journal
MENU ▼
Read by QxMD icon Read
search

Infectious Disease Clinics of North America

journal
https://www.readbyqxmd.com/read/27979687/legionnaire-s-disease-since-philadelphia-lessons-learned-and-continued-progress
#1
REVIEW
Cheston B Cunha, Burke A Cunha
Legionnaire's disease has been recognized as a cause of severe community-acquired pneumonia (CAP). Legionnaire's disease has characteristic extrapulmonary findings that are the basis for a presumptive clinical diagnosis. The widespread use of Legionella culture, sputum DFA, serology, urinary antigen testing, and polymerase chain reaction have allowed earlier diagnosis of Legionnaire's disease. Excluding common source outbreaks, CAP caused by Legionnaire's disease is manifested as sporadic cases. In contrast, nosocomial Legionnaire's disease occurs in clusters or outbreaks from common Legionella species-contaminated water sources...
December 12, 2016: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/27979686/legionnaire-s-disease-and-immunosuppressive-drugs
#2
REVIEW
Tin Han Htwe, Nancy M Khardori
Immunosuppressive agents predispose patients to legionnaire's disease. Patients receiving tumor necrosis factor antagonists are generally not severely immunocompromised by the underlying disease. In patients with malignancy receiving immunosuppressive therapies, it is difficult to balance the underlying disease versus the therapy used. Transplant recipients are often on multiple drugs, including immunosuppressants. It seems that immunosuppressive drugs add to the risk for legionella infection. The index of suspicion should be high for legionella infection early during a compatible clinical syndrome...
December 12, 2016: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/27979685/nervous-system-abnormalities-and-legionnaire-s-disease
#3
REVIEW
John J Halperin
Although patients with Legionnaire's disease frequently develop alterations of consciousness, this is no more frequent than in patients hospitalized with other, equally severe forms of bacterial pneumonia. Legionella meningitis occurs rarely, if ever. Patients with Legionnaire's are susceptible to critical illness polyneuropathy/myopathy, as are other critically ill patients. Legionnaire's patients may develop MRI hyperdensities in the splenium of the corpus callosum, as may other patients with severe infections...
December 12, 2016: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/27979684/laboratory-tests-for-legionnaire-s-disease
#4
REVIEW
W Michael Dunne, Nathalie Picot, Alex van Belkum
Legionella pneumophila is one of the more recently discovered bacterial pathogens of humans. The last 2 decades have seen tremendous progress in the evolution of diagnostic tests, for detection and characterization of this pathogen and for defining the host response to infection. This has generated several diagnostic tools that span the range from simple immunologic assays to modern genome sequencing. This review describes the state of affairs of this continuously evolving field regarding the diagnosis of Legionnaire's disease and covers detection, assessment of antibiotic susceptibility, and epidemiologic characterization of isolates of L pneumophila and other pathogenic species within the genus...
December 12, 2016: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/27979683/nosocomial-health-care-associated-legionnaire-s-disease
#5
REVIEW
Shanu Agarwal, Virginia Abell, Thomas M File
Nosocomial legionnaire's disease is most frequently associated with presence of the organism in hospital water systems. Patients are often susceptible as a result of age, underlying comorbidities, or immunosuppression. Prevention focuses on reducing the reservoir within water systems and includes super heating, ultraviolent light, chlorination, silver-copper ionization, and distal filtration. This article reviews the epidemiology of health care-associated legionnaire's disease, reviews characteristics of several health care-associated outbreaks, and discusses strategies to prevent health care-associated infection...
December 12, 2016: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/27816145/infection-prevention-and-control-in-healthcare-part-ii-epidemiology-and-prevention-of-infections
#6
EDITORIAL
Keith S Kaye, Sorabh Dhar
No abstract text is available yet for this article.
December 2016: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/27816144/prevention-and-control-of-methicillin-resistant-staphylococcus-aureus-in-acute-care-settings
#7
REVIEW
Andie S Lee, Benedikt Huttner, Stephan Harbarth
Methicillin-resistant Staphylococcus aureus (MRSA) is a leading cause of health care-associated infections worldwide. Controversies with regard to the effectiveness of various MRSA control strategies have contributed to varying approaches to the control of this pathogen in different settings. However, new evidence from large-scale studies has emerged, particularly with regards to MRSA screening and decolonization strategies, which will inform future control practices. The implementation as well as outcomes of control measures in the real world is not only influenced by scientific evidence but also depends on economic, administrative, governmental, and political influences...
December 2016: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/27816143/surgical-site-infections-an-update
#8
REVIEW
Bronwen H Garner, Deverick J Anderson
Surgical site infections (SSIs) lead to adverse patient outcomes, including prolonged hospitalization and death. Wound contamination occurs with each incision, but proven strategies exist to decrease the risk of SSI. In particular, improved adherence to evidence-based preventative measures related to appropriate antimicrobial prophylaxis can decrease the rate of SSI. Aggressive surgical debridement and effective antimicrobial therapy are needed to optimize the treatment of SSI.
December 2016: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/27816142/ventilator-associated-events-and-their-prevention
#9
REVIEW
Noelle M Cocoros, Michael Klompas
The Centers for Disease Control and Prevention shifted the focus of safety surveillance in mechanically ventilated patients from ventilator-associated pneumonia to ventilator-associated events (VAEs) in 2013. The shift was designed to increase the objectivity and reproducibility of surveillance and to encourage quality-improvement programs to tackle a broader array of complications in mechanically ventilated patients. Prospective intervention studies have found that minimizing sedation, increasing the use of spontaneous awakening and breathing trials, and conservative fluid management can lower VAE rates and decrease duration of mechanical ventilation...
December 2016: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/27816141/urinary-tract-infections
#10
REVIEW
Carol E Chenoweth, Sanjay Saint
Catheter-associated urinary tract infection (CAUTI) remains one of the most prevalent, yet preventable, health care-associated infections and predominantly occurs in patients with indwelling urinary catheters. Targeted strategies for prevention of CAUTI include limiting urinary catheter use; physician reminder systems, nurse-initiated discontinuation protocols, and automatic stop orders have successfully decreased catheter duration. Alternatives to indwelling catheters should be considered in appropriate patients...
December 2016: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/27816140/prevention-of-vascular-catheter-related-bloodstream-infections
#11
REVIEW
Mark E Rupp, Denisa Majorant
Catheter-related bloodstream infections (CRBSI) are responsible for significant morbidity, mortality, and excess health care costs. It is increasingly evident that many CRBSI can be prevented with current knowledge and techniques. Preventive measures can be broadly grouped into clinical practice-based interventions and technologic innovations. Clinical practice-based interventions require changes in human behavior and can be subdivided into interventions before and at the time of insertion and postinsertion...
December 2016: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/27816139/health-care-acquired-viral-respiratory-diseases
#12
REVIEW
Ryan K Dare, Thomas R Talbot
Health care-acquired viral respiratory infections are common and cause increased patient morbidity and mortality. Respiratory syncytial virus and influenza virus are frequently transmitted in the hospital setting. Studies report decreased nosocomial transmission when aggressive infection control measures are implemented with more success using a multicomponent approach. Influenza vaccination of health care personnel has been shown to further decrease rates of transmission, thus mandatory vaccination is becoming more common...
December 2016: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/27816138/nosocomial-fungal-infections-epidemiology-infection-control-and-prevention
#13
REVIEW
Geehan Suleyman, George J Alangaden
Invasive fungal infections are an important cause of morbidity and mortality in hospitalized patients and in the immunocompromised population. This article reviews the current epidemiology of nosocomial fungal infections in adult patients, with an emphasis on invasive candidiasis and aspergillosis. Recently published recommendations and guidelines for the control and prevention of these nosocomial fungal infections are summarized in this article.
December 2016: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/27660092/preventing-transmission-of-mycobacterium-tuberculosis-in-health-care-settings
#14
REVIEW
Chitra D Punjabi, Sarah R Perloff, Jerry M Zuckerman
Patients with tuberculosis (TB) pose a risk to other patients and health care workers, and outbreaks in health care settings occur when appropriate infection control measures are not used. In this article, we discuss strategies to prevent transmission of Mycobacterium tuberculosis within health care settings. All health care facilities should have an operational TB infection control plan that emphasizes the use of a hierarchy of controls (administrative, environmental, and personal respiratory protection). We also discuss resources available to clinicians who work in the prevention and investigation of nosocomial transmission of M tuberculosis...
December 2016: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/27660091/vancomycin-resistant-enterococci-epidemiology-infection-prevention-and-control
#15
Katherine Reyes, Ana Cecilia Bardossy, Marcus Zervos
Vancomycin-resistant enterococci (VRE) infections have acquired prominence as a leading cause of health care-associated infections. Understanding VRE epidemiology, transmission modes in health care settings, risk factors for colonization, and infection is essential to prevention and control of VRE infections. Infection control strategies are pivotal in management of VRE infections and should be based on patient characteristics, hospital needs, and available resources. Hand hygiene is basic to decrease acquisition of VRE...
September 19, 2016: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/27660090/multidrug-resistant-gram-negative-bacilli-infection-control-implications
#16
Amos Adler, N Deborah Friedman, Dror Marchaim
Antimicrobial resistance is a common iatrogenic complication of both modern life and medical care. Certain multidrug resistant and extensively drug resistant Gram-negative organisms pose the biggest challenges to health care today, predominantly owing to a lack of therapeutic options. Containing the spread of these organisms is challenging, and in reality, the application of multiple control measures during an evolving outbreak makes it difficult to measure the relative impact of each measure. This paper reviews the usefulness of various infection control measures in containing the spread of multidrug-resistant Gram-negative bacilli...
September 19, 2016: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/27660089/prevention-of-infection-due-to-clostridium-difficile
#17
Christopher C Cooper, Robin L P Jump, Teena Chopra
Clostridium difficile is one of the foremost nosocomial pathogens. Preventing infection is particularly challenging. Effective prevention efforts typically require a multifaceted bundled approach. A variety of infection control procedures may be advantageous, including strict hand decontamination with soap and water, contact precautions, and using chlorine-containing decontamination agents. Additionally, risk factor reduction can help reduce the burden of disease. The risk factor modification is principally accomplished though antibiotic stewardship programs...
September 19, 2016: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/27515150/infection-prevention-and-control-in-healthcare-part-i-facility-planning-and-management
#18
EDITORIAL
Keith S Kaye, Sorabh Dhar
No abstract text is available yet for this article.
September 2016: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/27515149/preventing-hospital-acquired-infections-in-low-income-and-middle-income-countries-impact-gaps-and-opportunities
#19
REVIEW
Ana Cecilia Bardossy, John Zervos, Marcus Zervos
In low-income and middle-income countries (LMIC) health care-associated infections (HAIs) are a serious concern. Many factors contribute to the impact in LMIC, including lack of infrastructure, inconsistent surveillance, deficiency in trained personnel and infection control programs, and poverty- related factors. In LMIC the risk of HAIs may be up to 25% of hospitalized patients. Building infection control capacity in LMIC is possible where strategies are tailored to the specific needs of LMIC. Strategies must start with simple, cost-effective measures then expand to include more complicated measures...
September 2016: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/27515148/infection-control-in-alternative-health-care-settings-an-update
#20
REVIEW
Elaine Flanagan, Marco Cassone, Ana Montoya, Lona Mody
With changing health care delivery, patients receive care at various settings including acute care hospitals, nursing homes, outpatient primary care and specialty clinics, and at home, exposing them to pathogens in various settings. Various health care settings face unique challenges, requiring individualized infection control programs. Infection control programs in nursing homes should address surveillance for infections and antimicrobial resistance, outbreak investigation and control plan for epidemics, isolation precautions, hand hygiene, staff education, and employee and resident health programs...
September 2016: Infectious Disease Clinics of North America
journal
journal
29812
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"