id sid tid token lemma pos cord-302619-3hbbpmnt 1 1 key key NN cord-302619-3hbbpmnt 1 2 : : : cord-302619-3hbbpmnt 2 1 cord-302619 cord-302619 NNP cord-302619-3hbbpmnt 2 2 - - HYPH cord-302619-3hbbpmnt 2 3 3hbbpmnt 3hbbpmnt CD cord-302619-3hbbpmnt 2 4 authors author NNS cord-302619-3hbbpmnt 2 5 : : : cord-302619-3hbbpmnt 2 6 Strausbaugh Strausbaugh NNP cord-302619-3hbbpmnt 2 7 , , , cord-302619-3hbbpmnt 2 8 L. L. NNP cord-302619-3hbbpmnt 2 9 J. J. NNP cord-302619-3hbbpmnt 2 10 title title NN cord-302619-3hbbpmnt 2 11 : : : cord-302619-3hbbpmnt 3 1 Emerging emerge VBG cord-302619-3hbbpmnt 3 2 health health NN cord-302619-3hbbpmnt 3 3 care care NN cord-302619-3hbbpmnt 3 4 - - HYPH cord-302619-3hbbpmnt 3 5 associated associate VBN cord-302619-3hbbpmnt 3 6 infections infection NNS cord-302619-3hbbpmnt 3 7 in in IN cord-302619-3hbbpmnt 3 8 the the DT cord-302619-3hbbpmnt 3 9 geriatric geriatric JJ cord-302619-3hbbpmnt 3 10 population population NN cord-302619-3hbbpmnt 3 11 . . . cord-302619-3hbbpmnt 4 1 date date NN cord-302619-3hbbpmnt 4 2 : : : cord-302619-3hbbpmnt 5 1 2001 2001 CD cord-302619-3hbbpmnt 5 2 journal journal NNP cord-302619-3hbbpmnt 5 3 : : : cord-302619-3hbbpmnt 6 1 Emerg Emerg NNP cord-302619-3hbbpmnt 6 2 Infect infect VB cord-302619-3hbbpmnt 6 3 Dis Dis NNP cord-302619-3hbbpmnt 6 4 DOI doi NN cord-302619-3hbbpmnt 6 5 : : : cord-302619-3hbbpmnt 7 1 nan nan NNP cord-302619-3hbbpmnt 7 2 sha sha NNP cord-302619-3hbbpmnt 7 3 : : : cord-302619-3hbbpmnt 7 4 5f8af3ed94e16f3560c088fc4ca349fc663f4be3 5f8af3ed94e16f3560c088fc4ca349fc663f4be3 CD cord-302619-3hbbpmnt 7 5 doc_id doc_id CD cord-302619-3hbbpmnt 7 6 : : : cord-302619-3hbbpmnt 7 7 302619 302619 CD cord-302619-3hbbpmnt 7 8 cord_uid cord_uid NN cord-302619-3hbbpmnt 7 9 : : : cord-302619-3hbbpmnt 8 1 3hbbpmnt 3hbbpmnt LS cord-302619-3hbbpmnt 8 2 The the DT cord-302619-3hbbpmnt 8 3 increasing increase VBG cord-302619-3hbbpmnt 8 4 number number NN cord-302619-3hbbpmnt 8 5 of of IN cord-302619-3hbbpmnt 8 6 persons person NNS cord-302619-3hbbpmnt 8 7 > > NFP cord-302619-3hbbpmnt 8 8 65 65 CD cord-302619-3hbbpmnt 8 9 years year NNS cord-302619-3hbbpmnt 8 10 of of IN cord-302619-3hbbpmnt 8 11 age age NN cord-302619-3hbbpmnt 8 12 form form VBP cord-302619-3hbbpmnt 8 13 a a DT cord-302619-3hbbpmnt 8 14 special special JJ cord-302619-3hbbpmnt 8 15 population population NN cord-302619-3hbbpmnt 8 16 at at IN cord-302619-3hbbpmnt 8 17 risk risk NN cord-302619-3hbbpmnt 8 18 for for IN cord-302619-3hbbpmnt 8 19 nosocomial nosocomial JJ cord-302619-3hbbpmnt 8 20 and and CC cord-302619-3hbbpmnt 8 21 other other JJ cord-302619-3hbbpmnt 8 22 health health NN cord-302619-3hbbpmnt 8 23 care care NN cord-302619-3hbbpmnt 8 24 - - HYPH cord-302619-3hbbpmnt 8 25 associated associate VBN cord-302619-3hbbpmnt 8 26 infections infection NNS cord-302619-3hbbpmnt 8 27 . . . cord-302619-3hbbpmnt 9 1 The the DT cord-302619-3hbbpmnt 9 2 vulnerability vulnerability NN cord-302619-3hbbpmnt 9 3 of of IN cord-302619-3hbbpmnt 9 4 this this DT cord-302619-3hbbpmnt 9 5 age age NN cord-302619-3hbbpmnt 9 6 group group NN cord-302619-3hbbpmnt 9 7 is be VBZ cord-302619-3hbbpmnt 9 8 related relate VBN cord-302619-3hbbpmnt 9 9 to to IN cord-302619-3hbbpmnt 9 10 impaired impaired JJ cord-302619-3hbbpmnt 9 11 host host NN cord-302619-3hbbpmnt 9 12 defenses defense NNS cord-302619-3hbbpmnt 9 13 such such JJ cord-302619-3hbbpmnt 9 14 as as IN cord-302619-3hbbpmnt 9 15 diminished diminished JJ cord-302619-3hbbpmnt 9 16 cell cell NN cord-302619-3hbbpmnt 9 17 - - HYPH cord-302619-3hbbpmnt 9 18 mediated mediate VBN cord-302619-3hbbpmnt 9 19 immunity immunity NN cord-302619-3hbbpmnt 9 20 . . . cord-302619-3hbbpmnt 10 1 Lifestyle lifestyle NN cord-302619-3hbbpmnt 10 2 considerations consideration NNS cord-302619-3hbbpmnt 10 3 , , , cord-302619-3hbbpmnt 10 4 e.g. e.g. RB cord-302619-3hbbpmnt 10 5 , , , cord-302619-3hbbpmnt 10 6 travel travel NN cord-302619-3hbbpmnt 10 7 and and CC cord-302619-3hbbpmnt 10 8 living living NN cord-302619-3hbbpmnt 10 9 arrangements arrangement NNS cord-302619-3hbbpmnt 10 10 , , , cord-302619-3hbbpmnt 10 11 and and CC cord-302619-3hbbpmnt 10 12 residence residence NN cord-302619-3hbbpmnt 10 13 in in IN cord-302619-3hbbpmnt 10 14 nursing nursing NN cord-302619-3hbbpmnt 10 15 homes home NNS cord-302619-3hbbpmnt 10 16 , , , cord-302619-3hbbpmnt 10 17 can can MD cord-302619-3hbbpmnt 10 18 further further RB cord-302619-3hbbpmnt 10 19 complicate complicate VB cord-302619-3hbbpmnt 10 20 the the DT cord-302619-3hbbpmnt 10 21 clinical clinical JJ cord-302619-3hbbpmnt 10 22 picture picture NN cord-302619-3hbbpmnt 10 23 . . . cord-302619-3hbbpmnt 11 1 The the DT cord-302619-3hbbpmnt 11 2 magnitude magnitude NN cord-302619-3hbbpmnt 11 3 and and CC cord-302619-3hbbpmnt 11 4 diversity diversity NN cord-302619-3hbbpmnt 11 5 of of IN cord-302619-3hbbpmnt 11 6 health health NN cord-302619-3hbbpmnt 11 7 care care NN cord-302619-3hbbpmnt 11 8 - - HYPH cord-302619-3hbbpmnt 11 9 associated associate VBN cord-302619-3hbbpmnt 11 10 infections infection NNS cord-302619-3hbbpmnt 11 11 in in IN cord-302619-3hbbpmnt 11 12 the the DT cord-302619-3hbbpmnt 11 13 aging age VBG cord-302619-3hbbpmnt 11 14 population population NN cord-302619-3hbbpmnt 11 15 are be VBP cord-302619-3hbbpmnt 11 16 generating generate VBG cord-302619-3hbbpmnt 11 17 new new JJ cord-302619-3hbbpmnt 11 18 arenas arena NNS cord-302619-3hbbpmnt 11 19 for for IN cord-302619-3hbbpmnt 11 20 prevention prevention NN cord-302619-3hbbpmnt 11 21 and and CC cord-302619-3hbbpmnt 11 22 control control NN cord-302619-3hbbpmnt 11 23 efforts effort NNS cord-302619-3hbbpmnt 11 24 . . . cord-302619-3hbbpmnt 12 1 The the DT cord-302619-3hbbpmnt 12 2 elderly elderly JJ cord-302619-3hbbpmnt 12 3 have have VBP cord-302619-3hbbpmnt 12 4 defective defective JJ cord-302619-3hbbpmnt 12 5 host host NN cord-302619-3hbbpmnt 12 6 defenses defense NNS cord-302619-3hbbpmnt 12 7 that that WDT cord-302619-3hbbpmnt 12 8 compromise compromise VBP cord-302619-3hbbpmnt 12 9 their -PRON- PRP$ cord-302619-3hbbpmnt 12 10 ability ability NN cord-302619-3hbbpmnt 12 11 to to TO cord-302619-3hbbpmnt 12 12 ward ward VB cord-302619-3hbbpmnt 12 13 off off RP cord-302619-3hbbpmnt 12 14 infectious infectious JJ cord-302619-3hbbpmnt 12 15 agents agent NNS cord-302619-3hbbpmnt 12 16 ; ; : cord-302619-3hbbpmnt 12 17 factors factor NNS cord-302619-3hbbpmnt 12 18 influencing influence VBG cord-302619-3hbbpmnt 12 19 immunocompetence immunocompetence NN cord-302619-3hbbpmnt 12 20 include include VBP cord-302619-3hbbpmnt 12 21 immune immune JJ cord-302619-3hbbpmnt 12 22 senescence senescence NN cord-302619-3hbbpmnt 12 23 , , , cord-302619-3hbbpmnt 12 24 changes change NNS cord-302619-3hbbpmnt 12 25 in in IN cord-302619-3hbbpmnt 12 26 nonadaptive nonadaptive JJ cord-302619-3hbbpmnt 12 27 immunity immunity NN cord-302619-3hbbpmnt 12 28 , , , cord-302619-3hbbpmnt 12 29 chronic chronic JJ cord-302619-3hbbpmnt 12 30 diseases disease NNS cord-302619-3hbbpmnt 12 31 , , , cord-302619-3hbbpmnt 12 32 medications medication NNS cord-302619-3hbbpmnt 12 33 , , , cord-302619-3hbbpmnt 12 34 malnutrition malnutrition NN cord-302619-3hbbpmnt 12 35 , , , cord-302619-3hbbpmnt 12 36 and and CC cord-302619-3hbbpmnt 12 37 functional functional JJ cord-302619-3hbbpmnt 12 38 impairments impairment NNS cord-302619-3hbbpmnt 12 39 . . . cord-302619-3hbbpmnt 13 1 T t NN cord-302619-3hbbpmnt 13 2 - - HYPH cord-302619-3hbbpmnt 13 3 lymphocyte lymphocyte NN cord-302619-3hbbpmnt 13 4 production production NN cord-302619-3hbbpmnt 13 5 and and CC cord-302619-3hbbpmnt 13 6 proliferation proliferation NN cord-302619-3hbbpmnt 13 7 decline decline NN cord-302619-3hbbpmnt 13 8 with with IN cord-302619-3hbbpmnt 13 9 age age NN cord-302619-3hbbpmnt 13 10 , , , cord-302619-3hbbpmnt 13 11 resulting result VBG cord-302619-3hbbpmnt 13 12 in in IN cord-302619-3hbbpmnt 13 13 decreased decreased JJ cord-302619-3hbbpmnt 13 14 cell cell NN cord-302619-3hbbpmnt 13 15 - - HYPH cord-302619-3hbbpmnt 13 16 mediated mediate VBN cord-302619-3hbbpmnt 13 17 immunity immunity NN cord-302619-3hbbpmnt 13 18 and and CC cord-302619-3hbbpmnt 13 19 decreased decrease VBD cord-302619-3hbbpmnt 13 20 antibody antibody NN cord-302619-3hbbpmnt 13 21 production production NN cord-302619-3hbbpmnt 13 22 to to IN cord-302619-3hbbpmnt 13 23 new new JJ cord-302619-3hbbpmnt 13 24 antigens antigen NNS cord-302619-3hbbpmnt 13 25 ( ( -LRB- cord-302619-3hbbpmnt 13 26 3 3 CD cord-302619-3hbbpmnt 13 27 ) ) -RRB- cord-302619-3hbbpmnt 13 28 ( ( -LRB- cord-302619-3hbbpmnt 13 29 4 4 LS cord-302619-3hbbpmnt 13 30 ) ) -RRB- cord-302619-3hbbpmnt 13 31 ( ( -LRB- cord-302619-3hbbpmnt 13 32 5 5 CD cord-302619-3hbbpmnt 13 33 ) ) -RRB- cord-302619-3hbbpmnt 13 34 . . . cord-302619-3hbbpmnt 14 1 Thinning thin VBG cord-302619-3hbbpmnt 14 2 skin skin NN cord-302619-3hbbpmnt 14 3 , , , cord-302619-3hbbpmnt 14 4 enlarged enlarged JJ cord-302619-3hbbpmnt 14 5 prostate prostate NN cord-302619-3hbbpmnt 14 6 , , , cord-302619-3hbbpmnt 14 7 diminished diminished JJ cord-302619-3hbbpmnt 14 8 cough cough NN cord-302619-3hbbpmnt 14 9 reflex reflex NN cord-302619-3hbbpmnt 14 10 , , , cord-302619-3hbbpmnt 14 11 and and CC cord-302619-3hbbpmnt 14 12 other other JJ cord-302619-3hbbpmnt 14 13 anatomic anatomic JJ cord-302619-3hbbpmnt 14 14 or or CC cord-302619-3hbbpmnt 14 15 physiologic physiologic JJ cord-302619-3hbbpmnt 14 16 accompaniments accompaniment NNS cord-302619-3hbbpmnt 14 17 of of IN cord-302619-3hbbpmnt 14 18 aging age VBG cord-302619-3hbbpmnt 14 19 are be VBP cord-302619-3hbbpmnt 14 20 changes change NNS cord-302619-3hbbpmnt 14 21 in in IN cord-302619-3hbbpmnt 14 22 nonadaptive nonadaptive JJ cord-302619-3hbbpmnt 14 23 immunity immunity NN cord-302619-3hbbpmnt 14 24 that that WDT cord-302619-3hbbpmnt 14 25 render render VBP cord-302619-3hbbpmnt 14 26 the the DT cord-302619-3hbbpmnt 14 27 elderly elderly JJ cord-302619-3hbbpmnt 14 28 more more RBR cord-302619-3hbbpmnt 14 29 vulnerable vulnerable JJ cord-302619-3hbbpmnt 14 30 to to IN cord-302619-3hbbpmnt 14 31 infection infection NN cord-302619-3hbbpmnt 14 32 . . . cord-302619-3hbbpmnt 15 1 Chronic chronic JJ cord-302619-3hbbpmnt 15 2 diseases disease NNS cord-302619-3hbbpmnt 15 3 - - : cord-302619-3hbbpmnt 15 4 cancer cancer NN cord-302619-3hbbpmnt 15 5 , , , cord-302619-3hbbpmnt 15 6 atherosclerosis atherosclerosis NN cord-302619-3hbbpmnt 15 7 , , , cord-302619-3hbbpmnt 15 8 diabetes diabetes NN cord-302619-3hbbpmnt 15 9 mellitus mellitus NN cord-302619-3hbbpmnt 15 10 , , , cord-302619-3hbbpmnt 15 11 dementia dementia NN cord-302619-3hbbpmnt 15 12 - - : cord-302619-3hbbpmnt 15 13 predispose predispose JJ cord-302619-3hbbpmnt 15 14 to to IN cord-302619-3hbbpmnt 15 15 certain certain JJ cord-302619-3hbbpmnt 15 16 types type NNS cord-302619-3hbbpmnt 15 17 of of IN cord-302619-3hbbpmnt 15 18 infection infection NN cord-302619-3hbbpmnt 15 19 . . . cord-302619-3hbbpmnt 16 1 Medications medication NNS cord-302619-3hbbpmnt 16 2 such such JJ cord-302619-3hbbpmnt 16 3 as as IN cord-302619-3hbbpmnt 16 4 sedatives sedative NNS cord-302619-3hbbpmnt 16 5 , , , cord-302619-3hbbpmnt 16 6 narcotics narcotic NNS cord-302619-3hbbpmnt 16 7 , , , cord-302619-3hbbpmnt 16 8 anticholinergics anticholinergic NNS cord-302619-3hbbpmnt 16 9 , , , cord-302619-3hbbpmnt 16 10 and and CC cord-302619-3hbbpmnt 16 11 gastric gastric JJ cord-302619-3hbbpmnt 16 12 acid acid NN cord-302619-3hbbpmnt 16 13 suppressants suppressant NNS cord-302619-3hbbpmnt 16 14 may may MD cord-302619-3hbbpmnt 16 15 further further RB cord-302619-3hbbpmnt 16 16 suppress suppress VB cord-302619-3hbbpmnt 16 17 innate innate JJ cord-302619-3hbbpmnt 16 18 defenses defense NNS cord-302619-3hbbpmnt 16 19 . . . cord-302619-3hbbpmnt 17 1 Malnutrition malnutrition NN cord-302619-3hbbpmnt 17 2 , , , cord-302619-3hbbpmnt 17 3 which which WDT cord-302619-3hbbpmnt 17 4 reduces reduce VBZ cord-302619-3hbbpmnt 17 5 cellmediated cellmediate VBN cord-302619-3hbbpmnt 17 6 immunity immunity NN cord-302619-3hbbpmnt 17 7 , , , cord-302619-3hbbpmnt 17 8 is be VBZ cord-302619-3hbbpmnt 17 9 common common JJ cord-302619-3hbbpmnt 17 10 in in IN cord-302619-3hbbpmnt 17 11 nursing nursing NN cord-302619-3hbbpmnt 17 12 home home NN cord-302619-3hbbpmnt 17 13 residents resident NNS cord-302619-3hbbpmnt 17 14 ( ( -LRB- cord-302619-3hbbpmnt 17 15 4 4 CD cord-302619-3hbbpmnt 17 16 ) ) -RRB- cord-302619-3hbbpmnt 17 17 and and CC cord-302619-3hbbpmnt 17 18 may may MD cord-302619-3hbbpmnt 17 19 be be VB cord-302619-3hbbpmnt 17 20 more more RBR cord-302619-3hbbpmnt 17 21 common common JJ cord-302619-3hbbpmnt 17 22 in in IN cord-302619-3hbbpmnt 17 23 the the DT cord-302619-3hbbpmnt 17 24 geriatric geriatric JJ cord-302619-3hbbpmnt 17 25 community community NN cord-302619-3hbbpmnt 17 26 at at IN cord-302619-3hbbpmnt 17 27 large large JJ cord-302619-3hbbpmnt 17 28 than than IN cord-302619-3hbbpmnt 17 29 is be VBZ cord-302619-3hbbpmnt 17 30 generally generally RB cord-302619-3hbbpmnt 17 31 realized realize VBN cord-302619-3hbbpmnt 17 32 ( ( -LRB- cord-302619-3hbbpmnt 17 33 6 6 CD cord-302619-3hbbpmnt 17 34 ) ) -RRB- cord-302619-3hbbpmnt 17 35 . . . cord-302619-3hbbpmnt 18 1 Finally finally RB cord-302619-3hbbpmnt 18 2 , , , cord-302619-3hbbpmnt 18 3 functional functional JJ cord-302619-3hbbpmnt 18 4 impairments impairment NNS cord-302619-3hbbpmnt 18 5 ( ( -LRB- cord-302619-3hbbpmnt 18 6 e.g. e.g. RB cord-302619-3hbbpmnt 18 7 , , , cord-302619-3hbbpmnt 18 8 immobility immobility NN cord-302619-3hbbpmnt 18 9 , , , cord-302619-3hbbpmnt 18 10 incontinence incontinence NN cord-302619-3hbbpmnt 18 11 , , , cord-302619-3hbbpmnt 18 12 dysphagia dysphagia NN cord-302619-3hbbpmnt 18 13 ) ) -RRB- cord-302619-3hbbpmnt 18 14 can can MD cord-302619-3hbbpmnt 18 15 complicate complicate VB cord-302619-3hbbpmnt 18 16 aging age VBG cord-302619-3hbbpmnt 18 17 and and CC cord-302619-3hbbpmnt 18 18 enhance enhance VB cord-302619-3hbbpmnt 18 19 susceptibility susceptibility NN cord-302619-3hbbpmnt 18 20 to to IN cord-302619-3hbbpmnt 18 21 infection infection NN cord-302619-3hbbpmnt 18 22 . . . cord-302619-3hbbpmnt 19 1 These these DT cord-302619-3hbbpmnt 19 2 impairments impairment NNS cord-302619-3hbbpmnt 19 3 may may MD cord-302619-3hbbpmnt 19 4 necessitate necessitate VB cord-302619-3hbbpmnt 19 5 the the DT cord-302619-3hbbpmnt 19 6 use use NN cord-302619-3hbbpmnt 19 7 of of IN cord-302619-3hbbpmnt 19 8 urinary urinary JJ cord-302619-3hbbpmnt 19 9 catheters catheter NNS cord-302619-3hbbpmnt 19 10 , , , cord-302619-3hbbpmnt 19 11 feeding feed VBG cord-302619-3hbbpmnt 19 12 tubes tube NNS cord-302619-3hbbpmnt 19 13 , , , cord-302619-3hbbpmnt 19 14 and and CC cord-302619-3hbbpmnt 19 15 other other JJ cord-302619-3hbbpmnt 19 16 invasive invasive JJ cord-302619-3hbbpmnt 19 17 devices device NNS cord-302619-3hbbpmnt 19 18 that that WDT cord-302619-3hbbpmnt 19 19 magnify magnify VBP cord-302619-3hbbpmnt 19 20 susceptibility susceptibility NN cord-302619-3hbbpmnt 19 21 . . . cord-302619-3hbbpmnt 20 1 Alone alone JJ cord-302619-3hbbpmnt 20 2 or or CC cord-302619-3hbbpmnt 20 3 in in IN cord-302619-3hbbpmnt 20 4 combination combination NN cord-302619-3hbbpmnt 20 5 , , , cord-302619-3hbbpmnt 20 6 these these DT cord-302619-3hbbpmnt 20 7 defects defect NNS cord-302619-3hbbpmnt 20 8 in in IN cord-302619-3hbbpmnt 20 9 host host NN cord-302619-3hbbpmnt 20 10 defense(s defense(s NNP cord-302619-3hbbpmnt 20 11 ) ) -RRB- cord-302619-3hbbpmnt 20 12 place place VBP cord-302619-3hbbpmnt 20 13 geriatric geriatric JJ cord-302619-3hbbpmnt 20 14 populations population NNS cord-302619-3hbbpmnt 20 15 in in IN cord-302619-3hbbpmnt 20 16 the the DT cord-302619-3hbbpmnt 20 17 forefront forefront NN cord-302619-3hbbpmnt 20 18 of of IN cord-302619-3hbbpmnt 20 19 nosocomial nosocomial JJ cord-302619-3hbbpmnt 20 20 infection infection NN cord-302619-3hbbpmnt 20 21 statistics statistic NNS cord-302619-3hbbpmnt 20 22 . . . cord-302619-3hbbpmnt 21 1 Data datum NNS cord-302619-3hbbpmnt 21 2 from from IN cord-302619-3hbbpmnt 21 3 the the DT cord-302619-3hbbpmnt 21 4 National National NNP cord-302619-3hbbpmnt 21 5 Nosocomial Nosocomial NNP cord-302619-3hbbpmnt 21 6 Infections Infections NNPS cord-302619-3hbbpmnt 21 7 Surveillance Surveillance NNP cord-302619-3hbbpmnt 21 8 system system NN cord-302619-3hbbpmnt 21 9 for for IN cord-302619-3hbbpmnt 21 10 the the DT cord-302619-3hbbpmnt 21 11 period period NN cord-302619-3hbbpmnt 21 12 1986 1986 CD cord-302619-3hbbpmnt 21 13 - - SYM cord-302619-3hbbpmnt 21 14 1990 1990 CD cord-302619-3hbbpmnt 21 15 indicated indicate VBD cord-302619-3hbbpmnt 21 16 that that IN cord-302619-3hbbpmnt 21 17 persons person NNS cord-302619-3hbbpmnt 21 18 65 65 CD cord-302619-3hbbpmnt 21 19 years year NNS cord-302619-3hbbpmnt 21 20 of of IN cord-302619-3hbbpmnt 21 21 age age NN cord-302619-3hbbpmnt 21 22 accounted account VBD cord-302619-3hbbpmnt 21 23 for for IN cord-302619-3hbbpmnt 21 24 54 54 CD cord-302619-3hbbpmnt 21 25 % % NN cord-302619-3hbbpmnt 21 26 of of IN cord-302619-3hbbpmnt 21 27 all all DT cord-302619-3hbbpmnt 21 28 nosocomial nosocomial JJ cord-302619-3hbbpmnt 21 29 infections infection NNS cord-302619-3hbbpmnt 21 30 ( ( -LRB- cord-302619-3hbbpmnt 21 31 7 7 CD cord-302619-3hbbpmnt 21 32 ) ) -RRB- cord-302619-3hbbpmnt 21 33 . . . cord-302619-3hbbpmnt 22 1 Similarly similarly RB cord-302619-3hbbpmnt 22 2 , , , cord-302619-3hbbpmnt 22 3 Gross Gross NNP cord-302619-3hbbpmnt 22 4 and and CC cord-302619-3hbbpmnt 22 5 colleagues colleague NNS cord-302619-3hbbpmnt 22 6 observed observe VBD cord-302619-3hbbpmnt 22 7 a a DT cord-302619-3hbbpmnt 22 8 decade decade NN cord-302619-3hbbpmnt 22 9 - - HYPH cord-302619-3hbbpmnt 22 10 specific specific JJ cord-302619-3hbbpmnt 22 11 risk risk NN cord-302619-3hbbpmnt 22 12 for for IN cord-302619-3hbbpmnt 22 13 nosocomial nosocomial JJ cord-302619-3hbbpmnt 22 14 infection infection NN cord-302619-3hbbpmnt 22 15 of of IN cord-302619-3hbbpmnt 22 16 10 10 CD cord-302619-3hbbpmnt 22 17 per per IN cord-302619-3hbbpmnt 22 18 1,000 1,000 CD cord-302619-3hbbpmnt 22 19 discharges discharge NNS cord-302619-3hbbpmnt 22 20 from from IN cord-302619-3hbbpmnt 22 21 birth birth NN cord-302619-3hbbpmnt 22 22 through through IN cord-302619-3hbbpmnt 22 23 the the DT cord-302619-3hbbpmnt 22 24 fifth fifth JJ cord-302619-3hbbpmnt 22 25 decade decade NN cord-302619-3hbbpmnt 22 26 . . . cord-302619-3hbbpmnt 23 1 However however RB cord-302619-3hbbpmnt 23 2 , , , cord-302619-3hbbpmnt 23 3 this this DT cord-302619-3hbbpmnt 23 4 risk risk NN cord-302619-3hbbpmnt 23 5 steadily steadily RB cord-302619-3hbbpmnt 23 6 rose rise VBD cord-302619-3hbbpmnt 23 7 from from IN cord-302619-3hbbpmnt 23 8 the the DT cord-302619-3hbbpmnt 23 9 fifth fifth JJ cord-302619-3hbbpmnt 23 10 decade decade NN cord-302619-3hbbpmnt 23 11 onward onward RB cord-302619-3hbbpmnt 23 12 , , , cord-302619-3hbbpmnt 23 13 exceeding exceed VBG cord-302619-3hbbpmnt 23 14 100 100 CD cord-302619-3hbbpmnt 23 15 infections infection NNS cord-302619-3hbbpmnt 23 16 per per IN cord-302619-3hbbpmnt 23 17 1,000 1,000 CD cord-302619-3hbbpmnt 23 18 discharges discharge NNS cord-302619-3hbbpmnt 23 19 in in IN cord-302619-3hbbpmnt 23 20 patients patient NNS cord-302619-3hbbpmnt 23 21 > > XX cord-302619-3hbbpmnt 23 22 70 70 CD cord-302619-3hbbpmnt 23 23 years year NNS cord-302619-3hbbpmnt 23 24 of of IN cord-302619-3hbbpmnt 23 25 age age NN cord-302619-3hbbpmnt 23 26 ( ( -LRB- cord-302619-3hbbpmnt 23 27 8) 8) NNP cord-302619-3hbbpmnt 23 28 . . . cord-302619-3hbbpmnt 24 1 Finally finally RB cord-302619-3hbbpmnt 24 2 , , , cord-302619-3hbbpmnt 24 3 Saviteer Saviteer NNP cord-302619-3hbbpmnt 24 4 and and CC cord-302619-3hbbpmnt 24 5 coworkers coworker NNS cord-302619-3hbbpmnt 24 6 , , , cord-302619-3hbbpmnt 24 7 who who WP cord-302619-3hbbpmnt 24 8 reported report VBD cord-302619-3hbbpmnt 24 9 a a DT cord-302619-3hbbpmnt 24 10 similar similar JJ cord-302619-3hbbpmnt 24 11 increase increase NN cord-302619-3hbbpmnt 24 12 in in IN cord-302619-3hbbpmnt 24 13 nosocomial nosocomial JJ cord-302619-3hbbpmnt 24 14 infections infection NNS cord-302619-3hbbpmnt 24 15 after after IN cord-302619-3hbbpmnt 24 16 the the DT cord-302619-3hbbpmnt 24 17 fifth fifth JJ cord-302619-3hbbpmnt 24 18 decade decade NN cord-302619-3hbbpmnt 24 19 ( ( -LRB- cord-302619-3hbbpmnt 24 20 9 9 CD cord-302619-3hbbpmnt 24 21 ) ) -RRB- cord-302619-3hbbpmnt 24 22 , , , cord-302619-3hbbpmnt 24 23 calculated calculate VBN cord-302619-3hbbpmnt 24 24 daily daily JJ cord-302619-3hbbpmnt 24 25 nosocomial nosocomial JJ cord-302619-3hbbpmnt 24 26 infection infection NN cord-302619-3hbbpmnt 24 27 rates rate NNS cord-302619-3hbbpmnt 24 28 of of IN cord-302619-3hbbpmnt 24 29 0.43 0.43 CD cord-302619-3hbbpmnt 24 30 % % NN cord-302619-3hbbpmnt 24 31 and and CC cord-302619-3hbbpmnt 24 32 0.63 0.63 CD cord-302619-3hbbpmnt 24 33 % % NN cord-302619-3hbbpmnt 24 34 for for IN cord-302619-3hbbpmnt 24 35 persons person NNS cord-302619-3hbbpmnt 24 36 aged age VBN cord-302619-3hbbpmnt 24 37 < < XX cord-302619-3hbbpmnt 24 38 60 60 CD cord-302619-3hbbpmnt 24 39 years year NNS cord-302619-3hbbpmnt 24 40 and and CC cord-302619-3hbbpmnt 24 41 > > XX cord-302619-3hbbpmnt 24 42 60 60 CD cord-302619-3hbbpmnt 24 43 years year NNS cord-302619-3hbbpmnt 24 44 , , , cord-302619-3hbbpmnt 24 45 respectively respectively RB cord-302619-3hbbpmnt 24 46 . . . cord-302619-3hbbpmnt 25 1 The the DT cord-302619-3hbbpmnt 25 2 higher high JJR cord-302619-3hbbpmnt 25 3 infection infection NN cord-302619-3hbbpmnt 25 4 rates rate NNS cord-302619-3hbbpmnt 25 5 in in IN cord-302619-3hbbpmnt 25 6 the the DT cord-302619-3hbbpmnt 25 7 elderly elderly JJ cord-302619-3hbbpmnt 25 8 were be VBD cord-302619-3hbbpmnt 25 9 not not RB cord-302619-3hbbpmnt 25 10 attributable attributable JJ cord-302619-3hbbpmnt 25 11 to to IN cord-302619-3hbbpmnt 25 12 increased increase VBN cord-302619-3hbbpmnt 25 13 lengths length NNS cord-302619-3hbbpmnt 25 14 of of IN cord-302619-3hbbpmnt 25 15 stay stay NN cord-302619-3hbbpmnt 25 16 . . . cord-302619-3hbbpmnt 26 1 Geriatric geriatric JJ cord-302619-3hbbpmnt 26 2 patients patient NNS cord-302619-3hbbpmnt 26 3 , , , cord-302619-3hbbpmnt 26 4 like like IN cord-302619-3hbbpmnt 26 5 transplant transplant NN cord-302619-3hbbpmnt 26 6 recipients recipient NNS cord-302619-3hbbpmnt 26 7 , , , cord-302619-3hbbpmnt 26 8 may may MD cord-302619-3hbbpmnt 26 9 be be VB cord-302619-3hbbpmnt 26 10 compared compare VBN cord-302619-3hbbpmnt 26 11 to to IN cord-302619-3hbbpmnt 26 12 " " `` cord-302619-3hbbpmnt 26 13 sentinel sentinel JJ cord-302619-3hbbpmnt 26 14 chickens"-the chickens"-the NNP cord-302619-3hbbpmnt 26 15 first first JJ cord-302619-3hbbpmnt 26 16 to to TO cord-302619-3hbbpmnt 26 17 be be VB cord-302619-3hbbpmnt 26 18 affected affect VBN cord-302619-3hbbpmnt 26 19 by by IN cord-302619-3hbbpmnt 26 20 new new JJ cord-302619-3hbbpmnt 26 21 or or CC cord-302619-3hbbpmnt 26 22 emerging emerge VBG cord-302619-3hbbpmnt 26 23 infections infection NNS cord-302619-3hbbpmnt 26 24 in in IN cord-302619-3hbbpmnt 26 25 hospitals hospital NNS cord-302619-3hbbpmnt 26 26 and and CC cord-302619-3hbbpmnt 26 27 other other JJ cord-302619-3hbbpmnt 26 28 health health NN cord-302619-3hbbpmnt 26 29 - - HYPH cord-302619-3hbbpmnt 26 30 care care NN cord-302619-3hbbpmnt 26 31 environments environment NNS cord-302619-3hbbpmnt 26 32 that that WDT cord-302619-3hbbpmnt 26 33 care care VBP cord-302619-3hbbpmnt 26 34 for for IN cord-302619-3hbbpmnt 26 35 adult adult NN cord-302619-3hbbpmnt 26 36 patients patient NNS cord-302619-3hbbpmnt 26 37 . . . cord-302619-3hbbpmnt 27 1 For for IN cord-302619-3hbbpmnt 27 2 example example NN cord-302619-3hbbpmnt 27 3 , , , cord-302619-3hbbpmnt 27 4 the the DT cord-302619-3hbbpmnt 27 5 mean mean JJ cord-302619-3hbbpmnt 27 6 age age NN cord-302619-3hbbpmnt 27 7 of of IN cord-302619-3hbbpmnt 27 8 affected affected JJ cord-302619-3hbbpmnt 27 9 patients patient NNS cord-302619-3hbbpmnt 27 10 in in IN cord-302619-3hbbpmnt 27 11 a a DT cord-302619-3hbbpmnt 27 12 nosocomial nosocomial JJ cord-302619-3hbbpmnt 27 13 outbreak outbreak NN cord-302619-3hbbpmnt 27 14 of of IN cord-302619-3hbbpmnt 27 15 gastroenteritis gastroenteritis NN cord-302619-3hbbpmnt 27 16 caused cause VBN cord-302619-3hbbpmnt 27 17 by by IN cord-302619-3hbbpmnt 27 18 a a DT cord-302619-3hbbpmnt 27 19 small small JJ cord-302619-3hbbpmnt 27 20 round round JJ cord-302619-3hbbpmnt 27 21 - - HYPH cord-302619-3hbbpmnt 27 22 structured structured JJ cord-302619-3hbbpmnt 27 23 virus virus NN cord-302619-3hbbpmnt 27 24 was be VBD cord-302619-3hbbpmnt 27 25 65 65 CD cord-302619-3hbbpmnt 27 26 years year NNS cord-302619-3hbbpmnt 27 27 ( ( -LRB- cord-302619-3hbbpmnt 27 28 10 10 CD cord-302619-3hbbpmnt 27 29 ) ) -RRB- cord-302619-3hbbpmnt 27 30 . . . cord-302619-3hbbpmnt 28 1 The the DT cord-302619-3hbbpmnt 28 2 problem problem NN cord-302619-3hbbpmnt 28 3 of of IN cord-302619-3hbbpmnt 28 4 tuberculosis tuberculosis NN cord-302619-3hbbpmnt 28 5 ( ( -LRB- cord-302619-3hbbpmnt 28 6 TB TB NNP cord-302619-3hbbpmnt 28 7 ) ) -RRB- cord-302619-3hbbpmnt 28 8 deserves deserve VBZ cord-302619-3hbbpmnt 28 9 particular particular JJ cord-302619-3hbbpmnt 28 10 mention mention NN cord-302619-3hbbpmnt 28 11 in in IN cord-302619-3hbbpmnt 28 12 the the DT cord-302619-3hbbpmnt 28 13 context context NN cord-302619-3hbbpmnt 28 14 of of IN cord-302619-3hbbpmnt 28 15 waning wane VBG cord-302619-3hbbpmnt 28 16 cell cell NN cord-302619-3hbbpmnt 28 17 - - HYPH cord-302619-3hbbpmnt 28 18 mediated mediate VBN cord-302619-3hbbpmnt 28 19 immunity immunity NN cord-302619-3hbbpmnt 28 20 . . . cord-302619-3hbbpmnt 29 1 The the DT cord-302619-3hbbpmnt 29 2 elderly elderly JJ cord-302619-3hbbpmnt 29 3 have have VBP cord-302619-3hbbpmnt 29 4 not not RB cord-302619-3hbbpmnt 29 5 only only RB cord-302619-3hbbpmnt 29 6 this this DT cord-302619-3hbbpmnt 29 7 risk risk NN cord-302619-3hbbpmnt 29 8 factor factor NN cord-302619-3hbbpmnt 29 9 but but CC cord-302619-3hbbpmnt 29 10 also also RB cord-302619-3hbbpmnt 29 11 higher high JJR cord-302619-3hbbpmnt 29 12 frequencies frequency NNS cord-302619-3hbbpmnt 29 13 of of IN cord-302619-3hbbpmnt 29 14 latent latent JJ cord-302619-3hbbpmnt 29 15 infection infection NN cord-302619-3hbbpmnt 29 16 , , , cord-302619-3hbbpmnt 29 17 stemming stem VBG cord-302619-3hbbpmnt 29 18 from from IN cord-302619-3hbbpmnt 29 19 exposures exposure NNS cord-302619-3hbbpmnt 29 20 during during IN cord-302619-3hbbpmnt 29 21 an an DT cord-302619-3hbbpmnt 29 22 era era NN cord-302619-3hbbpmnt 29 23 when when WRB cord-302619-3hbbpmnt 29 24 TB TB NNP cord-302619-3hbbpmnt 29 25 was be VBD cord-302619-3hbbpmnt 29 26 more more RBR cord-302619-3hbbpmnt 29 27 prevalent prevalent JJ cord-302619-3hbbpmnt 29 28 . . . cord-302619-3hbbpmnt 30 1 TB TB NNP cord-302619-3hbbpmnt 30 2 is be VBZ cord-302619-3hbbpmnt 30 3 the the DT cord-302619-3hbbpmnt 30 4 most most JJS cord-302619-3hbbpmnt 30 5 The the DT cord-302619-3hbbpmnt 30 6 increasing increase VBG cord-302619-3hbbpmnt 30 7 number number NN cord-302619-3hbbpmnt 30 8 of of IN cord-302619-3hbbpmnt 30 9 persons person NNS cord-302619-3hbbpmnt 30 10 > > NFP cord-302619-3hbbpmnt 30 11 65 65 CD cord-302619-3hbbpmnt 30 12 years year NNS cord-302619-3hbbpmnt 30 13 of of IN cord-302619-3hbbpmnt 30 14 age age NN cord-302619-3hbbpmnt 30 15 form form VBP cord-302619-3hbbpmnt 30 16 a a DT cord-302619-3hbbpmnt 30 17 special special JJ cord-302619-3hbbpmnt 30 18 population population NN cord-302619-3hbbpmnt 30 19 at at IN cord-302619-3hbbpmnt 30 20 risk risk NN cord-302619-3hbbpmnt 30 21 for for IN cord-302619-3hbbpmnt 30 22 nosocomial nosocomial JJ cord-302619-3hbbpmnt 30 23 and and CC cord-302619-3hbbpmnt 30 24 other other JJ cord-302619-3hbbpmnt 30 25 health health NN cord-302619-3hbbpmnt 30 26 care care NN cord-302619-3hbbpmnt 30 27 - - HYPH cord-302619-3hbbpmnt 30 28 associated associate VBN cord-302619-3hbbpmnt 30 29 infections infection NNS cord-302619-3hbbpmnt 30 30 . . . cord-302619-3hbbpmnt 31 1 The the DT cord-302619-3hbbpmnt 31 2 vulnerability vulnerability NN cord-302619-3hbbpmnt 31 3 of of IN cord-302619-3hbbpmnt 31 4 this this DT cord-302619-3hbbpmnt 31 5 age age NN cord-302619-3hbbpmnt 31 6 group group NN cord-302619-3hbbpmnt 31 7 is be VBZ cord-302619-3hbbpmnt 31 8 related relate VBN cord-302619-3hbbpmnt 31 9 to to IN cord-302619-3hbbpmnt 31 10 impaired impaired JJ cord-302619-3hbbpmnt 31 11 host host NN cord-302619-3hbbpmnt 31 12 defenses defense NNS cord-302619-3hbbpmnt 31 13 such such JJ cord-302619-3hbbpmnt 31 14 as as IN cord-302619-3hbbpmnt 31 15 diminished diminished JJ cord-302619-3hbbpmnt 31 16 cell cell NN cord-302619-3hbbpmnt 31 17 - - HYPH cord-302619-3hbbpmnt 31 18 mediated mediate VBN cord-302619-3hbbpmnt 31 19 immunity immunity NN cord-302619-3hbbpmnt 31 20 . . . cord-302619-3hbbpmnt 32 1 Lifestyle lifestyle NN cord-302619-3hbbpmnt 32 2 considerations consideration NNS cord-302619-3hbbpmnt 32 3 , , , cord-302619-3hbbpmnt 32 4 e.g. e.g. RB cord-302619-3hbbpmnt 32 5 , , , cord-302619-3hbbpmnt 32 6 travel travel NN cord-302619-3hbbpmnt 32 7 and and CC cord-302619-3hbbpmnt 32 8 living living NN cord-302619-3hbbpmnt 32 9 arrangements arrangement NNS cord-302619-3hbbpmnt 32 10 , , , cord-302619-3hbbpmnt 32 11 and and CC cord-302619-3hbbpmnt 32 12 residence residence NN cord-302619-3hbbpmnt 32 13 in in IN cord-302619-3hbbpmnt 32 14 nursing nursing NN cord-302619-3hbbpmnt 32 15 homes home NNS cord-302619-3hbbpmnt 32 16 , , , cord-302619-3hbbpmnt 32 17 can can MD cord-302619-3hbbpmnt 32 18 further further RB cord-302619-3hbbpmnt 32 19 complicate complicate VB cord-302619-3hbbpmnt 32 20 the the DT cord-302619-3hbbpmnt 32 21 clinical clinical JJ cord-302619-3hbbpmnt 32 22 picture picture NN cord-302619-3hbbpmnt 32 23 . . . cord-302619-3hbbpmnt 33 1 The the DT cord-302619-3hbbpmnt 33 2 magnitude magnitude NN cord-302619-3hbbpmnt 33 3 and and CC cord-302619-3hbbpmnt 33 4 diversity diversity NN cord-302619-3hbbpmnt 33 5 of of IN cord-302619-3hbbpmnt 33 6 health health NN cord-302619-3hbbpmnt 33 7 care care NN cord-302619-3hbbpmnt 33 8 - - HYPH cord-302619-3hbbpmnt 33 9 associated associate VBN cord-302619-3hbbpmnt 33 10 infections infection NNS cord-302619-3hbbpmnt 33 11 in in IN cord-302619-3hbbpmnt 33 12 the the DT cord-302619-3hbbpmnt 33 13 aging age VBG cord-302619-3hbbpmnt 33 14 population population NN cord-302619-3hbbpmnt 33 15 are be VBP cord-302619-3hbbpmnt 33 16 generating generate VBG cord-302619-3hbbpmnt 33 17 new new JJ cord-302619-3hbbpmnt 33 18 arenas arena NNS cord-302619-3hbbpmnt 33 19 for for IN cord-302619-3hbbpmnt 33 20 prevention prevention NN cord-302619-3hbbpmnt 33 21 and and CC cord-302619-3hbbpmnt 33 22 control control NN cord-302619-3hbbpmnt 33 23 efforts effort NNS cord-302619-3hbbpmnt 33 24 . . . cord-302619-3hbbpmnt 34 1 commonly commonly RB cord-302619-3hbbpmnt 34 2 reported report VBN cord-302619-3hbbpmnt 34 3 notifiable notifiable JJ cord-302619-3hbbpmnt 34 4 disease disease NN cord-302619-3hbbpmnt 34 5 in in IN cord-302619-3hbbpmnt 34 6 persons person NNS cord-302619-3hbbpmnt 34 7 > > NFP cord-302619-3hbbpmnt 34 8 65 65 CD cord-302619-3hbbpmnt 34 9 years year NNS cord-302619-3hbbpmnt 34 10 of of IN cord-302619-3hbbpmnt 34 11 age age NN cord-302619-3hbbpmnt 34 12 ( ( -LRB- cord-302619-3hbbpmnt 34 13 3 3 CD cord-302619-3hbbpmnt 34 14 ) ) -RRB- cord-302619-3hbbpmnt 34 15 . . . cord-302619-3hbbpmnt 35 1 In in IN cord-302619-3hbbpmnt 35 2 1995 1995 CD cord-302619-3hbbpmnt 35 3 , , , cord-302619-3hbbpmnt 35 4 23 23 CD cord-302619-3hbbpmnt 35 5 % % NN cord-302619-3hbbpmnt 35 6 of of IN cord-302619-3hbbpmnt 35 7 reported report VBN cord-302619-3hbbpmnt 35 8 cases case NNS cord-302619-3hbbpmnt 35 9 in in IN cord-302619-3hbbpmnt 35 10 the the DT cord-302619-3hbbpmnt 35 11 United United NNP cord-302619-3hbbpmnt 35 12 States States NNP cord-302619-3hbbpmnt 35 13 occurred occur VBD cord-302619-3hbbpmnt 35 14 in in IN cord-302619-3hbbpmnt 35 15 this this DT cord-302619-3hbbpmnt 35 16 age age NN cord-302619-3hbbpmnt 35 17 group group NN cord-302619-3hbbpmnt 35 18 . . . cord-302619-3hbbpmnt 36 1 Elderly elderly JJ cord-302619-3hbbpmnt 36 2 persons person NNS cord-302619-3hbbpmnt 36 3 living live VBG cord-302619-3hbbpmnt 36 4 in in IN cord-302619-3hbbpmnt 36 5 the the DT cord-302619-3hbbpmnt 36 6 community community NN cord-302619-3hbbpmnt 36 7 have have VBP cord-302619-3hbbpmnt 36 8 twofold twofold JJ cord-302619-3hbbpmnt 36 9 increased increase VBN cord-302619-3hbbpmnt 36 10 rates rate NNS cord-302619-3hbbpmnt 36 11 of of IN cord-302619-3hbbpmnt 36 12 active active JJ cord-302619-3hbbpmnt 36 13 disease disease NN cord-302619-3hbbpmnt 36 14 . . . cord-302619-3hbbpmnt 37 1 As as IN cord-302619-3hbbpmnt 37 2 a a DT cord-302619-3hbbpmnt 37 3 health health NN cord-302619-3hbbpmnt 37 4 care care NN cord-302619-3hbbpmnt 37 5 - - HYPH cord-302619-3hbbpmnt 37 6 associated associate VBN cord-302619-3hbbpmnt 37 7 infection infection NN cord-302619-3hbbpmnt 37 8 in in IN cord-302619-3hbbpmnt 37 9 this this DT cord-302619-3hbbpmnt 37 10 age age NN cord-302619-3hbbpmnt 37 11 group group NN cord-302619-3hbbpmnt 37 12 , , , cord-302619-3hbbpmnt 37 13 TB TB NNP cord-302619-3hbbpmnt 37 14 comes come VBZ cord-302619-3hbbpmnt 37 15 to to IN cord-302619-3hbbpmnt 37 16 the the DT cord-302619-3hbbpmnt 37 17 fore fore NN cord-302619-3hbbpmnt 37 18 in in IN cord-302619-3hbbpmnt 37 19 hospital hospital NN cord-302619-3hbbpmnt 37 20 and and CC cord-302619-3hbbpmnt 37 21 nursing nursing NN cord-302619-3hbbpmnt 37 22 home home NN cord-302619-3hbbpmnt 37 23 outbreaks outbreak NNS cord-302619-3hbbpmnt 37 24 ( ( -LRB- cord-302619-3hbbpmnt 37 25 11 11 CD cord-302619-3hbbpmnt 37 26 ) ) -RRB- cord-302619-3hbbpmnt 37 27 . . . cord-302619-3hbbpmnt 38 1 Elderly elderly JJ cord-302619-3hbbpmnt 38 2 persons person NNS cord-302619-3hbbpmnt 38 3 living live VBG cord-302619-3hbbpmnt 38 4 in in IN cord-302619-3hbbpmnt 38 5 long long JJ cord-302619-3hbbpmnt 38 6 - - HYPH cord-302619-3hbbpmnt 38 7 term term NN cord-302619-3hbbpmnt 38 8 care care NN cord-302619-3hbbpmnt 38 9 facilities facility NNS cord-302619-3hbbpmnt 38 10 have have VBP cord-302619-3hbbpmnt 38 11 fourfold fourfold JJ cord-302619-3hbbpmnt 38 12 increased increase VBN cord-302619-3hbbpmnt 38 13 rates rate NNS cord-302619-3hbbpmnt 38 14 of of IN cord-302619-3hbbpmnt 38 15 active active JJ cord-302619-3hbbpmnt 38 16 TB TB NNP cord-302619-3hbbpmnt 38 17 . . . cord-302619-3hbbpmnt 39 1 The the DT cord-302619-3hbbpmnt 39 2 combination combination NN cord-302619-3hbbpmnt 39 3 of of IN cord-302619-3hbbpmnt 39 4 decreased decreased JJ cord-302619-3hbbpmnt 39 5 cell cell NN cord-302619-3hbbpmnt 39 6 - - HYPH cord-302619-3hbbpmnt 39 7 mediated mediate VBN cord-302619-3hbbpmnt 39 8 immunity immunity NN cord-302619-3hbbpmnt 39 9 and and CC cord-302619-3hbbpmnt 39 10 high high JJ cord-302619-3hbbpmnt 39 11 prevalence prevalence NN cord-302619-3hbbpmnt 39 12 of of IN cord-302619-3hbbpmnt 39 13 latent latent JJ cord-302619-3hbbpmnt 39 14 infection infection NN cord-302619-3hbbpmnt 39 15 suggests suggest VBZ cord-302619-3hbbpmnt 39 16 that that IN cord-302619-3hbbpmnt 39 17 TB TB NNP cord-302619-3hbbpmnt 39 18 will will MD cord-302619-3hbbpmnt 39 19 continue continue VB cord-302619-3hbbpmnt 39 20 to to TO cord-302619-3hbbpmnt 39 21 reemerge reemerge VB cord-302619-3hbbpmnt 39 22 in in IN cord-302619-3hbbpmnt 39 23 geriatric geriatric JJ cord-302619-3hbbpmnt 39 24 populations population NNS cord-302619-3hbbpmnt 39 25 . . . cord-302619-3hbbpmnt 40 1 Decreased decrease VBN cord-302619-3hbbpmnt 40 2 cell cell NN cord-302619-3hbbpmnt 40 3 - - HYPH cord-302619-3hbbpmnt 40 4 mediated mediate VBN cord-302619-3hbbpmnt 40 5 immunity immunity NN cord-302619-3hbbpmnt 40 6 may may MD cord-302619-3hbbpmnt 40 7 also also RB cord-302619-3hbbpmnt 40 8 predispose predispose VB cord-302619-3hbbpmnt 40 9 geriatric geriatric JJ cord-302619-3hbbpmnt 40 10 patients patient NNS cord-302619-3hbbpmnt 40 11 to to IN cord-302619-3hbbpmnt 40 12 nosocomial nosocomial JJ cord-302619-3hbbpmnt 40 13 cryptosporidiosis cryptosporidiosis NN cord-302619-3hbbpmnt 40 14 . . . cord-302619-3hbbpmnt 41 1 A a DT cord-302619-3hbbpmnt 41 2 microbiologic microbiologic JJ cord-302619-3hbbpmnt 41 3 review review NN cord-302619-3hbbpmnt 41 4 for for IN cord-302619-3hbbpmnt 41 5 a a DT cord-302619-3hbbpmnt 41 6 325-bed 325-bed CD cord-302619-3hbbpmnt 41 7 hospital hospital NN cord-302619-3hbbpmnt 41 8 in in IN cord-302619-3hbbpmnt 41 9 Rhode Rhode NNP cord-302619-3hbbpmnt 41 10 Island Island NNP cord-302619-3hbbpmnt 41 11 identified identify VBD cord-302619-3hbbpmnt 41 12 36 36 CD cord-302619-3hbbpmnt 41 13 patients patient NNS cord-302619-3hbbpmnt 41 14 with with IN cord-302619-3hbbpmnt 41 15 cryptosporidiosis cryptosporidiosis NN cord-302619-3hbbpmnt 41 16 ( ( -LRB- cord-302619-3hbbpmnt 41 17 12 12 CD cord-302619-3hbbpmnt 41 18 ) ) -RRB- cord-302619-3hbbpmnt 41 19 ; ; : cord-302619-3hbbpmnt 41 20 13 13 CD cord-302619-3hbbpmnt 41 21 of of IN cord-302619-3hbbpmnt 41 22 these these DT cord-302619-3hbbpmnt 41 23 patients patient NNS cord-302619-3hbbpmnt 41 24 were be VBD cord-302619-3hbbpmnt 41 25 in in IN cord-302619-3hbbpmnt 41 26 the the DT cord-302619-3hbbpmnt 41 27 63-to 63-to CD cord-302619-3hbbpmnt 41 28 93-year 93-year JJ cord-302619-3hbbpmnt 41 29 age age NN cord-302619-3hbbpmnt 41 30 group group NN cord-302619-3hbbpmnt 41 31 ( ( -LRB- cord-302619-3hbbpmnt 41 32 mean mean VBP cord-302619-3hbbpmnt 41 33 77 77 CD cord-302619-3hbbpmnt 41 34 years year NNS cord-302619-3hbbpmnt 41 35 ) ) -RRB- cord-302619-3hbbpmnt 41 36 . . . cord-302619-3hbbpmnt 42 1 In in IN cord-302619-3hbbpmnt 42 2 seven seven CD cord-302619-3hbbpmnt 42 3 of of IN cord-302619-3hbbpmnt 42 4 these these DT cord-302619-3hbbpmnt 42 5 older old JJR cord-302619-3hbbpmnt 42 6 patients patient NNS cord-302619-3hbbpmnt 42 7 , , , cord-302619-3hbbpmnt 42 8 nosocomial nosocomial JJ cord-302619-3hbbpmnt 42 9 acquisition acquisition NN cord-302619-3hbbpmnt 42 10 was be VBD cord-302619-3hbbpmnt 42 11 suspected suspect VBN cord-302619-3hbbpmnt 42 12 . . . cord-302619-3hbbpmnt 43 1 In in IN cord-302619-3hbbpmnt 43 2 addition addition NN cord-302619-3hbbpmnt 43 3 , , , cord-302619-3hbbpmnt 43 4 outbreaks outbreak NNS cord-302619-3hbbpmnt 43 5 of of IN cord-302619-3hbbpmnt 43 6 this this DT cord-302619-3hbbpmnt 43 7 disease disease NN cord-302619-3hbbpmnt 43 8 have have VBP cord-302619-3hbbpmnt 43 9 occurred occur VBN cord-302619-3hbbpmnt 43 10 in in IN cord-302619-3hbbpmnt 43 11 elderly elderly JJ cord-302619-3hbbpmnt 43 12 nursing nursing NN cord-302619-3hbbpmnt 43 13 home home NN cord-302619-3hbbpmnt 43 14 residents resident NNS cord-302619-3hbbpmnt 43 15 ( ( -LRB- cord-302619-3hbbpmnt 43 16 13 13 CD cord-302619-3hbbpmnt 43 17 ) ) -RRB- cord-302619-3hbbpmnt 43 18 . . . cord-302619-3hbbpmnt 44 1 Thus thus RB cord-302619-3hbbpmnt 44 2 , , , cord-302619-3hbbpmnt 44 3 cryptosporidium cryptosporidium NN cord-302619-3hbbpmnt 44 4 may may MD cord-302619-3hbbpmnt 44 5 be be VB cord-302619-3hbbpmnt 44 6 an an DT cord-302619-3hbbpmnt 44 7 emerging emerge VBG cord-302619-3hbbpmnt 44 8 health health NN cord-302619-3hbbpmnt 44 9 care care NN cord-302619-3hbbpmnt 44 10 - - HYPH cord-302619-3hbbpmnt 44 11 associated associate VBN cord-302619-3hbbpmnt 44 12 infection infection NN cord-302619-3hbbpmnt 44 13 in in IN cord-302619-3hbbpmnt 44 14 the the DT cord-302619-3hbbpmnt 44 15 aged aged JJ cord-302619-3hbbpmnt 44 16 . . . cord-302619-3hbbpmnt 45 1 The the DT cord-302619-3hbbpmnt 45 2 lifestyles lifestyle NNS cord-302619-3hbbpmnt 45 3 of of IN cord-302619-3hbbpmnt 45 4 the the DT cord-302619-3hbbpmnt 45 5 elderly elderly JJ cord-302619-3hbbpmnt 45 6 may may MD cord-302619-3hbbpmnt 45 7 entail entail VB cord-302619-3hbbpmnt 45 8 additional additional JJ cord-302619-3hbbpmnt 45 9 risk risk NN cord-302619-3hbbpmnt 45 10 factors factor NNS cord-302619-3hbbpmnt 45 11 for for IN cord-302619-3hbbpmnt 45 12 both both DT cord-302619-3hbbpmnt 45 13 acquiring acquire VBG cord-302619-3hbbpmnt 45 14 and and CC cord-302619-3hbbpmnt 45 15 transmitting transmit VBG cord-302619-3hbbpmnt 45 16 health health NN cord-302619-3hbbpmnt 45 17 careassociated careassociate VBN cord-302619-3hbbpmnt 45 18 infections infection NNS cord-302619-3hbbpmnt 45 19 . . . cord-302619-3hbbpmnt 46 1 In in IN cord-302619-3hbbpmnt 46 2 western western JJ cord-302619-3hbbpmnt 46 3 countries country NNS cord-302619-3hbbpmnt 46 4 retired retire VBN cord-302619-3hbbpmnt 46 5 persons person NNS cord-302619-3hbbpmnt 46 6 use use VBP cord-302619-3hbbpmnt 46 7 their -PRON- PRP$ cord-302619-3hbbpmnt 46 8 increased increase VBN cord-302619-3hbbpmnt 46 9 leisure leisure NN cord-302619-3hbbpmnt 46 10 time time NN cord-302619-3hbbpmnt 46 11 to to TO cord-302619-3hbbpmnt 46 12 travel travel VB cord-302619-3hbbpmnt 46 13 , , , cord-302619-3hbbpmnt 46 14 including include VBG cord-302619-3hbbpmnt 46 15 domestic domestic JJ cord-302619-3hbbpmnt 46 16 trips trip NNS cord-302619-3hbbpmnt 46 17 to to TO cord-302619-3hbbpmnt 46 18 visit visit VB cord-302619-3hbbpmnt 46 19 family family NN cord-302619-3hbbpmnt 46 20 , , , cord-302619-3hbbpmnt 46 21 cruises cruise NNS cord-302619-3hbbpmnt 46 22 or or CC cord-302619-3hbbpmnt 46 23 tours tour NNS cord-302619-3hbbpmnt 46 24 to to IN cord-302619-3hbbpmnt 46 25 foreign foreign JJ cord-302619-3hbbpmnt 46 26 countries country NNS cord-302619-3hbbpmnt 46 27 , , , cord-302619-3hbbpmnt 46 28 or or CC cord-302619-3hbbpmnt 46 29 volunteer volunteer NN cord-302619-3hbbpmnt 46 30 work work NN cord-302619-3hbbpmnt 46 31 in in IN cord-302619-3hbbpmnt 46 32 developing develop VBG cord-302619-3hbbpmnt 46 33 countries country NNS cord-302619-3hbbpmnt 46 34 , , , cord-302619-3hbbpmnt 46 35 which which WDT cord-302619-3hbbpmnt 46 36 put put VBD cord-302619-3hbbpmnt 46 37 elderly elderly JJ cord-302619-3hbbpmnt 46 38 travelers traveler NNS cord-302619-3hbbpmnt 46 39 at at IN cord-302619-3hbbpmnt 46 40 risk risk NN cord-302619-3hbbpmnt 46 41 for for IN cord-302619-3hbbpmnt 46 42 infections infection NNS cord-302619-3hbbpmnt 46 43 . . . cord-302619-3hbbpmnt 47 1 In in IN cord-302619-3hbbpmnt 47 2 addition addition NN cord-302619-3hbbpmnt 47 3 , , , cord-302619-3hbbpmnt 47 4 recreational recreational JJ cord-302619-3hbbpmnt 47 5 activities activity NNS cord-302619-3hbbpmnt 47 6 such such JJ cord-302619-3hbbpmnt 47 7 as as IN cord-302619-3hbbpmnt 47 8 golfing golfing NN cord-302619-3hbbpmnt 47 9 , , , cord-302619-3hbbpmnt 47 10 spelunking spelunking NN cord-302619-3hbbpmnt 47 11 , , , cord-302619-3hbbpmnt 47 12 hunting hunting NN cord-302619-3hbbpmnt 47 13 , , , cord-302619-3hbbpmnt 47 14 and and CC cord-302619-3hbbpmnt 47 15 gardening gardening NN cord-302619-3hbbpmnt 47 16 may may MD cord-302619-3hbbpmnt 47 17 bring bring VB cord-302619-3hbbpmnt 47 18 the the DT cord-302619-3hbbpmnt 47 19 elderly elderly JJ cord-302619-3hbbpmnt 47 20 into into IN cord-302619-3hbbpmnt 47 21 contact contact NN cord-302619-3hbbpmnt 47 22 with with IN cord-302619-3hbbpmnt 47 23 unusual unusual JJ cord-302619-3hbbpmnt 47 24 pathogens pathogen NNS cord-302619-3hbbpmnt 47 25 . . . cord-302619-3hbbpmnt 48 1 Volunteer volunteer NN cord-302619-3hbbpmnt 48 2 work work NN cord-302619-3hbbpmnt 48 3 , , , cord-302619-3hbbpmnt 48 4 visiting visit VBG cord-302619-3hbbpmnt 48 5 ill ill JJ cord-302619-3hbbpmnt 48 6 friends friend NNS cord-302619-3hbbpmnt 48 7 in in IN cord-302619-3hbbpmnt 48 8 the the DT cord-302619-3hbbpmnt 48 9 hospital hospital NN cord-302619-3hbbpmnt 48 10 , , , cord-302619-3hbbpmnt 48 11 and and CC cord-302619-3hbbpmnt 48 12 other other JJ cord-302619-3hbbpmnt 48 13 patterns pattern NNS cord-302619-3hbbpmnt 48 14 of of IN cord-302619-3hbbpmnt 48 15 socialization socialization NN cord-302619-3hbbpmnt 48 16 also also RB cord-302619-3hbbpmnt 48 17 expose expose VBP cord-302619-3hbbpmnt 48 18 the the DT cord-302619-3hbbpmnt 48 19 geriatric geriatric JJ cord-302619-3hbbpmnt 48 20 population population NN cord-302619-3hbbpmnt 48 21 to to IN cord-302619-3hbbpmnt 48 22 infections infection NNS cord-302619-3hbbpmnt 48 23 that that WDT cord-302619-3hbbpmnt 48 24 may may MD cord-302619-3hbbpmnt 48 25 be be VB cord-302619-3hbbpmnt 48 26 transmitted transmit VBN cord-302619-3hbbpmnt 48 27 or or CC cord-302619-3hbbpmnt 48 28 acquired acquire VBN cord-302619-3hbbpmnt 48 29 in in IN cord-302619-3hbbpmnt 48 30 the the DT cord-302619-3hbbpmnt 48 31 health health NN cord-302619-3hbbpmnt 48 32 care care NN cord-302619-3hbbpmnt 48 33 setting setting NN cord-302619-3hbbpmnt 48 34 . . . cord-302619-3hbbpmnt 49 1 Several several JJ cord-302619-3hbbpmnt 49 2 factors factor NNS cord-302619-3hbbpmnt 49 3 specifically specifically RB cord-302619-3hbbpmnt 49 4 related relate VBN cord-302619-3hbbpmnt 49 5 to to IN cord-302619-3hbbpmnt 49 6 health health NN cord-302619-3hbbpmnt 49 7 care care NN cord-302619-3hbbpmnt 49 8 deserve deserve VBP cord-302619-3hbbpmnt 49 9 attention attention NN cord-302619-3hbbpmnt 49 10 in in IN cord-302619-3hbbpmnt 49 11 this this DT cord-302619-3hbbpmnt 49 12 regard regard NN cord-302619-3hbbpmnt 49 13 . . . cord-302619-3hbbpmnt 50 1 The the DT cord-302619-3hbbpmnt 50 2 first first JJ cord-302619-3hbbpmnt 50 3 concerns concern NNS cord-302619-3hbbpmnt 50 4 outpatient outpatient NN cord-302619-3hbbpmnt 50 5 visits visit NNS cord-302619-3hbbpmnt 50 6 . . . cord-302619-3hbbpmnt 51 1 The the DT cord-302619-3hbbpmnt 51 2 elderly elderly JJ cord-302619-3hbbpmnt 51 3 spend spend VBP cord-302619-3hbbpmnt 51 4 increased increase VBN cord-302619-3hbbpmnt 51 5 amounts amount NNS cord-302619-3hbbpmnt 51 6 of of IN cord-302619-3hbbpmnt 51 7 time time NN cord-302619-3hbbpmnt 51 8 visiting visit VBG cord-302619-3hbbpmnt 51 9 their -PRON- PRP$ cord-302619-3hbbpmnt 51 10 physicians physician NNS cord-302619-3hbbpmnt 51 11 , , , cord-302619-3hbbpmnt 51 12 potentially potentially RB cord-302619-3hbbpmnt 51 13 exposing expose VBG cord-302619-3hbbpmnt 51 14 themselves -PRON- PRP cord-302619-3hbbpmnt 51 15 to to IN cord-302619-3hbbpmnt 51 16 various various JJ cord-302619-3hbbpmnt 51 17 contagious contagious JJ cord-302619-3hbbpmnt 51 18 diseases disease NNS cord-302619-3hbbpmnt 51 19 in in IN cord-302619-3hbbpmnt 51 20 the the DT cord-302619-3hbbpmnt 51 21 health health NN cord-302619-3hbbpmnt 51 22 - - HYPH cord-302619-3hbbpmnt 51 23 care care NN cord-302619-3hbbpmnt 51 24 environment environment NN cord-302619-3hbbpmnt 51 25 . . . cord-302619-3hbbpmnt 52 1 They -PRON- PRP cord-302619-3hbbpmnt 52 2 also also RB cord-302619-3hbbpmnt 52 3 make make VBP cord-302619-3hbbpmnt 52 4 frequent frequent JJ cord-302619-3hbbpmnt 52 5 use use NN cord-302619-3hbbpmnt 52 6 of of IN cord-302619-3hbbpmnt 52 7 food food NN cord-302619-3hbbpmnt 52 8 services service NNS cord-302619-3hbbpmnt 52 9 and and CC cord-302619-3hbbpmnt 52 10 providers provider NNS cord-302619-3hbbpmnt 52 11 of of IN cord-302619-3hbbpmnt 52 12 prepared prepared JJ cord-302619-3hbbpmnt 52 13 foods food NNS cord-302619-3hbbpmnt 52 14 , , , cord-302619-3hbbpmnt 52 15 which which WDT cord-302619-3hbbpmnt 52 16 carry carry VBP cord-302619-3hbbpmnt 52 17 some some DT cord-302619-3hbbpmnt 52 18 risk risk NN cord-302619-3hbbpmnt 52 19 for for IN cord-302619-3hbbpmnt 52 20 transmitting transmit VBG cord-302619-3hbbpmnt 52 21 foodborne foodborne JJ cord-302619-3hbbpmnt 52 22 diseases disease NNS cord-302619-3hbbpmnt 52 23 . . . cord-302619-3hbbpmnt 53 1 These these DT cord-302619-3hbbpmnt 53 2 infections infection NNS cord-302619-3hbbpmnt 53 3 may may MD cord-302619-3hbbpmnt 53 4 then then RB cord-302619-3hbbpmnt 53 5 enter enter VB cord-302619-3hbbpmnt 53 6 the the DT cord-302619-3hbbpmnt 53 7 health health NN cord-302619-3hbbpmnt 53 8 - - HYPH cord-302619-3hbbpmnt 53 9 care care NN cord-302619-3hbbpmnt 53 10 system system NN cord-302619-3hbbpmnt 53 11 and and CC cord-302619-3hbbpmnt 53 12 lead lead VB cord-302619-3hbbpmnt 53 13 to to IN cord-302619-3hbbpmnt 53 14 secondary secondary JJ cord-302619-3hbbpmnt 53 15 cases case NNS cord-302619-3hbbpmnt 53 16 . . . cord-302619-3hbbpmnt 54 1 Adult adult JJ cord-302619-3hbbpmnt 54 2 daycare daycare NN cord-302619-3hbbpmnt 54 3 centers center NNS cord-302619-3hbbpmnt 54 4 and and CC cord-302619-3hbbpmnt 54 5 home home NN cord-302619-3hbbpmnt 54 6 care care NN cord-302619-3hbbpmnt 54 7 services service NNS cord-302619-3hbbpmnt 54 8 , , , cord-302619-3hbbpmnt 54 9 which which WDT cord-302619-3hbbpmnt 54 10 have have VBP cord-302619-3hbbpmnt 54 11 proliferated proliferate VBN cord-302619-3hbbpmnt 54 12 under under IN cord-302619-3hbbpmnt 54 13 medical medical JJ cord-302619-3hbbpmnt 54 14 auspices auspex NNS cord-302619-3hbbpmnt 54 15 in in IN cord-302619-3hbbpmnt 54 16 recent recent JJ cord-302619-3hbbpmnt 54 17 years year NNS cord-302619-3hbbpmnt 54 18 , , , cord-302619-3hbbpmnt 54 19 provide provide VB cord-302619-3hbbpmnt 54 20 additional additional JJ cord-302619-3hbbpmnt 54 21 avenues avenue NNS cord-302619-3hbbpmnt 54 22 for for IN cord-302619-3hbbpmnt 54 23 geriatric geriatric JJ cord-302619-3hbbpmnt 54 24 populations population NNS cord-302619-3hbbpmnt 54 25 to to TO cord-302619-3hbbpmnt 54 26 acquire acquire VB cord-302619-3hbbpmnt 54 27 health health NN cord-302619-3hbbpmnt 54 28 careassociated careassociate VBN cord-302619-3hbbpmnt 54 29 infections infection NNS cord-302619-3hbbpmnt 54 30 . . . cord-302619-3hbbpmnt 55 1 The the DT cord-302619-3hbbpmnt 55 2 impact impact NN cord-302619-3hbbpmnt 55 3 of of IN cord-302619-3hbbpmnt 55 4 these these DT cord-302619-3hbbpmnt 55 5 lifestyle lifestyle NN cord-302619-3hbbpmnt 55 6 factors factor NNS cord-302619-3hbbpmnt 55 7 on on IN cord-302619-3hbbpmnt 55 8 nosocomial nosocomial JJ cord-302619-3hbbpmnt 55 9 and and CC cord-302619-3hbbpmnt 55 10 other other JJ cord-302619-3hbbpmnt 55 11 health health NN cord-302619-3hbbpmnt 55 12 care care NN cord-302619-3hbbpmnt 55 13 - - HYPH cord-302619-3hbbpmnt 55 14 associated associate VBN cord-302619-3hbbpmnt 55 15 infections infection NNS cord-302619-3hbbpmnt 55 16 has have VBZ cord-302619-3hbbpmnt 55 17 not not RB cord-302619-3hbbpmnt 55 18 been be VBN cord-302619-3hbbpmnt 55 19 well well RB cord-302619-3hbbpmnt 55 20 documented document VBN cord-302619-3hbbpmnt 55 21 . . . cord-302619-3hbbpmnt 56 1 Several several JJ cord-302619-3hbbpmnt 56 2 observations observation NNS cord-302619-3hbbpmnt 56 3 provide provide VBP cord-302619-3hbbpmnt 56 4 examples example NNS cord-302619-3hbbpmnt 56 5 of of IN cord-302619-3hbbpmnt 56 6 the the DT cord-302619-3hbbpmnt 56 7 potential potential JJ cord-302619-3hbbpmnt 56 8 influence influence NN cord-302619-3hbbpmnt 56 9 of of IN cord-302619-3hbbpmnt 56 10 these these DT cord-302619-3hbbpmnt 56 11 factors factor NNS cord-302619-3hbbpmnt 56 12 . . . cord-302619-3hbbpmnt 57 1 A a DT cord-302619-3hbbpmnt 57 2 recent recent JJ cord-302619-3hbbpmnt 57 3 report report NN cord-302619-3hbbpmnt 57 4 from from IN cord-302619-3hbbpmnt 57 5 Taipei Taipei NNP cord-302619-3hbbpmnt 57 6 described describe VBD cord-302619-3hbbpmnt 57 7 a a DT cord-302619-3hbbpmnt 57 8 nosocomial nosocomial JJ cord-302619-3hbbpmnt 57 9 outbreak outbreak NN cord-302619-3hbbpmnt 57 10 of of IN cord-302619-3hbbpmnt 57 11 malaria malaria NN cord-302619-3hbbpmnt 57 12 resulting result VBG cord-302619-3hbbpmnt 57 13 from from IN cord-302619-3hbbpmnt 57 14 contamination contamination NN cord-302619-3hbbpmnt 57 15 of of IN cord-302619-3hbbpmnt 57 16 a a DT cord-302619-3hbbpmnt 57 17 computed compute VBN cord-302619-3hbbpmnt 57 18 tomography tomography NN cord-302619-3hbbpmnt 57 19 injection injection NN cord-302619-3hbbpmnt 57 20 device device NN cord-302619-3hbbpmnt 57 21 with with IN cord-302619-3hbbpmnt 57 22 blood blood NN cord-302619-3hbbpmnt 57 23 from from IN cord-302619-3hbbpmnt 57 24 a a DT cord-302619-3hbbpmnt 57 25 returning return VBG cord-302619-3hbbpmnt 57 26 traveler traveler NN cord-302619-3hbbpmnt 57 27 ( ( -LRB- cord-302619-3hbbpmnt 57 28 14 14 CD cord-302619-3hbbpmnt 57 29 ) ) -RRB- cord-302619-3hbbpmnt 57 30 . . . cord-302619-3hbbpmnt 58 1 Likewise likewise RB cord-302619-3hbbpmnt 58 2 , , , cord-302619-3hbbpmnt 58 3 a a DT cord-302619-3hbbpmnt 58 4 1998 1998 CD cord-302619-3hbbpmnt 58 5 outbreak outbreak NN cord-302619-3hbbpmnt 58 6 of of IN cord-302619-3hbbpmnt 58 7 influenza influenza NN cord-302619-3hbbpmnt 58 8 in in IN cord-302619-3hbbpmnt 58 9 Alaska Alaska NNP cord-302619-3hbbpmnt 58 10 and and CC cord-302619-3hbbpmnt 58 11 the the DT cord-302619-3hbbpmnt 58 12 Yukon Yukon NNP cord-302619-3hbbpmnt 58 13 Territories Territories NNPS cord-302619-3hbbpmnt 58 14 , , , cord-302619-3hbbpmnt 58 15 where where WRB cord-302619-3hbbpmnt 58 16 60,000 60,000 CD cord-302619-3hbbpmnt 58 17 to to TO cord-302619-3hbbpmnt 58 18 70,000 70,000 CD cord-302619-3hbbpmnt 58 19 tourists tourist NNS cord-302619-3hbbpmnt 58 20 visit visit VBP cord-302619-3hbbpmnt 58 21 each each DT cord-302619-3hbbpmnt 58 22 summer summer NN cord-302619-3hbbpmnt 58 23 , , , cord-302619-3hbbpmnt 58 24 further further RB cord-302619-3hbbpmnt 58 25 delineated delineate VBD cord-302619-3hbbpmnt 58 26 the the DT cord-302619-3hbbpmnt 58 27 potential potential JJ cord-302619-3hbbpmnt 58 28 role role NN cord-302619-3hbbpmnt 58 29 of of IN cord-302619-3hbbpmnt 58 30 travel travel NN cord-302619-3hbbpmnt 58 31 ( ( -LRB- cord-302619-3hbbpmnt 58 32 15 15 CD cord-302619-3hbbpmnt 58 33 ) ) -RRB- cord-302619-3hbbpmnt 58 34 . . . cord-302619-3hbbpmnt 59 1 Prospective prospective JJ cord-302619-3hbbpmnt 59 2 surveillance surveillance NN cord-302619-3hbbpmnt 59 3 in in IN cord-302619-3hbbpmnt 59 4 1998 1998 CD cord-302619-3hbbpmnt 59 5 identified identify VBD cord-302619-3hbbpmnt 59 6 2,199 2,199 CD cord-302619-3hbbpmnt 59 7 cases case NNS cord-302619-3hbbpmnt 59 8 of of IN cord-302619-3hbbpmnt 59 9 acute acute JJ cord-302619-3hbbpmnt 59 10 respiratory respiratory JJ cord-302619-3hbbpmnt 59 11 illnesses illness NNS cord-302619-3hbbpmnt 59 12 in in IN cord-302619-3hbbpmnt 59 13 12 12 CD cord-302619-3hbbpmnt 59 14 hospitals hospital NNS cord-302619-3hbbpmnt 59 15 and and CC cord-302619-3hbbpmnt 59 16 clinics clinic NNS cord-302619-3hbbpmnt 59 17 in in IN cord-302619-3hbbpmnt 59 18 Alaska Alaska NNP cord-302619-3hbbpmnt 59 19 and and CC cord-302619-3hbbpmnt 59 20 the the DT cord-302619-3hbbpmnt 59 21 Yukon Yukon NNP cord-302619-3hbbpmnt 59 22 Territory Territory NNP cord-302619-3hbbpmnt 59 23 . . . cord-302619-3hbbpmnt 60 1 Among among IN cord-302619-3hbbpmnt 60 2 these these DT cord-302619-3hbbpmnt 60 3 illnesses illness NNS cord-302619-3hbbpmnt 60 4 , , , cord-302619-3hbbpmnt 60 5 35 35 CD cord-302619-3hbbpmnt 60 6 % % NN cord-302619-3hbbpmnt 60 7 of of IN cord-302619-3hbbpmnt 60 8 cases case NNS cord-302619-3hbbpmnt 60 9 in in IN cord-302619-3hbbpmnt 60 10 tourists tourist NNS cord-302619-3hbbpmnt 60 11 and and CC cord-302619-3hbbpmnt 60 12 tourism tourism NN cord-302619-3hbbpmnt 60 13 workers worker NNS cord-302619-3hbbpmnt 60 14 met meet VBD cord-302619-3hbbpmnt 60 15 criteria criterion NNS cord-302619-3hbbpmnt 60 16 for for IN cord-302619-3hbbpmnt 60 17 influenzalike influenzalike NNP cord-302619-3hbbpmnt 60 18 illness illness NN cord-302619-3hbbpmnt 60 19 and and CC cord-302619-3hbbpmnt 60 20 3.2 3.2 CD cord-302619-3hbbpmnt 60 21 % % NN cord-302619-3hbbpmnt 60 22 for for IN cord-302619-3hbbpmnt 60 23 pneumonia pneumonia NN cord-302619-3hbbpmnt 60 24 . . . cord-302619-3hbbpmnt 61 1 Median median JJ cord-302619-3hbbpmnt 61 2 ages age NNS cord-302619-3hbbpmnt 61 3 were be VBD cord-302619-3hbbpmnt 61 4 60 60 CD cord-302619-3hbbpmnt 61 5 years year NNS cord-302619-3hbbpmnt 61 6 for for IN cord-302619-3hbbpmnt 61 7 all all DT cord-302619-3hbbpmnt 61 8 persons person NNS cord-302619-3hbbpmnt 61 9 with with IN cord-302619-3hbbpmnt 61 10 acute acute JJ cord-302619-3hbbpmnt 61 11 respiratory respiratory JJ cord-302619-3hbbpmnt 61 12 illnesses illness NNS cord-302619-3hbbpmnt 61 13 and and CC cord-302619-3hbbpmnt 61 14 72 72 CD cord-302619-3hbbpmnt 61 15 years year NNS cord-302619-3hbbpmnt 61 16 for for IN cord-302619-3hbbpmnt 61 17 all all DT cord-302619-3hbbpmnt 61 18 persons person NNS cord-302619-3hbbpmnt 61 19 with with IN cord-302619-3hbbpmnt 61 20 pneumonia pneumonia NN cord-302619-3hbbpmnt 61 21 . . . cord-302619-3hbbpmnt 62 1 Fifty fifty CD cord-302619-3hbbpmnt 62 2 of of IN cord-302619-3hbbpmnt 62 3 the the DT cord-302619-3hbbpmnt 62 4 persons person NNS cord-302619-3hbbpmnt 62 5 with with IN cord-302619-3hbbpmnt 62 6 pneumonia pneumonia NN cord-302619-3hbbpmnt 62 7 required require VBD cord-302619-3hbbpmnt 62 8 hospitalization hospitalization NN cord-302619-3hbbpmnt 62 9 . . . cord-302619-3hbbpmnt 63 1 The the DT cord-302619-3hbbpmnt 63 2 role role NN cord-302619-3hbbpmnt 63 3 of of IN cord-302619-3hbbpmnt 63 4 lifestyle lifestyle NN cord-302619-3hbbpmnt 63 5 factors factor NNS cord-302619-3hbbpmnt 63 6 related relate VBN cord-302619-3hbbpmnt 63 7 to to IN cord-302619-3hbbpmnt 63 8 health health NN cord-302619-3hbbpmnt 63 9 care care NN cord-302619-3hbbpmnt 63 10 has have VBZ cord-302619-3hbbpmnt 63 11 received receive VBN cord-302619-3hbbpmnt 63 12 little little JJ cord-302619-3hbbpmnt 63 13 attention attention NN cord-302619-3hbbpmnt 63 14 , , , cord-302619-3hbbpmnt 63 15 but but CC cord-302619-3hbbpmnt 63 16 one one CD cord-302619-3hbbpmnt 63 17 recent recent JJ cord-302619-3hbbpmnt 63 18 publication publication NN cord-302619-3hbbpmnt 63 19 illustrates illustrate VBZ cord-302619-3hbbpmnt 63 20 the the DT cord-302619-3hbbpmnt 63 21 potential potential JJ cord-302619-3hbbpmnt 63 22 problem problem NN cord-302619-3hbbpmnt 63 23 . . . cord-302619-3hbbpmnt 64 1 A a DT cord-302619-3hbbpmnt 64 2 4-year 4-year CD cord-302619-3hbbpmnt 64 3 study study NN cord-302619-3hbbpmnt 64 4 of of IN cord-302619-3hbbpmnt 64 5 acute acute JJ cord-302619-3hbbpmnt 64 6 respiratory respiratory JJ cord-302619-3hbbpmnt 64 7 illnesses illness NNS cord-302619-3hbbpmnt 64 8 in in IN cord-302619-3hbbpmnt 64 9 three three CD cord-302619-3hbbpmnt 64 10 senior senior JJ cord-302619-3hbbpmnt 64 11 day day NN cord-302619-3hbbpmnt 64 12 - - HYPH cord-302619-3hbbpmnt 64 13 care care NN cord-302619-3hbbpmnt 64 14 centers center NNS cord-302619-3hbbpmnt 64 15 documented document VBD cord-302619-3hbbpmnt 64 16 the the DT cord-302619-3hbbpmnt 64 17 annual annual JJ cord-302619-3hbbpmnt 64 18 occurrence occurrence NN cord-302619-3hbbpmnt 64 19 of of IN cord-302619-3hbbpmnt 64 20 viral viral JJ cord-302619-3hbbpmnt 64 21 respiratory respiratory JJ cord-302619-3hbbpmnt 64 22 infections infection NNS cord-302619-3hbbpmnt 64 23 in in IN cord-302619-3hbbpmnt 64 24 16 16 CD cord-302619-3hbbpmnt 64 25 to to TO cord-302619-3hbbpmnt 64 26 43 43 CD cord-302619-3hbbpmnt 64 27 elderly elderly JJ cord-302619-3hbbpmnt 64 28 participants participant NNS cord-302619-3hbbpmnt 64 29 and and CC cord-302619-3hbbpmnt 64 30 6 6 CD cord-302619-3hbbpmnt 64 31 to to TO cord-302619-3hbbpmnt 64 32 23 23 CD cord-302619-3hbbpmnt 64 33 staff staff NN cord-302619-3hbbpmnt 64 34 ( ( -LRB- cord-302619-3hbbpmnt 64 35 16 16 CD cord-302619-3hbbpmnt 64 36 ) ) -RRB- cord-302619-3hbbpmnt 64 37 . . . cord-302619-3hbbpmnt 65 1 Identified identify VBN cord-302619-3hbbpmnt 65 2 pathogens pathogen NNS cord-302619-3hbbpmnt 65 3 included include VBD cord-302619-3hbbpmnt 65 4 influenza influenza NN cord-302619-3hbbpmnt 65 5 A a NN cord-302619-3hbbpmnt 65 6 , , , cord-302619-3hbbpmnt 65 7 influenza influenza NN cord-302619-3hbbpmnt 65 8 B b NN cord-302619-3hbbpmnt 65 9 , , , cord-302619-3hbbpmnt 65 10 respiratory respiratory JJ cord-302619-3hbbpmnt 65 11 syncytial syncytial JJ cord-302619-3hbbpmnt 65 12 virus virus NN cord-302619-3hbbpmnt 65 13 , , , cord-302619-3hbbpmnt 65 14 coronavirus coronavirus NN cord-302619-3hbbpmnt 65 15 , , , cord-302619-3hbbpmnt 65 16 parainfluenza parainfluenza NNP cord-302619-3hbbpmnt 65 17 virus virus NNP cord-302619-3hbbpmnt 65 18 , , , cord-302619-3hbbpmnt 65 19 and and CC cord-302619-3hbbpmnt 65 20 rhinovirus rhinovirus NN cord-302619-3hbbpmnt 65 21 . . . cord-302619-3hbbpmnt 66 1 Of of IN cord-302619-3hbbpmnt 66 2 special special JJ cord-302619-3hbbpmnt 66 3 importance importance NN cord-302619-3hbbpmnt 66 4 , , , cord-302619-3hbbpmnt 66 5 an an DT cord-302619-3hbbpmnt 66 6 educational educational JJ cord-302619-3hbbpmnt 66 7 campaign campaign NN cord-302619-3hbbpmnt 66 8 stressing stress VBG cord-302619-3hbbpmnt 66 9 the the DT cord-302619-3hbbpmnt 66 10 importance importance NN cord-302619-3hbbpmnt 66 11 of of IN cord-302619-3hbbpmnt 66 12 handwashing handwash VBG cord-302619-3hbbpmnt 66 13 combined combine VBN cord-302619-3hbbpmnt 66 14 with with IN cord-302619-3hbbpmnt 66 15 use use NN cord-302619-3hbbpmnt 66 16 of of IN cord-302619-3hbbpmnt 66 17 a a DT cord-302619-3hbbpmnt 66 18 portable portable JJ cord-302619-3hbbpmnt 66 19 virucidal virucidal JJ cord-302619-3hbbpmnt 66 20 foam foam NN cord-302619-3hbbpmnt 66 21 product product NN cord-302619-3hbbpmnt 66 22 cut cut VBD cord-302619-3hbbpmnt 66 23 the the DT cord-302619-3hbbpmnt 66 24 infection infection NN cord-302619-3hbbpmnt 66 25 rate rate NN cord-302619-3hbbpmnt 66 26 by by IN cord-302619-3hbbpmnt 66 27 50 50 CD cord-302619-3hbbpmnt 66 28 % % NN cord-302619-3hbbpmnt 66 29 during during IN cord-302619-3hbbpmnt 66 30 the the DT cord-302619-3hbbpmnt 66 31 fourth fourth JJ cord-302619-3hbbpmnt 66 32 year year NN cord-302619-3hbbpmnt 66 33 . . . cord-302619-3hbbpmnt 67 1 This this DT cord-302619-3hbbpmnt 67 2 article article NN cord-302619-3hbbpmnt 67 3 describes describe VBZ cord-302619-3hbbpmnt 67 4 a a DT cord-302619-3hbbpmnt 67 5 new new JJ cord-302619-3hbbpmnt 67 6 setting setting NN cord-302619-3hbbpmnt 67 7 for for IN cord-302619-3hbbpmnt 67 8 health health NN cord-302619-3hbbpmnt 67 9 care care NN cord-302619-3hbbpmnt 67 10 - - HYPH cord-302619-3hbbpmnt 67 11 associated associate VBN cord-302619-3hbbpmnt 67 12 infections infection NNS cord-302619-3hbbpmnt 67 13 and and CC cord-302619-3hbbpmnt 67 14 confirms confirm VBZ cord-302619-3hbbpmnt 67 15 that that IN cord-302619-3hbbpmnt 67 16 traditional traditional JJ cord-302619-3hbbpmnt 67 17 approaches approach NNS cord-302619-3hbbpmnt 67 18 to to IN cord-302619-3hbbpmnt 67 19 prevention prevention NN cord-302619-3hbbpmnt 67 20 still still RB cord-302619-3hbbpmnt 67 21 apply apply VB cord-302619-3hbbpmnt 67 22 . . . cord-302619-3hbbpmnt 68 1 The the DT cord-302619-3hbbpmnt 68 2 spectrum spectrum NN cord-302619-3hbbpmnt 68 3 of of IN cord-302619-3hbbpmnt 68 4 living live VBG cord-302619-3hbbpmnt 68 5 arrangements arrangement NNS cord-302619-3hbbpmnt 68 6 for for IN cord-302619-3hbbpmnt 68 7 geriatric geriatric JJ cord-302619-3hbbpmnt 68 8 populations population NNS cord-302619-3hbbpmnt 68 9 ranges range VBZ cord-302619-3hbbpmnt 68 10 from from IN cord-302619-3hbbpmnt 68 11 private private JJ cord-302619-3hbbpmnt 68 12 residences residence NNS cord-302619-3hbbpmnt 68 13 in in IN cord-302619-3hbbpmnt 68 14 the the DT cord-302619-3hbbpmnt 68 15 community community NN cord-302619-3hbbpmnt 68 16 to to IN cord-302619-3hbbpmnt 68 17 skilled skilled JJ cord-302619-3hbbpmnt 68 18 nursing nursing NN cord-302619-3hbbpmnt 68 19 homes home NNS cord-302619-3hbbpmnt 68 20 . . . cord-302619-3hbbpmnt 69 1 Between between IN cord-302619-3hbbpmnt 69 2 these these DT cord-302619-3hbbpmnt 69 3 extremes extreme NNS cord-302619-3hbbpmnt 69 4 are be VBP cord-302619-3hbbpmnt 69 5 retirement retirement NN cord-302619-3hbbpmnt 69 6 homes home NNS cord-302619-3hbbpmnt 69 7 , , , cord-302619-3hbbpmnt 69 8 assisted assist VBD cord-302619-3hbbpmnt 69 9 living living NN cord-302619-3hbbpmnt 69 10 facilities facility NNS cord-302619-3hbbpmnt 69 11 , , , cord-302619-3hbbpmnt 69 12 foster foster NN cord-302619-3hbbpmnt 69 13 and and CC cord-302619-3hbbpmnt 69 14 group group NN cord-302619-3hbbpmnt 69 15 homes home NNS cord-302619-3hbbpmnt 69 16 , , , cord-302619-3hbbpmnt 69 17 chronic chronic JJ cord-302619-3hbbpmnt 69 18 disease disease NN cord-302619-3hbbpmnt 69 19 hospitals hospital NNS cord-302619-3hbbpmnt 69 20 , , , cord-302619-3hbbpmnt 69 21 and and CC cord-302619-3hbbpmnt 69 22 other other JJ cord-302619-3hbbpmnt 69 23 arrangements arrangement NNS cord-302619-3hbbpmnt 69 24 that that WDT cord-302619-3hbbpmnt 69 25 provide provide VBP cord-302619-3hbbpmnt 69 26 for for IN cord-302619-3hbbpmnt 69 27 the the DT cord-302619-3hbbpmnt 69 28 needs need NNS cord-302619-3hbbpmnt 69 29 of of IN cord-302619-3hbbpmnt 69 30 persons person NNS cord-302619-3hbbpmnt 69 31 with with IN cord-302619-3hbbpmnt 69 32 sustained sustained JJ cord-302619-3hbbpmnt 69 33 self self NN cord-302619-3hbbpmnt 69 34 - - HYPH cord-302619-3hbbpmnt 69 35 care care NN cord-302619-3hbbpmnt 69 36 deficits deficit NNS cord-302619-3hbbpmnt 69 37 ( ( -LRB- cord-302619-3hbbpmnt 69 38 4 4 CD cord-302619-3hbbpmnt 69 39 ) ) -RRB- cord-302619-3hbbpmnt 69 40 . . . cord-302619-3hbbpmnt 70 1 Little little JJ cord-302619-3hbbpmnt 70 2 is be VBZ cord-302619-3hbbpmnt 70 3 known know VBN cord-302619-3hbbpmnt 70 4 about about IN cord-302619-3hbbpmnt 70 5 the the DT cord-302619-3hbbpmnt 70 6 role role NN cord-302619-3hbbpmnt 70 7 that that IN cord-302619-3hbbpmnt 70 8 these these DT cord-302619-3hbbpmnt 70 9 arrangements arrangement NNS cord-302619-3hbbpmnt 70 10 play play VBP cord-302619-3hbbpmnt 70 11 in in IN cord-302619-3hbbpmnt 70 12 the the DT cord-302619-3hbbpmnt 70 13 overall overall JJ cord-302619-3hbbpmnt 70 14 scope scope NN cord-302619-3hbbpmnt 70 15 of of IN cord-302619-3hbbpmnt 70 16 health health NN cord-302619-3hbbpmnt 70 17 careassociated careassociate VBN cord-302619-3hbbpmnt 70 18 infections infection NNS cord-302619-3hbbpmnt 70 19 . . . cord-302619-3hbbpmnt 71 1 However however RB cord-302619-3hbbpmnt 71 2 , , , cord-302619-3hbbpmnt 71 3 during during IN cord-302619-3hbbpmnt 71 4 the the DT cord-302619-3hbbpmnt 71 5 last last JJ cord-302619-3hbbpmnt 71 6 15 15 CD cord-302619-3hbbpmnt 71 7 years year NNS cord-302619-3hbbpmnt 71 8 several several JJ cord-302619-3hbbpmnt 71 9 studies study NNS cord-302619-3hbbpmnt 71 10 have have VBP cord-302619-3hbbpmnt 71 11 examined examine VBN cord-302619-3hbbpmnt 71 12 the the DT cord-302619-3hbbpmnt 71 13 problem problem NN cord-302619-3hbbpmnt 71 14 of of IN cord-302619-3hbbpmnt 71 15 health health NN cord-302619-3hbbpmnt 71 16 careassociated careassociate VBD cord-302619-3hbbpmnt 71 17 infections infection NNS cord-302619-3hbbpmnt 71 18 in in IN cord-302619-3hbbpmnt 71 19 skilled skilled JJ cord-302619-3hbbpmnt 71 20 - - HYPH cord-302619-3hbbpmnt 71 21 nursing nursing NN cord-302619-3hbbpmnt 71 22 homes home NNS cord-302619-3hbbpmnt 71 23 ( ( -LRB- cord-302619-3hbbpmnt 71 24 2 2 CD cord-302619-3hbbpmnt 71 25 , , , cord-302619-3hbbpmnt 71 26 4 4 CD cord-302619-3hbbpmnt 71 27 ) ) -RRB- cord-302619-3hbbpmnt 71 28 . . . cord-302619-3hbbpmnt 72 1 Nursing nursing NN cord-302619-3hbbpmnt 72 2 homes home NNS cord-302619-3hbbpmnt 72 3 are be VBP cord-302619-3hbbpmnt 72 4 residential residential JJ cord-302619-3hbbpmnt 72 5 facilities facility NNS cord-302619-3hbbpmnt 72 6 for for IN cord-302619-3hbbpmnt 72 7 persons person NNS cord-302619-3hbbpmnt 72 8 who who WP cord-302619-3hbbpmnt 72 9 require require VBP cord-302619-3hbbpmnt 72 10 nursing nursing NN cord-302619-3hbbpmnt 72 11 care care NN cord-302619-3hbbpmnt 72 12 and and CC cord-302619-3hbbpmnt 72 13 related relate VBN cord-302619-3hbbpmnt 72 14 medical medical JJ cord-302619-3hbbpmnt 72 15 or or CC cord-302619-3hbbpmnt 72 16 psychosocial psychosocial JJ cord-302619-3hbbpmnt 72 17 services service NNS cord-302619-3hbbpmnt 72 18 ( ( -LRB- cord-302619-3hbbpmnt 72 19 4 4 CD cord-302619-3hbbpmnt 72 20 ) ) -RRB- cord-302619-3hbbpmnt 72 21 . . . cord-302619-3hbbpmnt 73 1 Approximately approximately RB cord-302619-3hbbpmnt 73 2 90 90 CD cord-302619-3hbbpmnt 73 3 % % NN cord-302619-3hbbpmnt 73 4 of of IN cord-302619-3hbbpmnt 73 5 nursing nursing NN cord-302619-3hbbpmnt 73 6 home home NN cord-302619-3hbbpmnt 73 7 residents resident NNS cord-302619-3hbbpmnt 73 8 fall fall VBP cord-302619-3hbbpmnt 73 9 into into IN cord-302619-3hbbpmnt 73 10 the the DT cord-302619-3hbbpmnt 73 11 geriatric geriatric JJ cord-302619-3hbbpmnt 73 12 age age NN cord-302619-3hbbpmnt 73 13 range range NN cord-302619-3hbbpmnt 73 14 . . . cord-302619-3hbbpmnt 74 1 As as IN cord-302619-3hbbpmnt 74 2 a a DT cord-302619-3hbbpmnt 74 3 group group NN cord-302619-3hbbpmnt 74 4 , , , cord-302619-3hbbpmnt 74 5 nursing nursing NN cord-302619-3hbbpmnt 74 6 home home NN cord-302619-3hbbpmnt 74 7 residents resident NNS cord-302619-3hbbpmnt 74 8 exhibit exhibit VBP cord-302619-3hbbpmnt 74 9 virtually virtually RB cord-302619-3hbbpmnt 74 10 all all PDT cord-302619-3hbbpmnt 74 11 the the DT cord-302619-3hbbpmnt 74 12 risk risk NN cord-302619-3hbbpmnt 74 13 factors factor NNS cord-302619-3hbbpmnt 74 14 for for IN cord-302619-3hbbpmnt 74 15 infections infection NNS cord-302619-3hbbpmnt 74 16 associated associate VBN cord-302619-3hbbpmnt 74 17 with with IN cord-302619-3hbbpmnt 74 18 the the DT cord-302619-3hbbpmnt 74 19 geriatric geriatric JJ cord-302619-3hbbpmnt 74 20 population population NN cord-302619-3hbbpmnt 74 21 . . . cord-302619-3hbbpmnt 75 1 As as IN cord-302619-3hbbpmnt 75 2 a a DT cord-302619-3hbbpmnt 75 3 consequence consequence NN cord-302619-3hbbpmnt 75 4 , , , cord-302619-3hbbpmnt 75 5 infections infection NNS cord-302619-3hbbpmnt 75 6 occur occur VBP cord-302619-3hbbpmnt 75 7 commonly commonly RB cord-302619-3hbbpmnt 75 8 in in IN cord-302619-3hbbpmnt 75 9 this this DT cord-302619-3hbbpmnt 75 10 setting setting NN cord-302619-3hbbpmnt 75 11 , , , cord-302619-3hbbpmnt 75 12 and and CC cord-302619-3hbbpmnt 75 13 emerging emerge VBG cord-302619-3hbbpmnt 75 14 health health NN cord-302619-3hbbpmnt 75 15 care care NN cord-302619-3hbbpmnt 75 16 - - HYPH cord-302619-3hbbpmnt 75 17 associated associate VBN cord-302619-3hbbpmnt 75 18 infections infection NNS cord-302619-3hbbpmnt 75 19 are be VBP cord-302619-3hbbpmnt 75 20 no no DT cord-302619-3hbbpmnt 75 21 exception exception NN cord-302619-3hbbpmnt 75 22 . . . cord-302619-3hbbpmnt 76 1 Three three CD cord-302619-3hbbpmnt 76 2 types type NNS cord-302619-3hbbpmnt 76 3 of of IN cord-302619-3hbbpmnt 76 4 endemic endemic JJ cord-302619-3hbbpmnt 76 5 infections infection NNS cord-302619-3hbbpmnt 76 6 occur occur VBP cord-302619-3hbbpmnt 76 7 regularly regularly RB cord-302619-3hbbpmnt 76 8 in in IN cord-302619-3hbbpmnt 76 9 all all PDT cord-302619-3hbbpmnt 76 10 these these DT cord-302619-3hbbpmnt 76 11 facilities facility NNS cord-302619-3hbbpmnt 76 12 : : : cord-302619-3hbbpmnt 76 13 urinary urinary JJ cord-302619-3hbbpmnt 76 14 tract tract JJ cord-302619-3hbbpmnt 76 15 infections infection NNS cord-302619-3hbbpmnt 76 16 , , , cord-302619-3hbbpmnt 76 17 lower low JJR cord-302619-3hbbpmnt 76 18 respiratory respiratory JJ cord-302619-3hbbpmnt 76 19 tract tract NN cord-302619-3hbbpmnt 76 20 infections infection NNS cord-302619-3hbbpmnt 76 21 - - : cord-302619-3hbbpmnt 76 22 principally principally RB cord-302619-3hbbpmnt 76 23 pneumonia pneumonia NN cord-302619-3hbbpmnt 76 24 , , , cord-302619-3hbbpmnt 76 25 and and CC cord-302619-3hbbpmnt 76 26 various various JJ cord-302619-3hbbpmnt 76 27 skin skin NN cord-302619-3hbbpmnt 76 28 and and CC cord-302619-3hbbpmnt 76 29 soft soft JJ cord-302619-3hbbpmnt 76 30 tissue tissue NN cord-302619-3hbbpmnt 76 31 infections infection NNS cord-302619-3hbbpmnt 76 32 ( ( -LRB- cord-302619-3hbbpmnt 76 33 4 4 CD cord-302619-3hbbpmnt 76 34 ) ) -RRB- cord-302619-3hbbpmnt 76 35 ( ( -LRB- cord-302619-3hbbpmnt 76 36 Table table NN cord-302619-3hbbpmnt 76 37 ) ) -RRB- cord-302619-3hbbpmnt 76 38 . . . cord-302619-3hbbpmnt 77 1 In in IN cord-302619-3hbbpmnt 77 2 the the DT cord-302619-3hbbpmnt 77 3 United United NNP cord-302619-3hbbpmnt 77 4 States States NNP cord-302619-3hbbpmnt 77 5 , , , cord-302619-3hbbpmnt 77 6 the the DT cord-302619-3hbbpmnt 77 7 overall overall JJ cord-302619-3hbbpmnt 77 8 rates rate NNS cord-302619-3hbbpmnt 77 9 for for IN cord-302619-3hbbpmnt 77 10 nursing nursing NN cord-302619-3hbbpmnt 77 11 home home RB cord-302619-3hbbpmnt 77 12 - - HYPH cord-302619-3hbbpmnt 77 13 acquired acquire VBN cord-302619-3hbbpmnt 77 14 infection infection NN cord-302619-3hbbpmnt 77 15 are be VBP cord-302619-3hbbpmnt 77 16 3 3 CD cord-302619-3hbbpmnt 77 17 to to TO cord-302619-3hbbpmnt 77 18 7 7 CD cord-302619-3hbbpmnt 77 19 infections infection NNS cord-302619-3hbbpmnt 77 20 per per IN cord-302619-3hbbpmnt 77 21 1,000 1,000 CD cord-302619-3hbbpmnt 77 22 resident resident JJ cord-302619-3hbbpmnt 77 23 day day NN cord-302619-3hbbpmnt 77 24 , , , cord-302619-3hbbpmnt 77 25 or or CC cord-302619-3hbbpmnt 77 26 1.6 1.6 CD cord-302619-3hbbpmnt 77 27 to to TO cord-302619-3hbbpmnt 77 28 3.8 3.8 CD cord-302619-3hbbpmnt 77 29 million million CD cord-302619-3hbbpmnt 77 30 infections infection NNS cord-302619-3hbbpmnt 77 31 per per IN cord-302619-3hbbpmnt 77 32 year year NN cord-302619-3hbbpmnt 77 33 ( ( -LRB- cord-302619-3hbbpmnt 77 34 4 4 CD cord-302619-3hbbpmnt 77 35 ) ) -RRB- cord-302619-3hbbpmnt 77 36 . . . cord-302619-3hbbpmnt 78 1 Occasionally occasionally RB cord-302619-3hbbpmnt 78 2 , , , cord-302619-3hbbpmnt 78 3 new new JJ cord-302619-3hbbpmnt 78 4 etiologic etiologic JJ cord-302619-3hbbpmnt 78 5 agents agent NNS cord-302619-3hbbpmnt 78 6 crop crop VBP cord-302619-3hbbpmnt 78 7 up up RP cord-302619-3hbbpmnt 78 8 as as IN cord-302619-3hbbpmnt 78 9 causes cause NNS cord-302619-3hbbpmnt 78 10 of of IN cord-302619-3hbbpmnt 78 11 these these DT cord-302619-3hbbpmnt 78 12 endemic endemic JJ cord-302619-3hbbpmnt 78 13 infections infection NNS cord-302619-3hbbpmnt 78 14 . . . cord-302619-3hbbpmnt 79 1 For for IN cord-302619-3hbbpmnt 79 2 example example NN cord-302619-3hbbpmnt 79 3 , , , cord-302619-3hbbpmnt 79 4 in in IN cord-302619-3hbbpmnt 79 5 a a DT cord-302619-3hbbpmnt 79 6 2-year 2-year CD cord-302619-3hbbpmnt 79 7 serologic serologic JJ cord-302619-3hbbpmnt 79 8 study study NN cord-302619-3hbbpmnt 79 9 of of IN cord-302619-3hbbpmnt 79 10 selected select VBN cord-302619-3hbbpmnt 79 11 pathogens pathogen NNS cord-302619-3hbbpmnt 79 12 causing cause VBG cord-302619-3hbbpmnt 79 13 respiratory respiratory JJ cord-302619-3hbbpmnt 79 14 tract tract NN cord-302619-3hbbpmnt 79 15 infections infection NNS cord-302619-3hbbpmnt 79 16 and and CC cord-302619-3hbbpmnt 79 17 febrile febrile JJ cord-302619-3hbbpmnt 79 18 episodes episode NNS cord-302619-3hbbpmnt 79 19 in in IN cord-302619-3hbbpmnt 79 20 two two CD cord-302619-3hbbpmnt 79 21 Canadian canadian JJ cord-302619-3hbbpmnt 79 22 long long JJ cord-302619-3hbbpmnt 79 23 - - HYPH cord-302619-3hbbpmnt 79 24 term term NN cord-302619-3hbbpmnt 79 25 care care NN cord-302619-3hbbpmnt 79 26 facilities facility NNS cord-302619-3hbbpmnt 79 27 , , , cord-302619-3hbbpmnt 79 28 Orr Orr NNP cord-302619-3hbbpmnt 79 29 and and CC cord-302619-3hbbpmnt 79 30 colleagues colleague NNS cord-302619-3hbbpmnt 79 31 identified identify VBD cord-302619-3hbbpmnt 79 32 a a DT cord-302619-3hbbpmnt 79 33 positive positive JJ cord-302619-3hbbpmnt 79 34 serologic serologic NN cord-302619-3hbbpmnt 79 35 response response NN cord-302619-3hbbpmnt 79 36 to to IN cord-302619-3hbbpmnt 79 37 Chlamydia Chlamydia NNP cord-302619-3hbbpmnt 79 38 pneumoniae pneumoniae NN cord-302619-3hbbpmnt 79 39 in in IN cord-302619-3hbbpmnt 79 40 9.4 9.4 CD cord-302619-3hbbpmnt 79 41 % % NN cord-302619-3hbbpmnt 79 42 of of IN cord-302619-3hbbpmnt 79 43 224 224 CD cord-302619-3hbbpmnt 79 44 _SP cord-302619-3hbbpmnt 79 45 febrile febrile JJ cord-302619-3hbbpmnt 79 46 episodes episode NNS cord-302619-3hbbpmnt 79 47 ( ( -LRB- cord-302619-3hbbpmnt 79 48 17 17 CD cord-302619-3hbbpmnt 79 49 ) ) -RRB- cord-302619-3hbbpmnt 79 50 . . . cord-302619-3hbbpmnt 80 1 These these DT cord-302619-3hbbpmnt 80 2 positive positive JJ cord-302619-3hbbpmnt 80 3 responses response NNS cord-302619-3hbbpmnt 80 4 were be VBD cord-302619-3hbbpmnt 80 5 associated associate VBN cord-302619-3hbbpmnt 80 6 with with IN cord-302619-3hbbpmnt 80 7 12 12 CD cord-302619-3hbbpmnt 80 8 % % NN cord-302619-3hbbpmnt 80 9 of of IN cord-302619-3hbbpmnt 80 10 respiratory respiratory JJ cord-302619-3hbbpmnt 80 11 infections infection NNS cord-302619-3hbbpmnt 80 12 , , , cord-302619-3hbbpmnt 80 13 including include VBG cord-302619-3hbbpmnt 80 14 5 5 CD cord-302619-3hbbpmnt 80 15 of of IN cord-302619-3hbbpmnt 80 16 30 30 CD cord-302619-3hbbpmnt 80 17 pneumonias pneumonia NNS cord-302619-3hbbpmnt 80 18 and and CC cord-302619-3hbbpmnt 80 19 6.5 6.5 CD cord-302619-3hbbpmnt 80 20 % % NN cord-302619-3hbbpmnt 80 21 of of IN cord-302619-3hbbpmnt 80 22 infections infection NNS cord-302619-3hbbpmnt 80 23 of of IN cord-302619-3hbbpmnt 80 24 unknown unknown JJ cord-302619-3hbbpmnt 80 25 origin origin NN cord-302619-3hbbpmnt 80 26 . . . cord-302619-3hbbpmnt 81 1 These these DT cord-302619-3hbbpmnt 81 2 data datum NNS cord-302619-3hbbpmnt 81 3 suggest suggest VBP cord-302619-3hbbpmnt 81 4 that that IN cord-302619-3hbbpmnt 81 5 C. C. NNP cord-302619-3hbbpmnt 81 6 pneumoniae pneumoniae NN cord-302619-3hbbpmnt 81 7 may may MD cord-302619-3hbbpmnt 81 8 be be VB cord-302619-3hbbpmnt 81 9 an an DT cord-302619-3hbbpmnt 81 10 emerging emerge VBG cord-302619-3hbbpmnt 81 11 health health NN cord-302619-3hbbpmnt 81 12 care care NN cord-302619-3hbbpmnt 81 13 - - HYPH cord-302619-3hbbpmnt 81 14 associated associate VBN cord-302619-3hbbpmnt 81 15 infection infection NN cord-302619-3hbbpmnt 81 16 in in IN cord-302619-3hbbpmnt 81 17 this this DT cord-302619-3hbbpmnt 81 18 setting setting NN cord-302619-3hbbpmnt 81 19 . . . cord-302619-3hbbpmnt 82 1 Outbreaks outbreak NNS cord-302619-3hbbpmnt 82 2 also also RB cord-302619-3hbbpmnt 82 3 account account VBP cord-302619-3hbbpmnt 82 4 for for IN cord-302619-3hbbpmnt 82 5 a a DT cord-302619-3hbbpmnt 82 6 proportion proportion NN cord-302619-3hbbpmnt 82 7 of of IN cord-302619-3hbbpmnt 82 8 the the DT cord-302619-3hbbpmnt 82 9 health health NN cord-302619-3hbbpmnt 82 10 care care NN cord-302619-3hbbpmnt 82 11 - - HYPH cord-302619-3hbbpmnt 82 12 associated associate VBN cord-302619-3hbbpmnt 82 13 infections infection NNS cord-302619-3hbbpmnt 82 14 observed observe VBN cord-302619-3hbbpmnt 82 15 in in IN cord-302619-3hbbpmnt 82 16 nursing nursing NN cord-302619-3hbbpmnt 82 17 homes home NNS cord-302619-3hbbpmnt 82 18 ( ( -LRB- cord-302619-3hbbpmnt 82 19 2 2 CD cord-302619-3hbbpmnt 82 20 , , , cord-302619-3hbbpmnt 82 21 4 4 CD cord-302619-3hbbpmnt 82 22 ) ) -RRB- cord-302619-3hbbpmnt 82 23 . . . cord-302619-3hbbpmnt 83 1 Respiratory respiratory JJ cord-302619-3hbbpmnt 83 2 infections infection NNS cord-302619-3hbbpmnt 83 3 and and CC cord-302619-3hbbpmnt 83 4 gastroenteritis gastroenteritis NN cord-302619-3hbbpmnt 83 5 occur occur VBP cord-302619-3hbbpmnt 83 6 most most RBS cord-302619-3hbbpmnt 83 7 frequently frequently RB cord-302619-3hbbpmnt 83 8 . . . cord-302619-3hbbpmnt 84 1 Although although IN cord-302619-3hbbpmnt 84 2 no no DT cord-302619-3hbbpmnt 84 3 national national JJ cord-302619-3hbbpmnt 84 4 data datum NNS cord-302619-3hbbpmnt 84 5 on on IN cord-302619-3hbbpmnt 84 6 frequency frequency NN cord-302619-3hbbpmnt 84 7 of of IN cord-302619-3hbbpmnt 84 8 occurrence occurrence NN cord-302619-3hbbpmnt 84 9 are be VBP cord-302619-3hbbpmnt 84 10 available available JJ cord-302619-3hbbpmnt 84 11 , , , cord-302619-3hbbpmnt 84 12 published publish VBN cord-302619-3hbbpmnt 84 13 reports report NNS cord-302619-3hbbpmnt 84 14 suggest suggest VBP cord-302619-3hbbpmnt 84 15 that that IN cord-302619-3hbbpmnt 84 16 outbreaks outbreak NNS cord-302619-3hbbpmnt 84 17 are be VBP cord-302619-3hbbpmnt 84 18 not not RB cord-302619-3hbbpmnt 84 19 uncommon uncommon JJ cord-302619-3hbbpmnt 84 20 . . . cord-302619-3hbbpmnt 85 1 During during IN cord-302619-3hbbpmnt 85 2 1970 1970 CD cord-302619-3hbbpmnt 85 3 to to IN cord-302619-3hbbpmnt 85 4 1984 1984 CD cord-302619-3hbbpmnt 85 5 , , , cord-302619-3hbbpmnt 85 6 outbreak outbreak NN cord-302619-3hbbpmnt 85 7 reports report NNS cord-302619-3hbbpmnt 85 8 constituted constitute VBD cord-302619-3hbbpmnt 85 9 approximately approximately RB cord-302619-3hbbpmnt 85 10 one one CD cord-302619-3hbbpmnt 85 11 - - HYPH cord-302619-3hbbpmnt 85 12 third third NN cord-302619-3hbbpmnt 85 13 of of IN cord-302619-3hbbpmnt 85 14 publications publication NNS cord-302619-3hbbpmnt 85 15 on on IN cord-302619-3hbbpmnt 85 16 infections infection NNS cord-302619-3hbbpmnt 85 17 in in IN cord-302619-3hbbpmnt 85 18 long long JJ cord-302619-3hbbpmnt 85 19 - - HYPH cord-302619-3hbbpmnt 85 20 term term NN cord-302619-3hbbpmnt 85 21 care care NN cord-302619-3hbbpmnt 85 22 facilities facility NNS cord-302619-3hbbpmnt 85 23 ( ( -LRB- cord-302619-3hbbpmnt 85 24 18 18 CD cord-302619-3hbbpmnt 85 25 ) ) -RRB- cord-302619-3hbbpmnt 85 26 . . . cord-302619-3hbbpmnt 86 1 From from IN cord-302619-3hbbpmnt 86 2 1975 1975 CD cord-302619-3hbbpmnt 86 3 to to IN cord-302619-3hbbpmnt 86 4 1987 1987 CD cord-302619-3hbbpmnt 86 5 , , , cord-302619-3hbbpmnt 86 6 the the DT cord-302619-3hbbpmnt 86 7 Centers Centers NNPS cord-302619-3hbbpmnt 86 8 for for IN cord-302619-3hbbpmnt 86 9 Disease Disease NNP cord-302619-3hbbpmnt 86 10 Control Control NNP cord-302619-3hbbpmnt 86 11 and and CC cord-302619-3hbbpmnt 86 12 Prevention Prevention NNP cord-302619-3hbbpmnt 86 13 ( ( -LRB- cord-302619-3hbbpmnt 86 14 CDC CDC NNP cord-302619-3hbbpmnt 86 15 ) ) -RRB- cord-302619-3hbbpmnt 86 16 received receive VBD cord-302619-3hbbpmnt 86 17 reports report NNS cord-302619-3hbbpmnt 86 18 from from IN cord-302619-3hbbpmnt 86 19 26 26 CD cord-302619-3hbbpmnt 86 20 states state NNS cord-302619-3hbbpmnt 86 21 about about IN cord-302619-3hbbpmnt 86 22 115 115 CD cord-302619-3hbbpmnt 86 23 foodborne foodborne JJ cord-302619-3hbbpmnt 86 24 outbreaks outbreak NNS cord-302619-3hbbpmnt 86 25 in in IN cord-302619-3hbbpmnt 86 26 nursing nursing NN cord-302619-3hbbpmnt 86 27 homes home NNS cord-302619-3hbbpmnt 86 28 ( ( -LRB- cord-302619-3hbbpmnt 86 29 19 19 CD cord-302619-3hbbpmnt 86 30 ) ) -RRB- cord-302619-3hbbpmnt 86 31 . . . cord-302619-3hbbpmnt 87 1 Of of IN cord-302619-3hbbpmnt 87 2 the the DT cord-302619-3hbbpmnt 87 3 106 106 CD cord-302619-3hbbpmnt 87 4 outbreaks outbreak NNS cord-302619-3hbbpmnt 87 5 investigated investigate VBN cord-302619-3hbbpmnt 87 6 by by IN cord-302619-3hbbpmnt 87 7 CDC CDC NNP cord-302619-3hbbpmnt 87 8 's 's POS cord-302619-3hbbpmnt 87 9 Hospital Hospital NNP cord-302619-3hbbpmnt 87 10 Infections Infections NNPS cord-302619-3hbbpmnt 87 11 Program Program NNP cord-302619-3hbbpmnt 87 12 during during IN cord-302619-3hbbpmnt 87 13 the the DT cord-302619-3hbbpmnt 87 14 last last JJ cord-302619-3hbbpmnt 87 15 decade decade NN cord-302619-3hbbpmnt 87 16 , , , cord-302619-3hbbpmnt 87 17 6 6 CD cord-302619-3hbbpmnt 87 18 % % NN cord-302619-3hbbpmnt 87 19 occurred occur VBD cord-302619-3hbbpmnt 87 20 in in IN cord-302619-3hbbpmnt 87 21 long long JJ cord-302619-3hbbpmnt 87 22 - - HYPH cord-302619-3hbbpmnt 87 23 term term NN cord-302619-3hbbpmnt 87 24 care care NN cord-302619-3hbbpmnt 87 25 facilities facility NNS cord-302619-3hbbpmnt 87 26 ( ( -LRB- cord-302619-3hbbpmnt 87 27 20 20 CD cord-302619-3hbbpmnt 87 28 ) ) -RRB- cord-302619-3hbbpmnt 87 29 . . . cord-302619-3hbbpmnt 88 1 Emerging emerge VBG cord-302619-3hbbpmnt 88 2 pathogens pathogen NNS cord-302619-3hbbpmnt 88 3 account account VBP cord-302619-3hbbpmnt 88 4 for for IN cord-302619-3hbbpmnt 88 5 some some DT cord-302619-3hbbpmnt 88 6 of of IN cord-302619-3hbbpmnt 88 7 the the DT cord-302619-3hbbpmnt 88 8 outbreaks outbreak NNS cord-302619-3hbbpmnt 88 9 in in IN cord-302619-3hbbpmnt 88 10 nursing nursing NN cord-302619-3hbbpmnt 88 11 homes home NNS cord-302619-3hbbpmnt 88 12 . . . cord-302619-3hbbpmnt 89 1 During during IN cord-302619-3hbbpmnt 89 2 the the DT cord-302619-3hbbpmnt 89 3 last last JJ cord-302619-3hbbpmnt 89 4 decade decade NN cord-302619-3hbbpmnt 89 5 , , , cord-302619-3hbbpmnt 89 6 Streptococcus streptococcus NN cord-302619-3hbbpmnt 89 7 pyogenes pyogene NNS cord-302619-3hbbpmnt 89 8 - - : cord-302619-3hbbpmnt 89 9 the the DT cord-302619-3hbbpmnt 89 10 " " `` cord-302619-3hbbpmnt 89 11 flesh flesh NN cord-302619-3hbbpmnt 89 12 - - HYPH cord-302619-3hbbpmnt 89 13 eating eat VBG cord-302619-3hbbpmnt 89 14 " " `` cord-302619-3hbbpmnt 89 15 bacterium bacterium NN cord-302619-3hbbpmnt 89 16 - - : cord-302619-3hbbpmnt 89 17 was be VBD cord-302619-3hbbpmnt 89 18 identified identify VBN cord-302619-3hbbpmnt 89 19 in in IN cord-302619-3hbbpmnt 89 20 nursing nursing NN cord-302619-3hbbpmnt 89 21 homes home NNS cord-302619-3hbbpmnt 89 22 ( ( -LRB- cord-302619-3hbbpmnt 89 23 21 21 CD cord-302619-3hbbpmnt 89 24 ) ) -RRB- cord-302619-3hbbpmnt 89 25 . . . cord-302619-3hbbpmnt 90 1 More more RBR cord-302619-3hbbpmnt 90 2 recently recently RB cord-302619-3hbbpmnt 90 3 , , , cord-302619-3hbbpmnt 90 4 a a DT cord-302619-3hbbpmnt 90 5 foodborne foodborne JJ cord-302619-3hbbpmnt 90 6 outbreak outbreak NN cord-302619-3hbbpmnt 90 7 of of IN cord-302619-3hbbpmnt 90 8 gastroenteritis gastroenteritis NN cord-302619-3hbbpmnt 90 9 caused cause VBN cord-302619-3hbbpmnt 90 10 by by IN cord-302619-3hbbpmnt 90 11 both both DT cord-302619-3hbbpmnt 90 12 Salmonella Salmonella NNP cord-302619-3hbbpmnt 90 13 heidelberg heidelberg NNP cord-302619-3hbbpmnt 90 14 and and CC cord-302619-3hbbpmnt 90 15 Campylobacter Campylobacter NNP cord-302619-3hbbpmnt 90 16 jejuni jejuni NNP cord-302619-3hbbpmnt 90 17 was be VBD cord-302619-3hbbpmnt 90 18 reported report VBN cord-302619-3hbbpmnt 90 19 ( ( -LRB- cord-302619-3hbbpmnt 90 20 22 22 CD cord-302619-3hbbpmnt 90 21 ) ) -RRB- cord-302619-3hbbpmnt 90 22 . . . cord-302619-3hbbpmnt 91 1 Loeb Loeb NNP cord-302619-3hbbpmnt 91 2 and and CC cord-302619-3hbbpmnt 91 3 colleagues colleague NNS cord-302619-3hbbpmnt 91 4 recently recently RB cord-302619-3hbbpmnt 91 5 described describe VBD cord-302619-3hbbpmnt 91 6 an an DT cord-302619-3hbbpmnt 91 7 outbreak outbreak NN cord-302619-3hbbpmnt 91 8 of of IN cord-302619-3hbbpmnt 91 9 respiratory respiratory JJ cord-302619-3hbbpmnt 91 10 illness illness NN cord-302619-3hbbpmnt 91 11 caused cause VBN cord-302619-3hbbpmnt 91 12 by by IN cord-302619-3hbbpmnt 91 13 L. L. NNP cord-302619-3hbbpmnt 91 14 sainthelensi sainthelensi NNP cord-302619-3hbbpmnt 91 15 in in IN cord-302619-3hbbpmnt 91 16 two two CD cord-302619-3hbbpmnt 91 17 Canadian canadian JJ cord-302619-3hbbpmnt 91 18 nursing nursing NN cord-302619-3hbbpmnt 91 19 homes home NNS cord-302619-3hbbpmnt 91 20 ( ( -LRB- cord-302619-3hbbpmnt 91 21 23 23 CD cord-302619-3hbbpmnt 91 22 ) ) -RRB- cord-302619-3hbbpmnt 91 23 . . . cord-302619-3hbbpmnt 92 1 These these DT cord-302619-3hbbpmnt 92 2 and and CC cord-302619-3hbbpmnt 92 3 other other JJ cord-302619-3hbbpmnt 92 4 reports report NNS cord-302619-3hbbpmnt 92 5 emphasize emphasize VBP cord-302619-3hbbpmnt 92 6 the the DT cord-302619-3hbbpmnt 92 7 vulnerability vulnerability NN cord-302619-3hbbpmnt 92 8 of of IN cord-302619-3hbbpmnt 92 9 frail frail JJ cord-302619-3hbbpmnt 92 10 , , , cord-302619-3hbbpmnt 92 11 elderly elderly JJ cord-302619-3hbbpmnt 92 12 residents resident NNS cord-302619-3hbbpmnt 92 13 who who WP cord-302619-3hbbpmnt 92 14 share share VBP cord-302619-3hbbpmnt 92 15 common common JJ cord-302619-3hbbpmnt 92 16 sources source NNS cord-302619-3hbbpmnt 92 17 of of IN cord-302619-3hbbpmnt 92 18 air air NN cord-302619-3hbbpmnt 92 19 , , , cord-302619-3hbbpmnt 92 20 food food NN cord-302619-3hbbpmnt 92 21 , , , cord-302619-3hbbpmnt 92 22 water water NN cord-302619-3hbbpmnt 92 23 , , , cord-302619-3hbbpmnt 92 24 and and CC cord-302619-3hbbpmnt 92 25 health health NN cord-302619-3hbbpmnt 92 26 care care NN cord-302619-3hbbpmnt 92 27 in in IN cord-302619-3hbbpmnt 92 28 nursing nursing NN cord-302619-3hbbpmnt 92 29 homes home NNS cord-302619-3hbbpmnt 92 30 . . . cord-302619-3hbbpmnt 93 1 Health health NN cord-302619-3hbbpmnt 93 2 care care NN cord-302619-3hbbpmnt 93 3 - - HYPH cord-302619-3hbbpmnt 93 4 associated associate VBN cord-302619-3hbbpmnt 93 5 infections infection NNS cord-302619-3hbbpmnt 93 6 caused cause VBN cord-302619-3hbbpmnt 93 7 by by IN cord-302619-3hbbpmnt 93 8 antimicrobial antimicrobial JJ cord-302619-3hbbpmnt 93 9 drug drug NN cord-302619-3hbbpmnt 93 10 - - HYPH cord-302619-3hbbpmnt 93 11 resistant resistant JJ cord-302619-3hbbpmnt 93 12 bacteria bacteria NNS cord-302619-3hbbpmnt 93 13 have have VBP cord-302619-3hbbpmnt 93 14 caused cause VBN cord-302619-3hbbpmnt 93 15 both both DT cord-302619-3hbbpmnt 93 16 endemic endemic JJ cord-302619-3hbbpmnt 93 17 infections infection NNS cord-302619-3hbbpmnt 93 18 and and CC cord-302619-3hbbpmnt 93 19 outbreaks outbreak NNS cord-302619-3hbbpmnt 93 20 in in IN cord-302619-3hbbpmnt 93 21 nursing nursing NN cord-302619-3hbbpmnt 93 22 homes home NNS cord-302619-3hbbpmnt 93 23 in in IN cord-302619-3hbbpmnt 93 24 the the DT cord-302619-3hbbpmnt 93 25 United United NNP cord-302619-3hbbpmnt 93 26 States States NNP cord-302619-3hbbpmnt 93 27 . . . cord-302619-3hbbpmnt 94 1 The the DT cord-302619-3hbbpmnt 94 2 frequent frequent JJ cord-302619-3hbbpmnt 94 3 movement movement NN cord-302619-3hbbpmnt 94 4 of of IN cord-302619-3hbbpmnt 94 5 patients patient NNS cord-302619-3hbbpmnt 94 6 between between IN cord-302619-3hbbpmnt 94 7 hospitals hospital NNS cord-302619-3hbbpmnt 94 8 and and CC cord-302619-3hbbpmnt 94 9 nursing nursing NN cord-302619-3hbbpmnt 94 10 homes home NNS cord-302619-3hbbpmnt 94 11 undoubtedly undoubtedly RB cord-302619-3hbbpmnt 94 12 facilitates facilitate VBZ cord-302619-3hbbpmnt 94 13 the the DT cord-302619-3hbbpmnt 94 14 transfer transfer NN cord-302619-3hbbpmnt 94 15 of of IN cord-302619-3hbbpmnt 94 16 resistant resistant JJ cord-302619-3hbbpmnt 94 17 microbes microbe NNS cord-302619-3hbbpmnt 94 18 ( ( -LRB- cord-302619-3hbbpmnt 94 19 24 24 CD cord-302619-3hbbpmnt 94 20 ) ) -RRB- cord-302619-3hbbpmnt 94 21 . . . cord-302619-3hbbpmnt 95 1 During during IN cord-302619-3hbbpmnt 95 2 the the DT cord-302619-3hbbpmnt 95 3 last last JJ cord-302619-3hbbpmnt 95 4 2 2 CD cord-302619-3hbbpmnt 95 5 decades decade NNS cord-302619-3hbbpmnt 95 6 , , , cord-302619-3hbbpmnt 95 7 gramnegative gramnegative JJ cord-302619-3hbbpmnt 95 8 uropathogens uropathogen NNS cord-302619-3hbbpmnt 95 9 with with IN cord-302619-3hbbpmnt 95 10 multidrug multidrug NN cord-302619-3hbbpmnt 95 11 resistance resistance NN cord-302619-3hbbpmnt 95 12 and and CC cord-302619-3hbbpmnt 95 13 methicillin methicillin NN cord-302619-3hbbpmnt 95 14 - - HYPH cord-302619-3hbbpmnt 95 15 resistant resistant JJ cord-302619-3hbbpmnt 95 16 S. S. NNP cord-302619-3hbbpmnt 95 17 aureus aureu NNS cord-302619-3hbbpmnt 95 18 have have VBP cord-302619-3hbbpmnt 95 19 received receive VBN cord-302619-3hbbpmnt 95 20 the the DT cord-302619-3hbbpmnt 95 21 most most JJS cord-302619-3hbbpmnt 95 22 attention attention NN cord-302619-3hbbpmnt 95 23 ( ( -LRB- cord-302619-3hbbpmnt 95 24 25 25 CD cord-302619-3hbbpmnt 95 25 ) ) -RRB- cord-302619-3hbbpmnt 95 26 . . . cord-302619-3hbbpmnt 96 1 Gram gram NN cord-302619-3hbbpmnt 96 2 - - HYPH cord-302619-3hbbpmnt 96 3 negative negative JJ cord-302619-3hbbpmnt 96 4 enteric enteric JJ cord-302619-3hbbpmnt 96 5 bacilli bacilli NN cord-302619-3hbbpmnt 96 6 have have VBP cord-302619-3hbbpmnt 96 7 recently recently RB cord-302619-3hbbpmnt 96 8 become become VBN cord-302619-3hbbpmnt 96 9 resistant resistant JJ cord-302619-3hbbpmnt 96 10 to to IN cord-302619-3hbbpmnt 96 11 fluoroquinolones fluoroquinolone NNS cord-302619-3hbbpmnt 96 12 and and CC cord-302619-3hbbpmnt 96 13 extended extend VBN cord-302619-3hbbpmnt 96 14 - - HYPH cord-302619-3hbbpmnt 96 15 spectrum spectrum NN cord-302619-3hbbpmnt 96 16 cephalosporins cephalosporin NNS cord-302619-3hbbpmnt 96 17 ( ( -LRB- cord-302619-3hbbpmnt 96 18 26 26 CD cord-302619-3hbbpmnt 96 19 ) ) -RRB- cord-302619-3hbbpmnt 96 20 . . . cord-302619-3hbbpmnt 97 1 In in IN cord-302619-3hbbpmnt 97 2 addition addition NN cord-302619-3hbbpmnt 97 3 , , , cord-302619-3hbbpmnt 97 4 vancomycin vancomycin NN cord-302619-3hbbpmnt 97 5 - - HYPH cord-302619-3hbbpmnt 97 6 resistant resistant JJ cord-302619-3hbbpmnt 97 7 enterococci enterococci NNS cord-302619-3hbbpmnt 97 8 and and CC cord-302619-3hbbpmnt 97 9 penicillin penicillin NN cord-302619-3hbbpmnt 97 10 - - HYPH cord-302619-3hbbpmnt 97 11 resistant resistant JJ cord-302619-3hbbpmnt 97 12 pneumococci pneumococcus NNS cord-302619-3hbbpmnt 97 13 have have VBP cord-302619-3hbbpmnt 97 14 been be VBN cord-302619-3hbbpmnt 97 15 identified identify VBN cord-302619-3hbbpmnt 97 16 in in IN cord-302619-3hbbpmnt 97 17 long long JJ cord-302619-3hbbpmnt 97 18 - - HYPH cord-302619-3hbbpmnt 97 19 term term NN cord-302619-3hbbpmnt 97 20 care care NN cord-302619-3hbbpmnt 97 21 facilities facility NNS cord-302619-3hbbpmnt 97 22 ( ( -LRB- cord-302619-3hbbpmnt 97 23 27 27 CD cord-302619-3hbbpmnt 97 24 ) ) -RRB- cord-302619-3hbbpmnt 97 25 ( ( -LRB- cord-302619-3hbbpmnt 97 26 28 28 CD cord-302619-3hbbpmnt 97 27 ) ) -RRB- cord-302619-3hbbpmnt 97 28 ( ( -LRB- cord-302619-3hbbpmnt 97 29 29 29 CD cord-302619-3hbbpmnt 97 30 ) ) -RRB- cord-302619-3hbbpmnt 97 31 . . . cord-302619-3hbbpmnt 98 1 The the DT cord-302619-3hbbpmnt 98 2 appearance appearance NN cord-302619-3hbbpmnt 98 3 of of IN cord-302619-3hbbpmnt 98 4 the the DT cord-302619-3hbbpmnt 98 5 latter latter JJ cord-302619-3hbbpmnt 98 6 organism organism NN cord-302619-3hbbpmnt 98 7 , , , cord-302619-3hbbpmnt 98 8 which which WDT cord-302619-3hbbpmnt 98 9 is be VBZ cord-302619-3hbbpmnt 98 10 seldom seldom RB cord-302619-3hbbpmnt 98 11 regarded regard VBN cord-302619-3hbbpmnt 98 12 as as IN cord-302619-3hbbpmnt 98 13 a a DT cord-302619-3hbbpmnt 98 14 nosocomial nosocomial JJ cord-302619-3hbbpmnt 98 15 pathogen pathogen NN cord-302619-3hbbpmnt 98 16 , , , cord-302619-3hbbpmnt 98 17 again again RB cord-302619-3hbbpmnt 98 18 underscores underscore VBZ cord-302619-3hbbpmnt 98 19 the the DT cord-302619-3hbbpmnt 98 20 unique unique JJ cord-302619-3hbbpmnt 98 21 situation situation NN cord-302619-3hbbpmnt 98 22 of of IN cord-302619-3hbbpmnt 98 23 this this DT cord-302619-3hbbpmnt 98 24 health health NN cord-302619-3hbbpmnt 98 25 - - HYPH cord-302619-3hbbpmnt 98 26 care care NN cord-302619-3hbbpmnt 98 27 setting setting NN cord-302619-3hbbpmnt 98 28 . . . cord-302619-3hbbpmnt 99 1 Because because IN cord-302619-3hbbpmnt 99 2 of of IN cord-302619-3hbbpmnt 99 3 the the DT cord-302619-3hbbpmnt 99 4 frequent frequent JJ cord-302619-3hbbpmnt 99 5 interchange interchange NN cord-302619-3hbbpmnt 99 6 of of IN cord-302619-3hbbpmnt 99 7 patients patient NNS cord-302619-3hbbpmnt 99 8 between between IN cord-302619-3hbbpmnt 99 9 hospitals hospital NNS cord-302619-3hbbpmnt 99 10 and and CC cord-302619-3hbbpmnt 99 11 nursing nursing NN cord-302619-3hbbpmnt 99 12 homes home NNS cord-302619-3hbbpmnt 99 13 , , , cord-302619-3hbbpmnt 99 14 infections infection NNS cord-302619-3hbbpmnt 99 15 caused cause VBN cord-302619-3hbbpmnt 99 16 by by IN cord-302619-3hbbpmnt 99 17 antimicrobial antimicrobial JJ cord-302619-3hbbpmnt 99 18 drug drug NN cord-302619-3hbbpmnt 99 19 - - HYPH cord-302619-3hbbpmnt 99 20 resistant resistant JJ cord-302619-3hbbpmnt 99 21 bacteria bacteria NNS cord-302619-3hbbpmnt 99 22 will will MD cord-302619-3hbbpmnt 99 23 continue continue VB cord-302619-3hbbpmnt 99 24 to to TO cord-302619-3hbbpmnt 99 25 emerge emerge VB cord-302619-3hbbpmnt 99 26 in in IN cord-302619-3hbbpmnt 99 27 geriatric geriatric JJ cord-302619-3hbbpmnt 99 28 populations population NNS cord-302619-3hbbpmnt 99 29 . . . cord-302619-3hbbpmnt 100 1 Recognition recognition NN cord-302619-3hbbpmnt 100 2 of of IN cord-302619-3hbbpmnt 100 3 such such JJ cord-302619-3hbbpmnt 100 4 threats threat NNS cord-302619-3hbbpmnt 100 5 has have VBZ cord-302619-3hbbpmnt 100 6 prompted prompt VBN cord-302619-3hbbpmnt 100 7 new new JJ cord-302619-3hbbpmnt 100 8 interest interest NN cord-302619-3hbbpmnt 100 9 in in IN cord-302619-3hbbpmnt 100 10 the the DT cord-302619-3hbbpmnt 100 11 prevention prevention NN cord-302619-3hbbpmnt 100 12 and and CC cord-302619-3hbbpmnt 100 13 control control NN cord-302619-3hbbpmnt 100 14 of of IN cord-302619-3hbbpmnt 100 15 infections infection NNS cord-302619-3hbbpmnt 100 16 associated associate VBN cord-302619-3hbbpmnt 100 17 with with IN cord-302619-3hbbpmnt 100 18 longterm longterm JJ cord-302619-3hbbpmnt 100 19 care care NN cord-302619-3hbbpmnt 100 20 facilities facility NNS cord-302619-3hbbpmnt 100 21 . . . cord-302619-3hbbpmnt 101 1 Recent recent JJ cord-302619-3hbbpmnt 101 2 guidelines guideline NNS cord-302619-3hbbpmnt 101 3 have have VBP cord-302619-3hbbpmnt 101 4 addressed address VBN cord-302619-3hbbpmnt 101 5 requirements requirement NNS cord-302619-3hbbpmnt 101 6 for for IN cord-302619-3hbbpmnt 101 7 infection infection NN cord-302619-3hbbpmnt 101 8 control control NN cord-302619-3hbbpmnt 101 9 programs program NNS cord-302619-3hbbpmnt 101 10 , , , cord-302619-3hbbpmnt 101 11 as as RB cord-302619-3hbbpmnt 101 12 well well RB cord-302619-3hbbpmnt 101 13 as as IN cord-302619-3hbbpmnt 101 14 influenza influenza NN cord-302619-3hbbpmnt 101 15 , , , cord-302619-3hbbpmnt 101 16 antimicrobial antimicrobial JJ cord-302619-3hbbpmnt 101 17 use use NN cord-302619-3hbbpmnt 101 18 , , , cord-302619-3hbbpmnt 101 19 and and CC cord-302619-3hbbpmnt 101 20 antimicrobial antimicrobial JJ cord-302619-3hbbpmnt 101 21 resistant resistant JJ cord-302619-3hbbpmnt 101 22 pathogens pathogen NNS cord-302619-3hbbpmnt 101 23 ( ( -LRB- cord-302619-3hbbpmnt 101 24 25 25 CD cord-302619-3hbbpmnt 101 25 , , , cord-302619-3hbbpmnt 101 26 ( ( -LRB- cord-302619-3hbbpmnt 101 27 30 30 CD cord-302619-3hbbpmnt 101 28 ) ) -RRB- cord-302619-3hbbpmnt 101 29 ( ( -LRB- cord-302619-3hbbpmnt 101 30 31 31 CD cord-302619-3hbbpmnt 101 31 ) ) -RRB- cord-302619-3hbbpmnt 101 32 ( ( -LRB- cord-302619-3hbbpmnt 101 33 32 32 CD cord-302619-3hbbpmnt 101 34 ) ) -RRB- cord-302619-3hbbpmnt 101 35 . . . cord-302619-3hbbpmnt 102 1 Although although IN cord-302619-3hbbpmnt 102 2 reports report NNS cord-302619-3hbbpmnt 102 3 from from IN cord-302619-3hbbpmnt 102 4 the the DT cord-302619-3hbbpmnt 102 5 1980s 1980 NNS cord-302619-3hbbpmnt 102 6 described describe VBD cord-302619-3hbbpmnt 102 7 numerous numerous JJ cord-302619-3hbbpmnt 102 8 deficiencies deficiency NNS cord-302619-3hbbpmnt 102 9 in in IN cord-302619-3hbbpmnt 102 10 infection infection NN cord-302619-3hbbpmnt 102 11 control control NN cord-302619-3hbbpmnt 102 12 practices practice NNS cord-302619-3hbbpmnt 102 13 in in IN cord-302619-3hbbpmnt 102 14 nursing nursing NN cord-302619-3hbbpmnt 102 15 homes home NNS cord-302619-3hbbpmnt 102 16 , , , cord-302619-3hbbpmnt 102 17 recent recent JJ cord-302619-3hbbpmnt 102 18 reports report NNS cord-302619-3hbbpmnt 102 19 have have VBP cord-302619-3hbbpmnt 102 20 been be VBN cord-302619-3hbbpmnt 102 21 more more RBR cord-302619-3hbbpmnt 102 22 encouraging encouraging JJ cord-302619-3hbbpmnt 102 23 ( ( -LRB- cord-302619-3hbbpmnt 102 24 4 4 CD cord-302619-3hbbpmnt 102 25 , , , cord-302619-3hbbpmnt 102 26 33 33 CD cord-302619-3hbbpmnt 102 27 , , , cord-302619-3hbbpmnt 102 28 34 34 CD cord-302619-3hbbpmnt 102 29 ) ) -RRB- cord-302619-3hbbpmnt 102 30 . . . cord-302619-3hbbpmnt 103 1 A a DT cord-302619-3hbbpmnt 103 2 survey survey NN cord-302619-3hbbpmnt 103 3 of of IN cord-302619-3hbbpmnt 103 4 136 136 CD cord-302619-3hbbpmnt 103 5 long long JJ cord-302619-3hbbpmnt 103 6 - - HYPH cord-302619-3hbbpmnt 103 7 term term NN cord-302619-3hbbpmnt 103 8 care care NN cord-302619-3hbbpmnt 103 9 facilities facility NNS cord-302619-3hbbpmnt 103 10 in in IN cord-302619-3hbbpmnt 103 11 New New NNP cord-302619-3hbbpmnt 103 12 England England NNP cord-302619-3hbbpmnt 103 13 indicated indicate VBD cord-302619-3hbbpmnt 103 14 that that IN cord-302619-3hbbpmnt 103 15 98 98 CD cord-302619-3hbbpmnt 103 16 % % NN cord-302619-3hbbpmnt 103 17 had have VBD cord-302619-3hbbpmnt 103 18 persons person NNS cord-302619-3hbbpmnt 103 19 dedicated dedicate VBN cord-302619-3hbbpmnt 103 20 to to IN cord-302619-3hbbpmnt 103 21 infection infection NN cord-302619-3hbbpmnt 103 22 control control NN cord-302619-3hbbpmnt 103 23 activities activity NNS cord-302619-3hbbpmnt 103 24 for for IN cord-302619-3hbbpmnt 103 25 a a DT cord-302619-3hbbpmnt 103 26 median median NN cord-302619-3hbbpmnt 103 27 of of IN cord-302619-3hbbpmnt 103 28 8 8 CD cord-302619-3hbbpmnt 103 29 hours hour NNS cord-302619-3hbbpmnt 103 30 per per IN cord-302619-3hbbpmnt 103 31 week week NN cord-302619-3hbbpmnt 103 32 ( ( -LRB- cord-302619-3hbbpmnt 103 33 33 33 CD cord-302619-3hbbpmnt 103 34 ) ) -RRB- cord-302619-3hbbpmnt 103 35 . . . cord-302619-3hbbpmnt 104 1 Nevertheless nevertheless RB cord-302619-3hbbpmnt 104 2 , , , cord-302619-3hbbpmnt 104 3 protection protection NN cord-302619-3hbbpmnt 104 4 of of IN cord-302619-3hbbpmnt 104 5 the the DT cord-302619-3hbbpmnt 104 6 vulnerable vulnerable JJ cord-302619-3hbbpmnt 104 7 elderly elderly JJ cord-302619-3hbbpmnt 104 8 residents resident NNS cord-302619-3hbbpmnt 104 9 in in IN cord-302619-3hbbpmnt 104 10 nursing nursing NN cord-302619-3hbbpmnt 104 11 homes home NNS cord-302619-3hbbpmnt 104 12 merits merit VBZ cord-302619-3hbbpmnt 104 13 additional additional JJ cord-302619-3hbbpmnt 104 14 attention attention NN cord-302619-3hbbpmnt 104 15 , , , cord-302619-3hbbpmnt 104 16 and and CC cord-302619-3hbbpmnt 104 17 changes change NNS cord-302619-3hbbpmnt 104 18 in in IN cord-302619-3hbbpmnt 104 19 nursing nursing NN cord-302619-3hbbpmnt 104 20 home home NN cord-302619-3hbbpmnt 104 21 licensure licensure NN cord-302619-3hbbpmnt 104 22 and and CC cord-302619-3hbbpmnt 104 23 certification certification NN cord-302619-3hbbpmnt 104 24 requirements requirement NNS cord-302619-3hbbpmnt 104 25 may may MD cord-302619-3hbbpmnt 104 26 be be VB cord-302619-3hbbpmnt 104 27 needed need VBN cord-302619-3hbbpmnt 104 28 at at IN cord-302619-3hbbpmnt 104 29 both both DT cord-302619-3hbbpmnt 104 30 state state NN cord-302619-3hbbpmnt 104 31 and and CC cord-302619-3hbbpmnt 104 32 national national JJ cord-302619-3hbbpmnt 104 33 levels level NNS cord-302619-3hbbpmnt 104 34 ( ( -LRB- cord-302619-3hbbpmnt 104 35 35 35 CD cord-302619-3hbbpmnt 104 36 ) ) -RRB- cord-302619-3hbbpmnt 104 37 . . . cord-302619-3hbbpmnt 105 1 Surveillance surveillance NN cord-302619-3hbbpmnt 105 2 activity activity NN cord-302619-3hbbpmnt 105 3 in in IN cord-302619-3hbbpmnt 105 4 less less JJR cord-302619-3hbbpmnt 105 5 conventional conventional JJ cord-302619-3hbbpmnt 105 6 care care NN cord-302619-3hbbpmnt 105 7 settings setting NNS cord-302619-3hbbpmnt 105 8 is be VBZ cord-302619-3hbbpmnt 105 9 a a DT cord-302619-3hbbpmnt 105 10 necessary necessary JJ cord-302619-3hbbpmnt 105 11 first first JJ cord-302619-3hbbpmnt 105 12 step step NN cord-302619-3hbbpmnt 105 13 in in IN cord-302619-3hbbpmnt 105 14 evaluating evaluate VBG cord-302619-3hbbpmnt 105 15 potential potential JJ cord-302619-3hbbpmnt 105 16 hazards hazard NNS cord-302619-3hbbpmnt 105 17 . . . cord-302619-3hbbpmnt 106 1 The the DT cord-302619-3hbbpmnt 106 2 vulnerable vulnerable JJ cord-302619-3hbbpmnt 106 3 geriatric geriatric JJ cord-302619-3hbbpmnt 106 4 population population NN cord-302619-3hbbpmnt 106 5 plays play VBZ cord-302619-3hbbpmnt 106 6 a a DT cord-302619-3hbbpmnt 106 7 leading leading JJ cord-302619-3hbbpmnt 106 8 role role NN cord-302619-3hbbpmnt 106 9 in in IN cord-302619-3hbbpmnt 106 10 the the DT cord-302619-3hbbpmnt 106 11 scope scope NN cord-302619-3hbbpmnt 106 12 of of IN cord-302619-3hbbpmnt 106 13 nosocomial nosocomial JJ cord-302619-3hbbpmnt 106 14 and and CC cord-302619-3hbbpmnt 106 15 health health NN cord-302619-3hbbpmnt 106 16 care care NN cord-302619-3hbbpmnt 106 17 - - HYPH cord-302619-3hbbpmnt 106 18 associated associate VBN cord-302619-3hbbpmnt 106 19 infections infection NNS cord-302619-3hbbpmnt 106 20 . . . cord-302619-3hbbpmnt 107 1 As as IN cord-302619-3hbbpmnt 107 2 the the DT cord-302619-3hbbpmnt 107 3 world world NN cord-302619-3hbbpmnt 107 4 's 's POS cord-302619-3hbbpmnt 107 5 population population NN cord-302619-3hbbpmnt 107 6 ages age NNS cord-302619-3hbbpmnt 107 7 , , , cord-302619-3hbbpmnt 107 8 its -PRON- PRP$ cord-302619-3hbbpmnt 107 9 role role NN cord-302619-3hbbpmnt 107 10 is be VBZ cord-302619-3hbbpmnt 107 11 likely likely JJ cord-302619-3hbbpmnt 107 12 to to TO cord-302619-3hbbpmnt 107 13 increase increase VB cord-302619-3hbbpmnt 107 14 . . . cord-302619-3hbbpmnt 108 1 As as IN cord-302619-3hbbpmnt 108 2 health health NN cord-302619-3hbbpmnt 108 3 care care NN cord-302619-3hbbpmnt 108 4 continues continue VBZ cord-302619-3hbbpmnt 108 5 to to TO cord-302619-3hbbpmnt 108 6 move move VB cord-302619-3hbbpmnt 108 7 beyond beyond IN cord-302619-3hbbpmnt 108 8 hospital hospital NN cord-302619-3hbbpmnt 108 9 walls wall NNS cord-302619-3hbbpmnt 108 10 , , , cord-302619-3hbbpmnt 108 11 the the DT cord-302619-3hbbpmnt 108 12 spectrum spectrum NN cord-302619-3hbbpmnt 108 13 of of IN cord-302619-3hbbpmnt 108 14 health health NN cord-302619-3hbbpmnt 108 15 care care NN cord-302619-3hbbpmnt 108 16 - - HYPH cord-302619-3hbbpmnt 108 17 associated associate VBN cord-302619-3hbbpmnt 108 18 infections infection NNS cord-302619-3hbbpmnt 108 19 in in IN cord-302619-3hbbpmnt 108 20 the the DT cord-302619-3hbbpmnt 108 21 elderly elderly JJ cord-302619-3hbbpmnt 108 22 will will MD cord-302619-3hbbpmnt 108 23 continue continue VB cord-302619-3hbbpmnt 108 24 to to TO cord-302619-3hbbpmnt 108 25 expand expand VB cord-302619-3hbbpmnt 108 26 , , , cord-302619-3hbbpmnt 108 27 reflecting reflect VBG cord-302619-3hbbpmnt 108 28 their -PRON- PRP$ cord-302619-3hbbpmnt 108 29 multiple multiple JJ cord-302619-3hbbpmnt 108 30 risk risk NN cord-302619-3hbbpmnt 108 31 factors factor NNS cord-302619-3hbbpmnt 108 32 for for IN cord-302619-3hbbpmnt 108 33 infectious infectious JJ cord-302619-3hbbpmnt 108 34 diseases disease NNS cord-302619-3hbbpmnt 108 35 . . . cord-302619-3hbbpmnt 109 1 Infection infection NN cord-302619-3hbbpmnt 109 2 control control NN cord-302619-3hbbpmnt 109 3 practitioners practitioner NNS cord-302619-3hbbpmnt 109 4 and and CC cord-302619-3hbbpmnt 109 5 hospital hospital NN cord-302619-3hbbpmnt 109 6 epidemiologists epidemiologist NNS cord-302619-3hbbpmnt 109 7 are be VBP cord-302619-3hbbpmnt 109 8 well well RB cord-302619-3hbbpmnt 109 9 advised advise VBN cord-302619-3hbbpmnt 109 10 to to TO cord-302619-3hbbpmnt 109 11 follow follow VB cord-302619-3hbbpmnt 109 12 and and CC cord-302619-3hbbpmnt 109 13 study study VB cord-302619-3hbbpmnt 109 14 the the DT cord-302619-3hbbpmnt 109 15 aging age VBG cord-302619-3hbbpmnt 109 16 population population NN cord-302619-3hbbpmnt 109 17 in in IN cord-302619-3hbbpmnt 109 18 the the DT cord-302619-3hbbpmnt 109 19 evolving evolve VBG cord-302619-3hbbpmnt 109 20 health health NN cord-302619-3hbbpmnt 109 21 - - HYPH cord-302619-3hbbpmnt 109 22 care care NN cord-302619-3hbbpmnt 109 23 system system NN cord-302619-3hbbpmnt 109 24 . . . cord-302619-3hbbpmnt 110 1 Undoubtedly undoubtedly RB cord-302619-3hbbpmnt 110 2 , , , cord-302619-3hbbpmnt 110 3 they -PRON- PRP cord-302619-3hbbpmnt 110 4 will will MD cord-302619-3hbbpmnt 110 5 find find VB cord-302619-3hbbpmnt 110 6 new new JJ cord-302619-3hbbpmnt 110 7 opportunities opportunity NNS cord-302619-3hbbpmnt 110 8 to to TO cord-302619-3hbbpmnt 110 9 prevent prevent VB cord-302619-3hbbpmnt 110 10 health health NN cord-302619-3hbbpmnt 110 11 care care NN cord-302619-3hbbpmnt 110 12 - - HYPH cord-302619-3hbbpmnt 110 13 associated associate VBN cord-302619-3hbbpmnt 110 14 infections infection NNS cord-302619-3hbbpmnt 110 15 . . . cord-302619-3hbbpmnt 111 1 In in IN cord-302619-3hbbpmnt 111 2 addition addition NN cord-302619-3hbbpmnt 111 3 , , , cord-302619-3hbbpmnt 111 4 they -PRON- PRP cord-302619-3hbbpmnt 111 5 may may MD cord-302619-3hbbpmnt 111 6 be be VB cord-302619-3hbbpmnt 111 7 able able JJ cord-302619-3hbbpmnt 111 8 to to TO cord-302619-3hbbpmnt 111 9 develop develop VB cord-302619-3hbbpmnt 111 10 strategies strategy NNS cord-302619-3hbbpmnt 111 11 to to TO cord-302619-3hbbpmnt 111 12 prevent prevent VB cord-302619-3hbbpmnt 111 13 the the DT cord-302619-3hbbpmnt 111 14 diverse diverse JJ cord-302619-3hbbpmnt 111 15 contagions contagion NNS cord-302619-3hbbpmnt 111 16 of of IN cord-302619-3hbbpmnt 111 17 the the DT cord-302619-3hbbpmnt 111 18 elderly elderly JJ cord-302619-3hbbpmnt 111 19 from from IN cord-302619-3hbbpmnt 111 20 entering enter VBG cord-302619-3hbbpmnt 111 21 hospitals hospital NNS cord-302619-3hbbpmnt 111 22 . . . cord-302619-3hbbpmnt 112 1 Dr. Dr. NNP cord-302619-3hbbpmnt 112 2 Strausbaugh Strausbaugh NNP cord-302619-3hbbpmnt 112 3 is be VBZ cord-302619-3hbbpmnt 112 4 hospital hospital NN cord-302619-3hbbpmnt 112 5 epidemiologist epidemiologist NN cord-302619-3hbbpmnt 112 6 and and CC cord-302619-3hbbpmnt 112 7 staff staff NN cord-302619-3hbbpmnt 112 8 physician physician NN cord-302619-3hbbpmnt 112 9 , , , cord-302619-3hbbpmnt 112 10 VA VA NNP cord-302619-3hbbpmnt 112 11 Medical Medical NNP cord-302619-3hbbpmnt 112 12 Center Center NNP cord-302619-3hbbpmnt 112 13 , , , cord-302619-3hbbpmnt 112 14 Portland Portland NNP cord-302619-3hbbpmnt 112 15 , , , cord-302619-3hbbpmnt 112 16 Oregon Oregon NNP cord-302619-3hbbpmnt 112 17 ; ; : cord-302619-3hbbpmnt 112 18 and and CC cord-302619-3hbbpmnt 112 19 professor professor NN cord-302619-3hbbpmnt 112 20 of of IN cord-302619-3hbbpmnt 112 21 medicine medicine NN cord-302619-3hbbpmnt 112 22 , , , cord-302619-3hbbpmnt 112 23 School School NNP cord-302619-3hbbpmnt 112 24 of of IN cord-302619-3hbbpmnt 112 25 Medicine Medicine NNP cord-302619-3hbbpmnt 112 26 , , , cord-302619-3hbbpmnt 112 27 Oregon Oregon NNP cord-302619-3hbbpmnt 112 28 Health Health NNP cord-302619-3hbbpmnt 112 29 Sciences Sciences NNPS cord-302619-3hbbpmnt 112 30 University University NNP cord-302619-3hbbpmnt 112 31 , , , cord-302619-3hbbpmnt 112 32 Portland Portland NNP cord-302619-3hbbpmnt 112 33 , , , cord-302619-3hbbpmnt 112 34 Oregon Oregon NNP cord-302619-3hbbpmnt 112 35 . . . cord-302619-3hbbpmnt 113 1 He -PRON- PRP cord-302619-3hbbpmnt 113 2 is be VBZ cord-302619-3hbbpmnt 113 3 also also RB cord-302619-3hbbpmnt 113 4 the the DT cord-302619-3hbbpmnt 113 5 project project NN cord-302619-3hbbpmnt 113 6 director director NN cord-302619-3hbbpmnt 113 7 for for IN cord-302619-3hbbpmnt 113 8 the the DT cord-302619-3hbbpmnt 113 9 Infectious Infectious NNP cord-302619-3hbbpmnt 113 10 Diseases Diseases NNPS cord-302619-3hbbpmnt 113 11 Society Society NNP cord-302619-3hbbpmnt 113 12 of of IN cord-302619-3hbbpmnt 113 13 America America NNP cord-302619-3hbbpmnt 113 14 Emerging Emerging NNP cord-302619-3hbbpmnt 113 15 Infections Infections NNPS cord-302619-3hbbpmnt 113 16 Network Network NNP cord-302619-3hbbpmnt 113 17 , , , cord-302619-3hbbpmnt 113 18 a a DT cord-302619-3hbbpmnt 113 19 Cooperative Cooperative NNP cord-302619-3hbbpmnt 113 20 Agreement Agreement NNP cord-302619-3hbbpmnt 113 21 Program Program NNP cord-302619-3hbbpmnt 113 22 sponsored sponsor VBN cord-302619-3hbbpmnt 113 23 by by IN cord-302619-3hbbpmnt 113 24 the the DT cord-302619-3hbbpmnt 113 25 Centers Centers NNPS cord-302619-3hbbpmnt 113 26 for for IN cord-302619-3hbbpmnt 113 27 Disease Disease NNP cord-302619-3hbbpmnt 113 28 Control Control NNP cord-302619-3hbbpmnt 113 29 and and CC cord-302619-3hbbpmnt 113 30 Prevention Prevention NNP cord-302619-3hbbpmnt 113 31 . . . cord-302619-3hbbpmnt 114 1 His -PRON- PRP$ cord-302619-3hbbpmnt 114 2 research research NN cord-302619-3hbbpmnt 114 3 interests interest NNS cord-302619-3hbbpmnt 114 4 include include VBP cord-302619-3hbbpmnt 114 5 surveillance surveillance NN cord-302619-3hbbpmnt 114 6 for for IN cord-302619-3hbbpmnt 114 7 emerging emerge VBG cord-302619-3hbbpmnt 114 8 infectious infectious JJ cord-302619-3hbbpmnt 114 9 diseases disease NNS cord-302619-3hbbpmnt 114 10 and and CC cord-302619-3hbbpmnt 114 11 infection infection NN cord-302619-3hbbpmnt 114 12 and and CC cord-302619-3hbbpmnt 114 13 antimicrobial antimicrobial JJ cord-302619-3hbbpmnt 114 14 resistance resistance NN cord-302619-3hbbpmnt 114 15 in in IN cord-302619-3hbbpmnt 114 16 long long JJ cord-302619-3hbbpmnt 114 17 - - HYPH cord-302619-3hbbpmnt 114 18 term term NN cord-302619-3hbbpmnt 114 19 - - HYPH cord-302619-3hbbpmnt 114 20 care care NN cord-302619-3hbbpmnt 114 21 facilities facility NNS cord-302619-3hbbpmnt 114 22 . . . cord-302619-3hbbpmnt 115 1 Bacterial bacterial JJ cord-302619-3hbbpmnt 115 2 meningitis meningitis NN cord-302619-3hbbpmnt 115 3 in in IN cord-302619-3hbbpmnt 115 4 the the DT cord-302619-3hbbpmnt 115 5 elderly elderly JJ cord-302619-3hbbpmnt 115 6 Prevention Prevention NNP cord-302619-3hbbpmnt 115 7 and and CC cord-302619-3hbbpmnt 115 8 control control NN cord-302619-3hbbpmnt 115 9 of of IN cord-302619-3hbbpmnt 115 10 nosocomial nosocomial JJ cord-302619-3hbbpmnt 115 11 infections infection NNS cord-302619-3hbbpmnt 115 12 Infections infection NNS cord-302619-3hbbpmnt 115 13 in in IN cord-302619-3hbbpmnt 115 14 the the DT cord-302619-3hbbpmnt 115 15 elderly elderly JJ cord-302619-3hbbpmnt 115 16 Epidemiology epidemiology NN cord-302619-3hbbpmnt 115 17 and and CC cord-302619-3hbbpmnt 115 18 prevention prevention NN cord-302619-3hbbpmnt 115 19 of of IN cord-302619-3hbbpmnt 115 20 infections infection NNS cord-302619-3hbbpmnt 115 21 in in IN cord-302619-3hbbpmnt 115 22 residents resident NNS cord-302619-3hbbpmnt 115 23 of of IN cord-302619-3hbbpmnt 115 24 long long JJ cord-302619-3hbbpmnt 115 25 term term NN cord-302619-3hbbpmnt 115 26 care care NN cord-302619-3hbbpmnt 115 27 facilities facility NNS cord-302619-3hbbpmnt 115 28 Clinical clinical JJ cord-302619-3hbbpmnt 115 29 immunology immunology NN cord-302619-3hbbpmnt 115 30 of of IN cord-302619-3hbbpmnt 115 31 aging age VBG cord-302619-3hbbpmnt 115 32 Geriatric geriatric JJ cord-302619-3hbbpmnt 115 33 medicine medicine NN cord-302619-3hbbpmnt 115 34 and and CC cord-302619-3hbbpmnt 115 35 gerontology gerontology NN cord-302619-3hbbpmnt 115 36 Nosocomial nosocomial JJ cord-302619-3hbbpmnt 115 37 infections infection NNS cord-302619-3hbbpmnt 115 38 in in IN cord-302619-3hbbpmnt 115 39 elderly elderly JJ cord-302619-3hbbpmnt 115 40 patients patient NNS cord-302619-3hbbpmnt 115 41 in in IN cord-302619-3hbbpmnt 115 42 the the DT cord-302619-3hbbpmnt 115 43 United United NNP cord-302619-3hbbpmnt 115 44 States States NNP cord-302619-3hbbpmnt 115 45 , , , cord-302619-3hbbpmnt 115 46 1986 1986 CD cord-302619-3hbbpmnt 115 47 - - SYM cord-302619-3hbbpmnt 115 48 1990 1990 CD cord-302619-3hbbpmnt 116 1 Nosocomial nosocomial JJ cord-302619-3hbbpmnt 116 2 infections infection NNS cord-302619-3hbbpmnt 116 3 : : : cord-302619-3hbbpmnt 116 4 decade decade NN cord-302619-3hbbpmnt 116 5 - - HYPH cord-302619-3hbbpmnt 116 6 specific specific JJ cord-302619-3hbbpmnt 116 7 risk risk NN cord-302619-3hbbpmnt 117 1 Nosocomial nosocomial JJ cord-302619-3hbbpmnt 117 2 infections infection NNS cord-302619-3hbbpmnt 117 3 in in IN cord-302619-3hbbpmnt 117 4 the the DT cord-302619-3hbbpmnt 117 5 elderly elderly JJ cord-302619-3hbbpmnt 117 6 - - HYPH cord-302619-3hbbpmnt 117 7 increased increase VBN cord-302619-3hbbpmnt 117 8 risk risk NN cord-302619-3hbbpmnt 117 9 per per IN cord-302619-3hbbpmnt 117 10 hospital hospital NN cord-302619-3hbbpmnt 117 11 day day NN cord-302619-3hbbpmnt 118 1 A a DT cord-302619-3hbbpmnt 118 2 viral viral JJ cord-302619-3hbbpmnt 118 3 gastroenteritis gastroenteritis NN cord-302619-3hbbpmnt 118 4 outbreak outbreak NN cord-302619-3hbbpmnt 118 5 associated associate VBN cord-302619-3hbbpmnt 118 6 with with IN cord-302619-3hbbpmnt 118 7 person person NN cord-302619-3hbbpmnt 118 8 - - HYPH cord-302619-3hbbpmnt 118 9 to to IN cord-302619-3hbbpmnt 118 10 - - HYPH cord-302619-3hbbpmnt 118 11 person person NN cord-302619-3hbbpmnt 118 12 spread spread VBN cord-302619-3hbbpmnt 118 13 among among IN cord-302619-3hbbpmnt 118 14 hospital hospital NN cord-302619-3hbbpmnt 118 15 staff staff NN cord-302619-3hbbpmnt 118 16 Tuberculosis Tuberculosis NNP cord-302619-3hbbpmnt 118 17 in in IN cord-302619-3hbbpmnt 118 18 elderly elderly JJ cord-302619-3hbbpmnt 118 19 persons person NNS cord-302619-3hbbpmnt 119 1 Cryptosporidiosis Cryptosporidiosis NNP cord-302619-3hbbpmnt 119 2 : : : cord-302619-3hbbpmnt 119 3 an an DT cord-302619-3hbbpmnt 119 4 unrecognized unrecognized JJ cord-302619-3hbbpmnt 119 5 cause cause NN cord-302619-3hbbpmnt 119 6 of of IN cord-302619-3hbbpmnt 119 7 diarrhea diarrhea NN cord-302619-3hbbpmnt 119 8 in in IN cord-302619-3hbbpmnt 119 9 elderly elderly JJ cord-302619-3hbbpmnt 119 10 hospitalized hospitalize VBN cord-302619-3hbbpmnt 119 11 patients patient NNS cord-302619-3hbbpmnt 119 12 Diarrhea diarrhea NN cord-302619-3hbbpmnt 119 13 among among IN cord-302619-3hbbpmnt 119 14 residents resident NNS cord-302619-3hbbpmnt 119 15 of of IN cord-302619-3hbbpmnt 119 16 long long JJ cord-302619-3hbbpmnt 119 17 - - HYPH cord-302619-3hbbpmnt 119 18 term term NN cord-302619-3hbbpmnt 119 19 care care NN cord-302619-3hbbpmnt 119 20 facilities facility NNS cord-302619-3hbbpmnt 120 1 A a DT cord-302619-3hbbpmnt 120 2 nosocomial nosocomial JJ cord-302619-3hbbpmnt 120 3 outbreak outbreak NN cord-302619-3hbbpmnt 120 4 of of IN cord-302619-3hbbpmnt 120 5 malaria malaria NN cord-302619-3hbbpmnt 120 6 associated associate VBN cord-302619-3hbbpmnt 120 7 with with IN cord-302619-3hbbpmnt 120 8 contaminated contaminated JJ cord-302619-3hbbpmnt 120 9 catheters catheter NNS cord-302619-3hbbpmnt 120 10 and and CC cord-302619-3hbbpmnt 120 11 contrast contrast NN cord-302619-3hbbpmnt 120 12 medium medium NN cord-302619-3hbbpmnt 120 13 of of IN cord-302619-3hbbpmnt 120 14 a a DT cord-302619-3hbbpmnt 120 15 computed compute VBN cord-302619-3hbbpmnt 120 16 tomographic tomographic JJ cord-302619-3hbbpmnt 120 17 scanner scanner NN cord-302619-3hbbpmnt 120 18 Update update NN cord-302619-3hbbpmnt 120 19 : : : cord-302619-3hbbpmnt 120 20 outbreak outbreak NN cord-302619-3hbbpmnt 120 21 of of IN cord-302619-3hbbpmnt 120 22 influenza influenza NN cord-302619-3hbbpmnt 120 23 A a DT cord-302619-3hbbpmnt 120 24 infection infection NN cord-302619-3hbbpmnt 120 25 - - : cord-302619-3hbbpmnt 120 26 Alaska Alaska NNP cord-302619-3hbbpmnt 120 27 and and CC cord-302619-3hbbpmnt 120 28 the the DT cord-302619-3hbbpmnt 120 29 Yukon Yukon NNP cord-302619-3hbbpmnt 120 30 territory territory NN cord-302619-3hbbpmnt 120 31 Evaluation Evaluation NNP cord-302619-3hbbpmnt 120 32 of of IN cord-302619-3hbbpmnt 120 33 a a DT cord-302619-3hbbpmnt 120 34 handwashing handwashing NN cord-302619-3hbbpmnt 120 35 intervention intervention NN cord-302619-3hbbpmnt 120 36 to to TO cord-302619-3hbbpmnt 120 37 reduce reduce VB cord-302619-3hbbpmnt 120 38 respiratory respiratory JJ cord-302619-3hbbpmnt 120 39 illness illness NN cord-302619-3hbbpmnt 120 40 rates rate NNS cord-302619-3hbbpmnt 120 41 in in IN cord-302619-3hbbpmnt 120 42 senior senior JJ cord-302619-3hbbpmnt 120 43 day day NN cord-302619-3hbbpmnt 120 44 - - HYPH cord-302619-3hbbpmnt 120 45 care care NN cord-302619-3hbbpmnt 120 46 centers center NNS cord-302619-3hbbpmnt 120 47 Serological serological JJ cord-302619-3hbbpmnt 120 48 study study NN cord-302619-3hbbpmnt 120 49 of of IN cord-302619-3hbbpmnt 120 50 responses response NNS cord-302619-3hbbpmnt 120 51 to to IN cord-302619-3hbbpmnt 120 52 selected select VBN cord-302619-3hbbpmnt 120 53 pathogens pathogen NNS cord-302619-3hbbpmnt 120 54 causing cause VBG cord-302619-3hbbpmnt 120 55 respiratory respiratory JJ cord-302619-3hbbpmnt 120 56 tract tract NN cord-302619-3hbbpmnt 120 57 infection infection NN cord-302619-3hbbpmnt 120 58 in in IN cord-302619-3hbbpmnt 120 59 the the DT cord-302619-3hbbpmnt 120 60 institutionalized institutionalized JJ cord-302619-3hbbpmnt 120 61 elderly elderly JJ cord-302619-3hbbpmnt 120 62 Infections infection NNS cord-302619-3hbbpmnt 120 63 and and CC cord-302619-3hbbpmnt 120 64 infection infection NN cord-302619-3hbbpmnt 120 65 risk risk NN cord-302619-3hbbpmnt 120 66 in in IN cord-302619-3hbbpmnt 120 67 residents resident NNS cord-302619-3hbbpmnt 120 68 of of IN cord-302619-3hbbpmnt 120 69 long long JJ cord-302619-3hbbpmnt 120 70 - - HYPH cord-302619-3hbbpmnt 120 71 term term NN cord-302619-3hbbpmnt 120 72 care care NN cord-302619-3hbbpmnt 120 73 facilities facility NNS cord-302619-3hbbpmnt 120 74 : : : cord-302619-3hbbpmnt 120 75 a a DT cord-302619-3hbbpmnt 120 76 review review NN cord-302619-3hbbpmnt 120 77 of of IN cord-302619-3hbbpmnt 120 78 the the DT cord-302619-3hbbpmnt 120 79 literature literature NN cord-302619-3hbbpmnt 120 80 , , , cord-302619-3hbbpmnt 120 81 1970 1970 CD cord-302619-3hbbpmnt 120 82 - - SYM cord-302619-3hbbpmnt 120 83 1984 1984 CD cord-302619-3hbbpmnt 120 84 Foodborne foodborne JJ cord-302619-3hbbpmnt 120 85 disease disease NN cord-302619-3hbbpmnt 120 86 outbreaks outbreak NNS cord-302619-3hbbpmnt 120 87 in in IN cord-302619-3hbbpmnt 120 88 nursing nursing NN cord-302619-3hbbpmnt 120 89 homes home NNS cord-302619-3hbbpmnt 120 90 Healthcare Healthcare NNP cord-302619-3hbbpmnt 120 91 - - HYPH cord-302619-3hbbpmnt 120 92 associated associate VBN cord-302619-3hbbpmnt 120 93 outbreaks outbreak NNS cord-302619-3hbbpmnt 120 94 in in IN cord-302619-3hbbpmnt 120 95 the the DT cord-302619-3hbbpmnt 120 96 90s 90 NNS cord-302619-3hbbpmnt 120 97 : : : cord-302619-3hbbpmnt 121 1 hospital hospital NN cord-302619-3hbbpmnt 121 2 infections infection NNS cord-302619-3hbbpmnt 122 1 Program program NN cord-302619-3hbbpmnt 122 2 CDC CDC NNP cord-302619-3hbbpmnt 122 3 Group Group NNP cord-302619-3hbbpmnt 122 4 A a DT cord-302619-3hbbpmnt 122 5 streptococcal streptococcal JJ cord-302619-3hbbpmnt 122 6 outbreaks outbreak NNS cord-302619-3hbbpmnt 122 7 in in IN cord-302619-3hbbpmnt 122 8 nursing nursing NN cord-302619-3hbbpmnt 122 9 homes home NNS cord-302619-3hbbpmnt 123 1 A a DT cord-302619-3hbbpmnt 123 2 mixed mixed JJ cord-302619-3hbbpmnt 123 3 foodborne foodborne JJ cord-302619-3hbbpmnt 123 4 outbreak outbreak NN cord-302619-3hbbpmnt 123 5 with with IN cord-302619-3hbbpmnt 123 6 Salmonella Salmonella NNP cord-302619-3hbbpmnt 123 7 heidelberg heidelberg NNP cord-302619-3hbbpmnt 123 8 and and CC cord-302619-3hbbpmnt 123 9 Campylobacter Campylobacter NNP cord-302619-3hbbpmnt 123 10 jejuni jejuni NNP cord-302619-3hbbpmnt 123 11 in in IN cord-302619-3hbbpmnt 123 12 a a DT cord-302619-3hbbpmnt 123 13 nursing nursing NN cord-302619-3hbbpmnt 123 14 home home NN cord-302619-3hbbpmnt 123 15 Two two CD cord-302619-3hbbpmnt 123 16 nursing nursing NN cord-302619-3hbbpmnt 123 17 home home NN cord-302619-3hbbpmnt 123 18 outbreaks outbreak NNS cord-302619-3hbbpmnt 123 19 of of IN cord-302619-3hbbpmnt 123 20 respiratory respiratory JJ cord-302619-3hbbpmnt 123 21 infection infection NN cord-302619-3hbbpmnt 123 22 with with IN cord-302619-3hbbpmnt 123 23 Legionella Legionella NNP cord-302619-3hbbpmnt 123 24 sainthelensi sainthelensi NN cord-302619-3hbbpmnt 123 25 Methicillin Methicillin NNP cord-302619-3hbbpmnt 123 26 - - HYPH cord-302619-3hbbpmnt 123 27 resistant resistant JJ cord-302619-3hbbpmnt 123 28 Staphylococcus Staphylococcus NNP cord-302619-3hbbpmnt 123 29 aureus aureus NN cord-302619-3hbbpmnt 123 30 in in IN cord-302619-3hbbpmnt 123 31 a a DT cord-302619-3hbbpmnt 123 32 nursing nursing NN cord-302619-3hbbpmnt 123 33 home home NN cord-302619-3hbbpmnt 123 34 and and CC cord-302619-3hbbpmnt 123 35 affiliated affiliate VBN cord-302619-3hbbpmnt 123 36 hospital hospital NN cord-302619-3hbbpmnt 123 37 : : : cord-302619-3hbbpmnt 123 38 a a DT cord-302619-3hbbpmnt 123 39 four four CD cord-302619-3hbbpmnt 123 40 year year NN cord-302619-3hbbpmnt 123 41 perspective perspective NN cord-302619-3hbbpmnt 123 42 Antimicrobial Antimicrobial NNP cord-302619-3hbbpmnt 123 43 resistance resistance NN cord-302619-3hbbpmnt 123 44 in in IN cord-302619-3hbbpmnt 123 45 long long JJ cord-302619-3hbbpmnt 123 46 - - HYPH cord-302619-3hbbpmnt 123 47 term term NN cord-302619-3hbbpmnt 123 48 - - HYPH cord-302619-3hbbpmnt 123 49 care care NN cord-302619-3hbbpmnt 123 50 facilities facility NNS cord-302619-3hbbpmnt 124 1 Multiply multiply VB cord-302619-3hbbpmnt 124 2 antibiotic antibiotic JJ cord-302619-3hbbpmnt 124 3 - - HYPH cord-302619-3hbbpmnt 124 4 resistant resistant JJ cord-302619-3hbbpmnt 124 5 gram gram NN cord-302619-3hbbpmnt 124 6 - - HYPH cord-302619-3hbbpmnt 124 7 negative negative JJ cord-302619-3hbbpmnt 124 8 bacilli bacilli NN cord-302619-3hbbpmnt 124 9 in in IN cord-302619-3hbbpmnt 124 10 a a DT cord-302619-3hbbpmnt 124 11 long long JJ cord-302619-3hbbpmnt 124 12 - - HYPH cord-302619-3hbbpmnt 124 13 termcare termcare NN cord-302619-3hbbpmnt 124 14 facility facility NN cord-302619-3hbbpmnt 124 15 : : : cord-302619-3hbbpmnt 124 16 a a DT cord-302619-3hbbpmnt 124 17 case case NN cord-302619-3hbbpmnt 124 18 - - HYPH cord-302619-3hbbpmnt 124 19 control control NN cord-302619-3hbbpmnt 124 20 study study NN cord-302619-3hbbpmnt 124 21 of of IN cord-302619-3hbbpmnt 124 22 patient patient JJ cord-302619-3hbbpmnt 124 23 risk risk NN cord-302619-3hbbpmnt 124 24 factors factor NNS cord-302619-3hbbpmnt 124 25 and and CC cord-302619-3hbbpmnt 124 26 prior prior JJ cord-302619-3hbbpmnt 124 27 antibiotic antibiotic JJ cord-302619-3hbbpmnt 124 28 use use NN cord-302619-3hbbpmnt 124 29 Colonization colonization NN cord-302619-3hbbpmnt 124 30 with with IN cord-302619-3hbbpmnt 124 31 vancomycin vancomycin NN cord-302619-3hbbpmnt 124 32 - - HYPH cord-302619-3hbbpmnt 124 33 resistant resistant JJ cord-302619-3hbbpmnt 124 34 Enterococcus Enterococcus NNP cord-302619-3hbbpmnt 124 35 faecium faecium NN cord-302619-3hbbpmnt 124 36 : : : cord-302619-3hbbpmnt 124 37 comparison comparison NN cord-302619-3hbbpmnt 124 38 of of IN cord-302619-3hbbpmnt 124 39 a a DT cord-302619-3hbbpmnt 124 40 long long JJ cord-302619-3hbbpmnt 124 41 - - HYPH cord-302619-3hbbpmnt 124 42 term term NN cord-302619-3hbbpmnt 124 43 - - HYPH cord-302619-3hbbpmnt 124 44 care care NN cord-302619-3hbbpmnt 124 45 unit unit NN cord-302619-3hbbpmnt 124 46 with with IN cord-302619-3hbbpmnt 124 47 an an DT cord-302619-3hbbpmnt 124 48 acute acute JJ cord-302619-3hbbpmnt 124 49 care care NN cord-302619-3hbbpmnt 124 50 hospital hospital NN cord-302619-3hbbpmnt 124 51 Vancomycin Vancomycin NNP cord-302619-3hbbpmnt 124 52 - - HYPH cord-302619-3hbbpmnt 124 53 resistant resistant JJ cord-302619-3hbbpmnt 124 54 Eneterococcus Eneterococcus NNP cord-302619-3hbbpmnt 124 55 faecium faecium NN cord-302619-3hbbpmnt 124 56 in in IN cord-302619-3hbbpmnt 124 57 a a DT cord-302619-3hbbpmnt 124 58 long long JJ cord-302619-3hbbpmnt 124 59 - - HYPH cord-302619-3hbbpmnt 124 60 term term NN cord-302619-3hbbpmnt 124 61 care care NN cord-302619-3hbbpmnt 124 62 facility facility NN cord-302619-3hbbpmnt 125 1 An an DT cord-302619-3hbbpmnt 125 2 outbreak outbreak NN cord-302619-3hbbpmnt 125 3 of of IN cord-302619-3hbbpmnt 125 4 multidrug multidrug NN cord-302619-3hbbpmnt 125 5 - - HYPH cord-302619-3hbbpmnt 125 6 resistant resistant JJ cord-302619-3hbbpmnt 125 7 pneumococcal pneumococcal JJ cord-302619-3hbbpmnt 125 8 pneumonia pneumonia NN cord-302619-3hbbpmnt 125 9 and and CC cord-302619-3hbbpmnt 125 10 bacteremia bacteremia NN cord-302619-3hbbpmnt 125 11 among among IN cord-302619-3hbbpmnt 125 12 unvaccinated unvaccinated JJ cord-302619-3hbbpmnt 125 13 nursing nursing NN cord-302619-3hbbpmnt 125 14 home home NN cord-302619-3hbbpmnt 125 15 residents resident NNS cord-302619-3hbbpmnt 125 16 Infection Infection NNP cord-302619-3hbbpmnt 125 17 prevention prevention NN cord-302619-3hbbpmnt 125 18 and and CC cord-302619-3hbbpmnt 125 19 control control NN cord-302619-3hbbpmnt 125 20 in in IN cord-302619-3hbbpmnt 125 21 the the DT cord-302619-3hbbpmnt 125 22 longterm longterm JJ cord-302619-3hbbpmnt 125 23 - - HYPH cord-302619-3hbbpmnt 125 24 care care NN cord-302619-3hbbpmnt 125 25 facility facility NN cord-302619-3hbbpmnt 125 26 Prevention prevention NN cord-302619-3hbbpmnt 125 27 of of IN cord-302619-3hbbpmnt 125 28 influenza influenza NN cord-302619-3hbbpmnt 125 29 in in IN cord-302619-3hbbpmnt 125 30 long long JJ cord-302619-3hbbpmnt 125 31 - - HYPH cord-302619-3hbbpmnt 125 32 term term NN cord-302619-3hbbpmnt 125 33 - - HYPH cord-302619-3hbbpmnt 125 34 care care NN cord-302619-3hbbpmnt 125 35 facilities facility NNS cord-302619-3hbbpmnt 126 1 Antimicrobial antimicrobial JJ cord-302619-3hbbpmnt 126 2 use use NN cord-302619-3hbbpmnt 126 3 in in IN cord-302619-3hbbpmnt 126 4 long long JJ cord-302619-3hbbpmnt 126 5 - - HYPH cord-302619-3hbbpmnt 126 6 term term NN cord-302619-3hbbpmnt 126 7 - - HYPH cord-302619-3hbbpmnt 126 8 care care NN cord-302619-3hbbpmnt 126 9 facilities facility NNS cord-302619-3hbbpmnt 126 10 Infection infection NN cord-302619-3hbbpmnt 126 11 control control NN cord-302619-3hbbpmnt 126 12 programs program NNS cord-302619-3hbbpmnt 126 13 in in IN cord-302619-3hbbpmnt 126 14 skilled skilled JJ cord-302619-3hbbpmnt 126 15 nursing nursing NN cord-302619-3hbbpmnt 126 16 longterm longterm JJ cord-302619-3hbbpmnt 126 17 care care NN cord-302619-3hbbpmnt 126 18 facilities facility NNS cord-302619-3hbbpmnt 126 19 A a DT cord-302619-3hbbpmnt 126 20 team team NN cord-302619-3hbbpmnt 126 21 approach approach NN cord-302619-3hbbpmnt 126 22 to to IN cord-302619-3hbbpmnt 126 23 infection infection NN cord-302619-3hbbpmnt 126 24 prevention prevention NN cord-302619-3hbbpmnt 126 25 and and CC cord-302619-3hbbpmnt 126 26 control control NN cord-302619-3hbbpmnt 126 27 in in IN cord-302619-3hbbpmnt 126 28 the the DT cord-302619-3hbbpmnt 126 29 nursing nursing NN cord-302619-3hbbpmnt 126 30 home home NN cord-302619-3hbbpmnt 126 31 setting set VBG cord-302619-3hbbpmnt 126 32 Infection infection NN cord-302619-3hbbpmnt 126 33 control control NN cord-302619-3hbbpmnt 126 34 programs program NNS cord-302619-3hbbpmnt 126 35 in in IN cord-302619-3hbbpmnt 126 36 long long JJ cord-302619-3hbbpmnt 126 37 - - HYPH cord-302619-3hbbpmnt 126 38 term term NN cord-302619-3hbbpmnt 126 39 - - HYPH cord-302619-3hbbpmnt 126 40 care care NN cord-302619-3hbbpmnt 126 41 facilities facility NNS cord-302619-3hbbpmnt 126 42 : : : cord-302619-3hbbpmnt 126 43 structure structure NN cord-302619-3hbbpmnt 126 44 and and CC cord-302619-3hbbpmnt 126 45 process process NN