9 research outputs found

    Differences in knowledge, attitudes and practices (KAPs) for surveys conducted 1 month before (baseline) versus 3 and 12 months after (first and second follow-up) an oral cholera vaccination campaign in Maela Camp, 2013.

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    <p>Absolute differences in proportions for KAP responses in the first and second follow-up surveys compared to baseline were calculated; error bars depict 95% Wald asymptotic confidence interval (CI). Statistically significant differences (CI not overlapping zero) are shown in grey; non-significant differences are shown in white. Outcomes marked with * have directionality of difference switched from Tables <a href="http://www.plosntds.org/article/info:doi/10.1371/journal.pntd.0005210#pntd.0005210.t003" target="_blank">3</a> and <a href="http://www.plosntds.org/article/info:doi/10.1371/journal.pntd.0005210#pntd.0005210.t004" target="_blank">4</a>, so that improvements are depicted in positive direction, and negative changes are depicted in negative direction.</p

    Multistate US Outbreak of Rapidly Growing Mycobacterial Infections Associated with Medical Tourism to the Dominican Republic, 2013–2014

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    During 2013, the Maryland Department of Health and Mental Hygiene in Baltimore, MD, USA, received report of 2 Maryland residents whose surgical sites were infected with rapidly growing mycobacteria after cosmetic procedures at a clinic (clinic A) in the Dominican Republic. A multistate investigation was initiated; a probable case was defined as a surgical site infection unresponsive to therapy in a patient who had undergone cosmetic surgery in the Dominican Republic. We identified 21 case-patients in 6 states who had surgery in 1 of 5 Dominican Republic clinics; 13 (62%) had surgery at clinic A. Isolates from 12 (92%) of those patients were culture-positive for Mycobacterium abscessus complex. Of 9 clinic A case-patients with available data, all required therapeutic surgical intervention, 8 (92%) were hospitalized, and 7 (78%) required ≥3 months of antibacterial drug therapy. Healthcare providers should consider infection with rapidly growing mycobacteria in patients who have surgical site infections unresponsive to standard treatment
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