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1.
Clin Case Rep ; 11(7): e7693, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37476593

RESUMO

Cerebritis may present with encephalopathy, seizures, localizing neurologic deficits, or death. Topical betadine has a high iodine content and application to open scalp wounds may cause sterile cerebritis.

2.
Int J STD AIDS ; 32(11): 1078-1080, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-33990163

RESUMO

Gonococcal infections have been increasing worldwide and in the United States. Rarely, Neisseria gonorrhoeae can cause disseminated disease, including endocarditis. We present a case of gonococcal endocarditis, confirmed by blood cultures and 16S rRNA sequencing on excised valvular tissue. Prior to presentation with heart failure, our patient was asymptomatic. Most gonococcal infections are diagnosed through routine screening of individuals at risk. During the COVID-19 pandemic, healthcare contact for nonurgent complaints has decreased, and test kit shortage has been a factor. With increased incidence and decreased opportunities for screening, healthcare providers should be aware of rising gonococcal infections, as well as potential complications.


Assuntos
COVID-19 , Endocardite Bacteriana , Endocardite Bacteriana/diagnóstico , Endocardite Bacteriana/tratamento farmacológico , Humanos , Pandemias , RNA Ribossômico 16S/genética , SARS-CoV-2 , Estados Unidos
3.
PLoS One ; 16(10): e0258662, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34710135

RESUMO

We aimed to apply the Systems Engineering Initiative for Patient Safety (SEIPS) model to increase effectiveness and sustainability of the World Health Organization's (WHOs) hand hygiene (HH) guidelines within healthcare systems. Our cross-sectional, mixed-methods study took place at Jimma University Medical Center (JUMC), a tertiary care hospital in Jimma, Ethiopia, between November 2018 and August 2020 and consisted of three phases: baseline assessment, intervention, and follow-up assessment. We conducted questionnaires addressing HH knowledge and attitudes, interviews to identify HH barriers and facilitators within the SEIPS framework, and observations at the WHO's 5 moments of HH amongst healthcare workers (HCWs) at JUMC. We then implemented HH interventions based on WHO guidelines and results from our baseline assessment. Follow-up HH observations were conducted months later during the Covid-19 pandemic. 250 HCWs completed questionnaires with an average knowledge score of 61.4% and attitude scores indicating agreement that HH promotes patient safety. Interview participants cited multiple barriers to HH including shortages and location of HH materials, inadequate training, minimal Infection Prevention Control team presence, and high workload. We found an overall baseline HH compliance rate of 9.4% and a follow-up compliance rate of 72.1%. Drastically higher follow-up compared to baseline compliance rates were likely impacted by our HH interventions and Covid-19. HCWs showed motivation for patient safety despite low HH knowledge. Utilizing the SEIPS model helped identify institution-specific barriers that informed targeted interventions beyond WHO guidelines aimed at increasing effectiveness and sustainability of HH efforts.


Assuntos
Desinfecção das Mãos/métodos , Desinfecção das Mãos/tendências , Higiene das Mãos/métodos , Adulto , COVID-19/prevenção & controle , Infecção Hospitalar/prevenção & controle , Estudos Transversais , Etiópia , Feminino , Fidelidade a Diretrizes/estatística & dados numéricos , Higiene das Mãos/tendências , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde/psicologia , Humanos , Controle de Infecções/métodos , Masculino , Pandemias/prevenção & controle , SARS-CoV-2/patogenicidade , Inquéritos e Questionários , Centros de Atenção Terciária
4.
Infect Control Hosp Epidemiol ; 41(2): 209-211, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31779728

RESUMO

Our stewardship team evaluated 19 months of discharge antibiotic prescriptions to determine prescribing appropriateness and to characterize the interventions made. Intervention occurred in 9.7% of patients, with a 58% acceptance rate. Most interventions were educational (antibiotic course was complete at time of intervention). Discharge antibiotic review is a potential stewardship tool.


Assuntos
Antibacterianos/uso terapêutico , Gestão de Antimicrobianos/organização & administração , Gestão de Antimicrobianos/normas , Alta do Paciente/normas , Padrões de Prática Médica/normas , Gestão de Antimicrobianos/métodos , Fidelidade a Diretrizes , Hospitais/normas , Hospitais/estatística & dados numéricos , Humanos , Prescrição Inadequada/estatística & dados numéricos , Alta do Paciente/estatística & dados numéricos , Padrões de Prática Médica/organização & administração , Estudos Retrospectivos
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