Control of an outbreak of post-transplant cutaneous mucormycosis by removing the vehicle: An intervention study of contiguous cohorts.

Background: An outbreak of post-kidney transplant cutaneous mucormycosis (PK-CM), a severe and even fatal complication in immunocompromised patients, occurred in our institution. The objective of this study was to compare the usual fixation of sterile wound dressings with non-sterile elastic bandages and fixation with sterile bandages processed at our centralized sterile services department with regard to PK-CM prevention.

Methods: We conducted a before-and-after trial in a private tertiary care hospital.

Risk Factors for Prognosis in Patients With Severely Decreased GFR.

Introduction: Patients with chronic kidney disease (CKD) and estimated glomerular filtration rate (eGFR) <30 ml/min per 1.73 m (corresponding to CKD stage G4+) comprise a minority of the overall CKD population but have the highest risk for adverse outcomes. Many CKD G4+ patients are older with multiple comorbidities, which may distort associations between risk factors and clinical outcomes.

Improving the management of chronic kidney disease in Uruguay: a National Renal Healthcare Program.

Background: Uruguay has implemented a chronic kidney disease (CKD) prevention program.

Aims: The objectives of the study are to assess the results of the National Renal Healthcare Program (NRHP).

Methods: This study is a cohort study of nondialysis-registered patients from October 2004 to March 2008.