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J Zimakoff

Publications and source records attributed to J Zimakoff.

24 records · Page 2Linked to original sources

[Risk of occupationally acquired HIV infection among health manpower. A review of known cases].

In the world literature, 31 probable or certain cases of occupational HIV-infection among health staff have been described during a period of ten years from 1977. In 17 cases needle punctures had occurred while cuts or skin/mucosal exposure had occurred on 11 occasions. The predominant route of infection was thus percutaneous lesions most frequently in connection with giving injections or taking blood samples and the most exposed persons were nurses and laboratory staff. Cohort investigations of HIV-infection following percutaneous exposure include a total of approximately 1,500 persons and the risk of seroconversion, ie infectionsness, was, in these cases, 0.5% (0.2-1.1%), on an average. The occupational risk for HIV-infection among health staff in Denmark is low and is determined by the infectionsness, incidence of exposure (particularly needle punctures) and the prevalence of carrieres of infection. On the basis of certain assumptions about the incidence of needle punctures and the prevalence of HIV-carriers the average risk for nurses is calculated to be 1 per 100 years or 1 per 20,000 staff.

Acquired Immunodeficiency Syndrome↗

Recurrent staphylococcal furunculosis in families.

Recurrent familial staphylococcal furunculosis causes severe physical and especially socio-psychological problems to the families involved. In the present study 6 families with 28 persons were not treated with antibiotics but with a combination of chlorhexidine bathing, nasal 1% chlorhexidine gel and improved cleaning and hygiene in the surroundings. The infecting Staphylococcus aureus strain was eradicated from the surroundings and the skin in all 6 families, but several of the family members still retained the strain in the nose. All family members were, however, cured and remained without infections during an observation period of 2 years.

Baths↗

Epidemiology of Pseudomonas aeruginosa infection and the role of contamination of the environment in a cystic fibrosis clinic.

In order to identify the possible reservoirs and routes of cross-infection with Pseudomonas aeruginosa, samples from patients, staff, and the environment of a cystic fibrosis centre and two control wards at an infectious disease clinic were collected during a two-week period in 1980. All the Ps. aeruginosa strains were phage and serotyped. Ps. aeruginosa was isolated from 90 (51%) of the cystic fibrosis patients and most belonged to the 0-3/9 complex, characteristic of strains from patients in the centre. Some of the patients were able to spread Ps. aeruginosa into the air and to their hands by coughing, and Ps. aeruginosa in dried sputum could survive for at least one week. Strains of the same epidemiological types as found in the cystic fibrosis patients were isolated from sinks, soap, baths, toys, tables, brushes, cloths, and air in the clinic. In contrast, Ps. aeruginosa of the same epidemiological types were only found in a few of the sinks in one of the control wards where a few cystic fibrosis patients were regularly treated in isolation cubicles. The precautions employed to prevent future cross-infection include segregation of Ps. aeruginosa-infected from non-infected patients in separate wards and arranging for visits on separate days in the out-patients clinic. The survival of cystic fibrosis patients treated in the centre is much longer than those treated outside the centre despite the problems of cross-infection.

Adolescent↗