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Foreword
Preface
Contributing Authors
1 Epidemiology of Nosocomial Infections 3
2 The Hospital Epidemiologist 21
3 Personnel Health Services 31
4 The Development of Infection Surveillance and Control Programs 63
5 Surveillance of Nosocomial Infections 79
6 Investigation of Endemic and Epidemic Nosocomial Infections 109
7 Statistical Considerations for Analysis of Nosocomial Infection Data 135
8 The Use of Computerized Systems in Hospital Epidemiology 161
9 The Role of the Laboratory in Control of Nosocomial Infection 187
10 The Relationship Between the Hospital and the Community 221
11 Universal Precautions and Isolation Systems 231
12 Antibiotics and Nosocomial Infections 245
13 Multiply Drug-Resistant Pathogens: Epidemiology and Control 265
14 R Plasmids and Their Molecular Biology 289
15 The Inanimate Environment 299
16 Central Services, Linens, and Laundry 335
17 Foodborne Disease Prevention in Health Care Facilities 345
18 Clinical Laboratory-Acquired Infections 359
19 Dialysis-Associated Infections and Their Control 375
20 The Intensive Care Unit 405
21 The Newborn Nursery 441
22 The Operating Room 461
23 Ambulatory Care Settings 475
24 Infections in Nursing Homes 491
25 Cost-Benefit Analysis of Infection Control Programs 507
26 Legal Aspects of Hospital Infections 533
27 Incidence and Nature of Endemic and Epidemic Nosocomial Infections 577
28 Nosocomial Urinary Tract Infections 597
29 Lower Respiratory Tract Infections 611
30 Infectious Gastroenteritis 641
31 Puerperal Endometritis 659
32 Nosocomial Central Nervous System Infections 673
33 Surgical Infections 685
34 Infections of Burn Wounds 711
35 Infections of Cardiac and Vascular Prostheses 731
36 Infections of Skeletal Prostheses 749
37 Epidemiology of Staphylococcus aureus and Group A Streptococci 767
38 Selected Viruses of Nosocomial Importance 789
39 Human Immunodeficiency Virus Infection 823
40 Infections Due to Infusion Therapy 849
41 Infection in Transplant Recipients 899
42 Other Procedure-Related Infections 923
Index 947