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Metrics details. Residents of long-term care facilities LTCFs colonized with multidrug resistant organisms MDROs are often placed under contact isolation to ensure appropriate infection control. This isolation may reduce opportunities for rehabilitation and social stimuli and may also increase medical costs.

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Faced with an increasing number of patients with colonization with vancomycin-resistant enterococci VREhospitals are instituting all kinds of controls, including routine surveillance and screening, cohorting and isolating patients, and antibiotic formulary restrictions and automatic stop orders for antibacterial therapy. All of this is substantially increasing hospital labor and lab costs, leading 1 hospital in our area to abandon anything more than the usual hand washing precautions. Another problem facing hospitals is the misidentification of patients in whom VRE is detected more than 72 hours after admission as "nosocomial" infection, although some undoubtedly had pre-existing colonization.

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In this feature, a panel of IDSA members identifies and critiques important new studies in the current literature that have a significant impact on the practice of infectious diseases medicine. The World Health Organization cites HIV as the leading cause of death worldwide among women of childbearing age years. After adjusting for various factors, including male partner viral load, use of HIV pre-exposure prophylaxis PrEPand age, HIV acquisition probability in females was calculated during four distinct time frames: nonpregnancy, early pregnancy up to 13 weeks gestationlate pregnancy from 14 weeks gestation to the end of pregnancyand postpartum until 6 months after pregnancy.

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Human Immunodeficiency Virus HIV is a virus that is found in the body fluids blood, semen, vaginal fluid, anal secretions, and breast milk of an infected person. HIV is spread when infected body fluids come in contact with another person's bloodstream, eyes, nose, mouth, vagina, urethra, or rectum. It can also be spread from an infected mother to her baby during pregnancy, delivery, and breastfeeding.

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Inthe newswires were rife with reports about an outbreak of a new strain of the "flesh-eating" MRSA bacteria among gay and bisexual men in San Francisco and Boston. Although MRSA methicillin-resistant Staphylococcus aureus has long been considered a major public health threat, it was rarely associated with such a rapid and specific outbreak. What made the event so unusual was that many of the reported infections were passed during anal sex. The infections were characterized by the formation of abscesses and ulcers on the buttocks, anus, and genitals, suggesting that sex was a new and unexpected mode of MRSA transmission.

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Flesh-eating bacteria. A drug-resistant menace, spreading silently through hospital hallways. If one were asked to come up with a recipe for a panic-inducing disease, it would be hard to come up with something more horrifying than methicillin-resistant Staphylococcus aureus -- or MRSA.

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