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https://www.readbyqxmd.com/read/29762388/methicillin-resistant-staphylococcus-aureus-decolonization-in-neonates-and-children
#1
Arne Simon, Till Dresbach, Andreas Müller
No abstract text is available yet for this article.
June 2018: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/29755707/decolonization-of-intestinal-carriage-of-mdr-xdr-gram-negative-bacteria-with-oral-colistin-in-patients-with-hematological-malignancies-results-of-a-randomized-controlled-trial
#2
Igor Stoma, Igor Karpov, Igor Iskrov, Svetlana Krivenko, Anatoly Uss, Svetlana Vlasenkova, Irina Lendina, Veronika Cherniak, Dmitrii Suvorov
Background: Intestinal colonization by MDR/XDR gram-negative bacteria leads to an increased risk of subsequent bloodstream infections (BSI) in patients receiving chemotherapy as a treatment for hematologic malignancies. Objectives: The objective of this study was to evaluate the efficacy of oral colistin in eradicating the intestinal carriage of MDR/XDR Gram-negative bacteria in patients with hematological malignancies. Methods: In a tertiary hematology center, adult patients with intestinal colonization by MDR/XDR Gram-negative bacteria were included in a randomized controlled trial (RCT) during a period from November 2016 to October 2017...
2018: Mediterranean Journal of Hematology and Infectious Diseases
https://www.readbyqxmd.com/read/29754618/preoperative-planning-and-patient-optimization
#3
REVIEW
Clayton C Petro, Ajita S Prabhu
This article reviews the literature that supports routine expectations for smoking cessation; weight loss; diabetic, nutritional, or metabolic optimization; and decolonization techniques before ventral hernia repair. These methods diminish postoperative complications. In an era of value-centric care, an upfront investment in patient optimization can improve the quality of the repair by reducing wound morbidity and hernia recurrence, naturally translating to a reduction in cost. The adoption of these practices and further study aimed at identifying other effective optimization techniques are encouraged...
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29734776/an-ointment-consisting-of-the-phage-lysin-lysgh15-and-apigenin-for-decolonization-of-methicillin-resistant-staphylococcus-aureus-from-skin-wounds
#4
Mengjun Cheng, Lei Zhang, Hao Zhang, Xinwei Li, Yanmei Wang, Feifei Xia, Bin Wang, Ruopeng Cai, Zhimin Guo, Yufeng Zhang, Yalu Ji, Changjiang Sun, Xin Feng, Liancheng Lei, Yongjun Yang, Wenyu Han, Jingmin Gu
Staphylococcus aureus ( S. aureus ) is a common and dangerous pathogen that causes various infectious diseases. Skin damage, such as burn wounds, are at high risk of Staphylococcus aureus colonization and infection, which increases morbidity and mortality. The phage lysin LysGH15 exhibits highly efficient lytic activity against methicillin-resistant S. aureus (MRSA) and methicillin-susceptible S. aureus (MSSA) strains. Apigenin (api) significantly decreases haemolysis of rabbit erythrocytes caused by S. aureus and shows anti-inflammatory function...
May 6, 2018: Viruses
https://www.readbyqxmd.com/read/29726892/environmental-panels-as-a-proxy-for-nursing-facility-patients-with-methicillin-resistant-staphylococcus-aure-and-vancomycin-resistant-enterococcus-colonization
#5
Marco Cassone, Julia Mantey, Mary Beth Perri, Kristen Gibson, Bonnie Lansing, Sara McNamara, Payal K Patel, Vincent C C Cheng, Maroya S Walters, Nimalie D Stone, Marcus J Zervos, Lona Mody
Background: Most nursing facilities (NFs) lack methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE) surveillance programs due to limited resources and high costs. We investigated the utility of environmental screening of high-touch surfaces in patient rooms as a way to circumvent these challenges. Methods: We compared MRSA and VRE culture data from high-touch surfaces in patients' rooms (14450 samples from 6 NFs) and ranked each site's performance in predicting patient colonization (7413 samples)...
May 2, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29718144/genomic-surveillance-reveals-diversity-of-multidrug-resistant-organism-colonization-and-infection-a-prospective-cohort-study-in-liver-transplant-recipients
#6
Nenad Macesic, Angela Gomez-Simmonds, Sean B Sullivan, Marla J Giddins, Samantha A Ferguson, Gautam Korakavi, David Leeds, Sarah Park, Kevin Shim, Madeleine G Sowash, Melanie Hofbauer, Ryan Finkel, Yue Hu, Jared West, Nora C Toussaint, William G Greendyke, Benjamin A Miko, Marcus R Pereira, Susan Whittier, Elizabeth C Verna, Anne-Catrin Uhlemann
Background: Multidrug-resistant organisms (MDROs) are an important cause of morbidity and mortality after solid organ transplantation. We aimed to characterize MDRO colonization dynamics and infection in liver transplant (LT) recipients through innovative use of active surveillance and whole-genome sequencing (WGS). Methods: We prospectively enrolled consecutive adult patients undergoing LT from March 2014 to March 2016. Fecal samples were collected at multiple timepoints from time of enrollment to 12 months posttransplant...
April 28, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29706945/-candida-auris-disinfectants-and-implications-for-infection-control
#7
REVIEW
Tsun S N Ku, Carla J Walraven, Samuel A Lee
Candida auris is a rapidly emerging pathogen and is able to cause severe infections with high mortality rates. It is frequently misidentified in most clinical laboratories, thus requiring more specialized identification techniques. Furthermore, several clinical isolates have been found to be multidrug resistant and there is evidence of nosocomial transmission in outbreak fashion. Appropriate infection control measures will play a major role in controlling the management and spread of this pathogen. Unfortunately, there are very few data available on the effectiveness of disinfectants against C...
2018: Frontiers in Microbiology
https://www.readbyqxmd.com/read/29701563/implementation-of-an-infection-prevention-bundle-and-increased-physician-awareness-improves-surgical-outcomes-and-reduces-costs-associated-with-spine-surgery
#8
Nitin Agarwal, Prateek Agarwal, Ashley Querry, Anna Mazurkiewicz, Zachary J Tempel, Robert M Friedlander, Peter C Gerszten, D Kojo Hamilton, David O Okonkwo, Adam S Kanter
OBJECTIVE Previous studies have demonstrated the efficacy of infection prevention protocols in reducing infection rates. This study investigated the effects of the development and implementation of an infection prevention protocol that was augmented by increased physician awareness of spinal fusion surgical site infection (SSI) rates and resultant cost savings. METHODS A cohort clinical investigation over a 10-year period was performed at a single tertiary spine care academic institution. Preoperative infection control measures (chlorohexidine gluconate bathing, Staphylococcus aureus nasal screening and decolonization) followed by postoperative infection control measures (surgical dressing care) were implemented...
April 27, 2018: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29673410/association-of-an-active-surveillance-and-decolonization-program-on-incidence-of-clinical-cultures-growing-staphylococcus-aureus-in-the-neonatal-intensive-care-unit
#9
Annie Voskertchian, Ibukunoluwa C Akinboyo, Elizabeth Colantuoni, Julia Johnson, Aaron M Milstone
No abstract text is available yet for this article.
April 20, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29671723/evaluation-of-staphylococcus-aureus-eradication-therapy-in-orthopaedic-surgery
#10
S T J Tsang, M P McHugh, D Guerendiain, P Gwynne, J Boyd, I F Laurenson, K E Templeton, S Lewis, A H R W Simpson, T S Walsh
PURPOSE: Despite WHO recommendations, there is currently no national screening and eradication policy for the detection of methicillin-sensitive Staphylococcus aureus (MSSA) in the UK prior to elective orthopaedic surgery. This study aimed to evaluate the effectiveness of current standard methicillin-resistant S. aureus (MRSA) eradication therapies in the context of S. aureus (both MRSA and MSSA) decolonization in an elective orthopaedic population. METHODOLOGY: A total of 100 patients awaiting joint replacement surgery who were positive for S...
April 19, 2018: Journal of Medical Microbiology
https://www.readbyqxmd.com/read/29669512/a-systematic-review-of-transmission-dynamic-studies-of-methicillin-resistant-staphylococcus-aureus-in-non-hospital-residential-facilities
#11
Kin On Kwok, Jonathan M Read, Arthur Tang, Hong Chen, Steven Riley, Kai Man Kam
BACKGROUND: Non-hospital residential facilities are important reservoirs for MRSA transmission. However, conclusions and public health implications drawn from the many mathematical models depicting nosocomial MRSA transmission may not be applicable to these settings. Therefore, we reviewed the MRSA transmission dynamics studies in defined non-hospital residential facilities to: (1) provide an overview of basic epidemiology which has been addressed; (2) identify future research direction; and (3) improve future model implementation...
April 18, 2018: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29649257/an-experimental-staphylococcus-aureus-carriage-and-decolonization-model-in-rhesus-macaques-macaca-mulatta
#12
Bibi C G C Slingerland, Merei Keehnen, Boudewijn Ouwerling, Mehri Tavakol, Susan V Snijders, Henri A Verbrugh, Margreet C Vos, Edmond J Remarque, Jan A M Langermans, Willem J B van Wamel
Our human model of nasal colonization and eradication of S. aureus is limited by safety issues. As rhesus macaques are closely related to humans and natural hosts for S. aureus, we developed an experimental decolonization and inoculation protocol in these animals. Animals were screened for nasal carriage of S. aureus and 20 carriers were selected. Decolonization was attempted using nasal mupirocin (10 animals) or mupirocin plus trimethoprim/sulfadiazine intramuscularly (10 animals) both once daily for 5 days, and checked by follow-up cultures for 10 weeks...
2018: PloS One
https://www.readbyqxmd.com/read/29619291/mrsa-prevalence-among-patient-transport-staff-in-hamburg
#13
Anja Schablon, Olaf Kleinmüller, Albert Nienhaus, Claudia Peters
Introduction: Patient transport employees frequently come into contact with multidrug-resistant organisms (MDROs) and therefore are at a greater risk of infection than the general population. These pathogens pose a significant challenge for employees of patient transport services since they can spread over long distances through patient transfers. To date, little is known about the occupational risk of MRSA infection in patient transport settings. Methods: A cross-sectional study was conducted to investigate the prevalence of MRSA in patient transport personnel, including taxi drivers, as well as the potential risk factors for MRSA colonization...
2018: GMS Hygiene and Infection Control
https://www.readbyqxmd.com/read/29570150/cost-effectiveness-research-in-anesthesiology
#14
Bijan J Teja, Tori N Sutherland, Sheila R Barnett, Daniel S Talmor
Perioperative interventions aimed at decreasing costs and improving outcomes have become increasingly popular in recent years. Anesthesiologists are often faced with a choice among different treatment strategies with little data available on the comparative cost-effectiveness. We performed a systematic review of the English language literature between 1980 and 2014 to identify cost-effectiveness analyses of anesthesiology and perioperative medicine interventions. We excluded interventions related to critical care or pediatric anesthesiology, and articles on interventions not normally ordered or performed by anesthesiologists...
March 21, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29566738/fecal-microbiota-transplantation-against-intestinal-colonization-by-extended-spectrum-beta-lactamase-producing-enterobacteriaceae-a-proof-of-principle-study
#15
Ramandeep Singh, Pieter F de Groot, Suzanne E Geerlings, Caspar J Hodiamont, Clara Belzer, Ineke J M Ten Berge, Willem M de Vos, Frederike J Bemelman, Max Nieuwdorp
OBJECTIVE: Infections with multidrug-resistant microorganisms are associated with increased hospitalization, medication costs and mortality. Based on our fecal microbiota transplantation (FMT) experience for Clostridium difficile infection, we treated 15 patients carrying ESBL-producing Enterobacteriaceae (ESBL-EB) with FMT. Seven patients underwent a second FMT after 4 weeks when ESBL-EB remained, amounting to a total number of 22 transplants. The objective was decolonization of ESBL-EB...
March 22, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29555678/evaluation-of-the-pig-tailed-macaque-macaca-nemestrina-as-a-model-of-human-staphylococcus-aureus-nasal-carriage
#16
Amy L Cole, Yvonne Cosgrove Sweeney, Amanda G Lasseter, Justin M Gray, Ashley C Beavis, Christine F Chong, Safarali V Hajheidari, Alex Beyene, Dorothy L Patton, Alexander M Cole
Staphylococcus aureus ( SA ) nasal carriage is a common condition effecting both healthy and immunocompromised populations, and provides a reservoir for dissemination of potentially infectious strains by casual contact. Factors regulating the onset and duration of nasal SA colonization are mostly unknown, and a human-relevant animal model is needed. Here, we screened 17 pig-tailed macaques ( Macaca nemestrina ) for SA carriage, and 14 of 17 animals tested positive in the nose at one or both screening sessions (8 weeks apart), while the other three animals were negative in the nose but positive in the pharynx at least once...
March 19, 2018: Infection and Immunity
https://www.readbyqxmd.com/read/29540160/effect-of-lactobacillus-rhamnosus-hn001-on-carriage-of-staphylococcus-aureus-results-of-the-impact-of-probiotics-for-reducing-infections-in-veterans-improve-study
#17
Shoshannah Eggers, Anna K Barker, Susan Valentine, Timothy Hess, Megan Duster, Nasia Safdar
BACKGROUND: Infection by Staphylococcus aureus (S. aureus) is a major cause of morbidity and mortality. Colonization by S. aureus increases the risk of infection. Little is known about decolonization strategies for S. aureus beyond antibiotics, however probiotics represent a promising alternative. A randomized controlled trial was conducted to determine the efficacy of Lactobacillus rhamnosus (L. rhamnosus) HN001 in reducing carriage of S. aureus at multiple body sites. METHODS: One hundred thirteen subjects, positive for S...
March 14, 2018: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29537999/reducing-infection-rates-in-implant-based-breast-reconstruction-impact-of-an-evidence-based-protocol
#18
Kasandra R Dassoulas, Jessica Wang, Jenna Thuman, Idorenyin Ndem, Christine Schaeffer, Madeline Stovall, Alexandra Tilt, Andy Lee, Kant Y Lin, Christopher A Campbell
BACKGROUND: Infection is the most significant complication in implant-based breast reconstruction, potentially leading to reconstructive failure. We hypothesized that implementation of an evidence-based protocol marked by preoperative decolonization and sterility optimization would result in a decline in postoperative infection rates. METHODS: Informed by a literature review, we developed an evidence-based, perioperative infection prevention protocol implemented in 2015...
May 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29525793/zero-surgical-site-infection-in-primary-knee-arthroplasty-with-multidisciplinary-intervention-is-it-possible
#19
Zehra Çağla Karakoç, Uğur Haklar
Surgical site infections (SSI) are among the most important complications in knee arthroplasty. In this article we aim to retrospectively evaluate effects of preoperative multidisciplinary assessment and treatment of focal infections in primary knee arthroplasty patients operated by a single surgeon in a single center. A total of 93 patients undergoing 120 primary knee arthroplasty operations were included in the study. In the preoperative assessment all patients were consulted by infectious diseases, otorhinolaryngology (ENT) and dentistry departments, and female patients additionally by gynecology departments to evaluate and treat possible focal infections...
March 1, 2018: Le Infezioni in Medicina
https://www.readbyqxmd.com/read/29510950/the-cost-effectiveness-of-preoperative-staphylococcus-aureus-screening-and-decolonization-in-total-joint-arthroplasty
#20
Yehuda E Kerbel, Anisha R Sunkerneni, Gregory J Kirchner, John P Prodromo, Vincent M Moretti
BACKGROUND: This article presents a break-even analysis for preoperative Staphylococcus aureus colonization screening and decolonization protocols in total hip arthroplasty (THA) and total knee arthroplasty (TKA). METHODS: Protocol costs, baseline infection rates after arthroplasty, and average revision costs were obtained from institutional records and the literature. The break-even analysis determined the absolute risk reduction (ARR) in infection rate required for cost-effectiveness...
January 31, 2018: Journal of Arthroplasty
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