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Repeat cultures were collected weekly from patients with negative admission cultures unless they became colonized or were discharged.
Patients with a laboratory result indicating MRSA (screen or other specimen), with no history of MRSA and negative admission screen were deemed to have acquired MRSA.
A restricted primary outcome analysis was conducted where all patients with any MRSA positive culture specimen within three months before admission, and those with MRSA positive discharge screens taken within 48 hours of negative admission swab were excluded.
Staphylococcus aureus acquisition was defined by a negative admission screen followed by a later positive screen; or a positive admission screen followed by later culture of a genetically different strain.
Patients who had a blood culture positive for B. pseudomallei on admission were more likely to have a positive follow-up blood culture than patients who had a negative admission blood culture (31% [50 of 159] versus 10%[166 of 162]; P < 0.001).
Mortality rates during the period studied were 4.6% for PCR-negative admissions (9/196 patients) and 5.1% for influenza B (2/39 patients).
Patients with a positive admission screen are more likely to have the same resistant genus isolated from a nosocomial infection during the same admission spell, as compared with those negative on admission.
Findings show a preference for ECAs when topics are highly sensitive and more likely to evoke negative self-admissions.
In all cases, blood cultures for bacteria were negative at admission.
They commented that often if these diagnostic tests were negative, an admission could be prevented.
However, 197 patients (4.8%) were screened negative on admission and turned ESBL-positive during their stay.
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