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OBJECTIVE To determine the attributable (direct) mortality and morbidity caused by carbapenem-resistant Klebsiella pneumoniae bacteremia. DESIGN A matched retrospective, historical cohort design, using a stepwise procedure to stringently match the best control subjects to the best case subjects. SETTING A 1,000-bed tertiary-care university teaching(More)
OBJECTIVE To devise a local strategy for eradication of a hospital-wide outbreak caused by carbapenem-resistant Klebsiella pneumoniae (CRKP). DESIGN Quasi-experimental, before-and-after, interrupted time-series study. SETTING A 1,000-bed tertiary-care university teaching hospital. METHODS Retrospectively, all relevant data were collected from the(More)
Introduction Hospital environment poses a substantial risk for transmission of pathogens. However, assessing cleaning efficiency is difficult and often is carried out by a subjective visual check only. The ATP-bioluminescence assay technology was developed to assist in evaluation of the environmental cleaning process by counting living and non-living(More)
OBJECTIVES To determine the risk factors for community-acquired pneumonia (CAP) with influenza A/H1N1 flu in our region. METHODS Adult patients with CAP from July 2009 to February 2010 who were screened for influenza A/H1N1 were identified retrospectively. This was a retrospective case-control study. Cases had CAP with influenza A/H1N1 and controls had(More)
A total of 739 (225 H1N1(+)) children with a diagnosis of acute respiratory infection were hospitalized during July to December 2009. The H1N1(+) children were compared with 225 randomly enrolled H1N1(-) children with an influenza-like illness. As compared with influenza-like illness patients, patients with 2009 influenza A/H1N1 were characterized by older(More)
BACKGROUND Environmental surfaces may contribute to transmission of nosocomial pathogens. Noninvasive portable clinical items potentially shared among patients (NPIs) are part of the patient's immediate surroundings and may pose a threat of pathogen transmission. OBJECTIVE To assess the body of literature describing the range of microorganisms found on(More)
BACKGROUND This study examined predictors of carbapenem-resistant Klebsiella pneumoniae (CRKP) colonization and risk factors for the development of CRKP infection in patients initially only colonized with CRKP. METHODS A total of 464 patients with CRKP rectal colonization (CRKP-RC) were identified. Two case-control studies were performed, one comparing(More)
Methods A 4-credit course on the subject of IC&P was offered to third year baccalaureate nursing students as a clinical seminar. During the first semester students learned to critically evaluate published research and academic writing. During the second semester the students performed a research project, as part of the activities of the IC&P Program in a(More)
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