Author Archives: Irfan Hafiz

About Irfan Hafiz

Irfan Hafiz is a board certified physician in Infectious diseases. He has been in private practice over 10 years. He has an interest in infection control and community medicine. He does have opinions on medical issues and posts them on this blog.

MRSA control lecture – Audio and slides

MRSA – why do we do what we do?

The lecture

I recently presented a 30 minute lecture on MRSA control in the hospital setting at the fall symposium sponsored by Centegra Health System. The lecture describes the background of how MRSA is spread within medical facilities, the effects of its spread and measures that can be used to control it. The lecture also goes over some of the success stories of what an MRSA control program can expect to achieve. I also cover some of the historical background of how something as basic as hand washing became an actual event in medical history. I closed the lecture with some questions from the audience.

Continue reading

Using CareConnection on a Mac

CareConnection on a Mac

Do you use a Macintosh computer at a hospital that uses CareConnection? IT will tell you that you have to use the dreaded Windows emulation software to get on to the portal. I prefer not to use Windows emulation because it is slow and a battery hog.

I am able to get on to Advocates careconnection both from within the hospital and remotely on a Mac. Read further to see how…
Continue reading

Should all patients be screened for MRSA?

Has the time come to actively screen all admission for MRSA (methicillin RESISTANT staph aureus)? A recent study at the VA may suggest that this may be the way to go. The study was conducted across the US where all admissions were screened for MRSA (active surveillance). Based on findings they intervened and were able to show a reduction in the number of MRSA infections in the hospitals.

Continue reading

TB: Bronchoscopy or sputum collection?

Excluding tuberculosis

The situation

Excluding the possibility of tuberculosis is a common clinical situation. Older patients, chronic lung disease and increased use of immunosuppression increase the risk of tuberculosis reactivation and have created an increasingly common scenario where active contagious tuberculosis needs to be excluded quickly and with minimum inconvenience. Continue reading

Chlorhexidine structure

Preoperative use of chlorhexidine


The following is a summary of notes that I collected on use of chlorhexidine for reduction in surgical site infections.

What is it?

A chemical antiseptic that has been commonly used by dentists for oral hygiene. Lately it has found wider acceptance as a presurgical skin and hand scrub. Continue reading