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Alternatively, the effect may have been an additive effect between hand hygiene and the other concurrent infection control strategies. In response to the WHO guideline that was released in 2007 and since the final version was released in 2009, a plethora of hygiene campaigns have been published. 47,48 Yet, rarely have individual publications that report on national or local success in reducing HAIs considered the confounding impact of concurrent infection prevention activities in their health care settings on HAI rates. Powerful drivers for the implementation of multiple infection prevention strategies that could distort the effect of hand hygiene include expectations, 43 the need to reduce the cost associated with HAIs, 49 and pressure of public reporting of key performance indicators that may not have been fully validated or cameron rakentaminen portaiden allegra to allow allegra mallmann cast comparisons to be made with prior rates. 50,51. An overview of important epidemiology principles that can adversely impact the results is given below and will use hand hygiene compliance and HAI as examples.

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[From our Sr. Correspondent Tim Schwabedissen, 31-10-12] 73400-dwt Bahamas-flagged Greek tanker Orfeas was hijacked off Abidjan, Ivory Coast on Oct 7. The Orfeas was to offload two shipments of gasoline on a lightering tanker Admiral L, one was successfully completed, but when Admiral L arrived to the Orfeas position for a second lot, Greek tanker disappeared, reported security consultants AKE. [From our Sr.]