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Maribor, Slovenia

Kolar B.,National Laboratory of Health | Arnus L.,National Laboratory of Health | Jeretin B.,National Laboratory of Health | Gutmaher A.,National Laboratory of Health | And 2 more authors.
Chemosphere | Year: 2014

The objective of our study was the investigation of the toxic properties of two antimicrobial drugs: oxytetracycline (OTC) and trimethoprim (TMP) in the aquatic environment. The toxic effects were tested according to the OECD guidelines for the testing of chemicals, on the cyanobacteria Anabaena flos-aque, on the alga Pseudokirchneriella subcapitata, on the daphnid Daphnia magna as well as on the activated sludge. We discussed the short term and long term results of tests on cyanobacteria and microalgae. Both experiments were concluded in 72 h allowing direct comparison of sensitivity of the two tested species. The results of our study showed toxic effect in the same range for both groups. In the test on the toxicity of OTC to P. subcapitata we obtained the 72 h ErC50 of 1.04 mg L-1 (72 h ErC10 0.47 mg L-1) which are lower in comparison to the results on the toxicity to A. flos-aque of ErC50 of 2.7 mg L-1 (72 h ErC10 1.5 mg L-1). TMP is less toxic to both photosynthetic plankton species. Similar to the test results on OTC, the P. subcapitata is more sensitive to TMP (ErC50 129 mg L-1; ErC10 65 mg L-1) than A. flos-aque (72 h ErC50 253 mg L-1; 72 h ErC10 26 mg L-1). OTC is toxic to the activated sludge (3 h EC50 17.9 mg L-1), while the calculated 3 h EC50 value for TMP exceeded solubility for the compound. In comparison to other species, both tested antimicrobials showed low toxicity to daphnids. © 2014. Source

Rossi E.D.,Catholic University of the Sacred Heart | Bizzarro T.,Catholic University of the Sacred Heart | Schmitt F.,University of Porto | Schmitt F.,National Laboratory of Health | And 4 more authors.
Cancer Cytopathology | Year: 2015

BACKGROUND Fine-needle aspiration cytology (FNAC) of serous membrane effusions may fulfil a challenging role in the diagnostic analysis of both primary and metastatic disease. From this perspective, liquid-based cytology (LBC) represents a feasible and reliable method for empowering the performance of ancillary techniques (ie, immunocytochemistry and molecular testing) with high diagnostic accuracy. METHODS In total, 3171 LBC pleural and pericardic effusions were appraised between January 2000 and December 2013. They were classified as negative for malignancy (NM), suspicious for malignancy (SM), or positive for malignancy (PM). RESULTS The cytologic diagnoses included 2721 NM effusions (2505 pleural and 216 pericardic), 104 SM effusions (93 pleural and 11 pericardic), and 346 PM effusions (321 pleural and 25 pericardic). The malignant pleural series included 76 unknown malignancies (36 SM and 40 PM effusions), 174 metastatic lesions (85 SM and 89 PM effusions), 14 lymphomas (3 SM and 11 PM effusions), 16 mesotheliomas (5 SM and 11 SM effusions), and 3 myelomas (all SM effusions). The malignant pericardic category included 20 unknown malignancies (5 SM and 15 PM effusions), 15 metastatic lesions (1 SM and 14 PM effusions), and 1 lymphoma (1 PM effusion). There were 411 conclusive immunocytochemical analyses and 47 molecular analyses, and the authors documented 88% sensitivity, 100% specificity, 98% diagnostic accuracy, 98% negative predictive value, and 100% positive predictive value for FNAC. CONCLUSIONS FNAC represents a primary diagnostic tool for effusions and a reliable approach with which to determine the correct follow-up. Furthermore, LBC is useful for ancillary techniques, such as immunocytochemistry and molecular analysis, with feasible diagnostic and predictive utility. © 2014 The Authors. Source

Rak M.,University of Primorska | Rak M.,National Laboratory of Health | KavcIc M.,National Laboratory of Health | Trebse R.,Orthopaedic Hospital Valdoltra | And 2 more authors.
Acta Orthopaedica | Year: 2016

Background and purpose — The correct diagnosis of prosthetic joint infection (PJI) can be difficult because bacteria form a biofilm on the surface of the implant. The sensitivity of culture from sonication fluid is better than that from periprosthetic tissue, but no comparison studies using molecular methods on a large scale have been performed. We assessed whether periprosthetic tissue or sonication fluid should be used for molecular analysis. Patients and methods — Implant and tissue samples were retrieved from 87 patients who underwent revision operation of total knee or total hip arthroplasty. Both sample types were analyzed using broad-range (BR-) PCR targeting the 16S rRNA gene. The results were evaluated based on the definition of periprosthetic joint infection from the Workgroup of the Musculoskeletal Infection Society. Results — PJI was diagnosed in 29 patients, whereas aseptic failure was diagnosed in 58 patients. Analysis of sonication fluid using BR-PCR detected bacteria in 27 patients, whereas analysis of periprosthetic tissue by BR-PCR detected bacteria in 22 patients. In 6 of 7 patients in whom BR-PCR analysis of periprosthetic tissue was negative, low-virulence bacteria were present. The sensitivity and specificity values for periprosthetic tissue were 76% and 93%, respectively, and the sensitivity and specificity values for sonication fluid were 95% and 97%. Interpretation — Our results suggest that sonication fluid may be a more appropriate sample than periprosthetic tissue for BR-PCR analysis in patients with PJI. However, further investigation is required to improve detection of bacteria in patients with so-called aseptic failure. © 2016 The Author(s). Published by Taylor & Francis on behalf of the Nordic Orthopedic Federation. Source

Miuc A.,University of Maribor | Voncina E.,National Laboratory of Health | Lesnik U.,National Laboratory of Health
Acta Chimica Slovenica | Year: 2015

Organic compounds in atmospheric particulate matter above Maribor were analysed in 120 samples of PM10 sampled according to the EN 12341:2014 reference method. Organic compounds compositions were investigated together with the primary and secondary sources of air pollution. Silylation as derivatisation method was used for the GC-MS determination of volatile and semi-volatile polar organic compounds. Distribution of fatty acids, n-alkanes and iso-alkanes, phthalate esters, siloxanes, different sterols, various sugars and sugar alcohols, compounds of lignin and resin acids, dicarboxylic acids from photochemical reactions, PAHs, organic nitrogen compounds and products from secondary oxidation of monoterpenes were determined. The use of silicone grease for the purpose of lubricating the impact surface of the air sampler caused higher values of gravimetric determination. Solid particles may have been bounced from the surface of a greasy impact plate and re-entrained within the air stream and then collected on a sample filter. The carryover of siloxanes was at least from 5% up to 15% of the accumulated particles weight, depending on ambient temperature. This was the reason that the gravimetric results for determination of PM10 according to the standard EN 12341:2014 were overestimated. Source

Kosnik I.G.,National Laboratory of Health | Dermota U.,National Laboratory of Health | Golle A.,National Laboratory of Health
Acta Dermatovenerologica Alpina, Pannonica et Adriatica | Year: 2016

Introduction: Bacterial vaginosis is of clinical interest because of its possible causal relationship with complications during pregnancy, postpartum, and complications after surgery. Methods: Gram stain for clue cells and Gardnerella vaginalis culture methods were evaluated retrospectively in a microbiological medical laboratory for the first half of 2015. We were interested in the proportion of G. vaginalis bacteria isolated from genital samples, correlation with Gram-staining presence of clue cells, referral clinical diagnosis, and pregnancy. Results: In the first half of 2015 we received 358 vaginal specimens; 82% of them had a referral clinical diagnosis of colpitis, cervicitis, or vaginal discharge; 40% were pregnant women. G. vaginalis was isolated from 14% of vaginal specimens, and 52% of these came from pregnant patients. Gram stain clue cells and isolation of G. vaginalis matched in 86%. Conclusion: For diagnosing bacterial vaginosis in clinical practice, standard clinical criteria, Gram staining of vaginal discharge smear, and/or isolation of G. vaginalis are used. Isolation of G. vaginalis without clue cells is reported only in cases in which bacterial growth is predominant. The results of our studies confirm that isolating G. vaginalis helps confirm the diagnosis of bacterial vaginosis. © 2016, Slovenian Medical Society. All rights reserved. Source

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