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Introduction: Nosocomial infections (NIs) are a major source of iatrogenic harm in neonatal intensive care units (NICUs). The influence of the infrastructure of NICUs on NIs is not well documented. This study aims to examine the effect of single-room units (SRU) versus open-bay units (OBU) on the incidence of NIs, including central-line-associated bloodstream infections (CLABSI), in preterm neonates., Methods: All preterm neonates (< 32 weeks gestational age) admitted to our NICU were included. Two study periods were compared: one prior to (May 2015-May 2017) and one following (May 2017-May 2019) transition from OBU to SRU. Incidence density (number of infections per 1000 patient-days) and cumulative incidence (number of infections per 100 neonates) for NIs were calculated. CLABSIs were calculated per 1000 central-line days. U chart analysis was performed to determine special-cause variation in quarterly CLABSI and NI rates. Multivariate competing risk regression was performed to identify independent NI risk factors., Results: Of the 712 included infants, 164 (23%) infants acquired ≥ 1 NIs. No differences were found in incidence density (13.68 vs. 12.62, p = 0.62) or cumulative incidence of NI (23.97 vs. 22.02, p = 0.59) between OBU and SRU. CLABSIs showed a similar non-significant reduction after the move (14.00 vs. 10.59, p = 0.51). U chart analysis did not identify unit transition as a potential source of special-cause variation for CLABSI and NI. Competing risks regression analysis revealed longer duration of invasive mechanical ventilation as a significant risk factor for NI (subhazards ratio: 1.03 per day on ventilation, p = 0.01)., Conclusion: Single-rooms are not associated with a significant reduction in NIs in the NICU. This study therefore does not add evidence that could support the transition to SRUs if based only on a large multimodal infection control strategy. Recommendations to build SRUs would require a wider justification, also taking into account other SRU benefits.

Introduction: Nosocomial infections (NIs) are a major source of iatrogenic harm in neonatal intensive care units (NICUs). The influence of the infrastructure of NICUs on NIs is not well documented. This study aims to examine the effect of single-room units (SRU) versus open-bay units (OBU) on the incidence of NIs, including central-line-associated bloodstream infections (CLABSI), in preterm neonates., Methods: All preterm neonates (< 32 weeks gestational age) admitted to our NICU were included. Two study periods were compared: one prior to (May 2015-May 2017) and one following (May 2017-May 2019) transition from OBU to SRU. Incidence density (number of infections per 1000 patient-days) and cumulative incidence (number of infections per 100 neonates) for NIs were calculated. CLABSIs were calculated per 1000 central-line days. U chart analysis was performed to determine special-cause variation in quarterly CLABSI and NI rates. Multivariate competing risk regression was performed to identify independent NI risk factors., Results: Of the 712 included infants, 164 (23%) infants acquired ≥ 1 NIs. No differences were found in incidence density (13.68 vs. 12.62, p  = 0.62) or cumulative incidence of NI (23.97 vs. 22.02, p  = 0.59) between OBU and SRU. CLABSIs showed a similar non-significant reduction after the move (14.00 vs. 10.59, p  = 0.51). U chart analysis did not identify unit transition as a potential source of special-cause variation for CLABSI and NI. Competing risks regression analysis revealed longer duration of invasive mechanical ventilation as a significant risk factor for NI (subhazards ratio: 1.03 per day on ventilation, p  = 0.01)., Conclusion: Single-rooms are not associated with a significant reduction in NIs in the NICU. This study therefore does not add evidence that could support the transition to SRUs if based only on a large multimodal infection control strategy. Recommendations to build SRUs would require a wider justification, also taking into account other SRU benefits., Supplementary Information: The online version contains supplementary material available at 10.1007/s40121-020-00380-9., (© The Author(s) 2020.)

A new Mg(II) -based version of the porous coordination polymer CUK-1 with one-dimensional pore structure was prepared by microwave synthesis in water. Mg-CUK-1 is moisture-stable, thermally stable up to 500 °C, and shows unusual reversible soft-crystal behavior: dehydrated single crystals of the material selectively adsorb a range of organic molecules at ambient temperature and pressure. Both polar and apolar aromatic compounds, including pyridine, benzene, p-xylene, and p-divinylbenzene (p-DVB), are all readily adsorbed, while other isomers from complex mixtures of xylenes or DVBs are selectively excluded. The solvent-loaded structures have been studied by single-crystal X-ray diffraction. Time-dependent liquid sorption experiments using commercially available DVB demonstrate a high and rapid selective adsorption of p-DVB and exclusion of m-DVB and ethylvinylbenzene isomers., (© 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.)

Two new isostructural phosphine coordination materials, Ln-PCM-21 (Ln = Pr, Nd), have been obtained using a tris(p-carboxylated) methyltriphenylphosphonium ligand that is formally dianionic when triply deprotonated, allowing access to materials based on uncommon metal-to-ligand ratios. The polymers of the formula [Ln3(mptbc)4]X·solv (X = Cl(-), NO3(-)) are cationic and contain unusual, linear oxo-bridged [Ln3](9+) clusters. Magnetic susceptibility data for both the Pr and Nd analogues has been compared to models based on three contrasting approaches.