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Inspections by the U.S. Occupational Safety and Health Administration (OSHA) rose this year, exceeding the agencys goals for enforcement action. Of the 37,493 inspections in FY 2002, 159 occurred at hospitals, resulting in 277 citations. The bloodborne pathogen standard continued to be a major source of enforcement action at hospitals, accounting for the greatest number of citations.
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Though recent research supports the need for more infection control staffing than traditionally allotted, ICPs are not expected to press for a specific staffing requirement from the Joint Commission on Accreditation of Healthcare Organizations.
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Be advised that accreditation surveyors now are looking for signs of implementation of the six patient safety goals established for 2003.
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Bacteremia due to B quintana is prevalent among homeless individuals in many cities and is often asymptomatic and chronic or intermittent.
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A meta-analysis of 31 published studies of Staphylococcus aureus bacteremia found that MRSA bacteremia was associated with a significantly higher mortality than MSSA bacteremia.
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Caspofungin was superior to amphotericin B deoxycholate in the treatment of patients with invasive candidiasis.
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An excellent update on rabies was provided by Charles E. Rupprecht, the Rabies Section Chief of the CDC, during the Symposium, Control of Zoonoses: A Veterinary Perspective at the recent 51st annual American Society of Tropical Medicine and Hygiene meeting in Denver, Colo.
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Effects of Losartan on Cardiovascular Morbidity and Mortality in
Patients with Isolated Systolic Hypertension and LVH; Increase in
Nocturnal Blood Pressure and Progression to Microalbuminuria in Type 1
Diabetes; HRT, Lipid, and Glucose Metabolism in Diabetic and
Nondiabetic Postmenopausal Women; Effects of Long-Term Treatment With
ACE Inhibitors in the Presence or Absence of Aspirin; Long-Term Risks
Associated with Atrial Fibrillation: 20-Year Follow-up of the
Renfrew/Paisley Study; Olfactory Impairment in Older Adults
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