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In the age of safer needles, vaccination and prophylaxis, the risk of hepatitis B among health care workers has dropped dramatically, from a high of about 12,000 cases a year in the 1980s to 203 reported acute cases from 2005 to 2010.
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The successful use of checklists to prevent central line associated bloodstream infections (CLABSIs) has been highly publicized, in part because of the sheer novelty of using a simple solution to solve a highly complex problem.
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It began as an infection control nightmare in New Hampshire, but it didn't stop there. A medical technician who worked in the cardiac catheterization lab in Exeter Hospital in Nashua was charged with diverting drugs and reusing the syringes on patients.
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It is almost surreal that I' ve been in infection prevention and control (IP&C) since January 1990.
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The Agency for Healthcare Research and Quality (AHRQ) has created a website with a wealth of tools to help hospitals set up the Comprehensive Unit-based Safety Program (CUSP).
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While the pressure grows to raise the rate of influenza vaccination of health care workers to 90%, an identical Healthy People 2020 goal for hepatitis B vaccination of health care workers remains quietly unmet.
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With the misuse and overuse of antibiotics driving drug resistance in general and emerging Clostridium difficile in particular, infection preventionists and health care epidemiologists want to have a greater role in antimicrobial stewardship programs.
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Amid the generally depressing news about the national epidemic of Clostridium difficile there were hopeful reports of hospital collaboratives driving infection rates down.