Delores L. Nobles

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BACKGROUND Surgical-site infections (SSI), because of MRSA, are a challenge for acute care hospitals. The current study examines the impact of best practices and active surveillance screening for MRSA on reduction of MRSA SSIs. STUDY DESIGN Beginning February 2007, all admissions to a 761-bed tertiary care hospital were screened for MRSA by nasal swab(More)
BACKGROUND Distinct strains of methicillin resistant Staphylococcus aureus (MRSA) have been identified on livestock and livestock workers. Industrial food animal production may be an important environmental reservoir for human carriage of these pathogenic bacteria. The objective of this study was to investigate environmental and occupational exposures(More)
Although infrequent, postoperative methicillin-resistant Staphylococcus aureus (MRSA) surgical site infection (SSI) is associated with significant morbidity and cost. Previous studies have identified the importance of MRSA screening to diminish the risk of postoperative MRSA SSI. The current study quantifies the importance of eradication of the MRSA carrier(More)
OBJECTIVE To determine how the implementation of a methicillin-resistant Staphylococcus aureus (MRSA) control program in an inpatient rehabilitation facility (IRF) affects MRSA health care-associated infections (MRSA-HAIs). DESIGN A retrospective chart review. SETTING IRF affiliated with Vidant Medical Center, an 861-bed, acute-care teaching hospital(More)
OBJECTIVE To study an outbreak of Mycobacterium mucogenicum bloodstream infections in an outpatient setting. DESIGN Outbreak investigation and retrospective chart review. SETTING University outpatient clinic. Patients. Patients whose blood cultures tested positive for M. mucogenicum in May or June 2008. METHODS An outbreak investigation and a review(More)
BACKGROUND Methicillin resistant Staphylococcus aureus (MRSA) poses a threat to patient safety and public health. Understanding how MRSA is acquired is important for prevention efforts. This study investigates risk factors for MRSA nasal carriage among patients at an eastern North Carolina hospital in 2011. METHODS Using a case-control design,(More)
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