The present authors hypothesised that bronchoscopy with protected specimen brush may sample biofilm-forming bacteria adherent to the airway wall, whereas traditional sputum collection may not.Pseudomonas aeruginosa obtained from sputum, bronchoalveolar lavage and protected brush, taken from the right upper lung bronchus of 12 adult patients with cystic fibrosis, were compared. Retrieved bacteria were genotyped, and grown in planktonic cultures and as biofilms, and susceptibilities to individual antibiotics and to antibiotic combinations were determined.Bacterial cultures obtained using bronchoscopy did not yield any new strains of bacteria that were not also found in sputum. A total of 10 patients (83%) had a single strain of P. aeruginosa found using sputum, bronchoalveolar lavage and protected brush techniques, and two patients (17%) had two strains recovered in sputum, but only one strain was recovered using bronchoscopic techniques. Susceptibility to single antibiotics and to antibiotic combinations were not different between planktonically or biofilm-grown bacteria derived from sputum, as compared to those obtained by bronchoalveolar lavage and protected brush.In conclusion, sputum collection provides as much information as bronchoscopy for characterising the genotype and antibiotic susceptibility of chronic Pseudomonas aeruginosa infection in patients with stable cystic fibrosis.
The physical partitioning of Hg into different grain size fractions of till is predominantly controlled by the primary bedrock mineralogy, the distance of glacial transport, and the relative stability of cinnabar (HgS) in the soil weathering environment. At sites located short distances down-ice from bedrock cinnabar mineralization, the highest Hg concentrations in unoxidized till were measured in the sand- and granule-sized fractions reflecting the abundance of cinnabar in those size ranges. Similar partitioning was measured in oxidized till as cinnabar was found to be relatively resistant to postglacial weathering. Discrete clay-sized cinnabar grains obtained from the unoxidized till were viewed under the scanning electron microscope and suggest that the terminal grade of cinnabar is in the clay-sized range. In till collected from areas barren of cinnabar mineralization, the highest Hg levels were found in the clay-sized fraction which is attributed to the high adsorption of Hg by clay minerals.
Mineralized occurrences of Hg in bedrock are abundant along Pinchi Fault, in north central British Columbia, two of which have been mined in the early to mid 20th century. Distribution patterns of mercury concentrations measured in the clay sized fraction (<2 μm) of till reveal anomalous levels on and down-ice from the fault Mercury in the till is interpreted to be of detrital origin. In other words, during glaciation, glacier ice eroded bedrock and older sediments enriched in mercury and transported them in a down-ice direction, finally depositing the sediment load at a distance from the source. Consequently, the area with anomalous mercury concentrations in the till is several orders of magnitude larger than the area of mercury mineralization in bedrock.