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Nicole T Shen, Jared A Leff, Yecheskel Schneider, Carl V Crawford, Anna Maw, Brian Bosworth, Matthew S Simon
Background: Systematic reviews with meta-analyses and meta-regression suggest that timely probiotic use can prevent Clostridium difficile infection (CDI) in hospitalized adults receiving antibiotics, but the cost effectiveness is unknown. We sought to evaluate the cost effectiveness of probiotic use for prevention of CDI versus no probiotic use in the United States. Methods: We programmed a decision analytic model using published literature and national databases with a 1-year time horizon...
2017: Open Forum Infectious Diseases
Kanchana Manickam, Andrew Walkty, Philippe Rs Lagacé-Wiens, Heather Adam, Barbara Swan, Brenda McAdam, Peter Pieroni, Michelle Alfa, James A Karlowsky
INTRODUCTION: Staphylococcus aureus bacteremia is associated with considerable morbidity and mortality. In theory, reducing the turnaround time in reporting of methicillin-resistant S aureus (MRSA) among patients with bactermia could assist with the rapid optimization of antimicrobial therapy. OBJECTIVE: To evaluate the sensitivity and specificity of MRSASelect (Bio-Rad Laboratories, USA), a chromogenic medium, in the early detection of MRSA from blood cultures growing Gram-positive cocci in clusters, and to confirm that routine use of this medium would, in fact, reduce turnaround time for MRSA identification...
2013: Canadian Journal of Infectious Diseases & Medical Microbiology
Tina Stein, JoAnn D Jordan
With the increase in popularity of piercings, the health care professional needs to be aware of the complications that can occur due to lack of regulations of the piercing establishments. Due to lack of training of piercing professionals and lack of enforcement of sterilization procedures, infection and life threatening complications can arise. Complications include, but are not limited to, hemorrhage, nerve damage, gingival recession, HIV, tongue swelling, tooth fracture, Bactermia, Ludwigs angina, increase salivary flow, jewelry aspiration, and localized infection...
July 2012: Texas Dental Journal
Avani Changela, Hemangkumar Javaiya, Kiersten Rickenback, Ashraf Elnawawi, Kinesh Changela
Vancomycin is a commonly used antibiotic for severe Gram-positive bacterial infections, especially for methicillin-resistant Staphylococcus Aureus and coagulase-negative staphylococci infections. Nevertheless, only few cases of toxic epidermal necrolysis have been reported since the introduction of Vancomycin into clinical practice. We report a case of a 35-year-old man who presented with multiple facial abscesses and methicillin-resistant Staphylococcus Aureus bactermia and who was started on Vancomycin and later developed toxic epidermal necrolysis...
March 2013: American Journal of Therapeutics
No abstract text is available yet for this article.
December 1945: Journal of Thoracic Surgery
Maimoonaa Mushtaq Ahmed, Sami Bahlas
The objective of this study was to determine the patterns of bacterial isolates found in blood culture of patients with bactermia in King Abdul Aziz University Hospital in addition to determination of antibiotic resistance. A retrospective analysis of the 672 positive samples collected over the period of December 2006-December 2008. The observed mean age was 40 years with comparable distribution in both genders. 65.2% of the population were Non-Saudi. 65.5% of isolates were Gram positive, mainly Staphylococcus epidermidis, on the other hand Klebsiella was the common Gram negative bacteria...
July 2009: Travel Medicine and Infectious Disease
Ron Lamdan, Eric Silverstein, Henry M Feder, Douglas MacGilpin
Two boys with the clinical and radiographic picture of acute tropical pyomyositis of the short external rotators of the hip were treated surgically followed by parenteral antibiotics (Figure 1). Intraoperatively, no pus was found. Histopathology specimens from 1 patient demonstrated small foci of degenerative changes and necrosis without evidence of infection (Figure 2). Prior to decompressing the muscle in the second patient, intramuscular pressure was measured and found to be significantly elevated. Surgical decompression was performed and both patients fully recovered after a course of intravenous antibiotics...
April 2008: Orthopedics
No abstract text is available yet for this article.
May 21, 1958: La Presse Médicale
No abstract text is available yet for this article.
February 1956: Journal of Bacteriology
Wipa Reechaipichitkul, Puntip Tantiwong
Pneumonia is a serious illness associated with significant morbidity and mortality. The interpretation guidelines for pneumonia management requires knowledge of both the clinical presentation of the disease and local epidemiology. We studied the clinical features, initial laboratory results, antibiotic sensitivities, and outcomes of patients diagnosed with acute community-acquired pneumonia between January 1999 and December 2000 at Srinagarind Hospital. The causative organisms were identified in only 52.2% patients; Streptococcus pneumoniae accounted for 23...
June 2002: Southeast Asian Journal of Tropical Medicine and Public Health
M Thomas, B Padmini, G Srimathi, V Sundararajan, B A Raju
In this study, 187 consecutive neonates suspected of having septicaemia were investigated for isolation of micro organisms. Two samples of blood were collected for isolation of aerobes and anaerobes. Cultures were positive in 75 (40%) cases. Aerobic bacteria were the major etiological agent, accounting for 93% of positives including the 8% cases showing polymicrobial etiology. Anaerobic bacteria and Candida species were isolated in 6.6% and 8% of positive cases respectively. Bacteroides fragilis (amongst anaerobic) and Staphylococcus aureus (amongst aerobic) were the predominant organisms isolated...
January 1999: Indian Journal of Pediatrics
J A O'Donnell, L E Asbel
We report the case of a 71-year-old male with Bacteroides fragilis bactermia and infected aortic aneurysm that went undiagnosed, in part, because routine anaerobic blood cultures were not obtained. Bacteremia caused by anaerobes has been reported to be declining, and recommendations to discontinue routine anaerobic blood cultures have been implemented in some hospitals. To our knowledge, this is the first report of an anaerobic bacteremia and infection that had a delay in diagnosis due to this change in blood-culturing protocol...
November 1999: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
J C Corredoira Sánchez, E Casariego Vales, P Alonso García, A Coira Nieto, J Varela Otero, M J López Alvarez, A Rodríguez Feijoo, R Rabuñal Rey, M T Rigueiro Veloso, R Monte Secades, M J Cereijo Quinteiro
BACKGROUND: The analysis of the most relevant characteristics and prognostic factors in elderly patients with bacteremia. PATIENTS AND METHODS: For the period 1989-1993 a prospective study of all significant bacteremias in adult patients admitted to a General Hospital was performed. Patients were visited until their death or during at least 50 days. The most relevant findings in elderly patients (over 65 years old) are described. Overall survival probabilities were obtained by Kaplan-Merner analysis...
June 28, 1997: Medicina Clínica
J M Ramos Rincón, M Cuenca Estrella, M L Fernández Guerrero
BACKGROUND: The chronic hepatopathy predispose to severe infections due to Streptococcus pneumoniae, including bacteremia. METHODS: We have reviewed the clinic characteristics and outcome of 34 patients without HIV infection and compared with 140 HIV-negative patients with pneumococcal bacteremia. RESULTS: From 34 patients with chronic liver diseases, 27 were male (79%) and 7 female (21%), aged from 33 to 83 years. In 16 cases the origin of hepatopathy were alcoholic...
July 1996: Anales de Medicina Interna: Organo Oficial de la Sociedad Española de Medicina Interna
C A Long, E E Stashinko, K Byrnes, E Molchan, J LeClair
PURPOSE: To define the per-day risk of central line associated bacteremia in an infant-toddler population and to describe risk factors associated with the development of central line bacteremia. METHOD: The Central Line Data Tool collected information on 102 central venous catheters from 73 patients ranging in age from 1 day to 29 months. Each line was in place for 3 days or longer. FINDINGS: There were 17 documented catheter-related infections during the 1-year study period (7...
May 1996: Pediatric Nursing
D E Fry, C R Kaelin, R D Rink
No abstract text is available yet for this article.
June 1980: Journal of Surgical Research
H A Pitt, R G Postier, J L Cameron
One hundred patients undergoing postoperative cholangiography had blood cultures drawn prior to and 15 minutes and six hours after cholangiography. Bile cultures obtained prior to cholangiography grew organisms in 92 of 100 patients with E. coli, Klebsiella pneumoniae and enterococcus being the bacteria most frequently isolated. Anaerobes were isolated from the bile in 21% of the patients. Nine of 83 patients (11%) not receiving antibiotics developed a bacteremia after cholangiography with organisms identical to those in the bile...
January 1980: Annals of Surgery
R Auckenthaler, P E Hermans, J A Washington
Patients with group G streptococcal bactermia represented 10.8% of those with beta-hemolytic streptococcal bacteremia and 0.3% of all those with bacteremia between 1970 and 1980 at Mayo Clinic-affiliated hospitals. The most frequent portal of entry was the skin, usually in cases with preexisting edema due to previous surgical removal, irradiation, or tumor infiltration of lymph nodes, or to chronic venous insufficiency. The majority of these patients had underlying hematologic malignancies or solid tumors. Clinical response to therapy with beta-lactam antibiotics was rapid...
March 1983: Reviews of Infectious Diseases
R H Rubin, R C Moellering
Twenty-six patients with purulent pericarditis were seen at the Massachusetts General Hospital between 1960 and 1974. The diagnosis was made in 18 of them during life, but only 6 survived, with an over-all mortality rate of 77 per cent. In eight patients, purulent pericarditis developed in the early postoperative period after thoracic surgery. In seven, purulent pericarditis was the result of contiguous spread of infection from a pleural, mediastinal or pulmonary focus in nonsurgical patients. In five patients, it was the result of direct spread to the pericardium from an intracardiac infection...
July 1975: American Journal of Medicine
J A Robinson, M L Klondnycky, H S Loeb, M R Racic, R M Gunnar
Eighteen patients were studied prior to and again within 6 hours after transurethral resection or cystoscopy. In addition to hemodynamic measurements, detection of endotoxin by limulus assay and bacteriologic sampling; prekallikrein, C3, C3 proactivator and lysosomal enzyme levels were measured. In five patients limulus assays were positive, and in one, gram-positive bacteremia developed but limulus assay remained negative. All six had significant decreases in prekallikrein, C3 or C3 proactivator. Systemic vascular resistance fell in all six...
July 1975: American Journal of Medicine
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