The leading cause of nosocomial infections and spread of multiresistant bacteria is considered to be the failure of healthcare workers to perform appropriate hand hygiene. The role of the hands of hospital patients in the spread of infection has received little attention. The aim of the present study was to investigate the occurrence of potentially pathogenic bacteria on the patients' hands. Quantitative cultures were repeatedly taken from the fingertips of patients at a rehabilitation clinic before and after an intervention in which patient hand disinfection was introduced and promoted. Before the intervention, the occurrence on the hands of Escherichia coli, Klebsiella spp., enterococci, Staphylococcus aureus and yeast was a common finding. The colony counts of S. aureus were often higher than the counts of other organisms. After the intervention, the level of hand contamination was lower. The difference was statistically significant (p < 0.05) concerning Enterobacteriaceae, both when the patients were resting and at lunch time, for enterococci and total bacterial counts at lunch time, and for yeast when they were resting. Concerning S. aureus, the difference was not statistically significant, neither while resting nor at lunch time. The role of the patients in the spread of pathogenic bacteria merits more discussion.
Active comets have been detected in several exoplanetary systems, although so far only indirectly, when the dust or gas in the extended coma has transited in front of the stellar disk. The large optical surface and relatively high temperature of an active cometary coma also makes it suitable to study with direct imaging, but the angular separation is generally too small to be reachable with present-day facilities. However, future imaging facilities with the ability to detect terrestrial planets in the habitable zones of nearby systems will also be sensitive to exocomets in such systems. Here we examine several aspects of exocomet imaging, particularly in the context of the Large Interferometer for Exoplanets (LIFE), which is a proposed space mission for infrared imaging and spectroscopy through nulling interferometry. We study what capabilities LIFE would have for acquiring imaging and spectroscopy of exocomets, based on simulations of the LIFE performance as well as statistical properties of exocomets that have recently been deduced from transit surveys. We find that for systems with extreme cometary activities such as β Pictoris, sufficiently bright comets may be so abundant that they overcrowd the LIFE inner field of view. More nearby and moderately active systems such as є Eridani or Fomalhaut may turn out to be optimal targets. If the exocomets have strong silicate emission features, such as in comet Hale-Bopp, it may become possible to study the mineralogy of individual exocometary bodies. We also discuss the possibility of exocomets as false positives for planets, with recent deep imaging of α Centauri as one hypothetical example. Such contaminants could be common, primarily among young debris disk stars, but should be rare among the main sequence population. We discuss strategies to mitigate the risk of any such false positives.
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