Emergence Of Vancomycin Resistant Enterococci In Australia
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Emergence Of Vancomycin Resistant Enterococci In Australia
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Author : Australia. National Health and Medical Research Council. Working Party on Antibiotics
language : en
Publisher:
Release Date : 1996
Emergence Of Vancomycin Resistant Enterococci In Australia written by Australia. National Health and Medical Research Council. Working Party on Antibiotics and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1996 with categories.
Emergence Of Vancomycin Resistant Enterococci In Australia
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Author :
language : en
Publisher:
Release Date : 1996
Emergence Of Vancomycin Resistant Enterococci In Australia written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1996 with Bacteria categories.
Improving Interventions To Prevent The Acquisition Of Vancomycin Resistant Enterococci In Hospitals
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Author : Surendra Karki
language : en
Publisher:
Release Date : 2014
Improving Interventions To Prevent The Acquisition Of Vancomycin Resistant Enterococci In Hospitals written by Surendra Karki and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with categories.
The emergence and spread of vancomycin-resistant enterococci (VRE) in hospitals has adversely impacted patient management, quality of care, and outcomes of treatment. A widely recommended strategy for minimizing the risk of transmission of VRE is contact precautions (CPs). CPs mainly involve isolation of patients in a single room, and wearing gowns and gloves before entering the room. In Australia, many hospitals use CPs for patients colonised/infected with VRE on current and each subsequent hospital admission on the basis of a "once VRE, always VRE" policy. The recommendations for CPs are based on observational studies conducted primarily during outbreaks, inductive reasoning based on theory, and expert opinion. Thus, the implementation of CPs is highly debated as its value in the endemic setting is unclear, and increasing incidents of adverse patient outcomes are being reported in association with CPs.In the context of evolving epidemiology of VRE from outbreaks to endemicity, and mounting evidence on the adverse impacts of CPs, it is imperative to better understand the predictors of the current problem, reassess the prevention strategies, test the effectiveness of safer alternatives, and guide policy according to the emerging research evidence. Overall, this thesis aims to generate further evidence to improve interventions for prevention of the spread of VRE in hospitals once VRE acquisition is endemic. In order to accomplish the aim, three major research domains were identified.The first research domain included studies to better understand the natural history and risk factors of VRE colonisation. A cross-sectional study among inpatients in a hospital where VRE is endemic showed that exposure to broad-spectrum antibiotics increases the risk of VRE colonisation, whereas proximity to colonised patients was not associated with increased risks. Similarly, in a retrospective cohort study, we found that majority of outpatients clear detectable levels of VRE over the medium term, and no patient had persisting detectable levels of VRE for more than 4 years. The predictors of long-term carriage of VRE were again found to be exposure to antibiotics, and recent inpatient stay in hospital.9The second research domain included studies to quantify the adverse impact of CPs on access to care and patient safety outcomes in inpatients. In these retrospective studies, we observed that patients under CPs require longer time to access computed tomography scan services, and that they are at higher risk of medication administration errors and non-pressure injuries.Finally, the third research domain included studies to explore the impact of universal daily bathing with 2% chlorhexidine gluconate (CHG) on incidence of colonisation/infection with VRE and other important hospital-acquired infections. A before-and-after study with the intervention of universal daily bathing with 2% CHG showed that the risk of VRE colonisation during the intervention period was halved compared to the standard care time period, although the result was not statistically significant. However, in the context of other published studies, a systematic review clearly showed that daily bathing with 2% CHG can significantly lower the risk of colonisation by VRE, as well as methicillin resistant Staphylococus aureus. In addition, it significantly reduces the incidence of central line associated blood-stream infections and surgical site infections.In conclusion, the studies in this thesis suggest that broad-spectrum antibiotics are factor associated with VRE colonisation, and that long-term VRE colonisation is uncommon in the absence of recent exposure to antibiotics and hospital admission. CPs are associated with delayed access to care and increases in the risk of preventable adverse outcomes. Universal interventions, such as daily bathing of all patients with CHG is effective in reducing the incidence of VRE colonisation as well as other important hospital acquired infections (HAIs). Thus, implementation of CPs should not be regarded as life-long once colonised with VRE, rather a risk-based assessment should determine the requirement for CPs in each individual patient"s future hospital admissions. In addition, antibiotic stewardship should be a priority intervention in endemic VRE settings. Finally, horizontal interventions such as daily bathing with CHG should be favoured to control the wider problem of hospital-acquired infections including VRE in endemic situations.
Epidemiology Of Vancomycin Resistant Enterococcus In Australia
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Author : Alexander Padiglione
language : en
Publisher:
Release Date : 2004
Epidemiology Of Vancomycin Resistant Enterococcus In Australia written by Alexander Padiglione and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004 with Drug resistance in microorganisms categories.
Clincal Guideline For The Management Of Patients With Vancomycin Resistant Enterococci Vre
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Author : South Australia. Communicable Disease Control Branch. Infection Control Service
language : en
Publisher:
Release Date : 2017
Clincal Guideline For The Management Of Patients With Vancomycin Resistant Enterococci Vre written by South Australia. Communicable Disease Control Branch. Infection Control Service and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with Drug resistance in microorganisms categories.
This clinical guideline "has been revised and describes current best practice for the management of patients colonised or infected with VRE in the acute and non-acute care settings. The guideline describes systems for the delivery of care that is in accordance with the National Safety and Quality Health Service Standard 3, 2012, Australian Commission for Safety and Quality in Health Care."
The Enterococci
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Author : Michael S. Gilmore
language : en
Publisher:
Release Date : 2002
The Enterococci written by Michael S. Gilmore and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002 with Drug resistance in microorganisms categories.
This text provides comprehensive coverage of the latest research on enterococci.
Caring For People Who Sniff Petrol Or Other Volatile Substances
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Author : National Health and Medical Research Council (Australia)
language : en
Publisher:
Release Date : 2011
Caring For People Who Sniff Petrol Or Other Volatile Substances written by National Health and Medical Research Council (Australia) and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011 with Aboriginal Australians categories.
These guidelines provide recommendations that outline the critical aspects of infection prevention and control. The recommendations were developed using the best available evidence and consensus methods by the Infection Control Steering Committee. They have been prioritised as key areas to prevent and control infection in a healthcare facility. It is recognised that the level of risk may differ according to the different types of facility and therefore some recommendations should be justified by risk assessment. When implementing these recommendations all healthcare facilities need to consider the risk of transmission of infection and implement according to their specific setting and circumstances.
Pathogenic Bacteria
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Author : Sahra Kırmusaoğlu
language : en
Publisher: BoD – Books on Demand
Release Date : 2020-12-09
Pathogenic Bacteria written by Sahra Kırmusaoğlu and has been published by BoD – Books on Demand this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-12-09 with Science categories.
Pathogenic bacteria are the main problem in hospital- and community-acquired infections. As bacteria continue to develop more resistance to antibiotics, it is imperative to develop antibacterial treatment strategies. Written by experts from all over the world, this book examines pathogenic bacteria and their link to multidrug resistance. Over thirteen chapters, it presents examples of pathogenesis, virulence factors, and treatment strategies.
Healthcare Associated Infections In Australia
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Author : Ramon Z Shaban
language : en
Publisher: Elsevier Health Sciences
Release Date : 2023-04
Healthcare Associated Infections In Australia written by Ramon Z Shaban and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-04 with Medical categories.
Infection prevention and control (IPC) is everybody's responsibility. Healthcare-associated Infections in Australia is the first Australian text to address the challenges posed by infectious diseases and healthcareassociated infections (HAIs) for all members of the multidisciplinary healthcare team. Drawing on the expertise of a wide author team, and based on current research, this important and comprehensive text provides a clear pathway for the reader to increase their knowledge and understanding of IPC. The text is designed for both students and practising clinicians, and is presented in two sections - Principles and Practice - for ease of use. With IPC principles and guidelines now embedded into all health-related curricula, and mandated by standards and guidelines across all areas of healthcare, this is a book no health professional should miss. - Includes practice tips, case studies and video-based learning materials providing real-life examples across more than 20 health professions - Suitable for increasing IPC knowledge across all members of the multidisciplinary team. Content is pitched at different levels, with examples ranging from novice to expert - Aligned to the Australian National Infection Control Guidelines 2019 and the NSQHS Standard Preventing and Controlling Healthcare Associated Infections, as well as the nine hospital-acquired complication (HAC) HAIs addressed in specific chapters - Endorsed by the Australian College for Infection Prevention and Control (ACIPC) and the Australian Society for Infectious Diseases (ASID) - Supported by a companion text, Epidemiology of Healthcare-associated Infections in Australia, providing data on the epidemiology of healthcare-associated surveillance in Australia Instructor and Student resources on Evolve: Multiple Choice Questions Case Studies Abbreviations and Glossary Useful Websites / Resources Video-based learning materials
Antimicrobial Therapy In Veterinary Medicine
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Author : Steeve Giguère
language : en
Publisher: John Wiley & Sons
Release Date : 2013-07-25
Antimicrobial Therapy In Veterinary Medicine written by Steeve Giguère and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-07-25 with Medical categories.
The Fifth Edition of Antimicrobial Therapy in Veterinary Medicine, the most comprehensive reference available on veterinary antimicrobial drug use, has been thoroughly revised and updated to reflect the rapid advancements in the field of antimicrobial therapy. Encompassing all aspects of antimicrobial drug use in animals, the book provides detailed coverage of virtually all types of antimicrobials relevant to animal health. Now with a new chapter on antimicrobial therapy in zoo animals, Antimicrobial Therapy in Veterinary Medicine offers a wealth of invaluable information for appropriately prescribing antimicrobial therapies and shaping public policy. Divided into four sections covering general principles of antimicrobial therapy, classes of antimicrobial agents, special considerations, and antimicrobial drug use in multiple animal species, the text is enhanced by tables, diagrams, and photos. Antimicrobial Therapy in Veterinary Medicine is an essential resource for anyone concerned with the appropriate use of antimicrobial drugs, including veterinary practitioners, students, public health veterinarians, and industry and research scientists.