Infection control and hospital epidemiology : the official journal of the Society of Hospital Epidemiologists of America
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Infect Control Hosp Epidemiol · May 1997
Nosocomial transmission of Trichophyton tonsurans tinea corporis in a rehabilitation hospital.
Investigate the nosocomial transmission of Trichophyton tonsurans tinea corporis. ⋯ This study identifies rehabilitation inpatients as another population in which nosocomial transmission of T tonsurans tinea corporis can occur. The high attack rate and transmission, despite early diagnosis and treatment, emphasizes the need for isolation precautions.
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Physicians and hospitals must curtail the excessive use of antimicrobial agents to limit the emergence and spread of multiply resistant organisms. This article describes how to organize an antimicrobial control program and provides options for hospitals working with a range of resources.
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Infect Control Hosp Epidemiol · Mar 1997
Randomized Controlled Trial Comparative Study Clinical TrialAssessing blunt cannulae as replacements for hypodermic needles during intravenous therapy: safety and utility.
Recently, blunt 18-gauge (ga) metal cannulae have become nationally commercially available as safety products. The ability of these blunt cannulae to prevent needlestick injury and to enable direct access of all standard latex ports and vial membranes, thus eliminating hypodermic needles entirely from the intravenous (i.v.) drug administration process, is assessed. ⋯ Metal 18-ga cannulae can be inserted through virtually all intact standard rubber vial membranes or standard Y-ports to allow safe IV access. A single prepuncture of any standard latex membrane allows economical blunt metal cannula access equally efficiently as with expensive pre-slit membranes and without loss of membrane integrity.
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Infect Control Hosp Epidemiol · Feb 1997
Nosocomial infections in neonates receiving extracorporeal membrane oxygenation.
To determine the incidence of, and risk factors for, nosocomial infections in neonates during and after treatment with extracorporeal membrane oxygenation (ECMO). ⋯ Nosocomial infections occurred in 30% of patients undergoing ECMO. Although nosocomial infections were not associated with an increase in mortality, hospitalization was prolonged.
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Infect Control Hosp Epidemiol · Dec 1996
Clinical Trial Controlled Clinical TrialCost-effectiveness of perioperative mupirocin nasal ointment in cardiothoracic surgery.
To assess the cost-effectiveness of perioperative intranasal application of mupirocin calcium ointment in cardiothoracic surgery. ⋯ SSIs in patients undergoing cardiothoracic surgery are associated with a substantial increase in postoperative costs. Provided that perioperative mupirocin reduces the SSI rate, this measure will be highly cost-effective in most centers providing cardiothoracic surgical services.