International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
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Int. J. Infect. Dis. · Aug 2011
ReviewHealthcare-associated pneumonia: diagnostic criteria and distinction from community-acquired pneumonia.
Traditionally, pneumonia developing in patients who receive healthcare services in the outpatient environment has been classified as community-acquired pneumonia (CAP). However, recent investigations suggest that this type of infection, known as healthcare-associated pneumonia (HCAP), is distinct from CAP in terms of its epidemiology, etiology, and risk for infection with multidrug-resistant (MDR) pathogens. ⋯ All patients hospitalized with suspected HCAP should be evaluated for their underlying risk of infection with MDR pathogens. Because HCAP is similar to hospital-acquired pneumonia (HAP), both clinically and etiologically, it should be treated as HAP until culture data become available.
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Int. J. Infect. Dis. · Jul 2011
Candidemic complications in patients with intravascular catheters colonized with Candida species: an indication for preemptive antifungal therapy?
The impact of Candida-colonized catheter tips in patients without candidemia is unclear. ⋯ Intravascular catheter tip colonization in patients without preceding blood cultures with Candida is associated with candidemia in from 4% of patients (definite candidemia) up to 12% of patients (definite and possible candidemia combined). Considering the adverse prognosis associated with delayed treatment of candidemia, preemptive treatment based on catheter tip cultures might outweigh the disadvantages of costs and side effects of antifungal therapy.
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Int. J. Infect. Dis. · Jul 2011
Epidemiological survey of Crimean-Congo hemorrhagic fever virus in Yunnan, China, 2008.
We aimed to determine the seroprevalence of Crimean-Congo hemorrhagic fever virus (CCHFV) infection in Yunnan Province, China. ⋯ The five counties (Menglian, Menghai, Lancang, Mengla, and Ximeng) in Yunnan are areas with the potential for CCHF outbreaks. Residents should protect themselves against tick bites and the surveillance of CCHFV in this region should be improved.
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Int. J. Infect. Dis. · Jul 2011
Risk factors for community-acquired pneumonia with influenza A/H1N1 in southern Israel.
To determine the risk factors for community-acquired pneumonia (CAP) with influenza A/H1N1 flu in our region. ⋯ In our region CAP with influenza A/H1N1 occurred in younger females of Bedouin Arab origin with less co-morbidity. No difference in mortality was found. We believe that inequalities in socioeconomic conditions could explain our findings.