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Clostridium difficile infection (CDI) remains poorly controlled in many European countries, of which several have not yet implemented national CDI surveillance. In 2013, experts from the European CDI Surveillance Network project and from the European Centre for Disease Prevention and Control developed a protocol with three options of CDI surveillance for acute care hospitals: a 'minimal' option (aggregated hospital data), a 'light' option (including patient data for CDI cases) and an 'enhanced' option (including microbiological data on the first 10 CDI episodes per hospital). A total of 37 hospitals in 14 European countries tested these options for a three-month period (between 13 May and 1 November 2013). All 37 hospitals successfully completed the minimal surveillance option (for 1,152 patients). Clinical data were submitted for 94% (1,078/1,152) of the patients in the light option; information on CDI origin and outcome was complete for 94% (1,016/1,078) and 98% (294/300) of the patients in the light and enhanced options, respectively. The workload of the options was 1.1, 2.0 and 3.0 person-days per 10,000 hospital discharges, respectively. Enhanced surveillance was tested and was successful in 32 of the hospitals, showing that C. difficile PCR ribotype 027 was predominant (30% (79/267)). This study showed that standardised multicountry surveillance, with the option of integrating clinical and molecular data, is a feasible strategy for monitoring CDI in Europe.

In the present study, the effect of the Al 2 O 3 particles (average size of 12 lm, 3 and 10 wt.%) reinforcement on the microstructure and tribological properties of Al-Si alloy (A356) was investigated. Composites were produced by applying compocasting process. Tribological properties of unreinforced alloy and composites were studied, using pin-on-disc tribometer, under dry sliding conditions at different specific loads and sliding speed of 1 m/s. Microhardness measurements, optical microscope and scanning electron microscope were used for microstructural characterization and investigation of worn surfaces and wear debris. During compocasting of A356 alloy, a transformation from a typical dendritic primary a phase to a non-dendritic rosette-like structure occurred. Composites exhibited better wear resistance compared with unreinforced alloy. Presence of 3 wt.% Al 2 O 3 particles in the composite material affected the wear resistance only at specific loads up to 1 MPa. The wear rate of composite with 10 wt.% Al 2 O 3 particles was nearly two order of the magnitude lower than the wear rate of the matrix alloy. Dominant wear mechanism for all materials was adhesion, with others mechanisms: oxidation, abrasion and delamination as minor ones.

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