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hospital-acquired infections in pediatric burn patients.to determine the epidemiologic characteristics of hospital-acquired infections (hai) in pediatric burn patients, we retrospectively reviewed hospital charts of pediatric burn patients from two similar burn units. all patients less than 18 years of age admitted to the burn unit from january 1, 1980 to july 10, 1988, were enrolled. charts were analyzed for age, sex, burn injury (type, depth, burn surface area), and hospital course (burn wound therapy, use of indwelling catheters or tubes, infectio ...19948153775
guardian ad litem, a potentially expensive invitation to either the mismanagement or management of patients with cognitive disorders.the children of a multiple sclerosis (ms) patient filed a guardian ad litem case to be brought against the patient. the basis for the petition was that the ms patient had a significant reduction is his mental competence. the children were not aware that hyperthermia could adversely affect the brain of ms patients. the patient's urologist recommended he have a suprapubic cystostomy done in a hospital. passage of the two channel foley catheter into his bladder immediately resolved his urinary trac ...201021179591
pharmacokinetics and bioavailability of aerosolized tobramycin in cystic fibrosis.to describe the pharmacokinetics and bioavailability of inhaled tobramycin (tobi; chiron corporation; seattle, wa), 300-mg dose, delivered by a nebulizer (pari lc plus; pari respiratory; richmond, va) and a compressor (pulmo-aide, model 5650d; devilbiss health care; somerset, pa) in cystic fibrosis (cf) patients during the pivotal phase iii trials.200212114362
trends in nosocomial pneumonia in surgical patients as we approach the 21st century: a prospective analysis.to compare outcome and prognostic factors of pneumonia in surgical patients, we prospectively studied all episodes of nosocomial infection at all sites in 1997 on the surgical services at a single hospital. pneumonia accounted for 74 of 287 episodes of infection. the crude mortality for pneumonia was 31.1 versus 12.2 per cent for all other infections (p < 0.001). pneumonia patients had a higher severity of illness compared with those with infections at other sites (18.7 +/- 0.8 vs 14.0 +/- 0.5; ...199910432077
in-use testing of four glutaraldehyde disinfectants in the cidematic washer.four glutaraldehyde disinfectants (cidex, glutarex, sonacide, and sporicidin) were tested in routine use in the cidematic washer to identify the most economic, effective disinfectant among them. an in vitro killing test with pseudomonas aeruginosa (10-min exposure) and mycobacterium smegmatis (20-min exposure) was used. all four disinfectants were effective prior to first use. in the use tests, cidex killed both organisms for its claimed effectiveness period of 2 weeks. glutarex was effective ag ...198110315152
nosocomial urinary tract infections: secular trends, treatment and economics in a university hospital.during a 71-month interval 3,024 nosocomial urinary tract infections were identified by prospective surveillance at our hospital. the annual attack rate varied between 2.0 and 3.1 per 100 admissions. gram-negative bacilli caused 74 per cent of all urinary infections and recurrent infections in the hospital accounted for only 1 per cent. the most frequent pathogens were escherichia coli (24 per cent), pseudomonas aeruginosa (8 per cent), streptococcus faecalis (7 per cent), klebsiella pneumoniae ...19836864885
beta-lactam resistance mechanisms in pseudomonas aeruginosa strains causing bloodstream infections: comparative results between brazilian and american isolates.this study evaluated the presence of distinct mechanisms of beta-lactam resistance in 122 pseudomonas aeruginosa isolates, causing bloodstream infections at hospital são paulo (hsp, brazil; 82 isolates) and virginia commonwealth university medical center (vcu, united states; 40 isolates). by clinical laboratory standards institute agar dilution, brazilian p. aeruginosa isolates showed higher resistance rates to most antimicrobials tested than those collected from the united states, except for ci ...201222455540
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