Changing dynamics of colonization in nursing facility patients over time: Reduction in methicillin-resistant Staphylococcus aureus (MRSA) offset by increase in vancomycin-resistant Enterococcus (VRE) prevalence

养老院患者细菌定植动态随时间变化:耐甲氧西林金黄色葡萄球菌(MRSA)减少,但耐万古霉素肠球菌(VRE)流行率上升。

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Abstract

With knowledge, skills, and attitudes to treatment goal establishment and treatment decisions, palliative care can contribute to appropriate use of scare resources during the severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) pandemic. Palliative medicine also delivers recommendations on management of symptoms of breathlessness, anxiety, and restlessness, and provides concepts for communication with patients and their relatives/caregivers in spite of pandemic-related restrictions. In the national Palliative Care in Times of Pandemics (PallPan, https://pallpan.de/) project, 16 university palliative care centers have contributed to development of 32 recommendations, with best-practice examples for patients, relatives/caregivers, health care professionals, and decision-makers in the health care system. PallPan also includes recommendations for bereavement care in times of pandemic.

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