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1891. Invasive Group A Streptococcus Infections Among Residents of Multiple Nursing Homes—Denver Colorado 2017–2018

机译：1891.多疗养院居民中的A组链球菌侵入性感染—丹佛科罗拉多州2017–2018

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BackgroundOlder adults residing in nursing homes (NH) are at increased risk for invasive group A Streptococcus (GAS) infections due to advanced age, presence of wounds, and comorbidities; approximately one-third of infected patients die. Beginning in 2015, increasing numbers of GAS infections in NH residents and several NH clusters were reported from the Denver metropolitan area. Colorado Department of Public Health and Environment (CDPHE) and CDC investigated to characterize cases and assess if outbreaks resulted from interfacility transmission.

机译：背景由于高龄，伤口和合并症，居住在疗养院（NH）的老年人患侵袭性A组链球菌（GAS）的风险增加；大约三分之一的感染患者死亡。从2015年开始，丹佛市区报告了NH居民和几个NH簇中的GAS感染数量增加。科罗拉多州公共卫生与环境部（CDPHE）和美国疾病预防控制中心（CDC）进行了调查，以鉴定病例特征并评估暴发是否由间传播引起。

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期刊名称 Oxford Open
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Osatohamwen Idubor; Nisha B Alden; Srinivas Nanduri; Abimbola Ogundimu; Sukarma S S Tanwar; Heather Reese; Wycliffe Odongo; Rachel Herlihy; Helen Johnston; Alexis Burakoff; April Burdorf; Ariella P Dale; Janell Nichols; Wendy M Bamberg; Alana Cilwick; Devra Barter; Geoff Brousseau; Sopio Chochua; Nimalie D Stone; Chris Van Beneden;
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年(卷),期 -1(6),Suppl 2
年度 -1
页码 S55–S56
总页数 2
原文格式 PDF
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1. A.Martin1,N.Boyle2,J.Cooke3,S.P.Kennelly4,R.Martin5,M.Mulroy6,M.O’Connor7,S.O'Keeffe8,D.O’Neill4OnbehalfoftheIrishSocietyofPhysiciansinGeriatricMedicine.1.BeaumontHospital,Dublin.2.St.Vincent’sUniversityHospital,Dublin.3.UniversityHospitalWaterford.4.TallaghtUniversityHospital,Dublin.5.ConnollyHospital,Dublin.6.OurLadyofLourdesHospital,Drogheda.7.CorkUniversityHospital.8.GalwayUniversityHospital.AbstractResidents in nursing home care have borne a disproprtionate morbidity and mortality in the COVID-19 pandemic in comparison to the general population. Although the high rate of infection, morbidity and mortality in older people living in nursing homes may be attributable to increased levels of frailty and comorbidity in residents, the physical infrastructure and governance structures within nursing homes is also likely to be highly significant. The authors present, on behalf of Irish Society of Physicians in Geriatric Medicine, a position paper on changes that should be implemented to enhance the safety and quality of care for nursing home residents in Ireland. IntroductionResidentsinnursinghomesrepresentagroupwithhighlevelsofdisabilityandco-morbiditywhichrenderthemparticularlyvulnerabletoexternalandinternalstressors1,asexemplifiedbythehighdeathrateinIrishnursinghomesduringtheCOVID-19pandemic.Atthelastcensusin2016were22,762peopleover65yearsofage(3.7%)listedasresidentinnursinghomesinIreland2.Althoughthiswasadecreaseintheproportionoftheolderpopulationinresidentialcarefrom2011itreflectsanactualincreaseof9.4%inpeoplelivinginnursinghomesinthiscountry.Asoursocietyagesitwillbeincreasinglyimportanttoprovidehighqualitycareforthisvulnerablegroup.TheIrishSocietyofPhysiciansinGeriatricMedicine(ISPGM)haspromotedthedevelopmentofimprovedstandardsofcareinresidentialcareforseveraldecadesandwasthefirstIrishprofessionalgrouptoformulateimprovedstandardsofcarein2001,publishedintheIrishMedicalJournal3. [J] . Irish medical journal. . 2020,第9期

机译：A.Martin1，N.Boyle2，J.Cooke3，SPKennelly4，R.Martin5，M.Mulroy6，M.O'Connor7，S.O'Keeffe8，D.O'Neill4OnbehalfoftheIrishSocietyofPhysiciansinGeriatricMedicine.1.BeaumontHospital，Dublin.2.St .Vincent'sUniversityHospital，Dublin.3.UniversityHospitalWaterford.4.TallaghtUniversityHospital，Dublin.5.ConnollyHospital，Dublin.6.OurLadyofLourdesHospital，在家庭护理Drogheda.7.CorkUniversityHospital.8.GalwayUniversityHospital.AbstractResidents已经结出一个disproprtionate发病率和死亡率在COVID-19大流行相比于普通人群。虽然感染，发病率和死亡率在生活在养老院的老年人率高可能是由于增加了居民的脆弱性和合并症的水平，养老院内的物理基础设施和治理结构，也可能是非常显著。作者提出，对应该实施，加强安全和医疗质量养老院在爱尔兰的变化代表在老年医学，意见书医生的爱尔兰社会。 IntroductionResidentsinnursinghomesrepresentagroupwithhighlevelsofdisabilityandco-morbiditywhichrenderthemparticularlyvulnerabletoexternalandinternalstressors1，asexemplifiedbythehighdeathrateinIrishnursinghomesduringtheCOVID-19pandemic.Atthelastcensusin2016were22,762peopleover65yearsofage（3.7％）listedasresidentinnursinghomesinIreland2.Althoughthiswasadecreaseintheproportionoftheolderpopulationinresidentialcarefrom2011itreflectsanactualincreaseof9.4％inpeoplelivinginnursinghomesinthiscountry.Asoursocietyagesitwillbeincreasinglyimportanttoprovidehighqualitycareforthisvulnerablegroup.TheIrishSocietyofPhysiciansinGeriatricMedicine（ISPGM）haspromotedthedevelopmentofimprovedstandardsofcareinresidentialcareforseveraldecadesandwasthefirstIrishprofessionalgrouptoformulateimprovedstandardsofcarein2001，publishedintheIrishMedicalJournal3。
2. Candida Bloodstream Infections Among Persons Who Inject Drugs a?? Denver Metropolitan Area, Colorado, 2017a??2018 [J] . Devra M. Barter, Helen L. Johnston, Sabrina R. Williams, Morbidity and Mortality Weekly Report: CDC Surveillance Summaries . 2019,第12期

机译：注射毒品的人中念珠菌的血液感染是什么？科罗拉多州丹佛大都会区，2017年-2018年
3. Hospital-acquired infections in Norwegian long-term-care institutions. A three-year survey of hospital-acquired infections and antibiotic treatment in nursing/residential homes, including 4500 residents in Oslo. [J] . Andersen BM, Rasch M The Journal of hospital infection . 2000,第4期

机译：挪威长期护理机构的医院获得性感染。一项为期三年的医院/护理院（包括4500名奥斯陆居民）的医院获得性感染和抗生素治疗的调查。
4. Increased expression of ska gene in emm49-genotyped strains of Streptococcus pyogenes isolated from patients of severe invasive group A streptococcus infections [C] . Tadayoshi Ikebe, Haruo Watanab Lancefield International Symposium on Streptococci and Streptococcal Diseases . 2006

机译：从严重侵入性群体感染患者中分离的eMM49基因分型菌株中SKA基因表达的增加
5. Caregiver perceptions of unmet needs that lead to resident-to-resident violence involving residents with dementia in nursing homes. [D] . Sifford, Krista Susan. 2010

机译：护理人员对未满足需求的感知导致居民之间的暴力，涉及养老院中患有痴呆症的居民。
6. Candida Bloodstream Infections Among Persons Who Inject Drugs — Denver Metropolitan Area Colorado 2017–2018 [O] . Devra M. Barter, Helen L. Johnston, Sabrina R. Williams, 2019

机译：注射毒品者之间的念珠菌血流感染—科罗拉多州丹佛市2017–2018年
7. Gastroenteritis and respiratory infection outbreaks in French nursing homes from 2007 to 2018: Morbidity and all-cause lethality according to the individual characteristics of residents [O] . Philippe Gaspard, Anne Mosnier, Loic Simon, 2019

机译：2007年至2018年法国养老院的胃肠炎和呼吸道感染爆发：根据居民的个性特征，发病率和致命的致命性

1891. Invasive Group A Streptococcus Infections Among Residents of Multiple Nursing Homes—Denver Colorado 2017–2018

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