The Experts below are selected from a list of 31317 Experts worldwide ranked by ideXlab platform
Adel Alothman - One of the best experts on this subject based on the ideXlab platform.
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successful treatment of multi focal xdr tuberculous osteomyelitis
Journal of Infection and Public Health, 2016Co-Authors: Abeer N Alshukairi, Abdulrahman A Alrajhi, Abdulfattah Alamri, Adel AlothmanAbstract:We herein describe the nosocomial transmission of a pre-XDR or MDR case of pulmonary tuberculosis in a HIV-negative Health Care Worker in an area endemic for MDR and XDR tuberculosis. Following inadequate therapy and non-compliance, he presented with extra-pulmonary XDR tuberculosis in the form of multi-focal osteomyelitis and encysted pleural effusion. He was cured after two years of treatment with various anti-tuberculous drugs in addition to interferon gamma.
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Successful treatment of multi-focal XDR tuberculous osteomyelitis
Elsevier, 2016Co-Authors: Abeer N Alshukairi, Abdulrahman A Alrajhi, Abdulfattah W. Alamri, Adel AlothmanAbstract:Summary: We herein describe the nosocomial transmission of a pre-XDR or MDR case of pulmonary tuberculosis in a HIV-negative Health Care Worker in an area endemic for MDR and XDR tuberculosis. Following inadequate therapy and non-compliance, he presented with extra-pulmonary XDR tuberculosis in the form of multi-focal osteomyelitis and encysted pleural effusion. He was cured after two years of treatment with various anti-tuberculous drugs in addition to interferon gamma. Keywords: XDR tuberculosis, Osteomyelitis, Therap
David P Calfee - One of the best experts on this subject based on the ideXlab platform.
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support for mandatory Health Care Worker influenza vaccination among allied Health professionals technical staff and medical students
American Journal of Infection Control, 2013Co-Authors: David B Banach, Cen Zhang, David P CalfeeAbstract:Although policies mandating annual influenza vaccination among Health Care Workers (HCWs) are recommended, little is known about which HCWs support mandatory vaccination. We surveyed non-physician, non-nursing HCWs to identify beliefs associated with supporting mandatory HCW vaccination. Although similarities were identified, some beliefs and concerns associated with supporting mandatory vaccination differed among HCW groups. Policy makers should understand these differences and address beliefs and concerns of all HCW groups when attempting to implement a mandatory influenza vaccination policy.
Lance R Peterson - One of the best experts on this subject based on the ideXlab platform.
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influence of role models and hospital design on hand hygiene of HealthCare Workers
Emerging Infectious Diseases, 2003Co-Authors: Mary G Lankford, Teresa R Zembower, William E Trick, Donna M Hacek, Gary A Noskin, Lance R PetersonAbstract:We assessed the effect of medical staff role models and the number of Health-Care Worker sinks on hand-hygiene compliance before and after construction of a new hospital designed for increased access to handwashing sinks. We observed Health-Care Worker hand hygiene in four nursing units that provided similar patient Care in both the old and new hospitals: medical and surgical intensive Care, hematology/oncology, and solid organ transplant units. Of 721 hand-hygiene opportunities, 304 (42%) were observed in the old hospital and 417 (58%) in the new hospital. Hand-hygiene compliance was significantly better in the old hospital (161/304; 53%) compared to the new hospital (97/417; 23.3%) (p<0.001). Health-Care Workers in a room with a senior (e.g., higher ranking) medical staff person or peer who did not wash hands were significantly less likely to wash their own hands (odds ratio 0.2; confidence interval 0.1 to 0.5); p<0.001). Our results suggest that Health-Care Worker hand-hygiene compliance is influenced significantly by the behavior of other Health-Care Workers. An increased number of hand-washing sinks, as a sole measure, did not increase hand-hygiene compliance.
Thomas R Talbot - One of the best experts on this subject based on the ideXlab platform.
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do declination statements increase Health Care Worker influenza vaccination rates
Clinical Infectious Diseases, 2009Co-Authors: Thomas R TalbotAbstract:In response to Health Care Worker influenza vaccination rates that are below desired targets, strategies designed to stimulate vaccination have been proposed, including the use of declination statements for those refusing vaccination. The impact of these statements has not been thoroughly investigated and may be affected by their specific language and context. This review examines the available data on the use and impact of declination statements to increase Health Care Worker vaccination rates and notes some potential pitfalls and issues that may arise with their use.
Nasia Safdar - One of the best experts on this subject based on the ideXlab platform.
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challenges to sustainability of hand hygiene at a rural hospital in rwanda
American Journal of Infection Control, 2017Co-Authors: Ian C Holmen, Dan Niyokwizerwa, Berthine Nyiranzayisaba, Timothy Singer, Nasia SafdarAbstract:Background Many hand hygiene (HH) programs have been implemented across Sub-Saharan Africa (SSA); however, most of these have been in large, referral hospitals. Our objective was to assess the impact of HH programs aimed at improving compliance at a rural hospital, and to identify unique challenges to HH sustainability. Methods Interventions to improve HH through providing handwashing stations, Health Care Worker (HCW) training, and alcohol handrub were completed in 2014 and 2015. HH infrastructure, compliance, and glove use were assessed among HCWs after the intervention in 2015 and 2016. HCWs were interviewed about challenges to sustainability of HH compliance. Results Total HH compliance decreased 32.1% between 2015 and 2016 (P Conclusions Many challenges exist to sustaining HH compliance in SSA. In rural settings, difficulty recruiting and retaining trained personnel, inconsistent availability in HH infrastructure, and variability in HCW HH training may be contributing factors.
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Variation in Health Care Worker removal of personal protective equipment
American Journal of Infection Control, 2015Co-Authors: Caroline Zellmer, Sarah Van Hoof, Nasia SafdarAbstract:In the current era of emerging pathogens such as Ebola virus, removal of personal protective equipment (PPE) is crucial to reduce contamination of Health Care Workers. However, current removal practices are not well described. We undertook a systematic evaluation of Health Care Worker removal of PPE for contact isolation to examine variation in removal procedures. Findings indicate that under usual conditions, only about half of Health Care Workers correctly remove their PPE, and very few remove their PPE in the correct order and dispose of it in the proper location.
