{"title":"Beyond the hospital doors: challenges and insights from a multi-state healthcare system outpatient infection prevention program.","authors":"Kelli Heisner, Jessica Layell, Robert Citronberg, Mindy Sampson, Catherine Passaretti, Lynn Skelton","doi":"10.1017/ice.2024.232","DOIUrl":"https://doi.org/10.1017/ice.2024.232","url":null,"abstract":"","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1-3"},"PeriodicalIF":3.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046513","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}
Sarah L Bennis, Shalini Kulasingam, Patricia Ferrieri, Susan E Kline
{"title":"Heterogeneity in preoperative <i>Staphylococcus aureus</i> screening and decolonization strategies among healthcare institutions.","authors":"Sarah L Bennis, Shalini Kulasingam, Patricia Ferrieri, Susan E Kline","doi":"10.1017/ice.2024.231","DOIUrl":"10.1017/ice.2024.231","url":null,"abstract":"<p><p>We surveyed 111 institutions' practices for screening and decolonization of <i>Staphylococcus aureus</i> in presurgical patients. Institutions commonly utilize universal, targeted, or no decolonization strategies. Frequently reported products were nasal mupirocin, chlorhexidine gluconate bathing, and nasal povidone-iodine. Practice variability indicates opportunities to define optimal strategies.</p>","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1-4"},"PeriodicalIF":3.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11883650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Navigating the blood-brain barrier: enhancing blood culture practices in the neuro-ICU.","authors":"Maureen Metz, Katharine Colton, Jessica Seidelman","doi":"10.1017/ice.2024.235","DOIUrl":"10.1017/ice.2024.235","url":null,"abstract":"<p><p>This study evaluates the implementation of a blood culture (BCx) algorithm in the neurology ICU (NICU) to reduce BCx event (BCE) rates. Results show a reduction in BCE rates, without increasing adverse outcomes. The findings support the feasibility of BCx algorithms for improving diagnostic stewardship in the specialized NICU population.</p>","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1-3"},"PeriodicalIF":3.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11883646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Protecting patients and peers from healthcare personnel with respiratory viral infections.","authors":"Michael Klompas, Theodore Pak, Chanu Rhee","doi":"10.1017/ice.2025.12","DOIUrl":"https://doi.org/10.1017/ice.2025.12","url":null,"abstract":"","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1-3"},"PeriodicalIF":3.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046597","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}
Jacob Smith, Julia Fischer, Manju Mathew, Sarah Haessler
{"title":"A bridge over troubled water: reverse osmosis to maintain patient care in a boil water notice.","authors":"Jacob Smith, Julia Fischer, Manju Mathew, Sarah Haessler","doi":"10.1017/ice.2025.3","DOIUrl":"https://doi.org/10.1017/ice.2025.3","url":null,"abstract":"<p><p>A citywide boil water notice necessitated an alternative solution for treating contaminated water. We report our experience using portable reverse osmosis machines to treat the municipal water to provide purified water to patient care areas where non-sterile water was needed, preventing interruptions in services like elective surgeries.</p>","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1-3"},"PeriodicalIF":3.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046507","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}
Chunyi Zhou, Michael Wiley, Jessica Wiley, Kelly Cawcutt, Elizabeth Grashorn, Kathie Rogers, Emily McCutchen, Peter Iwen, Paul Fey, Mark Rupp
{"title":"Utilizing whole genome sequencing to characterize central line-associated bloodstream infections due to <i>Staphylococcus epidermidis</i>.","authors":"Chunyi Zhou, Michael Wiley, Jessica Wiley, Kelly Cawcutt, Elizabeth Grashorn, Kathie Rogers, Emily McCutchen, Peter Iwen, Paul Fey, Mark Rupp","doi":"10.1017/ice.2024.240","DOIUrl":"10.1017/ice.2024.240","url":null,"abstract":"<p><p>Whole genome sequencing (WGS) and clinical review were used to characterize 14 cases of central line-associated bloodstream infection (CLABSI) due to <i>Staphylococcus epidermidis</i>. WGS, which demonstrated disparate strains, suggested that 42.9% of <i>S. epidermidis</i> CLABSI cases were due to contamination, while clinical review suggested that 57.1% were contamination events.</p>","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1-4"},"PeriodicalIF":3.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11883651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Martin M Varghese, Samir Memic, Maria M Torres-Teran, Jennifer L Cadnum, William A Rutala, Curtis J Donskey
{"title":"Evaluation of a new technology for terminal sterilization of flexible endoscopes using hydrogen peroxide gas plasma.","authors":"Martin M Varghese, Samir Memic, Maria M Torres-Teran, Jennifer L Cadnum, William A Rutala, Curtis J Donskey","doi":"10.1017/ice.2024.236","DOIUrl":"https://doi.org/10.1017/ice.2024.236","url":null,"abstract":"<p><p>In laboratory testing, a novel hydrogen peroxide gas plasma endoscope sterilizer consistently reduced vegetative organisms, but not bacterial spores, to undetectable levels in the presence of high organism load (≥6.5 log<sub>10</sub>) and organic material and salts. These findings highlight the importance of meticulous cleaning of endoscopes prior to sterilization.</p>","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1-3"},"PeriodicalIF":3.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046531","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}
Rupak Datta, Eliza Kiwak, Terri Fried, Andrea Benjamin, Lynne Iannone, Sarah Krein, Warren Carter, Andrew Cohen
{"title":"Facilitators of antibiotic decision-making in home-based primary care: a qualitative investigation.","authors":"Rupak Datta, Eliza Kiwak, Terri Fried, Andrea Benjamin, Lynne Iannone, Sarah Krein, Warren Carter, Andrew Cohen","doi":"10.1017/ice.2024.241","DOIUrl":"10.1017/ice.2024.241","url":null,"abstract":"<p><p>Interviews with 22 home-based primary care (HBPC) clinicians revealed that infectious disease physicians and clinical pharmacists facilitate infection management and antibiotic selection, respectively, and that local initiatives within programs support antibiotic prescribing decisions. Interventions that facilitate specialist engagement and tailored approaches that address the unique challenges of HBPC are needed.</p>","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1-4"},"PeriodicalIF":3.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046538","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}
Elisheva Levine, Samar Abo-Gush, Bath Sheva Ezagui, Ruth David, Puah Kopuit, Naama Bagrish, Todd Zalut, Marc V Assous, Yossi Freier-Dror, Amos M Yinnon, Shmuel Benenson
{"title":"Assessing and upgrading the cleanliness of the emergency department - ERRATUM.","authors":"Elisheva Levine, Samar Abo-Gush, Bath Sheva Ezagui, Ruth David, Puah Kopuit, Naama Bagrish, Todd Zalut, Marc V Assous, Yossi Freier-Dror, Amos M Yinnon, Shmuel Benenson","doi":"10.1017/ice.2025.21","DOIUrl":"10.1017/ice.2025.21","url":null,"abstract":"","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1"},"PeriodicalIF":3.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11790324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Meggie Griffin, Kimberly C Claeys, Rebecca J Schwei, Roger L Brown, Michael S Pulia
{"title":"Prioritizing emergency department antibiotic stewardship interventions for skin and soft tissue infections using judgment analysis.","authors":"Meggie Griffin, Kimberly C Claeys, Rebecca J Schwei, Roger L Brown, Michael S Pulia","doi":"10.1017/ice.2024.211","DOIUrl":"10.1017/ice.2024.211","url":null,"abstract":"<p><strong>Objective: </strong>Skin and soft tissue infections (SSTIs) account for over 2.8 million annual emergency department (ED) visits and often result in suboptimal antibiotic therapy. The objective of this study was to evaluate a set of interventions in minimizing inappropriate prescription of antibiotics for presumed SSTIs in the ED.</p><p><strong>Design: </strong>Case vignette survey.</p><p><strong>Participants: </strong>A national sample of emergency medicine (EM) physicians.</p><p><strong>Methods: </strong>Each vignette described a clinical scenario of a presumed SSTI (cellulitis or abscess) and included a unique combination of zero to five interventions (outpatient follow-up, inappropriate antibiotic request flag, thermal imaging for cellulitis or rapid wound MRSA PCR for abscess, patient education/shared decision-making, and clinical decision support). Out of 64 possible vignettes, we asked participants to respond to eight vignettes. Following each vignette, we asked participants if they would prescribe an antibiotic in their everyday practice (yes/no). We built adjusted hierarchical logistic regression models to estimate the probability of prescribing an antibiotic for each intervention and vignette.</p><p><strong>Results: </strong>Surveys were completed by 113 EM physicians. The thermal imaging, rapid wound MRSA PCR, and patient education/shared decision-making interventions showed the largest decrease (15-20%) in antibiotic prescribing probability. Vignettes with a combination of both a diagnostic intervention (thermal imaging or rapid wound MRSA PCR) and a patient education/shared decision-making intervention had the lowest prescribing probabilities.</p><p><strong>Conclusion: </strong>We recommend future research focuses on the development and integration of novel diagnostic tools to identify true infection and incorporate shared decision-making to improve diagnosis and management of SSTIs.</p>","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1-9"},"PeriodicalIF":3.0,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11883652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}