21 research outputs found

    International nosocomial infection control consortium (INICC) report, data summary of 36 countries, for 2004-2009

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    The results of a surveillance study conducted by the International Nosocomial Infection Control Consortium (INICC) from January 2004 through December 2009 in 422 intensive care units (ICUs) of 36 countries in Latin America, Asia, Africa, and Europe are reported. During the 6-year study period, using Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN; formerly the National Nosocomial Infection Surveillance system [NNIS]) definitions for device-associated health care-associated infections, we gathered prospective data from 313,008 patients hospitalized in the consortium's ICUs for an aggregate of 2,194,897 ICU bed-days. Despite the fact that the use of devices in the developing countries' ICUs was remarkably similar to that reported in US ICUs in the CDC's NHSN, rates of device-associated nosocomial infection were significantly higher in the ICUs of the INICC hospitals; the pooled rate of central line-associated bloodstream infection in the INICC ICUs of 6.8 per 1,000 central line-days was more than 3-fold higher than the 2.0 per 1,000 central line-days reported in comparable US ICUs. The overall rate of ventilator-associated pneumonia also was far higher (15.8 vs 3.3 per 1,000 ventilator-days), as was the rate of catheter-associated urinary tract infection (6.3 vs. 3.3 per 1,000 catheter-days). Notably, the frequencies of resistance of Pseudomonas aeruginosa isolates to imipenem (47.2% vs 23.0%), Klebsiella pneumoniae isolates to ceftazidime (76.3% vs 27.1%), Escherichia coli isolates to ceftazidime (66.7% vs 8.1%), Staphylococcus aureus isolates to methicillin (84.4% vs 56.8%), were also higher in the consortium's ICUs, and the crude unadjusted excess mortalities of device-related infections ranged from 7.3% (for catheter-associated urinary tract infection) to 15.2% (for ventilator-associated pneumonia). Copyright © 2012 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved

    Lower Aptian ammonite and carbon isotope stratigraphy in the eastern Prebetic Domain (Betic Cordillera, southeastern Spain)

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    Major global palaeobiologic and palaeoenvironmental changes occurred during the Early Aptian. Precise dating and timing of the different events is crucial to determine possible cause-effect relationships between them. In this regard, the combination of biostratigraphic and chemostratigraphic data can provide a very useful tool for time control. So far attempts to correlate the Lower Aptian carbon isotope record and the ammonite zonation yielded contradictory conclusions. In this paper, we present the results of an integrated analysis of the ammonite stratigraphic distribution and highresolution carbon isotope profiles from Lower Aptian sections of the eastern Prebetic Domain (Betic Cordillera, southeastern Spain). We recognized, in ascending order, the Deshayesites oglanlensis, Deshayesites forbesi, Deshayesites deshayesi, and Dufrenoyia furcata Zones. This succession is the same as that recently identified in the eastern Iberian Chain, and it closely correlates with both standard Mediterranean and Boreal zonations. The carbon isotope record displays the trends globally recognized for the Early Aptian, with two long positive shifts separated by a pronounced negative excursion. Calibration of this isotopic record with the ammonite zonation shows that the age of OAE 1a, which corresponds to the negative excursion and subsequent positive shift, is constrained to the middle/upper part of the Deshayesites forbesi Zone

    Lower Aptian ammonite and carbon isotope stratigraphy in the eastern Prebetic Domain (Betic Cordillera, southeastern Spain)

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    Major global palaeobiologic and palaeoenvironmental changes occurred during the Early Aptian. Precise dating and timing of the different events is crucial to determine possible cause-effect relationships between them. In this regard, the combination of biostratigraphic and chemostratigraphic data can provide a very useful tool for time control. So far attempts to correlate the Lower Aptian carbon isotope record and the ammonite zonation yielded contradictory conclusions.In this paper, we present the results of an integrated analysis of the ammonite stratigraphic distribution and highresolution carbon isotope profi les from Lower Aptian sections of the eastern Prebetic Domain (Betic Cordillera, southeastern Spain). We recognized, in ascending order, the Deshayesites oglanlensis, Deshayesites forbesi, Deshayesites deshayesi, and Dufrenoyia furcata Zones. This succession is the same as that recently identifi ed in the eastern Iberian Chain, and it closely correlates with both standard Mediterranean and Boreal zonations. The carbon isotope record displays the trends globally recognized for the Early Aptian, with two long positive shifts separated by a pronounced negative excursion. Calibration of this isotopic record with the ammonite zonation shows that the age of OAE 1a, which corresponds to the negative excursion and subsequent positive shift, is constrained to the middle/upper part of the Deshayesites forbesi Zone
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