SURGICAL INFECTION SOCIETY 28TH ANNUAL MEETING Hilton Head Island, South Carolina MAY 7 – 9, 2008   Annual Meeting Abstract Viewing Please see the Full program for more detailed information on seminars and sessions that occur before and after these sessions.   Index 5/7/2008 PLENARY SESSION: THE SCIENCE OF SURGICAL INFECTION 5/7/2008 POSTER SESSION I: BASIC AND CLINICAL STUDIES IN SURGICAL INFECTION 5/8/2008 PARALLEL SESSION I: FUNDAMENTAL MECHANISMS OF SURGICAL INFECTION 5/8/2008 PARALLEL SESSION II: CLINICAL INVESTIGATIONS IN SURGICAL INFECTION 5/8/2008 PARALLEL SESSION III: UNDERSTANDING THE HOST RESPONSE TO SURGICAL INFECTION 5/8/2008 PARALLEL SESSION IV: OUTCOMES STUDIES IN SURGICAL INFECTION 5/8/2008 POSTER SESSION II: BASIC AND CLINICAL STUDIES IN SURGICAL INFECTION 5/9/2008 PARALLEL SESSION V: MECHANISTIC INSIGHTS INTO THE DEVELOPMENT OF SURGICAL INFECTION 5/9/2008 PARALLEL SESSION VI: CLINICAL STUDIES IN SURGICAL INFECTION   Wednesday, May 07, 2008 13:30 - 16:00 PLENARY SESSION: THE SCIENCE OF SURGICAL INFECTION CALIBOGUE/DANNER   Moderators: Stephen Lowry, MD David Hackam, MD   1. SOLUBLE RAGE AND HMGB1 RELEASE AFTER BLUNT TRAUMA AND BURNS: ASSOCIATION WITH INJURY SEVERITY AND SURVIVAL   Category: BASIC SCIENCE - IN VIVO   FAIST E, KRAFT R, TRENTZSCH H, RUBENBAUER J, ZEDLER S   KLINIKUM GROSSHADERN   Discussant: RONALD MAIER, MD   2. IMPACT OF 2% CHLORHEXIDINE WHOLE BODY WASHING ON NOSOCOMIAL INFECTIONS AMONG TRAUMA PATIENTS   Category: CLINICAL TRIALS   EVANS H, CHAN J, MCCATLIN M, DELLIT T, RODRIGUEZ J, MAIER R, CUSCHIERI J, NATHENS A   UNIVERSITY OF WASHINGTON   Discussant: ROBERT SAWYER, MD   3. PROPRANOLOL TREATMENT DECREASES INFECTION AND SEPSIS IN SEVERELY BURNED PEDIATRIC PATIENTS   Category: CLINICAL TRIALS   JESCHKE MG, WILLIAMS FN, KULP G, BRANSKI LK, GAUGLITZ GG, FINNERTY CC, HERNDON DN   SHRINERS HOSPITALS FOR CHILDREN   Discussant: SAMAN ARBABI, MD   4. THE NOD2 AGONIST MURAMYL-DI-PEPTIDE LIMITS ENDOTOXEMIA-INDUCED INTESTINAL INFLAMMATION BY INHIBITING TLR4 SIGNALING IN ENTEROCYTES   Category: BASIC SCIENCE - IN VITRO   RICHARDSON WM, GRIBAR S, SODHI C, BRANCA M, KOHLER J, LI J, DUBOWSKI T, HACKAM DJ   CHILDREN'S HOSPITAL OF PITTSBURGH   Discussant: HENRI RONALD FORD, MD   5. HIGH MOLECULAR WEIGHT POLYETHYLENE GLYCOL PREVENTS EPITHELIAL CELL APOPTOSIS, SHIELDS AGAINST BACTERIAL INVASION, AND PROTECTS MICE FROM MORTALITY FOLLOWING ABDOMINAL RADIATION AND EXPOSURE TO P. AERUGINOSA   Category: BASIC SCIENCE - IN VIVO   VALUCKAITE V, LONG J, HOLBROOK C, MAUCERI H, WEICHSELBAUM R, CHANG E, ZABORINA O, ALVERDY J   UNIVERSITY OF CHICAGO   Discussant: WILLIAM CHEADLE, MD   6. A RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED TRIAL OF THE EFFICACY OF ENTERAL IRON SUPPLEMENTATION ON ANEMIA AND RISK OF INFECTION DURING SURGICAL CRITICAL ILLNESS (SCI)   Category: CLINICAL TRIALS   HENDERSON P, PIERACCI FM, RODNEY JR, HYDO LJ, EACHEMPATI SR, SHOU J, BARIE PS   WEILL CORNELL MEDICAL COLLEGE   Discussant: LENA NAPOLITANO, MD   7. A RANDOMIZED DOUBLE-BLIND PHASE II TRIAL OF PERIOPERATIVE PROBIOTICS IN COLORECTAL RESECTION   Category: CLINICAL TRIALS   GIANOTTI L, BRAGA M, MORELLI L, COPPOLA S, ROCCHETTI S, GALBIATI F, BENEDUCE A, NESPOLI A   MILANO-BICOCCA UNIVERSITY   Discussant: JOHN ALVERDY, MD   8. TOLL LIKE RECEPTOR 4 (TLR4) MEDIATES COMPLEMENT FACTOR B UPREGULATION THROUGH MITOGEN ACTIVATED PROTEIN (MAP) KINASES P38 AND C-JUN N-TERMIAL KINASE (JNK)   Category: BASIC SCIENCE - IN VITRO   KACZOROWSKI DJ, AFRAZI A, BILLIAR TR   UNIVERSITY OF PITTSBURGH   Discussant: MICHAEL WEST, MD, PHD   Return to Index   Wednesday, May 07, 2008 16:30 - 18:00 POSTER SESSION I: BASIC AND CLINICAL STUDIES IN SURGICAL INFECTION FORT WALKER   Moderators: Michael West MD PhD Catherine Hunter MD John Davis MD Jeffrey Claridge MD   1. NEONATAL MESENCHYMAL STEM CELLS PRODUCE IL6 BUT NOT VEGF THROUGH NFKB WHILE ADULTS UTILIZE NFKB FOR BOTH   Category: BASIC SCIENCE - IN VITRO   NOVOTNY NM, MARKEL TA, CRISOSTOMO PR, WANG M, HERRING CM, LAHM T, WANG Y, MELDRUM DR   INDIANA UNIVERSITY   Discussant:   2. SYNERGISTIC EFFECT OF PHOSPHATE DEPLETION AND EXPOSURE TO OPIOIDS ON P. AERUGINOSA VIRULENCE EXPRESSION.   Category: BASIC SCIENCE - IN VITRO   HOLBROOK C, ZABORINA O, MOROZOVA I, FERNANDEZ H, LONG J, ALVERDY J   UNIVERSITY OF CHICAGO   Discussant:   3. GENDER-RELATED INFLUENCES OF A MACROPHAGE MIGRATION INHIBITORY FACTOR (MIF) POLYMORPHISM ON HUMAN RESPONSES TO LIPOPOLYSACCHARIDE   Category: BASIC SCIENCE - IN VIVO   FRIEDMAN LC, COYLE SM, CALVANO JE, DAYON TC, MACOR MA, CALVANO SE, LOWRY SF   UMDNJ ROBERT WOOD JOHNSON MEDICAL SCHOOL   Discussant:   4. SURGICAL INJURY ACTIVATES P. AERUGINOSA TO DEGRADE THE MUCUS GEL LAYER OF THE GASTROINTESTINAL TRACT   Category: BASIC SCIENCE - IN VIVO   LONG JM, ZABORINA O, LICHTENSTEIN L, ZABORIN A, HOLBROOK C, MOROZOVA I, LIU DC, ALVERDY JC   UNIVERSITY OF CHICAGO   Discussant:   5. POSTBURN HEPATIC INSULIN RESISTANCE IS DUE TO ALTERED JNK/IRS-1 ACTIVATION LEADING TO IMPAIRED P13K AND AKT SIGNALLING   Category: BASIC SCIENCE - IN VIVO   GAUGLITZ GG, BOEHNING DF, BARRAL JM, WILLIAMS F, SONG J, HERNDON DN, JESCHKE MG   SHRINERS HOSPITALS FOR CHILDREN   Discussant:   6. INTESTINAL MICROBIAL COMMUNITIES SHOW A REVERSIBLE SHIFT IN RESPONSE TO SURGICAL INJURY   Category: BASIC SCIENCE - IN VIVO   POROYKO V, VALUCKAITE V, DRABIK K, ZABORINA O, CHANG E, LIU DC, ALVERDY JC   UNIVERSITY OF CHICAGO   Discussant:   7. THE ACUTE PARACRINE EFFECTS OF STEM CELLS MAY NOT BE MEDIATED BY VEGF   Category: BASIC SCIENCE - IN VITRO   CRISOSTOMO P, MARKEL T, NOVOTNY N, WANG M, WANG Y, MELDRUM D, LAHM T   INDIANA UNIVERSITY   Discussant:   8. VEGF ADMINISTRATION INCREASES ANTI-INFLAMMATORY AND DECREASES PROINFLAMMATORY TISSUE CYTOKINE PRODUCTION AFTER ISCHEMIA   Category: BASIC SCIENCE - IN VITRO   GUZMAN M, CRISOSTOMO P, WANG M, MARKEL T, WANG Y, LAHM T, NOVOTNY N, MELDRUM D   INDIANA UNIVERSITY   Discussant:   9. MULTIDRUG RESISTANT ACINETOBACTER BAUMANNII AND TREATMENT IN THE TRAUMA PATIENT: DOES COLISTIN INCREASE ACUTE RENAL INSUFFICIENCY?   Category: CASE SERIES   GUILLAMONDEGUI OD, GUNTER O, MACNEW H   VANDERBILT UNIVERSITY MEDICAL CENTER   Discussant:   10. MICROBIOLOGIC FINDINGS IN SURGICAL SITE INFECTION COMPLICATING BREAST SURGERY   Category: CASE SERIES   BADDOUR LM, THROCKMORTON AD, DEGNIM AC, HOSKIN TL, BOUGHEY JC   MAYO CLINIC   Discussant:   11. CHARACTERISTICS AND MICROBIOLOGY OF PATIENTS WITH PERFORATED APPENDICITIS   Category: CASE SERIES   AWAD SS, SUBRAMANIAN A, VAN DOORN EC, ELHABASH SI   BAYLOR COLLEGE OF MEDICINE   Discussant:   12. USING ANTIMICROBIAL SOLUTION FOR IRRIGATION IN PERFORATED APPENDICITIS TO LOWER SURGICAL SITE INFECTION (SSI) RATES   Category: CASE SERIES   MILESKI W, PARCELLS JP, MOORHEAD T   UNIVERSITY OF TEXAS MEDICAL BRANCH   Discussant:   13. OBESITY AND SITE-SPECIFIC INFECTION RISK IN THE ICU   Category: CLINICAL TRIALS   DOSSETT LA, SWENSON BR, METZGER R, BONATTI H, SAWYER RG, MAY AK   VANDERBILT UNIVERSITY MEDICAL CENTER   Discussant:   14. EFFECTS OF HUMAN IMMUNODEFICIENCY VIRUS (HIV) STATUS ON TRAUMA OUTCOMES: A REVIEW OF THE NATIONAL TRAUMA DATABASE   Category: OTHER   MORRISON CA, WYATT MM, CARRICK MM   BAYLOR COLLEGE OF MEDICINE   Discussant:   15. INITIATION OF A SCREENING PROTOCOL FOR POLYOMA VIRUS RESULTS IN A DECREASED RATE OF OPPORTUNISTIC NON-BK VIRAL DISEASE IN RENAL TRANSPLANT RECIPIENTS   Category: CLINICAL TRIALS   GALLICHIO M, ELBAHLOUL O, CONTI DJ   ALBANY MEDICAL COLLEGE   Discussant:   16. CAN WE USE C-REACTIVE PROTEIN IN SEVERELY BURNED PEDIATRIC PATIENTS AS A PREDICTOR FOR MORBIDITY, MORTALITY, OR SEPSIS?   Category: CLINICAL TRIALS   KULP GA, CHINKES DL, GAUGLITZ GG, HERNDON DN, JESCHKE MG   SHRINERS HOSPITALS FOR CHILDREN   Discussant: DAVID GREENHALGH, MD   Return to Index   Thursday, May 08, 2008 08:00 - 11:00 PARALLEL SESSION I: FUNDAMENTAL MECHANISMS OF SURGICAL INFECTION BARNWELL   Moderators: John Marshall MD Ping Wang MD   1. ACID SPHINGOMYELINASE MEDIATES EARLY AKT PHOSPHORYLATION AND SRC KINASE ACTIVATION FOLLOWING OXIDATIVE STRESS IN MURINE MACROPHAGES.   Category: BASIC SCIENCE - IN VITRO   TAWADROS PS, AILENBERG M, CANTOS M, SZASZI K, KAPUS A, MARSHALL JC, ROTSTEIN OD   ST. MICHAEL'S HOSPITAL, UNIVERSITY OF TORONTO   Discussant: JAMES LEDERER, MD   2. THE TLR9 LIGAND CPG-DNA REDUCES TLR4-MEDIATED BACTERIAL TRANSLOCATION IN VITRO AND DURING SYSTEMIC ENDOTOXEMIA   Category: BASIC SCIENCE - IN VIVO   GRIBAR SC, RICHARDSON WM, KOHLER JW, BRANCA MF, DUBOWSKI TD, HACKAM DJ, SODHI CP, NEAL MD, LI J   CHILDREN'S HOSPTIAL OF PITTSBURGH   Discussant: ORI ROTSTEIN, MD   3. KLEBSIELLA INDUCES A STATE OF TOLERANCE IN A CHRONIC MODEL OF PERITONITIS.   Category: BASIC SCIENCE - IN VIVO   LENZ AM, GARDENER S, PEYTON J, CHEADLE W   UNIVERSITY OF LOUISVILLE   Discussant: EDWIN DEITCH, MD   4. HOW OLD IS OLD ENOUGH: IN THE ADULT STEM CELL POPULATION, IS THERE AN AGE THRESHOLD FOR OPTIMUM FUNCTIONALITY?   Category: BASIC SCIENCE - IN VITRO   CRISOSTOMO PR, WANG M, WANG Y, LAHM T, NOVOTNY NM, MARKEL TA, MELDRUM DR   INDIANA UNIVERSITY   Discussant: DAVID JOEL HACKAM, MD, PHD   5. PROPRANOLOL INHIBITS THE CONVERSION OF RESIDENT MACROPHAGES IN SEVERELY BURNED PATIENTS   Category: BASIC SCIENCE - IN VITRO   SHIGEMATSU K, JESCHKE MG, KOBAYASHI M, HERNDON DN, SUZUKI F   SHRINERS HOSPITALS FOR CHILDREN   Discussant: BASIL PRUITT, MD   6. PEROXISOME PROLIFERATOR-ACTIVATED RECEPTOR GAMMA COACTIVATOR-1ALPHA REGULATES HEPATOCYTE NUCLEAR FACTOR-4ALPHA ACTIVITIES DURING THE ACUTE PHASE RESPONSE   Category: BASIC SCIENCE - IN VITRO   WANG Z, BURKE PA   BOSTON UNIVERSITY SCHOOL OF MEDICINE   Discussant: MATTHEW ROSENGART, MD, MPH   7. VIRULENCE ACTIVATION BEYOND THE QUORUM: LOCAL INTESTINAL PHOSPHATE AND IRON GOVERN THE DEVELOPMENT OF LETHAL GUT-DERIVED SEPSIS   Category: BASIC SCIENCE - IN VIVO   ZABORINA O, ZABORIN A, LONG J, HOLBROOK C, GERDES S, MOROZOVA I, LIU DC, ALVERDY JC   UNIVERSITY OF CHICAGO   Discussant: PHILIP BARIE, MD   8. GENE EXPRESSION IN HUMAN MONOCYTES WITH EPINEPHRINE INFUSION PRIOR TO LPS CHALLENGE   Category: BASIC SCIENCE - IN VIVO   WATSON SB, COYLE SM, MACOR MA, CALVANO JE, REDDEL MT, KUMAR A, CALVANO SE, LOWRY SF   UMDNJ ROBERT WOOD JOHNSON MEDICAL SCHOOL   Discussant: MATTHEW ROSENGART, MD, MPH   9. HEMORRHAGIC SHOCK REGULATION OF NEUTROPHIL EMIGRATION FROM BONE MARROW: ROLE FOR TLR4-IL-23-IL-17 SIGNALING   Category: BASIC SCIENCE - IN VIVO   LIU Y, YUAN Y, WILSON M, FAN J   UNIVERSITY OF PITTSBURGH   Discussant: JOHN MARSHALL, MD   10. LACTOBACILLUS PROTECTS ENTEROCYTES FROM ENTEROBACTER SAKAZAKII INDUCED APOPTOSIS BY ALTERING INDUCIBLE NITRIC OXIDE (INOS) PRODUCTION AND ATTENUATING CYTOCHROME RELEASE FROM MITOCHONDRIA.   Category: BASIC SCIENCE - IN VIVO   HUNTER CJ, WILLIAMS ML, ZHANG X, GRISHIN AV, PRASADARAO NV, BOYLE PA, FORD HR   CHILDRENS HOSPITAL LOS ANGELES   Discussant: EDWIN DEITCH, MD   Return to Index   Thursday, May 08, 2008 08:00 - 11:00 PARALLEL SESSION II: CLINICAL INVESTIGATIONS IN SURGICAL INFECTION CALIBOGUE/DANNER   Moderators: Philip Barie MD, FACS (acceptance pending) Ori Rotstein, MD, FACS   1. SURGICAL SITE INFECTION (SSI) PREVENTION: THE GAP BETWEEN EVIDENCE AND PRACTICE IN ACADEMIC MEDICAL CENTERS   Category: OTHER   ESKICIOGLU C, CHUNG J, FENECH D, NATHENS AB, GAGLIARDI AR, FORBES SS, MCKENZIE M, MCLEOD RS   UNIVERSITY OF TORONTO   Discussant: E. PATCHEN DELLINGER, MD   2. A MULTI-CENTER, PROSPECTIVE STUDY OF GENDER, CRITICAL ILLNESS, INFECTION, AND MORTALITY.   Category: CLINICAL TRIALS   METZGER R, SWENSON B, DOSSETT L, POPOVSKY K, BONATTI H, EVANS H, HEDRICK T, SAWYER R, PRUETT T, MAY A   UNIVERSITY OF VIRGINIA   Discussant: MARTIN CROCE, MD   3. INTENSIVE INFECTION CONTROL STRATEGIES AND DECREASING INFECTION WITH MULTI-DRUG RESISTANT ORGANISMS (MDRO) DESPITE HIGH COLONIZATION RATE   Category: CLINICAL TRIALS   MALLAT AF, RIEDENAUER WB, KNIPP B, CHERRY-BUKOWIEC JR, ZALEWSKI C, CHENOWETH C, PARK PK, NAPOLITANO LM   UNIVERSITY OF MICHIGAN   Discussant: SANDRA MARIE SWOBODA, RN, MS   4. PRIOR ANTIBIOTIC THERAPY AND RISK OF SUBSEQUENT C. DIFFICILE INFECTION IN SURGICAL PATIENTS: WHAT ARE THE ROLES OF METRONIDAZOLE AND FLUOROQUINOLONES?   Category: CLINICAL TRIALS   SWENSON B, BONATTI H, HRANJEC T, SAWYER R, PRUETT T, METZGER R   UNIVERSITY OF VIRGINIA   Discussant: JOHN MAZUSKI, MD, PHD   5. PREOPERATIVE AND POSTOPERATIVE CHANGE IN GLUCOSE LEVEL AS A RISK FACTOR FOR POSTOPERATIVE INFECTIONS IN DIABETIC AND NONDIABETIC PATIENTS UNDERGOING MAJOR NONCARDIAC SURGERY   Category: CLINICAL TRIALS   RAMOS M, KHALPEY Z, STEINBERG J, PANIZALES M, LIPSITZ S, ROGERS SO   BRIGHAM AND WOMEN'S HOSPITAL   Discussant: LENA NAPOLITANO, MD   6. CANDIDEMIA: INCIDENCE, PREVALENCE, PROPHYLAXIS AND SPECIES; WHAT WE HAVE LEARNED IN THE LAST 17 YEARS   Category: CASE SERIES   SWOBODA S, LIPSETT P, MERZ W   JOHNS HOPKINS   Discussant: ROBERT SAWYER, MD   7. ANTIBIOTIC STEWARDSHIP PROGRAMS IN AN OPEN AND A CLOSED SURGICAL ICU MODEL: A SIX YEAR ANALYSIS   Category: CASE SERIES   DORTCH MJ, FLEMING S, DOSSETT L, TALBOT T, MAY A   VANDERBILT UNIVERSITY MEDICAL CENTER   Discussant: JOSE JESUS DIAZ, MD   8. QUANTITATIVE MICROBIOLOGY IN 688 TRAUMA PATIENTS WITH VENTILATOR ASSOCIATED PNEUMONIA: IMPLICATIONS FOR EARLY BRONCOSCOPY AND EMPRIC ANTIBIOTIC THERAPY   Category: CASE SERIES   MILLER RS, CARNEVALE RJ, NORRIS PR, RIORDAN WP, JENKINS JM, MAY AK, MORRIS JA   VANDERBILT UNIVERSITY MEDICAL CENTER   Discussant: MARTIN CROCE, MD   9. WHO'S MONITORING YOUR INFECTIONS? SHOULDN'T YOU BE?   Category: OTHER   CLARIDGE JA, GOLOB JF, FADLALLA A, PEERLESS JR, YOWLER CJ, MALANGONI MA, D'AMICO B   METROHEALTH MEDICAL CENTER   Discussant: PAMELA LIPSETT, MD   10. TRENDS IN POSTOPERATIVE SEPSIS: A POPULATION-BASED ANALYSIS OF OCCURRENCE, SEVERITY, MORTALITY, AND ASSOCIATED PATHOGENS   Category: OTHER   VOGEL TR, DOMBROVSKIY VY, LOWRY SF   UMDNJ ROBERT WOOD JOHNSON MEDICAL SCHOOL   Discussant: ADDISON MAY, MD   Return to Index   Thursday, May 08, 2008 13:00 - 15:00 PARALLEL SESSION III: UNDERSTANDING THE HOST RESPONSE TO SURGICAL INFECTION CALIBOGUE/DANNER   Moderators: John Alverdy MD Andreas Lenz MD   1. ESTROGEN RECEPTOR-ALPHA AGONIST PPT ATTENUATES ACUTE HYPOXIC PULMONARY VASOCONSTRICTION (HPV)   Category: BASIC SCIENCE - IN VITRO   LAHM T, CRISOSTOMO PR, MARKEL TA, WANG M, NOVOTNY NM, WANG Y, MELDRUM DR   INDIANA UNIVERSITY SCHOOL OF MEDICINE   Discussant: JOSEPH CUSCHIERI, MD   2. PHOSPHODIESTERASE INHIBITION DECREASES BREAKDOWN OF THE TIGHT JUNCTION PROTEINS OCCLUDIN AND ZO-1 IN IMMUNOSTIMULATED CACO-2 INTESTINAL MONOLAYERS   Category: BASIC SCIENCE - IN VITRO   COSTANTINI TW, DEREE J, LOOMIS W, BANSAL V, COIMBRA R, ELICEIRI B   UNIVERSITY OF CALIFORNIA- SAN DIEGO   Discussant: WILLIAM CIOFFI, MD   3. KETAMINE PREVENTS LPS INDUCED HEPATIC INJURY: ROLE OF HO-1 AND CARBON MONOXIDE   Category: BASIC SCIENCE - IN VIVO   SULIBURK JW, ZUCKERBRAUN B, MERCER DW, WARD JL   UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON   Discussant: WALTER BIFFL, MD   4. NEUTROPHIL ELASTASE INHIBITOR RESTORES GUT ISCHEMIA REPERFUSION-INDUCED IMPAIRMENT OF GUT IMMUNITY WITH REDUCED PLASMA IL-6 LEVELS IN MICE   Category: BASIC SCIENCE - IN VIVO   TANABE K, FUKATSU K, MAESHIMA Y, NOGUCHI M, OMATA J, OKAMOTO K, SAITOH D   DIVISION OF TRAUMATOLOGY NATIONAL DEFENSE MEDICAL COLLEGE RESEARCH INSTITUTE   Discussant: JOHN ALVERDY, MD   5. SEVERITY OF METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA)-INDUCED VASCULAR LEAKAGE IS MEDIATED BY EXCESSIVE NITRIC OXIDE   Category: BASIC SCIENCE - IN VIVO   ENKHBAATAR P, JONKAM C, TRABER L, LANGE M, HAMAHATA A, HERNDON D, TRABER D   UNIVERSITY OF TEXAS MEDICAL BRANCH   Discussant: STEPHEN LOWRY, MD   6. CD4+FOXP3+ REGULATORY T CELLS ARE ACTIVATED BY INJURY   Category: BASIC SCIENCE - IN VIVO   TAJIMA G, MACCONMARA M, O'LEARY F, DELISLE A, MANNICK J, KUCHROO V, LEDERER J   BRIGHAM AND WOMEN'S HOSPITAL HARVARD MEDICAL SCHOOL   Discussant: DAVID GREENHALGH, MD   Return to Index   Thursday, May 08, 2008 13:00 - 15:00 PARALLEL SESSION IV: OUTCOMES STUDIES IN SURGICAL INFECTION HILTON HEAD WESTIN   Moderators: Pamela Lipsett MD, FACS John Mazuski MD, FACS   1. RANDOMIZED, MULTICENTER TRIAL OF ANTIBIOTIC PROPHYLAXIS FOR ABDOMINAL RADICAL HYSTERECTOMY IN PATIENTS WITH UTERINE CERVICAL CANCER: SINGLE DOSE VS 4 DOSES OF A SECOND-GENERATION CEPHALOSPORIN   Category: CLINICAL TRIALS   MIKAMO H, YAMAGISHI Y   AICHI MEDICAL UNIVERSITY   Discussant: SHINYA KUSACHI, MD, PHD   2. THE EFFECTS OF PREOPERATIVE SKIN PREPARATION ON POSTOPERATIVE WOUND INFECTION: A PROSPECTIVE STUDY COMPARING THREE SKIN PREPARATION PROTOCOLS   Category: CLINICAL TRIALS   SWENSON BR, SAWYER RG, METZGER R, HEDRICK T, BONATTI H, PRUETT TL   UNIVERSITY OF VIRGINIA HEALTH SYSTEM   Discussant: SOUMITRA EACHEMPATI, MD   3. PREVENTION OF WOUND INFECTIONS INCORPORATING THE USE OF TOPICAL ANTIBIOTICS IN MORBIDLY OBESE PATIENTS   Category: CLINICAL TRIALS   GOODMAN HR, RAHN R, ALEXANDER JW   CENTER FOR SURGICAL WEIGHT LOSS, UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE   Discussant: DONALD FRY, MD   4. INSULIN RESISTANCE HERALDS POSITIVE CULTURES AFTER SEVERE INJURY   Category: CASE SERIES   MOWERY NT, CARNEVALE R, NORRIS P, DORTCH MJ, MORRIS, JR JA, MAY AK   VANDERBILT UNIVERSITY MEDICAL CENTER   Discussant: CHARLES ADAMS, MD   5. ANTIMICROBIAL UTILIZATION PRACTICES AND WOUND MANAGEMENT IN PATIENTS WITH INTRA-ABDOMINAL INFECTION (IAI).   Category: OTHER   NATHENS AB, WOLTER NE, XIONG W, COHN S, MAY A, ARBABI S, JOHNSON J   ST. MICHAELS HOSPITAL   Discussant: PHILIP BARIE, MD   6. THE SURGICAL SITE INFECTION WORKING GROUP: THE IMPLEMENTATION OF EVIDENCE-BASED PRACTICES FOR WOUND INFECTION PROPHYLAXIS   Category: OTHER   FORBES SS, STEPHEN WJ, HARPER WL, LOEB M, SMITH R, CHRISTOFFERSEN EP, MCLEAN RF   UNIVERSITY OF TORONTO   Discussant: JOSEPH CUSCHIERI, MD   Return to Index   Thursday, May 08, 2008 15:00 - 17:00 POSTER SESSION II: BASIC AND CLINICAL STUDIES IN SURGICAL INFECTION FORT WALKER   Moderators: Joseph Cuschieri MD Brian Zuckerbraun MD Charles Adams MD (acceptance pending) Meghan Forster MD   1. DECREASED GENERATION OF AN IMMUNOSUPPRESSIVE SUBSET OF NEUTROPHILS IN SEVERELY BURNED PATIENTS TREATED WITH PROPRANOLOL   Category: BASIC SCIENCE - IN VITRO   SHIGEMATSU K, JESCHKE MG, KOBAYASHI M, HERNDON DN, SUZUKI F   SHRINERS HOSPITALS FOR CHILDREN   Discussant:   2. OPTIMAL GANCICLOVIR PROPHYLAXIS TO PREVENT CYTOMEGALOVIRUS REACTIVATION IN IMMUNOCOMPETENT HOSTS   Category: BASIC SCIENCE - IN VIVO   FORSTER M, ZIMMERMAN P, TRGOVCICH J, COOK C   THE OHIO STATE UNIVERSITY   Discussant:   3. APACHE II STRATIFIES SURGICAL ICU INFECTION RATES   Category: CLINICAL TRIALS   DOSSETT LA, MAY AK, SAWYER RG, GUILLAMONDEGUI OD   VANDERBILT UNIVERSITY MEDICAL CENTER   Discussant:   4. EARLY EXTUBATION OF ORTHOTOPIC LIVER TRANSPLANT (OLT) PATIENTS: IMPACT ON VENTILATOR ASSOCIATED PNEUMONIA (VAP)   Category: CLINICAL TRIALS   VON RIEDENAUER WB, CHERRY-BUKOWIEC JR, MALLAT A, KNIPP BS, ZALEWSKI CA, PUNCH J, PARK P, NAPOLITANO LM   UNIVERSITY OF MICHIGAN   Discussant:   5. UTILIZING NSQIP TO IDENTIFY APPROPRIATE PERIOPERATIVE ANTIBIOTIC TIMING   Category: CLINICAL TRIALS   MARTIN BJ, GUNTER O, GUILLAMONDEGUI OD   VANDERBILT UNIVERSITY MEDICAL CENTER   Discussant:   6. SOLID ORGAN RECIPIENTS ARE AT INCREASED RISK FOR RECURRENT CLOSTRIDIUM DIFFICILE COLITIS   Category: CLINICAL TRIALS   METZGER R, SWENSON BR, PRUETT TL, SCHMITT TM, SIFRI CD, BRAYMAN K , SAWYER RG, BONATTI H   UNIVERSITY OF VIRGINIA   Discussant:   7. SUBCUTANEOUS CONTINUOUS GLUCOSE MONITORING (CGM) IS ACCURATE BUT IMPRECISE IN EDEMATOUS TRAUMA PATIENTS   Category: CLINICAL TRIALS   PIDCOKE HF, WOLF SE, HOLCOMB JB, WADE CE   UNIVERSITY OF TEXAS, HEALTH SCIENCE CENTER, SAN ANTONIO   Discussant:   8. PROPRANOLOL DECREASES CARDIAC DYSFUNCTION IN A DOSE-DEPENDENT MANNER IN PEDIATRIC BURN PATIENTS   Category: CLINICAL TRIALS   WILLIAMS FN, JESCHKE MG, NORBURY W, KULP GA, GAUGLITZ GG, BRANSKI LK, HERNDON DN   SHRINERS HOSPITALS FOR CHILDREN   Discussant:   9. PROCALCITONIN IS A PREDICTIVE MARKER FOR INFECTED PANCREATIC NECROSIS   Category: CLINICAL TRIALS   LITVIN AA, GENNADIY S   GOMEL REGIONAL CLINICAL HOSPITAL   Discussant:   10. ARE THERE REALLY `LOW-RISK` AND `HIGH-RISK` INFECTIONS IN THE INTENSIVE CARE UNIT (ICU)?   Category: CLINICAL TRIALS   HRANJEC T, METZGER R, SWENSON B, BONATTI H, HEDRICK T, FLOHR T, MCELEARNEY S, POPOVSKY K, PRUETT T, SAWYER R   UNIVERSITY OF VIRGINIA   Discussant:   11. CAN WE PREDICT INTRA-ABDOMINAL ABSCESS AFTER DAMAGE CONTROL SURGERY?   Category: CLINICAL TRIALS   COTHREN C, MOORE EE, KASHUK JL, JOHNSON JL, BIFFL WL   DENVER HEALTH MEDICAL CENTER   Discussant:   12. CRITICAL ILLNESS AS ECOLOGICAL COLLAPSE: MODELING THE IMPACT OF STRESS, ISCHEMIA, AND THERAPY ON HOST-BACTERIAL ECOLOGY IN THE GUT   Category: OTHER   AN G, SHAPIRO M, CRANDALL M, ISSA N, WEST M   NORTHWESTERN UNIVERSITY   Discussant:   13. EMERGENCE OF METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS AS A CAUSATIVE PATHOGEN IN EARLY VENTILATOR-ASSOCIATED PNEUMONIA IN TRAUMA PATIENTS: SHOULD WE BE WORRIED?   Category: OTHER   MAGNOTTI LJ, CLEMENT LP, SWANSON J, FISCHER P, SCHROEPPEL T, FABIAN T, CROCE M   UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER   Discussant:   14. IS THERE A BENEFIT TO MULTI-DISCIPLINARY ROUNDS IN AN "OPEN" ICU REGARDING VENTILATOR-ASSOCIATED PNEUMONIA?   Category: OTHER   JOHNSON V, MANGRAM A, MITCHELL C, DUNN E, HOWARD D   METHODIST HOSPITAL   Discussant:   15. DAPTOMYCIN OUTCOMES FOLLOWING VANCOMYCIN TREATMENT OF SURGICAL SITE INFECTIONS   Category: OTHER   LAMP K, MARTONE W   CUBIST   Discussant:   16. INADEQUATE ANTIBIOTIC THERAPY WITHIN 24 HOURS FOR INFECTION IN SOLID ORGAN TRANSPLANT PATIENTS IS ASSOCIATED WITH INCREASED MORTALITY   Category: OTHER   LUPEI MI, MANN HJ, BEILMAN GJ, OANCEA C, CHIPMAN JG   COLLEGE OF PHARMACY, UNIVERSITY OF MINNESOTA   Discussant:   17. THE ASSOCIATION WITH THE USE OF ERYTHROPOIETIN WITH POSTOPERATIVE COMPLICATIONS IN CARDIAC SURGERY   Category: OTHER   MATT B, KUO Y, KING A, PARIKH C, MORRIS K, DAVIS J   JERSEY SHORE UNIVERSITY MEDICAL CENTER   Discussant:   18. THE INCIDENCE OF IRON DEFICIENCY IN CARDIAC SURGERY PATIENTS   Category: OTHER   PARIKH C, KUO Y, MORRIS K, NEIBART R, BUTLER M, KING A, DAVIS J   JERSEY SHORE UNIVERSITY MEDICAL CENTER   Discussant:   19. IMMUNONUTRITION IN PATIENTS UNDERGOING SURGERY FOR UPPER GASTROINTESTINAL MALIGNANCIES: A COMPARISON OF PRE-, POST- AND PERI-OPERATIVE SUPPLEMENTATION STRATEGIES USING DECISION ANALYSIS   Category: OTHER   HAYWARD III TZ, ARMSTRONG ZE, ROCHE PL, SITZMAN JV, HOWARD TJ   INDIANA UNIVERSITY SCHOOL OF MEDICINE   Discussant:   20. DOES SPLENECTOMY PROTECT AGAINST IMMUNE-MEDIATED COMPLICATIONS IN BLUNT TRAUMA PATIENTS?   Category: OTHER   CRANDALL M, WEST M, SHAPIRO M   NORTHWESTERN UNIVERSITY   Discussant:   21. IS ERYTHROPOIETIN (EPO) LESS EXPENSIVE THAN BLOOD? COST ANALYSIS OF 2048 PATIENTS HAVING CORONARY ARTERY BYPASS SURGERY (CABG)   Category: OTHER   KUO Y, MORRIS K, NEIBART R, DAVIS J   JERSEY SHORE UNIVERSITY MEDICAL CENTER   Discussant:   22. AN ANTIMICROBIAL STEWARDSHIP PROGRAM OPTIMIZES ANTIMICROBIAL UTILIZATION IN SURGICAL PATIENTS   Category: OTHER   BOESER KD, BEILMAN GJ, CHIPMAN JG, BYRNES MC   UNIVERSITY OF MINNESOTA   Discussant:   23. PERIPHERALLY INSERTED CENTRAL CATHETERS (PICCS) MAY LOWER THE INCIDENCE OF CATHETER-RELATED BLOOD STREAM INFECTIONS (CR-BSIS) IN SURGICAL INTENSIVE CARE UNIT (SICU) PATIENTS   Category: OTHER   GUNST M, VANEK S, GUNST R, SHAFI S, FRANKEL H   UT SOUTHWESTERN   Discussant:   24. THE RELATIONSHIP OF MULTI-DRUG RESISTANCE AND THE NON-ANTIMICROBIAL USE OF ERYTHROMYCIN IN A SURGICAL INTENSIVE CARE UNIT   Category: OTHER   DORTCH MJ, PATEL M, COLLIER B, DOSSETT L, MOWERY N, MAY A   VANDERBILT UNIVERSITY MEDICAL CENTER   Discussant:   25. RISK FACTORS FOR EMPYEMA FOLLOWING DIAPHRAGMATIC INJURY: RESULTS OF A NATIONAL TRAUMA DATABANK ANALYSIS   Category: OTHER   DUBOSE JJ, BAMPARAS G, RECINOS G, TEIXEIRA PG, INABA K, BELZBERG H   LOS ANGELES COUNTY AND UNIVERSITY OF SOUTHERN CALIFORNIA HOSPITAL   Discussant:   26. PREDICTORS OF BREAKING PROTOCOL FOR BLOOD CONSERVATION IN CORONARY ARTERY BYPASS (CABG) SURGERY PATIENTS   Category: OTHER   KUO Y, MORRIS K, DAVIS J   JERSEY SHORE UNIVERSITY MEDICAL CENTER   Discussant:   27. PROPHYLACTIC METRONIDAZOLE DECREASES THE INCIDENCE AND SEVERITY OF CLOSTRIDIUM DIFFICILE INFECTION IN LUNG TRANSPLANT PATIENTS.   Category: CASE SERIES   CHO SW, SIMMONS RL, MCCURRY K, ZUCKERBRAUN BS   UNIVERSITY OF PITTSBURGH   Discussant:   28. MORTALITY FROM NECROTIZING FASCIITIS AFFECTED BY TIME TO OPERATIVE DEBRIDEMENT   Category: CASE SERIES   HODGES JC, CARRICK MM, NORMAN MA, LEE TC, PHAM HQ   BAYLOR COLLEGE OF MEDICINE, MICHAEL E. DEBAKEY DEPARTMENT OF SURGERY   Discussant:   29. PROSPECTIVE EVALUATION OF ADRENAL RESPONSIVENESS AND THE INFLUENCE OF ADRENAL INSUFFICIENCY ON MORTALITY OF SEPTIC SHOCK   Category: CASE SERIES   BARIE PS, SHOU J, EACHEMPATI SR, HYDO LJ   WEIL CORNELL MEDICAL COLLEGE   Discussant:   30. SCIP INFECTION GUIDELINES: IS COMPLIANCE SYNONYMOUS WITH APPROPRIATE CARE?   Category: CASE SERIES   MEEKS DW, CARRICK MM, LEW DF, THOMAS EJ, LALLY KP, KAO LS   UNIVERSITY OF TEXAS AT HOUSTON   Discussant:   31. RATES OF VENTILATOR ASSOCIATED PNEUMONIA ARE HIGHER IN PATIENTS UNDERGOING THORACOABDOMINAL AORTIC ANEURYSMECTOMY COMPARED TO INFRARENAL OR PARARENAL ANEURYSMECTOMY   Category: CASE SERIES   KNIPP BS, VON RIEDENAUER WB, CHERRY-BUKOWIEC JR, MALLAT A, ZALEWSKI C, MELDRUM C, NAPOLITANO LM, HENKE PK   UNIVERSITY OF MICHIGAN   Discussant:   32. ETIOLOGIES OF MARKED LEUKOCYTOSIS AMONG CRITICALLY ILL TRAUMA PATIENTS   Category: CASE SERIES   THORSON M, BYRNES MC   UNIVERSITY OF MINNESOTA   Discussant:   33. IS THERE ANY BENEFIT OF EXOGENOUS ERYTHROPOIETIN FOLLOWING LONG BONE AND PELVIC FRACTURES?   Category: CASE SERIES   AHMED N, KUO Y   JERSEY SHORE UNIVERSITY MEDICAL CENTER   Discussant:   34. ALCALIGINES SP.: A RELATIVELY UNCOMMON CAUSE OF INFECTION IN THE TICU   Category: CASE SERIES   MAISH III GO, SWANSON J, BEE TK, MINARD G, MAGNOTTI LJ, ZARZAUR B, SCHROEPPEL T, CROCE MA, FABIAN TC   UTHSC   Discussant:   35. ACUTE WOUND CLOSURE FOLLOWING HEAD ZYGOMYCOSIS- PRESENTATION OF 2 CASES.   Category: CASE SERIES   ADLER N, SEITZ IA, GOTTLIEB LJ   UNIVERSITY OF CHICAGO   Discussant:   36. INFECTIOUS COMPLICATIONS AFTER STAPLED HEMORRHOIDOPEXY -- POSTER WITHDRAWN FROM PRESENTATION   Category: CASE SERIES   RAAHAVE D, HALBERG M   SURGICAL DPT. COPENHAGEN UNIVERSITY HOSPITAL HELSINGORE   Discussant:   37. EPSTEIN BARR VIRUS INFECTION ASSOCIATED WITH ACALCULOUS CHOLCYSTITIS AND ATYPICAL SEROLOGICAL RESPONSE   Category: OTHER   CONTANTINESCU A, SCAUNASU A, CASEY K, LIU E, ALPERT D, FRANK E, DAVIS J   JERSEY SHORE UNIVERSITY MEDICAL CENTER   Discussant:   38. SALVAGE SUBTOTAL COLECTOMY FOR LIFE-THREATENING LOWER GASTROINTESTINAL HEMORRHAGE SECONDARY TO UNDIAGNOSED GASTROINTESTINAL HISTOPLASMOSIS IN AN HIV+ PATIENT   Category: OTHER   RAY PS, KODURU S, CASEY K, MATULEWICZ T, DAVIS JM   UMDNJ ROBERT WOOD JOHNSON MEDICAL SCHOOL   Discussant:   Return to Index   Friday, May 09, 2008 08:00 - 10:30 PARALLEL SESSION V: MECHANISTIC INSIGHTS INTO THE DEVELOPMENT OF SURGICAL INFECTION CALIBOGUE/DANNER   Moderators: Timothy Billiar MD, FACS Edwin Deitch MD, FACS   1. A NOVEL HUMAN GLUCOCORTICOID RECEPTOR SPLICE VARIANT IS ASSOCIATED WITH PREMATURE TERMINATION IN THE LIGAND BINDING DOMAIN   Category: BASIC SCIENCE - IN VIVO   NGUYEN S, GREEN T, LAWLESS M, NELSON-MOONEY K, CURRI T, CHO K, YEE K, GREENHALGH D   SHRINERS HOSPITALS FOR CHILDREN   Discussant: ORI ROTSTEIN, MD   2. GLOVE POWDER INCREASES STAPHYLOCOCCUS AUREUS ABSCESS RATE IN SPRAGUE-DAWLEY RATS   Category: BASIC SCIENCE - IN VIVO   SUDING PN, NGUYEN TT, GORDON I, WILSON SE   UNIVERSITY CALIFORNIA, IRVINE   Discussant: LEWIS KAPLAN, MD   3. REGULATORY T CELLS CAN DIRECTLY SUPPRESS MACROPHAGE TOLL-LIKE RECEPTOR (TLR) RESPONSES   Category: BASIC SCIENCE - IN VITRO   O'LEARY F, TAJIMA G, MCKENNA A, MCCONMARA M, MANNICK J, LEDERER J   BRIGHAM AND WOMEN'S HOSPITAL HARVARD MEDICAL SCHOOL   Discussant: JOHN MARSHALL, MD   4. MECHANISMS OF MACROPHAGE LPS TOLERANCE: BI-DIRECTIONAL MODULATION OF TNF SECRETION BY SUPERNATANT MEDIATORS INDUCED BY LPS PRETREATMENT   Category: BASIC SCIENCE - IN VITRO   KOONS A, KRAMER S, WEST MA   NORTHWESTERN UNIVERSITY   Discussant: JOSEPH CUSCHIERI, MD   5. INSULIN ATTENUATES THE ACUTE INFLAMMATORY RESPONSE AND IMPROVES SURVIVAL AFTER BURN WOUND INFECTION   Category: BASIC SCIENCE - IN VIVO   GAUGLITZ GG, WILLIAMS FN, TOLIVER-KINSKY TE, KULP GA, LEREW G, CUI W, HERNDON DN, JESCHKE MG   SHRINERS HOSPITALS FOR CHILDREN   Discussant: MARK CLEMENS, PHD   6. PROTEOMIC DIFFERENCES IN ADULT BURN SURVIVORS AND NONSURVIVORS   Category: BASIC SCIENCE - IN VIVO   FINNERTY CC, QIAN W, KAUSHAL A, JESCHKE MG, XIAO W, LIU T, GRITSENKO MA, MOORE RJ, CAMP II DG, KULP G, MOLDAWER LL, ELSON C, SCHOENFELD D, GAMELLI R, GIBRAN N, HUNT J, KLEIN M, SILVER G, REMICK D, SMITH RD, DAVIS R, HERNDON DN, TOMPKINS RG   UNIVERSITY OF TEXAS MEDICAL BRANCH   Discussant: SAMAN ARBABI, MD   7. FMS-LIKE TYROSINE KINASE-3 LIGAND INCREASES THE HUMORAL IMMUNE RESPONSE TO BURN WOUND INFECTION   Category: BASIC SCIENCE - IN VIVO   TOLIVER-KINSKY T, CUI W, FANG G, SHERWOOD E   UNIVERSITY OF TEXAS MEDICAL BRANCH   Discussant: JAMES LEDERER, MD   8. CALCIUM/CALMODULIN-DEPENDENT PROTEIN KINASE (CAMK) I MEDIATES IL-10 RELEASE DURING SEPSIS, IN VIVO.   Category: BASIC SCIENCE - IN VIVO   ZHANG X, WHEELER D, TANG Y, GUO L, ROSENGART MM, TSUNG A   UNIVERSITY OF PITTSBURGH   Discussant: JOSEPH CUSCHIERI, MD   Return to Index   Friday, May 09, 2008 08:00 - 10:30 PARALLEL SESSION VI: CLINICAL STUDIES IN SURGICAL INFECTION WESTIN RESORT HILTON HEAD   Moderators: Donald E. Fry MD, FACS Henri Ford MD, FACS   1. MRSA AND VRE INFECTIONS ARE ASSOCIATED WITH A GREATER RISK FOR MORTALITY IN CRITICALLY INJURED TRAUMA PATIENTS   Category: CLINICAL TRIALS   LUMPKINS K, BOCHICCHIO G, JOSHI M, BOCHICCHIO K, CONWAY A, SCALEA T   UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE   Discussant: GREGORY BEILMAN, MD   2. CLINICAL TRIALS OF SKIN AND SOFT TISSUE INFECTIONS: MISSING THE MARK   Category: CLINICAL TRIALS   HUSTED TL, MCCLAINE RJ, SOLOMKIN JS   UNIVERSITY OF CINCINNATI   Discussant: SAMIR AWAD, MD   3. MONTHLY SCREENING PROTOCOL FOR POLYOMA VIRUS RESULTS IN AN ELIMINATION OF BK NEPHROPATHY AND PRESERVATION OF RENAL TRANSPLANT FUNCTION.   Category: CLINICAL TRIALS   ELBAHLOUL O, GALLICHIO M, CONTI DJ   ALBANY MEDICAL COLLEGE   Discussant: HUGO BONATTI, MD   4. INCIDENCE OF SYNTHETIC MESH INFECTION IN VENTRAL HERNIA REPAIR. A 10 YEAR STUDY.   Category: CLINICAL TRIALS   KILBOURNE M, BOCHICCHIO G, ILAHI O, RODRIGUEZ E, BOCHICCHIO K   UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE   Discussant: HUGO BONATTI, MD   5. THE USE OF TRANSPULMONARY THERMODILUTION FOR HEMODYNAMIC MEASUREMENTS IN SEVERELY BURNED CHILDREN   Category: CLINICAL TRIALS   BRANSKI LK, JESCHKE MG, BYRD JF, NORBURY WB, SANFORD AP, WILLIAMS FN, BENJAMIN D, MLCAK RP, HERNDON DN   SHRINERS HOSPITALS FOR CHILDREN   Discussant: BARBARA GAINES, MD   6. CHANGING THE "FEVER WORKUP" UTILIZING A MULTI-MODELING TECHNIQUE APPROACH TO MORE ACCURATELY DIAGNOSE INFECTIONS   Category: OTHER   CLARIDGE JA, FADLALLA AM, GOLOB JF   METROHEALTH MEDICAL CENTER   Discussant: DONALD FRY, MD   7. RISK FACTORS AND INFECTION-ASSOCIATED COMPLICATIONS IN SURGICAL CARE   Category: OTHER   FRY DE, PINE MB, JONES BL, MEIMBAN RJ   MICHAEL PINE AND ASSOCIATES   Di