Infection Control & Hospital Epidemiology最新文献_第4页

ICE volume 38 issue 4 Cover and Back matter ICE第38卷第4期封面和封底

Infection Control & Hospital Epidemiology Pub Date : 2017-03-16 DOI: 10.1017/ice.2017.50

引用次数: 0

ICE volume 38 issue 4 Cover and Front matter ICE第38卷第4期封面和封面问题

Infection Control & Hospital Epidemiology Pub Date : 2017-03-16 DOI: 10.1017/ice.2017.49

引用次数: 0

Clean Your Hands May 5, 2017: Fight Antibiotic Resistance—It’s in Your Hands 2017年5月5日:抗击抗生素耐药性——一切掌握在你的手中

Infection Control & Hospital Epidemiology Pub Date : 2017-03-16 DOI: 10.1017/ICE.2017.43

E. Tartari, D. Pires, D. Pittet

引用次数: 1

Assessing the Likelihood of Hand-to-Hand Cross-Transmission of Bacteria: An Experimental Study 评估手对手细菌交叉传播的可能性:一项实验研究

Infection Control & Hospital Epidemiology Pub Date : 2017-02-22 DOI: 10.1017/ice.2017.9

F. Bellissimo-Rodrigues, D. Pires, H. Soule, A. Gayet-Ageron, D. Pittet

{"title":"Assessing the Likelihood of Hand-to-Hand Cross-Transmission of Bacteria: An Experimental Study","authors":"F. Bellissimo-Rodrigues, D. Pires, H. Soule, A. Gayet-Ageron, D. Pittet","doi":"10.1017/ice.2017.9","DOIUrl":"https://doi.org/10.1017/ice.2017.9","url":null,"abstract":"BACKGROUND Although the hands of healthcare workers (HCWs) are implicated in most episodes of healthcare-associated infections, the correlation between hand contamination and the likelihood of cross-transmission remains unknown. METHODS We conducted a laboratory-based study involving pairs of HCWs. The hands of a HCW (transmitter) were contaminated with Escherichia coli ATCC 10536 before holding hands with another HCW (host) for 1 minute. Meanwhile, the unheld hand of the transmitter was sampled. Afterward, the host’s held hand was also sampled. Each experiment consisted of 4 trials with increasing concentrations of E. coli (103–106 colony-forming units [cfu]/mL). The primary outcome was the likelihood of transmission of at least 1 cfu from transmitter to host. We used a mixed logistic regression model with a random effect on the subject to assess the association between transmission and bacterial count on the transmitter’s hands. RESULTS In total, 6 HCWs performed 30 experiments and 120 trials. The bacterial counts recovered from host hands were directly associated with the bacterial counts on transmitter hands (P<.001). The probability of cross-transmission was 8.22 higher (95% confidence interval [CI], 0.98–68.8) when transmitter hand bacterial count was >1 and ≤3 log10 cfu compared to ≤1 log10. When transmitter contamination was <1 log10 cfu, no cross-transmission was detected. CONCLUSION There is a direct relationship between the bacterial burden on HCWs hands and the likelihood of cross-transmission. Under the described conditions, at least 1 log10 cfu must be present on HCW hands to be potentially transmitted. Further studies are needed at the low contamination range. Infect Control Hosp Epidemiol 2017;38:553–558","PeriodicalId":13655,"journal":{"name":"Infection Control & Hospital Epidemiology","volume":"23 1","pages":"553 - 558"},"PeriodicalIF":0.0,"publicationDate":"2017-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83424697","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: 19

Comparing External Ventricular Drains-Related Ventriculitis Surveillance Definitions 比较室外引流相关脑室炎监测定义

Infection Control & Hospital Epidemiology Pub Date : 2017-02-21 DOI: 10.1017/ice.2017.21

Maria M Reyes, S. Munigala, Emily L Church, Tobias Kulik, S. Keyrouz, G. Zipfel, D. Warren

{"title":"Comparing External Ventricular Drains-Related Ventriculitis Surveillance Definitions","authors":"Maria M Reyes, S. Munigala, Emily L Church, Tobias Kulik, S. Keyrouz, G. Zipfel, D. Warren","doi":"10.1017/ice.2017.21","DOIUrl":"https://doi.org/10.1017/ice.2017.21","url":null,"abstract":"OBJECTIVE To evaluate the agreement between the current National Healthcare Safety Network (NHSN) definition for ventriculitis and others found in the literature among patients with an external ventricular drain (EVD) DESIGN Retrospective cohort study from January 2009 to December 2014 SETTING Neurology and neurosurgery intensive care unit of a large tertiary-care center PATIENTS Patients with an EVD were included. Patients with an infection prior to EVD placement or a permanent ventricular shunt were excluded. METHODS We reviewed the charts of patients with positive cerebrospinal fluid (CSF) cultures and/or abnormal CSF results while they had an EVD in place and applied various ventriculitis definitions. RESULTS We identified 48 patients with a total of 52 cases of ventriculitis (41 CSF culture-positive cases and 11 cases based on abnormal CSF test results) using the NHSN definition. The most common organisms causing ventriculitis were gram-positive commensals (79.2%); however, 45% showed growth of only 1 colony on 1 piece of media. Approximately 60% of the ventriculitis cases by the NHSN definition met the Honda criteria, approximately 56% met the Gozal criteria, and 23% met Citerio’s definition. Cases defined using Honda versus Gozal definitions had a moderate agreement (κ=0.528; P<.05) whereas comparisons of Honda versus Citerio definitions (κ=0.338; P<.05) and Citerio versus Gozal definitions (κ=0.384; P<.05) had only fair agreements. CONCLUSIONS The agreement between published ventriculostomy-associated infection (VAI) definitions in this cohort was moderate to fair. A VAI surveillance definition that better defines contaminants is needed for more homogenous application of surveillance definitions between institutions and better comparison of rates. Infect Control Hosp Epidemiol 2017;38:574–579","PeriodicalId":13655,"journal":{"name":"Infection Control & Hospital Epidemiology","volume":"16 1","pages":"574 - 579"},"PeriodicalIF":0.0,"publicationDate":"2017-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85997993","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: 11

ICE volume 38 issue 3 Cover and Front matter ICE第38卷第3期封面和封面问题

Infection Control & Hospital Epidemiology Pub Date : 2017-02-21 DOI: 10.1017/ice.2017.14

引用次数: 0

The Use of a Computerized Provider Order Entry Alert to Decrease Rates of Clostridium difficile Testing in Young Pediatric Patients 使用计算机化的提供者指令输入警报以降低年轻儿科患者艰难梭菌检测率

Infection Control & Hospital Epidemiology Pub Date : 2017-02-21 DOI: 10.1017/ice.2017.16

M. Nicholson, Peter N. Freswick, C. Di Pentima, Li Wang, Kathryn M. Edwards, Gregory Wilson, T. Talbot

{"title":"The Use of a Computerized Provider Order Entry Alert to Decrease Rates of Clostridium difficile Testing in Young Pediatric Patients","authors":"M. Nicholson, Peter N. Freswick, C. Di Pentima, Li Wang, Kathryn M. Edwards, Gregory Wilson, T. Talbot","doi":"10.1017/ice.2017.16","DOIUrl":"https://doi.org/10.1017/ice.2017.16","url":null,"abstract":"BACKGROUND Infants and young children are frequently colonized with C. difficile but rarely have symptomatic disease. However, C. difficile testing remains prevalent in this age group. OBJECTIVE To design a computerized provider order entry (CPOE) alert to decrease testing for C. difficile in young children and infants. DESIGN An interventional age-targeted before-after trial with comparison group SETTING Monroe Carell Jr. Children’s Hospital at Vanderbilt University, Nashville, Tennessee. PATIENTS All children seen in the inpatient or emergency room settings from July 2012 through July 2013 (pre-CPOE alert) and September 2013 through September 2014 (post-CPOE alert) INTERVENTION In August of 2013, we implemented a CPOE alert advising against testing in infants and young children based on the American Academy of Pediatrics recommendations with an optional override. We further offered healthcare providers educational seminars regarding recommended C. difficile testing. RESULTS The average monthly testing rate significantly decreased after the CPOE alert for children 0–11 months old (11.5 pre-alert vs 0 post-alert per 10,000 patient days; P<.001) and 12–35 months old (61.6 pre-alert vs 30.1 post-alert per 10,000 patients days; P<.001), but not for those children ≥36 months old (50.9 pre-alert vs 46.4 post-alert per 10,000 patient days; P=.3) who were not targeted with a CPOE alert. There were no complications in those children who testing positive for C. difficile. CONCLUSIONS The average monthly testing rate for C. difficile for children <35 months old decreased without complication after the use of a CPOE alert in those who tested positive for C. difficile. Infect Control Hosp Epidemiol 2017;38:542–546","PeriodicalId":13655,"journal":{"name":"Infection Control & Hospital Epidemiology","volume":"46 1","pages":"542 - 546"},"PeriodicalIF":0.0,"publicationDate":"2017-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80915231","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: 30

ICE volume 38 issue 3 Cover and Back matter ICE第38卷第3期封面和封底

Infection Control & Hospital Epidemiology Pub Date : 2017-02-21 DOI: 10.1017/ice.2017.15

引用次数: 0

Multidrug-Resistant Organisms in the Rooms of Patients in Healthcare Facilities 医疗机构患者病房中的多重耐药生物

Infection Control & Hospital Epidemiology Pub Date : 2017-02-20 DOI: 10.1017/ice.2017.23

F. Manian

{"title":"Multidrug-Resistant Organisms in the Rooms of Patients in Healthcare Facilities","authors":"F. Manian","doi":"10.1017/ice.2017.23","DOIUrl":"https://doi.org/10.1017/ice.2017.23","url":null,"abstract":"1. Haun N, Hooper-Lane C, Safdar N. Healthcare personnel attire and devices as fomites: a systematic review. Infect Control Hosp Epidemiol 2016;37:1367–1373. 2. Arnaud I, Maugat S, Jarlier V, Astagneau P, National Early Warning, Investigation and Surveillance of HealthcareAssociated Infections Network (RAISIN)/Multidrug Resistance Study Group. Ongoing increasing temporal and geographical trends of the incidence of extended-spectrum beta-lactamaseproducing Enterobacteriaceae infections in France, 2009 to 2013. Euro Surveill 2015;19: pii= 20804. 3. Cardoso T, Almeida M, Carratalà J, et al. Microbiology of healthcare-associated infections and the definition accuracy to predict infection by potentially drug resistant pathogens: a systematic review. BMC Infect Dis 2015;11:15–565. 4. Huskins WC, Huckabee CM, O’Grady NP, et al; STAR*ICU Trial Investigators. Intervention to reduce transmission of resistant bacteria in intensive care. N Engl J Med 2011;364: 1407–1418. 5. Tschudin-Sutter S, Sepulcri D, Dangel M, Schuhmacher H, Widmer AF. Compliance with the World Health Organization hand hygiene technique: a prospective observational study. Infect Control Hosp Epidemiol 2015;36:482–483.","PeriodicalId":13655,"journal":{"name":"Infection Control & Hospital Epidemiology","volume":"10 1","pages":"630 - 631"},"PeriodicalIF":0.0,"publicationDate":"2017-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83523649","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

Disability Adjusted Life Year (DALY) of Central-Line Bloodstream Infection (CLABSI) in a University Hospital in a Developing Country, Brazil 发展中国家巴西某大学医院中心静脉血流感染(CLABSI)的残疾调整生命年(DALY

Infection Control & Hospital Epidemiology Pub Date : 2017-02-16 DOI: 10.1017/ice.2017.22

J. A. da Rocha, F. M. do Valle, N. D. da Silva, Ana Sheila Duarte Nunes Silva, Suzana Vaz, Wildo Navegantes de Araújo, I. Martins

引用次数: 4

Infection Control &#x0026; Hospital Epidemiology最新文献

Infection Control & Hospital Epidemiology最新文献