Assignment: Klebseilla Pneumoniae

Want create site? With Free visual composer you can do it easy.

Assignment: Klebseilla Pneumoniae

Assignment: Klebseilla Pneumoniae

ORDER NOW FOR AN ORIGINAL PAPER:Assignment: Klebseilla Pneumoniae

The study by Conterno et al9 was an uncontrolled pretest-post-test study conducted at a tertiary care hos- pital. Patients identified as ESBL-E colonized/infected on clinical cultures were placed in isolation, and contact precautions were used for patients at risk of contaminating their environment. The nosocomial ESBL-E incidence rose from 0.28 per 1,000 admissions in 1999 to 0.67 per 1,000 admissions in 2005 despite the initiation of the intervention in 2001. The results are difficult to interpret because the study was not con- trolled, the regional incidence of ESBL-E increased 7-fold during the study period, and the lack of active surveillance may have led to the classification of patients with unrecognized colonization at the time of admission as nosocomial cases.

The study by Johnson et al10 was an uncontrolled time series analysis conducted at a tertiary care hospital. A program to reduce methicillin-resistant Staphylococcus aureus that included a hand hygiene

intervention was identified post hoc as resulting in a re- duction in the incidence of clinical cultures positive for ESBL-E, which had been rising for 28 months before the intervention (slope . 0; P , .05) but fell to zero over the 36-month postintervention period (slope , 1; P , .05). Interpretation is limited by the lack of a control group, the post hoc nature of the analysis, the limited data on ESBL-E presented, and the possibility that the rise and fall in ESBL-E incidence may be indic- ative of a prolonged ESBL-E outbreak.

The study by Souweine et al11 was an uncontrolled pretest-post-test study conducted in a 10-bed intensive care unit. The intervention included active surveillance for antibiotic resistant organisms including ESBL- producing Klebseilla pneumoniaewith isolation and con- tact precautions for colonized/infected patients and a hand hygiene promotion. The incidence of ESBL- producing Klebseilla pneumoniae fell from 1.3 per 1,000 patient-days preintervention to 0 per 1,000 patient- days postintervention. The study is difficult to interpret because of the lack of a control group, the small sample size (only 4 cases of ESBL-Ewere identified in the study), and the possibility that the 4 cases represented a cluster.

The study by Soulier et al12 was an uncontrolled pretest-post-test study conducted in an 11-bed inten- sive care unit. An educational intervention was used to improve hand hygiene and environmental cleaning. The proportion of ESBL-E colonized patients fell from 70% during a 3-month preintervention period to 40% during a 7-month postintervention period (P 5 .001). This study is also difficult to interpret because of the lack of a control group, and the high proportion of col- onized patients suggests the possibility of an extensive ESBL-E outbreak.

Did you find apk for android? You can find new Free Android Games and apps.