{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T05:48:01Z","timestamp":1761630481315},"reference-count":17,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2015,1,2]],"date-time":"2015-01-02T00:00:00Z","timestamp":1420156800000},"content-version":"unspecified","delay-in-days":2437,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2008,5]]},"abstract":"<jats:sec id=\"S0195941700026837_abs1\"><jats:title>Objective.<\/jats:title><jats:p>To characterize infection control experience during a 6.5-year period in a cooperative care center for transplant patients.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700026837_abs2\"><jats:title>Design.<\/jats:title><jats:p>Descriptive analysis.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700026837_abs3\"><jats:title>Setting.<\/jats:title><jats:p>A cooperative care center for transplanted patients, in which patients and care partners are housed in a homelike environment, and care partners assume responsibility for patient care duties.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700026837_abs4\"><jats:title>Patients.<\/jats:title><jats:p>Nine hundred ninety one transplant patients.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700026837_abs5\"><jats:title>Methods.<\/jats:title><jats:p>Infection control definitions from the Centers for Disease Control and Prevention were used to ascertain infection rates. Environmental cultures were used to detect methicillin-resistant<jats:italic>Staphylococcus aureus<\/jats:italic>(MRSA), vancomycin-resistant<jats:italic>Enterococcus<\/jats:italic>(VRE),<jats:italic>Clostridium difficile,<\/jats:italic>and fungi during the first 18 months. Surveillance cultures were performed for a subset of patients and care partners.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700026837_abs6\"><jats:title>Results.<\/jats:title><jats:p>From June 1999 through December 2005, there were 19,365 patient-days observed. The most common healthcare-associated infection encountered was intravascular catheter-related bloodstream infection, with infection rates of 5.74 and 4.94 cases per 1,000 patient-days for hematopoietic stem cell transplant (HSCT) and solid organ transplant (SOT) patients, respectively. G difficile-associated diarrhea was observed more frequentiy in HSCT patients than in SOT patients (3.97 vs 0.57 cases per 1000 patient-days;<jats:italic>P&lt;<\/jats:italic>.0001 ). There was no evidence of environmental contamination with MRSA, VRE, or C.<jats:italic>difficile.<\/jats:italic>Acquisition of MRSA was not observed. Acquisition of VRE was documented.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700026837_abs7\"><jats:title>Conclusion.<\/jats:title><jats:p>This study documented that cooperative care was associated with some risk of healthcare-associated infection, most notably intravascular catheter-associated bloodstream infection and C. difficile-associated diarrhea, it appears the incidences of these infections were roughly commensurate with those in other care settings.<\/jats:p><\/jats:sec>","DOI":"10.1086\/587188","type":"journal-article","created":{"date-parts":[[2008,3,29]],"date-time":"2008-03-29T05:36:43Z","timestamp":1206769003000},"page":"424-429","source":"Crossref","is-referenced-by-count":9,"title":["Infection Control Experience in a Cooperative Care Center for Transplant Patients"],"prefix":"10.1017","volume":"29","author":[{"given":"Ahmad","family":"Nusair","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dawn","family":"Jourdan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Medcalf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nedra","family":"Marion","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter C.","family":"Iwen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul D.","family":"Fey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Reed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan","family":"Langnas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark E.","family":"Rupp","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2015,1,2]]},"reference":[{"key":"S0195941700026837_ref005","doi-asserted-by":"publisher","DOI":"10.1188\/05.ONF.849-855"},{"key":"S0195941700026837_ref013","first-page":"27","article-title":"Natural history of vancomycin-resistant enterococcal colonization in liver and kidney transplant recipients, liver","volume":"7","author":"Patel","year":"2001","journal-title":"Transpl"},{"key":"S0195941700026837_ref012","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.38.6.1363"},{"key":"S0195941700026837_ref006","article-title":"Centers for Disease Control and Prevention","year":"1996","journal-title":"National Nosocomial Infections Surveillance System Manual"},{"key":"S0195941700026837_ref001","first-page":"27","volume-title":"Family Partnership in Hospital Care: The Cooperative Care Concept","author":"Grieco","year":"1994"},{"key":"S0195941700026837_ref016","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1086\/502213","article-title":"SHEA guideline for preventing nosocomial transmission of multidrug-resistant strains of Staphylococcus aureus and enterococcus","volume":"24","author":"Muto","year":"2003","journal-title":"Infect Control Hosp Epidemiol"},{"key":"S0195941700026837_ref010","doi-asserted-by":"publisher","DOI":"10.1086\/313658"},{"key":"S0195941700026837_ref015","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.39.12.4274-4282.2001"},{"key":"S0195941700026837_ref009","doi-asserted-by":"publisher","DOI":"10.1086\/517538"},{"key":"S0195941700026837_ref007","doi-asserted-by":"crossref","first-page":"2105","DOI":"10.1128\/JCM.27.9.2105-2106.1989","article-title":"Comparison of media for screening of diarrheic stools for the recovery of Clostridium difficile","volume":"27","author":"Iwen","year":"1989","journal-title":"J Clin Microbiol"},{"key":"S0195941700026837_ref014","doi-asserted-by":"publisher","DOI":"10.1099\/jmm.0.05123-0"},{"key":"S0195941700026837_ref003","doi-asserted-by":"publisher","DOI":"10.1188\/03.CJON.509-514"},{"key":"S0195941700026837_ref002","doi-asserted-by":"publisher","DOI":"10.1016\/0738-3991(90)90003-4"},{"key":"S0195941700026837_ref017","doi-asserted-by":"publisher","DOI":"10.2307\/30146558"},{"key":"S0195941700026837_ref004","doi-asserted-by":"publisher","DOI":"10.1016\/0738-3991(95)00795-4"},{"key":"S0195941700026837_ref008","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-2712(03)00100-8"},{"key":"S0195941700026837_ref011","first-page":"1","article-title":"An outbreak of vancomycin-resistant Enterococcus faecium in liver transplant recipients","volume":"3","author":"Dominguez","year":"1997","journal-title":"Liver Transpl Surg"}],"container-title":["Infection Control &amp; 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