In Vitro Activity of Available Antimicrobial Coated Foley Catheters Against Escherichia coli, Including Strains Resistant to Extended Spectrum Cephalosporins
Bibliographic record
Abstract
PURPOSE: We determined the activity, comparative potency and effect durability of commercially available, antimicrobial coated Foley catheters against Escherichia coli isolates, including extended spectrum cephalosporin resistant strains. MATERIALS AND METHODS: We used an inhibition zone assay (diffusible inhibition) and an adherence assay (diffusible and contact dependent inhibition) to assess the inhibitory effect of 3 currently marketed antimicrobial coated catheters, including 2 coated with silver and 1 coated with nitrofurazone, and corresponding silicone catheters against 9 E. coli strains, including 7 extended spectrum cephalosporin resistant and 2 extended spectrum cephalosporin susceptible strains, and a Pseudomonas aeruginosa reference strain. RESULTS: In each assay the nitrofurazone coated catheter showed the greatest and most durable (through day 5) inhibitory activity. This was comparable for extended spectrum cephalosporin resistant and extended spectrum cephalosporin susceptible E. coli strains but decreased or absent for the Pseudomonas strain. One of the 2 silver coated catheters showed sparse but measurable inhibition zone activity on day 1 but not thereafter and no statistically significant activity on adherence assay. The other lacked detectable activity using either test system. In the adherence assay the nitrofurazone coated catheter decreased the E. coli count as potently in inoculum broths as in post-sonication suspensions (median decrease more than 8 and more than 6 log(10) cfu/ml, respectively). CONCLUSIONS: The nitrofurazone coated catheter showed significantly greater in vitro potency and durability of the antimicrobial effect against 9 E. coli strains than the 2 silver coated catheters, of which 1 appeared completely inert. No difference in antimicrobial effect was apparent between extended spectrum cephalosporin resistant and susceptible E. coli. The clinical relevance of these in vitro findings remains to be defined.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".