{"title":"Can ward rounds be used by infection prevention control teams to deliver education and enhance knowledge to clinical staff.","authors":"Helen Dunn, Paul Blackburn, Elaine Cloutman-Green","doi":"10.1177/17571774251366930","DOIUrl":"https://doi.org/10.1177/17571774251366930","url":null,"abstract":"<p><strong>Background: </strong>Infection Prevention Control (IPC) education is a key aspect of training for all staff as it forms a fundamental aspect of patient safety. The majority of IPC education is carried out in the classroom, by e-learning or through simulation. Different models of education delivery have been evaluated in healthcare outside of IPC with some success, including ward rounds. Therefore, a ward round intervention was utilised using an action research model to evaluate if it was feasible to carry out IPC education in the clinical environment and determine if it improved education opportunities and knowledge for staff.</p><p><strong>Methods: </strong>A mixed methods approach was used to collect qualitative and quantitative data in the form of questionnaires, interventions and reflections using thematic analysis.</p><p><strong>Discussion: </strong>The results suggest that a ward round intervention for IPC education provides opportunities for staff to receive education. It also could contribute to an improved relationship between ward and IPC staff through collaborative working.</p><p><strong>Conclusion: </strong>Whilst this was only a small action research study in one ward with limitations the findings suggest that IPC education can be delivered in the clinical environment and that IPC education delivery is an area that requires more research.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774251366930"},"PeriodicalIF":1.0,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957099","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":"Infection prevention and control blind spots in education and practice: Qualitative insights from healthcare professionals and healthcare students.","authors":"Emma Burnett, Joemol Palatty, Smitha Joesph, Rebecca George, Doreen Mukona, Salimbabu Abdulla, Atika Khalaf","doi":"10.1177/17571774251366943","DOIUrl":"10.1177/17571774251366943","url":null,"abstract":"<p><strong>Background: </strong>Preventing healthcare associated infection has never been so prominent and challenging as it is today across the globe. It is therefore crucial to ensure that healthcare professionals are as prepared for current challenges and future unknowns as much as possible. As equally important are our healthcare professionals of the future.</p><p><strong>Aim: </strong>The aim of this study (part of a wider study) was to explore how higher educational institutions prepare our future healthcare professionals for safe and effective infection prevention and control practice.</p><p><strong>Methods: </strong>This was a qualitative exploratory phase utilizing semi-structured interviews with 18 healthcare students and 10 clinical healthcare professionals to explore the preparedness of undergraduate healthcare students for IPC practice in the UAE.</p><p><strong>Results: </strong>Findings suggest that while some students felt adequately prepared academically, they faced several challenges in clinical practice, such as differences in practice, guidance, and mentorship which impacted their practice. Additionally, the disconnect between HEIs and healthcare professionals around curriculum development exacerbated these challenges.</p><p><strong>Conclusion: </strong>This part of the study phase argues for stronger collaboration between higher education institutions and healthcare settings to better align curriculum with current IPC practices. Addressing the gaps in curriculum development and execution and clinical mentorship is crucial for ensuring that future healthcare professionals are fully equipped to manage infection risks effectively.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774251366943"},"PeriodicalIF":1.0,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12354363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873544","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":"Prevalence of antibiotic resistance in <i>Klebsiella pneumoniae</i> strains in Iranian hospitalized patients: A systematic review and meta-analysis study.","authors":"Maryam Kazemi, Maedeh Arshadi, Moslem Taheri Soodejani","doi":"10.1177/17571774251366966","DOIUrl":"10.1177/17571774251366966","url":null,"abstract":"<p><strong>Background: </strong>Every year, the number of deaths caused by antibiotic-resistant infections continues to rise. It is predicted that by 2050, antibiotic-resistant bacteria will surpass cancer as the leading cause of death.</p><p><strong>Aim: </strong>The aim of this research is to assess the prevalence of antibiotic resistance among <i>Klebsiella pneumoniae</i> strains in hospitalized patients across Iran.</p><p><strong>Methods: </strong>To address this issue, we conducted a thorough search of electronic databases, including PubMed, Scopus, and Web of Science, on March 13, 2023. Using the random-effects meta-analysis model and assessing heterogeneity with Cochran's Q test and I<sup>2</sup> statistic, we estimated the prevalence of antibiotic resistance in <i>Klebsiella pneumoniae</i>. Our analyzes were done by STATA v 14. 21 articles met the inclusion criteria.</p><p><strong>Result: </strong>In total, 20 studies were included in the final analysis. The number of studies obtained for ceftazidime, cefotaxime, gentamicin, ciprofloxacin, and imipenem were 17, 13, 13, 14, and 14, respectively. The sample sizes for each were 2,200, 1,557, 1,896, 2,026, and 1779. The pooled estimated prevalence of resistance to Ceftazidime, Cefotaxime, Ciprofloxacin, Gentamicin and Imipenem in <i>Klebsiella pneumoniae</i> were 60%, 63%, 46%, 48% and 26%.</p><p><strong>Conclusion: </strong>These findings highlight that <i>Klebsiella pneumoniae</i> strains in Iran have shown high resistance to commonly used antibiotics, particularly third-generation Cephalosporins which can significantly impact the treatment of infectious diseases. Therefore, it is advisable to explore alternative antibiotics for treating infections caused by this microorganism.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774251366966"},"PeriodicalIF":1.0,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12343548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855515","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}
Jeremy Li, Myrna Dyck, Natalie Gibson, Molly Blake, Elly Trepman, John M Embil
{"title":"Intraocular surgical site infection surveillance in Winnipeg, Manitoba, Canada.","authors":"Jeremy Li, Myrna Dyck, Natalie Gibson, Molly Blake, Elly Trepman, John M Embil","doi":"10.1177/17571774251350783","DOIUrl":"https://doi.org/10.1177/17571774251350783","url":null,"abstract":"<p><p>Surveillance for surgical site infections (SSIs) after intraocular surgery may enable the detection of outbreaks and reveal opportunities for quality improvement. The reported incidence of SSIs after intraocular surgery varies widely, and there are no benchmark studies for SSI surveillance based on surveillance case definitions. We performed surveillance for SSIs after intraocular surgery at a regional ophthalmology surgical center in Winnipeg, Manitoba, Canada, from April 2014 to March 2023. Intraocular infection was defined according to the United States Centers for Disease Control and Prevention (CDC), National Healthcare Safety Network definition (<i>eye infection</i>, <i>other than conjunctivitis</i>). We defined an SSI as an intraocular infection occurring within 1 year after intraocular surgery, in contrast with the CDC definition of 30 or 90 days for other types of surgery. There were 96,322 intraocular operations performed during the 9-year surveillance period. The incidence of SSI for all types of intraocular surgery was 0.03% (3.0 infections per 10,000 operations), with substantially greater incidence after glaucoma valve implant surgery. We found that the incidence of SSI, identified using surveillance definitions, is lower than reported previously. This report provides benchmark data that may be useful for ophthalmological SSI surveillance initiatives at other institutions.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"26 4","pages":"181-184"},"PeriodicalIF":0.9,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584137","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":"Why do staff comply? A study to determine factors influencing staff adherence to PPE and hand hygiene policy and standards within an acute healthcare setting.","authors":"Graham Kaye, Debbi Marais","doi":"10.1177/17571774251334045","DOIUrl":"https://doi.org/10.1177/17571774251334045","url":null,"abstract":"<p><strong>Background: </strong>Hand hygiene is commonly regarded as being the single most important method in preventing various healthcare-associated infections which cause an estimated 37,000 deaths in Europe and 100,000 deaths in the United States annually. Despite this, infection prevention and control audits regularly demonstrate that staff are missing hand hygiene opportunities, and that personal protective equipment (PPE) is being used inappropriately, clearly highlighting that policies are not being conformed to.</p><p><strong>Aim: </strong>The aim of this was to identify factors that facilitate and hinder staff in their compliance with hand hygiene and PPE standards and policies.</p><p><strong>Methods: </strong>A mixed methods approach sequential explanatory design was used to investigate levels of compliance and staff identified barriers and facilitators. Quantitative data was obtained regarding COVID-19 cases, hand hygiene, and PPE compliance over a 10-month period in all inpatient wards (approximately 750 beds) across an acute Trust. Following a review of this data, two wards were selected. Four participants on each ward, covering various grades of staff, were interviewed to explore their perceptions of compliance (qualitative data), and a thematic analysis was conducted to determine themes of facilitators and barriers.</p><p><strong>Results: </strong>When compared to COVID-19 cases, hand hygiene and PPE compliance showed a downward trend over the study period. Barriers and facilitators to compliance identified by staff were time, information, training, safety, and accessibility. Time was the most common theme, with compliance to policy being deemed as too time consuming.</p><p><strong>Conclusion: </strong>Patient safety was identified as the most influential aspect on staff being compliant with time being the one aspect that would contribute most to non-compliance.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774251334045"},"PeriodicalIF":0.9,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11994624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007548","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}
Nazedah Ain Ibrahim, Nurul Husna Syuhaidah Yusof, Sharini Sha'ari, Lau Hui Shan
{"title":"Antimicrobial stewardship practice and metrics use to assess antibiotic consumption in paediatric ward: A national survey.","authors":"Nazedah Ain Ibrahim, Nurul Husna Syuhaidah Yusof, Sharini Sha'ari, Lau Hui Shan","doi":"10.1177/17571774251334039","DOIUrl":"https://doi.org/10.1177/17571774251334039","url":null,"abstract":"<p><strong>Background: </strong>Antibiotics are widely prescribed therapeutic agents in the paediatric population.</p><p><strong>Aim/objective: </strong>This survey aims to describe an overview of antimicrobial stewardship (AMS) and the type of metrics used to monitor antibiotic consumption in paediatric wards in Malaysian public hospitals.</p><p><strong>Methods: </strong>This research was conducted as a multicentre, quantitative research online survey in all Ministry of Health Malaysia hospitals with paediatric ward services. The survey respondents were the pharmacists in charge of either a paediatric ward or antibiotic consumption in each facility.</p><p><strong>Results: </strong>Out of the 145 hospitals, only 99 with eligible facilities were shortlisted for the survey. Of the 99 hospitals identified in this survey, only 91 of the facilities responded. The result from the survey revealed that only six hospitals had a paediatric infectious disease (ID) specialist. Only 26 out of the 91 facilities that responded performed paediatric antibiotic monitoring. The survey showed that the type of metrics used to monitor antibiotic consumption varied. 46.2% (12/26) of paediatric monitored facilities were using defined daily dose (DDD), 23.1% (6/26) using days of therapy, 19.2% (5/26) using the number of vials, 15.4% (4/26) using the number of patients and 11.5% (3/26) using the length of therapy as their consumption metrics. Half (50%, 13/26) of the paediatric monitored facilities did not use any denominator for reporting while some facilities (38.5%, 10/26) used patient days.</p><p><strong>Conclusion: </strong>Although 90% of the facilities practice AMS, in paediatrics, there appears to be no standardisation especially in antimicrobial consumption monitoring.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774251334039"},"PeriodicalIF":0.9,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11985464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999681","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}
Thea A Andersen, Johan Bjerner, Trygve Tjade, Trond E Ranheim, Eyvind W Axelsen, Michael Sovershaev, Ying Chen, Peter Gaustad
{"title":"The COVID-19 pandemic and critical laboratory functions. Can fast-track molecular testing reduce work absence in the laboratory?","authors":"Thea A Andersen, Johan Bjerner, Trygve Tjade, Trond E Ranheim, Eyvind W Axelsen, Michael Sovershaev, Ying Chen, Peter Gaustad","doi":"10.1177/17571774251330455","DOIUrl":"10.1177/17571774251330455","url":null,"abstract":"<p><strong>Background: </strong>Amid the SARS-CoV-2 pandemic, laboratories faced the challenge of maintaining diagnostic operations while adhering to infection prevention and control (IPC) guidelines. We investigated the impact of implementing rapid molecular testing of employees of a large medical laboratory to prevent workplace transmission.</p><p><strong>Aim/objective: </strong>To evaluate if fast-track PCR diagnostics, alongside local infection control measures, could reduce internal transmission and workplace sickness absence.</p><p><strong>Methods: </strong>Employees with respiratory symptoms, but testing negative for SARS-CoV-2, were allowed to work if clinically healthy. All included employees completed a questionnaire and underwent SARS-CoV-2 antibody testing post-pandemic. Data on sickness absence were retrieved from local human resources systems, and comparative analyses were conducted between the pre-pandemic and pandemic periods.</p><p><strong>Findings/results: </strong>Of 153 participants, 84 (55%) reported having had COVID-19, with 12 (14%) suspecting workplace transmission. Six (4%) tested positive for SARS-CoV-2 IgG nucleocapsid despite no COVID-19 diagnosis. Among 101 (66%) reporting respiratory symptoms and negative SARS-CoV-2 tests, 80 (79%) were allowed to return to the workplace. Mean workplace sickness absence during the pandemic 2020 (3.74%) and 2021 (4.19%) was significant lower compared with sickness absence in the laboratory before the pandemic in 2019 (4.54%). No larger outbreaks in the laboratory were recorded.</p><p><strong>Discussion: </strong>SARS-CoV-2 infections in the laboratory were mostly symptomatic and acquired outside the workplace. The combination of local IPC and rapid and frequent testing of employees facilitated an effective infection control and minimized workplace absence, maintain diagnostic operations.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774251330455"},"PeriodicalIF":0.9,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795627","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}
Carlo Pallotto, Giovanni Genga, Elisabetta Svizzeretto, Andrea Tommasi, Fabio Mencarelli, Eleonora Natali, Cristina Todisco, Anna Gidari, Daniela Francisci
{"title":"Colonisation at admission to an intensive care unit in an Italian University Hospital: Risk factors and clinical implications.","authors":"Carlo Pallotto, Giovanni Genga, Elisabetta Svizzeretto, Andrea Tommasi, Fabio Mencarelli, Eleonora Natali, Cristina Todisco, Anna Gidari, Daniela Francisci","doi":"10.1177/17571774251330450","DOIUrl":"10.1177/17571774251330450","url":null,"abstract":"<p><strong>Background: </strong>Antibiotic resistance represents a great concern worldwide with increasing related morbidity and mortality. Multidrug resistant microorganisms are going to be detected more and more frequently even in the community setting. Therefore, patients could be colonised even at the admission to the hospital.</p><p><strong>Objective: </strong>The aim of this study is to evaluate colonisation at admission to an intensive care unit (ICU) and the acquisition of new colonisation during the ICU stay and the related risk factors. Secondly, healthcare-associated infections and surgical prophylaxis efficacy were also evaluated.</p><p><strong>Methods: </strong>Retrospective observational study. All the patients admitted to the post-cardiosurgical ICU from 01 January to 30 June 2021 were enrolled. Colonisation was evaluated by rectal and nasal swab at admission or at the pre-hospitalisation visit and then every 7 days during the hospital stay.</p><p><strong>Results: </strong>80 out of 183 patients were colonised at admission, 46 by non-susceptible microorganisms (NSM). An antibiotic treatment in the previous 3 months was identified as risk factor for NSM colonisation. According to these isolates, about one third of the surgical prophylaxis could be ineffective. During the hospital stay, 36 patients acquired new colonisations; antibiotic treatment and length of hospital stay were recognised as risk factors. At least one (≥1) healthcare-associated infection (HAI) was detected in 54 patients (68 episodes); HAIs were significantly more frequent in the colonised patients. Moreover, in 35/68 HAIs aetiology was consistent with the colonisation.</p><p><strong>Discussion: </strong>Knowing patients' colonisations could be fundamental to tailor antibiotic treatments and prophylaxis and to avoid NSM spread.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774251330450"},"PeriodicalIF":0.9,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795626","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}