Infection Control & Hospital Epidemiology最新文献

Healthcare worker attitudes on routine non-urological preoperative urine cultures: a qualitative assessment 医护人员对常规非泌尿科术前尿培养的态度：定性评估

Infection Control & Hospital Epidemiology Pub Date : 2024-09-19 DOI: 10.1017/ice.2024.85

Julia E. Friberg Walhof, Marin L. Schweizer, Kalpana Gupta, Madisen Brown, Daniel Suh, Judith Strymish, William J. O’Brien, Jeffrey Chan, Kelly Miell, Vanessa Au, Barbara W. Trautner, Kimberly C. Dukes

{"title":"Healthcare worker attitudes on routine non-urological preoperative urine cultures: a qualitative assessment","authors":"Julia E. Friberg Walhof, Marin L. Schweizer, Kalpana Gupta, Madisen Brown, Daniel Suh, Judith Strymish, William J. O’Brien, Jeffrey Chan, Kelly Miell, Vanessa Au, Barbara W. Trautner, Kimberly C. Dukes","doi":"10.1017/ice.2024.85","DOIUrl":"https://doi.org/10.1017/ice.2024.85","url":null,"abstract":"Objective: Many preoperative urine cultures are of low value and may even lead to patient harms. This study sought to understand practices around ordering preoperative urine cultures and prescribing antibiotic treatment. Design: Open-ended, semi-structured qualitative interviews Setting: 5 Veterans Affairs hospitals. Participants: Interviews with 14 surgeons (9 surgeons, 5 surgical leaders), 7 infectious disease physicians, 8 surgical advanced practice providers (APPs), 1 surgical nurse manager, 3 infectious disease pharmacists, 1 hospitalist, and 1 lab manager. Methods: We interviewed participants using a qualitative semi-structured interview guide. Collected data was coded inductively and with the Dual Process Model (DPM) using MAXQDA software. Data in the “Testing Decision-Making” code was further reviewed using the concept of perceived risk as a sensitizing concept. Results: We identified themes relating to surgeons’ concerns about de-implementing preoperative urine cultures to detect asymptomatic bacteriuria (ASB) in patients undergoing non-urological procedures: (1) anxiety and uncertainty surrounding missing infection signs spanned surgical specialties, (2) there were perceived risks of negative consequences associated with omitting urine cultures and treatment prior to specific procedure sites and types, and additionally, (3) participants suggested potential routes for adjusting these perceived risks to facilitate de-implementation acceptance. Notably, participants suggested that leadership support and peer engagement could help improve surgeon buy-in. Conclusions: Concerns about perceived risks sometimes outweigh the evidence against routine preoperative urine cultures to detect ASB. Evidence from trusted peers may improve openness to de-implementing preoperative urine cultures.","PeriodicalId":13558,"journal":{"name":"Infection Control & Hospital Epidemiology","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142264000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A need for a global alert system for rapid recall of contaminated products to prevent ongoing hospital outbreaks. 有必要建立全球警报系统，迅速召回受污染产品，防止医院疫情持续爆发。

Infection Control & Hospital Epidemiology Pub Date : 2024-09-18 DOI: 10.1017/ice.2024.87

Jyoti Somani,Nazira Fauzi,Revathi Sridhar,Hwang Ching Chan,Isaac Taoyang Low,Yvonne Luh Ping Lum,Rohit Agrawal,Ka Lip Chew,Gabriel Yan,Vernon Lee,Michelle Ang,Dale Fisher

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Impact and learner perspectives of a spaced-education platform to assess hand hygiene auditor competency 评估手部卫生审核员能力的间隔教育平台的影响和学习者视角

Infection Control & Hospital Epidemiology Pub Date : 2024-09-18 DOI: 10.1017/ice.2024.115

Ana M. Vaughan-Malloy, Renée Lehane, Mary M. Wells, Thomas J. Sandora

{"title":"Impact and learner perspectives of a spaced-education platform to assess hand hygiene auditor competency","authors":"Ana M. Vaughan-Malloy, Renée Lehane, Mary M. Wells, Thomas J. Sandora","doi":"10.1017/ice.2024.115","DOIUrl":"https://doi.org/10.1017/ice.2024.115","url":null,"abstract":"Objective: To ensure whether spaced education, which increases long-term knowledge retention, could be integrated into auditor competency assessment. Design: Quality improvement project. Setting: Academic, freestanding children’s hospital. Participants: Hand hygiene (HH) auditors. Intervention: We enrolled trained HH auditors in an online spaced-education platform to assess mastery of knowledge, delivering 46 unique questions at spaced intervals followed by rationale; we retired questions after 3 correct answers. An e-mailed 10-item survey gauged participant satisfaction with the program. The Wilcoxon signed-rank test was used to compare change in median knowledge score from first to final attempt. Results: A total of 12,120 questions were attempted by 126 auditors, and 49 (39%) completed the entire course. Median knowledge score increased significantly by 10.5 percentage points (IQR 4–15) between first and final attempts (P < 0.001). Thirty auditors (27%) responded to the survey. The majority agreed the number and complexity of questions were appropriate (57% and 67%, respectively). Eighty-seven percent reported the platform easy to navigate, and 77% agreed adequate time was provided for completion. Free-text suggestions included delivering fewer questions at a narrower spacing interval over a shorter time frame because of competing work demands. Conclusions: Auditor knowledge of HH indications and technique is critical to ensuring data validity. A spaced-education competency program improved HH auditor knowledge in the short term. Completion rate was low, and some participants expressed a desire for fewer questions over a shorter time frame. This study offers insight into ways to optimize spaced education as a potential tool for HH competency assessment.","PeriodicalId":13558,"journal":{"name":"Infection Control & Hospital Epidemiology","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Use of human-centric and participatory design for modifying a daily environmental cleaning checklist: a quality improvement study 利用以人为本和参与式设计修改日常环境清洁清单：一项质量改进研究

Infection Control & Hospital Epidemiology Pub Date : 2024-09-18 DOI: 10.1017/ice.2024.112

Linda McKinley, Julie Keating, Sydney Hoel, Vishala Parmasad, Nasia Safdar

引用次数: 0

Development and implementation of the Antimicrobial Stewardship Intervention Scoring Tool at a single pediatric institution 在一家儿科机构开发并实施抗菌药物管理干预评分工具

Infection Control & Hospital Epidemiology Pub Date : 2024-09-16 DOI: 10.1017/ice.2024.114

Ann L. Wirtz, Alaina N. Burns, Elizabeth Monsees, Brian R. Lee, Joshua C. Herigon

{"title":"Development and implementation of the Antimicrobial Stewardship Intervention Scoring Tool at a single pediatric institution","authors":"Ann L. Wirtz, Alaina N. Burns, Elizabeth Monsees, Brian R. Lee, Joshua C. Herigon","doi":"10.1017/ice.2024.114","DOIUrl":"https://doi.org/10.1017/ice.2024.114","url":null,"abstract":"Objective:The primary objective was to grade the potential impact of antimicrobial stewardship program (ASP) interventions on patient safety at a single center using a newly developed scoring tool, the Antimicrobial Stewardship Impact Scoring Tool (ASIST).Design:Retrospective descriptive study.Setting:A 367-bed free-standing, pediatric academic medical center.Methods:The ASP team developed the ASIST which scored each intervention on an impact level (low, moderate, high) based on patient harm avoidance and degree of antibiotic optimization. Intervention frequency and characteristics were collected between May 1, 2022 and October 31, 2023. Intervention rates per impact level were calculated monthly.Results:The ASP team made 1024 interventions further classified as low (45.1%), moderate (47%), and high impact (7.9%). The interventions for general pediatrics (53.9%) and those to modify formulation (62.2%), dose/frequency (58.1%), and duration (57.5%) were frequently low impact. Hematology/oncology (12.5%), sub-specialty (11.7%), and surgical services (11.3%) had the greatest rate of high-impact interventions. Interventions to broaden antibiotics (40.8%) and those associated with antibiotics used to treat bacteremia (20.6%) were frequently classified as high-impact.Conclusion:The ASIST is an effective tool to link ASP interventions to prevention of antimicrobial-associated patient harm. For our ASP team, it provided meaningful data to present to hospital leadership and identified opportunities to prevent future harm and reduce ASP team workload.","PeriodicalId":13558,"journal":{"name":"Infection Control & Hospital Epidemiology","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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The association between the timing of initial hepatitis B vaccination and seropositivity in healthcare personnel 首次接种乙型肝炎疫苗的时间与医护人员血清反应阳性率之间的关系

Infection Control & Hospital Epidemiology Pub Date : 2024-09-16 DOI: 10.1017/ice.2024.107

Elizabeth H. Lees, M. Hassan Murad, Laura E. Breeher, Melanie D. Swift

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Impact of an enterprise-wide ambulatory antibiotic stewardship bundle on patient satisfaction surveys 全机构门诊抗生素管理捆绑计划对患者满意度调查的影响

Infection Control & Hospital Epidemiology Pub Date : 2024-09-16 DOI: 10.1017/ice.2024.116

Kelsey L. Jensen, Ryan W. Stevens, Paschalis Vergidis, Abinash Virk, Dan Ilges

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Healthcare personnel opinions regarding the feasibility of a risk-tailored approach to contact precautions for methicillin-resistant Staphylococcus aureus in the acute care setting 医护人员对急症护理环境中针对耐甲氧西林金黄色葡萄球菌的接触预防措施的风险定制方法的可行性的看法

Infection Control & Hospital Epidemiology Pub Date : 2024-04-22 DOI: 10.1017/ice.2024.54

Lyndsay M. O’Hara, Anthony D. Harris, David P. Calfee, Graham M. Snyder, James Cottam, Nathan N. O’Hara, Elise M. Martin

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A multi-center validation of the electronic health record admission source and discharge location fields against the clinical notes for identifying inpatients with long-term care facility exposure 电子健康记录入院来源和出院地点字段与临床笔记的多中心验证，用于识别接触过长期护理设施的住院患者

Infection Control & Hospital Epidemiology Pub Date : 2024-04-18 DOI: 10.1017/ice.2024.37

Katherine E. Goodman, Monica Taneja, Laurence S. Magder, Eili Y. Klein, Mark Sutherland, Scott Sorongon, Pranita D. Tamma, Philip Resnik, Anthony D. Harris

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Surveillance of carbapenem-resistant Klebsiella pneumoniae and Escherichia coli in perianal swab samples 对肛周拭子样本中耐碳青霉烯类肺炎克雷伯菌和大肠埃希菌的监测

Infection Control & Hospital Epidemiology Pub Date : 2024-04-12 DOI: 10.1017/ice.2024.60

Gül Çalışkan, Hale Eren, Funda Aslan, Nergis Tezgeç, Habibe İmer, Esma Souleiman, Ülkü Tüzemen, Uğur Önal, Esra Kazak, Yasemin Heper, Emel Yılmaz, Cüneyt Özakın, Halis Akalın

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