To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
The burden of healthcare-associated infections (HAIs) is higher in low- and middle-income countries, but HAIs are often missed because surveillance is not conducted. Here, we describe the identification of and response to a cluster of Burkholderia cepacia complex (BCC) bloodstream infections (BSIs) associated with high mortality in a surgical ICU (SICU) that joined an HAI surveillance network.
A 780-bed, tertiary-level, public teaching hospital in northern India.
After detecting a cluster of BCC in the SICU, cases were identified by reviewing laboratory registers and automated identification and susceptibility testing outputs. Sociodemographic details, clinical records, and potential exposure histories were collected, and a self-appraisal of infection prevention and control (IPC) practices using assessment tools from the World Health Organization and the US Centers for Disease Control and Prevention was conducted. Training and feedback were provided to hospital staff. Environmental samples were collected from high-touch surfaces, intravenous medications, saline, and mouthwash.
Between October 2017 and October 2018, 183 BCC BSI cases were identified. Case records were available for 121 case patients. Of these 121 cases, 91 (75%) were male, the median age was 35 years, and 57 (47%) died. IPC scores were low in the areas of technical guidelines, human resources, and monitoring and evaluation. Of the 30 environmental samples, 4 grew BCC. A single source of the outbreak was not identified.
Implementing standardized HAI surveillance in a low-resource setting detected an ongoing Burkholderia cepacia outbreak. The outbreak investigation and use of a multimodal approach reduced incident cases and informed changes in IPC practices.
A continuous time delay-difference model (CD-DM) was applied to the Chinese neon flying squid (Ommastrephes bartramii) jigging fisheries data (2001–2004) in the north-west Pacific Ocean. The continuous time delay-difference model (CD-DM) was modified from the discrete-time delay-difference model (D-DM), in which recruitment, growth and mortality rates are treated as varying continuously over time. Some commercially important stocks, such as shrimp and O. bartrami with recruitment, growth and mortality rates all varying continuously over time, may be better analysed by a continuous delay-difference model. We estimated the growth and recruitment of O. bartramii on the basis of the CD-DM, and biological reference points (BRPs) and accuracy of estimates are discussed in this study. We obtained population sizes of 183.9–201.8 million squid during early September 2004. The status of the stock was not in a sustainable state at this time with the available data, which suggests that measures should be taken for the sustainable utilization of this stock. The ability to calculate reference points without need of a full age-structured data makes CD-DM an attractive option for data-poor fisheries. We provided an alternative method for assessing O. bartramii stock and bridged the gap between simple surplus production models and complex fully age-structured models.
Email your librarian or administrator to recommend adding this to your organisation's collection.