Analyzer · Sparsifire

Analyze how specific documents activate the features of the SAE. Select a dataset, a run and a document to begin.

Dataset

SAE Model

Document

Active Features

1508

MIN ACTIVATION

0.0

Details List

#705 Feature 705

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#2402 Feature 2402

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#2036 Feature 2036

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#269 Feature 269

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#1120 Feature 1120

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#474 Surgical Procedures & Gastrointestinal Issues

#1110 Feature 1110

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#837 Feature 837

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#1302 Sensing and Detection Technologies

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#2603 Instructional/Educational Content

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#3070 Spiritual and Holistic Care in Healthcare

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#1376 Feature 1376

#682 Feature 682

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Document Content

Successful prevention of tunneled, central catheter infection by antibiotic lock therapy using vancomycin and gentamycin.
Tunneled, cuffed central vein catheters (TCC) are widely used for delivering hemodialysis (HD). Among the complications associated with central vein catheters in HD patients, infection is the principal cause of morbidity and mortality. The optimal strategy for management of TCC infections is unclear. This prospective study was aimed at assessing the efficacy of antibiotic-lock therapy using vancomycin and gentamycin in preventing catheter-related blood stream bacterial infection in patients on HD. A total of 63 HD patients with 81 TCC were enrolled at the time of catheter insertion. Patients were randomized into two groups: Group I (33 patients, 37 insertions) included TCC with antibiotic lock therapy and Group II (30 patients, 44 insertions) with routine TCC management. Infection-free catheter survival of both groups was evaluated and compared at the end of the 12-month study period. A total of 57 TCC infections were encountered with an incidence rate of 8.95 infections per 1000 dialysis sessions (DS). The rate of infection was significantly lower in Group I (4.54 per 1000 DS) as compared to Group II (13.11 per 1000 DS), p 0.05). Our study suggests that antibiotic-lock therapy using a combination of vancomycin and gentamycin is useful in preventing catheter-related blood stream infection in patients on HD.

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