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In 2003, the american academy of orthopedic surgeons (AAOS) and the American Dental Association jointly published recommendations regarding antibiotic prophylaxis for dental patients who had had total joint replacements.
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Since April 2009, pandemic influenza a (H1N1) virus isolates have been tested for resistance to adamantanes (amantadine, rimantadine) and have demonstrated 100% resistance to this class of antiviral agents.
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The latest iteration of the DHHS guidelines was released December 1, 2009. The major changes to previous versions of the guidelines include a number of changes listed below:
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After an economic wildfire that swept through health care and laid waste to entire industries in other sectors, infection preventionsts may be a little singed around the edges but they're still standing.
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Your infection prevention and control program is textbook perfect. You have verified that each little nuance of the Centers for Medicare & Medicaid Conditions of Participation, The Joint Commission accreditation requirements, and your state licensing rules, are covered in policy, procedure, and program(s).
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Beyond the logistical disincentives, hassles and headaches of reporting to employee health after an injury in the operating room there is the chilling stigma of what the surgeon may find out about herself and possibly be obligated to tell future patients: "I'm HIV-positive."
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Veteran surgeon Ramon Berguer, MD, routinely stitches up patients in suture seams as tight as a quarter-inch or less, with the needle tip drawing perilously close to his gloved opposite hand. Occasionally it hits with the force to cause a needlestick, but what results is not an injury but a memory.
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Though a growing sense of public apathy threatens to reduce H1N1 influenza A to the Rodney Dangerfield of pandemics, those who have experienced or witnessed a severe case of infection will not soon forget this erstwhile "swine flu."
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Infection preventionists recently received some legal advice, and it wasn't quite as bleak as the old admonition to put everything you own under your spouse's name.
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The Occupational Safety and Health Administration's compliance directive to protect health care workers from H1N1 pandemic influenza A includes a series of questions inspectors may ask when on a health care site visit. Know the answers to these and you're OSHA ready in terms of H1N1:
