Infection Control and Hospital Epidemiology最新文献

Have positive blood culture bottles been left unnoticed?: addressing this issue as important as the shortage of blood culture bottles.

IF 3 4区医学

Infection Control and Hospital Epidemiology Pub Date : 2025-04-08 DOI: 10.1017/ice.2025.55

Hideharu Hagiya, Shinnosuke Fukushima, Koji Iio

引用次数: 0

Infection prevention and control for measles in healthcare settings.

IF 3 4区医学

Infection Control and Hospital Epidemiology Pub Date : 2025-04-08 DOI: 10.1017/ice.2025.49

Irene Frantzis, Karen P Acker, E O Benjamin, Rookmin Pato, Stephanie Legall, Harjot K Singh, Lisa Saiman

引用次数: 0

Discharge antibiotic prescribing at children's hospitals with established antimicrobial stewardship programs.

IF 3 4区医学

Infection Control and Hospital Epidemiology Pub Date : 2025-04-08 DOI: 10.1017/ice.2025.59

Rebecca G Same, Giyoung Lee, Jared Olson, Brendan Bettinger, Adam L Hersh, Matthew P Kronman, Jason G Newland, Meg Grimshaw, Jeffrey S Gerber

{"title":"Discharge antibiotic prescribing at children's hospitals with established antimicrobial stewardship programs.","authors":"Rebecca G Same, Giyoung Lee, Jared Olson, Brendan Bettinger, Adam L Hersh, Matthew P Kronman, Jason G Newland, Meg Grimshaw, Jeffrey S Gerber","doi":"10.1017/ice.2025.59","DOIUrl":"https://doi.org/10.1017/ice.2025.59","url":null,"abstract":"Objective: Antibiotic stewardship programs (ASPs) target hospitalized children, but most do not routinely review antibiotic prescriptions at discharge, despite 30% of discharged children receiving additional antibiotics. Our objective is to describe discharge antibiotic prescribing in children hospitalized for uncomplicated community-acquired pneumonia (CAP), skin/soft tissue infection (SSTI), and urinary tract infection (UTI).Design: Retrospective cohort study.Setting: Four academic children's hospitals with established ASPs.Patients: ICD-10 codes identified 3,847 encounters for children <18 years admitted from January 1, 2021 to December 31, 2021 and prescribed antibiotics at discharge for uncomplicated CAP, SSTI, or UTI. After excluding children with medical complexity and encounters with concomitant infections, >7 days hospital stay, or intensive care unit stay, 1,206 encounters were included.Methods: Primary outcomes were the percentage of subjects prescribed optimal (1) total (inpatient plus outpatient) duration of therapy (DOT) and (2) antibiotic choice based on current national guidelines and available evidence.Results: Of 226 encounters for CAP, 417 for UTI, and 563 for SSTI, the median age was 4 years, 52% were female, and the median DOT was 9 days (8 for CAP, 10 for UTI, and 9 for SSTI). Antibiotic choice was optimal for 77%, and DOT was optimal for 26%. Only 20% of antibiotic courses included both optimal DOT and antibiotic choice.Conclusions: At 4 children's hospitals with established ASPs, 80% of discharge antibiotic courses for CAP, UTI, and SSTI were suboptimal either by choice of antibiotic or DOT. Discharge antibiotic prescribing represents an opportunity to improve antibiotic use in children.","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1-6"},"PeriodicalIF":3.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk factor evaluation and performance improvement for surgical site infections in patients undergoing abdominal hysterectomy at a large academic safety net hospital.

IF 3 4区医学

Infection Control and Hospital Epidemiology Pub Date : 2025-04-07 DOI: 10.1017/ice.2025.34

Anna Buford, Tyler Anderson, Roman Jandarov, Joseph Schaffer, Jacqueline Wells, Marianne Bartlett, Latitia Houston, Calvin White, Laura Buford, Madhuri Sopirala

{"title":"Risk factor evaluation and performance improvement for surgical site infections in patients undergoing abdominal hysterectomy at a large academic safety net hospital.","authors":"Anna Buford, Tyler Anderson, Roman Jandarov, Joseph Schaffer, Jacqueline Wells, Marianne Bartlett, Latitia Houston, Calvin White, Laura Buford, Madhuri Sopirala","doi":"10.1017/ice.2025.34","DOIUrl":"https://doi.org/10.1017/ice.2025.34","url":null,"abstract":"Objective: To identify Surgical Site Infection (SSI) risk factors for abdominal hysterectomy patients and report the results of a performance improvement initiative.Design: Retrospective case-control.Setting: Parkland Hospital, an 882-bed academic, safety-net, tertiary referral center and a level 1 trauma center serving a diverse population of primarily uninsured patients in North Texas.Participants: Patients over 18 who underwent abdominal hysterectomy and were diagnosed with SSIs within 30 days of surgery between 2019 and 2021.Methods: Cases were matched to controls from the same or closest calendar month in a 1:2 ratio. Chart review of electronic medical records (EMR) was performed comparing variables using Pearson's χ2 test for categorical variables and Student's t-test for continuous variables followed by logistic regression for multivariate analysis. Upon identifying vaginal preparation technique as an area of improvement while investigating SSI bundle compliance, we implemented an OR staff training intervention.Results: Diabetes was identified as a significant risk factor while Hispanic or Latino ethnicity was associated with significantly lower rates of infection. Most organisms identified were enteric pathogens. Following the intervention, Parkland's deep and organ-space Standardized Infection Ratio (SIR) decreased from 1.46 in 2021 to 0.519 for the rolling 12 months as of June 2024.Conclusions: Our multidisciplinary intervention improving the quality and consistency of pre-operative vaginal preparation was associated with a reduction in abdominal hysterectomy SSI.","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1-7"},"PeriodicalIF":3.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Incorporating microbial cell-free DNA testing into healthcare-associated invasive fungal infection surveillance: benefits and challenges.

IF 3 4区医学

Infection Control and Hospital Epidemiology Pub Date : 2025-04-04 DOI: 10.1017/ice.2025.48

Daniel Z Uslan, Ishminder Kaur, Omai B Garner, Shangxin Yang

引用次数: 0

Prevalence and predictors of multidrug resistant organism infections in critically ill patients with opioid use disorder: a multicenter retrospective cohort study.

IF 3 4区医学

Infection Control and Hospital Epidemiology Pub Date : 2025-04-04 DOI: 10.1017/ice.2025.64

Zeeshan M Rizwan, Haris Akhtar, Julie L Cunningham, Kristin C Cole, John C O'Horo, Ognjen Gajic, Ryan W Stevens

{"title":"Prevalence and predictors of multidrug resistant organism infections in critically ill patients with opioid use disorder: a multicenter retrospective cohort study.","authors":"Zeeshan M Rizwan, Haris Akhtar, Julie L Cunningham, Kristin C Cole, John C O'Horo, Ognjen Gajic, Ryan W Stevens","doi":"10.1017/ice.2025.64","DOIUrl":"https://doi.org/10.1017/ice.2025.64","url":null,"abstract":"Objective: Patients with Opioid Use Disorder (OUD) are prone to Multidrug-Resistant Organism (MDRO) colonization and infections, thus at risk for worse outcomes during critical illness. Understanding the prevalence and predictors of MDRO infections is essential to optimize interventions and treatments.Design: Retrospective cohort study.Methods: The study evaluated the prevalence of MDRO isolation among adults with OUD admitted to an intensive care unit (ICU) between January 1, 2018, and July 31, 2023. It included adults admitted to an ICU with bacterial infections and positive cultures obtained within 48 hours of admission. Demographics, clinical traits, and MDRO isolation rates were analyzed using descriptive statistics, univariate methods, and Least Absolute Shrinkage and Selection Operator (LASSO) regression.Results: MDRO isolation occurred in 178 of 790 patients (22.5%), with methicillin-resistant Staphylococcus aureus as the most frequently isolated organism. LASSO regression identified housing insecurity (OR: 1.79, 95% CI 1.09-2.93, P = .022), no receipt of medications for OUD treatment (OR: 1.56, 95% CI 1.06-2.29, P = .023), positive hepatitis C virus (HCV) status (OR: 2.19, 95% CI 1.19-4.03, P = .012), and intravenous antibiotic use in the prior 90 days (OR: 1.04 per 24 h, 95% CI 1.01-1.07, P = .007) as significant predictors of MDRO isolation.Conclusions: The study highlights a high prevalence of MDRO isolation in critically ill OUD patients admitted for infection-related issues with positive cultures obtained within 48 hours of admission, influenced by factors like housing insecurity, no receipt of medications for OUD treatment, HCV status, and prior antibiotic use.","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1-7"},"PeriodicalIF":3.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ceiling-mounted far-UVC fixtures reduce the surface bioburden in occupied clinical areas.

IF 3 4区医学

Infection Control and Hospital Epidemiology Pub Date : 2025-04-03 DOI: 10.1017/ice.2025.62

Emilie Hage Mogensen, Jacob Thyrsted Jensen, Søren Helbo Skaarup, Andreas Fløe Hvass, Cecilie Lynggaard Jeppesen, Maja Holst Rasmussen, Birgit Thorup Røge, Sara Moeslund Joensen, Stine Yde Nielsen, Elisabeth Bendstrup, Pernille Hauschildt, Anne Friesgaard Christensen, Christian Kanstrup Holm

引用次数: 0

Infection prevention and control practices among pediatric family caregivers during respiratory viral season and an enteric outbreak.

IF 3 4区医学

Infection Control and Hospital Epidemiology Pub Date : 2025-04-03 DOI: 10.1017/ice.2025.53

Aparna Darbha, Meghan Engbretson, Nisha Thampi

引用次数: 0

Nosocomial or community-acquired? A comparison of healthcare-associated infection definitions and maximum incubation periods of common respiratory viral infections at a large academic hospital.

IF 3 4区医学

Infection Control and Hospital Epidemiology Pub Date : 2025-04-03 DOI: 10.1017/ice.2025.43

Dalton R Butcher, Lauren DiBiase, Emily Sickbert-Bennett

引用次数: 0

Restoring the 2-set blood culture practice after the resolution of supply shortage.

IF 3 4区医学

Infection Control and Hospital Epidemiology Pub Date : 2025-04-03 DOI: 10.1017/ice.2025.60

Shogo Hanai, Chiyo Shintani, Yuki Higashimoto, Yuki Uehara, Yohei Doi, Hitoshi Honda

引用次数: 0