Significant improvements in disinfection cleaning can be achieved in most hospitals, without a substantial added fiscal commitment, by the use of a structured approach that incorporates a simple, highly objective surface targeting method, repeated performance feedback to environmental services personnel, and administrative interventions. However, administrative leadership and institutional flexibility are necessary to achieve success, and sustainability requires an ongoing programmatic commitment from each institution.
Coccidioidomycosis, an infection caused by dimorphic fungi Coccidioides immitis and C. posadasii, is endemic to the southwestern US. It is estimated that there are 150,000 new infections in the US every year. 1 Patients with primary infection are asymptomatic 60% of the time, and 40% have Funding: None.
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