자료유형 | 학위논문 |
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서명/저자사항 | Risk Factors for Transmission of Multidrug-Resistant Organisms and Acquisition of Healthcare-Associated Infections. |
개인저자 | Jackson, Sarah S. |
단체저자명 | University of Maryland, Baltimore. Epidemiology and Preventive Medicine. |
발행사항 | [S.l.]: University of Maryland, Baltimore., 2018. |
발행사항 | Ann Arbor: ProQuest Dissertations & Theses, 2018. |
형태사항 | 152 p. |
기본자료 저록 | Dissertation Abstracts International 79-10B(E). Dissertation Abstract International |
ISBN | 9780438028807 |
학위논문주기 | Thesis (Ph.D.)--University of Maryland, Baltimore, 2018. |
일반주기 |
Source: Dissertation Abstracts International, Volume: 79-10(E), Section: B.
Advisers: Anthony D. Harris |
요약 | Background: Healthcare-associated infections (HAI) increase hospitalized patients' morbidity and mortality. In order to prevent the spread of HAI among patients in the healthcare setting, a better understanding of transmission dynamics and how p |
요약 | Objectives: To estimate the association between patients' bacterial burden of vancomycin-resistant Enterococcus (VRE) and transmission to others and to build risk adjustment models taking into account patient case-mix for a more accurate compari |
요약 | Methods: Using a prospective cohort design, quantitative cultures (perianal, skin, and stool samples) were obtained from VRE-colonized ICU patients at the University of Maryland Medical Center. The association between patient bacterial burden an |
요약 | Results: There were 71 transmission events among 479 HCW-patient interactions. VRE transmission was associated with VRE burden on the perianal swab (OR: 1.37 [95% CI 1.19, 1.57]) |
요약 | Conclusions: Our first study shows that ICU patients with higher bacterial burden are more likely to transfer VRE to HCWs. Our second study demonstrates the importance of including comorbidities in risk adjustment models. These findings have imp |
일반주제명 | Epidemiology. |
언어 | 영어 |
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