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Infection-Control Measures Reduce Transmission of Vancomycin-Resistant Enterococci in an Endemic Setting

Article Abstract:

Exception steps taken using enhanced infection-control efforts managed to reduce the levels of Vancomycin-resistant enterococci (VRE) which were endemic in a cancer unit. VRE are nosocomial pathogens in many U. S. hospitals. The procedure was evaluated for effectiveness by testing 259 patients during the use of enhanced infection-control and 184 patients while using standard infection-control. While using enhanced control, the incidence of VRE bloodstream infections decreased to 0.45 patients/1000 patient-days from 2.1 patients/1000 patient-days, a significant amount. Use of all antimicrobial agents except clindamycin and amikacin was significantly reduced.

Author: Shay, David K., Jarvis, William R., Wormser, Gary P., Horowitz, Harold W., Uman, Jane, Montecalvo, Marisa A., Petrullo, Coleen, Rodney, Karen, Gedris, Cheryl
Publisher: American College of Physicians
Publication Name: Annals of Internal Medicine
Subject: Health
ISSN: 0003-4819
Year: 1999
Statistical Data Included, Management, Evaluation, Complications and side effects, Drug resistance in microorganisms, Vancomycin, Microbial drug resistance, Cancer patients

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Reinfection with the agent of human granulocytic ehrlichiosis

Article Abstract:

The case of a 60-year-old woman indicates that initial infection with the organism that causes human granulocytic ehrlichiosis may not confer life-long protection. She first became infected in 1995, and tests at that time revealed that she had human granulocytic ehrlichiosis. She was treated with 14 days of doxycycline and recovered. In 1997, she developed similar symptoms and tests again confirmed that she had human granulocytic ehrlichiosis. She was treated with doxycycline again and recovered. In both cases, she had a tick bite prior to developing symptoms.

Author: Wormser, Gary P., Horowitz, Harold W., Dumler, J. Stephen, Schwartz, Ira, McKenna, Donna F., Aguero-Rosenfeld, Maria, Hsieh, Tze-chen, Wu, Joseph
Publisher: American College of Physicians
Publication Name: Annals of Internal Medicine
Subject: Health
ISSN: 0003-4819
Year: 1998

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Human granulocytic ehrlichiosis: a case series from a medical center in New York State

Article Abstract:

Conditions associated with human granulocytic ehrlichiosis (HGE) may not be as severe in some locations of the country. Researchers have described the illness conditions, treatments used, and treatment effects among 18 patients with HGE in New York State. Most of the patients remembered being bitten by a tick. Laboratory results for most patients showed low blood cell counts, abnormal liver function, and an immune reaction to the bacteria that causes HGE. Treatment with doxycyline was effective in all patients and none of them died.

Author: Nowakowski, John, Aguero-Rosenfeld, Maria E., Wormser, Gary P., Horowitz, Harold W., Dumler, J. Stephen, Munoz, Jose, McKenna, Donna F.
Publisher: American College of Physicians
Publication Name: Annals of Internal Medicine
Subject: Health
ISSN: 0003-4819
Year: 1996
Tick-borne diseases

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Subjects list: Case studies, Ehrlichiosis
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