Analysis of Clostridium difficile patterns at Thomas Jefferson University Hospital

AIMS: To analyze CDI patterns to TJUH, particularly in Opportunity Units To visually examine the relationship between CDI cases within units Provide data analysis to the CDI working grouphttps://jdc.jefferson.edu/patientsafetyposters/1072/thumbnail.jp

Disseminated Nocardia cyriacigeorgia causing pancreatitis in a haploidentical stem cell transplant recipient.

We report the first published case of acute pancreatitis secondary to disseminated nocardiosis in a hematopoietic stem cell transplant (HSCT) recipient on chronic immunosuppression for graft-versus-host disease (GVHD). Nocardiosis in the HSCT population is relatively rare, and has not yet been described in haploidentical HSCT recipients. Our patient is a 28-year-old male with a history of haploidentical HSCT and GVHD of the skin and lung who was admitted to the hospital with acute pancreatitis. The workup for the etiology of his pancreatitis was initially unrevealing. He subsequently developed worsening sepsis and respiratory failure despite broad spectrum antimicrobials. After multiple bronchoscopies and pancreatic fluid sampling, he was found to have disseminated nocardiosis with Nocardia cyriacigeorgia

What you need to know about ENT infections

Topics: Chronic otitis media and mastoiditis Acute and chronic rhinosinusitis Allergic and invasive fungal rhinosinusitis Antibiotic resistant organisms How to send cultures? Infection prevention issues Surgical antibiotic prophylaxis Presentation: 42:3

Reduction of the Duration of Contact Precautions in Patients with a Positive MRSA Swab

Background Contact precautions (CP) in hospitals are a method of infection control in the transmission of multi-drug resistant organisms. Unfortunately, even though colonization with nasal methicillin-resistant Staphylococcus aureus (MRSA) is common in asymptomatic patients (3.8-4.5%) (6,7), patients are screened for nasal MRSA since it associated with higher morbidity and mortality. However, those who test positive for nasal MRSA are kept on CP even with a cleared MRSA infection(1). At TJUH, patients were kept on CP for 24 months after a positive swab regardless of location. This, unfortunately, led to unintended negative consequences: delay in patient transfer to other facilities (e. g. rehabilitation) (3), lower patient satisfaction (4), decreased health care provider time with patients (5), and increased health care expenditures.https://jdc.jefferson.edu/patientsafetyposters/1102/thumbnail.jp