Best of Infection Control: 2015 ECCMID
Transcript of Best of Infection Control: 2015 ECCMID
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!"# %&'&()&*#)+
!"# %#&' () *)+#,-.) /.)0'.5? ,-./0 5-!0
?8(2 ?71#&(& 3 .4'1#)8" .#9& =(:&)6>(;
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Hlkafihts la Iktgrgst Xtetgngkt
! @(8()#8" )>(E#)9;
! .&)6>( !2#9>' :>' O4#2&"#(&;0 %>;#6>( %8H&';0
8(2 =(*#9&2 -&*#&B; G =A?!
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!"(8 0&52 7(55 '#1(#7 0"# 3495(8"#= 5(0#'&04'#
8(),# 0"# :6>;
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H#5#,-.) ,'(0#'(& 7#'# ).)F8I80#N&-, K(L#L &'9(0'&'IP
&)= * =(=)U0 ()0#)-.)&55I (C).'# I.4' 804=I
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Xtepdyflhlhhus eurgus ekb N_XE
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O#&88#88 7"#0"#' C.7)8_C5.1#8_(8.5&-.)_,.".'-)C
&== &)I0"()C 0. "&)= "IC(#)# &)= =#,.5.)(8&-.)
! @OHB (8 =#,5()()CG .0"#' 3&0".C#)8 (),'#&8()C
! E#83(0# N&)I 0'(&58G N.80 #X#,-1# 80'&0#CI 4),#'0&()
! D&)= "IC(#)#G 8,'##)()CG =#,.5.)(R&-.)G ,.)0&,0 (8.5&-.)
! H(=#F#X#,08 .+ (8.5&-.)
! J#7#' 1(8(08G =#3'#88(.)_&)W(#0I
Fekhgt ?057: 847=5521-29 (Qigwplikt)
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Q*/S? /&'#+45 &T#)-.) 0. "&)=5()C .+ #W,'#N#)0 ()
)#79.') 9&9(#8 .' ()+&)08
E_IH ?052, 8=52
! !7. Q*/S8 () Y&3&) K:6>]PG &1#'&C# &C# :6 =&I8
! Q&8&5 &)= +#,&5 ,4504'#
! @45-35#W Z/OG @VH!G H//N#,G 83&F0I3#8G ; #W.0.W() C#)#8! >^ [ )&8&5 8,'##) 3.8(-1# K:\_>\`P
! :> 3&-#)08 (),54=#=
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Q*/S? /&'#+45 &T#)-.) 0. "&)=5()C .+ #W,'#N#)0 ()
)#79.') 9&9(#8 .' ()+&)08
E_IH ?052, 8=52
! @4-35#W Z/O
! >e .+ :> F H&N# () +#,#8_)&8&5G ] .+ :> o H&N# =.N()&)0 ,5.)#
!
H//*'+0I3#8G (,$F0I3#8 &)= #W.0.W() '#3#'0.('# o :>_:>! Dlspitef 5= 8 hflkgs - HH7-XHHngh IIe, HH4-XHHngh IQf ekb HH4-
XHHngh IQo
! Dlspitef ?= 5 hflkg - HH5-XHHngh IQe
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Q*/S? /4''#)0 @OHB 3'#1#)-.) 80'&0#C(#8 5(2#
8,'##)()C &)= =#,.5.)(R&-.) =.)U0 7.'2
IHDG ?052 (Eprif)= 87(2)
! B(N?
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Q*/S? /4''#)0 @OHB 3'#1#)-.) 80'&0#C(#8 5(2#
8,'##)()C &)= =#,.5.)(R&-.) =.)U0 7.'2
IHDG ?052 (Eprif)= 87(2)
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H,'##)()C &)= E#,.5.)(R&-.) E.#8)U0 c.'2 () Q*/S
IHDG ?052 (Eprif)= 87(2)
!
32 (?.0%) wgrg N_XE+ (nuftipfg PACG)
! 59 tltef bgvgflpgb ikaghtilk (?1%)
! 2?% (4) ikaghtgb ogalrg shrggkikc
!
42% (1?/32) ehquirgb N_XE ik KIHW
! Lkfy 51% bgtghtgb lk ebnissilk
! 8.7% la DHS (3/?02) N_XE+
!
Hlkhfusilk= Bghlflkizetilk klt gklucd
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H,'##)()C &)= E#,.5.)(R&-.) =.#8)U0 7.'2 () )4'8()C
".N#8 #(0"#'d
IHDG (?057): 81(2)=205-4
! /5480#'FO/! () H7(0R#'5&)=
! >6; Q4'8()C D.N#8 K^] ()0#'1#)-.)G ^> ,.)0'.5P
! /.)8#)0ddd
! B55 H,'##)#=? )&8&5G C'.()G 45,#'G 4'()# ,4504'#
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!"#I 7.'2#= "&'= &)= "&= & 9(C 94)=5#
IHDG (?057): 81(2)=205-4
!
Oukbfg=
! 7 beys la kesef nupirlhik
! 7 beys la HDC lref riksg twihg pgr bey
! 7 beys la HDC sdlwgrs ikhfubikc HDC sdenpll lk
bey 5 ekb 7.
! Gkvirlkngktef bisikaghtilk ikhfubgb beify hfltdikc
hdekcgs alr 7 beys, kgw fikgks lk bey 5 ekb bey 7,
ekb beify ogb/teofg/pdlkg/rgnltg/wdggfhdeir/wefjgr bisikaghtilk witd 30% efhldlf
! !!!!!!!!!!!!!!!!!!!
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g40 ).0 N&T#' ".7 0"#I 85(,#= 0"#(' =&0&G
8,'##)()C_=#,.5.)(R&-.) =(=)U0 7.'2
IHDG (?057): 81(2)=205-4
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g40 ).0 N&T#' ".7 0"#I 85(,#= 0"#(' =&0&G
8,'##)()C_=#,.5.)(R&-.) =(=)U0 7.'2
IHDG (?057): 81(2)=205-4
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@EOi g4)=5# () Q4'8()C D.N#8? B /5480#'F
'&)=.N(R#= !'(&5
MENE Iktgrk Ngb. bli=50.5005/meneiktgrkngb.?057.58?
! /5480#'FO/!G >: )4'8()C ".N#8 K\ ()0#'1#)-.)G \ ,.)0'.5P
!
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g'.&= .40,.N#8 #1&54&0#= 940 9'.&= 9#)#m08
).0 8##) 7(0" 94)=5#
! %'#C8'7 >49)>C&D I>*&'8"" ,M-J H'&*8"&()& 2&(;#97 '89&0
2&@(&2 8; &8)+ H8'6)#H8(9F; 9>98" (4CN&' >: ,M-JKH>;#6*&
8(89>C#) ;#9&; 8)'>;; 8"" ,M-J; H&' *#;#9 8*&'81&2 >*&' 9+&
24'86>( >: +#; >' +&' H8'6)#H86>(LI
! P+#; B>4"2 '&;4"9 #( '&;#2&(9; IB#9+ H&';#;9&(9 ,M-J )>">(#U86>(
_+8*#(1X 8 +#1+&' H'&*8"&()& 9+8( ;>C&>(& B#9+ #(9&'C#R&(9 >' (>
)>">(#U86>(I 8(2 '&;#2&(9; )>">(#U&2 89 C>'& ;#9&; _4H 9> ;&*&(
B&'& 9&;9&2X +8*#(1 8 +#1+&' H'&*8"&()&
!
.&)>(28'7 >49)>C&; #()"42&2 (&B ,M-J 8)W4#;#6>( 8(22&*#)&K8;;>)#89&2 ?/= N>9+ B#9+ QSSS 2&*#)&K287
2&(>C#(89>';L
MENE Iktgrk Ngb. bli=50.5005/meneiktgrkngb.?057.58?
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g'.&= .40,.N#8 #1&54&0#= 940 9'.&= 9#)#m08
).0 8##) 7(0" 94)=5#
! %'#C8'7 >49)>C&
! TY] >: ;B8N; B&'& H>;#6*& _#(9&'*&(6>(
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@HHB ).0 3'.0#,-1# .+ @OHB &,j4(8(-.) () &,40#F
,&'# ".83(0&5 K &0 3&-#)0 5#1#5P
IHDG (Ney ?052) 87(7)= 7?3-88
! f`f 8,'##)#= .) &=N(88(.) &)= =(8,"&'C# K@OHBM@HHBP
! :>[ @HHB .) &=N(88(.)
! e6 3&-#)08 Kf[P &,j4('#= @OHBG f:f ,.)0'.58
! Z'#=(,0.'8? &C#G 5#)C0" .+ 80&IG (),'#&8#= )4'8()C 7.'25.&=G
N&,'.5(=# #W3.84'#
! @HHB? &iO >L>e n`^[/* 6L\6F:L]6k
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@HHB &33#&'8 3'.0#,-1# +'.N @OHB &0 0"# +&,(5(0I
K(L#L )4'8()C ".N#P 5#1#5
IHDG (Lhtlogr ?052) 87(50)=5?73-1?
! :\ )4'8()C ".N#8 K:66fF:6>>P
! e #W,54=#= +'.N &=N(88(.) 87&98
! >G\\> &=N(88(.) 87&98G :G>;^ 3.()0 3'#1&5#),# 87&98
! /.''#5&-.) @OHB &)= @HHB
! B=N(88(.) 3'#1&5#),#? ' l F 6L;6G 3l6L6`
! Z.()0 3'#1&5#),#
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@HHB ()1#'8#5I ,.''#5&0#= 7(0" @OHB K3.()0
3'#1&5&),#P &0 0"# +&,(5(0I 5#1#5
IHDG (Lhtlogr ?052) 87(50)=5?73-1?
r > -0.13, p>0.000?)
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Z'#1#)-)C @OHB &)= @HHB () &) S'9&) Y&(5 48()C /Da
IHDG (Bghgnogr ?052) 87(5?)=5211-38
! E&55&8G !#W&8 Y&(5
! ;>`\ =#0&()##8G \f =#0#)-.) =(1(8(.)8 K0&)28P
! /5480#'F'&)=.N(R#= 0&)28 ()0. 0"'## C'.438
>L /DaF8.&2#= 7&8" ,5.0"#8 &335I 0. #)-'# 9.=I @.)=&I_c#=)#8=&I_J'(=&I
:L c&0#'F8.&2#= 7&8" ,5.0"#8p 8&N# 8,"#=45#
]L Q.0"()C
! /4504'#= D&)=8_Q&'#8 o 9&8#5()#G : N.)0"8G \ N.)0"8
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@OHBG @HHB '&0#8 &0 9&8#5()# &)= \ N.)0"8
!
\ @.)0"8
! @OHB K3l6L\^^P
! >6[ F ). ,5.0"
! >6L;[ 7&0#' ,5.0"
! fLe[ /Da ,5.0"
!
@HHB K3l6L6`>P
! ^>L>[ F ). ,5.0"! ;:Lf[ 7&0#' ,5.0"
! ;6Le[ /Da ,5.0"
IHDG (Bghgnogr ?052) 87(5?)=5211-38
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V(1#80.,2 @OHB &N.)C 1#0#'()&'(&)8 &)= ".48#".5=
N#N9#'8 o #1(=#),# .+ 0'&)8N(88(.)
Eppf Gkvirlk Nihrloilf. ?057 Mek:45(5)=5?2-9
! Z#'"&38 ;6[ .+ @OHB 80'&()8 () 0"# Q#0"#'5&)=8 &'# VBF@OHB
! V(N(0#= =(8,'(N()&-.) .+ (,$ 0I3()C @VAB +.' VBF@OHB K@/]`f_//]`fP
! c".5# C#).N# N&33()C "&8 (N3'.1#= =(X#'#)-&-.)
! : I#&' &)&5I8(8 .+ >]^ 1#0#'()&'(&)8 &)= ".48#".5= N#N9#'8
! /4504'#= &0 9&8#5()#G :N.G \N.G >6N. >; N.
! >\ 1#0#'()&'(&)8 K7(0" >\> ,4504'#8 (),54=#=P
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c".5# C#).N# N&33()C &)= VBF@OHB 0'&)8N(88(.)
&N.)C ".48#".5= N#N9#'8
! c".5# C#).N# N&38
! `f[ ()=(8-)C4(8"&95#
! >] ,5480#'8G f 8()C5#0.)8
! >6 ,5480#'8 +'.N 8()C5# 1#08
! ] ,5480#'8 7(0" 07.G 07. &)= ^ 1#08
! V(T5# 1&'(&9(5(0I &N.)C 8()C5# 1#08
! /&''(#=G '#&,j4('#= 8&N# 80'&()
! /&''(&C# =4'&-.) ;F>; N.)0"8
! >; .+ >\ ".48#".5=8 8&7
0'&)8N(88(.) .+ & 8()C5# 80'&()
! /&''(&C# =4'&-.) ;Ff N.)0"8
Eppf Gkvirlk Nihrloilf. ?057 Mek:45(5)=5?2-9
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Z(C =#)8(0I )#&' ".83(0&5 3'#=(,08 VBF@OHB '(82
()=#3#)=#)0 .+ =('#,0 5(1#80.,2 #W3.84'#
PFlX Lkg. ?052 Muk ?3:9(1)=g500?92
! Z'(.'G 6L:[ 7(0".40 5(1#80.,2 #W3 o //]`fM
! >e Q#0"#'5&)=8 D.83(0&58 K:66`F:6>6P
! >6:6 )#75I @OHBM &)= \;` K\;[P @/]`f
! :e> K:e[P &'# 4)2).7) .'(C() 9I "(80.'I_0I3()C
! Z'.3.'-.) .+ 4)2).7) .'(C() &'# @/]`f
! ::[ K3(C8P 18 ^[ K). 3(C8PG OO ;L:^G 3q6L6>
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Q_XE
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AO
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AO< &8 3'.3.'-.) .+ &55 #)0#'.,.,,&5 ()+#,-.)8
(8 (),'#&8()C5I ,&48()C DB*
M. Ektinihrlo. Hdgnltdgr. (?052) 19 (1)= 5110-5112
XXI 7?1%, P60.05
OXI ?17%, P60.05
WRI ?34%, P>0.03
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*),'#&8# 8##) () 9#50 .+ +.4' +#=#'&5 80&0#8
M. Ektinihrlo. Hdgnltdgr. (?052) 19 (1)= 5110-5112
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!.0&5 AO< ,&8#8 '(8()C 0. ]L> 3#' >666 3&-#)08
() */S 8#s)C8
M. Ektinihrlo. Hdgnltdgr. (?052) 19 (1)= 5110-5112
?4?% ikhrgesg
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SHB>>66G 06>` &)= //]6 o ,.NN4)(0I 80'&()
940 ,5#&'5I "#&50",&'# &88.,(&0#=
M Hfik Nihrloilf. ?052 Ner:7?(8)=994-500?
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/.NN4)(0IF80'&() .+ AOHB () Hu. Z&45.G g'&8(5
K Gkcf M Ngb. ?052 Epr 53:830(51)=57?2-85
! ]^ I. 7(0" NI,.8(8 +4)C.(=#8G =(&9#0#8G ,.,&()# 48# o
,#5545(-8G 82() ()+#,-.) o @OHB 9&,0#'#N(&
! OW 1&),.NI,() : 7##28G 0#(,.35&)() : 7##28G !!< )#C&-1#
! > 8&I 3.80 &9WG @OHB '#.,,4''#= K1&),. N(, v]:4C_N5G 0#(,.l]:P
! AOHB 7&8 H!fG H//*'+*A&G 83& 0I3# 0:`: w SHB]66
! /.)x4C&-1# 35&8N(= ,&''I()C -$.B 7&8 =(8,.1#'#=
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Xurcihef Xitg Ikaghtilks
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O&0#8 .+ HH* () ,.5.'#,0&5 84'C#'I &'# '#3.'0#= +.' Y&3&)
Ikaght Hlktrlf Dlsp Gpibgnilf, Qlf. 87, Kl. 1 (Mukg ?052), pp. 110-111
! QDHQ? HH* ^L\[ () ,.5.)p eL;[ () '#,0&5 84'C#'I K:66fP
! Y&3&) Q.8.,.N(&5 *)+#,-.)8 H4'1#(55&),# KYBQ*HP
!
;;Ge^> ,.5.)! >fG>fe '#,0&5
P60.07*KX
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*)=#3#)=#)0 '(82 +&,0.'8 8(N(5&' () ,.5.) &)=
'#,0&5 84'C#'(#8
Ikaght Hlktrlf Dlsp Gpibgnilf, Qlf. 87, Kl. 1 (Mukg ?052), pp. 110-111
*klt e risj ik rghtef surcgry
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HH* '&0#8 3.80 ,F8#,-.) () & `66F9#= '#+#''&5 ".83(0&5
() ).'0"#') !&)R&)(&
Ektinihrlo _gsist Ikaght Hlktrlf. ?052 Euc 55:8=?7
! /#8&'#&) 8#,-.) '&0#8 &1#'&C# >^[ C5.9&55I K>L\ 0. ;6[P
! /H '&0#8 :>F]:[ () !&)R&)(&
! HH* '&0#8 () /H '&)C# +'.N 6L] 0. :;[
! ];^ 3&-#)08 #)'.55#= .1#' ^ N.)0"8 K:6>>F:6>:P! HH* '&0# >>Lf[ +.55.7()C #N#'C#)0p R#'. &y#' #5#,-1#
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*)=#3#)=#)0 '(828 .+ HH* +.55.7()C ,F8#,-.)
Ektinihrlo _gsist Ikaght Hlktrlf. ?052 Euc 55:8=?7
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E. 7# )##= &)-9(.-,8 &y#' ,".5#,I80#,0.NI () N(5=
0. N.=#'&0# &,40# ,&5,45.48 ,".5#,I8--8z
MENE. ?052:85?(?)=527-572.
! BN.RF/5&1 !*E 3'#F.3G .),# ()0'&F.3#'&-1#5I
! i3#)F5&9#5 '&)=.N(R&-.)? ^ =&I8 3.80F.3 &)-9(.-,8 18 ).)#
! ; 7##2 3.80F.3 +.55.7F43 +.' HH*
! ;>; 3&-#)08
! HH*? >^[ K&)-9(.-,8P 18 >e[ K). &)-9(.-,8P
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V&,28 35&,#9. &)= "&8 & '#5&-1#5I 5&'C# ).)F
()+#'(.'(0I .40,.N# 0"'#8".5= K>>[P
MENE. ?052:85?(?)=527-572.
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Z..' ,.N35(&),# &)= '#8(80&),# 7(0" N43('.,()G ,.45=
3.1(=.)#F(.=()# 9# &8 #X#,-1#z
IHDG, Qlf. 87, Kl. 3 (Mufy ?052), pp. 4?1-48?
! Z.1(=.)#F(.=()# :W 3'#F.3 18 ^ =&I8 N43('.,() g*E
!
B335(#= 07(,# 0. #&," ).80'(5
! B55 "&= /Da 7(3# 9&0"8 0"# )(C"0 9#+.'# &)= N.')()C .+ 84'C#'I
! Z'(N&'I .' '#1(8(.) &'0"'.35&80I .' 83()&5 +48(.)
! @.=(m#= ()0#)-.)F0.F0'#&0
! @43('.,() F =##3 HH* >; .+ f^^ K>L\[P
! Z.1(=.)#F(.=()# o =##3 HH* \ .+ f;: K6Le[PG 3l6L>
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D.7 N4," "&)= "IC(#)# (8 C.()C .)G &)= 7"#'#z
IHDG 87=3 (Mufy ?052), pp. 4?1-48?
! :^e "'8G >\6^ .33.'04)(-#8
! ee[ OQG f[ @E8
! @#&) ;L: .3_".4'
! >6L;_"' Q*/S
! >]L:_"' @H*/S
! *8.5&0#= 3&-#)08G {
()0#'&,-.)8 KOOl6L^^P
2?%
50%
9%89%
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V.08 .+ "&)= "IC(#)# .33.'04)(-#8 C.()C .)
En M Ikaght Hlktrlf. ?052 Muk:2?(1)=10?-3
! >: 9#=8 () C#) N#= 7&'=
! A(=#. o ^ N.N#)08
! e: .3_3&-#)0_=&I
! K] .3_=&IP
!
e^[ OQG ^[ @E
! *+ :66G666 3&-#)0 =&I8
! >^ N(55(.)_I#&'ddd
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H.,(&5 )#07.'2 .' h3##'b #X#,08 () "&)= "IC(#)#
IHDG Qlf. 87, Kl. 50 (Lhtlogr ?052), pp. 5?33-5?47
!
/480.N "&)= "IC(#)# /0&'5'(( N.)(0.'()C 8I80#N
! E#0#,0 (+ D/c 3'&,-,#= #)0'I_#W(0 "&)= "IC(#)#
!
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c>@ l ,.F7.'2#'8 #),.4)0#'#= () > N()40#
HOHH* l 84N .+ '#,#(1#= 8(C)&5 80'#)C0"
=A?! 5>"L Ze0 L QS _J)9>N&' TSQ\X0 HHL QTYYKQToe
S5N* > ?
X_XXI > 8 ukits
S5N* > ?
X_XXI > ? ukits
S5N* > 5
X_XXI>? ukits
hA#')"& >( 1'>4(2 '&H'&;&(9; Q C#(49&
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Q.0 N4," "&)= "IC(#)# 940 3##' #X#,08
N&T#'
! >:G`>` DD #1#)08 _ ;e\`; .33.'04)(-#8 l ,.N35(&),# :e[
! c>@ N#&) :L`: K]L] =&IG :L^ )(C"0P
! /.N35(&),# :6Lf[ Kc>@l6PG :eL`[ Kc>@v6PG 3q6L6>
! HOHH* N#&) ]:`L`: K]e: =&IG :f^ )(C"0P
=A?! 5>"L Ze0 L QS _J)9>N&' TSQ\X0 HHL QTYYKQToe
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*N3'.1()C "&)= "IC(#)# .407#(C"8 (N3'.1()C
0#'N()&5 ,5#&)()C () @EOi 3'#1#)-.)
IHDG ?052 Xgp:87(9)=5571-1?
!
BC#)0F9&8#= N.=#5? "&)= "IC(#)# 18 0#'N()&5 ,5#&)()C
! !'&)8N(88(.) .+ @OHBG AO6[ D&)= DIC(#)#
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7/21/2019 Best of Infection Control: 2015 ECCMID
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D&1# 7# 9##) .1#'1&54()C 9#=F=&I8 () ".83(0&58z
IHDG Qlf. 87, Kl. 50 (Lhtlogr ?052), pp. 5?92-5?93
! D.7 N4," & 9#=F=&I (8 7.'0" 0. & ".83(0&5 ,&) 9# & ,'(-,&5
3&'&N#0#' +.' =#0#'N()()C 0"# ,.808 .+ (),(=#)0 DB*
! B,,.4)-)C N#0".= Fv D.83(0&5 94=C#0 =(1(=#= 9I 3'.1(=#= 9#=F=&I8
! c(55()C)#88 0. 3&I Fv ,.)-)C#)0 1&54&-.)G ".7 N4," 0"#IU= 3&I 0. 5(9#'&0# & =&I
! !7. H4'1#I8 o N&W(N4N 3&I &)= 8,#)&'(. 9&8#= K>>
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c"(," N#0".= I.4 ,".8# 3'.+.4)=5I &50#'8
".7 I.4 1&54# ".83(0&5 9#=F=&I8
IHDG Qlf. 87, Kl. 50 (Lhtlogr ?052), pp. 5?92-5?93
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H".45= 8.,(#0I ()1#80 () 3'.C'&N8 0&'C#-)C /VBgH*
&)= ABZ 3'#1#)-.)
EMIH ?057 Mek:28(5)=2-9
! @.=#5 &T'(940&95# 5.)CF0#'N K5(+#-N#P .40,.N#8 +.' 8.,(#0I .+
3'#1#)-)C DB* () */S 8#s)C8
!
H(W =(8,'#0# 80&0#8 3.80F*/S =(8,"&'C# 48()C @#=(,&'# 3&'&N#0#' =&0&! i40,.N#8? /.80 3#' 5(+#FI#&' &)= /.80_}BV%
! *)0#'1#)-.) &)= .40,.N#8 '#3.'0#= &0 */S 5#1#5
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7/21/2019 Best of Infection Control: 2015 ECCMID
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V.)C &)= 8".'0F0#'N N.=#58 .+ DB* 3'#1#)-.)
()0#'1#)-.)8 &)&5IR#= &0 0"# */S 5#1#5
EMIH ?057 Mek:28(5)=2-9
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*)+#,-.) Z'#1#)-.) (8 /.80F
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7/21/2019 Best of Infection Control: 2015 ECCMID
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Rdekj ylu
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7/21/2019 Best of Infection Control: 2015 ECCMID
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J(80 94N38 &)= 7#&2 "&)=8"&2#8 .)5I~
N f t f EMIH 2? (4) 951 3 E t ?052