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Drug-resistant bacteria has been a threat to public life and property. We described the trends and changes in antibiotic resistance of impor-tant pathogens in a general hospital in Zhengzhou, China from 2011 to 2016, to control antimicrobial-resistant bacteria in hospital and provide support to clinicians and decision-making departments.Five dominant bacteria were enrolled based on the data from the general hospital during 6 years. The results of antimicrobialsusceptibility testing were interpreted according to Clinical and Laboratory Standards Institute (CLSI). From 2011 to 2016, a total of 19,260 strains of bacteria were isolated, of which Klebsiella pneumoniae, Escherichia coli, Staphylococcus aureus, Pseudomonas aeruginosaand Acinetobacter baumannii accounted for 51.98%. The resistance rate of K. pneumoniae and E. coli to carbapenem was less than 15%, but resistance of K. pneumoniae to carbapenems increased with time and resistance of E. coli to meropenem increased. The rate of extended-spectrum beta-lactamase (ESBL) production among K. pneumoniae and E. coli was decreasing. For most antibiotics, the resistance rate of ESBL-positive isolates was higher than that of ESBL-negative isolates, excluding carbapenems and cefoxitin. For S. aureus, the rate of methicillin-resistant S. aureus (MRSA) was stable. Resistance of S. aureus to mostly antibiotics decreased with time. Besides polymyxin B, P. aeruginosa and A. baumannii showed high resistance to other antibiotics. For A. baumannii, the resistance rate to mostly antibioticswas increasing. The bacteria showed high levels of resistance and multiple drug resistance. Continuous surveillance and optimizing the use of antibiotics are essential.
To examine the distribution of Trichodesmium relative to physicochemical factors during summer in the Changjiang (Yangtze River) Estuary and adjacent East China Sea shelf, three cruises were conducted separately in June 2009, July 2011, and August 2009. Trichodesmium species found were T. thiebautii, T. erythraeum, and T. hildebrandtii. The population was dominated by T. thiebautii, which accounted for >85% of the samples found. Most of them were free trichomes. Colonial forms were rarely observed (approximately 10% of our samples), occurring only in offshore waters. The depth integrated abundances of Trichodesmium were 308 × 103, 1709 × 103, and 3448 × 103 trichomes m−2 in June, July, and August, respectively. Trichodesmium was distributed abundantly in the southern or southeastern part of our study area, where nutrients were low and light penetration, temperature, and salinity were high, which were influenced by the Taiwan Warm Current (TWC) and Kuroshio. Trichodesmium was found in low abundance in inshore, eutrophic, low-salinity waters, which were mainly controlled by the Changjiang Diluted Water (CDW) and coastal current. These results suggest that spatiotemporal changes in the summer Trichodesmium distribution correlate highly with the variations in physicochemical properties that are primarily controlled by the TWC, Kuroshio, and CDW. The summer N2 fixation rate of Trichodesmium was estimated at 12.3 μmol N m−2 d−1 in our study area, contributing >50% of biological N2 fixation.
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