Measles infection decreased adherence of staphylococci, streptococci, and pneumococci to cultured epithelial cells, whereas adenovirus had no effect. Rhinovirus increased staphylococcal and streptococcal adherence. Influenza A increased or decreased staphylococcal adherence at different times after infection.
Susan GachauPhilip AyiekoDavid GatharaPaul MwanikiMorris OgeroSamuel AkechMichuki MainaAmbrose AgweyuJacqiue OliwaThomas JuliusLucas MallaJames WafulaGeorge MbeviGrace IrimuMike English
Background
Audit and feedback (A&F) is widely used in healthcare but there are few examples of how to deploy it at scale in low-income countries. Establishing the Clinical Information Network (CIN) in Kenya provided an opportunity to examine the effect of A&F delivered as part of a wider set of activities to promote paediatric guideline adherence.
Methods
We analysed data collected from medic...
Given the increasing emphasis on measuring quality indicators such as adherence to practice guidelines, we sought to determine the factors and address the barriers affecting guideline adherence on an academic inpatient hepatology service. We performed a single-center, prospective observational study. Physicians were given a handheld checklist to complete daily. We first measured the adherence r...
BACKGROUND
Escherichia coli O157 (E. coli O157) has been isolated from bison retail meat, a fact that is important given that bison meat has been implicated in an E. coli O157-multistate outbreak. In addition, E. coli O157 has also been isolated from bison feces at slaughter and on farms. Cattle are well documented as E. coli O157 reservoirs, and the primary site of E. coli O157 persistence in ...
Eirin N. EllensenTorben WisborgSteinar HunskaarErik Zakariassen
BACKGROUND
The Emergency Medical Communication Centre (EMCC) operators in Norway report using the Norwegian Index for Medical Emergency Assistance (Index), a criteria-based dispatch guideline, in about 75 % of medical emergency calls. The main purpose of a dispatch guideline is to assist the operator in securing a correct response as quickly as possible. The effect of using the guideline on EMC...