Journal of infusion nursing : the official publication of the Infusion Nurses Society
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Review Case Reports
Intraosseous route as alternative access for infusion therapy.
The safe and effective use of intraosseous (IO) access is evolving from its historical use only for emergent access for pediatric patients to use in adult trauma patients and, more recently, for adult inpatients. Current data and research support the use of IO route for infusion in patients of any age as a safe, rapid, and equally effective alternative to intravenous access. The article provides an overview of IO access indications, care, and management; describes therapies administered via IO access; and discusses the expanding use of IO access into areas within hospitals during nonemergent clinical situations.
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Carbapenem-resistant Enterobacteriaceae, particularly Klebsiella pneumoniae, are rapidly emerging as significant health care-associated pathogens. Because of the adverse impact that infection caused by these extensively drug-resistant organisms can have on patient outcomes, efforts to prevent further transmission of these pathogens within the health care setting are urgently needed. In this article, the epidemiology, detection, and prevention of carbapenem-resistant Enterobacteriaceae are described.