Dick E Zoutman

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INTRODUCTION Chikungunya fever often presents with severe arthritis/arthralgias, high fever, myalgias, headache, and maculopapular rash (Chow et al., 2011 [1]; Das et al., 2010 [2]; Mizuno et al., 2011 [3]; Powers, 2010 [4]; Sissoko et al., 2010 [5]; Staples et al., 2009 [6]). Persistent arthritis/arthralgias commonly develop after symptomatic infection and(More)
BACKGROUND In the 2003 Toronto SARS outbreak, SARS-CoV was transmitted in hospitals despite adherence to infection control procedures. Considerable controversy resulted regarding which procedures and behaviours were associated with the greatest risk of SARS-CoV transmission. METHODS A retrospective cohort study was conducted to identify risk factors for(More)
Objective To assess whether a multifaceted intervention can reduce the number of prescriptions for antimicrobials for suspected urinary tract infections in residents of nursing homes. Design Cluster randomised controlled trial. Participants 12 nursing homes allocated to a multifaceted intervention and 12 allocated to usual care. Outcomes were measured in(More)
The primary objective in developing clinical guidelines at the national level is to help health car e professionals improve the quality of health care. Guidelines for the control of infection are needed to assist in developing policies, procedures and evaluative mechanisms to ensure an optimal level of care. Guidelines, by definition, are directing(More)
BACKGROUND There will be little time to prepare when an influenza pandemic strikes; hospitals need to develop and test pandemic influenza plans beforehand. METHODS Acute care hospitals in Ontario were surveyed regarding their pandemic influenza preparedness plans. RESULTS The response rate was 78.5%, and 95 of 121 hospitals participated. Three quarters(More)
BACKGROUND Antibiotics are frequently prescribed for older adults who reside in long-term care facilities. A substantial proportion of antibiotic use in this setting is inappropriate. Antibiotics are often prescribed for asymptomatic bacteriuria, a condition for which randomized trials of antibiotic therapy indicate no benefit and in fact harm. This(More)
BACKGROUND Environmental contamination in hospitals with antibiotic-resistant organisms (AROs) is associated with patient contraction of AROs. This study examined the working relationship of Infection Prevention and Control (IPAC) and Environmental Services and the impact of that relationship on ARO rates. METHODS Lead infection control professionals(More)
  • In Bc, Health Authorities, +21 authors Welsh
  • 2011
(MOHLTC). PIDAC is a multidisciplinary scientific advisory body that provides evidence-based advice to the Chief Medical Officer of Health regarding multiple aspects of infectious disease identification, prevention and control. PIDAC " s work is guided by the best available evidence and updated as required. Best practice documents and tools produced by(More)
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