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https://www.readbyqxmd.com/read/28644499/methods-for-the-detection-and-identification-of-pathogenic-bacteria-past-present-and-future
#1
Linda Váradi, Jia Lin Luo, David E Hibbs, John D Perry, Rosaleen J Anderson, Sylvain Orenga, Paul W Groundwater
In order to retard the rate of development of antibacterial resistance, the causative agent must be identified as rapidly as possible, so that directed patient treatment and/or contact precautions can be initiated. This review highlights the challenges associated with the detection and identification of pathogenic bacteria, by providing an introduction to the techniques currently used, as well as newer techniques that are in development. Focusing on the chemical basis for these techniques, the review also provides a comparison of their advantages and disadvantages...
June 23, 2017: Chemical Society Reviews
https://www.readbyqxmd.com/read/28639449/-optic-properties-of-myopic-correction-by-orthokeratology-contact-lenses-a-case-report
#2
M Mýlková, F Pluháček
INTRODUCTION: Orthokeratology lenses present a special type of hard contact lenses, which is used especially for myopic correction. The lenses are applied during the night, when thanks to their special shape cause temporally (reversible) change of the cornea shape. During the day, there is not necessary to wear any other refractive correction. Due to the wearing regimen, there is, comparing to the classical contact lenses, higher risk of health complications. For their safe use, it is necessary to pay attention to the application of lenses of adequate parameters, follow up the care and hygiene precautions, regular controls and early treatment of possible problems...
2017: Ceská a Slovenská Oftalmologie
https://www.readbyqxmd.com/read/28639065/nosocomial-rhinocerebral-mucormycosis-two-cases-with-a-temporal-relationship
#3
Justo Sánchez-Gil, Emilio Guirao-Arrabal, Ginés David Parra-García, María Del Pilar Luzón-García, Maria Fe Bautista-Marín, Matías Barayobre-Barayobre, Andrés Fontalba-Navas
Mucormycosis is an unusual fungal infection that usually affects immunosuppressed patients. Small outbreaks of mucormycosis have been previously reported. We present two clinical cases of fatal rhinocerebral mucormycosis with a close temporal relationship between them and a possible nosocomial transmission: case 1 was a 75-year-old male with diabetes and COPD, treated with antibiotics and systemic corticosteroids, who developed rhinocerebral mucormycosis. Case 2 was an 88-year-old woman who was treated with systemic antibiotics and corticosteroids and developed the same infection after insertion of a nasogastric tube...
June 21, 2017: Mycopathologia
https://www.readbyqxmd.com/read/28617193/are-contact-precautions-ethically-justifiable-in-contemporary-hospital-care
#4
Joanna Harris, Kenneth Walsh, Susan Dodds
Hospital infection control practices known as Contact Precautions are recommended for the management of people with pathogens such as methicillin-resistant Staphylococcus aureus or vancomycin-resistant Enterococci. BACKGROUND: The patient is isolated, and staff are required to wear gloves, and a gown or apron when providing care. A notice is displayed to remind staff of these requirements and an 'alert' message is placed in the patient's medical record. OBJECTIVE: The aim of this article is to discuss and explore whether practices used in hospitals to reduce the transmission of endemic antibiotic-resistant organisms are ethically justified in today's healthcare environment in the developed world...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/28606192/assessment-of-healthcare-worker-protocol-deviations-and-self-contamination-during-personal-protective-equipment-donning-and-doffing
#5
Jennie H Kwon, Carey-Ann D Burnham, Kimberly A Reske, Stephen Y Liang, Tiffany Hink, Meghan A Wallace, Angela Shupe, Sondra Seiler, Candice Cass, Victoria J Fraser, Erik R Dubberke
OBJECTIVE To evaluate healthcare worker (HCW) risk of self-contamination when donning and doffing personal protective equipment (PPE) using fluorescence and MS2 bacteriophage. DESIGN Prospective pilot study. SETTING Tertiary-care hospital. PARTICIPANTS A total of 36 HCWs were included in this study: 18 donned/doffed contact precaution (CP) PPE and 18 donned/doffed Ebola virus disease (EVD) PPE. INTERVENTIONS HCWs donned PPE according to standard protocols. Fluorescent liquid and MS2 bacteriophage were applied to HCWs...
June 13, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28597930/infection-control-guidelines-for-optometrists-2016
#6
Ka-Yee Lian, Genevieve Napper, Fiona J Stapleton, Patricia M Kiely
BACKGROUND: This paper provides an updated version of the paper: Infection control guidelines for optometrists 2007. METHODS: Information from peer-reviewed journal articles, guidelines from professional societies, and government health department and other websites and instructions from equipment manufacturers were considered in determining infection risk factors in optometric practice. They were used to revise the recommendations on disinfection, sterilisation and reprocessing procedures for instrumentation and other equipment used in optometric practice as well as personal infection control measures to be undertaken by staff...
June 9, 2017: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
https://www.readbyqxmd.com/read/28597809/discontinuation-of-contact-precautions-with-the-introduction-of-universal-daily-chlorhexidine-bathing
#7
J A McKinnell, S J Eells, E Clark, D D Rand, G T Kiet, R Macias-Gil, J M Mendez, S S Huang, E N Milefchik, L G Miller
Contact precautions are a traditional strategy to prevent transmission of methicillin-resistant Staphylococcus aureus (MRSA). Chlorhexidine bathing is increasingly used to decrease MRSA burden and transmission in intensive care units (ICUs). We sought to evaluate a hospital policy change from routine contact precautions for MRSA compared with universal chlorhexidine bathing, without contact precautions. We measured new MRSA acquisition in ICU patients and surveyed for MRSA environmental contamination in common areas and non-MRSA patient rooms before and after the policy change...
June 9, 2017: Epidemiology and Infection
https://www.readbyqxmd.com/read/28589108/asthma-and-allergic-rhinitis-correlation-in-palm-tree-workers-of-jahrom-city-in-2016
#8
Mohammad Amin Farahmand Fard, Narges Khanjani, Aliasghar Arabi Mianroodi, Ahad Ashrafi Asgarabad
INTRODUCTION: Allergic rhinitis and asthma can be related to occupation. The present study aimed to investigate the correlation between asthma or allergic rhinitis and employment in the palm tree gardens of Jahrom, Iran. MATERIALS AND METHODS: This was a cross-sectional study including 50 palm tree garden workers and a control group of 50 office employees. Data collection included demographics, as well as standard International Study of Asthma and Allergies in Childhood (ISAAC) and A New Symptom-Based Questionnaire for Predicting the Presence of Asthma (ASQ) questionnaires...
May 2017: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/28582313/outbreaks-in-the-neonatal-icu-a-review-of-the-literature
#9
Julia Johnson, Caroline Quach
PURPOSE OF REVIEW: Neonates in the neonatal ICU (NICU) are uniquely vulnerable to colonization and infection with pathogens such as multidrug resistant Gram-negative bacteria, which in turn are associated with increased infection-related morbidities and higher case-fatality rates. We reviewed the English, French, and German language literature published between 2015 and 2017, for reports of NICU outbreaks. RECENT FINDINGS: A total of 39 outbreaks in NICUs were reported with Gram-negative bacteria (n = 21; 54%) causing most, and extended spectrum beta-lactamase-producing organisms being the most frequent resistance mechanism reported (n = 5)...
June 2, 2017: Current Opinion in Infectious Diseases
https://www.readbyqxmd.com/read/28577844/preoperative-staphylococcus-aureus-screening-and-targeted-decolonization-in-cardiac-surgery
#10
Manoj K Saraswat, Jonathan T Magruder, Todd C Crawford, Julia M Gardner, Damon Duquaine, Marc S Sussman, Lisa L Maragakis, Glenn J Whitman
BACKGROUND: We assessed the impact of preoperative Staphylococcus aureus screening and targeted decolonization on the incidence of postoperative methicillin-resistant S aureus (MRSA) colonization, intensive care unit MRSA transmission, and surgical site infections in cardiac surgery patients. METHODS: We reviewed medical records for all adult patients during two periods: preintervention (January 2007 to April 2010) and intervention (January 2011 to December 2014)...
June 1, 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/28475783/national-survey-of-practices-to-prevent-methicillin-resistant-staphylococcus-aureus-and-multidrug-resistant-acinetobacter-baumannii-in-thailand
#11
Anucha Apisarnthanarak, David Ratz, Thana Khawcharoenporn, Payal K Patel, David J Weber, Sanjay Saint, M Todd Greene
Background: We evaluated the extent to which hospital characteristics, infection control practices, and compliance with prevention bundles impacted multidrug-resistant organism (MDRO) infections in Thai hospitals. Methods: From 1 January 2014 to 30 November 2014, we surveyed all Thai hospitals with an intensive care unit and ≥250 beds. Infection control practices for methicillin-resistant Staphylococcus aureus (MRSA) and multidrug-resistant Acinetobacter baumannii (MDR-AB) were assessed...
May 15, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/28459908/systematic-review-of-interventions-to-reduce-urinary-tract-infection-in-nursing-home-residents
#12
REVIEW
Jennifer Meddings, Sanjay Saint, Sarah L Krein, Elissa Gaies, Heidi Reichert, Andrew Hickner, Sara McNamara, Jason D Mann, Lona Mody
BACKGROUND: Urinary tract infections (UTIs) in nursing homes are common, costly, and morbid. PURPOSE: Systematic literature review of strategies to reduce UTIs in nursing home residents. DATA SOURCES: Ovid MEDLINE, Cochrane Library, CINAHL, Web of Science and Embase through June 22, 2015. STUDY SELECTION: Interventional studies with a comparison group reporting at least 1 outcome for: catheter-associated UTI (CAUTI), UTIs not identified as catheter-associated, bacteriuria, or urinary catheter use...
May 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28454768/association-of-hospital-contact-precaution-policies-with-emergency-department-admission-time
#13
K Kotkowski, R T Ellison, C Barysauskas, B Barton, J Allison, D Mack, R W Finberg, M Reznek
BACKGROUND: Contact precautions are a widely accepted strategy to reduce in-hospital transmission of meticillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE). However, these practices may have unintended deleterious effects on patients. AIM: To evaluate the effect of a modification in hospital-wide contact precaution practices on emergency department (ED) admission times. METHODS: During the study period, the hospital changed its contact precaution policy from requiring contact precautions for all patients with a history of MRSA or VRE to only those who presented with clinical conditions likely to contaminate the environment with pathogens...
July 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28429047/therapeutic-outcome-of-ct-guided-radiofrequency-ablation-in-patients-with-osteoid-osteoma
#14
Louis Lassalle, R Campagna, G Corcos, A Babinet, F Larousserie, J Stephanazzi, A Feydy
OBJECTIVE: To assess the long-term outcome of computed tomography-guided radiofrequency ablation (CT-guided RFA) in patients with suspected osteoid osteoma (OO). MATERIALS AND METHODS: Single-center retrospective study. Patients with clinical suspicion and imaging diagnosis of osteoid osteoma were treated by CT-guided RFA using the same device with either a 7- or 10-mm active tip electrode. Specific precautions were applied in case of articular or spinal OO. Patients were contacted by phone to evaluate the long-term outcome in terms of pain, ability to perform daily activities (including sports), and long-term complications...
July 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28418712/a-cross-sectional-study-of-indoor-tanning-in-fitness-centres
#15
Christina M Huang, Mark G Kirchhof
BACKGROUND: Ultraviolet (UV) radiation is a human carcinogen and is associated with the development of skin cancer. The promotion of indoor tanning (IT) at fitness centres is of particular concern as it reinforces the idea that a tan is associated with health and fitness. The purpose of this study was to investigate the prevalence of IT in fitness centres, with an emphasis on determining the financial costs, adherence to regulations, and safety precautions. METHODS: Ten cities, representing 9 different Canadian provinces, were chosen for the study...
April 1, 2017: Journal of Cutaneous Medicine and Surgery
https://www.readbyqxmd.com/read/28413631/screening-and-contact-precautions-a-survey-on-infection-control-measures-for-multidrug-resistant-bacteria-in-german-university-hospitals
#16
Lena M Biehl, Hartmut Bertz, Johannes Bogner, Ute-Helke Dobermann, Johanna Kessel, Carolin Krämer, Sebastian Lemmen, Marie von Lilienfeld-Toal, Silke Peter, Mathias W Pletz, Holger Rohde, Stefan Schmiedel, Sören Schubert, Andrew J Ullmann, Gerd Fätkenheuer, Maria J G T Vehreschild
To assess the scope of infection control measures for multidrug-resistant bacteria in high-risk settings, a survey among university hospitals was conducted. Fourteen professionals from 8 sites participated. Reported policies varied largely with respect to the types of wards conducting screening, sample types used for screening and implementation of contact precautions. This variability among sites highlights the need for an evidence-based consensus of current infection control policies.
2017: Antimicrobial Resistance and Infection Control
https://www.readbyqxmd.com/read/28398679/ebola-virus-disease-and-pregnancy-a-review-of-the-current-knowledge-of-ebola-virus-pathogenesis-maternal-and-neonatal-outcomes
#17
REVIEW
Lisa M Bebell, Titilope Oduyebo, Laura E Riley
The 2014 to 2016 Ebola virus disease (EVD) outbreak in West Africa devastated local health systems and caused thousands of deaths. Historical reports from Zaire ebolavirus outbreaks suggested pregnancy was associated with an increased risk of severe illness and death, with mortality rates from 74 to 100%. In total, 111 cases of pregnant patients with EVD are reported in the literature, with an aggregate maternal mortality of 86%. Pregnancy-specific data published from the recent outbreak include four small descriptive cohort studies and five case reports...
March 15, 2017: Birth Defects Res
https://www.readbyqxmd.com/read/28394766/risks-and-benefits-of-swaddling-healthy-infants-an-integrative-review
#18
Antonia M Nelson
BACKGROUND: Swaddling has been practiced since antiquity; however, there is controversy about its safety. OBJECTIVES: The purpose of this review is to update and build upon previous reviews and synthesize evidence on risks and benefits of swaddling in healthyterm, near-term, or older infants. DATA SOURCES: MEDLINE (1960-May 13, 2016) and CINAHL (1963-May 13, 2016) searches were conducted, relevant articles retrieved, and citation lists reviewed for other references...
April 7, 2017: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/28382547/challenges-and-strategies-for-prevention-of-multidrug-resistant-organism-transmission-in-nursing-homes
#19
REVIEW
Ghinwa Dumyati, Nimalie D Stone, David A Nace, Christopher J Crnich, Robin L P Jump
PURPOSE OF REVIEW: Nursing home residents are at high risk for colonization and infection with bacterial pathogens that are multidrug-resistant organisms (MDROs). We discuss challenges and potential solutions to support implementing effective infection prevention and control practices in nursing homes. RECENT FINDINGS: Challenges include a paucity of evidence that addresses MDRO transmission during the care of nursing home residents, limited staff resources in nursing homes, insufficient infection prevention education in nursing homes, and perceptions by nursing home staff that isolation and contact precautions negatively influence the well being of their residents...
April 2017: Current Infectious Disease Reports
https://www.readbyqxmd.com/read/28379311/contact-precautions-for-preventing-nosocomial-transmission-of-esbl-producing-escherichia-coli-a-point-counterpoint-review
#20
Sarah Tschudin-Sutter, Jean-Christophe Lucet, Nico T Mutters, Evelina Tacconelli, Jean Ralph Zahar, Stephan Harbarth
Contact precautions have been recommended for hospitalized patients colonized or infected with extendend-spectrum beta-lactamase (ESBL)-producing Escherichia coli. Despite such recommendations, a steady, worldwide increase of ESBL-E. coli has been reported. We discuss arguments in favor and against contact precautions for ESBL- E.coli-carriers.Healthcare settings with high ESBL-E.coli colonization pressure, extended hospital stay and close contact between vulnerable patients may serve as amplification platform further accelerating transmission...
April 3, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
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