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  • 1
    ISSN: 1432-198X
    Keywords: Bacteremia ; Hemodialysis ; Enterococcus fecalis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Bacteremia is often a serious and recurring problem in children with hemodialysis catheters. We report an outbreak ofEnterococcus bacteremia in a pediatirc hemodialysis unit occurring from June 1992 to June 1993. During this period, 18 episodes of bacteremia occurred in eight children: 11 infections were polymicrobial.Enterococcus fecalis was associated with 13 infections in five patients (8 polymicrobial). Other pathogens includedEnterobacter cloacae (5 infections),Staphylococcus (3),Staphylococcus epidermidis (2), andKlebsiella pneumoniae (2). AllEnterococcus infections occurred in patients with dual-lumen subclavian venous catheters. Skin and catheter sites were culture negative, except in one patient. Rectal swabs were positive forEnterococcus in five patients.Enterococcus was not isolated from any source within the unit. Serotypes of allEnterococcus isolates were different, except for 2 isolates in the same patient. Starting in June 1993, catheters were flushed after dialysis with vancomycin or ampicillin. Since initiating this procedure, further episodes ofEnterococcus bacteremia have not occurred. A questionnaire sent to other pediatric hemodialysis units failed to identifyEnterococcus among 26 cases of bacteremia. In conclusion: (1)Enterococcus is an unusual pathogen for hemodialysis-related bacteremia in children; (2) patients with dialysis catheters were predisposed to this infection; (3) a common source forEnterococcus could not be identified by either culture or by serotyping; (4) flushing catheters with antibiotics after dialysis was effective prevention.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Aquatic ecology 26 (1992), S. 347-354 
    ISSN: 1573-5125
    Keywords: habitat preference ; Axarus ; behaviour ; dispersion
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology
    Notes: Abstract During fall draw-down of a reservoir in northeast Kansas it was observed that larvae ofAxarus festivus were restricted to highly weathered Pennsylvanian Shale outcrops and surrounding coarse sediments with high-clay content derived from erosion of the shale outcroppings. Larvae constructed burrows into the outcrops and eroded coarse sediments, which they used to filter feed by setting up currents through the burrows. Burrows were widely distributed over the outcrops, with average densities ranging from 372–2,351 burrows m−2. However, closer inspection revealed that burrows were more common at apices of individual shale strata, where weathering of the outcrop was most advanced. Here burrows were more uniformly distributed and densities ranged to 4,166 burrows m−2. 73% of burrows contained larvae. Burrows were generally U-shaped, and averaged 1.8 mm in diameter and 42 mm in total length. Laboratory experiments revealed that 4th instar larvae removed from burrows could construct new burrows in weathered shale, but preferentially used old empty burrows if available. When given choices among alternative sediment combinations of sandvs. finely-ground shale, sandvs. coarsely-ground shale, and finely-ground shalevs. coarsely-ground shale, larvae exhibited statistically significant preferences for the finely-ground shales (P〈0.001), coarsely-ground shales (P〈0.001), and coarsely-ground shales (P〈0.01), respectively. It is concluded that larvae (1) actively select shale or high-clay content sediments, (2) can differentiate among sediments with differing physical properties and (3) exhibit behavioral choices for sediment types that guide them toward shale outcrops.
    Type of Medium: Electronic Resource
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