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ISSUE: The ICN at Duke University Hospital is a 49 bed Level 3 tertiary care nursery, with 679 admits yearly. In March 2005, a baby was identified with MRSA by clinical culture. Concentric surveillance cultures found 1 additional baby. Unit-wide surveillance cultures revealed 6 more cases, with an incidence rate of 17.6%. Despite stringent control measures, a total of 15 babies had been detected by...
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