Patients with m-APACHE II ≤ 8.5 who received broad-spectrum Gram-negative antibiotics were more likely (odds=1:2) to experience healthcare-associated CDI compared to those who did not receive these broad-spectrum agents (odds=1:125) and compared to those with m-APACHE II > 8.5 irrespective of treatment (odds=5:27). Modified-APACHE II > 8.5 (P=0.003) and broad-spectrum Gram-negative antibiotic use (P=0.002) were associated with healthcare-associated CDI and were robust in multiple validity analyses. After propensity score weighting, hospital-onset (HO) CDI was significantly associated with broad-spectrum Gram-negative antibiotic use (P=0.002) as was subsequent community-onset (CO) CDI (P=0.005). Thirty-two PCR confirmed CDI cases were identified and 232 randomly selected controls were drawn from the total CAP population. A series of predictive models and validity assessments were used to evaluate demographic and post-admission patient-specific risk factors as predictors of CDI case status among patients with CAP. The study was a single-center retrospective, case-control analysis of hospitalized adult patients empirically treated for CAP between Januand May 29, 2018. difficile polymerase chain reaction (PCR) testing. We developed and validated a CAP-specific clinical decision algorithm to facilitate optimal diagnostic stewardship of C. Pedersen Funeral Home in Morris is in charge of the arrangements.Adults hospitalized with community-acquired pneumonia (CAP) typically receive antibiotics and thus are at increased risk of developing Clostridioides difficile infection (CDI), a disease of significant morbidity. He was preceded in death by his wife: Joan parents: Fred and Gladys Bruns his in-laws: William and Jenny Bartell one son-in-law: Alvin Ross three brothers-in-law: Richard Reano, Kenneth Bartell and Gordon Thorstad two sisters-in-law: Gail Bartell and Betty Thorstad and three nephews and two nieces. ![]() Paul is survived by two sons: Jerry (Kathy) Bruns, Donnelly, MN and Bill (Teresa) Bruns, Solway, MN two daughters: Sheila (Keith) Kaehler, Morris, MN and Wanda Ross, Winnipeg, Manitoba 16 grandchildren and 21 great-grandchildren one brother: Dale Bruns, Morris, MN one sister: Ruth Reano, Des Moines, IA his sister-in-law and brother-in-law Robert and Sylvia Fridgen, Minneapolis, MN and numerous nieces and nephews. ![]() Paul passed away on Tuesday, September 13, 2016, with family by his side at the Barrett Care Center. In his earlier years he enjoyed duck hunting as well. He loved to deer hunt in the fall with his sons, grandsons and brother. Attending the grandchildren's sporting events and cheering them on brought him much enjoyment. Paul and Joan made many trips to Canada visiting their daughters. He loved spending time with his children, grandchildren and great-grandchildren. Paul devoted his life to serving Jesus Christ and traveled many miles to have fellowship with his church family. Paul served on the District 33 school board and on the West Central livestock board. He also worked on construction in California, Arkansas, Michigan and Northern Minnesota. He spent 6½ years working at Hoffman Aseptic Packaging. Paul then went on to work casually as a janitor at the Morris High School and delivered fertilizer for Johnsons Grain. ![]() Paul farmed until 1994 when he sold the family farm to Jerry. To this union they were blessed with two sons, Jerry and Bill and two daughters, Sheila and Wanda. He married Joan Bartell from Herman, on June 16, 1948. After graduation, he started farming with his dad and brother, Dale. Paul attended grade school in District 33 and went on to graduate from West Central School of Agriculture. Paul Leroy Bruns was born on Octoto Fred and Gladys (Towner) Bruns in the family home where Paul lived the majority of his life. Burial will be in Summit Cemetery in Morris. Visitation will be one hour prior to services at the church. at the Evangelical Free Church in Morris, with Reverend Marlin Mohrman officiating. Paul Leroy Bruns Memorial service for Paul Bruns, of Morris, Minnesota will be held Tuesday, Septemat 1:00 p.m.
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