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Prevalence, Species Distribution and Antifungal Susceptibility Profile of <i>Candida</i>Species Isolated from Bloodstream of critical care unit Patients in a Tertiary care Hospital in Kenya

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Open Journal of Medical Microbiology 2021年第1期11卷 32-46页

作者： Danait Andemichael Solomon Andrew K. Nyerere Alice Kanyua Caroline Wangari Ngugi Department of Medical Microbiology Jomo Kenyatta University of Agriculture and Technology 62000-00200 Nairobi Kenya Nairobi Hospital 30026-00100 Nairobi Kenya

The upsurge of candidemia in the past years has been an immense encumbrance on public health and the number of deaths caused by candidemia particularly in critical care unit patients is devastating. Candida species harbor a 30% - 60% mortality rate and compared to stable people or those with less serious illnesses, this ranges from 60% to 80% of those who are chronically ill patients. Grounded on a recent report from a tertiary care hospital in Kenya showing the emergence of previously unobserved species: Candida auris, this study aimed to determine the prevalence, species distribution, and antifungal susceptibility profile of candidemia in critical care unit patients of the hospital. 378 Critical Care Unit patients were enrolled for the study from January 2019 to January 2020. Positive archived isolates were sub-cultured using Saboraud Dextrose Agar. Candida species were identified utilizing API20C AUX and Vitek-2. Antifungal susceptibility testing was conducted using the Liofilchem MIC Test strip. Out of 378 patients, thirty-one presented a positive culture for Candida species. The prevalence

关键词： critical care unit Candida Species Candida auris Candidemia Antifungal Susceptibility

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Relationship between clinical performance and professional self-concept in critical care nurses

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Frontiers of Nursing 2021年第4期8卷 437-443页

作者： Narges Eskandari Mohammad Abbasi Mohammad Abbasinia Reza Norouzadeh Spiritual Health Research Centre Qom University of Medical Sciences and Health ServicesQomQom 37185Iran Nursing and Midwifery Faculty Shahed UniversityTehranTehran ***Iran

Objective:To determine the relationship between clinical performance and professional self-concept in critical care ***:This study was conducted on 308 critical care *** gathering instruments were nurses’clinical performance questionnaire(NCPQ)and nursing professional self-concept measure(NPSCM).Independent sample t-test,one-way analysis of variance(ANOVA),and Pearson correlation coefficient were used for data ***:The average age of the nurses was 33.74±7.01 *** clinical performance score of female nurses was significantly higher than male *** the domain of clinical performance,clinical judgment and clinical inquiry had the highest and lowest scores,*** the nurses’professional self-concept,the highest and lowest scores were awarded to the subscales of self-confidence and staff relations,*** addition,there was a significant positive correlation between self-concept and clinical performance of ***:Increasing professional self-concept improves the clinical performance of critical care *** self-concept enhancement measures are recommended to improve the clinical performance of nurses in critical care units.

关键词： clinical performance critical care unit nurses self-concept

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