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- Tran, Dien M., et al.
(författare)
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High prevalence of colonisation with carbapenem-resistant Enterobacteriaceae among patients admitted to Vietnamese hospitals : Risk factors and burden of disease
- 2019
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Ingår i: Journal of Infection. - : Saunders Elsevier. - 0163-4453 .- 1532-2742. ; 79:2, s. 115-122
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundCarbapenem-resistant Enterobacteriaceae (CRE) is an increasing problem worldwide, but particularly problematic in low- and middle-income countries (LMIC) due to limitations of resources for surveillance of CRE and infection prevention and control (IPC).MethodsA point prevalence survey (PPS) with screening for colonisation with CRE was conducted on 2233 patients admitted to neonatal, paediatric and adult care at 12 Vietnamese hospitals located in northern, central and southern Vietnam during 2017 and 2018. CRE colonisation was determined by culturing of faecal specimens on selective agar for CRE. Risk factors for CRE colonisation were evaluated. A CRE admission and discharge screening sub-study was conducted among one of the most vulnerable patient groups; infants treated at an 80-bed Neonatal ICU from March throughout June 2017 to assess CRE acquisition, hospital-acquired infection (HAI) and treatment outcome.ResultsA total of 1165 (52%) patients were colonised with CRE, most commonly Klebsiella pneumoniae (n=805), Escherichia coli (n=682) and Enterobacter spp. (n=61). Duration of hospital stay, HAI and treatment with a carbapenem were independent risk factors for CRE colonisation. The PPS showed that the prevalence of CRE colonisation increased on average 4.2 % per day and mean CRE colonisation rates increased from 13% on the day of admission to 89% at day 15 of hospital stay. At the NICU CRE colonisation increased from 32% at admission to 87% at discharge, mortality was significantly associated (OR 5•5, P < 0•01) with CRE colonisation and HAI on admission.ConclusionThese data indicate that there is an epidemic spread of CRE in Vietnamese hospitals with rapid transmission to hospitalised patients.
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- Ramesh, S., et al.
(författare)
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Direct conversion of eggshell to hydroxyapatite ceramic by a sintering method
- 2016
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Ingår i: Ceramics International. - : Elsevier BV. - 0272-8842 .- 1873-3956. ; 42:6, s. 7824-7829
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Tidskriftsartikel (refereegranskat)abstract
- Nanocrystalline hydroxyapatite derived from eggshell (HA-Es) was successfully prepared via a direct solid-state sintering method. The process involved mixing calcined eggshell powder and dicalcium hydrogen phosphate di-hydrate followed by a heat treatment at 800 degrees C. The resulting flower-like HA-Es powder was sintered at various temperatures ranging from 1050 degrees C to 1350 degrees C for 2 h in air atmosphere. The material was characterized to determine the thermal stability and the effect of sintering on the microstructure as well as properties of the resulting HA derived from eggshell. The results showed that sintering beyond 1250 degrees C resulted in the HA phase decomposition to tricalcium phosphate and tetra calcium phosphate. However, these secondary phases did not disrupted the densification process as the samples exhibited densities above 98% when sintered at 1300-1350 degrees C. A maximum fracture toughness of 1.51 MPam(1/2) was measured for HA-ES sample sintered at 1250 degrees C with a concomitant small grain size, below 1 pm coupled with high hardness of 5.62 GPa and high relative density of 98% being measured. The study also revealed that the relative density and grain size played a significant role in governing the properties of the HA-Es samples.
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