Occult Endemic Tuberculosis in a Chronic Care Facility

1988 ◽  
Vol 9 (12) ◽  
pp. 548-552 ◽  
Author(s):  
Carole Brennen ◽  
Robert R. Muder ◽  
Paul W. Muraca
Keyword(s):  
Chronic Care ◽  
Care Facility ◽  
Chronic Care Facility

Facility of Origin Predicts Mortality After Colonic Perforation

2020 ◽  
pp. 000313482097162
Author(s):  
Samuel D. Butensky ◽  
Emma Gazzara ◽  
Gainosuke Sugiyama ◽  
Gene F. Coppa ◽  
Antonio Alfonso ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Chronic Care ◽  
Care Facility ◽  
Colonic Perforation ◽  
Risk Of Death ◽  
Increased Risk ◽  
Chronic Care Facility ◽  
Partial Colectomy ◽  
Emergent Surgery ◽  
Perforated Viscus

Introduction Colonic perforation often requires emergent intervention and carries high morbidity and mortality. The objective of this study was to determine whether nonclinical factors, such as transition of care from outpatient facilities to inpatient settings, are associated with increased risk of mortality in patients who underwent emergent surgical intervention for colonic perforation. Materials and Methods Using the 2006-2015 ACS National Surgical Quality Improvement Program database, we identified adult patients who underwent emergent partial colectomy with primary anastomosis ± protecting ostomy or partial colectomy with ostomy with intraoperative finding of wound class III or IV for a diagnosis of perforated viscus. The outcome of interest was 30-day postoperative mortality. Univariate and multivariate analyses using logistic regression were performed. Results 4705 patients met criteria, of which 841 (17.9%) died. Univariate analysis showed that patients who died after emergent surgery for perforated viscus were more likely to present from a chronic care facility (13.4% vs. 4.4%, P < .0001) and had longer time from admission to undergoing surgery (mean 4.1 vs. 2.0 days, P < .0001. Logistic regression demonstrated that septic shock vs. none (OR 3.60, P < .0001), sepsis vs. none (OR 1.57, P = .00045), transfer from chronic care facility vs. home (OR 1.87, P < .0001), and increased time from admission vs. operation (OR 1.01, P = .0055) were independently associated with increased risk of death. Discussion Transfer from a chronic care facility was independently associated with increased mortality in patients undergoing emergent surgery for perforated viscus.

The Prevalence of Latex-Specific IgE Antibodies Among Pediatric Patients in a Chronic Care Facility

1999 ◽  
Vol 13 (1) ◽  
pp. 15-20 ◽  
Author(s):  
LYNELLE GRANADY ◽  
VICKI JO DEUTSCH ◽  
JOSE MANSUETO ◽  
BARBARA SCHOFIELD ◽  
ELENA ELKIN ◽  
...  
Keyword(s):  
Chronic Care ◽  
Pediatric Patients ◽  
Care Facility ◽  
Specific Ige ◽  
Ige Antibodies ◽  
Chronic Care Facility ◽  
Specific Ige Antibodies

PREVALENCE OF HEPATITIS C VIRUS IN A CHRONIC CARE FACILITY

1994 ◽  
Vol 13 (2) ◽  
pp. 151 ◽  
Author(s):  
M. J. Nowicki ◽  
N. Ahmad ◽  
R. E. Schmidt ◽  
I. K. Kuramoto ◽  
H. M. Baroudy ◽  
...  
Keyword(s):  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Chronic Care ◽  
Care Facility ◽  
Chronic Care Facility

Control of an Outbreak due to an Adamantane-Resistant Strain of Influenza A (H3N2) in a Chronic Care Facility

Infection ◽  
2008 ◽  
Vol 36 (5) ◽  
pp. 458-462 ◽  
Author(s):  
N. J. Cohen ◽  
J. Y. Morita ◽  
D. K. Plate ◽  
R. C. Jones ◽  
M. T. Simon ◽  
...  
Keyword(s):  
Resistant Strain ◽  
Influenza A ◽  
Chronic Care ◽  
Care Facility ◽  
Chronic Care Facility

Methicillin-Resistant Staphylococcus aureus in Geriatric Patients: Usefulness of Screening in a Chronic-Care Setting

2001 ◽  
Vol 22 (08) ◽  
pp. 505-509 ◽  
Author(s):  
Daniel R. Talon ◽  
Xavier Bertrand
Keyword(s):  
Staphylococcus Aureus ◽  
Chronic Care ◽  
Geriatric Patients ◽  
Care Setting ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Care Center ◽  
Care Facility ◽  
Methicillin Resistant ◽  
Care Facilities ◽  
Chronic Care Facility

Abstract Objective: To evaluate the contribution of screening to the detection of cases of methicillin-resistant Staphylococcus aureus (MRSA) in a chronic-care facility. Design: Surveillance and laboratory observational study. Methods: During a 7-month period, we compared imported and acquired MRSA in a chronic-care center by screening patients for carriage of MRSA on admission and discharge, and by recording all cases of clinical specimens positive for MRSA Setting: The study was conducted in a 120-bed chronic-care center. This center admits approximately 850 patients per year. Approximately 90% of the patients were elderly and were admitted from other hospitals. Results: Of 519 patients admitted during the study period, 129 were positive for MRSA at some point during their residence, including 60 (11.6%) with MRSA found within 48 hours of admission and 69 (13.3%; 53% of all positives) with nosocomial MRSA Of the 519 admissions, 332 (64%) were discharged, of whom 62 (19%) were positive for MRSA. Of these 62, 43 (69%) acquired their MRSA during their stay in the center. Conclusions: Our study confirms the amplification effect of chronic-care facilities on MRSA propagation. It also shows that screening for MRSA carriage in a chronic-care center facilitates the early identification of a large proportion of patients with MRSA.

scholarly journals Outbreak of ceftazidime resistance caused by extended-spectrum beta-lactamases at a Massachusetts chronic-care facility.

1990 ◽  
Vol 34 (11) ◽  
pp. 2193-2199 ◽  
Author(s):  
L B Rice ◽  
S H Willey ◽  
G A Papanicolaou ◽  
A A Medeiros ◽  
G M Eliopoulos ◽  
...  
Keyword(s):  
Chronic Care ◽  
Care Facility ◽  
Beta Lactamases ◽  
Extended Spectrum ◽  
Extended Spectrum Beta Lactamases ◽  
Chronic Care Facility

Epidemic Keratoconjunctivitis in a Chronic Care Facility: Risk Factors and Measures for Control

1993 ◽  
Vol 41 (11) ◽  
pp. 1177-1181 ◽  
Author(s):  
Joanna Buffington ◽  
Louisa E. Chapman ◽  
Mary Grace Stobierski ◽  
John C. Hierholzer ◽  
Howard E. Gary ◽  
...  
Keyword(s):  
Risk Factors ◽  
Chronic Care ◽  
Care Facility ◽  
Epidemic Keratoconjunctivitis ◽  
Chronic Care Facility
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