3-1 You were recently appointed as the Director of Institutional
Image transcription text Description Module 1. Case Study 1- Case A. Focuses on outbreak. This case study reviews and assess your knowledge of the basic concepts of infectio… Show more Questions from the book include: 1. Recalling the discussion in chapter 3, would you call the increased incidence of C. diff in Quebec’s hospitals an epidemic or an outbreak? 2. C. diff is a bacterial pathogen. What are the broad categories of diseases that one must consider when investigating a gastrointestinal disease outbreak? 3. What characteristics can be used to describe infectious agents? 4. What measures of morbidity would you use to estimate infectivity, pathogenicity, and virulence? 7. How would you calculate the incidence rate in terms of cases per 1,000 discharges for each fiscal year? 8. What was the endemic incidence of C. diff in Quebec during the three-year period 1998-2001? 9. Would the rate of C. diff in 2003-2004 qualify as an epidemic? How would we confirm this suspicion? 19. Based on the reported numbers here and recalling the discussion in chapter 3 of the epidemic curve, how would you calculate an epidemic curve in the Maine community hospital outbreak? 21. When does the outbreak appear to peak, and what is the magnitude of the outbreak at that point? 22. How would you calculate the attack rate during the preoutbreak and outbreak periods for each place of acquisition? 26. Which comorbidity has the highest increased odds of CDI? 32. How would you calculate incidence rates per 1,000 admissions and per 10,000 patient days for each of the three periods? 33. Using the rate per 1,000 admissions, what is the relative risk of CDI during the epidemic period compared with the intervention period? 35. Which relative risk is more accurate? Why? 36. What other intervention might be expected to reduce the rate of CDI? PLEASE USE IN-TEXT CITATIONS FROM THE BOOK (Health Care Finance: Basic Tools For Nonfinancial Managers, Sixth Edition Judith J. Baker, R.W. Baker, and Neil R. Dworkin)
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