A5066349558- Surgical site infection prevention
- Orthopedic Infections and Treatments
- Antimicrobial Resistance in Staphylococcus
- Orthopaedic implants and arthroplasty
- Sinusitis and nasal conditions
- Anesthesia and Pain Management
- Wound Healing and Treatments
- Infective Endocarditis Diagnosis and Management
- Diabetic Foot Ulcer Assessment and Management
- Infrared Thermography in Medicine
- Drug-Induced Adverse Reactions
- Long-Term Effects of COVID-19
- Oral microbiology and periodontitis research
- Autoimmune and Inflammatory Disorders
- Fungal Infections and Studies
- Reconstructive Surgery and Microvascular Techniques
- Otolaryngology and Infectious Diseases
- Nosocomial Infections in ICU
- Contact Dermatitis and Allergies
- Travel-related health issues
- Autoimmune and Inflammatory Disorders Research
- Antifungal resistance and susceptibility
- Pressure Ulcer Prevention and Management
- Immunodeficiency and Autoimmune Disorders
- Tumors and Oncological Cases
University of Wisconsin–Madison
2017-2025
University of Iowa
2013-2025
UW Health University Hospital
2018
Biology of Infection
2017
Engineering Associates (United States)
2017
Aga Khan University
2001
OBJECTIVE We examined associations between ulcer bioburden and outcomes in neuropathic diabetic foot ulcers (DFUs) that lacked clinical signs of infection. RESEARCH DESIGN AND METHODS Three dimensions (i.e., microbial load, diversity, the presence likely pathogens) were measured at baseline using swab cultures obtained by Levine’s technique. Subjects assessed every 2 weeks for 26 to determine rate healing development infection-related complications. Foot off-loaded total-contact casts...
Abstract Objectives: To identify risk factors for methicillin-susceptible (MSSA) and methicillin-resistant S. aureus (MRSA) nasal carriage surgical site infection (SSI) among patients undergoing fracture fixation procedures who were included in a quality improvement protocol involving screening treating carriers with intranasal mupirocin chlorhexidine bathing. Design: Retrospective cohort study. Setting: Level 1 trauma center. Participants: 1,254 adults underwent operative of 1,298 extremity...
OBJECTIVE To identify risk factors for surgical site infections (SSIs) after spine operations. DESIGN Case-control study of SSIs among patients undergoing SETTING An academic health center. PATIENTS We studied spinal fusions or laminectomies at the University Iowa Hospitals and Clinics from January 1, 2007, through June 30, 2009. included who acquired meeting National Healthcare Safety Network definition. randomly selected controls had operations during period did not meet SSI RESULTS In...
OBJECTIVE To identify predictors of treatment for urinary tract infections (UTI) among patients undergoing total hip (THA) or knee (TKA) arthroplasties and to assess an intervention based on these predictors. DESIGN We conducted a retrospective cohort study 200 consecutive THA/TKA between February 21, 2011, June 30, UTI prospective 50 procedures May 2012, July 17, the association signs symptoms treatment. then before-and-after whether implementing affected frequency before after THA/TKA....
Introduction Preoperative nasal decolonization of surgical patients with povidone-iodine (PI) has potential to eliminate pathogenic organisms responsible for site infections. However, data on implementation PI quality improvement in clinical practice is limited. The purpose this study was evaluate the feasibility, fidelity and acceptability intranasal solution application by nurses using Integrated Promoting Action Research Implementation Health Services (i-PARIHS) conceptual framework....
Surgical site infection prevention and treatment remains a challenge in healthcare settings globally. The routine use of intranasal mupirocin for decolonization has challenges preoperative povidone-iodine is another option. purpose this quality improvement study was to assess if one-time application could reduce the risk likelihood nasal carriage Staphylococcus aureus after surgery.Ambulatory Surgery Center patients were enrolled an as they reported at pre-operative holding area....
Abstract Objective To compare clinical documentation of skin warmth to patient report and quantitative surface temperatures patients diagnosed with cellulitis in the emergency department (ED). Methods Adult (≥18 years) presenting ED an acute complaint involving visible erythema lower extremity were prospectively enrolled. Those included this analysis. Participant was recorded temperature values obtained from affected corresponding unaffected area using thermal cameras. Average (Tavg)...
190/200 (95%) pts had UAs, 91% micros and 0.5% urine cultures preop. 37 (18.5%) received antimicrobials for UTI Positive leukocyte esterase (LE; p 5 (p=.0098) were associated with antimicrobial Rx 198 (99%) 98% micros, 2.5% after Foley removal. 72 (36%) postop UTI. (+) LE (p (p=.014) older age postop. was related to level (p<.0001). 43/72 (59.7%) Rxed UTIs did not meet criteria 28/50 (56%) interviewed sxs consistent but more often than without sx. 3/250 (1.2%) C difficile infection (CDI). On...
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Abstract Background As the number of joint replacement surgeries continues to rise, so does infections. Many patients end up needing implantation antibiotic loaded bone cement (ALBC) treat their infection. The use localized high dose vancomycin, tobramycin, and gentamicin may be linked acute kidney injury (AKI) in certain patients. Our hypothesis is that who developed AKI after receiving a spacer had predisposition due other comorbidities, doses ALBC, immunosuppression, or nephrotoxic drugs...
The composition of the nasal microbiota in surgical patients context general anesthesia and povidone-iodine decolonization is unknown. purpose this quality improvement study was to determine: (i) if associated with changes surgery (ii) preoperative intranasal patients.One hundred fifty-one ambulatory presenting for were enrolled a by convenience sampling. Pre- post-surgery samples collected from no group (control group, n = 54). Pre-decolonization (povidone-iodine 97). Intranasal...
Patients undergoing THA/TKA were screened pre- & postoperatively with urinalysis (UA) including urine dipstick microscopy. We hypothesized that: 1) many patients without evidence of urinary tract infection (UTI) receive antibiotics if clinicians base treatment on UA results alone; 2) a protocol for screening UTI would decrease increasing surgical site (SSI) rates.
We report a case of disseminated Scedosporium apiospermum in young man with chronic granulomatous disease who was successfully treated surgery, combined antifungal therapy, and granulocyte transfusions. Opportunistic infection S is seen immunocompromised patients notoriously resistant to conventional therapy. This highlights the significance combination therapeutic approach for invasive opportunistic fungal severe immunodeficiency, such as disease.
Our previous multicenter study suggested that a bundled intervention was associated with lower rates of complex S. aureus surgical site infections (SA SSIs) among patients undergoing cardiac or orthopedic operations in community hospitals. We aimed to evaluate the effect this bundle neurosurgical (NSG) operation, hip/knee arthroplasty at an academic health center. This pragmatic quasi-experimental included adult who underwent one procedures between June 1, 2012 and September 30, 2015 except...