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A combination of topical and systemic therapies was associated with successful MRSA decolonization.
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Delirium occurred in about one-third of patients in this study of a mixed medical-surgical ICU population. It was more frequent in more seriously ill patients, and also in those with hypertension, alcoholism, and the effects of sedative and analgesic drugs.
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Vancomycin was inferior to cefazolin in the treatment of MSSA bacteremia in chronic hemodialysis patients in a retrospective study.
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Aspirin can be life saving in patients with acute coronary events, but its use in patients with cancer, particularly in those with thrombocytopenia, is often avoided, presumably for fear of hemorrhagic complications.
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Status epilepticus, in the setting of cancer, is treatable and does not appear to increase mortality above the risk of the underlying disease.
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As an epidemic strain of Clostridium difficile continues to emerge in many U.S. hospitals, a Centers for Disease Control and Prevention working group has issued clinical definitions and is urging ICPs to increase surveillance for the pathogen.
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Citing the need for surveillance to track the changing epidemiology of Clostridium difficileassociated disease (CDAD), an Ad Hoc C. diff Surveillance Working Group recently issued the following interim definitions and recommendations:
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The rate of invasive methicillin-resistant Staphylococcus aureus (MRSA) infection in dialysis patients is higher than for any other known patient population and is 100 times higher than for the general population, the Centers for Disease Control and Prevention reports.
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