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Oral decontamination

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https://www.readbyqxmd.com/read/29656039/maternal-adherence-to-guidance-on-breast-milk-collection-process
#1
M Carré, D Dumoulin, R Jounwaz, B Mestdagh, V Pierrat
INTRODUCTION: Breast milk expression with a breast pump increases the risk of contaminating milk with pathogenic bacteria; how to decontaminate breast pumps is controversial. The aim of this study was to investigate maternal adherence to updated French guidance on the breast milk collection process, including breast pump decontamination, and to identify potential sources of increased bacterial counts in breast milk in order to improve prevention messages to mothers. METHODS: Descriptive prospective study conducted between November 2015 and April 2016 in a French tertiary perinatal center...
April 11, 2018: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/29592766/surface-contamination-of-counting-tools-after-mock-dispensing-of-cyclophosphamide-in-a-simulated-outpatient-pharmacy
#2
Bruce W Chaffee, Michael J Lander, Catherine Christen, Kimberly A Redic
Purpose The primary aim was to determine if dispensing of cyclophosphamide tablets resulted in accumulated residue on pharmacy counting tools during a simulated outpatient dispensing process. Secondary objectives included determining if cyclophosphamide contamination exceeded a defined threshold level of 1 ng/cm2 and if a larger number of prescriptions dispensed resulted in increased contamination. Methods Mock prescriptions of 40 cyclophosphamide 50 mg tablets were counted on clean trays in three scenarios using a simulated outpatient pharmacy after assaying five cleaned trays as controls...
January 1, 2018: Journal of Oncology Pharmacy Practice
https://www.readbyqxmd.com/read/29562346/performance-egg-quality-and-liver-lipid-reserves-of-free-range-laying-hens-naturally-infected-with-ascaridia-galli
#3
N Sharma, P W Hunt, B C Hine, N K Sharma, A Chung, R A Swick, I Ruhnke
A study was conducted to determine the performance, egg quality, and liver lipid reserves of laying hens exposed to ranges contaminated with Ascaridia galli. Sixteen-week-old Lohmann Brown laying hens (n = 200) were divided into 4 treatments with 5 replicates containing 10 hens per pen. Hens of treatment 1 [negative control (NC)] ranged on a decontaminated area, and hens of treatments 2 (low infection) and 3 (medium infection) ranged on areas previously contaminated by hens artificially infected with 250 and 1,000 embryonated A...
March 16, 2018: Poultry Science
https://www.readbyqxmd.com/read/29511942/the-evaluation-of-the-transport-medium-for-extracted-premolars-prior-to-cryopreservation-a-systematic-literature-review
#4
REVIEW
Noëmi M C De Roo, Laurent A M Thierens, Liesbeth Temmerman, Guy A M De Pauw
Prior to cryopreservation, a tooth is transported from a contaminated oral environment to the tooth bank. Our objective was to identify all studies reporting or investigating a transport protocol prior to the cryopreservation of teeth, in terms of decontamination of the subjects. The systematic literature search (1970-2017) was based on MEDLINE via PubMed, Web of Science and the Cochrane Library. The reference lists of the included studies and the Science Citation Index were used for hand searching (snowballing)...
March 7, 2018: Cell and Tissue Banking
https://www.readbyqxmd.com/read/29499449/radiocesium-contamination-in-house-dust-within-evacuation-areas-close-to-the-fukushima-daiichi-nuclear-power-plant
#5
Naohide Shinohara, Hiroko Yoshida-Ohuchi
Outdoor decontamination efforts have been ongoing since the Fukushima Daiichi nuclear power plant (FDNPP) accident; however, little is known about indoor contamination. Therefore, house dust was sampled based on particle size in 21 wooden buildings (19 residential houses and 2 community centers) within the evacuation area close to the FDNPP, Fukushima Prefecture, Japan. Activities of radiocesium (137 Cs) per gram of house dust increased with decreasing particle size (mean: 6.1 × 103 , 2.6 × 103 , 1...
May 2018: Environment International
https://www.readbyqxmd.com/read/29489549/effect-of-various-laser-wavelengths-on-temperature-changes-during-periimplantitis-treatment-an-in-vitro-study
#6
Abbas Monzavi, Reza Fekrazad, Zahra Chinipardaz, Sima Shahabi, Roohollah Behruzi, Nasim Chiniforush
PURPOSE: This study aimed to investigate and compare temperature change during implant decontamination with different laser types (carbon dioxide [Co2]/diode/neodymium-doped yttrium aluminum garnet [Nd:YAG]/erbium-doped yttrium aluminum garnet [Er:YAG]/antimicrobial photodynamic therapy [aPDT]). MATERIAL AND METHODS: Sixty implants were inserted into a bone block cut from a sheep's mandible. A 3 × 8 mm vertical lesion was made at the buccal of each implant. The bone block was placed into a 37°C water bath to simulate the in vivo oral condition...
February 27, 2018: Implant Dentistry
https://www.readbyqxmd.com/read/29473717/interventions-for-paracetamol-acetaminophen-overdose
#7
REVIEW
Angela L Chiew, Christian Gluud, Jesper Brok, Nick A Buckley
BACKGROUND: Paracetamol (acetaminophen) is the most widely used non-prescription analgesic in the world. Paracetamol is commonly taken in overdose either deliberately or unintentionally. In high-income countries, paracetamol toxicity is a common cause of acute liver injury. There are various interventions to treat paracetamol poisoning, depending on the clinical status of the person. These interventions include inhibiting the absorption of paracetamol from the gastrointestinal tract (decontamination), removal of paracetamol from the vascular system, and antidotes to prevent the formation of, or to detoxify, metabolites...
February 23, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29407307/acute-liver-failure-due-to-amanita-phalloides-poisoning-therapeutic-approach-and-outcome
#8
E Kieslichova, S Frankova, M Protus, D Merta, E Uchytilova, J Fronek, J Sperl
INTRODUCTION: Amanita phalloides poisoning is a potentially fatal cause of acute liver failure. The aim of this study was to analyze the impact of initial patients' characteristics and different treatment modalities on the outcome of patients with liver failure caused by Amanita poisoning. MATERIAL AND METHODS: We retrospectively evaluated 23 patients admitted to our center between July 2007 and August 2016. RESULTS: Mean time interval between Amanita phalloides ingestion and the onset of gastrointestinal symptoms was 12...
January 2018: Transplantation Proceedings
https://www.readbyqxmd.com/read/29286021/toenail-onychomycosis-by-trichophyton-rubrum-and-concurrent-infestation-with-tyrophagus-putrescentiae
#9
Valentina Fabrizi, Ivana Zacconi, Mario Principato, Cristina Pesca, Deborah Cruciani, Silvia Crotti, Manuela Papini
A remarkable case of onychomycosis by Trichophyton (T.) rubrum combined with nail infestation by Tyrophagus (T.) putrescentiae in an elderly diabetic farmer is described and discussed. Large numbers of eggs and mites in all development stages were present in nail debris, reflecting active reproduction on site. Treatment with ivermectin 0.1% cream and environmental decontamination cleared the mite infestation, while onychomycosis responded well to oral terbinafine and ciclopirox 8% nail lacquer. Such a combination of onychomycosis and mite infestation of the same nail is an exceptional finding reported only twice in the literature...
December 1, 2017: Le Infezioni in Medicina
https://www.readbyqxmd.com/read/29239086/treatment-of-pathologic-peri-implant-pockets
#10
REVIEW
Stefan Renvert, Ioannis Polyzois
Peri-implant and periodontal pockets share a number of anatomical features but also have distinct differences. These differences make peri-implant pockets more susceptible to trauma and infection than periodontal pockets. Inadequate maintenance can lead to infections (defined as peri-implant mucositis and peri-implantitis) within peri-implant pockets. These infections are recognized as inflammatory diseases, which ultimately lead to the loss of supporting bone. Diagnostic and treatment methods conventionally used in periodontics have been adopted to assess and treat these diseases...
February 2018: Periodontology 2000
https://www.readbyqxmd.com/read/29189142/interpretation-of-cannabis-findings-in-the-hair-of-very-young-children-mission-impossible
#11
Pascal Kintz, Alice Ameline, Aude Eibel, Laurie Gheddar, Emilie Feisthauer, Annie Geraut, Laurent Berthelon, Audrey Farrugia, Jean-Sebastien Raul
BACKGROUND: Hair has been suggested since the middle of the 90's to be a suitable matrix to document repetitive exposure to cannabis. Because it is possible to detect Δ9-tetrahydrocannabinol (THC), cannabinol (CBN) and cannabidiol (CBD) in cannabis smoke, the identification of the metabolite, 11-nor-Δ9-tetrahydrocannabinol carboxylic acid (THC-COOH) has been considered to allow the discrimination of active use. OBJECTIVE: Although the identification of an active compound in a child's hair shows contamination of the local environment, it is a challenge to discriminate between hair incorporation after ingestion or inhalation and environmental external deposition from dust, smoke, or even contaminated surfaces by hand contact...
2017: Current Pharmaceutical Biotechnology
https://www.readbyqxmd.com/read/29181195/survey-of-extent-of-translation-of-oral-healthcare-guidelines-for-icu-patients-into-clinical-practice-by-nursing-staff
#12
Vivek Agarwal, Rameshwari Singhal, Richa Khanna, Pavitra Rastogi, Avinash Agarwal, Shuchi Tripathi
Nosocomial infections in critically ill/ventilated patients result from bacterial load in oropharyngeal regions. Oral decontamination serves as the easiest effective means of controlling infections. Knowledge, attitude, and practices followed by healthcare personnel in intensive care settings need to be assessed to implement concrete measures in health-care. Survey questionnaire was constructed and implemented following its validation on seventy nursing and paramedical staff working in government and private intensive care units throughout Lucknow city...
2017: Critical Care Research and Practice
https://www.readbyqxmd.com/read/29127834/comparison-of-chlordecone-and-ndl-pcb-decontamination-dynamics-in-growing-male-kids-after-cessation-of-oral-exposure-is-there-a-potential-to-decrease-the-body-levels-of-these-pollutants-by-dietary-supplementation-of-activated-carbon-or-paraffin-oil
#13
Marie-Laure Lastel, Agnès Fournier, Stefan Jurjanz, Jean-Pierre Thomé, Célia Joaquim-Justo, Harry Archimède, Maurice Mahieu, Cyril Feidt, Guido Rychen
Sixteen weaned male Alpine kids (Capra hircus) were subjected to a 21-day oral daily exposure of 0.05 mg kg-1 BW. d-1 of chlordecone (CLD) and 0.30 μg kg-1 BW. d-1 of each non-dioxin-like polychlorinated biphenyls (NDL-PCBs, congeners 28, 52, 101, 138, 153 and 180). Four kids, identified as the CONTA group, were slaughtered at the end of the exposure, while the remaining animals (n = 12) were fed with specific diets for an additional 21-day decontamination period before slaughtering. Kids from the DECONTA (n = 4) group were fed a control diet, while those from the AC10% and PO8% group received pellets supplemented with 10% activated carbon (AC) and 8% paraffin oil (PO), respectively...
February 2018: Chemosphere
https://www.readbyqxmd.com/read/28975771/a-new-multiple-anti-infective-non-surgical-therapy-in-the-treatment-of-peri-implantitis-a-case-series
#14
Magda Mensi, Eleonora Scotti, Stefano Calza, Andrea Pilloni, Maria G Grusovin, Claudio Mongardini
BACKGROUND: Peri-implantitis is a frequent disease that may lead to implant loss. The aim of this case series was to evaluate the clinical results of a new non-surgical treatment protocol. METHODS: Fifteen patients with dental implants affected by peri-implantitis were treated with a multiple anti-infective non-surgical treatment (MAINST) which included two steps: 1) supra-gingival decontamination of the lesion and sub-gingival treatment with a controlled-release topical doxycycline; 2) after one week, a session of supra and sub gingival air polishing with Erythritol powder and ultrasonic debridement (where calculus was present) of the whole oral cavity was performed along with a second application of topical doxycycline around the infected implant...
December 2017: Minerva Stomatologica
https://www.readbyqxmd.com/read/28959624/single-dose-activated-charcoal-for-gut-decontamination-application-by-medical-non-professionals-a-prospective-study-on-availability-and-practicability
#15
Rudolf Pfab, Sabrina Schmoll, Gabriele Dostal, Jochen Stenzel, Alexander Hapfelmeier, Florian Eyer
CONTEXT: Oral activated charcoal (AC) for toxin absorption should be applied as soon as possible. Extra-hospital AC-application on site by medical laypersons with pre-emptive obtained AC may save time, but may be inferior to AC-application by medical professionals. OBJECTIVE: 1) Availability and incidence of pre-emptive stockpiling of AC on site in the German region Bavaria 2) time saved by AC-stockpiling and application on site, 3) quality of AC-application defined by completeness of the applied AC-dose, time needed, incidence of side-effects in lay-care and in professional-care, considering confounding variables: AC-formulation/powder/tablets, recommended AC-dose, patient's age...
2017: Toxicology Reports
https://www.readbyqxmd.com/read/28797807/impact-of-oral-gut-decontamination-on-staphylococcus-aureus-colonisation-in-patients-undergoing-allogeneic-haematopoietic-stem-cell-transplantation
#16
C Matthias Wilk, Isabel Weber, Kati Seidl, Carole Rachmühl, Anne Holzmann-Bürgel, Antonia M S Müller, Stefan P Kuster, Urs Schanz, Annelies S Zinkernagel
Recipients of allogeneic haematopoietic stem cell transplantation (allo-HSCT) are severely immunocompromised and are at increased risk of infection. In this prospective, observational, single-centre study including 110 allo-HSCT recipients, the rate of Staphylococcus aureus colonisation was reduced from 11.8% to 0% (P <0.001) following peritransplant oral gut decontamination. No invasive S. aureus infections were observed.
August 7, 2017: International Journal of Antimicrobial Agents
https://www.readbyqxmd.com/read/28759469/what-is-new-in-the-prevention-of-nosocomial-pneumonia-in-the-icu
#17
Michael Klompas
PURPOSE OF REVIEW: To summarize and contextualize recent evidence on preventing ventilator-associated pneumonia (VAP). RECENT FINDINGS: Many centers continue to report dramatic decreases in VAP rates after implementing ventilator bundles. Interpreting these reports is complicated, however, by the subjectivity and lack of specificity of VAP definitions. More objective data suggest VAP rates may not have meaningfully changed over the past decade. If so, this compels us to re-examine and revise the prevention bundles we have been using to prevent VAP...
October 2017: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/28594615/oral-decontamination-techniques-and-ventilator-associated-pneumonia
#18
RANDOMIZED CONTROLLED TRIAL
Ranjitha Chacko, Amala Rajan, Prabha Lionel, M Thilagavathi, Bijesh Yadav, Jeyarani Premkumar
Ventilator-associated pneumonia (VAP) is one of the major nosocomial infections in the intensive care unit (ICU), contributing to increased mortality and morbidity. Studies have shown that oral decontamination through the use of mechanical and pharmacological agents significantly reduces the incidence of VAP, but oral care practices in ICUs are not consistent. A double-blind randomised controlled trial was undertaken in the medical ICU of a tertiary care centre in India, to assess the efficacy of a toothbrush-based oral care technique in reducing incidence of VAP...
June 8, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28516493/diagnosis-and-treatment-of-dermatophytosis-in-dogs-and-cats-clinical-consensus-guidelines-of-the-world-association-for-veterinary-dermatology
#19
REVIEW
Karen A Moriello, Kimberly Coyner, Susan Paterson, Bernard Mignon
BACKGROUND: Dermatophytosis is a superficial fungal skin disease of cats and dogs. The most common pathogens of small animals belong to the genera Microsporum and Trichophyton. It is an important skin disease because it is contagious, infectious and can be transmitted to people. OBJECTIVES: The objective of this document is to review the existing literature and provide consensus recommendations for veterinary clinicians and lay people on the diagnosis and treatment of dermatophytosis in cats and dogs...
June 2017: Veterinary Dermatology
https://www.readbyqxmd.com/read/28513809/oral-gentamicin-therapy-for-carbapenem-resistant-klebsiella-pneumoniae-gut-colonization-in-hematologic-patients-a-single-center-experience
#20
Paola Lambelet, Carlo Tascini, Simona Fortunato, Alessandro Stefanelli, Federico Simonetti, Chiara Vettori, Alessandro Leonildi, Francesco Menichetti
The mortality for carbapenem-resistant Klebsiella pneumoniae (KPC-Kp) infection ranges from 18 to 48% depending on the type of therapy. Mortality rates in hematologic patients are even higher, up to 85%. Gut decontamination with oral gentamicin might be an option to avoid a subsequent KPC-Kp infection in colonized patients. We treated 14 hematologic patients with oral gentamicin, 80 mg four times daily, for 7 to 25 days in order to eradicate KPC-Kp from the gut, starting oral gentamicin therapy when possible after the discontinuation of systemic antibiotic therapy...
July 2017: New Microbiologica
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