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Anaesthesist 2002 May;51(5):425-6
Publication Types:
PMID: 12125318, UI: 22121607
Other Formats:
Clin Infect Dis 2002 Sep 1;35(5):627-30
Health Outcomes Branch, Centers for Disease Control and Prevention, Public Health Service, US Department of Health and Human Services, Atlanta, GA 30333, USA. wbt9@cdc.gov
We describe the annual incidence of primary bloodstream infection (BSI) associated with Candida albicans and common non-albicans species of Candida among patients in intensive care units that participated in the National Nosocomial Infections Surveillance system from 1 January 1989 through 31 December 1999. During the study period, there was a significant decrease in the incidence of C. albicans BSI (P<.001) and a significant increase in the incidence of Candida glabrata BSI (P=.05).
PMID: 12173140, UI: 22161925
Clin Infect Dis 2002 Sep 1;35(Suppl 1):S101-5
St. Boniface General Hospital, and University of Manitoba, Winnipeg, Manitoba, Canada R2H 2A6. m.alfa@wayne.edu
An outbreak of necrotizing enterocolitis (NEC) occurred in 6 neonates within a 2-month period. Blood cultures from 3 of these neonates grew the same strain of what appears to be a novel clostridial species for which the name "Clostridium neonatale" has been proposed. A point-prevalence survey that used rectal swabs was performed in our intensive-care and intermediate-care nurseries, and it indicated that 20.8% of neonates carried this same "C. neonatale" strain despite having no evidence of NEC. In conclusion, we describe an outbreak of NEC associated with the novel species, and we suggest that, in larger neonates, carriage of this type of Clostridium species may be a necessary step in the multistage pathogenesis of NEC.
PMID: 12173117, UI: 22161953
J Hosp Infect 2002 Aug;51(4):316
Department of Medical Microbiology, Royal Free Hospital, Pond Street, London, NW3 2QG, UK
[Medline record in process]
PMID: 12183150, UI: 22170894
Nurs Crit Care 2002 Mar-Apr;7(2):88-93
Intensive Care Unit, Adelaide and Meath Hospital, National Children's Hospital, Tallaght, Dublin, 24 Ireland. kathleen.wilkin@amnch.ie
This article describes an unusual experience drawn from clinical practice which has been used to enable self-criticism and expansion of personal knowledge. The importance of practice knowledge, knowing the patient and relatives, expanded eclectic knowledge and teamwork are highlighted. This paper, while exploring the complexity of expert practice, identifies the importance of viewing the individual patient holistically.
PMID: 12035328, UI: 22031968
Nurs Crit Care 2002 Mar-Apr;7(2):59-66
Faculty of Health, Canterbury Christ Church University College, North Holmes Road, Canterbury, Kent CT2 0EQ. b.b.oriordan@cant.ac.uk
A two-year action research study explored the implementation of clinical supervision in an intensive care unit (ICU). This paper focuses on one aspect of that study--the lack of uptake of clinical supervision. The themes that emerged from interview data focused on: resources, the purpose of clinical supervision, having good enough support elsewhere and personal issues. Some similarities were found to the blocks to clinical supervision which Hawkins and Shohet previously reported (1989).
PMID: 12035324, UI: 22031964
Nurs Crit Care 2002 Mar-Apr;7(2):57-8
PMID: 12035323, UI: 22031963
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