Radiological Imaging for the High-Risk Patient

2012 ◽  
pp. 81-95
Author(s):  
Erin Neuschler ◽  
Paula Grabler
Keyword(s):  
High Risk ◽  
High Risk Patient ◽  
Risk Patient ◽  
Radiological Imaging

Endovascular Repair of an Aortoenteric Fistula in a High-Risk Patient

1999 ◽  
Vol 6 (4) ◽  
pp. 379-384 ◽  
Author(s):  
Arvind Deshpande ◽  
Mark Lovelock ◽  
Peter Mossop ◽  
Michael Denton ◽  
John Vidovich ◽  
...  
Keyword(s):  
High Risk ◽  
Endovascular Repair ◽  
High Risk Patient ◽  
Aortoenteric Fistula ◽  
Risk Patient

scholarly journals CONCURRENT PRIMARY CARDIAC TUMORS IN A HIGH RISK PATIENT PRESENTING WITH TAMPONADE

CHEST Journal ◽  
2020 ◽  
Vol 158 (4) ◽  
pp. A93
Author(s):  
Joseph Zackary ◽  
Lauren Crowley ◽  
Shawn Quinn ◽  
Timothy Misselbeck
Keyword(s):  
High Risk ◽  
High Risk Patient ◽  
Risk Patient ◽  
Cardiac Tumors ◽  
Primary Cardiac Tumors

scholarly journals SUCCESSFUL ANGIOVAC ASPIRATION SYSTEM IN THE MANAGEMENT OF HIGH-RISK PATIENT WITH TRICUSPID VALVE VEGETATIONS

2021 ◽  
Vol 77 (18) ◽  
pp. 2900
Author(s):  
Ammar F. ELJack ◽  
Gurjaspreet Bhattal ◽  
Jared Christensen ◽  
Srinivasa Potluri ◽  
Zuyue Wang
Keyword(s):  
High Risk ◽  
Tricuspid Valve ◽  
High Risk Patient ◽  
Risk Patient ◽  
Aspiration System

scholarly journals Admission Screening for Candida auris Among High-Risk Patient Populations

2020 ◽  
Vol 41 (S1) ◽  
pp. s112-s113
Author(s):  
Christine D. Spalding ◽  
Zelazny Adrian ◽  
Christina M. Kenosky ◽  
Shamira J. Shallom ◽  
Seyedmojtaba Syedmoussavi ◽  
...  
Keyword(s):  
High Risk ◽  
High Risk Patient ◽  
The United States ◽  
Risk Patient ◽  
Molecular Testing ◽  
Candida Auris ◽  
Admission Screening ◽  
Clinical Center ◽  
Its Sequence Analysis ◽  
Healthcare Associated

Background:Candida auris is a highly transmissible healthcare-associated pathogen that can cause severe infection as well as long-lasting colonization. C. auris is often resistant to the antifungals that are commonly used to treat Candida infections, which may lead to clinical failure. Therefore, healthcare facilities must identify the organism quickly and implement strict precautions to prevent its spread. In 2019, the NIH Clinical Center instituted C. auris admission screening among its high-risk patient populations. Methods: Patients admitted to the NIH Clinical Center, a 200-bed research hospital, were identified on admission as having been hospitalized outside the United States in the prior 6 months. Admission screening began in August 2019. In September 2019, due to evolving regional epidemiology, we expanded surveillance criteria to include patients housed in any healthcare facility in the District of Columbia, Maryland, and Virginia metro area in the previous 6 months. Screening was performed as routine clinical care, and therefore did not require written informed consent. Swabs were obtained from nares, axilla and groin, with subsequent addition of mouth and toe web (BD ESwabs). Patients were placed on empiric contact isolation for at least 48 hours and concurrently screened for carbapenemase-producing organisms. Swabs were cultured on CHROMagar Candida and in Sabouraud dextrose broth with 10% NaCL and 50 mg/L chloramphenicol and gentamicin, and incubated for 14 days at 30°C and 40°C, respectively. Positive broth tubes were subcultured onto CHROMagar Candida. C. auris was identified by MALDI-TOF MS and ITS sequence analysis. Susceptibility testing was performed using Sensititre YeastOne Colorimetric assay. Whole-genome sequencing was used to identify clonal designations and genetic relatedness of isolates. Results: Since August 2019, 1 to 2 patients per week have been screened for C. auris. As of November 2019, 1 of 15 patients screened on admission grew C. auris from a groin swab. The patient, who had been hospitalized abroad, was found to be cocolonized with blaNDM-1+ E. coli and K. pneumoniae. Subsequent screening of other patients on the same ward identified no evidence of spread. Admission surveillance is ongoing. Conclusions: Healthcare-associated outbreaks can originate from C. auris–colonized patients. Admission surveillance of high-risk patients is intended to prevent transmission from undetected reservoirs. Our sampling of multiple sites, though laborious, may add to the data on C. auris colonization. Future plans include incorporating molecular testing and streamlining geographic criteria. C. auris admission screening has already identified one colonized patient, and will continue as a new and important patient safety measure at our hospital.Funding: NoneDisclosures: None

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