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Hardie, K.

Publications and source records attributed to Hardie, K..

2 recordsLinked to original sources

Improving Children’s and Their Visitors’ Hand Hygiene Compliance

BackgroundNumerous interventions have tried to improve healthcare workers hand hygiene compliance, however little attention has been paid to childrens and their visitors compliance.\n\nAimTo increase childrens and visitors compliance using interactive educational interventions.\n\nMethodsThis was an observational study of hand hygiene compliance before and after the introduction of educational interventions. Qualitative data in the form of Questionnaires and interviews was obtained.\n\nFindingsHand hygiene compliance increased by 21.4% (P <0.001) following the educational interventions, with childrens compliance reaching 40.8% and visitors being 50.8%. Compliance varied depending on which of the [fi]ve moments of hygiene was observed (P<0.001), with the highest compliance after body [fl]uid exposure (96%). Responses from questionnaires showed educational interventions raised awareness of the importance of hand hygiene (69%, 57%) compared to those who had not experienced the educational intervention (50%).\n\nConclusionEducational interventions may result in a significant increase in childrens and visitors hand hygiene (P <0.001).

scientific communication and education

Autotransporter secretion exploits the bacterial actin-homologue

Bacterial infection of humans, animals and plants relies heavily on secreted proteases that degrade host defences or activate bacterial toxins. The largest family of proteins secreted by Gram-negative pathogenic bacteria, the Autotransporters (ATs), includes key proteolytic virulence factors. There remains uncertainty about the mechanistic steps of the pathway ATs share to exit bacteria, and how it is energetically driven. This study set out to shed light on the AT secretion pathway with the ultimate aim of uncovering novel antimicrobial targets that would be unlikely to trigger the development of resistance mechanisms in bacteria. To do this, two AT virulence factors with distinct proteolytic functions, EspC (secreted from Enteropathogenic Escherichia coli) and AaaA (tethered to the extracellular surface of Pseudomonas aeruginosa) were chosen. EspC and AaaA were fluorescently labelled using two separate methods to establish the localization patterns of ATs as they are secreted from a bacterial cell. Super resolution microscopy revealed that localization of ATs occurs via a helical route along the bacterial cytoskeleton. In addition to requiring the conserved C-terminal {beta}-barrel translocator domain of the AT, we present the first evidence that secretion is dependent on a dynamic interaction with a structure reliant upon the actin homologue MreB and the Sec translocon. These findings provide a step forward in the mechanistic understanding of the secretion of this widely distributed family of proteins that have pivotal roles in bacterial pathogenesis and conserved structural properties that could serve as novel broad-range antimicrobial targets.\n\nSignificanceSecreted bacterial proteases facilitate the infection of human, animal and plant hosts by degrading host defences or activating bacterial toxins. The autotransporter family is the largest family of proteins secreted from Gram-negative bacteria, and includes proteolytic virulence factors crucial to bacterial infection. Precisely how autotransporters migrate from the inside to the outside of the cell, and how this movement is energetically driven is a mystery. We demonstrate a spiral pathway of autotransporter secretion, presenting evidence that it involves a dynamic interaction with the actin homologue MreB that comprises the bacterial cytoskeleton. Our findings open the way to unravelling the mechanism of autotransporter secretion and offer the possibility to identify novel antimicrobial targets unlikely to trigger the development of antimicrobial resistance.

microbiology