofloxacin, 0.0% resistance), aminoglycosides (gentamicin, 6.5% resistance; kanamycin, 8.7% resistance), and tetracyclines. Acinetobacter spp. was not detected in surgical site infections. Conclusions: Environmental persistence of Acinetobacter spp. in an equine clinical setting does not necessarily translate into surgical site infections. Through prudent antibiotic use, the antibiotic susceptibility of the isolates may be perceived. Full article

Background: Veterinary staphylococcal species, including the Staphylococcus intermedius group (SIG) and Staphylococcus schleiferi, colonize and infect companion animals (pets) and humans. This study investigated the longitudinal colonization prevalence of veterinary staphylococci among pets, their humans, and household environments to identify factors associated with carriage and to characterize antibiotic susceptibility trends. Methods: Children with community-onset Staphylococcus aureus skin and soft tissue infection (SSTI), their household contacts, and pets were enrolled in the “Staph Hygiene Intervention for Eradication (SHINE)” trial. At five study visits over 9 months, humans, pets, and household surfaces were swabbed for staphylococcal species detection and health information was collected. Results: The 104 households containing pets comprised 459 humans and 178 pets (136 dogs and 42 cats). Veterinary staphylococci were recovered from 110 pets (62%), 39 (9%) humans, and environmental surfaces in 55 (53%) households. SIG was the most commonly recovered veterinary staphylococci. Ninety percent of colonized humans were colonized with the same staphylococcal species as their pet. In multivariable analyses, dogs were more likely to be colonized than cats and a higher burden of environmental surface contamination was associated with pet and human colonization. The prevalence of methicillin-resistant veterinary staphylococci was low, but resistance to multiple other antibiotics was common among these methicillin-resistant isolates. Conclusions: Carriage of the same staphylococcal species and temporal colonization patterns between companion animals and their owners may suggest cross-species sharing, with the environment serving as a reservoir. Full article

Background/Objectives: Dogs are important carriers and transmitters of staphylococci from surface microbiota. Carriage screening allows for the identification of animals colonised with pathogens such as methicillin-resistant S. pseudintermedius (MRSP) and methicillin-resistant S. aureus (MRSA), which are spread between animals and from dogs to humans. This cross-sectional study determined the diversity of staphylococci from the surface microbiota of clinically healthy dogs in Bulgaria and their susceptibility to antimicrobial agents. Methods: The study was performed with 30 healthy dogs reared in the region of Stara Zagora, Bulgaria in 2024 and 2025. Swabs were obtained from eight body sites from each dog and incubated on blood and mannitol salt agar. Random isolates were identified by MALDI-TOF MS and tested for resistance to oxacillin/cefoxitin and to 14 classes of antimicrobial drugs (AMD). Results: Ninety out of 100 tested isolates were confirmed as Staphylococcus spp. from 15 different species. The total share of coagulase-positive (CoPS) staphylococci significantly exceeded that of coagulase-negative (CoNS) ones. Fifteen phenotypically methicillin-resistant staphylococci were identified—eight CoNS and seven CoPS—and confirmed by MIC test. The highest resistance was against penicillin (64.4%), ampicillin and minocycline (52.2%), whereas the highest sensitivity was to rifampin, amikacin, cefquinome and amoxicillin + clavulanic acid. Conclusions: Data about the carriage of MRSP, MRSA and multidrug-resistant coagulase-negative staphylococci in healthy dogs are important in view of the increased risk of colonisation/infection for people in contact with these dogs in households and veterinary facilities (clinics, hospitals). This supports the “One Health” approach integrating animal, human and environmental health. Full article

Psittacine beak and feather disease virus (PBFDV), a member of the family Circoviridae, is a major pathogen affecting psittacine birds worldwide; however, its potential for airborne dissemination in veterinary environments remains poorly understood. This study aimed to investigate PBFDV contamination in air conditioning systems within a veterinary hospital and to compare the distribution and levels of viral load across different functional areas. Environmental swab samples were collected from 17 air conditioning units located in examination rooms, surgical suites, wards, and laboratory areas. Viral nucleic acids were extracted and analyzed using quantitative polymerase chain reaction (qPCR) on the Genesig q16 (Version 4) platform. PBFDV DNA was detected in multiple units, with viral loads ranging from <10 to >25,000 PBFDV genome copies per qPCR reaction. The highest levels were observed in an examination room (26,172 copies) and a surgical room (25,730 copies), whereas several locations showed low or negligible contamination (<100 copies). These findings indicate that air conditioning systems may act as a possible environmental contamination pathway and potential sources of viral dissemination within clinical settings. The results underscore the importance of routine environmental monitoring and targeted disinfection strategies. As a preliminary model, this study provides baseline data to support the development of effective biosecurity measures to reduce the risk of airborne transmission of PBFDV in veterinary facilities. Full article

Background: Burn patients are highly susceptible to hospital-acquired infections (HAIs), and contaminated near-patient surfaces can act as reservoirs for multidrug-resistant organisms (MROs). Ultraviolet-C (UV-C) room disinfection is increasingly used as an adjunct to manual cleaning, but real-world data in adult burns settings remain limited. Methods: We evaluated adjunctive UV-C disinfection in a tertiary adult trauma and burns surgical ward using a two-part observational design. Part A compares MRO-related HAI incidence before UV-C implementation (12 May 2015–11 May 2020; retrospective) with its incidence after implementation (14 July 2020–13 July 2021; prospective). Part B is a matched pre/post environmental sampling study (December 2022–December 2024) of 44 vacant rooms. Paired swabs from a single randomised high-touch surface per room were collected immediately before and after UV-C disinfection and processed by an independent laboratory. Results: Part A included 7589 admissions (6415 before-UV-C; 1174 after-UV-C) with 2728 UV-C cycles delivered after implementation. MRO-related HAI incidence decreased from 18.3 to 10.2 per 1000 bed-days (p < 0.01). In Part B, the proportion of swabs with <10 CFU increased after UV-C disinfection (66% vs. 50%, p = 0.02). Among swabs with non-negligible baseline contamination and excluding increases, the median CFU reduction was 97% (SD 12%; p < 0.001), with no significant differences in reduction across sampled surface types. Conclusion: In an adult burns surgical ward, adjunctive UV-C disinfection was associated with reduced MRO-related HAI incidence and a substantial reduction in environmental bioburden on high-touch surfaces. These real-world findings support UV-C as a feasible adjunct to standard cleaning in high-risk burn services and inform future controlled evaluations. Full article

The transition toward sustainable facility management requires cleaning systems that reduce environmental burdens while maintaining high hygienic standards. This study presents a comparative evaluation of a green cleaning protocol (EVA SmartClean), compliant with the Italian Minimum Environmental Criteria (CAM; D.M. 29 January 2021), compared with a conventional cleaning system implemented in a civil facility (Adriatico Guest House, Trieste, Italy; 8260 m²). The assessment integrates a cradle-to-grave Life Cycle Assessment (LCA), conducted in accordance with ISO 14040, ISO 14044, ISO 14067 and PCR 2011:03 for professional cleaning services, with an extensive microbiological surface monitoring campaign performed using RODAC plates and swab sampling. The functional unit was defined as 1 m² of representative surface maintained clean for one year. The green protocol achieved a 47.7% reduction in Global Warming Potential (GWP100 based on IPCC AR6 characterization factors), corresponding to −110 g CO₂e/m²·year and −908 kg CO₂e/year for the entire facility. Major reductions in climate impact were associated with chemical consumption (−82.6%), energy use (−49.5%), and textile waste generation (−92.4%). Microbiological analyses demonstrated that both protocols complied with reference hygiene thresholds, while the green system achieved reductions in total mesophilic counts that were comparable or superior across representative surfaces. The results confirm that environmental optimization in cleaning services can be achieved without compromising microbiological safety, supporting public procurement policies aligned with CAM requirements and Sustainable Development Goals (SDGs 12 and 13). Full article

Background/Objectives: The coronavirus disease 2019 (COVID-19) pandemic profoundly disrupted global respiratory virus circulation, with sharp declines during 2020–2021, followed by a resurgence after the relaxation of public health measures. In South America, post-pandemic respiratory virus dynamics remain insufficiently characterized, particularly in ecologically diverse regions. Arequipa, a high-altitude city in southern Peru, has unique environmental conditions, including marked seasonal temperature variability, that may influence viral transmission. Methods: We performed a cross-sectional analysis of 21,784 nasopharyngeal swabs collected from symptomatic patients at four major hospitals between June 2021 and September 2023. All samples were tested for SARS-CoV-2 by RT-qPCR. Because routine screening for other respiratory viruses was implemented only in SARS-CoV-2-negative cases during the study period, a subset of SARS-CoV-2-negative samples was subsequently analyzed for influenza A virus (IAV), influenza B virus (IBV), and respiratory syncytial virus (RSV) using VIASURE assays. Viral circulation patterns were evaluated by year, month, and epidemiological week. Meteorological data were obtained from the SENAMHI–La Pampilla station. Logistic regression models were used to assess epidemiological and climatic predictors of viral detection. Results: SARS-CoV-2 positivity declined from 20.0% in 2021 to 8.8% in 2023. Conversely, detection of other respiratory viruses among SARS-CoV-2-negative samples increased from 0.8% in 2021 to 29.0% in 2023 (p < 0.01). Temporal increases in detection were observed during 2022–2023, particularly for IAV and RSV. In exploratory analyses, calendar year and relative humidity were associated with IAV and RSV detection, while age and temperature variables were associated with IBV. Conclusions: Climatic and demographic variables were associated with changes in viral detection for IAV, IBV, and RSV during the post-pandemic transition period in Arequipa. These findings describe patterns of viral detection within SARS-CoV-2-negative symptomatic patients and should be interpreted as surveillance-based observations rather than population-level estimates. Strengthened integrated epidemiological and genomic surveillance will be essential for vaccine planning and outbreak preparedness in the post-pandemic era. Full article

To explore the seasonal variation patterns of the skin microecology of Altay sheep under transhumant grazing conditions, skin swabs were collected from 60 free-grazing Altay sheep at seasonal transition nodes in the Altay region. Metagenomic sequencing combined with untargeted metabolomics was used to characterize their bacterial community structure, functional pathways, and metabolite profiles. The results showed that the skin microecology of Altay sheep presented obvious seasonal variation patterns. In spring, 35 of the 39 highly abundant bacteria were environmentally derived, five proliferation-related pathways were significantly enriched, and the levels of five metabolites associated with microbial community regulation and skin barrier defense were elevated. In summer, the abundance of three skin symbiotic bacteria increased, the activities of eight pathways mainly related to biofilm formation were significantly enhanced, and the contents of five metabolites primarily associated with membrane lipid homeostasis and selective bacteriostasis increased. In autumn, the abundances of nine radiation-resistant and cold-tolerant strains increased, together with the elevated abundance of two opportunistic pathogens; five repair-related pathways were active, and the levels of four anti-inflammatory and repair-associated metabolites were synchronously increased. In winter, the abundance of two cold-tolerant strains increased, the activities of pathways related to nitrogen metabolism and energy synthesis were enhanced, and one lignan compound was identified as the key metabolite. These findings elucidate the seasonal dynamic patterns of the skin microecology of Altay sheep and provide a theoretical basis for research on the adaptive mechanisms and seasonal health management of Altay sheep and other sheep in alpine regions. Full article

In vertebrates, corticosterone and cortisol are glucocorticoid (GC) steroid hormones central to the vertebrate stress response, but their relative contribution depends on context and life history. We used water-borne hormone sampling in lesser sirens, Siren intermedia, to examine whether corticosterone or cortisol predominates in stress responses and evaluated whether dermal secretions reliably track acute corticosterone changes. First, we measured corticosterone via dermal swabbing over a 2 h period following a hand-restraint stressor. Dermal corticosterone did not increase relative to pre-stressor baseline levels during the 2 h sampling period, suggesting that dermal measurements may not reflect acute circulating GC changes. We then measured cortisol and corticosterone across the GC profile (baseline, stressed, and recovery) using water-borne sampling techniques in juveniles. Cortisol release rates were significantly higher than corticosterone and were elevated during the recovery phase relative to baseline (p = 0.08), whereas stressed samples did not differ from baseline. Additionally, cortisol release rates were positively associated with temperature, while no effect of temperature was detected on corticosterone. Although cortisol and corticosterone were strongly correlated, cortisol responded to environmental temperatures and was repeatable, whereas corticosterone was not. Finally, we validated the use of water-borne sampling techniques to measure cortisol and corticosterone in S. intermedia. Cortisol was higher in juvenile sirens, highlighting that each GC may play functionally distinct roles across contexts. Together, these findings indicate that cortisol is the more environmentally responsive GC in juvenile S. intermedia and that water-borne sampling provides a more reliable method for assessing acute stress physiology in this species. Full article

Listeria monocytogenes is considered a highly persistent risk for public health in food production facilities. Food business operators manufacturing ready-to-eat foods (RTE) are required to sample processing areas for L. monocytogenes as part of their environmental monitoring plans. The aim of the study was to identify suitable sampling devices, demonstrating the crucial role of the sampling technique in the method performance for L. monocytogenes monitoring. Detection of Listeria spp. and L. monocytogenes from surfaces in an RTE food production facility was evaluated by using two different sampling methods (swabs and sponges). When using swabs, 46 sampling points were negative for both targets. However, when sampling same points with sponges, 30% samples (14 out of 46) were positive for Listeria spp. with 8 samples (17%) positive for L. monocytogenes. During subsequent in vitro experiments, L. monocytogenes strains spiked onto three different surfaces (stainless steel, Teflon and epoxy) showed recoveries of between 76% and 93% when using sponges, while in swabs, recoveries where always below 50%. All L. monocytogenes strains isolated belonged to the major clonal complexes (CC) circulating in Europe in food industry (e.g., CC121 and CC9) and none of them are considered among the hypervirulent strains. Genomic analysis, including new tools for source tracking (Gene Up Typer, bioMérieux) showed differences between strains isolated from different risk hygienic zones. Full article

Glaesserella parasuis (formerly Haemophilus parasuis, HPS), Actinobacillus pleuropneumoniae (APP), Streptococcus suis (SS), and Pasteurella multocida (PM) are common bacterial pathogens associated with Porcine Respiratory Disease Complex (PRDC), a major cause of economic losses in the swine industry. To address this, a cross-sectional study was conducted across 27 large-scale swine farms in Xinjiang, China (October 2024–May 2025). A total of 1239 clinical samples were analyzed by species-specific PCR, and positive samples were further serotyped. Overall, SS and HPS were the predominant pathogens, with higher detection rates in winter and spring. Notably, SS and HPS were most frequent in nasal swabs, while APP and PM predominated in tissue samples. Furthermore, co-infections were common, with HPS + SS being the most prevalent. Serotyping revealed dominance of HPS serotype 12, APP serotype 12, SS serotype 3, and PM serotypes A and B (serotypes E and F not detected). In addition, SS was also detected in environmental samples and farm workers’ nasal swabs. These findings suggest that future prevention and control strategies should focus on developing multivalent vaccines targeting the predominant serotypes identified, implementing regular serotype surveillance to guide precision immunization protocols, and strengthening environmental disinfection and biosecurity practices to reduce co-infections and occupational exposure risks. Full article

Acinetobacter baumannii remains a significant nosocomial infectious agent, with its ability to acquire antimicrobial resistance posing a global public health concern. Over time, substantial knowledge has been amassed regarding A. baumannii in human clinical cases. Recently, research has shifted to non-human A. baumannii. Therefore, the current work aimed to investigate the occurrence of A. baumannii carrying carbapenem resistance genes in broiler chickens via molecular detection and its public health significance. Two hundred cloacal swabs were collected from broiler chickens and grouped into 40 pools. DNA extraction was conducted on these pools, followed by molecular detection of the A. baumannii bla_OXA-51-like gene. Among the 40 pools, 31 (77.5%) tested positive for the bla_OXA-51-like gene and were further screened for additional carbapenemase genes, including bla_OXA-58, bla_OXA-23, and bla_OXA-24. The bla_OXA-58 gene was identified in eight pools (25.8%), whereas bla_OXA-23 and bla_OXA-24 were not detected. Subsequently, partial DNA sequencing was performed on two PCR amplicons of the A. baumannii bla_OXA-51-like gene derived from broiler chickens, followed by a phylogenetic analysis. The analysis revealed genetic similarity between the A. baumannii sequences obtained in this work and those retrieved from humans, birds, animals, and environmental sources. In conclusion, the occurrence of A. baumannii harboring genes coding for carbapenem resistance in broiler chickens highlights a potential new path of transmission, which may require further investigation to better understand the dynamics of transmission and to guide effective strategies for preventing and controlling A. baumannii infections. Full article