Multidrug-Resistant Acinetobacter baumannii: An Emerging Pathogen among Older Adults in Community Hospitals and Nursing Homes

June 9th, 2010

Sengstock DM et al. – The prevalence and resistance of Acinetobacter species are increasing in the community. Patients with resistant isolates are selectively discharged to nursing homes and long-term acute-care facilities, introducing resistance to new facilities. read more

The Presentation, Incidence, Etiology, and Treatment of Surgical Site Infections After Spinal Surgery

June 9th, 2010

Ter Gunne P et al. – Deep SSI following spinal surgery was effectively treated with single stage debridement and intravenous antibiotics. Superficial SSI could be treated effectively with local wound care and oral antibiotic therapy.
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Impact of admission screening for meticillin-resistant Staphylococcus aureus on the length of stay in an emergency department

June 3rd, 2010

Gilligan P et al. – The authors consider that national and local policies for MRSA need to balance the welfare of patients in the ED with the need to comply with best practice, when there are inadequate ED and inpatient isolation facilities. Patients with MRSA requiring emergency admission must have a bed available read more

Clostridium difficile PCR ribotype 027: assessing the risks of further worldwide spread

June 3rd, 2010

Clements ACA et al. – This framework first requires identification of potential vehicles of introduction, including international transfers of hospital patients, international tourism and migration, and trade in livestock, associated commodities, and foodstuffs. It then calls for assessment of the risks of pathogen release, of exposure of individuals if release happens, and of resulting outbreaks. Health departments in countries unaffected by outbreaks should assess the risk of introduction or reintroduction of C difficile PCR ribotype 027 using a structured risk–assessment approach. read more

Infection and Colonization in Epidermolysis Bullosa

June 1st, 2010

Mellerio JE – A balance exists between a wound’s bacterial load and the host defenses, such that there is a spectrum from simple contamination, through colonization, critical colonization, to overt infection. The increased bioburden in critically colonized or infected wounds impairs healing and therefore recognition of these situations, and appropriate measures to promote a healing environment, are fundamental to the care of EB wounds. read more

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