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Patients and methods This study describes two consecutive outbreaks of S. marcescens clones in a mixed neonatal and paediatric intensive care unit and discusses its investigation and control.
"The fact that, in two consecutive outbreaks, in two consecutive years, this process is starting from scratch is problematic, and puts health care workers particularly at risk," Klain told HuffPost in an email.
The consecutive outbreaks in Kenya emphasize the imperative for action.
Consecutive outbreaks of acute aflatoxicosis in Kenya in 2004 and 2005 caused > 150 deaths.
Clusters 3 and 4 were associated with 2 consecutive outbreaks related to semidried tomatoes (12 and 5 primary cases, respectively).
However, in nursing homes or on cruise ships, norovirus can cause consecutive outbreaks, even after implementation of strict hygiene protocols (9, 17, 18 ).
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These findings may mean that there is a progressive worsening of cortico-cerebellar connectivity with a corresponding impairment of movement sequencing as a result of consecutive psychotic outbreaks.
(Consecutive isolates related to outbreaks were not detected).
Weekly screening for 4 consecutive weeks after an outbreak was also performed for patients in involved wards.
A retrospective review of patient notes and results using AcuBase® was conducted: 90 consecutive patients before the outbreak (January to June 2008) and 91 thereafter (October 2010 to May 2011).
Some features like the optimal number of reports required to identify an outbreak, optimal number of consecutive Bayes factors required to call an outbreak, and so forth are left as subject of further research.
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