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Substantial knowledge gaps exist concerning the varying durations of peripherally inserted central catheter (PICC) placements that lead to either central line-associated bloodstream infection (CLABSI) or catheter colonization. We aimed to compare PICCs dwell time between patients who developed CLABSIs due to multidrug-resistant microorganisms (MDROs) and patients with catheter colonization by MDROs. Data from 86 patients admitted consecutively to a tertiary-care hospital from 2017 to 2020 were retrospectively analyzed. The mean dwell time was 25.73 ± 16.19 days in the PICC-CLABSI group and 16.36 ± 10.28 days in the PICC-colonization group (p = 0.002). The mean dwell time was 17.38 ± 9.5 days in the PICC-MDRO group and 22.48 ± 15.64 days in the PICC-non-MDRO group (p = 0.005). Within the PICC-CLABSI group, the mean dwell time for CLABSIs caused by MDROs was 21.50 ± 12.31 days, compared to 27.73 ± 16.98 days for CLABSIs caused by non-MDROs (p = 0.417). Within the PICC-colonization group, the mean dwell time was 15.55 ± 7.73 days in PICCs colonized by MDROs and 16.92 ± 11.85 days in PICCs colonized by non-MDROs (p = 0.124). The findings of the present study suggest that CLABSIs caused by MDROs in PICCs are associated with a shorter mean catheter dwell time compared to those caused by non-MDROs, underscoring the importance of considering infections by MDROs when evaluating PICC dwell times. [ABSTRACT FROM AUTHOR]

The addition of natural fibers in the elaboration of concrete pastes has increased as an innovative alternative for the development of more ecological and environmentally friendly constructions. The objective of this research is to incorporate natural fiber residues from palm leaves and mango stone impregnated with used engine oil (UEO) in the cement matrix to improve the mechanical and electrochemical properties of reinforced concrete. Samples with fiber percentages of 0.2% and 0.4% with respect to the weight of the sand with a length of 10 mm were fabricated. Their properties, such as workability, air content, porosity, and compressive and flexural strength, were analyzed. To understand the corrosion rate of the steel bars, electrochemical techniques of corrosion potential, electrochemical noise, linear polarization resistance, and electrochemical impedance spectroscopy were applied to cubic samples exposed in a 3% sodium chloride saline environment for 365 days. The experimental results showed a positive effect on the corrosion phenomenon with the UEO and mango fiber treatment, decreasing the corrosion rate due to the formation of a protective film at the steel/concrete interface. [ABSTRACT FROM AUTHOR]

The quantity of different plastics generated after consumption is an impact factor affecting the environment, and the lack of recycling generates solid waste. The purpose of this work is to incorporate high-density recycled polyethylene fibers (HDPE) for possible use as concrete reinforcement. Physical and mechanical properties from recycled fibers were analyzed, such as density, absorption, and stress resistance, as well as workability, air content, porosity, concrete compression, and flexural strength properties. Samples were prepared with a low fiber content of 0.2% and 0.4%, as a substitution for sand weight, and lengths of 10 and 30 mm. To study corrosion phenomena, the specimens were exposed to a saline environment containing 3% sodium chloride for 365 days, and the electrochemical techniques including half-cell potential (HCP), electrochemical noise (EN), linear polarization resistance (LPR), and electrochemical impedance spectroscopy (EIS) were applied. The results showed a 4.8% increase in compressive strength with a low fiber percentage and short geometries, while flexural strength increased marginally by 2.3% with small quantities of HDPE fibers. All these factors contribute to greater material durability, less permeability, and crack control. A positive effect of fibers with short dimensions on the corrosion processes of a steel bar was observed, with the fibers acting as a physical barrier against the diffusion of chloride ions. [ABSTRACT FROM AUTHOR]

Background: The use of peripherally inserted central catheters (PICCs) as an alternative to central venous catheters (CVCs) has steadily risen over the last two decades. However, there is an ongoing debate regarding research evidence that supports any clear advantages or disadvantages of them compared to traditional central venous lines. The present study was conducted to compare the indwelling time of CVC and PICC placements leading to microbial colonization by multidrug-resistant microorganisms (MDROs) in critically ill patients. Methods: A single-center retrospective descriptive study was performed that reviewed the medical records of critically ill patients with colonized CVCs and PICCs who were hospitalized during a 24-month period (May 2019–May 2021). To evaluate the association between indwelling time of catheter placement and colonization rates, events were categorized into three groups, each representing a one-week time interval of catheter indwelling time: group 1: ≤7 days, group 2: 8–14 days, and group 3: >14 days. Results: A total of 207 hospitalized patients with colonized PICCs or CVCs were included in the study. Of these, 144 (69.5%) had a CVC placement and 63 (30.5%) had a PICC placement. The overall colonization rate (per 1.000 catheter/days) was 14.73 in the CVC and 5.67 in the PICC cohort (p = 0.003). In the group of PICCs, 12/63 (19%) of the pathogens were MDROs and 51/63 (81%) were non-MDROs, while in the group of CVCs, 86/144 (59.7%) were MDROs and 58/144 (40.3%) were non-MDROs (p < 0.001). The colonization rate in the CVC cohort, was 6.98 for group 1, 21.57 for group 2, and 21.6 for group 3 (p = 0.019). The colonization rate of MDROs was 3.27 for group 1, 14.47 for group 2, and 12.96 for group 3 (p = 0.025). Regarding the PICC cohort, the colonization rate was 1.49 for group 1, 3.19 for group 2, and 8.99 for group 3 (p = 0.047). No significant difference existed between the three groups in terms of MDRO pathogens, with the colonization rate being 0 for group 1, 0.8 for group 2, and 1.69 for group 3 (p = 0.78). Within the CVC cohort, the most common isolated microorganism was MDR Acinetobacter baumannii (n = 44; 30.6%), followed by MDR Klebsiella pneumoniae (n = 27; 18.7%). In the PICC cohort, the predominant isolated microorganism was Candida non-albicans (n = 15; 23.8%), followed by Candida albicans, coagulase-negative staphylococci, and MDR Klebsiella pneumoniae in equal numbers (n = 6; 9.5%). Conclusions: Our findings show that while the indwelling time of PICC placement was longer compared to CVCs, its colonization rate was considerably lower. Furthermore, high colonization rates by microorganisms, especially MDROs, arose later during catheterization in PICCs compared to CVCs, suggesting that in terms of vascular infections, PICCs may be a safer alternative to conventional CVCs for long-term intravenous access. [ABSTRACT FROM AUTHOR]

This work shows interesting results for a metal–organic complex as a green corrosion inhibitor. The study describes features of two passive films (PF) containing chrysin for mild steel in H2SO4 by means of electrochemical noise under a potentiostaic regime as a function of time. The features showed a current reduction due to the formation of a passive film with better stability and homogeneity when chrysin is absorbed at the optimal experimental potential. PF formed at 50 ppm presented a very high corrosion protection over seven hours reducing the current density seven orders of magnitude, and PF formed at 300 ppm showed two orders of magnitude decrease over 23 h. PF analysis by FT-IR spectra showed important stretch band shift vibrations in the carbonyl and hydroxyl groups as evidence of the presence of metal–organic complex. Moreover, the information provided by adsorption isotherms and quantum chemical calculations confirmed the coordinated bonds established by chemisorption process which correlates with the experimental results. [ABSTRACT FROM AUTHOR]