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In my experience, it is not uncommon for senior members of laboratories to make such agreements and fail to inform incoming trainees and other participants in the work that such a prior agreement has been made.
Upon arrival, all incoming trainees receive mandatory influenza vaccination, either the trivalent inactivated influenza vaccine by injection (FluZone, Sanofi Pasteur, Lyon, France) or intranasal cold-adapted, live, attenuated influenza vaccine (CA-LAIV) spray (FluMist, MedImmune, Gaithersburg, MD, USA).
To assess circulation of the pneumococcal strain that caused the two cases of meningitis, we conducted a cross-sectional survey of all Alpha company trainees, training staff members, incoming trainees to the Alpha Company, and, because of limited supplies, only the first 25 members of the Hotel Company.
C. pneumoniae may have also played a role in this outbreak of pneumonia, either as a primary etiologic agent or as a cofactor, as suggested by the increased prevalence of C. pneumoniae identification among trainees in the battalion compared to training staff and incoming trainees.
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Of the 49 specimens obtained from incoming Alpha Company trainees, S. pneumoniae was isolated from three specimens (6%).
As a comparison group, we also administered the same survey asking about the same time period to all incoming Alpha Company trainees in the 554th Battalion on the day they arrived at the FLW training camp from their homes in the civilian community.
In light of these and other studies, and acknowledging the continued debate regarding screening asymptomatic persons for anemia, Joint Base San Antonio (JBSA -Lackland staff began screening all incoming US Air Force (USAF) basic trainees for anemia in JBSA -Lackland
To assess the potential roles of other pathogens in the outbreak, we obtained nasopharyngeal swabs and throat swabs for viral and atypical bacterial pathogen testing from Alpha and Hotel company trainees and incoming Alpha company trainees with self-reported fever and two or more respiratory symptoms within the preceding 72 hours.
In contrast, in on-call rotas, a trainee would simply pass the bleep to the incoming doctor and so have a cleaner handover.
Alpha and Hotel Company trainees were significantly more likely to report symptoms compared to the incoming Alpha Company trainees (OR 5.2, CI 2.9-9.3) and to training staff (OR 3.5, CI 2.4-5.3).
Incoming, Spongebob!
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