Possible nosocomial transmission of group Y Neisseria meningitidis among oncology patients.

Abstract:

:Within 4 days, two oncology patients in the Clinical Research Unit had bacteremia causes by group Y Neisseria meningitidis. Three additional patients, identified by prevalence survey, were found to have nasopharyngeal colonization with that serogroup, compared with only one employee (not associated with patients) and no family contacts. Infected and colonized (case) patients were located in the same or adjacent rooms but did not have close contact. A comparison of host and risk factors showed no significant differences between case patients and the other (control) patients located in the same rooms. In retrospect, the index patient, who had marked sputum production but was not isolated, had unrecognized meningococcal pneumonia and probably was the hospital source of a heavy, airborne dispersal of organisms to other patients. Respiratory isolation is warranted for patients with suspected N. meningitidis infection.

journal_name

Ann Intern Med

authors

Cohen MS,Steere AC,Baltimore R,von Graevenitz A,Pantelick E,Camp B,Root RK

doi

10.7326/0003-4819-91-1-7

subject

Has Abstract

pub_date

1979-07-01 00:00:00

pages

7-12

issue

1

eissn

0003-4819

issn

1539-3704

journal_volume

91

pub_type

杂志文章
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    authors: Doyle JJ,Hnatiuk OW,Torrington KG,Slade AR,Howard RS

    更新日期:1996-05-01 00:00:00

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    doi:10.7326/0003-4819-85-4-447

    authors: Kannel WB,Hjortland MC,McNamara PM,Gordon T

    更新日期:1976-10-01 00:00:00

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    journal_title:Annals of internal medicine

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    doi:10.7326/0003-4819-91-6-872

    authors: Favero MS,Maynard JE,Leger RT,Graham DR,Dixon RE

    更新日期:1979-12-01 00:00:00

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    pub_type: 杂志文章

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    authors: Menzies D,Fanning A,Yuan L,FitzGerald JM

    更新日期:2000-11-21 00:00:00

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    pub_type: 杂志文章,评审

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    更新日期:2003-11-04 00:00:00

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    journal_title:Annals of internal medicine

    pub_type: 临床试验,杂志文章

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    authors: Berthélemy P,Bouisson M,Escourrou J,Vaysse N,Rumeau JL,Pradayrol L

    更新日期:1995-08-01 00:00:00

  • Sporadic cases of Legionnaires' disease in the Netherlands.

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    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-90-4-529

    authors: Meenhorst PL,van der Meer JW,Borst J

    更新日期:1979-04-01 00:00:00

  • Efficacy and risks of moricizine in inducible sustained ventricular tachycardia.

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    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-116-5-375

    authors: Damle R,Levine J,Matos J,Greenberg S,Brooks R,Frumkin W,Goldberger J,Kadish AH

    更新日期:1992-03-01 00:00:00

  • Clinical ecology. American College of Physicians.

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    journal_title:Annals of internal medicine

    pub_type: 指南,杂志文章,实务指引,评审

    doi:

    authors:

    更新日期:1989-07-15 00:00:00

  • Ambulatory Holter electrocardiography: choice of technologies and clinical uses.

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    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-102-1-73

    authors: Morganroth J

    更新日期:1985-01-01 00:00:00

  • Prevalence of Elevated Cardiovascular Risks in Young Adults: A Cross-sectional Analysis of National Health and Nutrition Examination Surveys.

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    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/M16-2052

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    更新日期:2017-06-20 00:00:00

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    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-135-8_part_1-200110160-00009

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    更新日期:2001-10-16 00:00:00

  • Bioequivalence of Biosimilar Tumor Necrosis Factor-α Inhibitors Compared With Their Reference Biologics: A Systematic Review.

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    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/M16-0428

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    更新日期:2016-10-18 00:00:00

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    pub_type: 杂志文章,评审

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    authors: Schmidt E,Goldhaber-Fiebert SN,Ho LA,McDonald KM

    更新日期:2013-03-05 00:00:00

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    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/M13-2844

    authors: Henderson JT,Whitlock EP,O'Connor E,Senger CA,Thompson JH,Rowland MG

    更新日期:2014-05-20 00:00:00

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    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-157-2-201207170-00466

    authors: Nelson HD,Walker M,Zakher B,Mitchell J

    更新日期:2012-07-17 00:00:00

  • Surgical therapy of variant angina associated with nonobstructive coronary disease.

    abstract::Patients with variant angina refractory to medical therapy pose a difficult management problem. We report two patients with variant angina who had focal spasm in coronary arteries with fixed obstructions of less than 20% of the luminal diameter. Ischemic episodes were accompanied by malignant ventricular arrhythmias a...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-94-6-771

    authors: Sussman EJ,Goldberg S,Poll DS,MacVaugh H 3rd,Simson MB,Silber SA,Kastor JA

    更新日期:1981-06-01 00:00:00

  • Better access to information about clinical trials.

    abstract::Access to information about clinical trials is important to researchers, health care professionals, and patients. Many have argued for the establishment of clinical trials registries, citing their substantial benefits. Although some registries do exist, it has been difficult to create comprehensive, easily accessible ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-133-8-200010170-00013

    authors: McCray AT

    更新日期:2000-10-17 00:00:00

  • Reporting the recruitment process in clinical trials: who are these patients and how did they get there?

    abstract:BACKGROUND:A common criticism of randomized, controlled trials (RCTs) is that the enrollment process may be highly selective and those who enroll may not represent persons in the general population. The recruitment process reported in published RCTs has not been systematically evaluated. OBJECTIVE:To determine whether...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-137-1-200207020-00007

    authors: Gross CP,Mallory R,Heiat A,Krumholz HM

    更新日期:2002-07-02 00:00:00

  • Durable treatment-free remission after high-dose cyclophosphamide therapy for previously untreated severe aplastic anemia.

    abstract:BACKGROUND:Severe aplastic anemia is a life-threatening bone marrow failure disorder. High-dose cyclophosphamide therapy followed by allogeneic bone marrow transplantation cures the disease. However, it requires a suitable donor and carries the risk for graft-versus-host disease. A small pilot study demonstrated that h...

    journal_title:Annals of internal medicine

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.7326/0003-4819-135-7-200110020-00006

    authors: Brodsky RA,Sensenbrenner LL,Smith BD,Dorr D,Seaman PJ,Lee SM,Karp JE,Brodsky I,Jones RJ

    更新日期:2001-10-02 00:00:00

  • Effect of Variation in Published Stroke Rates on the Net Clinical Benefit of Anticoagulation for Atrial Fibrillation.

    abstract:Background:Stroke rates in patients with nonvalvular atrial fibrillation (AF) who are not receiving anticoagulant therapy vary widely across published studies; the resulting effect on the net clinical benefit of anticoagulation in AF is unknown. Objective:To determine the effect of variation in published AF stroke rat...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/M17-2762

    authors: Shah SJ,Eckman MH,Aspberg S,Go AS,Singer DE

    更新日期:2018-10-16 00:00:00

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    abstract:BACKGROUND:Poor patient attendance to scheduled flexible sigmoidoscopy or colonoscopy may contribute to deficient colorectal cancer screening. OBJECTIVE:To examine the association of physician appointment-keeping behavior with attendance to scheduled endoscopic studies of the colon. DESIGN:Retrospective cohort. SETT...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-140-7-200404060-00013

    authors: Turner BJ,Weiner M,Yang C,TenHave T

    更新日期:2004-04-06 00:00:00

  • Supraventricular arrhythmia in patients having noncardiac surgery: clinical correlates and effect on length of stay.

    abstract:BACKGROUND:Few recent data are available on risk factors for perioperative supraventricular arrhythmia (SVA) after noncardiac surgery or on the effect of SVA on clinical outcomes. OBJECTIVE:To determine the incidence, clinical correlates, and effect on length of stay of perioperative SVA in patients having major nonca...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-129-4-199808150-00003

    authors: Polanczyk CA,Goldman L,Marcantonio ER,Orav EJ,Lee TH

    更新日期:1998-08-15 00:00:00

  • Solid tumors in multiple myeloma.

    abstract::The frequency of solid tumors was evaluated in 628 consecutive patients with multiple myeloma who had been treated with various melphalan-prednisone combinations. Among those patients who lived at least 2 months, the incidence and diversity of second tumors were similar to those in normal persons of the same age and d...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-90-5-780

    authors: Stegman R,Alexanian R

    更新日期:1979-05-01 00:00:00

  • Serious hepatitis A: an analysis of patients hospitalized during an urban epidemic in the United States.

    abstract:BACKGROUND:Memphis and Shelby County, Tennessee, experienced an epidemic of hepatitis A in 1994 and 1995. More than 1700 cases were reported. OBJECTIVE:To characterize the clinical features of patients hospitalized during a large urban epidemic of hepatitis A. DESIGN:Retrospective chart review. SETTING:15 acute care...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,多中心研究

    doi:10.7326/0003-4819-128-2-199801150-00006

    authors: Willner IR,Uhl MD,Howard SC,Williams EQ,Riely CA,Waters B

    更新日期:1998-01-15 00:00:00

  • Self-assessment of tuberculin skin test reactions by New York City firefighters: reliability and cost-effectiveness in an occupational health care setting.

    abstract:OBJECTIVE:To determine whether self-assessment of purified protein derivative of tuberculin (PPD) skin test reactions, done using a simple two-choice approach, is an effective screening method for tuberculosis. DESIGN:Double-blind comparison between self-assessments and trained professional readings of PPD skin test r...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-125-4-199608150-00004

    authors: Prezant DJ,Kelly KJ,Karwa ML,Kavanagh K

    更新日期:1996-08-15 00:00:00

  • Asymptomatic coronary artery disease: angiography in diabetic patients before renal transplantation. Relation of findings to postoperative survival.

    abstract::Twenty-one juvenile-onset diabetic patients with azotemic nephropathy underwent coronary angiography and left ventriculography before renal transplantation or chronic hemodialysis. Two-year survival of 12 patients with no coronary artery disease (group A) was 88% compared to 22% for nine patients with coronary artery ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-88-3-346

    authors: Weinrauch LA,D'elia JA,Healy RW,Gleason RE,Takacs FJ,Libertino JA,Leland OS

    更新日期:1978-03-01 00:00:00

  • Cocaine use and the risk for endocarditis in intravenous drug users.

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    pub_type: 杂志文章

    doi:10.7326/0003-4819-106-6-833

    authors: Chambers HF,Morris DL,Täuber MG,Modin G

    更新日期:1987-06-01 00:00:00

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    pub_type: 杂志文章

    doi:10.7326/0003-4819-144-1-200601030-00005

    authors: McDermott MM,Liu K,Ferrucci L,Criqui MH,Greenland P,Guralnik JM,Tian L,Schneider JR,Pearce WH,Tan J,Martin GJ

    更新日期:2006-01-03 00:00:00

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    abstract:BACKGROUND:Visits to physicians for genital herpes simplex virus (HSV) infection continue to increase. Most patients with symptomatic infections have recurrences, but no studies of the long-term clinical course of genital herpes are available. OBJECTIVE:To determine whether the frequency of HSV recurrences decreases o...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-131-1-199907060-00004

    authors: Benedetti JK,Zeh J,Corey L

    更新日期:1999-07-06 00:00:00