Findings conflict on C diff rates in acute vs long-term care

Two new studies offer somewhat conflicting signals on the comparative rates of Clostridium difficile infections (CDIs) in hospitals and nursing homes, with one team finding a higher prevalence in nursing homes and the other reporting much higher incidence in acute-care hospitals (ACHs).And in other C diff findings, a team in Thailand found that about 22% of isolates from patients at a Bangkok hospital were resistant to three or more antibiotics.C diff causes about a half million infections and 15,000 deaths in the United States each year, according to estimates from the Centers for Disease Control and Prevention.Detroit study finds more C diff in long-term careThe study reporting more C diff in long-term care facilities (LTCFs) came from researchers at Detroit Medical Center and Wayne State University and was published yesterday in the American Journal of Infection Control.The team reviewed the results of CDI tests conducted from January 2011 through January 2014 for 8 ACHs, 16 LTCFs, and 45 outpatient clinics in the Detroit area. The tests, conducted in a central laboratory, were on unformed stools only, and diagnoses were based strictly on the test results, without use of clinical criteria.A total of 24,009 polymerase chain reactions tests for CDI were included in the review. Positive tests were most prevalent among LTCF patients, at 33.3%, followed by ACH patients, with 15%, and outpatients, at 12.8%.The authors said one LTCF—which was located inside an ACH and run by ACH staff—had a “surprisingly low” rate of CDI, at 12.1%. This facility averaged about 26 CDI tests per month, far more than most other LTCFs in the study.”We strongly believe that C difficile carriage and unsuspected clinical CDI is increasing in LTCFs. The transmission from these patients to vulnerable hosts is clearly possible and might explain the high CDI prevalence noted in our study,” the authors concluded.VA study points the other wayThe contrasting findings came from a 6-year study that aimed to delineate CDI incidence and risk factors in ACHs and LTCFs run by the US Veterans Health Administration. The report was also published yesterday in Clinical Infectious Diseases.Conducted by a Canadian-American team, the effort was a case-cohort study of people who spent at least 3 days in one of 131 ACHs or 120 LTFCs between 2006 and 2012. The team looked specifically for facility-onset cases—ie, lab-confirmed cases in patients who had had no positive CDI test in the previous 8 weeks.The researchers found that CDI incidence was five times as high in ACHs as in LTCFs: a median of 15.6 versus 3.2 cases per 10,000 person-days. The level of antibiotic use in the preceding 56 days was higher in acute care than in long-term care facilities, with a median of 739 versus 513 instances per 10,000 person-days, and this explained 72% of the difference in infection incidence, the authors said.The study also revealed that C diff cases were about three times as likely to be imported from an ACH into an LTCF as the other way around, with a median of 52.3 versus 16.2 imported cases per 1,000 person-days.”Facility-level antibiotic use was the main factor driving differences in C. difficile infection incidence between acute and long-term care,” the researchers concluded. “Importation of acute care C. difficile cases was a greater concern for long-term care as compared to importation of long-term care cases for acute care.”Resistant C diff in ThailandIn the study from Thailand, Thai and Australian researchers sought to remedy a lack of data on the antimicrobial susceptibility of C diff in the country. Writing in Antimicrobial Resistance and Infection Control, they said only three previous studies have focused on this topic, and two dated back to the 1990s.The team tested 105 C diff isolates for their susceptibility to nine antimicrobials. The isolates came from patients at Bangkok’s Siriraj Hospital in 2015. Overall, the researchers found that 21.9% of the isolates (23 of 105) were resistant to three or more antimicrobials.”All isolates were susceptible to vancomycin, metronidazole, amoxicillin/clavulanate and meropenem,” the report says. “Resistance to clindamycin, erythromycin and moxifloxacin was observed in 73.3%, 35.2% and 21.0% of the isolates, respectively.”The team found that rifaximin showed “potent activity” against 85.7% of the isolates and had the lowest minimum inhibitory concentration of the nine drugs tested.The authors said their findings point up the need for enhanced antimicrobial stewardship and programs to improve awareness of C diff and appropriate use of antimicrobials.See also: Jun 8 Am J Infect Control (Detroit) studyJun 8 Clin Infect Dis (VA) study abstractJun 8 Antimicrob Resist Infect Control report read more

Following CARICOM-Mexico Summit – GDF to benefit from disaster response…

first_img You may be interested in… Apr 21, 2020 Jul 27, 2020 ‘GECOM goes back to CARICOM’ Apr 15, 2020 May 29, 2020 Georgetown, Guyana – (March 7, 2018) With an already strong defence cooperation programme with several bilateral partners, the Guyana Defence Force (GDF) is now set to benefit from the expertise of the Mexican Army in the area of disaster response and management. This was confirmed (on Wednesday) when President David Granger met with Mexico’s Ambassador to Guyana, Mr. Ivan Robero Sierra Medel. The meeting was held at State House. The Ambassador said that the move to strengthen military to military relations between the two countries came out of discussions at the CARICOM-Mexico Summit, which was held in Belize in October 2017. Upon the invitation of the Mexican Army, two GDF officers are to be identified to be part of a four-month training programme, which is scheduled to commence later this month at the National Defence College in Mexico City. Guyana and Mexico strengthen military to military relations in the area of disaster response and management following CARICOM-Mexico Summitcenter_img The Mexican Army has over 50 years of experience and expertise, particularly in the area of disaster response, an area in which the GDF can benefit significantly. Ambassador Sierra Medel explained that in Mexico, the military has a comprehensive strategy consisting of six pillars to deal with natural disasters. These include: search and rescue, evacuation of at-risk communities, interaction with the population during a crisis, protection of families and securing communities and these are the areas in which the two GDF officers will be trained. Expressing his appreciation to the Ambassador and the Mexican Government, President Granger said, “I see this as the start of a relationship that we will continue to build on and over time we will be able to develop our own disaster response capabilities.” See Joint Declaration – IV CARICOM-MEXICO Summit (25.10.17) Read more at: Ministry of the Presidency Share this:PrintTwitterFacebookLinkedInLike this:Like Loading… More Support Needed for Small States in COVID Fight –… CARICOM and Mexico agree to strengthen ties in disaster risk management; other critical areasCARICOM and Mexico, which both recently suffered devastating natural disasters, have agreed to strengthen cooperation in disaster risk management. The agreement forms part of a Joint Declaration issued at the end of the Fourth CARICOM-Mexico Summit held in Belize on Wednesday 25 October 2017 under the joint chairmanship of CARICOM…October 26, 2017In “General”Belize hosts pivotal CARICOM-Mexico SummitThe CARICOM-Mexico Summit on Wednesday 25 October, 2017, in Belize is seen as a pivotal opportunity for the Caribbean Community (CARICOM) to strengthen cooperation with Mexico, one of the world’s largest integrated economies. The Summit, at the Best Western Belize Biltmore Plaza, brings together CARICOM Heads of Government and their Foreign…October 25, 2017In “Belize”CARICOM accredits new Mexican envoy  New envoy from the United Mexican States, His Excellency, Ivan Roberto Sierra-Medel on Wednesday presented his credentials to Caribbean Community (CARICOM) Secretary-General, Ambassador Irwin LaRocque at the CARICOM Secretariat in Georgetown.[su_pullquote align=”right”]”CARICOM embraces the opportunity to continue collaborating with you, especially in the context of our strategic objectives as outlined…May 13, 2015In “CARICOM”Share this on WhatsApp NCTF approves decisions for CARICOM officials to do WHO… Tributes Pour in for Former Barbados Prime Minister last_img read more

DB Cargo wagons are getting smarter

first_imgGERMANY: A total of 34 000 wagons, or half of DB Cargo’s fleet, have now been equipped with telematics and smart sensors, the operator announced on August 27. All 68 000 wagons are scheduled to be equipped by 2020. The retrofitting programme is being carried out at Seelze near Hannover in a project worth ‘a high seven-figure sum.’ Each wagon is being fitted with a telematics module, with GPS and RFID and NFC tags. They can then use mobile telephony to transmit signals during the journey, such as when they start moving, stop or detect an impact. This data can help to provide information about the load’s condition, temperature and humidity, as well as the movement of sensitive cargo. ‘The smart freight wagons are modernising rail freight transport and making it fit for the future’, said Marek Staszek, management board member for Production. ‘Our customers are benefiting from more manageable logistics chains, higher-quality transport and predictable arrival times. With these advantages, we want to achieve a lasting shift in traffic onto the environmentally friendly rail freight network’.last_img read more

PVF protests LVPI to FIVB

first_img“It is PVF that is the FIVB memberand not LVPI as per the decision of the FIVB General Assembly in Cancun,Mexico. Thus, it is PVF that must be allowed to send entries to AVC events andnot LVPI,” Cantada stressed. “We urge you to help us fight forjustice and truth. Join us in creating noise and making this fight a fight forall the members of FIVB who might suffer the same injustice and abuse in thefuture. Collectively, let us say no to the unwarranted but lingeringaccommodation of LVPI by the FIVB BA and AVC,” Cantada said./(With a report from PNA/PN The Philippine Olympic Committeerecognizes the LVPI as the NSA for volleyball, and now, even the AVC,referencing to the directive of FIVB general director Fabio Azevedo, a memberof its board of administration. The PVF is currently at odds with theLVPI as the case of which organization should be the official national sportsassociation (NSA) for volleyball is still on a deadlock. “Article 2.2.7.1 states that anaffiliation on provisional basis must be ratified by the general assembly.LVPI’s provisional membership was not ratified in Cancun and was in factterminated. Thus, LVPI ceased to be a provisional FIVB member and is now anon-member of FIVB,” he said. MANILA – The Philippine VolleyballFederation (PVF) lambasted the Asian Volleyball Confederation (AVC) foraccepting the Larong Volleyball sa Pilipinas (LVPI) to take part in AVCtournaments this year. Cantada said the insistence of the FIVBBoard of Administration to maintain the provisional membership of LVPI “isseriously flawed and goes against the FIVB Constitution.” Cantada then called for support from theFIVB “to uphold the sanctity of the decision of the FIVB generalassembly.” In a petition filed before the FIVB(International Volleyball Federation), PVF president Ed Cantada said that aresolution was made at the FIVB General Assembly, which names PVF as the solerepresentative of the country to the FIVB.last_img read more

2011 NFL Helmet Page

first_imgAll Activity Sports Logo News Share this post 3 129 posts Posted January 20, 2012 By Edge, January 20, 2012 in Sports Logo News Edge 2011 NFL Helmet Page SportsLogos.Net SportsLogos.Net 3 2011 NFL Helmet Page Followers 0 Recommended Posts Share on other sites Sign in to follow this   Sports Logo News center_img Sign in to follow this   Edge 0 Go To Topic Listing Sports Logos Forums Home Forums Home DELETE, DOUBLE POST. Link to post Followers 0 Sports Logos 3 Members All Activity 2011 NFL Helmet Page This topic is now closed to further replies. last_img

“Engage”: The captain is back in first ‘Star Trek: Picard’ trailer

first_imgPhoto Cr: Matt Kennedy/CBS ©2019 CBS Interactive, Inc. All Rights Reserved(SAN DIEGO) — It was raining movie and TV show trailers at Comic-Con over the weekend, but one that’s generating a lot of buzz is the first look at Star Trek: Picard, the forthcoming CBS All Access series featuring the return of Sir Patrick Stewart as former USS Enterprise Captain Jean-Luc Picard.Set some 20 years after the events of 2002’s Star Trek: Nemesis, the last film to feature the Picard Enterprise and its crew, Star Trek: Picard features a world-weary former captain who’s retired to his family’s ancestral vineyard in France, assuming the life of a winemaker. He’s also clearly a legend, due to some unspecified actions of his years before.“Sometimes I think you’ve forgotten who you are,” an unidentified Vulcan woman declares.  “We do not.”But the arrival of a mysterious young woman whose life he must protect draws Picard out of retirement, into danger and, of course, back into space.The Star Trek: Picard trailer also features appearances by familiar characters, including the merciless, villainous Borg, Jeri Ryan as Star Trek: Voyager character Seven of Nine, and even Commander Data, the android again played by Brent Spiner — though the 70-year-old actor’s made to look decades younger, thanks to some artful CGI.Former Star Trek: The Next Generation actors Marina Sirtis and Jonathan Frakes, aka Counselor Deanna Troi and Captain Will Riker, are also expected to make appearances on the series, with perhaps more familiar faces to come.Star Trek: Picard, also starring Michelle Hurd, Alison Pill, Isa Briones and Santiago Cabrera, debuts on CBS All Access in early 2020. Copyright © 2019, ABC Radio. All rights reserved.last_img read more

Saquon Barkley injury update: Giants star (high ankle sprain) to get second opinion, report says

first_imgSaquon Barkley wants to consider all his options when it comes to his injured ankle.According to NFL Media, the Giants running back is scheduled to see another specialist to get a second opinion on his high ankle sprain. Akiem Hicks injury update: Bears star’s knee ‘a wear and tear thing,’ Matt Nagy says Barkley underwent testing and was examined Monday by team consultant Dr. Martin O’Malley, though he is scheduled to see specialist Dr. Robert Anderson on Wednesday.Saquon Barkley underwent testing and was examined Monday by team consultant Dr. Martin O’Malley, ankle specialist at Hospital for Special Surgery … Barkley is scheduled to see specialist Dr. Robert Anderson on Wednesday for an additional opinion.— Chris Mortensen (@mortreport) September 24, 2019It initially was estimated that Barkley would miss 4-8 weeks after getting hurt in the first half of Sunday’s win over the Buccaneers. He tweaked his ankle in the second quarter, only to go back into the game. But he was tackled just a few plays later and needed help to the locker room. Related News With Barkley out, rookie QB Daniel Jones is now the team’s leading rusher, with 33 yards on five carries and two touchdowns.Wayne Gallman is listed as Barkley’s backup on the Giants depth chart. He had five carries for 13 yards in Sunday’s game and has only seven carries for 30 this season. Elijhaa Penny, with two attempts for 3 yards, is the only other Giants back with a carry this season. The Giants (1-2) are next slated to host the Redskins (0-3) at 1 p.m. ET Sunday. Vikings reportedly re-signing Laquon Treadwell after Chad Beebe injury Redskins sticking with Case Keenum over Dwayne Haskins despite 0-3 start He eventually returned to the sideline wearing a walking boot on his right ankle and using crutches.But Barkley was optimistic after the game that he wouldn’t be sidelined long.”I’m not out for the season,” he told reporters, via NJ.com. “I’m going to do whatever I can to get back as quickly as possible. Not for myself, but for my team. That’s what I continue to think about. I caught myself getting a little upset on the sideline just because I wasn’t able to be out there with those guys.”Entering Week 3, Barkley had rushed for team-high 227 yards, second in the NFL, and had one rushing touchdown in two games. He had eight carries for 10 yards and four receptions for 27 yards before leaving Sunday.last_img read more

Platini’s tactical genius goes wrong

first_imgThe time between his work as an advisor to FIFA president Sepp Blatter between 1999 and 2002 and a two million Swiss francs ($2 million, 1.8 million euros) payment he received in 2011 was not great tactics.A FIFA court said on Monday that the reason for the payment stretched credibility.The grandson of Italian migrants, Platini was born and brought up in the small steel town of Joeuf in eastern France. His father Aldo was a local maths teacher and football coach.The young Michel quickly showed a gift with the ball. But French football nearly missed out on his talents. He missed one trial with local heavyweights Metz because of injury. For the second he failed a medical test because of the club’s fears about his heart.Eventually, Nancy signed him and the rest is football history.Platini won the French Cup with Nancy, a league title with Saint-Etienne and was lured to Juventus in 1982. In Turin, the genius playmaker won two Serie A titles and a European Cup.The passes were always inch-perfect and for a time, Platini was one of the greatest players in the world. He won the 1984 European Championship with France and the Ballon d’Or in 1983, 1984 and 1985.His retirement at the age of 32 came as a shock. But a year later, Platini had already started a four-year stint as France’s national coach. The team crashed out of the 1992 European Championship in the first round and he resigned.Platini remained a legend, however, and he then turned his hand to football administration.He was co-chairman of the 1998 World Cup organising committee in France and significantly supported Sepp Blatter’s bid to take over the FIFA presidency in 1998.Platini became vice-president of the French Football Federation in 2001 and scored his first major political victory when he took charge of UEFA in 2007 — shoving out longtime leader Lennart Johansson in the first round of voting.For years he seemed Blatter’s anointed successor. Chung Mong-Joon, the South Korean tycoon and former FIFA vice-president, said there was a “father and son” relationship between the two.The distance between them grew as scandal engulfed FIFA under Blatter’s imperial rule.But for three years from 1999 Platini was an advisor to the world football leader. Their version is that they reached an oral agreement on the salary of one million Swiss francs a year, which was not all paid at the time.FIFA knew nothing about the deal however and Swiss prosecutors deemed a two million Swiss franc transfer in 2011 to be a “disloyal payment.”Under Platini, UEFA’s wealth has grown exponentially. The Champions League is one of the world’s top sporting brands. The European Championship in France next year will feature 24 countries for the first time.But the Frenchman faces other uncomfortable questions, including his vote for Qatar when the Gulf state secured the 2022 World Cup five years ago.Platini said he wanted to show that his horizons were not limited to Europe.“I have no regrets at all. I think it was the right choice for FIFA and world football,” he told L’Equipe newspaper in 2014.Platini has denied he was influenced by former French president Nicolas Sarkozy or the fact that his son Laurent works for a Qatar-owned sports clothing company.He also courted controversy over his refusal to hand back a watch worth more than $25,000 that was gifted to him by the Brazilian Football Confederation at last year’s World Cup.“I’m a well-educated person. I don’t return gifts,” said Platini after FIFA called for all watches given to executive members to be handed back over a breach of ethics rules.0Shares0000(Visited 1 times, 1 visits today) 0Shares0000Michel Platini had been favourite to take over as FIFA president in a February election, but the UEFA leader is suspended because of the Swiss investigation. PHOTO/AFPPARIS, December 21- Making the right pass at a crucial moment made Michel Platini one of the world’s greatest footballers, but poor timing has cost him his place as one of the most powerful men in sport.The 60-year-old Frenchman — banned for eight years on Monday — regularly battled back from injury and other blows to star in some of football’s most dramatic moments as a player. Escaping FIFA’s corruption turmoil has been a trick too far.last_img read more