Infection Control & Hospital Epidemiology最新文献_第7页

ICE volume 38 issue 2 Cover and Front matter ICE第38卷第2期封面和封面问题

Infection Control & Hospital Epidemiology Pub Date : 2017-01-18 DOI: 10.1017/ice.2016.339

引用次数: 0

An Evaluation of Food as a Potential Source for Clostridium difficile Acquisition in Hospitalized Patients – CORRIGENDUM 食物作为住院病人难辨梭菌获得的潜在来源的评估-勘误表

Infection Control & Hospital Epidemiology Pub Date : 2017-01-18 DOI: 10.1017/ice.2017.2

引用次数: 0

A Practical Tool for Surveillance of Surgical-Site Infections: A 5-Year Experience in Orthopedic Surgeries 手术部位感染监测的实用工具:5年骨科手术经验

Infection Control & Hospital Epidemiology Pub Date : 2017-01-10 DOI: 10.1017/ice.2016.322

S. Benenson, A. Moses, Matan J. Cohen, M. Brezis, N. Minster, C. Schwartz, L. Kandel, M. Liebergall, Y. Mattan

引用次数: 5

Detection of Piperacillin-Tazobactam-Resistant/Pan-β-Lactam-Susceptible Escherichia coli with Current Automated Susceptibility Test Systems 现有自动药敏试验系统检测哌拉西林-他唑巴坦耐药/Pan-β-内酰胺敏感大肠杆菌

Infection Control & Hospital Epidemiology Pub Date : 2017-01-10 DOI: 10.1017/ice.2016.325

M. Monogue, Linda K Tanner, S. Brecher, J. Aslanzadeh, D. Nicolau

引用次数: 7

Active Surveillance for Influenza Reduces but Does Not Eliminate Hospital Exposure to Patients With Influenza 积极监测流感减少但不能消除医院接触流感患者

Infection Control & Hospital Epidemiology Pub Date : 2017-01-10 DOI: 10.1017/ice.2016.321

B. Coleman, Wil Ng, Vinaya Mahesh, Maja McGuire, K. Hassan, K. Green, S. Mcneil, A. McGeer, K. Katz

{"title":"Active Surveillance for Influenza Reduces but Does Not Eliminate Hospital Exposure to Patients With Influenza","authors":"B. Coleman, Wil Ng, Vinaya Mahesh, Maja McGuire, K. Hassan, K. Green, S. Mcneil, A. McGeer, K. Katz","doi":"10.1017/ice.2016.321","DOIUrl":"https://doi.org/10.1017/ice.2016.321","url":null,"abstract":"OBJECTIVE To describe the frequency, characteristics, and exposure associated with influenza in hospitalized patients in a Toronto hospital DESIGN/METHOD Prospective data collected for consenting patients with laboratory-confirmed influenza and a retrospective review of infection control charts for roommates of cases over 3 influenza seasons RESULTS Of the 661 patients with influenza (age range: 1 week–103 years), 557 were placed on additional precautions upon admission. Of 104 with symptoms detected after admission, 57 cases were community onset and 47 were nosocomial (10 nosocomial were part of outbreaks). A total of 78 cases were detected after admission exposing 143 roommates. Among roommates tested for influenza after exposure, no roommates of community-onset cases and 2 of 16 roommates of nosocomial cases were diagnosed with influenza. Of 637 influenza-infected patients, 25% and 57% met influenza-like illness definitions from the Public Health Agency of Canada (PHAC) and Centers for Disease Control and Prevention (CDC), respectively, and 70.3% met the Provincial Infectious Diseases Advisory Committee (PIDAC) febrile respiratory illness definition. Among the 56 patients with community-onset influenza detected after admission, only 13%, 23%, and 34%, met PHAC, CDC, and PIDAC classifications, respectively. CONCLUSIONS In a setting with extensive screening and testing for influenza, 1 in 6 patients with influenza was not diagnosed until patients and healthcare workers had been exposed for >24 hours. Only 30% of patients with community-onset influenza detected after admission met the Ontario definition intended to identify cases, hampering efforts to prevent patient and healthcare worker exposures and reinforcing the need for prevention through vaccination. Infect Control Hosp Epidemiol 2017;38:387–392","PeriodicalId":13655,"journal":{"name":"Infection Control & Hospital Epidemiology","volume":"14 1","pages":"387 - 392"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78551083","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: 6

Paramyxovirus Outbreak in a Long-Term Care Facility: The Challenges of Implementing Infection Control Practices in a Congregate Setting 长期护理机构中的副粘病毒爆发:在聚集环境中实施感染控制措施的挑战

Infection Control & Hospital Epidemiology Pub Date : 2017-01-09 DOI: 10.1017/ice.2016.316

S. S. Spires, H. Talbot, Carolyn A. Pope, T. Talbot

{"title":"Paramyxovirus Outbreak in a Long-Term Care Facility: The Challenges of Implementing Infection Control Practices in a Congregate Setting","authors":"S. S. Spires, H. Talbot, Carolyn A. Pope, T. Talbot","doi":"10.1017/ice.2016.316","DOIUrl":"https://doi.org/10.1017/ice.2016.316","url":null,"abstract":"OBJECTIVE We report an outbreak of respiratory syncytial virus (RSV) and human metapneumovirus (HMPV) infections in a dementia care ward containing 2 separately locked units (A and B) to heighten awareness of these pathogens in the older adult population and highlight some of the infection prevention challenges faced during a noninfluenza respiratory viral outbreak in a congregate setting. METHODS Cases were defined by the presence of new signs or symptoms that included (1) a single oral temperature ≥ 37.8°C (100.0°F) and (2) the presence of at least 2 of the following symptoms: cough, dyspnea, rhinorrhea, hoarseness, congestion, fatigue, and malaise. Attempted infection-control measures included cohorting patients and staff, empiric isolation precautions, and cessation of group activities. Available nasopharyngeal swab specimens were sent to the Tennessee Department of Health for identification by rT-PCR testing. RESULTS We identified 30 of the 41 (73%) residents as cases over this 16-day outbreak. Due to high numbers of sick personnel, we were unable to cohort staff to 1 unit. Unit B developed its first case 8 days after infection control measures were implemented. Of the 14 cases with available specimens, 6 patients tested positive for RSV-B, 7 for HMPV and 1 patient test positive for influenza A. Overall, 15 cases (50%) required transfer to acute care facilities; 10 of these patients (34%) had chest x-ray confirmed pulmonary infiltrates; and 5 residents (17%) died. CONCLUSIONS This case report highlights the importance of RSV and HMPV in causing substantial disease in the older adult population and highlights the challenges in preventing transmission of these viruses. Infect Control Hosp Epidemiol 2017;38:399–404","PeriodicalId":13655,"journal":{"name":"Infection Control & Hospital Epidemiology","volume":"116 1","pages":"399 - 404"},"PeriodicalIF":0.0,"publicationDate":"2017-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80376014","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: 10

A Randomized Trial to Determine the Impact of an Educational Patient Hand-Hygiene Intervention on Contamination of Hospitalized Patient’s Hands with Healthcare-Associated Pathogens 一项随机试验，旨在确定患者手卫生教育干预对住院患者手部沾染卫生保健相关病原体的影响

Infection Control & Hospital Epidemiology Pub Date : 2017-01-05 DOI: 10.1017/ice.2016.323

V. Sunkesula, S. Kundrapu, Shanina C. Knighton, J. Cadnum, C. Donskey

引用次数: 24

Preferential Use of Nitrofurantoin Over Fluoroquinolones for Acute Uncomplicated Cystitis and Outpatient Escherichia coli Resistance in an Integrated Healthcare System 在一个综合医疗系统中，治疗急性无并发症膀胱炎和门诊大肠杆菌耐药性的硝基呋喃妥因优先于氟喹诺酮类药物

Infection Control & Hospital Epidemiology Pub Date : 2017-01-05 DOI: 10.1017/ice.2016.315

Rebecca L Pedela, Katherine C. Shihadeh, Bryan C. Knepper, M. Haas, W. Burman, T. Jenkins

{"title":"Preferential Use of Nitrofurantoin Over Fluoroquinolones for Acute Uncomplicated Cystitis and Outpatient Escherichia coli Resistance in an Integrated Healthcare System","authors":"Rebecca L Pedela, Katherine C. Shihadeh, Bryan C. Knepper, M. Haas, W. Burman, T. Jenkins","doi":"10.1017/ice.2016.315","DOIUrl":"https://doi.org/10.1017/ice.2016.315","url":null,"abstract":"OBJECTIVES To evaluate changes in outpatient fluoroquinolone (FQ) and nitrofurantoin (NFT) use and resistance among E. coli isolates after a change in institutional guidance to use NFT over FQs for acute uncomplicated cystitis. DESIGN Retrospective preintervention–postintervention study. SETTING Urban, integrated healthcare system. PATIENTS Adult outpatients treated for acute cystitis. METHODS We compared 2 time periods: January 2003–June 2007 when FQs were recommended as first-line therapy, and July 2007–December 2012, when NFT was recommended. The main outcomes were changes in FQ and NFT use and FQ- and NFT-resistant E. coli by time-series analysis. RESULTS Overall, 5,714 adults treated for acute cystitis and 11,367 outpatient E. coli isolates were included in the analysis. After the change in prescribing guidance, there was an immediate 26% (95% CI, 20%–32%) decrease in FQ use (P<.001), and a nonsignificant 6% (95% CI, −2% to 15%) increase in NFT use (P=.12); these changes were sustained over the postintervention period. Oral cephalosporin use also increased during the postintervention period. There was a significant decrease in FQ-resistant E. coli of −0.4% per quarter (95% CI, −0.6% to −0.1%; P=.004) between the pre- and postintervention periods; however, a change in the trend of NFT-resistant E. coli was not observed. CONCLUSIONS In an integrated healthcare system, a change in institutional guidance for acute uncomplicated cystitis was associated with a reduction in FQ use, which may have contributed to a stabilization in FQ-resistant E. coli. Increased nitrofurantoin use was not associated with a change in NFT resistance. Infect Control Hosp Epidemiol 2017;38:461–468","PeriodicalId":13655,"journal":{"name":"Infection Control & Hospital Epidemiology","volume":"65 1","pages":"461 - 468"},"PeriodicalIF":0.0,"publicationDate":"2017-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90336853","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: 13

Inpatient Urine Cultures Are Frequently Performed Without Urinalysis or Microscopy: Findings From a Large Academic Medical Center 住院病人尿培养经常在没有尿液分析或显微镜的情况下进行:来自一个大型学术医疗中心的发现

Infection Control & Hospital Epidemiology Pub Date : 2017-01-05 DOI: 10.1017/ice.2016.311

Abigail L. Carlson, S. Munigala, A. Russo, K. McMullen, Helen Wood, R. Jackups, D. Warren

{"title":"Inpatient Urine Cultures Are Frequently Performed Without Urinalysis or Microscopy: Findings From a Large Academic Medical Center","authors":"Abigail L. Carlson, S. Munigala, A. Russo, K. McMullen, Helen Wood, R. Jackups, D. Warren","doi":"10.1017/ice.2016.311","DOIUrl":"https://doi.org/10.1017/ice.2016.311","url":null,"abstract":"OBJECTIVE To describe the frequency of urine cultures performed in inpatients without additional testing for pyuria DESIGN Retrospective cohort study SETTING A 1,250-bed academic tertiary referral center PATIENTS Hospitalized adults METHODS This study included urine cultures drawn on 4 medical and 2 surgical wards from 2009 to 2013 and in the medical and surgical intensive care units (ICUs) from 2012 to 2013. Patient and laboratory data were abstracted from the hospital’s medical informatics database. We identified catheter-associated urinary tract infections (CAUTIs) in the ICUs by routine infection prevention surveillance. Cultures without urinalysis or urine microscopy were defined as “isolated.” The primary outcome was the proportion of isolated urine cultures obtained. We used multivariable logistic regression to assess predictors of isolated cultures. RESULTS During the study period, 14,743 urine cultures were obtained (63.5 cultures per 1,000 patient days) during 11,820 patient admissions. Of these, 2,973 cultures (20.2%) were isolated cultures. Of the 61 CAUTIs identified, 31 (50.8%) were identified by an isolated culture. Predictors for having an isolated culture included male gender (adjusted odds ratio [aOR], 1.22; 95%; confidence interval [CI], 1.11–1.35], urinary catheterization (aOR, 2.15; 95% CI, 1.89–2.46), ICU admission (medical ICU aOR, 1.72; 95% CI, 1.47–2.00; surgical ICU aOR, 1.82; 95% CI, 1.51–2.19), and obtaining the urine culture ≥1 calendar day after admission (1–7 days aOR, 1.91; 95% CI. 1.71–2.12; >7 days after admission aOR, 2.81; 95% CI, 2.37–3.34). CONCLUSIONS Isolated urine cultures are common in hospitalized patients, particularly in patients with urinary catheters and those in ICUs. Interventions targeting inpatient culturing practices may improve the diagnosis of urinary tract infections. Infect Control Hosp Epidemiol 2017;38:455–460","PeriodicalId":13655,"journal":{"name":"Infection Control & Hospital Epidemiology","volume":"15 1","pages":"455 - 460"},"PeriodicalIF":0.0,"publicationDate":"2017-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73579547","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

Unique perspectives, unified voice 独特的视角，统一的声音

Infection Control & Hospital Epidemiology Pub Date : 2017-01-01 DOI: 10.1017/ICE.2016.294

L. Dembry, S. Dolan

引用次数: 3

Infection Control &#x0026; Hospital Epidemiology最新文献

Infection Control & Hospital Epidemiology最新文献