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Overall evidence indicates that those working in public health and health care delivery should discourage geophagy, particularly when the soil sources are from settings such as gold mining where environmental soil contamination is likely.
Another more recent subject of study is the potential impact of readmission of patients from settings such as long-term care facilities (LTCFs) or the community, as well as general movement patterns between healthcare institutes and/or the community on the transmission of MRSA [ 19, 25, 38, 69], antimicrobial resistance [ 70] and HCAI in general [ 71].
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A major strength of our study was its community base, meaning results from this study are more likely to be representative of people living in the community than those from studies using samples from healthcare settings, such as pain clinics.
Results from this study are more likely to be representative of people living in the community than those from studies using samples from healthcare settings, such as pain clinics.
Patients may come from varied settings, such as urban and rural areas.
As recruitment was from clinics based in a major Victorian hospital, it does not provide information about patients from other settings such as general practice or rural clinics.
These data come from a prospective observational study that is more relevant for cost-effectiveness analysis than data from experimental settings such as randomised clinical trials.
Street-based sampling was employed to circumvent the limited generalizability inherent in convenience samples obtained from institutional settings, such as clinics and drug treatment centers [ 12].
German surveillance data indicate that 83%% of NoV hospitalized cases among those >74 years originated from institutional settings such as hospitals or LTCFs [ 32].
Outbreak reports from community settings (such as psychiatric units) or with no information on ward type were not laboratory confirmed, and single outbreaks that were recorded as involving multiple wards were excluded from the analysis.
7 This approach, however, merits caution and a deeper examination of available evidence, particularly as conflicting trial results have been reported from other settings such as Cameroon and Brazil.
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