Paul Gruteke

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IMPORTANCE Selective decontamination of the digestive tract (SDD) and selective oropharyngeal decontamination (SOD) are prophylactic antibiotic regimens used in intensive care units (ICUs) and associated with improved patient outcome. Controversy exists regarding the relative effects of both measures on patient outcome and antibiotic resistance. OBJECTIVE(More)
Molecular testing for acute respiratory infections (ARIs) has documented value but limited implementation due to questions that typically slow the acceptance of new tests. This study sought to address these questions and achieve implementation. Rhinovirus was added to a nested multiplex PCR (M-PCR), increasing its diagnostic yield. Over one winter, three(More)
Notice of Retraction and Replacement: Oostdijk et al. Effects of Decontamination of theOropharynx and Intestinal Tract onAntibiotic Resistance in ICUs: A Randomized Clinical Trial. JAMA. 2014;312(14): 1429-1437. To the Editor In the Original Investigation entitled “Effects of Decontamination of the Oropharynx and Intestinal Tract on Antibiotic Resistance in(More)
Multiresistant Klebsiella pneumoniae caused a nosocomial outbreak. Resistance patterns of the presumed outbreak isolates varied among and within patients. In order to control the outbreak, screening for extended-spectrum beta-lactamase (ESBL)-producing K. pneumoniae was commenced. A number of susceptible K. pneumoniae strains were stored to serve as(More)
In a burn center, an outbreak of group A streptococci (GAS) colonizations involving 13 patients and two staff members occurred. Adverse events due to GAS, loss of skin graft after initial take (secondary loss) and partial take, occurred in patients who underwent surgery before the colonization was detected. GAS isolates from nine patients and one staff(More)
10.1128/JCM.41.3.1161-1166.2003. 2003, 41(3):1161. DOI: J. Clin. Microbiol. Alex van Belkum and Henri Verbrugh Nicole Lemmens-den Toom, Marga van Santen-Verheuvel, Paul Gruteke, Wil Goessens, Jan van Gils, Paul Peerbooms, Causing a Nosocomial Outbreak Klebsiella pneumoniae Efflux Pump of -Lactamase SHV-5 Gene, and a Multidrug β Integrons, the(More)
(median 25) years, and job specialties were infantrymen (63.5%), fighting vehicle infantrymen (16.4%), indirect fire infantrymen (14.2%), and heavy anti-armor weapons infantrymen (5.9%). These results indicate that many US military personnel were exposed to rickettsiae and orientiae before their deployment to South Korea (Figure), perhaps because of(More)
BACKGROUND Lactococcus garvieae, a Gram-positive lactococcus with a short incubation period and high virulence, is a known fish pathogen responsible for serious outbreaks in both marine and freshwater aquaculture. The first human infection was documented in 1991. This is the first case report of L. garvieae endocarditis in the Netherlands. CASE(More)
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