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Leapfrog Groups standards for critical care are not grounded sufficiently in evidence to mandate their stringent and universal implementation. Rather, most of the guidelines are grounded in common sense and rational extrapolation of the data. As such, they are a reasonable starting point for debate by physicians and policymakers about optimal methods of achieving intensivist-guided care of critically ill patients.
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Synopsis: As determined by process of care measurement, adverse event occurrence, and patient satisfaction, quality of care is compromised by infection control procedures.
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Heres one for the strange-but-true case file: A 48-year-old woman under home therapy for continuous ambulatory peritoneal dialysis (CAPD) presented to the emergency department with a one-day history of fever and chills accompanied by general abdominal discomfort without nausea or vomiting.
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In a multicenter study of occupational HIV exposures, 38% of source patients had genotype mutations associated with resistance to anti-retroviral drugs. Recent antiretroviral treatment history was highly associated with resistance.
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At least six children have died this year of invasive infections with community strains of methicillin-resistant Staphylococcus aureus (MRSA) after acquiring influenza, Hospital Infection Control has learned.
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While annual respirator fit-testing has proven to be the most controversial element of the recent federal action on TB, a new requirement for medical evaluation of employees also will affect infection control and employee health programs.
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The Occupational Safety and Health Administrations (OSHA) 1998 respiratory protection standard, which now applies to tuberculosis exposures in health care settings, includes the following general requirements for respirator fit-testing:
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