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Genomic Investigation and Successful Containment of an Intermittent Common Source Outbreak of OXA-48-producing Enterobacter Cloacae Related to Hospital Shower Drains
Abstract: The hospital environment has been reported as a source of transmission events and outbreaks of carbapenemase-producing Enterobacterales. Interconnected plumbing systems and the microbial diversity in these reservoirs pose a challenge for outbreak investigation and control. A total of 133 clinical and environmental OXA-48-producing Enterobacter cloacae isolates collected between 2015 and 2021 were characterized by whole-genome sequencing (WGS) to investigate a prolonged intermittent outbreak involving 41 patients in the hematological unit. A mock-shower experiment was performed to investigate the possible acquisition route. WGS indicated the hospital water environmental reservoir as...
S-BPM in the Production Industry
This book is open access under a CC BY-NC 4.0 license. This volume presents several case studies highlighting the latest findings in Industry 4.0 projects utilizing S-BPM features. Their potential is explored in detail, while the limits of engineering a company from a communication-centred perspective are also discussed. After a general introduction and an overview of the book in chapter 1, chapter 2 starts by condensing the industrial challenges driven by the German “Industry 4.0” trend to form a concrete vision for future production industries. Subsequently, chapter 3 introduces the basic concepts of S-BPM and its capabilities, in particular for supporting the restructuring of processe...
Praktische Krankenhaushygiene und Umweltschutz
Praxiserprobt, rechtssicher und unverzichtbar für professionelle Hygiene: vom Händewaschen bis Baumaßnahmen. Die Autoren betrachten alle Einsatzgebiete (Patienten, Personal, Raumlufttechnik etc.): Hygiene, Desinfektion, Sterilisation in Ambulanz, (Intensiv)Station, OP oder Physiotherapie. Sie widmen sich Fachgebieten (u.a. Pädiatrie), Funktionsbereichen (u.a. Endoskopie, Dialyse) und zentralen Einrichtungen (u.a. Apotheke, Küche). Berücksichtigt sind u.a. rechtliche Grundlagen, Organisation, Epidemiologie. Neu: Infektionsprävention bei Naturheilverfahren, Bioterrorismus u.v.a.m. Spezifische Hygienepläne unterstützen Praktiker bei der Arbeit.
55th Anniversary of the German Society for Anaesthesiology and Intensive Care
This book presents to all those who are interested in the history of Anaesthesiology historical details and information on the development of anaesthesiology in Germany and the remarkable growth of our Society. At the founding session of the German Society of Anaesthesia in Munich on 10 April 1953 42 persons had signed the founding documents. Today about 12,000 anaesthetists are members of the German Society of Anaesthesiology and Intensive Care Medicine, making the DGAI the biggest national society within ESA. Well known are the pioneering contributions of German scientists and surgeons to the development of general, regional and local anaesthesia during the 19th and the beginning of the 20th centuries. But less known outside Germany are the reasons for the delayed evolution of anaesthesiology as a specialty of its own in German medicine, far later than in the UK, Scandinavia or the USA. In this book you will find answers to this question and detailed information on the successful evolution of anaesthesiology especially at the Faculties of Medicine at German universities.
United Church Herald
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Intensivmedizin compact
Schneller Überblick im klinischen Alltag Die Behandlung kritisch kranker Patienten, die Notwendigkeit schneller Entscheidungen, die Komplexität der Krankheitsbilder - Intensivmediziner sind besonders hohen Belastungen ausgesetzt. Mit diesem Buch erhalten Sie einen Überblick über die gesamte Bandbreite der klinischen Intensivmedizin und Sicherheit für die Behandlung Ihrer Patienten. Kompakt, praxisnah und gut verständlich geschrieben, bietet es Ihnen so viele Grundlagen wie nötig und so viel klinisch anwendbares Wissen wie möglich. Damit sind Sie bestens auf die Facharztprüfung vorbereitet. Ideal auch zum schnellen Nachschlagen für den erfahrenen Arzt! Umfassend: Alle Aspekte der kl...
DUZ Magazin
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