We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

More on Control of Nosocomial Infection in Hospitals

Paul F. Wehrle, MD
JAMA. 1974;230(3):373. doi:10.1001/jama.1974.03240030015009.
Text Size: A A A
Published online


To the Editor.—  The response to the inquiry presented only one side of a most complex question. The table on page 579 was published apparently without peer review and certainly without evidence that numbers of bacterial colonies above the "acceptable number of colonies" have been associated with illness among hospitalized patients. This table may be accepted as fact by the unwary and lead to extensive although misguided monitoring of the environment, with waste of laboratory resources and possibly resultant destructive litigation, leading to serious charges.Three of the four examples of environmental contamination resulting in disease represent the result of poor maintenance of air conditioners. Bacteriologic monitoring isn't needed to detect bird feathers in air conditioners! The fourth example, a contaminated nebulizer, is an easily correctable hazard, and one of the many that have been identified promptly by appropriate surveillance techniques.The AHA Committee on Infections Within Hospitals has considered


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.