scholarly journals Clostridium difficile Infection

2017 ◽  
Vol 65 (4) ◽  
pp. 180-180
Author(s):  
Jennan A. Phillips ◽  
Stephanie Hammond

Preventing Clostridium difficile, the most common cause of health care–associated infections in hospitals and infectious disease death in the United States, is a national priority. Increased rates of infection among low-risk individuals in the community call for community-based prevention efforts to halt the increasing spread of this highly contagious opportunistic infection.

2018 ◽  
Vol 30 (6) ◽  
pp. 516-527 ◽  
Author(s):  
Ekaterine Shapatava ◽  
Aisha Rios ◽  
Gene Shelley ◽  
Jesse Milan ◽  
Shuenae Smith ◽  
...  

Community-based organizations (CBOs) provide HIV prevention services throughout the United States, including the South where HIV/AIDS burden is high. We assessed Southern CBO response to changes in the HIV prevention landscape, including the National HIV/AIDS Strategy, and the Centers for Disease Control and Prevention's (CDC's) High Impact Prevention. Both strategies aim to improve outcomes for people living with or at high risk for HIV. Inductive qualitative analysis of interviews and consultations with CBOs, capacity building assistance providers, and CDC staff revealed CBOs are building clinical service capacity and cross-agency partnerships to adapt, but face inadequate or reduced funding. A holistic approach to HIV prevention and care in the South is critical, where stigma and other socio-structural factors limit health care options for persons affected by HIV. Health care organizations may benefit by partnering with CBOs because CBOs have the skillsets and community rapport to effectively improve health outcomes of persons living with HIV.


Author(s):  
C. Aaron McNeece

The United States has more than 7 million adults under correctional supervision, with more than 2 million incarcerated. The history and theories behind incarceration are described, along with the current jail and prison inmate populations. Specific problems of juveniles and women are mentioned. Current trends and issues in corrections are discussed, including community-based corrections, privatization, faith-based programs, and health care. The roles of social workers in the correctional system are outlined. Comments are made on the future of incarceration.


2014 ◽  
Vol 30 (5) ◽  
pp. 417-424 ◽  
Author(s):  
Carolyn T. A. Herzig ◽  
Julie Reagan ◽  
Monika Pogorzelska-Maziarz ◽  
Divya Srinath ◽  
Patricia W. Stone

2015 ◽  
Vol 59 (10) ◽  
pp. 6283-6287 ◽  
Author(s):  
Eric J. Mao ◽  
Colleen R. Kelly ◽  
Jason T. Machan

ABSTRACTThis study confirms previously reported racial differences inClostridium difficileinfection (CDI) rates in the United States and explores the nature of those differences. We conducted a retrospective study using the 2010 Nationwide Inpatient Sample, the largest all-payer database of hospital discharges in the United States. We identified hospital stays most likely to include antibiotic treatment for infections, based on hospital discharge diagnoses, and we examined how CDI rates varied, in an attempt to distinguish between genotypic and environmental racial differences. Logistic regressions for the survey design were used to test hypotheses. Among patients likely to have received antibiotics, white patients had higher CDI rates than black, Hispanic, Asian, and Native American patients (P< 0.0001). CDI rates increased with higher income levels and were higher for hospitalizations paid by private insurance versus those paid by Medicaid or classified as self-pay or free care (P< 0.0001). Among patients admitted from skilled nursing facilities, where racial bias in health care access is less, racial differences in CDI rates disappeared (P= 1.0). Infected patients did not show racial differences in rates of complicated CDI or death (P= 1.0). Although white patients had greater CDI rates than nonwhite patients, racial differences in CDI rates disappeared in a population for which health care access was presumed to be less racially biased. This provides evidence that apparent racial differences in CDI risks may represent health care access disparities, rather than genotypic differences. CDI represents a deviation from the paradigm that increased health care access is associated with less morbidity.


F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 118 ◽  
Author(s):  
Meera B. Avila ◽  
Nathaniel P. Avila ◽  
Andrew W. Dupont

Clostridium difficileinfection (CDI) has become the most frequently reported health care-associated infection in the United States [1]. As the incidence of CDI rises, so too does the burden it produces on health care and society. In an attempt to decrease the burden of CDI and provide the best outcomes for patients affected by CDI, there have been many recent advancements in the understanding, diagnosis, and management of CDI. In this article, we review the current recommendations regarding CDI testing and treatment strategies.


2013 ◽  
Vol 51 (6) ◽  
pp. 1938-1941 ◽  
Author(s):  
S. Waslawski ◽  
E. S. Lo ◽  
S. A. Ewing ◽  
V. B. Young ◽  
D. M. Aronoff ◽  
...  

Author(s):  
Sharon L. Burton

Research reveals the significance of artificial intelligence's applicability for disability through telemedicine/telehealth education for advancing health care in rural, remote, and underserved locations. Improperly researched requirements, failure to include artificial intelligence (AI), and skewed monetary knowledge are derailing components for academic programs in the United States. Artificial intelligence is a key component to pinpoint inadequacies and drive them out of telemedicine/telehealth educational clinical processes and, as an outcome, help diminish costs and enhance outcomes for learners and administrators. This chapter revealed information for developing best practices, which will lead to the development of a series of academic courses for a community-based telehealth program at a medium-sized telehealth organization based out of Virginia. This research offers to practitioners, learners, and academicians academic program development suggestions for meeting a process improvement initiative.


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