Journal of Infection Prevention最新文献

{"title":"A retrospective evaluation of a health provider electronic health record reminder system to reduce urinary tract infections through enhanced barrier precautions in a skilled nursing facility.","authors":"Jessica Loring, Anne Derouin, Staci Reynolds","doi":"10.1177/17571774261440765","DOIUrl":"https://doi.org/10.1177/17571774261440765","url":null,"abstract":"<p><strong>Background: </strong>Urinary tract infections (UTIs) caused by multidrug-resistant organisms (MDROs) are a significant concern in skilled nursing facilities (SNFs). Despite the effectiveness of enhanced barrier precautions (EBP) in preventing MDRO transmission, their implementation is often inconsistent in SNFs.</p><p><strong>Methods: </strong>For this quality improvement initiative, an electronic health record (EHR) reminder system was implemented, along with staff education and regular audits, to increase compliance with EBP practices.</p><p><strong>Results: </strong>MDRO-associated UTIs significantly decreased from 41.49% to 9.36% (<i>p</i> < 0.0001). Nurse compliance with EBP throughout the intervention period ranged from 91.94 to 99.38%.</p><p><strong>Conclusions: </strong>Findings highlight the effectiveness of a multifaceted infection prevention approach, emphasizing the importance of combining technology, staff training, and regular audits to improve infection control practices.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774261440765"},"PeriodicalIF":1.0,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13109253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bare-below-the-elbow based hand hygiene intervention to improve compliance among allied healthcare professionals and students.","authors":"Vijaya C Doddangoudar, Chaithra Kanishan, Stelyna Joylin, Krishna Kumar Dharman, Asmitha G Nayak","doi":"10.1177/17571774261440776","DOIUrl":"10.1177/17571774261440776","url":null,"abstract":"<p><p><b>Introduction:</b> Nosocomial infections are known to cause poor clinical outcomes. Hand hygiene is recognised as an effective tool in controlling infections. However, poor hand hygiene practice is evident worldwide. Thus, this work aimed to determine the effect of hand hygiene intervention on bare-below-the-elbow, before and after the use of mobile communication devices among allied healthcare professionals and students. <b>Methods:</b> Data was collected in four stages; stage-I was to verify the existence of protocols for hand hygiene. Stage-II was a pre-intervention blind-field observation to determine the compliance rate. Stage-III involved the administration of interventions and stage-IV was based on post-intervention observation to determine the effect of the intervention. The intervention was delivered using scientific literature on hand hygiene and supplemented with a manual demonstration of the same by an infection control nurse. The obtained data was analysed by Kendall rank coefficient test. <b>Results:</b> The compliance rate was found to be 22.0% and 53.0% in the pre- and post-intervention stage respectively, indicating significant improvement in the hand hygiene practices. <b>Discussion:</b> This study advocates active participation of the infection control team and suggests the need of periodic interventions on appropriate hand hygiene, particularly to internship students to sustain the hand hygiene practices and control the spread of nosocomial pathogens.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774261440776"},"PeriodicalIF":1.0,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13061832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147674299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of nurses' knowledge and practices in healthcare-associated infections management following clinical pharmacist-led training in a Romanian clinical hospital using a questionnaire.","authors":"Sándor Szabó, Adina Popa, Andra Diana Coman, Cecilia Cristea","doi":"10.1177/17571774261440771","DOIUrl":"10.1177/17571774261440771","url":null,"abstract":"<p><strong>Background: </strong>Romania has one of the highest rates of healthcare-associated infections (HAIs) in Europe. Nurses need strong theoretical and practical knowledge to manage HAIs effectively since they have direct contact with patients.</p><p><strong>Objective: </strong>To evaluate post-intervention differences in nurses' theoretical knowledge and practical skills in HAIs management following clinical pharmacist-led training, a newly developed questionnaire was applied.</p><p><strong>Methods: </strong>We conducted a quasi-experimental, non-randomised study with a test and a control group. A structured 17-item questionnaire was developed and delivered via Microsoft Forms. Participants comprised nurses from the study hospital (test; <i>n</i> = 66) and a similar setting outside the hospital (control; <i>n</i> = 102). The test group completed the questionnaire twice, first after a face-to-face training provided by a clinical pharmacist, and second at 4 weeks. The control group received no training and completed the same questionnaire once. We explored preliminary content and structural validity, internal consistency, and short-term post-intervention stability.</p><p><strong>Results: </strong>A total of 168 nurses completed the questionnaire: 66 in the test group and 102 in the control group. Practical skills scores were higher in the test group (M = 4.73, SD = 0.42) compared with the control group (M = 4.16, SD = 0.88), F (1,126) = 5.20, <i>p</i> = .02. Psychometric evaluation provided preliminary evidence of acceptable validity and internal consistency of the questionnaire.</p><p><strong>Discussion: </strong>The observed post-intervention differences suggest that participation in the training was associated with higher practical skills scores. Limitations include the non-randomised design and self-report measures; future work should assess long-term retention beyond 4 weeks.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774261440771"},"PeriodicalIF":1.0,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147608986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diary.","authors":"","doi":"10.1177/17571774261427114","DOIUrl":"https://doi.org/10.1177/17571774261427114","url":null,"abstract":"","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"27 2","pages":"101-102"},"PeriodicalIF":1.0,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13009851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147512676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of bundle for prevention of infiltration in peripheral intravenous catheters in hospitalized children: A scoping review.","authors":"Amanda Nívea Lopes da Silva, Luciano Maques Dos Santos, Maria Cristina de Camargo, Andréia de Santana Souza, Sarah Deily De Oliveira Souza Santos, Patrícia Kuerten Rocha, Bianka Sousa Martins Silva","doi":"10.1177/17571774261422612","DOIUrl":"10.1177/17571774261422612","url":null,"abstract":"<p><strong>Objective: </strong>To map the scientific literature on bundles used to prevent infiltration in short peripheral intravenous catheters (SPIVC) in children.</p><p><strong>Method: </strong>A scoping review based on the Joanna Briggs Institute (JBI) guidelines, with searches conducted in the following databases: PubMed, Embase, LILACS, and Scopus. Eligible studies included those with a quantitative or mixed-methods approach, published in any language, and presenting bundles for the prevention of infiltration in SPIVC in children. Studies were excluded if they did not address bundle components, focused on a different population, involved a different type of intravenous catheter, or were unavailable in full text. Selection was performed independently by two reviewers using Rayyan© software. The study protocol was previously developed and registered in the Open Science Framework (OSF) repository.</p><p><strong>Results: </strong>Four bundles were identified, conducted in countries such as India, Australia, the United States, and Thailand. Study designs included Quality Improvement Projects (QI), prospective pre-post mixed-methods projects, and quasi-experimental prospective studies. All studies were published in English between 2014 and 2021. The number of components in the bundles ranged from 4 to 7 interventions, with \"SPIVC stabilization and dressing\" being the most frequently reported intervention.</p><p><strong>Conclusion: </strong>There is no standardization of the components in the bundles. Therefore, more robust studies are needed to establish standardized interventions.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"27 2","pages":"89-98"},"PeriodicalIF":1.0,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13009973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147512704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vascular access devices and hospital-onset bacteremia beyond CLABSI: An observational cohort study.","authors":"Nicholas Mielke, David Quimby, Theresa Jizba, Danielle B Dilsaver, Marlaena Nooney, Sebastian Respicio, Renuga Vivekanandan","doi":"10.1177/17571774261434725","DOIUrl":"10.1177/17571774261434725","url":null,"abstract":"<p><strong>Background: </strong>Hospital-onset bacteremia (HOB) has emerged as a broader measure of bloodstream infections beyond CLABSI, capturing infections from all vascular access devices (VADs).</p><p><strong>Objective: </strong>To evaluate the relationship between VADs and HOB in hospitalized adults.</p><p><strong>Methods: </strong>We conducted a retrospective observational study of adult patients hospitalized within a 14-hospital system from January 1, 2022, to December 31, 2023. Adult patients with a VAD and blood cultures collected ≥48 hours after admission were included. HOB was defined as a positive blood culture with a non-commensal organism obtained ≥48 hours after admission and initiation of new antimicrobials within ±2 days of the blood culture date. Logistic regression models evaluated associations between VAD type, quantity, and HOB. Multivariable models controlled for age, length of stay, sex, and comorbid cancer.</p><p><strong>Results: </strong>Among 3929 hospitalized adults, 279 (7.1%) developed HOB. Patients with HOB had a higher median number of VADs (5 vs 4, <i>p</i> < .001) and more frequently had central (54.5% vs 39.4%, <i>p</i> < .001) and arterial lines (10.9% vs 5.3%, <i>p</i> = .008). Central lines were associated with higher odds of HOB (aOR: 1.48, 95% CI: 1.15-1.91, <i>p</i> = .003), as were arterial lines (aOR: 1.45, 95% CI: 1.11-1.90, <i>p</i> = .008). Each additional VAD increased odds of HOB (aOR: 1.09, 95% CI: 1.01-1.18, <i>p</i> = .028). HOB was associated with higher in-hospital mortality (27.2% vs 16.0%, <i>p</i> < .001) with an adjusted OR of 1.81 (95% CI: 1.36-2.40, <i>p</i> < .001).</p><p><strong>Conclusions: </strong>The type and number of VADs, particularly central and arterial lines, are associated with increased odds of HOB and higher in-hospital mortality. Infection prevention strategies should focus on minimizing unnecessary VADs and closely monitoring high-risk patients.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774261434725"},"PeriodicalIF":1.0,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12992134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147480726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of an online staff training package for parenteral nutrition administration and occurrence of central line associated bloodstream infections.","authors":"Jane Fletcher, Victoria Williams, Noreena Fitzpatrick, Naomi Rogers, Hardip Malhi, Sheldon C Cooper","doi":"10.1177/17571774261431978","DOIUrl":"10.1177/17571774261431978","url":null,"abstract":"<p><strong>Background: </strong>Parenteral nutrition (PN) is indicated for those with intestinal failure and is often administered via a central line, carrying risk of central line associated bloodstream infection (CLABSI). There is limited evidence regarding the use of an online training package for staff training in the administration of PN.</p><p><strong>Aim: </strong>Evaluate the effectiveness of an online staff training package for PN administration measured by staff feedback and incidence of CLABSI.</p><p><strong>Method: </strong>An online training package was developed using Moodle Workplace. Participants completed a tutorial, an instructional video demonstrating Standard Aseptic Non-Touch Technique (Standard-ANTT®) and an assessment. Feedback was collected anonymously via the Moodle programme and analysed using thematic analysis. CLABSI data were collected during 1/4/2024-31/3/2025. Approval was obtained via the organisation's clinical governance process.</p><p><strong>Results: </strong>Of 192 staff, 31% (<i>n</i> = 60) provided feedback; 75% reported high levels of knowledge improvement. Thematic analysis highlighted strengths of the package, including a clear instructional video and clinical relevance. Participants reported planned changes in practice, including improved hand hygiene, strict adherence to the principles of Standard-ANTT and greater confidence in PN administration. CLABSI rates reduced to 0.8/1000 catheter days compared to 1.6/1000 days in the year prior to the online training packaged.</p><p><strong>Conclusion: </strong>The online staff training package for PN was well received with staff finding it engaging, informative and practical. Course completion led to intended positive behaviour changes in clinical practice reported by participants, particularly regarding infection prevention and Standard-ANTT compliance.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774261431978"},"PeriodicalIF":1.0,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12962986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147377659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mobile phone contamination among hospital staff: Focus on MRSA and ESBL-producing bacteria.","authors":"Rita Ghaleb, Hassan Tarhini, Ghassan Sleilaty, Ghassan Nabbout, Etienne El Melky","doi":"10.1177/17571774261431982","DOIUrl":"10.1177/17571774261431982","url":null,"abstract":"<p><strong>Background: </strong>Mobile phones are indispensable tools in hospital practice but may act as sources for healthcare-associated pathogens. Despite global concern, no prior study in Lebanon had assessed the presence of multidrug-resistant organisms (MDROs) on healthcare workers' phones.</p><p><strong>Methods: </strong>A cross-sectional observational study was conducted in a tertiary university hospital, enrolling 166 participants (125 medical staff and 41 administrative controls). Sterile swabs were collected from all phone surfaces, followed by microbiological analysis for meticillin-resistant Staphylococcus aureus (MRSA) and extended-spectrum β-lactamase (ESBL)-producing Enterobacteriaceae. Participants also completed a behavioral questionnaire assessing hygiene practices.</p><p><strong>Results: </strong>The study detected universal contamination of mobile phones (100%). Two MDROs were isolated: one MRSA and one ESBL-producing Enterobacter cloacae, representing an overall prevalence of 1.2% (1.6% among medical staff). Risk behaviors were widespread: 85.6% of clinicians reported using phones in patients' presence, 34.4% interrupted clinical exams to answer calls, and only 9.6% disinfected hands afterward. Moreover, 60.8% had never disinfected their devices. The mean behavioral risk score was 5.16, significantly higher among interns (5.34) and residents (5.65) compared with administrative staff (4.39) (ANOVA, p = .01), suggesting lower risk with increasing clinical seniority.</p><p><strong>Conclusion: </strong>Our findings confirm universal contamination of mobile phones among hospital staff, with detection of MRSA and ESBL-producing bacteria among young pediatric clinicians. Although MDRO prevalence was low, high-risk behaviors were frequent, underscoring the need to reinforce basic infection prevention measures through targeted staff education. Hand hygiene continues to be the most effective strategy to limit pathogen transmission. Regular mobile phone disinfection remains a complementary measure.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774261431982"},"PeriodicalIF":1.0,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12960263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147377657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing the incidence of <i>Clostridioides difficile</i> infection through educational and antimicrobial stewardship interventions.","authors":"Hiroki Nagaoka, Yuma Morita, Tomonori Ohya, Kazuo Takahashi, Junya Sato, Koyuru Nishio, Momoyo Miyata, Saori Iwashita, Yuta Arai, Shuntaro Kiuchi, Hiroaki Ozone, Tetsuya Matsumoto","doi":"10.1177/17571774261422616","DOIUrl":"10.1177/17571774261422616","url":null,"abstract":"<p><strong>Background: </strong><i>Clostridioides difficile</i> infection (CDI) is highly contagious, characterized by a high recurrence rate, and poses a significant challenge in hospital infection control and healthcare economics.</p><p><strong>Objective: </strong>This study aimed to investigate the impact of educational and antimicrobial stewardship interventions targeting healthcare workers on the incidence of CDI, treatment prescription patterns, and healthcare costs.</p><p><strong>Methods: </strong>This retrospective, observational study was conducted in a single acute-care hospital. Educational and antimicrobial stewardship interventions aimed at improving CDI control and treatment were implemented among healthcare workers. These interventions included hospital-wide training sessions, revision of the Infection Control Manual, dissemination of information to individual wards, and case-specific interventions. The primary outcome was changes in CDI incidence per 10,000 patient-days, comparing the 19-month periods before and after the intervention. The secondary outcomes included changes in CDI treatment prescription rates and an economic evaluation of drug costs, hospitalization fees, and infection control-related expenses between the two periods.</p><p><strong>Results: </strong>A total of 75 developed CDI in the pre-intervention period and 40 developed in the post-intervention period. The CDI incidence decreased from 4.148 to 2.103 per 10,000 patient-days, representing a 49% reduction. Additionally, the prescription rate of metronidazole decreased, whereas that of fidaxomicin increased. Although drug costs increased, the total monthly healthcare expenditures, including hospitalization expenses, decreased by 55%.</p><p><strong>Discussion: </strong>Educational and antimicrobial stewardship interventions targeting healthcare workers effectively reduced CDI incidence and improved cost-effectiveness in hospital care.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774261422616"},"PeriodicalIF":1.0,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12872415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146142562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary on \"Infection prevention and control in Swedish nursing homes for older adults before and after the COVID-19 pandemic\".","authors":"Indu Singh, Arvind Kumar, Nivedita Nikhil Desai, Jeffrin Reneus Paul","doi":"10.1177/17571774261422578","DOIUrl":"10.1177/17571774261422578","url":null,"abstract":"","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774261422578"},"PeriodicalIF":1.0,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12867710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146125369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}