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

Measles prevention and control in the acute healthcare setting-minding the gaps. 麻疹预防和控制在急性卫生保健设置中注意差距。

IF 2.6 4区医学

Infection Control and Hospital Epidemiology Pub Date : 2026-10-01 Epub Date: 2026-08-26 DOI: 10.1017/ice.2026.10498

Loreen Herwaldt, Hilary Babcock, Karen Brust, Susan E Beekmann, Philip Polgreen

{"title":"Measles prevention and control in the acute healthcare setting-minding the gaps.","authors":"Loreen Herwaldt, Hilary Babcock, Karen Brust, Susan E Beekmann, Philip Polgreen","doi":"10.1017/ice.2026.10498","DOIUrl":"10.1017/ice.2026.10498","url":null,"abstract":"Background: As measles vaccination rates in the United States decline and incidence rises, healthcare facilities face an increased risk of measles transmission. Measles exposures in clinical settings lead to extensive contact tracing investigations, significant staffing disruptions, high costs, and potential infections in vulnerable patients. This study aimed to assess US hospitals' readiness of to identify and manage measles exposures and to identify common infection prevention gaps.Methods: In 2025, the Emerging Infections Network (EIN) conducted a 9-question electronic survey of its physician members. The questions addressed immunization policies, exposure identification capabilities, and management protocols.Results: Of 153 respondents whose scope of practice includes measles prevention, 139 (91%) reported that their institutions required evidence of measles immunity for some healthcare personnel; 20% applied this requirement to a subset. Only 36% of facilities stored immunity data for employed staff in accessible electronic format. Most facilities could determine when patients were in specific clinical areas but could not identify visitors or non-employed staff. Exposure definitions varied; 33% of respondents used criteria that potentially underestimate exposure risk (eg, >15 min of shared air). Others lacked access to air exchange data (33%). Furthermore, 12%-31% of respondents reported their institutions do not consistently recommend postexposure prophylaxis for non-immune individuals.Conclusions: Despite the high transmissibility of measles, significant gaps in record-keeping, exposure definitions, and prophylaxis protocols persist in US hospitals. Standardized exposure criteria and improved accessibility to staff immunity records could help reduce measles transmission in health care and the associated clinical and financial adverse outcomes.","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"979-984"},"PeriodicalIF":2.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148818262","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

Post-prescription review of antibiotics for pediatric urinary tract infection is an effective ambulatory antibiotic stewardship strategy. 儿科尿路感染抗生素的处方后审查是一种有效的门诊抗生素管理策略。

IF 2.6 4区医学

Infection Control and Hospital Epidemiology Pub Date : 2026-10-01 Epub Date: 2026-08-27 DOI: 10.1017/ice.2026.10514

Jeremy S Stultz, Ritu Banerjee, Jessica Gillon, Sophie E Katz

引用次数: 0

Growing carbapenem resistance in South Korea with long-term care facilities as reservoirs. 韩国碳青霉烯耐药性日益增长，长期护理设施是水库。

IF 2.6 4区医学

Infection Control and Hospital Epidemiology Pub Date : 2026-10-01 Epub Date: 2026-08-10 DOI: 10.1017/ice.2026.10520

Rafael Levandowski, Tae Yoon Hwang, Kyeong-Soo Lee

引用次数: 0

Limited English proficiency is a risk for CLABSI in pediatric hematopoietic cell transplant or cellular therapy recipients. 英语水平有限是儿童造血细胞移植或细胞治疗受者发生CLABSI的风险。

IF 2.6 4区医学

Infection Control and Hospital Epidemiology Pub Date : 2026-10-01 Epub Date: 2026-09-03 DOI: 10.1017/ice.2026.10532

Afreen Abraham, Craig Gilliam, Jose Amadeo Ferrolino, Kelly Wills, Lauren Reeves, Ronald Dallas, Gabriela Maron, Hana Hakim

{"title":"Limited English proficiency is a risk for CLABSI in pediatric hematopoietic cell transplant or cellular therapy recipients.","authors":"Afreen Abraham, Craig Gilliam, Jose Amadeo Ferrolino, Kelly Wills, Lauren Reeves, Ronald Dallas, Gabriela Maron, Hana Hakim","doi":"10.1017/ice.2026.10532","DOIUrl":"10.1017/ice.2026.10532","url":null,"abstract":"Objectives: Pediatric patients undergoing hematopoietic transplant or cellular therapy (TCT) are at increased risk of developing central line-associated bloodstream infections (CLABSI). The role of language barriers in CLABSI risk has not been well-explored in this population. This study aimed to evaluate the risk for CLABSI in pediatric TCT patients with limited English proficiency (LEP).Design and patients: A retrospective cohort study of patients hospitalized in the TCT unit in a single pediatric oncology center between January 2021 and June 2024.Interventions: Clinical data was abstracted from the electronic health records and CLABSI events from the hospital infection prevention and control surveillance database. CLABSI rates were calculated as events per 1,000 inpatient central line days (CLD) and compared between patients with LEP and those English-proficient. Cox proportional hazard analysis was used to evaluate independent risk factors for CLABSI.Results: Two hundred and eighty patients contributed a total of 12,325 CLD and 93 CLABSIs; of which 57 patients were with LEP contributing 3,113 CLD and 29 CLABSIs. The unadjusted CLABSI rate in patients with LEP was significantly higher (9.32/1,000 CLD) than that in English-proficient patients (6.95/1,000 CLD, P < .001). Patients with LEP had twice the risk of developing CLABSI compared to English-proficient patients (Adjusted HR 2.03, 95% CI [1.23, 3.34]).Conclusions: This study identified a significantly increased risk of CLABSI in pediatric TCT patients with language barriers. Addressing these barriers through equitable strategies is crucial for improving clinical outcomes and promoting an inclusive healthcare for diverse patient groups.","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"992-998"},"PeriodicalIF":2.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148880258","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

Pathogen genomic surveillance in health care: emerging ethical dilemmas in outbreak detection and patient notification. 卫生保健中的病原体基因组监测：在疫情检测和患者通知中出现的伦理困境。

IF 2.6 4区医学

Infection Control and Hospital Epidemiology Pub Date : 2026-10-01 Epub Date: 2026-08-04 DOI: 10.1017/ice.2026.10519

Alexander J Sundermann, Waleed Javaid, Lisa Parker

{"title":"Pathogen genomic surveillance in health care: emerging ethical dilemmas in outbreak detection and patient notification.","authors":"Alexander J Sundermann, Waleed Javaid, Lisa Parker","doi":"10.1017/ice.2026.10519","DOIUrl":"10.1017/ice.2026.10519","url":null,"abstract":"Genomic surveillance detects healthcare-associated outbreaks that are often missed by traditional methods, offering substantial benefits for infection prevention. However, its use introduces complex ethical questions regarding patient notification and disparities in outbreak detection between institutions with and without genomic capabilities. In this commentary, we apply the Centers for Disease Control and Prevention's 2020 ethical considerations regarding patient notification and the Ethical Infection Prevention and Control (EIPAC) framework to two hypothetical scenarios involving genomic surveillance programs. We identify ethical justifications for patient notification when both genomic and epidemiologic evidence suggest transmission, as well as considerations militating for and against notification when epidemiologic evidence supporting genomic findings is absent. Our analysis, informed by qualitative research reporting the types of harm experienced by patients across detected and undetected outbreaks, includes a matrix illustrating physical, psychological, and ethical harms associated with different detection and disclosure conditions. We also discuss ethical concerns arising from institutional disparities in genomic capability such that patients in hospitals without genomic surveillance may suffer preventable harm and remain uninformed due to lack of detection. We recognize that hospitals adopting genomic surveillance face new ethical duties to disclose transmission events, while those that do not engage in such surveillance risk perpetuating inequities in patient safety and transparency. We argue that national guidance is needed to ensure consistency in notification and promote ethical use of genomics. Coordinated frameworks from professional societies should define genetic thresholds warranting disclosure, address disparities in pathogen genomic detection methods, and uphold patient trust in the genomic era.","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"973-978"},"PeriodicalIF":2.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669400","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

Evaluating feedback interventions to improve healthcare worker hand hygiene adherence using an automated hand hygiene monitoring system. 使用自动手卫生监测系统评估反馈干预措施以提高卫生工作者的手卫生依从性。

IF 2.6 4区医学

Infection Control and Hospital Epidemiology Pub Date : 2026-10-01 Epub Date: 2026-08-26 DOI: 10.1017/ice.2026.10513

James P Steinberg, Ashley A Tippett, Victoria L Walsh, Puja Y Shah, Kirk A Easley, Neeta V Shenvi, John M Boyce, Radhika Prakash-Asrani, Jesse T Jacob

{"title":"Evaluating feedback interventions to improve healthcare worker hand hygiene adherence using an automated hand hygiene monitoring system.","authors":"James P Steinberg, Ashley A Tippett, Victoria L Walsh, Puja Y Shah, Kirk A Easley, Neeta V Shenvi, John M Boyce, Radhika Prakash-Asrani, Jesse T Jacob","doi":"10.1017/ice.2026.10513","DOIUrl":"10.1017/ice.2026.10513","url":null,"abstract":"Background: Automated hand hygiene monitoring systems (AHHMSs) can monitor a large number of hand hygiene opportunities, and some provide real-time feedback; however, the impact of these systems is unclear. We sought to better understand how one of these systems improves hand hygiene adherence.Methods: The AHHMS was installed in seven units of an urban teaching hospital, and healthcare workers, primarily nurses and nurse technicians, were enrolled. We used a prospective observational cohort design with multiple interventions, including providing individual adherence rates and real-time voice reminders, to understand how these interventions improve hand hygiene adherence.Results: Over the 40-week study period, 744,769 hand hygiene observations were observed among the 346 participants. The overall hand hygiene adherence rate increased from 37.0% (95% CI: 34.3% to 39.9%) at the start of the study to 55.5% (95% CI: 51.6% to 59.6%). This increase of 18.5% was statistically significant. However, adherence varied widely among different units and between individual participants. Voice reminders (58.7% (95% CI: 55.9% to 61.6%)) led to a significantly higher hand hygiene adherence rate than weekly individual feedback (46.4% (95%: 42.2% to 51.0%)) after adjusting for work shift and the seven individual participating clinical units. With the combination of interventions, improved adjusted adherence rates were sustained until the end of the study period.Conclusions: After the introduction of the AHHMS, real-time voice reminders improved short-term hand hygiene adherence more than feedback of individual adherence rates. Multiple interventions and cultural changes are required to sustain improved adherence.","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1032-1038"},"PeriodicalIF":2.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148818254","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

A call to action for healthcare epidemiologists and stewards: promoting a transition to transperineal prostate biopsies. 呼吁卫生保健流行病学家和管理人员采取行动：促进过渡到经会阴前列腺活检。

IF 2.6 4区医学

Infection Control and Hospital Epidemiology Pub Date : 2026-09-29 DOI: 10.1017/ice.2026.10551

Lou Ann Bruno-Murtha, Maria Ordonez

引用次数: 0

The changing epidemiology of outbreaks due to Ralstonia spp.: contamination of commercially manufactured injectables and solutions. 由拉尔斯顿菌引起的疫情流行病学的变化：商业生产的注射剂和溶液的污染。

IF 2.6 4区医学

Infection Control and Hospital Epidemiology Pub Date : 2026-09-28 DOI: 10.1017/ice.2026.10517

Conrad Izydorczyk, Allison McGeer

引用次数: 0

Negotiation skills and conflict resolution as core competencies for infection prevention and antimicrobial stewardship practitioners: a call to action. 谈判技巧和解决冲突是感染预防和抗微生物药物管理从业人员的核心能力：行动呼吁。

IF 2.6 4区医学

Infection Control and Hospital Epidemiology Pub Date : 2026-09-28 DOI: 10.1017/ice.2026.10547

Anup Warrier, Nimitha Mohan

引用次数: 0

Assessing feasibility of real‑world respiratory virus syndromic surveillance in nursing homes using point‑of‑care molecular testing. 评估使用护理点分子检测在疗养院进行真实世界呼吸道病毒综合征监测的可行性。

IF 2.6 4区医学

Infection Control and Hospital Epidemiology Pub Date : 2026-09-25 DOI: 10.1017/ice.2026.10506

Lisa F Han, Ivis Perez, Kevin W McConeghy, David H Canaday, Elizabeth A Sillman, Clare Nugent, Tiffany Wallace, Laurel Holland, Evan Dickerson, Olajide Olagunju, Debbie Keresztesy, Yasin Abul, Stefan Gravenstein, H Edward Davidson

引用次数: 0