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      Analysis of the life stages of Cimex lectularius captured within a medical centre suggests that the true numbers of bed bug introductions are under-reported.

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          Abstract

          Little is known about the epidemiology of bed bugs within the healthcare system, but nymphal stages predominate in natural infestations. This study determined the life stages of bed bugs captured within a medical centre, and found that older bed bugs were more likely to be captured than younger insects. The numbers of first instars, third-fifth instars and adult females captured were significantly different compared with the numbers of each life stage found in a natural infestation (P<0.01). A significant number of early-instar bed bugs introduced into the medical centre may go unnoticed by hospital staff.

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          Author and article information

          Journal
          J Hosp Infect
          The Journal of hospital infection
          Elsevier BV
          1532-2939
          0195-6701
          Nov 2017
          : 97
          : 3
          Affiliations
          [1 ] University Hospitals Cleveland Medical Center and Case Western Reserve University, Department of Emergency Medicine, Cleveland, OH, USA. Electronic address: jsheele@gmail.com.
          [2 ] Case Western Reserve University, Cleveland, OH, USA.
          [3 ] University Hospitals Cleveland Medical Center and Case Western Reserve University, Department of Emergency Medicine, Cleveland, OH, USA.
          [4 ] The Connecticut Agricultural Experiment Station, New Haven, CT, USA.
          Article
          S0195-6701(17)30407-3
          10.1016/j.jhin.2017.07.025
          28760637
          8ed09268-6215-4982-9d71-b14bc2c0598a
          Copyright © 2017 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
          History

          Bed bug,Cimex lectularius,Epidemiology,Hospital,Life stage
          Bed bug, Cimex lectularius, Epidemiology, Hospital, Life stage

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