4^th World Congress on Infection Prevention and Control November 28-29, 2016 ( 8 Keynotes, 2 Special sessions, 2 Days,1 Event) Valencia, Spain

Biography:

Muammer Goncuoglu has received his DVM from Ankara University, Faculty of Veterinary Medicine in 1998 and PhD in Faculty of Veterinary Medicine, Food Hygiene and Technology Department in 2003. He has been working as an Academic Staff in the same department as Associate Professor Doctor. His main research areas are food hygiene, food microbiology, antimicrobial resistance of pathogens and public health.

Abstract:

Salmonella is one of the most important pathogens and causes important health risks and economic problems throughout the world. This bacterium has a major public health role which can infect people by consumption of different foods. Among all other foods, like vegetables, animal originated foods etc., poultry meat act as one of the most important and risky food for the human health for food-borne salmonellosis. Poultry meat and edible offal could be contaminated with Salmonella in different production steps such as slaughterhouses, meat processing etc. However according to the farm to table concept we have to focus on this fact from the breeding to the end of consumption of the poultry meat. The majority of human cases of non-typhoidal salmonellosis are caused by a limited number of serovars, which may vary with different geographic areas and time. Antimicrobial resistance profiles of the serovars of Salmonella spp., also has to be considered as one of the major public health risk. As a result, continuous monitoring of Salmonella prevalence and resistance in the food supply is necessary, both in national and international level, because of the public health implications of a potential spread of resistant microorganisms.

Biography:

Bahar Onaran is a Research Assistant in Ankara University, Faculty of Veterinary Medicine, Department of Food Hygiene and Technology. She is interested especially in food microbiology. She is currently working on her PhD thesis entitled “Presence and antibiotic resistance of vancomycin resistant enterococci in chicken meat”.

Abstract:

E. coli O157:H7 is a food-borne pathogen of concern due to the serious clinical outcomes. Options for controlling bacterial pathogens in raw and ready-to-eat foods are limited but one is to use bacteriophages. The use of specific virulent bacteriophages for E. coli O157:H7 emerges as an important method in order to reduce E. coli O157:H7 load in foods. It is reported that the usage of specific virulent bacteriophages as a biocontrol and decontamination agent in foods, do not cause any side effects on human health, as well. This study was aimed to find out the efficiency of lytic bacteriophage against E. coli O157:H7 in ready-to-eat salads. For this purpose, E. coli O157:H7 NCTC12900 (EC00) and nalidixic acid resistant E. coli O157:H7 ATCC 43895 (naEC95) were used as the model bacterium in decontamination trials of Italian salads which are consumed without any heating process and include beans, carrots, potatoes, pickled cucumbers, salami, and mayonnaise. Phage M8AEC16 which was classified in Myoviridae family previously was used as biocontrol agent. Major reductions of viable E. coli O157:H7 counts reached up to 2.7 log cfu/g. In conclusion, results of this study showed that, phage M8AEC16 is an important biocontrol agent in decontamination of E. coli O157:H7 in RTE salads.

Biography:

Cucunawangsih is affiliated to the University of Pelita Harapan, Indonesia.

Abstract:

Background: The increased prevalence of MDRO following overutilization of broad spectrum antibiotics has become a global emergency. At the end of September 2013, a restricted antimicrobial control program (RACP) was released in our institution. In this study, we evaluated the influence of RACP on susceptibilities of Gram-negative bacilli (GNB) from patients admitted in wards of Siloam Teaching Hospitals, Tangerang, Indonesia.

Materials & Methods: This retrospective study enrolled 1,866 data of GNB from January 2013 to June 2015. The RACP implemented uses a front-end approach which requires authorization of RACP team member based on local antibiotic guideline and prior susceptibility pattern. The team consists of clinician, clinical pharmacist and clinical microbiologist, which functions to restrict the use of carbapenems, fourth generation cephalosporins and tigecycline. Cumulative susceptibility testing was done using an automated method from VITEX-2 Compact^® or conventional disk diffusion in accordance with Clinical and Laboratory Standard Institute (CLSI) guideline.

Results: The predominant GNB isolated was Escherichia coli (21.7%) followed by Klebsiella pneumonia (16.6%), Pseudomonas aeruginosa (10.9%) and Acinetobacter baumanii (9.5%). There was a significant increase of GNB susceptibility against cefpirome from 57% in 2013 to 73% in 2015. Similarly, the susceptibility thrived from 78-83% against imipenem, 74-75% against tigecycline and 63-64% against cefepime consecutively in 2013 to 2015. The susceptibility against meropenem in 2013 and 2015 was 80%.

Conclusions: The use of RACP yielded a positive effect on antibiotic susceptibility rate of GNB organisms. Furthermore, RACP is an effective program in lowering antibiotics utilization in our institution.

Biography:

Angeline Nifiani M Wibowo is a Medical student of University of Pelita Harapan, Indonesia.

Abstract:

Background & Aim: Around 12-16% adult patients admitted to hospital, used urine catheter during their hospitalization. Furthermore, the incidence of positive urinary catheter colonization in intensive unit is 20%. The aim of this study is to observe the role of empirical antibiotics usage and urinary catheter colonization in patients admitted to the intensive unit of Siloam Teaching Hospital.

Material & Methods: This cross-sectional study conducted from January 2013 to December 2014. Two hundred and eighteen (218) urine culture data were collected and 49 were eligible for inclusion criteria such as complete medical record and using urine catheter more than 48 hours. Prior empirical antibiotic usage and the outcome of culture were analyzed using chi-square method and the mean difference characteristics of the patients were analyzed using t-test.

Results: Of 49 patients had complete data and used urine catheter, characteristics of patients between patients with positive colonization and no colonization were listed. There were 6/15 (40%) patients with colonization and 26/34 (76.5%) patients with no colonization that were treated with empirical antibiotics. The analysis of chi square shows the significant association of colonization with empirical antibiotics (p value=0.013). Meropenem 1 gm TDS IV (14/49 or 28.6%) and amikacin 1 gm OD IV (10/49 or 20.4%) were the two most used antibiotics in this study.

Conclusions: Usage of empirical antibiotics has a significance difference in urinary catheter colonization in patients admitted to intensive unit.

Biography:

Elmekes Adel is affiliated to the Hôpital Ibn Tofail, Morocco.

Abstract:

Introduction: Infections with MDR bacteria is a major public health problem worldwide. These infections are particularly serious in ICU for the fragility of the field and multiple invasive procedures. Thus, early diagnosis is necessary and indispensable for proper management. Bacteriological samples including blood culture samples and devices are key diagnostic examinations infections with MDR bacteria, especially as clinical signs are not specific.

Aim: The aim of our study is to evaluate the epidemiology and the clinical and epidemiological risk factors responsible for infections with MDR bacteria at a tertiary intensive care unit, CHU Mohammed VI, Marrakech.

Materials & Methods: The study lasted 13 months, from March 1^st 2015 to March 28^th 2016. This prospective study was conducted in a 10-bed clinical-surgical ICU for adults. All analyzes were performed at the medical microbiology laboratory of the hospital. Adult patients with a first clinical episode of infection with Healthcare Acquired Infection (HAI) were included in the study. The samples were sent to the laboratory for diagnostic purposes. The level of antibiotic resistance has been studied by the agar diffusion method. The choice of antibiotic susceptibility testing and interpretation criteria were made as recommended by the Antibiogram the Committee of the French Society of Microbiology and standards of the European Committee on Susceptibility (EUCAST, 2015).

Results: During the study period, 225 bacterial strains were isolated from the samples taken. The antibiotic resistance profile shows that 43% of strains were multidrug resistant. The MRB were represented mostly by Acinetobacter baumannii strains resistant to imipenem (ABRI) 72%, followed by beta-lactamases producing Enterobacteriaceae extended spectrum (ESBL) 19% and 6% of Staphylococcus aureus resistant to methicillin (MRSA). While only 3% of MRB were characterized as Pseudomonas aeruginosa strains resistant to ceftazidime (PARC). We showed also that nosocomial infections due to BMR were dominated by pneumonia (44% of cases), followed by bacteremia, urinary tract infections, infections of catheters and meningitis with frequencies that are respectively of about 26%, 12%, 11% and 4%.

Conclusion: In conclusion, we showed the alarming presence of MDR bacteria and especially ABRI as bacteria responsible for HAI in the ICU basically is related to main risk factors specified by the multivariate analysis. These results illustrate the urgent obligation and need for practical actions in order to strength technical measures with infection control efforts to reduce HAI caused by MRD bacteria and improve patient outcomes by setting a rational and an appropriate antimicrobial use in hospitals but specifically in ICUs levels.

Biography:

Nalam Udayakiran is affiliated to the Nitte University, India.

Abstract:

Introduction: Rabies an archaic zoonotic disease. Nearly 15 million people are bitten by animals in India every year with dogs being responsible for 96.2% of the bites. The most vulnerable members of society are children and poor or lower socio-economic classes. A majority of the victims had taken a partial course of vaccine.

Methodology: Longitudinal study was conducted in CHC Mulky, among patients registered from November 2015 to April 2016. All the patients receiving anti rabies vaccine in the OPD during study period who are willing to participate in the study were included in the study. After obtaining informed consent, the participants were administered the pre-tested, structured questionnaire at the time of first visit.

Results: The number of study subjects over a period of 6 months was 235 and all of them were bitten by dogs. Majority of them belongs to 21 to 30 age groups (22.9%). Males are more compared to females. 89.7% subjects belongs Hindu religion followed by Muslims. 60% subjects belong to BPL family. Only 34.4% subjects completed the full course of treatment.

Conclusion: This study shows that dog bites affect people of all age groups. Though people are aware of the necessity to approach a health facility following dog bite they are not motivated to complete the full course of vaccination following exposure. There is a need to create awareness regarding adherence to treatment through a strong information education and communication program among the community.

Biography:

Bibi Razieh Hosseini Farash is affiliated to the Tehran University of Medical Sciences, Iran.

Abstract:

Biography:

Jehan Ali El Kholy is a Professor of Anesthesia and Intensive Care who works as a Deputy Director of Cairo University Hospitals since 2013. She is a certified Infection Prevention and Control Specialist and is responsible for preparedness and response to influenza and other infections in a teaching 5000 bed hospital that plays a role model among all Egyptian hospitals, in collaboration with Naval Medical Research Unit, No.3 (NAMRU-3). She was awarded by the Egyptian Minister of Health to be the best leader implementing active surveillance of influenza and healthcare-associated infections in Cairo University Hospitals in year 2014 and 2016.

Abstract:

Background & Aim: Healthcare-associated infections are the most frequent adverse event in healthcare delivery worldwide. Limited data are available from low and middle-income countries. Most countries lack surveillance systems for health care-associated infections. ^­­We aimed to describe the results of the surveillance system we followed from 1 September 2014 till 31 March 2016 in Cairo University Hospitals (CHU) a 5200 bed-tertiary hospital.

Methods: Standardized surveillance system was conducted in all intensive care units (ICU) of CUH from 1 September 2014 to 31 March 2016. Surveillance was active prospective and focused on ICU patients; a vulnerable patient population at increased risk of HAI and AMR due to severity of illness, high exposure to invasive procedures and devices and high use of broad spectrum antibiotics. HAI definitions used were the same 2008 NHSN case definitions^. The involvement and training of IC Team, data entry person, Microbiology laboratory performing full bacterial identification, antimicrobial susceptibility testing and culturing all types of specimens, IPC link nurses in ICUs to monitor and report infections to the IPC team were essential. Data were collected with surveillance officers and analyzed. Device-days were used to calculate incidence of device-associated infections and patient-days to calculate incidence of HAIs that were not device-related. Antimicrobial susceptibility testing was performed using CLSI guidelines.

Results: 38 ICUs including medical, surgical, stroke units, cardiac, cardio-surgical, obstetric, pediatric, neonatal and burn units contributed to 94877 patient-days and 1272 HAIs. Of these 224 (18%) are ICU acquired, 111 (9%) Ward acquired, 808 (63%) Infections present on ICU admission and 129 (10%) SSI. Of the infections BSI represented 43% (with 70% CLABSI), UTI represented 27% (with 97% CAUTI) and pneumonia represented 39% (with VAP 80%). The incidence of HAI were 2.4/1000 patient-days, VAP was 2.5/1000 ventilator days, CLABSI was 1.2/1000 central line days and CAUTI was 1.2/1000 urinary catheter days. Culture of microorganisms showed that Gram negative pathogens constituted 71.4% of the total pathogens, mainly Klebsiella spp., constituted (28.6%), Acinetobacter spp., (16.6%) and Pseudomonas spp., (9.4%). Most of Acinetobacter and E. coli isolates were multi-drug resistant; 83.7% and 82.7%, respectively.

Conclusion: Implementing a standardized surveillance system in a resource-limited country is possible. Having a continuous and sustainable surveillance system is a success. Surveillance is fundamental to have benchmark of infections, to plan for prevention strategies, to record the antimicrobial resistance pattern and to plan for an antimicrobial stewardship program.

Biography:

Maria Manuela Gaspar has completed her PhD in 2005 in Pharmaceutical Technology, University of Lisbon and Postdoctoral studies in the University of Dublin, Trinity College. She is a Researcher in the Research Institute for Medicines, iMed.Ulisboa, University of Lisbon. She is co-author of patents, paper in peer-reviewed journals and book chapters.

Abstract:

Tuberculosis (TB) is the leading cause of death among infectious disease worldwide. Although the development of new antimycobacterial drugs is an obvious and necessary strategy to fight TB the therapeutic improvement of already approved drugs constitutes an alternative strategy. In the present work rifabutin, a first line drug against TB was chosen aiming the maximization of its concentration at infected sites while reducing its toxic effects and treatment duration. For this purpose, liposomes, the most successful lipid system with many liposomal formulations already on the market with proven safety and efficacy was selected. Biodistribution studies of RFB liposomes by intravenous administration allowed a higher accumulation of the antibiotic in liver, spleen and lungs in comparison with the respective free form. In a murine Mycobacterium tuberculosis model of infection RFB liposomes were able to reduce in a very high extent the bacterial load in liver, spleen and lungs being these results in agreement with biodistribution studies. Taking into account that in case of TB the lung constitutes the main infected organ, the pulmonary administration was also tested using spray dried microparticles. In vivo studies demonstrated that pulmonary delivery of RFB formulations constitutes a valuable approach to fight TB when compared to infected mice receiving RFB in the free form by the oral route. The obtained results clearly evidence the therapeutic improvement of RFB after incorporation in liposomes and in spray dried microparticles for intravenous and pulmonary administration respectively. The same strategy can be applied to other anti-tubercular drugs alone or in combination.

Biography:

Jehan Ali El Kholy is a Professor of Anesthesia and Intensive Care who works as a Deputy Director of Cairo University Hospitals since 2013. She is a certified Infection Prevention and Control Specialist and is responsible for preparedness and response to influenza and other infections in a teaching 5000 bed hospital that plays a role model among all Egyptian hospitals, in collaboration with Naval Medical Research Unit, No.3 (NAMRU-3). She was awarded by the Egyptian Minister of Health to be the best leader implementing active surveillance of influenza and healthcare-associated infections in Cairo University Hospitals in year 2014 and 2016.

Abstract:

Background: CUH is a 5200 bed hospital with 98 operating rooms. SSI represents the most common infection in our hospital. SSI prolongs hospital stays, increases resistance to antimicrobials and represents an additional financial burden for hospitals, patients and their families increasing morbidity and mortality especially in countries with limited resources.

Aim: The objective of this study was to standardize the surveillance of SSI, report the rates of SSI and to lower the incidence of SSI in operations associated with high rates of SSI.

Methods: The study was conducted in CUH from March 2015 till February 2016. Training was provided to Infection Control Team on surveillance methods according to methods of National Healthcare Surveillance Network in USA (NHSN). Surveillance of the following surgeries was done craniotomies (CRAN), Coronary artery bypass grafting (CABG) and exploratory laparotomies (EL). The monitoring and evaluation (M&E) team evaluated the sensitivity and specificity of surveillance.

Results: M&E team identified 83% and 91% sensitivity and specificity of surveillance respectively. The annual incidence of SSI was 3.5 % of 368 operations after CRAN of them 1.1% superficial, 1.9% deep and 0.5% organ/space SSI. Klebsiella spp., represented 30.8%, Acinetobacter 23.1%, pseudomonas spp., 23.1%.The annual incidence of SSI is 2.9% of 590 operations after CABG of them 1.4% superficial and 1.5% deep SSI. Klebsiella spp., represented 33.3%, S. aureus 33.3%, Coagulase negative 13.3%. The annual incidence of SSI was 26% of 793 after EL of them superficial SSI was 19%, deep SSI was 5.3 and 1.9% organ/space SSI. Of those 97.1% were detected during the inpatient stay and 2.9% at readmission. Microbiological investigations were requested to all patients with SSI, 74.5% reported one organism and 13% reported 2 organisms. Distribution of microorganisms is as follows: E. coli 33.3%, Klebsiella spp. 30%, S. aureus 8.6%. Interventions were conducted to improve adherence with the timing of pre-operative antibiotic prophylaxis, peri-operative glycemic control, improving reporting of surveillance system, ensuring minimum requirements in terms of facilities and dedicated resources available. Interventions lowered the incidence of SSI from 43% in the first half, to 20% in the second half of the year. Risk factors for SSI were high ASA score, uncontrolled diabetes mellitus and emergency operations.

Conclusion: Surveillance of SSI could be successfully implemented and monitored. Results of surveillance were the basis of interventions that lowered the incidence of SSI. Interventions have successfully decreased the incidence of SSI from 42 to 20%.

Biography:

Giuseppe Cannillo is affiliared to Forza Vitale Italia Research Lab, Italy.

Abstract:

Current methods of sanitation of food facilities have some well-known drawbacks, such as toxicity of cleaning agents residues, or promotion of resistance to these agents in enteric pathogens. Therefore, there is a strong requirement to develop alternative sanitation and disinfection methods. A particularly challenging problem in many environments, including food processing areas, is the presence of biofilms. These accumulations of inorganic and organic materials and bacteria can develop on most types of surfaces. Both pathogenic and non-pathogenic microorganisms can be incorporated into biofilms during their progressive formation. Although biofilms can become strongly attached to surfaces, parts of the biofilm can occasionally slough off to contaminate other surfaces as well as food products, when in a food processing environment. Biofilms that contain Listeria , Pseudomonas, Campylobacter, Escherichia coli or Salmonella all have been observed in food processing environments. Biofilms are highly prevalent and difficult to remove and bacteria in them have enhanced resistance to antimicrobial agents and sanitizers. During recent years, plant essential oils have come more into the focus of phytomedicine. Especially, the antimicrobial and antioxidant activities of essential oils . The essential oil from the common herb Origanumvulgare may be an effective treatment against dangerous, and sometimes drug-resistant bacteria. Our research was centered on creating nanoemulsions that were able to enhance the antimicrobial activity of Origanumvulgare essential oil against pathogenic bacteria. Nanoemulsions are a vehicle for the delivery of anantimicrobial agent. The physical structure of the nanoemulsion contains surfactants and solvents that have antimicrobial activity. The surfactant activity specifically disrupts pathogenic microorganisms through fusion with the membrane of the microbe, leading to the rapid lysis of the targeted organism. This mechanism of action has been documented in preliminary studies examining the in vitro virucidal, bactericidal and sporicidal effects of these compounds. All Compounds used are classified as GRAS ( Generally Recognized As Safe) by the FDA and are all compounds used in the food industry.

Methods: Cationic Nanoemulsions were prepared by making stock solutions of 100 mg/ml ofOriganumvulgare essential oil. Samples of this solution was utilized as samples for serial dilutions. A macro-broth-dilution technique was used to determine the susceptibility of the bacteria to the essential oil of Origanumvulgare. The MBC was determined by subculturing a 0.01-mL volume of the medium drawn from the culture tubes after 48 h on Mueller Hinton Agar and incubated further for bacterial growth.

Conclusion: Our Research has confirmed that our Cationic Nanoemulsion of Origanumvulgare has a MBC of 7 ppm and a surface biofilm bactericidal activity time of 10 minutes.

Biography:

Henrieta Hudečková is affiliated to Comenius University, Slovakia.

Abstract:

Measles is one of the most contagious diseases known affecting respiratory system. Currently the measles is eliminated in Slovakia since 1999. In this period, they were recorded only as imported and import-related cases. Our objectives were to describe the impact of vaccination strategy on measles incidence at national and regional levels and to assess the risk factors for measles infection. Our work is retrospective review of measles cases reported since January 1969 to December 2015. Measles reported cases are based on the standard criteria of ECDC. The data on morbidity were collected from the Epidemiological Information System of the Slovak Republic and data on the vaccination (according to the years of birth and the number of doses – MCV1 and MCV2) from the annual reports of administrative control of vaccination coverage. This study covers and compares periods: 1969-1984 (beginning of vaccination and its balance), 1985-1999 (decrease of endemic cases) and 2000-2015 (elimination of measles). The incidence of measles decreased during 1969-2015 mainly in the first (reported 108,091 cases; 145.4/100 000) and second (reported 2,474 cases; 3.1/100 000) period. In the third period only 23 import and import-related cases were reported. The highest age specific incidence was in the age group 0-4. The vaccination coverage was at the highest level (98-99%) in the long term, in the last three children cohorts (born in 2011, 2012, 2013) decrease to 96.8-93.9%. Our analysis showed the positive impact of vaccination on the epidemiological situation and increase of anti-vaccination activities and risk population (Romany population and migrants).

This work was supported by the Slovak Research and Development Support Agency under the Contract No. APVV-0096-12 (EPIBIOMAT).

Biography:

Veronika Szabóová is affiliated to Comenius University, Slovakia.

Abstract:

Recently, thanks to immunization, no cases of measles have been reported in Slovakia. Information on the immune status of the population is important to prevent possible re-emergence of the disease. However, the last nationwide immunological survey in Slovakia was carried out in 2002. This work estimates current (2014) measles susceptibility in individual age groups using mathematic modelling. The analysis is based on administrative data on vaccination coverage, the immunological survey from 2002 and demographic data on age structure of the Slovak population. The cohort model considered changes since 2002: new single dose vaccinated cohorts (born 2000–2012) and cohorts vaccinated with the second dose (born 1989–2002). In other cohorts, immunity naturally partially waned and the proportion of cohorts with more effective post-infection immunity (naturally infected) declined. In 2002, there were approximately 241,000 susceptible individuals (approximately 4.5% of the population) in Slovakia. Most of them, besides children aged under one year and yet not vaccinated, were aged 17–34. In 2014, there were approximately 383,000 susceptible individuals (approximately 7.1% of the population), mostly non-vaccinated children up to one year and adults aged 30–45 years. These adults constituted the most prevalent susceptible cohort. The increased proportion of susceptible population is partially attributable to natural waning of the immunity in vaccinated individuals without natural contact with the disease. Therefore, in a potential epidemic outbreak, alongside the unvaccinated, 30–45 year old individuals (cohort born 1969–1984) will be the most endangered. Although the mathematic modelling, due to its limitations, cannot fully substitute the immunological survey, the estimations can sufficiently identify the endangered population cohorts to adjust the vaccination policy appropriately.

This work was supported by the Slovak Research and Development Support Agency under the Contract No. APVV-0096-12 (EPIBIOMAT).

Biography:

Sile O'Connor is an Antimicrobial Pharmacist at the University Hospital Kerry. She has qualified as a Pharmacist in 1991 and has a PhD from Trinity College Dublin. She has numerous publications, specializing in multidisciplinary initiatives in the fields of quality improvement, antimicrobials and addiction.

Abstract:

Background: Sepsis is a time dependent medical emergency with a fatal outcome in almost 30% of instances within the Irish healthcare setting. Evidence from the UK has shown the Sepsis 6 Care Bundle can reduce sepsis mortality to 20%. Each hour of delay in antimicrobial administration reduces survival. In 2014, the Irish Department of Health & Children published its first sepsis guidelines. Implementation of these can improve outcomes for patients attending the Emergency Department (ED) at University Hospital Kerry (UHK). However, in 2010 the UK Surviving Sepsis Campaign reported compliance rates of only 31%. This study explored the impact of education and the implementation of standardized sepsis treatment pathways on the knowledge and confidence of ED staff at UHK.

Aims: This study aimed to improve quality of care by ensuring ED staff are aware of and can access sepsis treatment recommendations and guidelines. Additionally, it aimed to improve staff resilience by a supporting them in recognizing sepsis, standardizing sepsis treatment pathways and improving the communication of treatment recommendations.

Method: The study investigated baseline awareness of sepsis among ED staff, with a follow up exploration of their attitudes and awareness after an education intervention was performed. A final structured survey was undertaken after standardized treatment pathways, visual aids, prescribing prompts and antimicrobial recommendations were made available and additional education had been provided.

Results: The study reported improved sepsis awareness and knowledge of sepsis care elements among ED staff (from 47% to 94%), better compliance with local sepsis treatment recommendations (from 46% to 60%) and increased self-reported confidence in identifying and managing sepsis (from 39% to 70%) over the course of this intervention.

Conclusion: This work suggests that local, in-house, multi-departmental initiatives can improve quality care in the treatment of sepsis and strengthen staff resilience in the ED setting.

Biography:

Taimur S Butt is a graduate of King Edward Medical College, Lahore. He has completed his Residency training from University of Connecticut, Farmington, CT, USA. He has worked as Emergency Medicine Consultant in States of Kentucky, Ohio, Michigan and have been the Medical Director, Emergency Department of Mary Chiles Hospital, KY; Fayette Memorial Hospital, OH and Mercy Hospital, OH, USA. He is currently an Associate Professor at Al Faisal University & Member, of Editorial Board, Annals of Saudi Medicine.

Abstract:

Transmission of Middle East Respiratory Syndrome-Coronavirus (MERS-CoV) among health care workers (HCWs) and patients has been documented with mortality rate approximating 36%. We propose ‘Advanced-Infection Control Measures’ (A-IC) used in conjunction with ‘Basic-Infection Control Measures’ (B-IC) help reduce pathogen transmission. B-IC include standard and transmission based precautions. A-IC are initiatives implemented within our centre to enhance effectiveness of B-IC. Our objective is to study effectiveness of combining B-IC and A-IC to prevent transmission of MERS-CoV to HCWs. A retrospective observational study was undertaken. A-IC measures include; administrative support with daily rounds, infection control risk assessment, timely screening, isolation and specimen analysis, collaboration, epidemic-plan, stock-piling, implementation of contingency plan, full PPE use for advanced airway management, real-time electronic isolation flagging system, IC team on-call, pre-transfer MERS-CoV testing, education. Total of 874 real-time PCR MERS-CoV tests were performed from July 01, 2013 to January 31, 2015. 694 non-HCWs were tested; of these 16 were MERS-CoV positive and community-acquired. 69% of the confirmed MERS-CoV positive cases were male with an average age of 56 years (range: 19-84 years). Of the total tested for MERS-CoV 180 were HCWs with zero positivity. In conclusion, adhering to a combination of B-IC and A-IC reduces the risk of MERS-CoV transmission to HCWs.

Biography:

Maimona Ahmed El Siddig El Imam is currently a PhD student in Sudan University of Science and Technology. She has completed her Master degree in 2012 from Sudan University of Science and Technology, Sudan. She has worked at Research Laboratory in Sudan University as Research Assistance from 2009-2013 and She is working as a Medical Lab Technologist in Rashid Hospital since 2013. She has obtained her BSc degree in Medical Microbiology from Ahlia University in Khartoum, Sudan.

Abstract:

Staphylococcus aureus, a major cause of potentially life threatening infections acquired in healthcare and community settings has developed resistance to most classes of antimicrobial agents as determined by the dramatic increase. The present study aimed to determine the prevalence of MRSA and VRSA in patients with different clinical manifestations in Khartoum State. The study population (n=426) were males and females with different age categories, suffering either from wound infections (105), ear infections (121) or UTI (101), in addition to nasal carriers of medical staff (100). Cultures, Gram staining and other biochemical tests were performed for conventional identification. Modified Kirbry-Bauer disk diffusion method was applied and DNA was extracted from MRSA and VRSA isolates and PCR was then performed for amplification of arc, mecA, VanA and VanB genes. The results confirmed the existence of S. aureus in 49/426 (11.5%) cases among which MRSA were isolated from 34/49 (69.4%) when modified Kirbry-Bauer disk diffusion method was applied. Ten out of these 34 MRSA were confirmed as VRSA by cultures on BHI agar containing 6 μg per ml vancomycin according to NCCLS criteria. PCR revealed that out of the 34 MRSA isolates, 26 were mecA positive (76.5%) while 8 (23.5%) were arc positive. No vanA or VanB genes were detected. Molecular method confirmed the results for MRSA through the presence of either arcC or mecA genes while it failed to approve the occurrence of VRSA since neither VanA or VanB genes were detected. Thus, VRSA may be attributed to other factors.

Biography:

Mohamed Shahat Badawy Ahmed has completed his PhD from South Valley University and Postdoctoral studies from Sohag Faculty of Medicine. He is the Director of Chest diseases and Consultant of Chest Diseases at Luxor International Hospital. He has published more than 20 papers in reputed journals and has been serving as an Editorial Board Member of repute.

Abstract:

Background: Ventilator associated pneumonia (VAP) remains an area of active clinical research with little data about effect of (VAP) on outcome among patients with acute exacerbation of chronic obstructive pulmonary disease.

Materials & Methods: A prospective study included patients with COPD exacerbation requiring endotracheal intubation for more than 48 hours. Clinical assessment and quantitative culture has been done for all patients for the occurrence of VAP.

Results: Out of one hundred fifty two patients 92 patients (60.5%) were with VAP diagnosis. Their mean age was 56.1±15.02 (38 cases developed early while 54 cases developed late VAP). Forty eight cases were discharged (54%) while 44 cases (46%) died. In comparing mean age of both groups 45.08±15.52 and 57.41±16.34 with P value=0.003. Prolonged use of antibiotics, reintubation and steroid use are possible risk factors for VAP with significant P values 0.03, 0.001, 0.05 respectively. Age above vs. below 60 showed adjusted odds ratio 5.33; 95% confidence interval 1.59-7.83 with P value=0.007. Early vs. late VAP and prolonged use of antibiotics vs. none showed significant odds ratio 0.32; 95% CI 0.13-0.76, odds ratio 2.85; 95% CI 1.07-7.59 with P values 0.01, 0.04 respectively.

Conclusions: Old age, late onset VAP, re-intubation and prolonged use of antibiotics were predictors of mortality in VAP patients with AECOPD.

Biography:

Gehad T El-Sherbini is affiliated to Cairo University, Egypt.

Abstract:

Infections with Strongyloides stercoralis and other helminths represent important, yet often neglected issues in developing countries. Indeed, strongyloidiasis can be fatal, but only a few studies provide information regarding its health relevance in Africa. Strongyloides stercoralis is an intestinal nematode that can persist in the human host for decades after the initial infection and can progress to fulminant hyper infection syndrome in immunocompromised hosts and the rapid development of nematode resistance to anthelmintics has limited the success of control in several countries, stimulating the search for alternatives. In this study, extracts of immature fruits of the mango Mangifera indica L. were evaluated for inhibition of larval development. In the phytochemical analyses, tannins and flavonoids were the metabolites identified. Aqueous extracts of immature fruits at 100 mg ml−1 showed 100% inhibition of larval development. The LC90 of the extract was 35.9 mg/ml−. In vitro results indicate that this fruit could assist Strongyloides stercoralis control.

Biography:

Syed Ali M is now currently working as the Head of the department and Research Department of Biotechnology at Mohamed Sathak College of Arts and Science (Affiliated to University of Madras), Chennai, India. He had completed Phd in Oceanography – Marine Biotechnology 2011 (Title: Screening of various biological resources from Gulf of Mannar for the management of Dengue fever) and also Master of Philosophy and Master of Science in Marine Biotechnolgy, 2006. He had published 4238 international publication in peer reviewed journals and also contributed three book chapter. He is the member of five scientific committee to all over the world especially European Society of Clinical Microbiology and Infectious Disease, Europe (Member ID: 123822) and Advisory Board Member of all of the world.

Abstract:

The zebrafish, Danio rerio, is a small teleost fish originating from the rivers of northern and eastern India (Engeszer et al. 2007). It possesses a number of advantageous physical characteristics that have resulted in its common use today as a laboratory model. The present study was aimed to identify the heart and liver regeneration in zebra fish using biosynthesis gold nanoparticles from Sargassum sps. Of the selected seaweed extract showed the maximum synthesis of silver nanoparticles. This work focused on the activity of these compounds when incorporated into the zebrafish (Danio rerio) system. We began investigating the in vivo assay effect of these Hepatocyte Viability Staining After H2o2 Treatment, Cardiomyocyte Response to Ca++, Cardio vascular heart rate activity by measuring hypertrophy, Cardio vascular pathology and cardio vascular regeneration, Liver regeneration and Liver pathology, Molecular pathway target identification and Hypothesis on Interacting Domain (Agno3) of the vertebrate model organism. The FTIR results of most potent leaf extract-synthesized silver nanoparticles showed the prominent peaks (range between 620.967 to 2,854.14) Further, the results of XRD analysis showed the 2h intense values (38.11 and 70.57) within the ranges of Bragg’s reflection. In addition, the SEM analysis showed the results of particle sizes (50–100 nm). It can be concluded from the present findings that, the biosynthesis of gold nanoparticles from the seaweed extract of Padina gymnospora. Can be used as potential exploring its cardioprotective and liver protective ability using zebra fish as model organism.

Biography:

Ould Yeru Karima is a student in Faculté Science, Department of Biology, University of Mascara, Algeria.

Abstract:

Laurus nobilis is an aromatic plant, widespread in Algeria and widely used by local people as a source of spice and for its medicinal properties. The essential oil of this plant native to western Algeria is the subject of our study. The essential oil extraction was performed by steam distillation, the yield obtained from leaf is (1.5%) by gavage Wistar rats males weight between 100 g 80 et were infected with Salmonella then treated with a dose 1 g/kg of the essential oil. After sacrifice of the rats, histological examination of the intestines and internal organ (liver and spleen) shows the therapy of this magic plant "Laurus nobilis"

Biography:

Ould Yerou Karima is a student in Faculté Science, Department of Biology, University of Mascara, Algeria.

Abstract:

Dried leaves and the essential oil (EO) of bay (Laurus nobilis L.) are used extensively in the food industry for seasoning of meat products, soups and fishes, this essential oils was extracted from leaves by hydrodistillation. The yield was 1%. The aim of this study was to evaluate the antibacterial activity of this essential oils against three bacterial strains Staphylococcus aureus, Escherichia coli and Pseudomonas aeruginosa. Orted that the high content of 1,8-cineole in the EO of L. nobilis L. contributed to its weak antimicrobial activity.