PUBLISHED FOR SOCIETY THE BY INFECTION CONTROL AND .

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VOLUME 22, NUMBER 1JANUARY 2001An Official J o u r n a l of T h e Society for H e a l t h c a r e Epidemiology of A m e r i c aPUBLISHEDFOR THE SOCIETY BY SLACKINCORPORATEDINFECTION CONTROL ANDHOSPITAL EPIDEMIOLOGY 3 EDITORIALOccupationally Acquired Infections: A Timely ReminderCHARLES W. STRATTON, MDORIGINAL ARTICLESNosocomial Transmission of MycobacteriumFrom an Extrapulmonary SitetuberculosisERIKA M.C. D'AGATA, MD, MPH; SHARON WISE, RN; AMELIA STEWART, RN; LEWIS B. LEFKOWITZ, JR, MD10An Outbreak of Scabies in a Teaching Hospital: Lessons LearnedOLUGBENGA O. OBASANJO, MBBS, P H D ; PEGGY WU, MD, MPH; MARTHA CONLON, RN, MAS;LYNNE V. KARANFIL, RN, MA; PATTY PRYOR; GERALDINE MOLER, RN; GRANT ANHALT, MD;RICHARD E. CHAISSON, MD; TRISH M. PERL, MD, MSc13An Evaluation of Hospital Special-Ventilation-Room Pressures19NANCY RICE, MPH; ANDREW STREIFEL, MPH; DONALD VESLEY, P H DEpidemiology of Surgical-Site Infections Diagnosed AfterHospital Discharge: A Prospective Cohort StudyMIGUEL DELGADO-RODRIGUEZ, MD, P H D ; ANTONIO GOMEZ-ORTEGA, MD, P H D ;MARIA SILLERO-ARENAS, MD, P H D ; JAVIER LLORCA, MD, P H D24Converting Incidence and Prevalence Data of Nosocomial Infections:Results From Eight HospitalsPETRA GASTMEIER, MD; HELGA BRAUER; DORLT SOHR, P H D ; CHRISTINE GEFFERS, MD;DIETMAR H. FORSTER, MD; FRANZ DASCHNER, MD; HENNING RUDEN, MDAn Outbreak of Imipenem-Resistant Acinetobacterin Critically 111 Surgical Patients31baumanniiLISIANE FIEROBE, MD; JEAN-CHRISTOPHE LUCET, MD; DOMINIQUE DECRE, MD, P H D ;CLAUDETTE MULLER-SERIEYS, MD, P H D ; ARNAUD DELEUZE, MD; MARIE-LAURE JOLY-GUILLOU, MD, P H D ;JEAN MANTZ, MD, P H D ; JEAN-MARIE DESMONTS, MD35CONCISE C O M M U N I C A T I O N SIncrease in Hand-Alcohol Consumption Among Medical Staffin a General Hospital as a Result of Introducing aTraining Program and a Visualization TestCHRISTIAN CONRAD, RN, ICP41Clostridium difficile-Associated Diarrhea in a VA Medical Center:Clustering of Cases, Association With Antibiotic Usage, andImpact on HIV-infected PatientsLONA R. MODY, MD; SHARON M. SMITH, P H D ; LISA L. DEVER, MD42Continued inside.Downloaded from https://www.cambridge.org/core. 13 Jun 2021 at 11:11:22, subject to the Cambridge Core terms of use.

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Vol. 22 No. 1January 2001INFECTION CONTROL AND/'HOSPITAL EPIDEMIOLOGY- C O N X E N X SContinued from coverInvasive Aspergillosis Outbreak o n a Hematology-Oncology WardDALE R. BURWEN, MD, MPH; BRENT A. LASKER, P H D ; NALINI RAO, MD;ELLAS DURRY, MD, MPH; ARVIND A. PADHYE, P H D ; WILLIAM R. JARVIS, MDA Nosocomial Outbreak of Multiresistant AcinetobacterOriginating From an Intensive Care Unit45baumanniiMoi LIN LING, MBBS, FRCPA; ANGELA ANG, RN; MOLLY W E E , RN, BHS;GRACE CHEE YANG WANG, M S C48Tap Water Colonization With Pseudomonasaeruginosain a Surgical Intensive Care Unit (ICU) a n d Relationto PseudomonasInfections of ICU PatientsMATTHIAS TRAUTMANN, MD; THOMAS MICHALSKY; HEIDEMARIE WIEDECK, MD;VLADAN RADOSAVLJEVIC, MD; MARKUS RUHNKE, MD49FROM THE 4TH DECENNIAL INTERNATIONAL CONFERENCEManagement of Occupational Exposures to Hepatitis C Virus:Current Practice a n d ControversiesFRANCISCO ALVARADO-RAMY, MD; MIRIAM J. ALTER, P H D ;WILLIAM BOWER, MD; DAVID K. HENDERSON, MD; ANNETTE H. SOHN, MD;RONDA L. SINKOWTTZ-COCHRAN, MPH; WILLIAM R. JARVIS, MD53INFORMATION FOR AUTHORSCOPYRIGHT FORMSMEDICAL NEWS56GINA PUGLIESE, RN, MS; MARTIN S. FAVERO, P H DSHEA NEWS60ANDREAS VOSS. MD, P H DTo view abstracts of these articles,visit us on the Internet at http://www.slackinc.com/general/icheTHE PUBUCATION OF ADVERTISING IN THE JOURNAL DOES NOT CONSTITUTE ANY GUARANTEE OR ENDORSEMENT BY T H E SOCIETY FOR HEALTHCARE EPIDEMIOLOGY OF AMERICA OR SLACK INCORPORATED OF THE ADVERTISED PRODUCT OR SERVICE OR OF CLAIMS MADE BY THE ADVERTISER.T H E PUBUCATION OF ARTICLES AND OTHER EDITORIALMATERIAL IN THE JOURNAL DOES NOT NECESSARILY REPRESENT THE P O U C Y RECOMMENDATIONS OR ENDORSEMENT BY THE SOCIETY.PUBLISHER: Infection Control and Hospital Epidemiology (TSSN-089M23X, Canadian GST#129780466) is published exclusively by SLACK Incorporated 12 times a year. Address: 6900 Grove Rd.,Thorofare, NJ 08086. Telephone: (856) 848-1000.SHEA: 19 Mantua Rd., Mt. Royal, NJ 08061; telephone, 856-423-0087; fax. 856423-3420; e-mail address, sheahq@talley.com.COPYRIGHT 2 0 0 1 The Society for Healthcare Epidemiology of America, Inc. and SLACK Incorporated. All rights reserved. No part of this publication may be reproduced without written permission from the publisher. Printed in the USASUBSCRIPTIONS: Requests should be addressed to the publisher (except Japan). In Japan, contact Woodbell Incorporated, 4-22-11, Kitakasai, Edogawaku, Tokyo 134, Japan. Subscription rates in theUnited States and possessions: Individual: One year- 109.00; Two years- 169.00; Three years- 229.00; Institutional: One year- 139.00; Two years-S209.00; Three years- 269.00. Fellows: §54.50 per yearwith proof of training status. Canada: add 7% Goods & Services tax; Overseas: add 49.00 each year for delivery by air service. Single copies of current issues may be obtained for 19.00.INSTRUCTIONS TO AUTHORS: Authors may submit manuscripts prepared in accordance with the 1997 revision of the "Uniform Requirements for Manuscripts Submitted to Biomedical Journals."The Uniform Requirements has been published in several journals, including Infect Control Hasp Epidemiol 1997; 18:457464 and Ann Intern Med 1997;126:3647. A digital version is available on our web .htm). Submit to ICHE Editorial Offices, Vanderbilt University School of Medicine, A-1131 Medical Center North, Nashville, TN 37232-2637, USA All submissions must be accompanied by copyright form (s) signed by all authors (see January issue or our web site).REPRINTS: All requests to reprint or use material published herein should be addressed to Karen Lambertson, SLACK Incorporated, 6900 Grove Rd., Thorofare, NJ 08086. For reprint orders andprices, contact Karen Lambertson at (856) 848-1000. Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients, is granted by SLACK Incorporated,provided that the base fee of 1.00 per copy, plus .15 per page is paid directly to Copyright Clearance Center, 27 Congress St., Salem, MA 01970. This consent does not extend to other kinds of copying, such asforgeneral distribution, resale, advertising and promotional purposes, or for creating new collective works.CHANGE OF ADDRESS: Notice should be sent to the publisher 6 weeks in advance of effective date. Include old and new addresses with zip codes. The publisher cannot accept responsibility forundelivered copies. Periodicals postage paid at Thorofare, New Jersey 08086-9447 and at additional mailing offices. POSTMASTER: Send address changes to SLACK Incorporated, 6900 Grove Rd., Thorofcre.NJ 08086.INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY is listed in Index Medicus, Current Contents-Clinical Practice, Hospital Literature Index, Cumulative Index to Nursing & AlliedHealth literature, Nursing Abstracts, Laboratory Performance Information Exchange System, and RNdex Top 100.Downloaded from https://www.cambridge.org/core. 13 Jun 2021 at 11:11:22, subject to the Cambridge Core terms of use.

2 2 No. 1EDITORIAL OFFICESVanderbilt University School of MedicineA-1131 Medical Center NorthNashville, TN 37232-2637(615) 343-1095; (615) 343-1882 (FAX)Email: iche@mcmail.vanderbilt.eduEDITORMichael D. Decker, MD, MPHMANAGING EDITORSusan CantrellSTATISTICAL EDITORBeverly G. Mellen, PhDSENIOR ASSOCIATE EDITORSC. Glen Mayhall, MDGina Pugliese, RN, MSWilliam Schaffner, MDASSOCIATE EDITORSDonald A Goldmann, MDDidier Pittet MD, MSAndreas Widmer, MD, MSSECTION EDITORSBeyond Infection Control:The New Hospital EpidemiologyBryan R Simmons, MDStephen B. Kritchevsky, PhDMemphis, TennesseeWing Hong Seto, MDHong KongDisinfection and SterilizationWilliam A Rutala, PhD, MPHChapel Hill, North CarolinaEmerging Infectious DiseasesLarry J. Strausbaugh, MDPortland, OregonRobert W. Pinner, MDAtlanta, GeorgiaFrom the LaboratoryMarcus Zervos, MDRoyal Oak, MichiganFred C. Tenover, PhDAtlanta, GeorgiaInformation ManagementJohnASellick,DOBuffalo, New YorkThe International PerspectiveMary D. Netdeman, MD, MSRichmond, VirginiaIssues in SurgeryJamesT.Lee,MD,PhDSt Paul, MinnesotaMedical NewsGina Pugliese, RN, MSChicago, IllinoisMartin S. Favero, PhDIrvine, CaliforniaPractical Healthcare EpidemiologyLoreen A Her waldt, MDIowa City, IowaSHEA NewsAndreas Voss, MD, PhDNijmegen, The NetherlandsStatistics for Hospital EpidemiologyDavid Birnbaum, PhD, MPHSidney, British Columbia, CanadaTopics in Long-Term CarePhilip W. Smith, MDOmaha, NebraskaTopics in Occupational MedicineDavid Weber, MD, MPHChapel Hill, North CarolinaJanuary 2001INFECTION CONTROL ANDHOSPITAL EPIDEMIOLOGY*8EDITORIAL ADVISORY B O A R DJacques F. Acar, MDJ. Wesley Alexander, MDPaul Arnow, MDGraham AJ. Ayliffe, MDNeil L. Barg, MDManuel Bastanzuri, MDElizabeth Ann Bolyard, RN, MPH, CICJohn M. Boyce, MDProfessor Dr. Ilja BravenyChristian Brun-Buisson, MDCharles Bryan, MDDonald E. Craven, MDSue Crow, MSN, RN, CICFranz Daschner, MDLeigh G. Donowitz, MDCharles E. Edmiston, Jr., PhDTheodore C. Eickhoff, MDBruce Farber, MDVictoria J. Fraser, MDPeter C. Fuchs, MD, PhDRichard A Garibaldi, MDRobert Gaynes, MDVelvl Greene, PhD, MPHDavid W. Gregory, MDDavid K. Henderson, MDPeter N.R. Heseltine, MDKaren Hoffmann, RN, CIC, MSMarguerite McMillan Jackson, RN, PhDJanine Jagger, MPH, PhDWilliam R. Jarvis, MDDouglas S. Kernodle, MDRobert H. Latham, MDLewis B. Lefkowitz, MDHsieh-Shong Leu, MD, MScJack Levy, MDVictor Lorian, MDDennis G. Maki, MDWilliam J. Martone, MDAllison McGeer, MDJohn E. McGowan, Jr., MD/Jonathan L. Meakins, MD, DScRobert R. Muder, MDJoseph M. Mylotte, MD, CICLindsay Nicolle, MDJuhani Ojajarvi, MDMichael T. Osterholm, PhD, MPHJan Evans Patterson, MDSindy M. Paul, MDMichael A Pfaller, MDSamuel Ponce de Leon, MD, MScIsaam Raad, MDManfred L. Rotter, MD, DipBactTheodore Sacks, MDWilliam E. Scheckler, MDKent Sepkowitz, MDDenis Spelman, MDMichael L. Tapper, MDClyde Thornsberry, PhDProfessor Leonid E TitovTimothy R. Townsend, MDAntoni Trilla, MD, PhDProfessor Wang Shu-QunJ. John Weems, Jr., MDRobert A Weinstein, MDProfessor Dr. W. WeuffenSergio B. Wey, MDRebecca Wurtz, MDSLACK Incorporated6900 Grove RoadThorofare, New Jersey 08086(856) 848-1000Executive Vice PresidentEditorial AssistantRichard N. RoashChristine C. GoodVice President, Publishing OperationsCirculation ManagerJohn C. CarterLester J. Robeson, CCCPEditorial DirectorProduction DirectorJennifer KilpatrickChristine MalinProduction EditorProduction CoordinatorShirley R Strunk, ELSJoanne PattersonAssistant EditorVice President, U.S. AdvertisingDownloaded from https://www.cambridge.org/core. 13 Jun 2021 at 11:11:22, subject to the Cambridge Core terms of use.Eileen C. 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All The Facts For YourImmunization ProgramImmunizing Healthcare Workers:A Practical ApproachEdited by Gregory A. Poland, MD; William Schaffner, AAD; Glna Pugllese, RN, MS300 pp, Hard Cover, 2000, ISBN 1-55642-450-7, Order # 14507, 109.00) textbooks are an officialpublication of(Society for Healthcare of America (SHEA).Immunizing Healthcare Workers: A PracticalApproach is the first complete resource for dealingwith the immunization of healthcare workers. Youcan find all of the latest information on successfullyand safely implementing or updating your immunization program in this landmark book.This phenomenal book contains the latest recommendations from the US Public Health ServiciAdvisory Committees, Healthcare Infection ControPractices Advisory Committee (HICPAC), and th Advisory Committee on Immunization Practice!(ACIP).Inside you will find that for each of the vaccine-preventable diseases among workers, there is a discussion of disease risks in the healthcare setting,vaccine recommendations, special administrationstrategies, safety issues, discussion of unresolvedissues, and answers to commonly asked questions.There are also case studies of sample programs inspecific settings.Read how the experts overcame obstacles whil setting up immunization programs in their healthcarJsettings. With over 45 contributors to 32 chaptersImmunizing Healthcare Workers: A PracticaApproach is an essential source for the latesinformation necessary to implement an effectiv immunization program.S o m e Case Study Topics:ng Providers and Staff in Physicians' Officesdon of Healthcare Workers in Long-Term Care Facilities: Elderlyanon of Affiliating Students and Contract Homei Workerslion Strategies for Home Healthcare PersonnelImmunization of Workers with Altered Host DefensesVaccinating Unimmunized and Partially Immunized WorkersAssessing Immunity and Exposures: Using a ComputerizedSurveillance SystemManaging Information in an Immunization ProgramThe Internet: A Quick Guide to Vaccine & Immunization InformationAlso AvailableORDER FORM aecopies of Immunizing Healthcare Workers: A Practical Approach7) at 109.00 each.copies of A Practical Handbook for Hospital Epidemiologists0) at 65.00 each.I add 6% sales tax Handling 4.50Total .State:- Zip:.A Practical Handbook for Hospital EpidemiologistsEdited by: Loreen A. Herwaldt, MD and co-edited byMichael D. Decker, MD, MPH448 pp, Soft Cover, 1998, ISBN 1-55642-302-0,Order #13020, 65.00A Practical Handbook for Hospital Epidemiologists is ttmost complete source for practical advice on hospital epidemioogy. It is intended to be a pragmatic guide that will assist bolbeginning and experienced practitioners in establishing and opeating a successful hospital epidemiology program. This han(book will supplement the various scientific references alreacavailable for this field and will help hospital epidemiologisimprove their practices.Fax:Mail order form to:1 (Payable to SLACK Incorporated)Downloaded from https://www.cambridge.org/core. 13 Jun 2021 at 11:11:22, subject to the Cambridge Core terms of use.SignatureSLACK Incorporated, Professional Book Division,6900 Grove Road, Thorofare, Ml 08086-9447a i l : (800) 257-8290 or (856) 848-1000Fax: (856) 853-5991E-mail: orders0slackinc.comWorld Wide Web Site: http://www.slackinc.com

Tenet HealthSystem, through its subsidiaries, owns and operates 110 acute care hospitals and healthcare related services from coast to coast We now offer health/life/dental coverage and vacation accrual after 31 days of employ ment, 4()l(k) with company match and S3,500 tuition reimbursement per year. Infection Control Practitioner