American journal of infection control
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Am J Infect Control · Aug 2013
Impact of hospital policies on health care workers' influenza vaccination rates.
Overall annual influenza vaccination rate has slowly increased among health care workers but still remains below the national goal of 90%. ⋯ Hospital mandates for HCW influenza vaccination with consequences for noncompliance are associated with larger increases in HCW influenza vaccination rates than mandates without such consequences.
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Am J Infect Control · Jul 2013
Comparative StudyRisk factors and mortality of patients with nosocomial carbapenem-resistant Acinetobacter baumannii pneumonia.
Acinetobacter baumannii is characterized by strictly aerobic, gram-negative, nonmotile, nonlactose-fermenting, oxidase-negative, catalase-positive coccobacilli, and the combination of its environmental resilience and its rapid development of resistance to multiple classes of antimicrobials renders it a successful nosocomial pathogen. ⋯ Patients with CRAB pneumonia have a higher mortality rate than those with CSAB pneumonia. The nosocomial occurrence of CRAB pneumonia is strongly related to systemic illnesses, APACHE II score, mechanical ventilation, and ever used antibiotics within 28 days.
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Am J Infect Control · Jul 2013
Comparative StudyInfectious complications associated with the use of central venous catheters in patients undergoing hematopoietic stem cell transplantation.
In this prospective, observational study, we sought to investigate the incidence, risk factors, and outcomes of central venous catheter-associated infection in 56 patients admitted for hematopoietic stem cell transplantation. In multivariate analysis, we found a 7-fold higher risk of central line-associated bloodstream infection with central venous catheter insertion in the internal jugular vein as compared with the subclavian access. Patients with central line-associated bloodstream infection had a higher incidence of acute renal failure.