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Nudging doctors in intensive care unit reduces deaths

A new Northwestern Medicine study finds that attending physicians in intensive care units can reduce mortality rates by 50% when using a checklist and prompted to address overlooked details. The prompting system cut ventilator-associated pneumonia cases and reduced ICU length of stay.

SourceNorthwestern University·JournalAmerican Journal of Respiratory and Critical Care Medicine·DateJun 22, 2011

Scientists develop a fatty 'kryptonite' to defeat multidrug-resistant 'Super bugs'

A team of Canadian scientists discovered that specific mixtures of antimicrobial agents presented in lipid (fatty) mixtures can significantly boost the effectiveness of those agents to kill multidrug-resistant bacteria. This new therapy has the potential to combat bacterial multidrug resistance, a growing clinical problem.

E. coli bacteria more likely to develop resistance after exposure to low levels of antibiotics, reports a study in Microbial Drug Resistance

A recent study found that E. coli bacteria are more likely to develop resistance to antibiotics when exposed to low levels of these medications, rather than high concentrations. This finding challenges previous assumptions about the safety of using antibiotics in food animals and highlights the growing threat of antibiotic resistance.

SourceMary Ann Liebert, Inc./Genetic Engineering News·JournalMicrobial Drug Resistance·DateJun 14, 2011

New strain of MRSA discovered

A new strain of methicillin-resistant Staphylococcus aureus (MRSA) has been discovered in both human and dairy cow populations. The genetic makeup of the new strain differs from previous strains, making current molecular tests ineffective in detecting it.

SourceUniversity of Cambridge·JournalThe Lancet Infectious Diseases·DateJun 3, 2011

Preventive antibiotic use significantly lowers risk of infection with antibiotic-resistant bacteria in intensive care patients

A large randomized trial found that preventive antibiotic use significantly reduces the risk of infection with highly resistant microorganisms in intensive care patients. Patients treated with selective digestive tract decontamination (SDD) were 59% less likely to develop bacteraemia and 38% less likely to colonize respiratory tracts.

SourceThe Lancet_DELETED·JournalThe Lancet Infectious Diseases·DateMar 20, 2011

Official projections have substantially underestimated the cholera epidemic in Haiti but combining available interventions could prevent thousands of deaths

A new study predicts nearly 800,000 cases and 11,100 deaths in Haiti due to cholera, significantly underestimating official projections. Combining available disease control strategies such as clean water access, oral vaccination, and expanded antibiotic use could prevent thousands of deaths.

SourceThe Lancet_DELETED·JournalThe Lancet·DateMar 15, 2011

Effectiveness of wastewater treatment may be damaged during a severe flu pandemic

A study finds that widespread discharge of inefficiently treated wastewater into rivers could occur if existing plans for antiviral and antibiotic use are implemented during a pandemic. This could lead to water quality deterioration at drinking water abstraction points, potentially causing eutrophication and environmental toxicity.

SourceUK Centre for Ecology & Hydrology·JournalEnvironmental Health Perspectives·DateMar 2, 2011

Turning bacteria against themselves

Scientists at Washington University School of Medicine have identified a protective mechanism in Streptococcus pyogenes that could be exploited to create new antibiotics. The discovery reveals how the antitoxin blocks the toxin's activity, sparing the bacteria from self-destruction.

SourceWashU Medicine·JournalStructure·DateFeb 8, 2011

Household bugs -- a risk to human health?

Research published in BMC Microbiology suggests that insects on pig farms can carry and transmit antibiotic-resistant bacteria to humans. The study found high prevalence of resistant Enterococcus faecalis and faecium in insect intestines, mirroring those found in pigs' feces.

SourceBMC (BioMed Central)·JournalBMC Microbiology·DateJan 25, 2011

Antibiotics best treatment for ear infections in toddlers, NIH grantees find

Researchers at the Children's Hospital of Pittsburgh found that antibiotics are more effective than a placebo in relieving symptoms of middle-ear infections in young children. The study, funded by the National Institute of Allergy and Infectious Diseases, involved 291 children between 6 and 23 months old with acute middle ear infections.

SourceNIH/National Institute of Allergy and Infectious Diseases·JournalNew England Journal of Medicine·DateJan 12, 2011

Antibiotic resistance is not just genetic

Researchers discovered interplay between genetic and persistence mechanisms in bacteria, leading to novel effective treatments for multi-drug resistant (MDR) infections. Persistence cells are temporarily hyper-resistant to antibiotics, causing treatment failure and contributing to chronic bacterial infections.

SourceMicrobiology Society·JournalJournal of Medical Microbiology·DateJan 5, 2011

University of Minnesota engineering researcher finds new way to fight antibiotic-resistant bacteria

Researchers at the University of Minnesota have discovered a new way to combat antibiotic-resistant bacteria by treating municipal wastewater solids at higher temperatures. This approach can destroy up to 99.9% of bacterial genes that confer resistance, making it a potential tool in the fight against superbugs.

SourceUniversity of Minnesota·JournalEnvironmental Science & Technology·DateNov 22, 2010

Surrogate decision makers wish to retain authority in difficult decision

A recent study found that more than half of surrogate decision makers prefer to have full authority over the choice of life-support for incapacitated patients. However, a significant portion want to share or cede power to physicians. The extent of control varies based on trust in the physician overseeing care.

SourceAmerican Thoracic Society·JournalAmerican Journal of Respiratory and Critical Care Medicine·DateOct 29, 2010

Sterilizing with fluorescent lights

Scientists have developed a new polymer-type material that exhibits biocidal activity toward MRSA and other Gram-negative bacteria when exposed to light, making it suitable for antibacterial countertops. The conjugated polyelectrolyte (CPE) material has shown promising results in killing bacteria without harming mammalian cells.

Identifying enzymes to explode superbugs

Researchers have developed a method to identify lytic enzymes with optimal bacteria-killing characteristics, which can target superbugs while leaving beneficial bacteria intact. The discovery aims to hasten the development of engineered enzymes for clinical use and offer a 'push button technology' solution.

SourceIOP Publishing·JournalPhysical Biology·DateOct 3, 2010