{"title":"COVID-19: a time to focus on nurses, hand hygiene and infection prevention and control","authors":"N. Lotfinejad, A. Peters, D. Pittet","doi":"10.3396/ijic.v16i1.001.20","DOIUrl":"https://doi.org/10.3396/ijic.v16i1.001.20","url":null,"abstract":"Corresponding Author Professor Didier Pittet, Infection Control Programme and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, 4 Rue Gabrielle-Perret-Gentil, 1211 Geneva 14, Switzerland. Tel: +41 22 372 9828 /+41 22 372 9833 (direct); E-mail: Didier.pittet@hcuge.ch Abstract With the global concern of the 2019 novel coronavirus (COVID-19), infection prevention and control (IPC) is increasingly perceived as a major contributor to achieve a highly effective response to the outbreak and to prevent or limit transmission in healthcare settings. Improving health results is highly reliant on well-trained nurses especially during unexpected infectious disease outbreaks. The World Health Organization (WHO) promotes hand hygiene, which is the cornerstone of infection prevention, through its annual global campaign on 5 May every year. The 2020 campaign targets nurses and midwives with the overall theme “Nurses and Midwives: CLEAN CARE is in YOUR HANDS”.","PeriodicalId":13991,"journal":{"name":"International Journal of Infection Control","volume":"2008 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86239764","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}
{"title":"Abstracts of the 20th Congress of the International Federation of Infection Control (IFIC2020)","authors":"V. Authors","doi":"10.3396/ijic.v16supp.1.2020","DOIUrl":"https://doi.org/10.3396/ijic.v16supp.1.2020","url":null,"abstract":"This Supplement contains abstracts for the 20th Congress of the International Federation of Infection Control, Belgrade, Serbia, March 11-14, 2020. Despite the cancellation of the Congress due to the COVID-19 pandemic, the conference organizers and IJIC recognize those presenters whose research was to be presented and are pleased to publish their abstracts","PeriodicalId":13991,"journal":{"name":"International Journal of Infection Control","volume":"67 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80255174","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}
Melina E. Martínez-Barrera, Jaime Amadeo Bustos Martínez, L. Sánchez-Pérez, Aida Hamdan-Partida, A. Acosta-Gio
{"title":"Sub-lethal exposure to cold atmospheric plasma in vitro induces changes in bacterial antibiotic resistance profiles. A pilot study.","authors":"Melina E. Martínez-Barrera, Jaime Amadeo Bustos Martínez, L. Sánchez-Pérez, Aida Hamdan-Partida, A. Acosta-Gio","doi":"10.3396/ijic.v16i1.004.20","DOIUrl":"https://doi.org/10.3396/ijic.v16i1.004.20","url":null,"abstract":"To evaluate the effect of sub-lethal exposure to cold atmospheric plasma (CAP) on their antibiotic resistance, Methicillin Resistant Staphylococcus aureus, S. epidermidis, Pseudomonas aeruginosa, Escherichia coli, Streptococcus mutans, and Candida albicans were exposed in vitro to a commercially available CAP. This antimicrobial CAP inhibited growth but changed survivors’ antibiotic resistance.","PeriodicalId":13991,"journal":{"name":"International Journal of Infection Control","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90475003","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}
{"title":"Improving the patient journey through a risk assessment approach for ESBL-E","authors":"R. Barratt, J. Munro","doi":"10.3396/ijic.v16i1.005.20","DOIUrl":"https://doi.org/10.3396/ijic.v16i1.005.20","url":null,"abstract":"The increase in multidrug resistant organisms (MDRO), including Extended-spectrum beta-lactamase producing Enterobacteriaceae (ESBL-E), presents a challenge for infection prevention and control (IPC) teams to find adequate isolation facilities. Not all ESBL-E positive patients may present a risk for ongoing transmission and require isolation. Reducing unnecessary isolation can help with patient flow and reduce adverse events associated with isolation precautions. \u0000 \u0000The Canterbury District Health Board IPC team aimed to improve the bed management and patient journey for ESBL-E colonised/infected patients through the introduction of a risk-assessment approach for deciding the IPC and isolation requirements for these patients. Hospital policy and procedures were revised to include a process for categorising patients according to their individual risk factors for transmission of ESBL-E. Each category requires a specific set of IPC measures. To facilitate the new policy, a colour assessment tool in the form of a poster was developed as a quick reference for staff. \u0000 \u0000The new policy and poster were introduced across all hospital sites over several months. Several single rooms a day were freed up which facilitated overall bed management and patient flow. Patients with a low risk of transmission of ESBL-E benefited from a potential better journey of care. Furthermore, IPC surveillance reports did not demonstrate any increase in nosocomial ESBL-E cases. \u0000 \u0000Implementing a risk assessment for the placement and care of ESBL-E patients can have a positive outcome for patients, families, staff and bed managers, while mitigating the risk of transmission of antimicrobial resistance.","PeriodicalId":13991,"journal":{"name":"International Journal of Infection Control","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81501489","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}
M. Ohno, Y. Shimada, M. Satoh, Daisuke Endoh, A. Amano, S. Hori
{"title":"Investigation of the economic impact of surgical site infection development in cardiovascular surgeries on the prospective payment system in Japan","authors":"M. Ohno, Y. Shimada, M. Satoh, Daisuke Endoh, A. Amano, S. Hori","doi":"10.3396/ijic.v16i1.006.20","DOIUrl":"https://doi.org/10.3396/ijic.v16i1.006.20","url":null,"abstract":"The purpose of this study was to evaluate the economic burden of surgical site infections (SSIs) that are included in the category of clean operation in the field of cardiovascular surgery. \u0000 \u0000In total, 2,583 patients who underwent cardiac surgeries at Juntendo University Hospital in Japan between April 2008 and March 2018 were investigated. Among them, 9 SSI cases were individually matched to non-SSI cases based on a combination of age group (in 5-year increments), gender, timing of hospitalization (in 2-year intervals), National Healthcare Safety Network (NHSN) Risk Index, main disease category, and length of stay (LOS) prior to surgery (with the difference of ≤2 days). SSI and non-SSI cases were compared in terms of median LOS and piecework reference cost (PRC). \u0000 \u0000The median LOS was 30 days for SSI cases and 19 days for non-SSI cases (p","PeriodicalId":13991,"journal":{"name":"International Journal of Infection Control","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79501834","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}
Vanessa L Sparke, Jason Diau, D. MacLaren, Caryn West
{"title":"Solutions to Infection Prevention and Control challenges in developing countries, do they exist?","authors":"Vanessa L Sparke, Jason Diau, D. MacLaren, Caryn West","doi":"10.3396/ijic.v16i1.007.20","DOIUrl":"https://doi.org/10.3396/ijic.v16i1.007.20","url":null,"abstract":"Implementing sustainable infection prevention and control (IP&C) programs in developing countries is challenging. Many developing countries experience high burdens of disease and political instability. In addition, they are affected by geographical and climatic challenges, and have unique social, cultural and spiritual beliefs, all of which contribute to a higher prevalence of healthcare associated infections. The aim of this integrative review is to identify existing solutions to the challenges faced by developing countries when implementing IP&C programs. An extensive literature review was conducted to explore improvements in infection control in rural hospitals in developing countries. Three electronic databases were searched for relevant articles written between 1980 and 2018, published in peer reviewed English language journals, and relating to hospitals, not community settings. The findings indicate that developing countries continue to face many challenges in implementing IP&C programs. Limited success has been described with some IP&C program components but it is clear that little original research on the topic exists. Notably scarce are studies on the influences that culture, religious and spiritual beliefs have on IP&C program implementation. This review highlights opportunities for further research into healthcare workers perceptions of disease causation and infection transmission, and the role this plays in the effective implementation of an IP&C program. By exploring these opportunities appropriate and culturally sensitive solutions may be identified, which can assist with the design and implementation of culturally relevant IP&C programs in these settings.","PeriodicalId":13991,"journal":{"name":"International Journal of Infection Control","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89287807","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}
{"title":"Sharps injuries among health care workers in Al Ahsa region, Saudi Arabia","authors":"H. A. Shaikh, Maher Mohammad Al Mahdi, B. Naik","doi":"10.3396/ijic.v15i4.017.19","DOIUrl":"https://doi.org/10.3396/ijic.v15i4.017.19","url":null,"abstract":"Data on needle stick injuries and other sharps injuries were collected and analysed for a period of three years from 2016 to 2018 to see the probable risk factors including, for example, type of device, location of injuries, work site, and job category. Nurses were found to be more prone for injuries, with hollow bore needles reported as the most common device involved. Housekeepers formed a major portion of staff with reported injuries and with source unknown. There are gaps in collecting data and quality of data. Focused training for high risk categories, with customized materials suitable to the staff, are recommended to prevent the injuries. \u0000 \u0000Keywords: \u0000Sharps, Needle stick injuries, NSIs, HCWs, Housekeepers","PeriodicalId":13991,"journal":{"name":"International Journal of Infection Control","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83719873","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}
{"title":"A comparative study of practicing cross-infection control of dental prostheses and implant components among prosthodontists and dental technicians in Qassim province, Saudi Arabia","authors":"N. A. Sedky","doi":"10.3396/ijic.v15i4.016.19","DOIUrl":"https://doi.org/10.3396/ijic.v15i4.016.19","url":null,"abstract":"The objectives were to compare the performance of infection control practices among prosthodontists and dental technicians in Al-Qassim Province, Kingdom of Saudi Arabia with regard to dental prostheses, impression copings, implant analogs and customized implant abutments (implant components). Self-administered questionnaires were submitted to 48 prosthodontists and 46 laboratory technicians in three cities. The questionnaires consisted of 19 questions for prosthodontists and 21 questions for laboratory technicians. All questionnaires were reviewed in situ to make sure they were fulfilled completely. \u0000A statistically significant difference was found between participants regarding receiving refresher infection control courses, while there was no statistical difference concerning disinfection protocols as well as communication regarding disinfection of prosthesis. For disinfection of different types of prosthesis before sending to lab/clinic, higher percentage of dentists applied this procedure (42.55% and 40.43%) compared to technicians (17.02% and 18.09%), while disinfection after return was higher among technicians (43.62% and 46.81%). Concerning implant components, dentists registered a low percentage for disinfection/sterilization of sent and returned items (13.83% and 7.45%), whereas 46.81% of technicians disinfect/sterilize implant components upon return from clinic. \u0000In conclusion, there was shortage of appropriate practice of infection control procedures in prosthodontic clinics and labs regarding the disinfection of dental prostheses as well as the disinfection/sterilization of implant components upon sent/returned to the dental lab/clinic.","PeriodicalId":13991,"journal":{"name":"International Journal of Infection Control","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81084183","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}
{"title":"Factors influencing hand hygiene compliance of healthcare students","authors":"S. Elsafi, Shahad Y Al-Howti","doi":"10.3396/ijic.v15i4.015.19","DOIUrl":"https://doi.org/10.3396/ijic.v15i4.015.19","url":null,"abstract":"Hand hygiene is the most effective way to control healthcare-associated infections. The aim of this study is to measure the hand hygiene awareness and practices in relation to various variables among the healthcare students. A structured validated questionnaire was completed by the participants to assess their awareness and compliance with hand hygiene. The average knowledge score of 500 students was 6.24/10 with a significant difference between various departments (p = 0.001). Knowledge significantly increased by advanced years of study. The average attitude and practice scores were 6.96 and 5.13, respectively with significant differences only in practice between various departments but not within other variables. Despite an overall good knowledge and attitude, the compliance of hand hygiene was generally poor. These findings suggested that other factors than knowledge and attitude might play a role in compliance. Although there appears to be a direct correlation with knowledge and year of study (Correlation coefficient r = 0.96) a weaker correlation value was detected with attitude (r = 0.02). Conversely, we detected a negative correlation between compliance with hand hygiene and the year of study (r = -0.55). In contrast to many other studies, no gender difference in attitude and practice in this study.","PeriodicalId":13991,"journal":{"name":"International Journal of Infection Control","volume":"121 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77613099","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}
{"title":"The development and effect of the education program on hand hygiene and use of personal protective equipment: A randomized controlled study","authors":"Eun-gyeong Kim, I. Jeong","doi":"10.3396/ijic.v15i4.014.19","DOIUrl":"https://doi.org/10.3396/ijic.v15i4.014.19","url":null,"abstract":"This study aimed to evaluate the effect of an education program on the accuracy of performance of hand hygiene (HH) and the use of personal protective equipment (PPE) over time. This randomized controlled pretest–posttest study was performed with 34 experimental and 34 control group participants in the Western Development Region of Nepal. The intervention was a three hours education program on how to perform HH and use PPE, using multifaceted methods such as watching a movie, demonstration, practice, and peer feedback. The accuracy of HH and PPE use was measured three times with an observation checklist and was analyzed with a repeated measures ANOVA. The experimental group showed higher increase in accuracy of HH (F = 40.78, p < 0.001), putting on PPE (F = 112.75, p < 0.001), and taking off PPE (F = 34.72, p < 0.001) than the control group. As the education program had positive effects on the accuracy of HH and PPE use among nurses in Nepal, we suggest that the program be widely applied to healthcare workers in Nepal. Considering the decrease in the effect of the program on proper HH and PPE over time, it is recommended to provide re-education on HH and PPE at least three months and one month later, respectively.","PeriodicalId":13991,"journal":{"name":"International Journal of Infection Control","volume":"26 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77383773","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}