Extended spectrum beta lactamases (ESBLs) continue to be a major problem in clinical setups world over, conferring resistance to the expanded spectrum cephalosporins. An attempt was made to study ESBL production among Enterobacteriaceae members from a tertiary care center in Chennai. A total of seventy randomly collected isolates of the family Enterobacteriaceae from a tertiary care center was ...

PURPOSE to evaluate the effectiveness of a vein-viewing device on the success of venipunctures performed by staff nurses on a pediatric surgical unit. METHOD this prospective, non-randomized study examined pediatric inpatients from the age of newborn to 17 years requiring vascular access at a tertiary care center in northeast Florida. The number of attempts, age of the patient, and time requi...

The incidence and factors associated with inappropriate use of antifungal medications were studied in a Thai tertiary care center. The incidence of inappropriate antifungal use was 74% (in 42 of 57 patients). Isolation of Candida species from urine (P = .004) was a risk factor, whereas receipt of an infectious diseases consultation (P = .004) was protective.

This is a comparative review of various techniques used for the detection of various malarial species, it’s specificity, sensitivity and availability at tertiary care center with its cost effectiveness. [Mehta D et al NJIRM 2013; 4(3) : 138-143]

Although psychogenic non-epileptic seizures (PNES) are a worldwide phenomenon, most of our knowledge addressing clinical characteristics is based on studies conducted in the USA, Europe, and Australia. There are scarce data about PNES in South American countries. This study provided a detailed analysis of the demographic, clinical, and psychosocial characteristics of 102 Brazilian patients with...

The optimal duration of Holter monitoring (HM) to minimize costs and maximize yield is unknown. In a retrospective review of 164 patients referred to a tertiary care center for evaluation with 2 days of HM, we found that 48 hours was not cost effective when compared with the traditional 24-hour period.

Proactive environmental surveillance for Legionella pneumophila in hospitals that treat immunocompromised patients is a useful strategy for preventing nosocomial Legionnaires' disease. We report the presence of L. pneumophila serogroup 1 in 15.2% of the water systems of our tertiary healthcare center, which should prompt health officials to formulate mitigation policies.

IMPORTANCE This study reviewed whether advanced age should be a consideration when revision cochlear implantation is warranted. OBJECTIVE To examine whether age at revision cochlear implantation is related to postrevision speech perception performance. DESIGN, SETTING, AND PARTICIPANTS A retrospective analysis was performed in an academic tertiary care center. Participants included 14 young...

OBJECTIVE To assess Clostridium difficile infection (CDI)-related colectomy rates by CDI surveillance definitions and over time at multiple healthcare facilities. SETTING Five university-affiliated acute care hospitals in the United States. DESIGN AND METHODS Cases of CDI and patients who underwent colectomy from July 2000 through June 2006 were identified from 5 US tertiary care centers. M...