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PubMed · 12163754

Separate, yet united.

Mary Ellen Murray·Judith E Broad
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Abstract

A management council can help nurses from various settings of a facility deliver unified care, including inpatient, home health, and surgical services. The University of Wisconsin Hospital's approach can facilitate a management council at your facility.

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Hospitals, UniversityHumansNursing Service, HospitalOrganizational Case StudiesProfessional Staff CommitteesQuality Assurance, Health CareWisconsinJournal Article

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Mary Ellen Murray, Judith E Broad. 2002. Separate, yet united.. https://doi.org/10.1097/00006247-200208000-00019

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Zygomycetes are ubiquitous fungi that can cause invasive disease associated with high mortality. We report 10 solid organ transplant recipients with zygomycosis (incidence 2 per 1000) and reviewed 106 cases in the English-language literature. These included renal (n = 73), heart (n = 16), lung (n = 4), heart/lung (n = 2), liver (n = 19) and kidney/pancreas (n = 2) transplant recipients. All patients were receiving immunosuppression and the vast majority steroids. The clinical presentation included rhino-sino-orbital (n = 20), rhinocerebral (n = 16), pulmonary (n = 28), gastrointestinal (n = 13), cutaneous (n = 18), renal (n = 6) and disseminated disease (n = 15). Most frequently isolated genera were Rhizopus (73%) followed by Mucor (13%). The overall mortality was 49%. While rhino-sino-orbital disease had the best prognosis, rhinocerebral disease had high mortality (93%) comparable to disseminated disease. A favorable outcome was associated with limited, surgically accessible disease and early surgical intervention along with amphotericin B administration.

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