Calvin M. Kunin

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Urinary tract infections (UTIs) account for ∼40% of all nosocomial infections [1] and ∼18%–25% of all nosocomial bacte-remias [2]. Most UTIs (80%) are associated with indwelling urinary catheters. Numerous studies have shown that nos-ocomial UTIs are usually asymptomatic and are exceedingly difficult to eradicate as long as the catheter remains in place.(More)
Angiostrongylus cantonensis is the most common cause of eosinophilic meningitis worldwide. Human infection occurs after ingestion of the worms in raw snails or fish that serve as intermediate hosts. Two outbreaks of central nervous system infection with A. cantonensis occurred in Kaoshiung, Taiwan, during 1998 and 1999 among Thai laborers who ate raw(More)
Taiwan has high prevalence of antibiotic resistant, community-acquired respiratory pathogens. We investigated whether there was a high frequency of antibiotic use in the community. Antimicrobial activity in urine was detected in 55.2% of 1182 patients on arrival at an emergency department, 25.1% of 203 internal medicine out-patients, 7.6% of 471 high school(More)
OBJECTIVES This study was designed to determine the susceptibility of clinical isolates of multidrug-resistant (MDR) and non-MDR Mycobacterium tuberculosis to sulfamethoxazole, trimethoprim and trimethoprim/sulfamethoxazole over a 12 year period in Taiwan. PATIENTS AND METHODS We examined a total of 117 clinical isolates of M. tuberculosis collected from(More)
BACKGROUND Evaluation and feedback of hand hygiene (HH) compliance are important elements of the WHO multimodal strategy for hospital infection control. Overt observation is recommended, but it may be confounded by Hawthorne effect. Covert observation offers the opportunity to decrease observer bias. In this study we conducted a one year hospital-wide HH(More)
BACKGROUND The risk factors, microbial etiology, differentiation, and clinical features of purulent and non-purulent cellulitis are not well defined in Taiwan. METHODS We conducted a retrospective cohort study of hospitalized adults with cellulitis in Taiwan in 2013. The demographic characteristics, underlying diseases, clinical manifestations, laboratory(More)
BACKGROUND Cellulitis is a common infectious disease. Although blood culture is frequently used in the diagnosis and subsequent treatment of cellulitis, it is a contentious diagnostic test. To help clinicians determine which patients should undergo blood culture for the management of cellulitis, a diagnostic scoring system referred to as the Bacteremia(More)
The cost of medical care has risen rapidly in recent years due largely to the introduction of new and more expensive technology and the need for skilled personnel to manage the devices. Even the lowly catheter and its drainage bag considerably influence medical care costs. Despite their low unit cost, the overall expenditure by hospitals for indwelling(More)
Monto Ho, a leader in the field of infectious diseases during the past 50 years and world-renowned expert in interferon and human herpesvirus infections of immunocompromised hosts, died 16 December 2013, after complications from a fall. Monto had the special ability to adopt the best qualities of Chinese and Western cultures to his everyday life and(More)
BACKGROUND Sporadic non-clustered hospital-associated listeriosis is an emerging infectious disease in immunocompromised hosts. The current study was designed to determine the impact of long-term and precipitating immunosuppressive agents and underlying diseases on triggering the expression of the disease, and to compare the clinical features and outcome of(More)