Infection Control & Hospital Epidemiology最新文献_第5页

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

Emergency Evacuation of Immunocompromised Patients From a Hematology Unit Following Flooding of High-Efficiency Particulate Air (HEPA) Filtration 高效微粒空气(HEPA)过滤后血液科免疫功能低下患者的紧急疏散

Infection Control & Hospital Epidemiology Pub Date : 2017-02-09 DOI: 10.1017/ice.2017.18

P. Saliou, J. Ianotto, M. Couturier, G. Guillerm, H. Le Bars, D. Quinio, S. Le Gal, R. Baron

引用次数: 1

More Doctor–Patient Contact Is Not the Only Explanation For Lower Hand-Hygiene Compliance in Australian Emergency Departments 更多的医患接触并不是澳大利亚急诊科手部卫生依从性降低的唯一解释

Infection Control & Hospital Epidemiology Pub Date : 2017-02-09 DOI: 10.1017/ice.2016.336

A. Stewardson, R. Stuart, C. Marshall, M. Cruickshank, M. Grayson

引用次数: 1

Current State of Antimicrobial Stewardship in Children’s Hospital Emergency Departments 儿童医院急诊科抗菌药物管理现状

Infection Control & Hospital Epidemiology Pub Date : 2017-02-08 DOI: 10.1017/ice.2017.3

R. Mistry, J. Newland, J. Gerber, A. Hersh, L. May, S. Perman, N. Kuppermann, P. Dayan

{"title":"Current State of Antimicrobial Stewardship in Children’s Hospital Emergency Departments","authors":"R. Mistry, J. Newland, J. Gerber, A. Hersh, L. May, S. Perman, N. Kuppermann, P. Dayan","doi":"10.1017/ice.2017.3","DOIUrl":"https://doi.org/10.1017/ice.2017.3","url":null,"abstract":"BACKGROUND Antimicrobial stewardship programs (ASPs) effectively optimize antibiotic use for inpatients; however, the extent of emergency department (ED) involvement in ASPs has not been described. OBJECTIVE To determine current ED involvement in children’s hospital ASPs and to assess beliefs and preferred methods of implementation for ED-based ASPs. METHODS A cross-sectional survey of 37 children’s hospitals participating in the Sharing Antimicrobial Resistance Practices collaboration was conducted. Surveys were distributed to ASP leaders and ED medical directors at each institution. Items assessed included beliefs regarding ED antibiotic prescribing, ED prescribing resources, ASP methods used in the ED such as clinical decision support and clinical care guidelines, ED participation in ASP activities, and preferred methods for ED-based ASP implementation. RESULTS A total of 36 ASP leaders (97.3%) and 32 ED directors (86.5%) responded; the overall response rate was 91.9%. Most ASP leaders (97.8%) and ED directors (93.7%) agreed that creation of ED-based ASPs was necessary. ED resources for antibiotic prescribing were obtained via the Internet or electronic health records (EHRs) for 29 hospitals (81.3%). The main ASP activities for the ED included production of antibiograms (77.8%) and creation of clinical care guidelines for pneumonia (83.3%). The ED was represented on 3 hospital ASP committees (8.3%). No hospital ASPs actively monitored outpatient ED prescribing. Most ASP leaders (77.8%) and ED directors (81.3%) preferred implementation of ED-based ASPs using clinical decision support integrated into the EHR. CONCLUSIONS Although ED involvement in ASPs is limited, both ASP and ED leaders believe that ED-based ASPs are necessary. Many children’s hospitals have the capability to implement ED-based ASPs via the preferred method: EHR clinical decision support. Infect Control Hosp Epidemiol 2017;38:469–475","PeriodicalId":13655,"journal":{"name":"Infection Control & Hospital Epidemiology","volume":"17 1","pages":"469 - 475"},"PeriodicalIF":0.0,"publicationDate":"2017-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86971927","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: 25

An Observational Study to Compare Oral Hygiene Care With Chlorhexidine Gluconate Gel Versus Mouthwash to Prevent Ventilator-Associated Pneumonia 比较葡萄糖酸氯己定凝胶口腔卫生护理与漱口水预防呼吸机相关性肺炎的观察性研究

Infection Control & Hospital Epidemiology Pub Date : 2017-02-08 DOI: 10.1017/ice.2017.24

H. Tang, C. Chao, P. Leung, Chih-Cheng Lai

引用次数: 3

An Outbreak of Burkholderia cepacia Complex Infections Associated with Contaminated Liquid Docusate 与受污染的液体Docusate相关的洋葱伯克氏菌复合感染暴发

Infection Control & Hospital Epidemiology Pub Date : 2017-02-07 DOI: 10.1017/ice.2017.11

L. Marquez, K. Jones, Elaine M Whaley, Tjin H Koy, P. Revell, R. Taylor, M. Bernhardt, Jeffrey Wagner, J. Dunn, J. Lipuma, Judith R. Campbell

{"title":"An Outbreak of Burkholderia cepacia Complex Infections Associated with Contaminated Liquid Docusate","authors":"L. Marquez, K. Jones, Elaine M Whaley, Tjin H Koy, P. Revell, R. Taylor, M. Bernhardt, Jeffrey Wagner, J. Dunn, J. Lipuma, Judith R. Campbell","doi":"10.1017/ice.2017.11","DOIUrl":"https://doi.org/10.1017/ice.2017.11","url":null,"abstract":"OBJECTIVE To investigate an outbreak of Burkholderia cepacia complex and describe the measures that revealed the source. SETTING A 629-bed, tertiary-care, pediatric hospital in Houston, Texas. PATIENTS Pediatric patients without cystic fibrosis (CF) hospitalized in the pediatric and cardiovascular intensive care units. METHODS We investigated an outbreak of B. cepacia complex from February through July 2016. Isolates were evaluated for molecular relatedness with repetitive extragenic palindromic polymerase chain reaction (rep-PCR); specific species identification and genotyping were performed at an independent laboratory. The investigation included a detailed review of all cases, direct observation of clinical practices, and respiratory surveillance cultures. Environmental and product cultures were performed at an accredited reference environmental microbiology laboratory. RESULTS Overall, 18 respiratory tract cultures, 5 blood cultures, 4 urine cultures, and 3 stool cultures were positive in 24 patients. Among the 24 patients, 17 had symptomatic infections and 7 were colonized. The median age of the patients was 22.5 months (range, 2–148 months). Rep-PCR typing showed that 21 of 24 cases represented the same strain, which was identified as a novel species within the B. cepacia complex. Product cultures of liquid docusate were positive with an identical strain of B. cepacia complex. Local and state health departments, as well as the CDC and FDA, were notified, prompting a multistate investigation. CONCLUSIONS Our investigation revealed an outbreak of a unique strain of B. cepacia complex isolated in clinical specimens from non-CF pediatric patients and from liquid docusate. This resulted in a national alert and voluntary recall by the manufacturer. Infect Control Hosp Epidemiol 2017;38:567–573","PeriodicalId":13655,"journal":{"name":"Infection Control & Hospital Epidemiology","volume":"2 1","pages":"567 - 573"},"PeriodicalIF":0.0,"publicationDate":"2017-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83491905","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: 31

Food Indwelling Clostridium difficile in Naturally Contaminated Household Meals: Data for Expanded Risk Mathematical Predictions 自然污染的家庭膳食中存在艰难梭菌的食物:扩大风险数学预测的数据

Infection Control & Hospital Epidemiology Pub Date : 2017-02-07 DOI: 10.1017/ice.2016.332

A. Rodriguez-Palacios, Sanja Ilic, J. Lejeune

{"title":"Food Indwelling Clostridium difficile in Naturally Contaminated Household Meals: Data for Expanded Risk Mathematical Predictions","authors":"A. Rodriguez-Palacios, Sanja Ilic, J. Lejeune","doi":"10.1017/ice.2016.332","DOIUrl":"https://doi.org/10.1017/ice.2016.332","url":null,"abstract":"comes associated with infections caused by vancomycin-resistant enterococci in the United States: systematic literature review and meta-analysis. Infect Control Hosp Epidemiol 2016:1–13. 4. Fisher D, Pang L, Salmon S, et al. A successful vancomycinresistant enterococci reduction bundle at a Singapore hospital. Infect Control Hosp Epidemiol 2016;37:107–109. 5. Humphreys H. Controlling the spread of vancomycin-resistant enterococci. Is active screening worthwhile? J Hosp Infect 2014; 88:191–198. 6. Mendes ET, Ranzani OT, Marchi AP, et al. Chlorhexidine bathing for the prevention of colonisation and infection with multidrug-resistant microorganisms in a hematopoietic stem cell transplantation over a 9-year period. Impact of chlorhexidine susceptibility. Medicine 2016;95:46 (e5271). 7. DeAngelis G, Cataldo MA, DeWaure C, et al. Infection control and prevention measures to reduce the spread of vancomycin-resistant enterococci in hospitalized patients: a systematic review and metaanalysis. J Antimicrob Chemother 2014;69:1185–1192. 8. Derde LPG, Cooper BS, Goossens H, et al. Interventions to reduce colonization and transmission of antimicrobial-resistant bacteria in intensive care units: an interrupted time series study and cluster randomized trial. Lancet Infect Dis 2014;14:31–39. 9. Passaretti CL, Otter JA, Reich NG, et al. An evaluation of an environmental decontamination with hydrogen peroxide vapor for reducing the risk of patient acquisition of multidrug-resistant organisms. Clin Infect Dis 2013;56:27–35. 10. Cheng VCC, Chen JHK, Tai JWM, et al. Decolonisation of gastrointestinal carriage of vancomycin-resistant Enterococcus faecium: cases series and review of literature. BMC Infect Dis 2014;14:514.","PeriodicalId":13655,"journal":{"name":"Infection Control & Hospital Epidemiology","volume":"29 1","pages":"509 - 510"},"PeriodicalIF":0.0,"publicationDate":"2017-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91105696","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: 7

Lack of Benefit With Combination Therapy for Clostridium difficile Infection 难辨梭菌感染联合治疗缺乏益处

Infection Control & Hospital Epidemiology Pub Date : 2017-02-06 DOI: 10.1017/ice.2016.320

J. Njoku, T. V. Van Schooneveld, M. Rupp, K. Olsen, F. Qiu, J. Meza, E. Hermsen

引用次数: 1

The Effect of Universal Decolonization With Screening in Critical Care to Reduce MRSA Across an Entire Hospital 在整个医院的重症监护中进行筛查以减少MRSA的普遍非殖民化效果

Infection Control & Hospital Epidemiology Pub Date : 2017-02-06 DOI: 10.1017/ice.2017.4

C. Bradley, M. Wilkinson, M. Garvey

{"title":"The Effect of Universal Decolonization With Screening in Critical Care to Reduce MRSA Across an Entire Hospital","authors":"C. Bradley, M. Wilkinson, M. Garvey","doi":"10.1017/ice.2017.4","DOIUrl":"https://doi.org/10.1017/ice.2017.4","url":null,"abstract":"OBJECTIVE To describe the effect of universal methicillin-resistant Staphylococcus aureus (MRSA) decolonization therapy in a large intensive care unit (ICU) on the rates of MRSA cases and acquisitions in a UK hospital. DESIGN Descriptive study. SETTING University Hospitals Birmingham (UHB) NHS Foundation Trust is a tertiary referral teaching hospital in Birmingham, United Kingdom, that provides clinical services to nearly 1 million patients every year. METHODS A break-point time series analysis and kernel regression models were used to detect significant changes in the cumulative monthly numbers of MRSA bacteremia cases and acquisitions from April 2013 to August 2016 across the UHB system. RESULTS Prior to 2014, all ICU patients at UHB received universal MRSA decolonization therapy. In August 2014, UHB discontinued the use of universal decolonization due to published reports in the United Kingdom detailing the limited usefulness and cost-effectiveness of such an intervention. Break-point time series analysis of MRSA acquisition and bacteremia data indicated that break points were associated with the discontinuation and subsequent reintroduction of universal decolonization. Kernel regression models indicated a significant increase (P<.001) in MRSA acquisitions and bacteremia cases across UHB during the period without universal decolonization. CONCLUSION We suggest that routine decolonization for MRSA in a large ICU setting is an effective strategy to reduce the spread and incidence of MRSA across the whole hospital. Infect Control Hosp Epidemiol 2017;38:430–435","PeriodicalId":13655,"journal":{"name":"Infection Control & Hospital Epidemiology","volume":"25 1","pages":"430 - 435"},"PeriodicalIF":0.0,"publicationDate":"2017-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81194733","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

Experience with Rapid Microarray-Based Diagnostic Technology and Antimicrobial Stewardship for Patients with Gram-Positive Bacteremia – CORRIGENDUM 革兰氏阳性菌血症患者快速微阵列诊断技术和抗菌药物管理经验-勘误

Infection Control & Hospital Epidemiology Pub Date : 2017-02-03 DOI: 10.1017/ice.2017.8

引用次数: 0

Infection Control &#x0026; Hospital Epidemiology最新文献

Infection Control & Hospital Epidemiology最新文献