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  1. Article ; Online: Evaluation of an antigen-test-based strategy to reduce duration of transmission-based precautions for severe acute respiratory coronavirus virus 2 (SARS-CoV-2) infection in hospitalized patients.

    Schrank, Gregory M / Harris-Williams, Michelle / Schiavone, Kelly / Lusby, Martha C / Dove, Cindy / Leekha, Surbhi

    Infection control and hospital epidemiology

    2023  Volume 45, Issue 1, Page(s) 114–116

    Abstract: An academic hospital implemented a severe acute respiratory coronavirus virus 2 (SARS-CoV-2) antigen-test-based strategy to facilitate discontinuation of precautions for patients admitted with a positive SARS-CoV-2 test. Of 171 patients that underwent ... ...

    Abstract An academic hospital implemented a severe acute respiratory coronavirus virus 2 (SARS-CoV-2) antigen-test-based strategy to facilitate discontinuation of precautions for patients admitted with a positive SARS-CoV-2 test. Of 171 patients that underwent antigen testing, 68% had an initial negative test performed a median of 5 days after admission. Antigen testing reduced isolation time by 144 hours.
    MeSH term(s) Humans ; SARS-CoV-2 ; COVID-19/diagnosis ; COVID-19/prevention & control ; Infection Control
    Language English
    Publishing date 2023-08-04
    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.2023.164
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Surgical site infection after renal transplantation.

    Harris, Anthony D / Fleming, Brandon / Bromberg, Jonathan S / Rock, Peter / Nkonge, Grace / Emerick, Michele / Harris-Williams, Michelle / Thom, Kerri A

    Infection control and hospital epidemiology

    2014  Volume 36, Issue 4, Page(s) 417–423

    Abstract: Objective: To identify factors associated with the development of surgical site infection (SSI) among adult patients undergoing renal transplantation: Design: A retrospective cohort study.: Setting: An urban tertiary care center in Baltimore, ... ...

    Abstract Objective: To identify factors associated with the development of surgical site infection (SSI) among adult patients undergoing renal transplantation
    Design: A retrospective cohort study.
    Setting: An urban tertiary care center in Baltimore, Maryland, with a well-established renal transplantation program that performs ~200-250 renal transplant procedures annually.
    Results: At total of 441 adult patients underwent renal transplantation between January 1, 2010, and December 31, 2011. Of these 441 patients, 66 (15%) developed an SSI; of these 66, 31 (47%) were superficial incisional infections and 35 (53%) were deep-incisional or organ-space infections. The average body mass index (BMI) among this patient cohort was 29.7; 84 (42%) were obese (BMI >30). Patients who developed an SSI had a greater mean BMI (31.7 vs 29.4; P=.004) and were more likely to have a history of peripheral vascular disease, rheumatologic disease, and narcotic abuse. History of cerebral vascular disease was protective. Multivariate analysis showed BMI (odds ratio [OR] 1.06; 95% confidence interval [CI], 1.02-1.11) and past history of narcotic use/abuse (OR, 4.86; 95% CI, 1.24-19.12) to be significantly associated with development of SSI after controlling for National Healthcare Surveillance Network (NHSN) score and presence of cerebrovascular, peripheral vascular, and rheumatologic disease.
    Conclusions: We identified higher BMI as a risk factor for the development of SSI following renal transplantation. Notably, neither aggregate comorbidity scores nor NHSN risk index were associated with SSI in this population. Additional risk adjustment measures and research in this area are needed to compare SSIs across transplant centers.
    MeSH term(s) Body Mass Index ; Female ; Humans ; Kidney Transplantation/adverse effects ; Male ; Middle Aged ; Multivariate Analysis ; Obesity/complications ; Opioid-Related Disorders/complications ; Peripheral Vascular Diseases/complications ; Retrospective Studies ; Rheumatic Diseases/complications ; Risk Factors ; Surgical Wound Infection/epidemiology ; Surgical Wound Infection/etiology ; Tertiary Care Centers/statistics & numerical data
    Language English
    Publishing date 2014-11-12
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 639378-0
    ISSN 1559-6834 ; 0195-9417 ; 0899-823X
    ISSN (online) 1559-6834
    ISSN 0195-9417 ; 0899-823X
    DOI 10.1017/ice.2014.77
    Database MEDical Literature Analysis and Retrieval System OnLINE

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