Infection Control and Hospital Epidemiology最新文献

{"title":"The adoption and compliance to central line-associated bloodstream infection insertion and maintenance bundle programs in intensive care unit settings across Canada.","authors":"Zhi Lin Zhou, Anada Silva, Kristine Cannon, Blanda Chow, Jeannette L Comeau, Chelsey Ellis, Charles Frenette, Amir Hadzic, Jennifer Happe, Lynn Johnston, Kevin C Katz, Jamal Khan, Joanne M Langley, Bonita E Lee, Santina Lee, Marie-Astrid Lefebvre, Cassandra Lybeck, Allison McGeer, Andrew Neitzel, Jennifer Parsonage, Connie Patterson, Caroline Quach, Michelle Science, Stephanie W Smith, Nisha Thampi, Reena Titoria, Jen Tomlinson, Joseph Vayalumkal, Kathryn N Suh, Jocelyn A Srigley","doi":"10.1017/ice.2024.189","DOIUrl":"10.1017/ice.2024.189","url":null,"abstract":"<p><p>Evidence-based insertion and maintenance bundles are effective in reducing the incidence of central line-associated bloodstream infections (CLABSI) in intensive care unit (ICU) settings. We studied the adoption and compliance of CLABSI prevention bundle programs and CLABSI rates in ICUs in a large network of acute care hospitals across Canada.</p>","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1-4"},"PeriodicalIF":3.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11790321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853831","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":"In vitro assessment of effect of initial specimen diversion device on detection of central venous catheter contamination or colonization.","authors":"Mark E Rupp, Paul D Fey, Elizabeth Lyden, Luke Handke","doi":"10.1017/ice.2024.220","DOIUrl":"10.1017/ice.2024.220","url":null,"abstract":"<p><p>The role of initial specimen diversion devices (ISDDs) in preventing contamination of central venous catheter (CVC) blood cultures is undefined. A model to simulate CVC colonization and contamination compared standard cultures with ISDD technique. ISDD detected 100% of colonized CVCs while decreasing false-positive cultures from 36% to 16%.</p>","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1-4"},"PeriodicalIF":3.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11790329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853822","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":"Impact of daily prompt to vaccinate inpatients awaiting rehabilitation against SARS-CoV-2 and influenza.","authors":"Amber Linkenheld, Victoria R Williams, Karen Chan, Helene Carating, Romina Marchesano, Jennifer Do, Sherri Sullivan, Danette Beechinor, William K Silverstein, Jerome A Leis","doi":"10.1017/ice.2024.221","DOIUrl":"10.1017/ice.2024.221","url":null,"abstract":"<p><p>A daily prompt to offer vaccination to inpatients awaiting transfer to rehabilitation resulted in increased SARS-CoV-2 (OR 5.64, 95% CI 3.3-10.15; <i>P</i> < 0.001) and influenza (OR 3.80, 95% CI 2.45-6.06; <i>P</i> < 0.001) vaccination. Compared to baseline, this intervention was associated with reduced incidence of viral respiratory infection during subsequent admission to rehabilitation.</p>","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1-3"},"PeriodicalIF":3.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11790323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853813","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":"Validation and generalizability of an asymptomatic bacteriuria metric in critical access hospitals.","authors":"Hannah Imlay, Claire E Ciarkowski, Chloe Bryson-Cahn, Jeannie D Chan, Whitney P Hartlage, Adam L Hersh, John B Lynch, Natalia Martinez-Paz, Emily S Spivak, Hannah Hardin, Andrea T White, Chaorong Wu, Zahra Kassamali Escobar, Valerie M Vaughn","doi":"10.1017/ice.2024.206","DOIUrl":"10.1017/ice.2024.206","url":null,"abstract":"<p><strong>Objective: </strong>Inappropriate diagnosis and treatment of urinary tract infections (UTIs) contribute to antibiotic overuse. The Inappropriate Diagnosis of UTI (ID-UTI) measure uses a standard definition of asymptomatic bacteriuria (ASB) and was validated in large hospitals. Critical access hospitals (CAHs) have different resources which may make ASB stewardship challenging. To address this inequity, we adapted the ID-UTI metric for use in CAHs and assessed the adapted measure's feasibility, validity, and reliability.</p><p><strong>Design: </strong>Retrospective observational study.</p><p><strong>Participants: </strong>10 CAHs.</p><p><strong>Methods: </strong>From October 2022 to July 2023, CAHs submitted clinical information for adults admitted or discharged from the emergency department who received antibiotics for a positive urine culture. Feasibility of case submission was assessed as the number of CAHs achieving the goal of 59 cases. Validity (sensitivity/specificity) and reliability of the ID-UTI definition were assessed by dual-physician review of a random sample of submitted cases.</p><p><strong>Results: </strong>Among 10 CAHs able to participate throughout the study period, only 40% (4/10) submitted >59 cases (goal); an additional 3 submitted >35 cases (secondary goal). Per the ID-UTI metric, 28% (16/58) of cases were ASB. Compared to physician review, the ID-UTI metric had 100% specificity (ie all cases called ASB were ASB on clinical review) but poor sensitivity (48.5%; ie did not identify all ASB cases). Measure reliability was high (93% [54/58] agreement).</p><p><strong>Conclusions: </strong>Similar to measure performance in non-CAHs, the ID-UTI measure had high reliability and specificity-all cases identified as ASB were considered ASB-but poor sensitivity. Though feasible for a subset of CAHs, barriers remain.</p>","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1-6"},"PeriodicalIF":3.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11790320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828460","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":"Electronic evaluation of infection risk from room environment and prior room occupants: the transmission from room environment events (TREE) measure.","authors":"Clare Rock, Yea-Jen Hsu, Aaron M Milstone, Alejandra B Salinas, Lisa Maragakis, Nathan Kwon, Sara E Cosgrove, Patricia J Simner, Zunaira Virk, Abigail H Vorsteg, Eili Klein","doi":"10.1017/ice.2024.194","DOIUrl":"10.1017/ice.2024.194","url":null,"abstract":"<p><p>Over a 2-year period, we identified Transmission from Room Environment Events (TREE) across the Johns Hopkins Health System, where the subsequent room occupant developed the same organism with the same antimicrobial susceptibilities as the patient who had previously occupied that room. Overall, the TREE rate was 50/100,000 inpatient days.</p>","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1-4"},"PeriodicalIF":3.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11790327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813009","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":"Letter to the editor: enhancing healthcare-associated infection reporting in Canada.","authors":"Virginie Boulanger, Sonia Shiels, Anne Bialachowski, Anne MacLaurin, Caroline Quach","doi":"10.1017/ice.2024.201","DOIUrl":"10.1017/ice.2024.201","url":null,"abstract":"","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1-2"},"PeriodicalIF":3.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11790322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813013","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":"A head-to-head comparison of the accuracy of commercially available large language models for infection prevention and control inquiries, 2024.","authors":"Oluchi J Abosi, Takaaki Kobayashi, Natalie Ross, Alexandra Trannel, Guillermo Rodriguez Nava, Jorge L Salinas, Karen Brust","doi":"10.1017/ice.2024.205","DOIUrl":"10.1017/ice.2024.205","url":null,"abstract":"<p><p>We investigated the accuracy and completeness of four large language model (LLM) artificial intelligence tools. Most LLMs provided acceptable answers to commonly asked infection prevention questions (accuracy 98.9%, completeness 94.6%). The use of LLMs to supplement infection prevention consults should be further explored.</p>","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1-3"},"PeriodicalIF":3.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11883648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813007","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":"Highly pathogenic avian influenza: considerations for healthcare settings.","authors":"Lauren Epstein, Shira Doron","doi":"10.1017/ice.2024.193","DOIUrl":"https://doi.org/10.1017/ice.2024.193","url":null,"abstract":"<p><p>In this manuscript, we discuss a systematic approach that healthcare facilities can adopt to prepare to identify, confirm, and safely manage highly pathogenic avian influenza in the healthcare setting.</p>","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1-5"},"PeriodicalIF":3.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780087","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}

{"title":"Respiratory equality: let's stop playing favorites with COVID-19 in the healthcare setting.","authors":"Catherine L Passaretti, Werner Bischoff, Justin Chan, Daniel J Diekema, Shira Doron, Carolee Estelle, Jesse T Jacob, Tsun Sheng N Ku, Surbhi Leekha, Richard A Martinello, Vidya K Mony, L Silvia Munoz-Price, Rekha Murthy, Judith A O'Donnell, David H Priest, Mindy M Sampson, Thomas J Sandora, Graham M Snyder, Michael P Stevens, Julie E Szymczak, Francesca Torriani, Deborah S Yokoe, Jonas Marschall","doi":"10.1017/ice.2024.197","DOIUrl":"https://doi.org/10.1017/ice.2024.197","url":null,"abstract":"","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1-2"},"PeriodicalIF":3.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142768506","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}

{"title":"Analysis of diagnostic criteria for ECMO-associated pneumonia.","authors":"Julie England, Rachael Lee, Tammy Marshall, Rongbing Xie, Peggy Blood, Keith Wille, Enrique Gongora, Anoma Nellore, James K Kirklin, Jeremey Walker","doi":"10.1017/ice.2024.181","DOIUrl":"10.1017/ice.2024.181","url":null,"abstract":"<p><p>Ventilator-associated pneumonia (VAP) is a well-established cause of morbidity in critically ill patients. Current VAP criteria exclude patients on extracorporeal membrane oxygenation (ECMO). This retrospective analysis tests the validity of VAP in this population, as well as a new proposed diagnostic criterion for ECMO-associated pneumonia.</p>","PeriodicalId":13663,"journal":{"name":"Infection Control and Hospital Epidemiology","volume":" ","pages":"1-3"},"PeriodicalIF":3.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11717475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142768580","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}