Publications by authors named "Mary McGoldrick"

Home care clinicians have transported equipment and supplies to their patients' homes for decades using a bag that's been referred to as a "nursing bag" or "medical bag," among others. Regardless of what the bag is called, how it and its contents are managed is essential to prevent the transmission of potentially pathogenic microorganisms from one patient's home to another when making home visits. Bag technique is a component of the standard precautions implemented in home care and an essential practice that applies to all patients receiving in-home care, regardless of their suspected or confirmed infectious state.

View Article and Find Full Text PDF

Audience: Clerkship-level medical students, sub-interns, junior and senior residents, attending physicians.

Introduction: Bite injuries and envenomation are core content found in the model of the clinical practice of emergency medicine.1 However, depending on the geographic location of training or clinical practice, physicians may or may not be exposed to these pathologies.

View Article and Find Full Text PDF

Introduction: Mushroom toxicity is an important etiology of acute liver injury in a patient with gastrointestinal symptoms.

Case Report: We present the case of a male patient presenting to the emergency department (ED) with gastrointestinal distress who was placed under ED observation for elevated liver function tests. During his hospital course, it was revealed he had consumed wild mushrooms believed to be .

View Article and Find Full Text PDF

Unlabelled: Neurocysticercosis is one of the most common causes of acquired epilepsy worldwide. This diagnosis is rarely considered in patients presenting to the emergency department (ED) with recurrent seizures in the United States (U.S.

View Article and Find Full Text PDF

Background: A consensus on a central line-associated bloodstream infection (CLABSI) surveillance definition in home infusion is needed to standardize measurement and benchmark CLABSI to provide data to drive improvement initiatives METHODS: Experts across fields including home infusion therapy, infectious diseases, and healthcare epidemiology convened to perform a 3-step modified Delphi approach to obtain input and achieve consensus on a candidate home infusion CLABSI definition.

Results: The numerator criterion was identified by participants as involving one of the 2 following: (1) recognized pathogen isolated from blood culture and pathogen is not related to infection at another site, or (2) one of the following signs or symptoms: fever of 38°C (100.4°F), chills, or hypotension (systolic blood pressure ≤90 mm Hg), and one of the 2 following: (A) common skin contaminant isolated from 2 blood cultures drawn on separate occasions and organism is not related to infection at another site, or (B) common skin contaminant isolated from blood culture from patient with intravascular access device and provider institutes appropriate antimicrobial therapy.

View Article and Find Full Text PDF