Publications

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the influence of groin sepsis on extraanatomic bypass patency in patients with prosthetic graft infection.twenty-seven vascular prosthetic graft infections in 25 patients were managed from 1981 through 1990 using the principles of extraanatomic bypass through uncontaminated fields and removal of the infected prosthesis. this experience included 18 aortic, three femoral-femoral, three femoral-popliteal, two axillofemoral grafts, and one popliteal endarterectomy patch. the predominant organism was staphylococcus epidermidis (26%). mean follow-up was 36 months. there was only one early and one late dea ...19921532123
much ado about nothing: methicillin-resistant staphylococcus aureus.the pathogenic methicillin-resistant staphylococcus aureus (mrsa) has received a voluminous amount of notoriety. the four major reasons are its morbidity, mortality rate, cost of treatment, and constant appearance in intensive care units. both staphylococcus aureus and s. epidermidis (mrse) account for 82% of our gram-positive wound isolates, whereas the gram-negative account for 34% of all isolates. therefore we compared the morbidity, mortality rate, and cost factors related to mrsa-mrse and g ...19979261699
antimicrobial durability and rare ultrastructural colonization of indwelling central catheters coated with minocycline and rifampin.to determine the duration of antimicrobial activity and the efficacy of indwelling catheters coated with minocycline and rifampin in preventing ultrastructural colonization.19989468157
concurrent serious bacterial infections in 2396 infants and children hospitalized with respiratory syncytial virus lower respiratory tract infections.at driscoll children's hospital (corpus christi, tex), we observed that most infants and children hospitalized for treatment of respiratory syncytial virus (rsv) bronchiolitis and/or pneumonia received broad-spectrum intravenous antibiotics despite having typical rsv signs and symptoms and positive rsv-rapid-antigen tests on admission. physicians were concerned about the possibility of concurrent serious bacterial infections, especially in infants younger than 3 months and in those with infiltra ...200211929363
healthcare costs associated with hemodialysis catheter-related infections: a single-center experience.in patients undergoing hemodialysis, catheter-related bacteremia results in expensive hospitalizations. in our study, the mean cost was $23,451 per hospitalization. when itemized, housing ("bed-related") costs accounted for 66% of the total; laboratory costs accounted for 4%, radiologic costs accounted for 9%, and procedure-related costs accounted for 21%. hypoalbuminemia and bacteremia due to methicillin-resistant staphylococcus aureus (mrsa) are associated with higher healthcare costs; bactere ...200717464925
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