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  1. Article ; Online: Impact of universal admission testing for severe acute respiratory coronavirus 2 (SARS-CoV-2) in era of the omicron variant.

    Williams, Victoria R / Chan, Christina K / Chan, Adrienne K / Kozak, Robert / Leis, Jerome A

    Infection control and hospital epidemiology

    2023  Volume 44, Issue 1, Page(s) 102–105

    Abstract: In this prospective study, universal admission testing for severe acute respiratory coronavirus virus 2 (SARS-CoV-2) averted transmission in shared patient rooms especially since the emergence of the SARS-CoV-2 omicron variant when the yield in ... ...

    Abstract In this prospective study, universal admission testing for severe acute respiratory coronavirus virus 2 (SARS-CoV-2) averted transmission in shared patient rooms especially since the emergence of the SARS-CoV-2 omicron variant when the yield in identifying infectious asymptomatic cases more than doubled. This change may be due to the higher rate of asymptomatic infection with the omicron variant, the broader community prevalence during the omicron era, or both.
    MeSH term(s) Humans ; Prospective Studies ; SARS-CoV-2 ; COVID-19/diagnosis ; Asymptomatic Infections/epidemiology
    Language English
    Publishing date 2023-01-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639378-0
    ISSN 1559-6834 ; 0195-9417 ; 0899-823X
    ISSN (online) 1559-6834
    ISSN 0195-9417 ; 0899-823X
    DOI 10.1017/ice.2022.273
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1714: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    ab Jg. 2022: Lesesaal (EG)

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  2. Article: Streptococcus pyogenes

    Lam, Philip W / Chan, Adrienne K / Chau, N Y Elizabeth / Clark, Shawn T / Kozak, Robert A

    IDCases

    2022  Volume 27, Page(s) e01395

    Abstract: Loofah sponges have been implicated in skin and soft tissue infections due to their ability to harbor bacteria and cause microtrauma to the skin. In this case report, we describe a case of impetigo and cellulitis due ... ...

    Abstract Loofah sponges have been implicated in skin and soft tissue infections due to their ability to harbor bacteria and cause microtrauma to the skin. In this case report, we describe a case of impetigo and cellulitis due to
    Language English
    Publishing date 2022-01-10
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 2745454-X
    ISSN 2214-2509
    ISSN 2214-2509
    DOI 10.1016/j.idcr.2022.e01395
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Using Virtual Care to Facilitate Direct Hospital Admissions in Outpatients with Worsening COVID-19 Infection.

    Lam, Philip W / Andany, Nisha / Chan, Adrienne K / Stroud, Lynfa / Shadowitz, Steven / Daneman, Nick

    Telemedicine journal and e-health : the official journal of the American Telemedicine Association

    2022  

    Abstract: Recognizing emergency department overcrowding during the COVID-19 pandemic, a pathway to facilitate direct admissions for outpatients with worsening COVID-19 infection was created using the COVID-19 expansion to outpatients (COVIDEO) virtual care program. ...

    Abstract Recognizing emergency department overcrowding during the COVID-19 pandemic, a pathway to facilitate direct admissions for outpatients with worsening COVID-19 infection was created using the COVID-19 expansion to outpatients (COVIDEO) virtual care program. Outpatients appropriate for direct admission had oxygen saturations consistently <92% without severe respiratory distress. Pulse oximeters were proactively delivered to high-risk patients, and patients contacted the program in the event of worsening symptoms or desaturation persistently <92%. Over a 15-month period, 9,116 outpatients were managed by the program, 164 of whom were hospitalized, and 83 of those hospitalized (50.6%) were directly admitted through this pathway. Of those directly admitted, 10 (12.0%) patients required ICU admission, occurring a median of 4 days from hospital admission. The mortality rate among directly admitted patients was 3.6% (3/83). Implementation of a virtual care program to facilitate direct admissions in outpatients with COVID-19 created a safe, efficient, and patient-centered pathway of care
    Language English
    Publishing date 2022-03-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2035659-6
    ISSN 1556-3669 ; 1530-5627
    ISSN (online) 1556-3669
    ISSN 1530-5627
    DOI 10.1089/tmj.2021.0640
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 4576: Show issues Location:
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  4. Article ; Online: An ethical framework adapted for infection prevention and control.

    Tan, Charlie / Ofner, Marianna / Candon, Heather L / Reel, Kevin / Bean, Sally / Chan, Adrienne K / Leis, Jerome A

    Infection control and hospital epidemiology

    2023  Volume 44, Issue 12, Page(s) 2044–2049

    Abstract: Objective: The ethical implications of infection prevention and control (IPAC) are recognized, yet a framework to guide the application of ethical principles is lacking. We adapted an ethical framework to provide a systematic approach for fair and ... ...

    Abstract Objective: The ethical implications of infection prevention and control (IPAC) are recognized, yet a framework to guide the application of ethical principles is lacking. We adapted an ethical framework to provide a systematic approach for fair and transparent IPAC decision making.
    Methods: We conducted a literature search for existing ethical frameworks in IPAC. Working with practicing healthcare ethicists, an existing ethical framework was adapted for use in IPAC. Indications were developed for application to practice, with integration of ethical principles and process conditions specifically relevant to IPAC. Practical refinements were made to the framework based on end-user feedback and application to 2 real-world situations.
    Results: In total, 7 articles were identified that discussed ethical principles within IPAC, but none proposed a systematic framework to guide ethical decision making. The adapted framework, named the Ethical Infection Prevention and Control (EIPAC) framework, takes the user through 4 intuitive and actionable steps, centering key ethical principles that facilitate reasoned and just decision making. In applying the EIPAC framework to practice, weighing the predefined ethical principles in different scenarios was a challenge. Although no hierarchy of principles can apply to all contexts in IPAC, our experience highlighted that the equitable distribution of benefits and burdens, and the proportional impacts of options under review, are particularly important considerations for IPAC.
    Conclusions: The EIPAC framework can serve as an actionable ethical principles-based decision-making tool for use by IPAC professionals encountering complex situations in any healthcare context.
    MeSH term(s) Humans ; Delivery of Health Care ; Communicable Disease Control ; Cross Infection/prevention & control
    Language English
    Publishing date 2023-07-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639378-0
    ISSN 1559-6834 ; 0195-9417 ; 0899-823X
    ISSN (online) 1559-6834
    ISSN 0195-9417 ; 0899-823X
    DOI 10.1017/ice.2023.121
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1714: Show issues Location:
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  5. Article ; Online: Influenza outbreak management tabletop exercise for congregate living settings.

    Chan, Christina K / Leis, Jerome A / Candon, Heather / Thomas, Neethu R / O'Brien, Jaclyn / Callahan, James / Pascual, Brigitte / Ofner, Marianna / Fazalullasha, Fatima / Chan, Adrienne K / Powis, Jeff E / Tan, Charlie

    Antimicrobial stewardship & healthcare epidemiology : ASHE

    2024  Volume 4, Issue 1, Page(s) e4

    Abstract: We conducted a tabletop exercise on influenza outbreak preparedness that engaged a large group of congregate living settings (CLS), with improvements in self-reported knowledge and readiness. This proactive approach to responding to communicable disease ... ...

    Abstract We conducted a tabletop exercise on influenza outbreak preparedness that engaged a large group of congregate living settings (CLS), with improvements in self-reported knowledge and readiness. This proactive approach to responding to communicable disease threats has potential to build infection prevention and control capacity beyond COVID-19 in the CLS sector.
    Language English
    Publishing date 2024-01-11
    Publishing country England
    Document type Journal Article
    ISSN 2732-494X
    ISSN (online) 2732-494X
    DOI 10.1017/ash.2023.528
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: [No title information]

    Mishra, Sharmistha / Kwong, Jeffrey C / Chan, Adrienne K / Baral, Stefan D

    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

    2020  Volume 192, Issue 46, Page(s) E1502–E1504

    Title translation Comprendre l’hétérogénéité pour guider la réponse de la santé publique à la COVID-19 au Canada.
    Keywords covid19
    Language French
    Publishing date 2020-11-16
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 215506-0
    ISSN 1488-2329 ; 0008-4409 ; 0820-3946
    ISSN (online) 1488-2329
    ISSN 0008-4409 ; 0820-3946
    DOI 10.1503/cmaj.201112-f
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Ua VI Zs.136: Show issues Location:
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  7. Article ; Online: Understanding heterogeneity to inform the public health response to COVID-19 in Canada.

    Mishra, Sharmistha / Kwong, Jeffrey C / Chan, Adrienne K / Baral, Stefan D

    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

    2020  Volume 192, Issue 25, Page(s) E684–E685

    MeSH term(s) Betacoronavirus/genetics ; Betacoronavirus/pathogenicity ; COVID-19 ; Canada/epidemiology ; Coronavirus Infections/epidemiology ; Coronavirus Infections/genetics ; Coronavirus Infections/physiopathology ; Genetic Heterogeneity ; Healthcare Disparities/statistics & numerical data ; Ill-Housed Persons ; Human Rights ; Humans ; Models, Theoretical ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/genetics ; Pneumonia, Viral/physiopathology ; Public Health Administration ; SARS-CoV-2 ; Social Class
    Keywords covid19
    Language English
    Publishing date 2020-06-03
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 215506-0
    ISSN 1488-2329 ; 0008-4409 ; 0820-3946
    ISSN (online) 1488-2329
    ISSN 0008-4409 ; 0820-3946
    DOI 10.1503/cmaj.201112
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    Ua VI Zs.136: Show issues Location:
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  8. Article ; Online: Variation in Care of Community and Nursing Home Residents Who Died of COVID-19 in Ontario, Canada.

    Brown, Kevin A / Daneman, Nick / Buchan, Sarah A / Chan, Adrienne K / Stall, Nathan M

    Journal of the American Medical Directors Association

    2021  Volume 22, Issue 6, Page(s) 1149–1150

    MeSH term(s) COVID-19/mortality ; Death ; Humans ; Nursing Homes ; Ontario ; Quality of Health Care
    Language English
    Publishing date 2021-04-20
    Publishing country United States
    Document type Letter
    ZDB-ID 2171030-2
    ISSN 1538-9375 ; 1525-8610
    ISSN (online) 1538-9375
    ISSN 1525-8610
    DOI 10.1016/j.jamda.2021.04.008
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    Zs.A 5971: Show issues Location:
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  9. Article ; Online: Prevalence and predictors of persistent post-COVID-19 symptoms.

    Estrada-Codecido, Jose / Chan, Adrienne K / Andany, Nisha / Lam, Philip W / Nguyen, Melody / Pinto, Ruxandra / Simor, Andrew / Daneman, Nick

    Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada

    2022  Volume 7, Issue 3, Page(s) 208–219

    Abstract: Background: The pandemic has affected hundreds of millions of people; early reports suggesting high rates of prolonged symptoms may be prone to selection bias.: Methods: In a program caring for all SARS-CoV-2 positive inpatients and outpatients ... ...

    Abstract Background: The pandemic has affected hundreds of millions of people; early reports suggesting high rates of prolonged symptoms may be prone to selection bias.
    Methods: In a program caring for all SARS-CoV-2 positive inpatients and outpatients between March to October 2020, and offering universal 90-day follow-up, we compared those who died prior to 90 days, not responding to follow-up, declining, or accepting follow-up. Among those seen or declining follow-up, we determined the prevalence and predictors of persistent symptoms.
    Results: Among 993 patients, 21 (2.1%) died prior to 90 days, 506 (50.9%) did not respond, 260 (26.1%) declined follow-up because they were well, and 206 (20.7%) were fully assessed. Of 466 who responded to follow-up inquiry, 133 (28.5%) reported ≥1 persistent symptom, including constitutional (15.5%), psychiatric (14.2%), rheumatologic (13.1%), neurologic (13.1%), cardiorespiratory (12.0%), and gastrointestinal (1.7%). Predictors differed for each symptom type. Any persistent symptom was more common in older patients (adjusted odds ratio [aOR] 1.11, 95% CI 1.04 to 1.18/5 years), those diagnosed in hospital (aOR 2.03, 95% CI 1.24 to 3.33) and those with initial constitutional and rheumatologic symptoms. Patients not responding to follow-up were younger and healthier at baseline.
    Conclusion: Persistent symptoms are common and diverse 3 months post-COVID-19 but are likely over-estimated by most reports.
    Language English
    Publishing date 2022-09-27
    Publishing country Canada
    Document type Journal Article
    ISSN 2371-0888
    ISSN (online) 2371-0888
    DOI 10.3138/jammi-2022-0013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Which Curve Are We Flattening? The Disproportionate Impact of COVID-19 Among Economically Marginalized Communities in Ontario, Canada, Was Unchanged From Wild-Type to Omicron.

    Ma, Huiting / Chan, Adrienne K / Baral, Stefan D / Fahim, Christine / Straus, Sharon / Sander, Beate / Mishra, Sharmistha

    Open forum infectious diseases

    2022  Volume 10, Issue 1, Page(s) ofac690

    Abstract: Person-level surveillance (N = 14 million) and neighborhood-level income data were used to explore magnitude of inequalities in COVID-19 hospitalizations and deaths over 5 waves in Ontario, Canada. Despite attempts at equity-informed policies alongside ... ...

    Abstract Person-level surveillance (N = 14 million) and neighborhood-level income data were used to explore magnitude of inequalities in COVID-19 hospitalizations and deaths over 5 waves in Ontario, Canada. Despite attempts at equity-informed policies alongside fluctuating levels of public health measures, the magnitude of inequalities in hospitalizations and deaths remained unchanged across waves.
    Language English
    Publishing date 2022-12-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2757767-3
    ISSN 2328-8957
    ISSN 2328-8957
    DOI 10.1093/ofid/ofac690
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