Resistance patterns of Streptococcus pneumoniae in southwest Virginia were determined for 100 consecutive, hospital-based isolates, mostly from adults. Oxacillin disk screening identified all resistant isolates. Sixteen percent of the isolates were penicillin resistant (10% were highly resistant). E-strip testing revealed the following MICs (in micrograms per milliliter, with percentages of isolates in parentheses): cefotaxime, < or = 0.5 (92%); ceftriaxone, < or = 0.5 (95%); ceftizoxime, < or = 0.5 (85%); erythromycin, < or = 1 (87%); ofloxacin, < or = 2 (80%); vancomycin, < or = 1 (98%).
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http://dx.doi.org/10.1128/AAC.39.4.985 | DOI Listing |
J Clin Med
December 2024
Duke Spine Division, Departments of Neurological and Orthopaedic Surgery, Duke School of Medicine, Durham, NC 27710, USA.
Patients with proximal junctional kyphosis (PJK) or failure (PJF) may demonstrate disparate outcomes and recovery when fused to the upper (UT) versus lower (LT) thoracic spine. Few studies have distinguished the reoperation and recovery abilities of patients with PJK or PJF when fused to the upper (UT) versus lower (LT) thoracic spine. Adult spine deformity patients ≥ 18 yrs with preoperative and 5-year (5Y) data fused to the sacrum/pelvis were included.
View Article and Find Full Text PDFJ Arthroplasty
January 2025
Virginia Tech Carilion School of Medicine, 2 Riverside Circle, Roanoke, Virginia, 24016, United States of America; Department of Orthopaedic Surgery, Carilion Clinic Institute for Orthopaedics & Neurosciences, 2331 Franklin Road Southwest, Roanoke, Virginia, 24014, United States of America.
Background: Preoperative malnutrition is a known risk factor for postoperative complications following total joint arthroplasty (TJA), however, there is scant literature comparing which nutritional index is best at predicting these outcomes. The purpose of this study was to investigate the utility of the Maastricht Index (MI), Onodera's Prognostic Index (OPNI), the Geriatric Nutritional Risk Index (GNRI), and a novel, modified Geriatric Nutritional Risk Index (mGNRI) in predicting periprosthetic joint infection (PJI), wound complications (WC), readmission, and reoperation rates after TJA.
Methods: A single-center, retrospective cohort study was performed of patients who underwent primary TJA from January 2016 to December 2021.
ACS ES T Water
November 2024
Waterborne Disease Prevention Branch, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, United States.
Irrigating fresh produce with contaminated water contributes to the burden of foodborne illness. Identifying fecal contamination of irrigation waters and characterizing fecal sources and associated environmental factors can help inform fresh produce safety and health hazard management. Using two previously collected data sets, we developed and evaluated the performance of logistic regression and conditional random forest models for predicting general and human-specific fecal contamination of ponds in southwest Georgia used for fresh produce irrigation.
View Article and Find Full Text PDFSpine (Phila Pa 1976)
December 2024
Department of Orthopedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Study Design: Retrospective analysis of prospectively-collected data.
Objective: This study aims to define clinically relevant blood loss in adult spinal deformity (ASD) surgery.
Background: Current definitions of excessive blood loss following spine surgery are highly variable and may be suboptimal in predicting adverse events (AE).
Spine J
December 2024
Department of Orthopaedic Surgery, University of Kansas Medical Center, Kansas City, MI, USA; Rocky Mountain Scoliosis and Spine, Denver, CO, USA.
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