AIDS in Older People

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/111086/1/j.1532-5415.1998.tb02548.x.pd

In reply:

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/65482/1/j.1532-5415.2002.50301.x.pd

Deep Fungal Infections in the Elderly

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/111183/1/j.1532-5415.1988.tb04028.x.pd

Indwelling Device Use and Antibiotic Resistance in Nursing Homes: Identifying a High-Risk Group

To quantify the relationship between indwelling devices (urinary catheters, feeding tubes, and peripherally inserted central catheters) and carriage of antimicrobial-resistant pathogens in nursing home residents. DESIGN : Cross-sectional. SETTING : Community nursing home in Southeast Michigan. PARTICIPANTS : Residents with indwelling devices (n=100) and randomly selected control residents (n=100) in 14 nursing homes. MEASUREMENTS : Data on age, functional status, and Charlson comorbidity score were collected. Samples were obtained from nares, oropharynx, groin, wounds, perianal area, and enteral feeding tube site. Standard microbiological methods were used to identify methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), and ceftazidime-resistant (CTZ-R) gram-negative bacteria (GNB). RESULTS : Use of indwelling devices was associated with colonization with MRSA at any site (odds ratio (OR)=2.0, P =.04), groin (OR=4.8, P =.006), and perianal area (OR=3.6, P =.01) and CTZ-R GNB at any site (OR=5.6, P =.003). Use of enteral feeding tubes was associated with MRSA colonization in the oropharynx (OR=3.3, P =.02). CONCLUSION : Use of indwelling devices is associated with greater colonization with antimicrobial-resistant pathogens. This study serves as an initial step in defining a high-risk group that merits intensive infection control efforts.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/65220/1/j.1532-5415.2007.01468.x.pd

Prevalence of left atrial abnormalities in atrial fibrillation versus normal sinus patients

BACKGROUND: Atrial fibrillation (AF) may be the cause or sequela of left atrial abnormalities and variants. PURPOSE: To determine the prevalence of left atrial (LA) abnormalities in AF patients compared to normal sinus rhythm (NSR) patients. MATERIAL AND METHODS: We retrospectively reviewed 281 cardiac CT examinations from 2010 to 2012, excluding patients with prior pulmonary vein ablation, known coronary artery disease, prior coronary stent placement, or coronary artery bypass grafts. The first group consisted of 159 AF patients undergoing cardiac CT prior to pulmonary vein ablation and the second group consisted of 122 NSR patients evaluated with coronary CT angiography. Demographic data were collected. LA abnormalities were analyzed. Left atrial diameter was measured on an axial view. RESULTS: A total of 281 patients were included. The male gender has significantly higher prevalence of AF than female gender, P value <0.001. Patients with AF were significantly older (mean age, 57.4 years; standard deviation [SD], 11.8 years) than NSR patients (mean age, 53.4 years; SD, 13.6 years), P value, 0.01. The left atrial diameter was greater in the AF patients (mean diameter, 4.3 cm; SD, 0.82 cm) versus the NSR patients (3.4 cm; SD, 0.58 cm), P value, <0.0001. LA diverticulum was the most prevalent variant, occurring in 28.4% of the entire patient population followed by LA pouch, occurring in 24%. There was no significant between group differences in the prevalence of these or the remainder of the LA variants. CONCLUSION: AF patients differed significantly from NSR patients in LA size, gender, and mean age. There was no statistical significance between the two groups with regard to the LA morphologic abnormalities other than size

Nosocomial Pneumonia and Oral Health

This article will critically review the evidence linking pneumonia to the aspiration of microbe-laden oropharyngeal secretions and tie that to the predisposition for these processes to affect dependent, medically compromised individuals. The goal of this review is to alert the reader to the role that oral disease and oral health play in fostering and preventing, respectively, widespread and potentially fatal pulmonary disease among high-risk individuals.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73840/1/j.1754-4505.2005.tb01647.x.pd

Who Is Responsible for a Nursing Home Resident's Daily Oral Care?

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/65265/1/j.1532-5415.2007.01280.x.pd

Risk Factors for Colonization with Yeast Species in a Veterans Affairs Long‐term Care Facility

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/111224/1/j.1532-5415.1998.tb02718.x.pd