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Chandra EH, Adriani TC, Alwi A, Mulawardi, Nugroho NT, Yusuf D. Evaluation of Central Venous Catheter for Dialysis Associated with Bloodstream Infections. Ann Vasc Dis 2024; 17:9-13. [PMID: 38628928 PMCID: PMC11018104 DOI: 10.3400/avd.oa.23-00062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Accepted: 11/13/2023] [Indexed: 04/19/2024] Open
Abstract
Objective: Hemodialysis (HD) catheter-related bloodstream infections (CRBSIs) are a major complication of long-/short-term catheter. Material and Methods: Patients with HD CRBSIs were identified, and their blood was taken and sent to clinical pathology for culture and sensitivity testing. The inclusion criteria were adults with end-stage renal disease who required urgent HD access in the presence of a central venous catheter (CVC) infection. Results: The most common isolates among the patients with CRBSIs were gram-positive microorganisms (57.5%) and gram-negative organisms (42.5%). Overall, in our entire study, Staphylococcus aureus was the most common pathogen isolated, accounting for 30%, followed by Pseudomonas aeruginosa (20%), coagulase-negative staphylococci (CoNS) (12.5%), Klebsiella spp. and Acinetobacter (10%), Staphylococcus epidermidis (7.5%), and methicillin-resistant Staphylococcus aureus (MRSA), Escherichia coli, Staphylococcus hominis, and Enterococcus faecalis (2.5%). The commonest bacterial in femoral was S. aureus, and for subclavian was Pseudomonas aeruginosa. All S. aureus were sensitive to aminoglycosides and quinolones. P. aeruginosa was sensitive to the third generation of cephalosporins, especially cefoperazone and carbapenem. Conclusion: Nontunneled CVCs used for more than 2 weeks could increase the risk of CRBSIs. Procalcitonin and erythrocyte sedimentation rate could predict the CRBSIs in this study. This study also revealed that the gram-positive bacteria were primadonna in dialysis of CRBSIs, and most of them were sensitive to aminoglycosides.
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Affiliation(s)
- Erwin Hadi Chandra
- Division for Vascular and Endovascular, Department of Surgery, Faculty of Medicine, Hasanuddin University, Dr. Tadjuddin Chalid National Hospital, Makassar, Indonesia
- Department of Surgery, Wahidin Sudirohusodo Hospital, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
| | - Tom Ch. Adriani
- Division for Vascular and Endovascular, Department of Surgery, Faculty of Medicine, Hasanuddin University, Dr. Tadjuddin Chalid National Hospital, Makassar, Indonesia
| | - Ahmadi Alwi
- Division for Vascular and Endovascular, Department of Surgery, Faculty of Medicine, Hasanuddin University, Dr. Tadjuddin Chalid National Hospital, Makassar, Indonesia
| | - Mulawardi
- Department of Surgery, Wahidin Sudirohusodo Hospital, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
| | - Nyityasmono Tri Nugroho
- Division for Vascular and Endovascular, Department of Surgery, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo National Hospital, Jakarta, Indonesia
| | - Dewi Yusuf
- Division for Vascular and Endovascular, Stella Maris Hospital, Makassar, Indonesia
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Nugroho NT, Herten M, Torsello GF, Osada N, Marchiori E, Sielker S, Torsello GB. Association of Genetic Polymorphisms with Abdominal Aortic Aneurysm in the Processes of Apoptosis, Inflammation, and Cholesterol Metabolism. Medicina (Kaunas) 2023; 59:1844. [PMID: 37893562 PMCID: PMC10608078 DOI: 10.3390/medicina59101844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Revised: 09/26/2023] [Accepted: 10/14/2023] [Indexed: 10/29/2023]
Abstract
Background and Objectives: This study aims to identify the minor allele of the single nucleotide polymorphisms (SNPs) DAB2IP rs7025486, IL6R rs2228145, CDKN2BAS rs10757278, LPA rs3798220, LRP1 rs1466535, and SORT1 rs599839 in order to assess the risk of abdominal aortic aneurysm (AAA) formation and define the linkage among these SNPs. Materials and Methods: A case-control study with AAA patients (AAA group) and non-AAA controls (control group) was carried out in a study population. DNA was isolated from whole blood samples; the SNPs were amplified using PCR and sequenced. Results: In the AAA group of 148 patients, 87.2% of the patients were male, 64.2% had a history of smoking, and 18.2% had relatives with AAA. The mean ± SD of age, BMI, and aneurysmal diameter in the AAA group were 74.8 ± 8.3 years, 27.6 ± 4.6 kg/m2, and 56.2 ± 11.8 mm, respectively. In comparison with 50 non-AAA patients, there was a significantly elevated presence of the SNPs DAB2IP rs7025486[A], CDKN2BAS rs10757278[G], and SORT1 rs599839[G] in the AAA group (p-values 0.040, 0.024, 0.035, respectively), while LPA rs3798220[C] was significantly higher in the control group (p = 0.049). A haplotype investigation showed that the SNPs DAB2IP, CDKN2BAS, and IL6R rs2228145[C] were significantly elevated in the AAA group (p = 0.037, 0.037, and 0.046) with minor allele frequencies (MAF) of 25.5%, 10.6%, and 15.4%, respectively. Only DAB2IP and CDKN2BAS showed significantly higher occurrences of a mutation (p = 0.028 and 0.047). Except for LPA, all SNPs were associated with a large aortic diameter in AAA (p < 0.001). Linkage disequilibrium detection showed that LPA to DAB2IP, to IL6R, to CDKN2BAS, and to LRP1 rs1466535[T] had D' values of 70.9%, 80.4%, 100%, and 100%, respectively. IL6R to LRP1 and to SORT1 had values for the coefficient of determination (r2) of 3.9% and 2.2%, respectively. Conclusions: In the investigated study population, the SNPs CDKN2BAS rs10757278, LPA rs3798220, SORT1 rs599839, DAB2IP rs7025486, and IL6R rs2228145 were associated with the development of abdominal aortic aneurysms. Individuals with risk factors for atherosclerosis and/or a family history of AAA should be evaluated using genetic analysis.
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Affiliation(s)
- Nyityasmono Tri Nugroho
- Department of Vascular and Endovascular Surgery, University Hospital Münster, 48149 Münster, Germany
- Vascular and Endovascular Division, Department of Surgery, Cipto Mangunkusumo National Hospital, Faculty of Medicine, University of Indonesia, Jakarta 10430, Indonesia
| | - Monika Herten
- Department of Trauma, Hand and Reconstructive Surgery, University Hospital Duisburg-Essen, 45147 Essen, Germany
| | | | - Nani Osada
- Department of Vascular and Endovascular Surgery, University Hospital Münster, 48149 Münster, Germany
| | - Elena Marchiori
- Department of Vascular and Endovascular Surgery, University Hospital Münster, 48149 Münster, Germany
| | - Sonja Sielker
- Research Unit Vascular Biology of Oral Structures (VABOS), Department of Cranio-Maxillofacial Surgery, University Hospital Münster, 48149 Münster, Germany
| | - Giovanni B. Torsello
- Institute for Vascular Research, St. Franziskus Hospital, 48145 Münster, Germany;
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Patelis N, Bisdas T, Jing Z, Feng J, Trenner M, Tri Nugroho N, Ocke Reis PE, Elkouri S, Lecis A, Karam L, Roux DL, Ionac M, Berczeli M, Jongkind V, Yeung KK, Katsargyris A, Avgerinos E, Moris D, Choong A, Ng JJ, Cvjetko I, Antoniou GA, Ghibu P, Svetlikov A, Pedrajas FG, Ebben H, Stepak H, Chornuy A, Kostiv S, Ancetti S, Tadayon N, Mekkar A, Magnitskiy L, Fidalgo-Domingos L, Matheiken S, Sarutte Rosello ES, Isik A, Kirkilesis G, Kakavia K, Georgopoulos S. Vascular e-Learning During the COVID-19 Pandemic: The EL-COVID Survey. Ann Vasc Surg 2021; 77:63-70. [PMID: 34478845 PMCID: PMC8407942 DOI: 10.1016/j.avsg.2021.08.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2021] [Revised: 07/25/2021] [Accepted: 08/05/2021] [Indexed: 10/28/2022]
Abstract
BACKGROUND The corona virus disease (COVID-19) pandemic has radically changed the possibilities for vascular surgeons and trainees to exchange knowledge and experience. The aim of the present survey is to inventorize the e-learning needs of vascular surgeons and trainees as well as the strengths and weaknesses of vascular e-Learning. METHODS An online survey consisting of 18 questions was created in English, with a separate bilingual English-Mandarin version. The survey was dispersed to vascular surgeons and trainees worldwide through social media and via direct messaging from June 15, 2020 to October 15, 2020. RESULTS Eight hundred and fifty-six records from 84 different countries could be included. Most participants attended several online activities (>4: n = 461, 54%; 2-4: n = 300, 35%; 1: n = 95, 11%) and evaluated online activities as positive or very positive (84.7%). In deciding upon participation, the topic of the activity was most important (n = 440, 51.4%), followed by the reputation of the presenter or the panel (n = 178, 20.8%), but not necessarily receiving accreditation or certification (n = 52, 6.1%). The survey identified several shortcomings in vascular e-Learning during the pandemic: limited possibility to attend due to lack of time and increased workload (n = 432, 50.5%), no protected/allocated time (n = 488, 57%) and no accreditation or certification, while technical shortcomings were only a minor problem (n = 25, 2.9%). CONCLUSIONS During the COVID-19 pandemic vascular e-Learning has been used frequently and was appreciated by vascular professionals from around the globe. The survey identified strengths and weaknesses in current e-Learning that can be used to further improve online learning in vascular surgery.
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Affiliation(s)
- Nikolaos Patelis
- Third Department of Vascular Surgery, Athens Medical Center, Greece; National & Kapodistrian University of Athens, Greece.
| | | | - Zaiping Jing
- Vascular surgery department, First affiliated hospital to Navy medical university, Shanghai, PR China
| | - Jiaxuan Feng
- Vascular surgery department, First affiliated hospital to Navy medical university, Shanghai, PR China
| | - Matthias Trenner
- Klinikum rechts der Isar, School of Medicine, Technical University of Munich, Germany
| | - Nyityasmono Tri Nugroho
- Faculty of Medicine University of Indonesia - Cipto Mangunkusumo National Hospital, Indonesia
| | | | | | | | | | | | - Mihai Ionac
- University of Medicine and Pharmacy, Romania
| | | | | | | | - Athanasios Katsargyris
- Paracelsus Medical University, Klinikum Nurenberg, Germany; National & Kapodistrian University of Athens, Greece
| | - Efthymios Avgerinos
- University of Pittsburgh Medical Center, USA; National & Kapodistrian University of Athens, Greece
| | | | | | - Jun Jie Ng
- National University of Singapore, Singapore
| | | | | | | | - Alexei Svetlikov
- Vascular & endovascular surgery Center, National Scientific-Clinical Memorial Hospital, "Professor I.I. Mechnikov", North-Western Medical University, The Russian Federation
| | | | | | | | | | | | | | - Niki Tadayon
- Shahid Beheshti University of Medical Sciences, Iran
| | | | | | | | | | | | - Arda Isik
- Erzincan Binali Yildirim University, Turkey
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Idelevich EA, Knaack D, Nugroho NT, Peters G, Bisdas T, Molinaro S, Torsello GB, Becker K, Herten M. Comparative in vitro activity of bacteriophage endolysin HY-133 against Staphylococcus aureus attached to vascular graft surface. Med Microbiol Immunol 2019; 209:51-57. [DOI: 10.1007/s00430-019-00638-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2019] [Accepted: 09/24/2019] [Indexed: 10/25/2022]
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