Journal of Infection Prevention最新文献

{"title":"Preventing and managing urinary tract infections: Exploring interventions and strategies implemented by NHS commissioning organisations in English primary care, 2017-2022.","authors":"Eirwen Sides, Donna M Lecky, Esther Taborn, Luke O'Neill, Emily Cooper","doi":"10.1177/17571774251330536","DOIUrl":"10.1177/17571774251330536","url":null,"abstract":"<p><strong>Background: </strong>The majority of antibiotics are prescribed in primary care. Urinary tract infections (UTIs) are the second most common reason for antibiotic prescribing in this sector. This study explores activities used by English Clinical Commissioning Groups (CCGs) to improve UTI prevention and management 2017-2022.</p><p><strong>Methods: </strong>An online questionnaire was sent to CCG primary care chief nurses and medicines optimisation leads August-September 2022. Qualitative data was mapped to the Theoretical Domains Framework.</p><p><strong>Results: </strong>Participant response rate was 14.1% (56/397), with representation from 29.2% (31/106) CCGs and across a range of roles. Education and training were the most reported intervention types, while changing the environment to facilitate behaviours was the least. Most interventions targeted general practice staff and patients, followed by care home staff, and residents and their families.The most reported success measures included reduction in antibiotic prescribing (54.5%, 97/178 interventions); positive stakeholder feedback (42.1%, 75/178); and increased adherence to diagnostic guidelines (32.6%, 58/178). 48.8% (20/41) stated their UTI activities had not been formally evaluated. Barriers and facilitators to intervention implementation included: availability of resources and time; staff collaboration; availability and accuracy of information; public and staff beliefs; systems and processes; and staff roles and responsibilities.</p><p><strong>Conclusions: </strong>UTI interventions rolled out through English health authorities could be further improved through structures that increase capacity to effectively evaluate activities and share learning. Staff engagement and collaboration are key facilitators to implementation and should be leveraged in further initiatives, while support and guidance are provided to adapt initiatives to fit in the changing healthcare landscape.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774251330536"},"PeriodicalIF":0.9,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763986","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":"Impact of infection prevention measures on the occurrence of cutaneous lesions and the quality of life of frontline and non-frontline healthcare workers: A multicentre cross-sectional study.","authors":"Imen Sellami, Anwar Abbes, Aicha Haddar, Afef Feki, Nada Kotti, Hayfa Halweni, Mohamed Larbi Masmoudi, Mounira Hajjaji, Kaouthar Jmal Hammami","doi":"10.1177/17571774251324382","DOIUrl":"10.1177/17571774251324382","url":null,"abstract":"<p><strong>Background: </strong>Infection prevention measures are crucial to prevent contamination among frontline healthcare workers (FL-HCWs) and non-frontline healthcare workers (NFL-HCWs). However, these measures can lead to skin lesions, potentially affecting their quality of life.</p><p><strong>Objectives: </strong>Determine the prevalence of skin lesions caused by infection prevention measures and assess the impact of skin lesions on the quality of life.</p><p><strong>Methods: </strong>A cross-sectional study was conducted, utilizing a self-administered questionnaire covering demographic and occupational information, self-reported skin lesions, and the Dermatology Life Quality Index (DLQI) for healthcare workers (HCWs) from three medical centres.</p><p><strong>Results: </strong>Out of the 190 FL-HCWs and 199 NFL-HCWs surveyed, 37.2% reported skin lesions. Female and FL-HCWs exhibited a higher occurrence of skin lesions. Prolonged use of masks was significantly associated with facial skin lesions. While the use of personal protective equipment and hand hygiene had little to no effect on the Dermatology Life Quality Index (DLQI) for 80.7% of healthcare workers (HCWs) with skin lesions, those with facial skin lesions, papules, or a history of any skin lesions, as well as those who more frequently washed their hands, showed a more altered DLQI.</p><p><strong>Conclusions: </strong>FL-HCWs had more skin symptoms than NFL-HCWs, but these issues were generally not severe and had minimal impact on overall quality of life.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774251324382"},"PeriodicalIF":0.9,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573272","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":"Hand hygiene compliance among hospital visitors: A systematic review and meta-analysis of observational studies.","authors":"Gaviota Khalish, Made Satya Nugraha Gautama","doi":"10.1177/17571774251324373","DOIUrl":"10.1177/17571774251324373","url":null,"abstract":"<p><strong>Background: </strong>Hand hygiene is a crucial measure for preventing the spread of healthcare-associated infections. While healthcare workers receive emphasis, hospital visitor hand hygiene compliance is limited.</p><p><strong>Aim: </strong>To investigate hand hygiene compliance among hospital visitors.</p><p><strong>Methods: </strong>A comprehensive search of four databases (PubMed, Embase, Scopus, ScienceDirect) and a hand search were performed from inception to October 2023. Observational studies in hospital settings were included if estimates for adult hospital visitors' observation were reported. Joanna Briggs Institute critical appraisal checklist was used to assess the risk of bias in the included studies. Meta-analysis was conducted using STATA software version 17 to estimate a weighted pooled compliance rate with a 95% confidence interval.</p><p><strong>Results: </strong>17 studies were included in this study. The pooled hand hygiene compliance among hospital visitors was 37% (95% CI: 25 - 49). Subgroup analysis revealed that in low-middle-income countries, covert observation, ICU and various ward studies, longer observation durations, measuring hand hygiene at entrance and exit points, and smaller sample sizes were all associated with higher visitor hand hygiene compliance rates.</p><p><strong>Discussion: </strong>The visitor hand hygiene compliance rate was notably low, much lower than that reported for doctors and nurses. This significant difference highlights the urgent need for focused attention and interventions to improve visitor hand hygiene practices.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774251324373"},"PeriodicalIF":0.9,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557074","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":"A peer-to-peer infection prevention and control programme in neglected settings: The case of home care and nursing homes in North Italy.","authors":"Monica Ronco, Bruna Odasmini, Stefania Chiappinotto, Alvisa Palese","doi":"10.1177/17571774241287473","DOIUrl":"10.1177/17571774241287473","url":null,"abstract":"<p><p>Healthcare-associated infections (HAIs) are an increasing concern and educational programmes may increase healthcare professionals' adherence to infection prevention and control (IPC) guidelines. However, despite evidence regarding the effectiveness of peer-to-peer educational programmes, to our knowledge, no studies have been conducted in non-hospital settings. A post-intervention pilot study based on peer-to-peer meetings on HAI topics in home care and nursing homes was conducted. A survey was administered to eligible nurses willing to participate, collecting socio-demographic data, the perceived effectiveness and quality of the programme, and the topics for future meetings. Twelve '<i>Pills of Prevention</i>' seminars were held, enrolling 115 nurses and nursing aides. Of the 115 participants, 81 (70.4%) were eligible and 31 (38.2%) completed the survey. Participants found tangible changes in the clinical settings mostly at the individual level, with bundles/checklists delivered during the meetings mostly being used in everyday practice. Regarding the perceived quality, the overall satisfaction with the programme was high due to the opportunity to 'freely share own opinions' and the 'appropriateness of selected topics'. 'Bundles/checklists' were seen as the most interesting topics to prioritize in the future among home care nurses, while HAIs in COVID-19 patients were the least. A community-based peer-to-peer programme, still neglected in terms of HAIs' continuing education strategies, is appreciated and may produce benefits both at the individual and the group level.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"91-94"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559432/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622046","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":"Healthcare-associated infections and nursing leadership: A systematic review.","authors":"Eva Cappelli, Francesco Zaghini, Jacopo Fiorini, Alessandro Sili","doi":"10.1177/17571774241287467","DOIUrl":"10.1177/17571774241287467","url":null,"abstract":"<p><strong>Background: </strong>Healthcare-associated infections are strictly related to healthcare practices. A head nurse stimulates and motivates nurses, boosts nurses' job performance and satisfaction, and can influence adverse event development.</p><p><strong>Aim: </strong>To explore the relationship between healthcare-associated infections and head nurse leadership style.</p><p><strong>Methods: </strong>A systematic review was conducted. The search was conducted from 1973 until March 2022 on PubMed, Cochrane Library, Scopus, CINAHL, Web of Science, Embase, and APA PsycInfo databases. The review followed the Joanna Briggs Institute Manual for Evidence Synthesis and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. A thematic synthesis and critical appraisal of the included studies have been conducted.</p><p><strong>Results: </strong>Eight articles were included in this review. Head nurses' leadership, supported by the organization, can positively influence the job performance and job satisfaction of nurses by reducing infection rates associated with vascular access and urinary catheters.</p><p><strong>Discussion: </strong>Authentic and transformational nurse leadership styles can foster targeted interventions and improvements tailored to preventing and controlling healthcare-associated infections. Even if there is limited evidence, the results support that the occurrence of infections can be reduced by leadership strategies implemented by head nurses.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"78-90"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622049","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":"Examination of the COVID-19 fear levels of nurses and their compliance to isolation.","authors":"Rabia Acar, Aklime Sarikaya, Dilek Yildirim","doi":"10.1177/17571774241273088","DOIUrl":"10.1177/17571774241273088","url":null,"abstract":"<p><strong>Background: </strong>It is very important for healthcare professionals to know the isolation precautions and apply the isolation rules correctly in COVID-19 process.</p><p><strong>Aim: </strong>This study was conducted to determine the COVID-19 fear levels and isolation compliance levels of nurses.</p><p><strong>Method: </strong>This descriptive, cross-sectional, and correlational study was conducted between December 2020-February 2021 with 217 nurses working in a public hospital in Istanbul/Turkey. Data were collected using the Sociodemographic-Form, the COVID-19 Fear Scale, and the Compliance with Isolation Measures Scale.</p><p><strong>Results: </strong>Statistically significant difference was found between the level of compliance with the isolation measures and the education level of the nurses (<i>p</i> = .011), as well as their professional position (<i>p</i> = .026) (<i>p</i> < .05). A positive, low-level significant relationship was determined between the COVID-19 fear of nurses and their compliance with isolation measures (r = 0.168; <i>p</i> = .015).</p><p><strong>Conclusions: </strong>It was determined that nurses' compliance with Isolation Precautions and their level of fear were high during the COVID-19 pandemic. It was observed that nurses' fear levels and isolation adaptation levels were related.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"53-61"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622047","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":"10.1177/17571774251322255","DOIUrl":"https://doi.org/10.1177/17571774251322255","url":null,"abstract":"","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"26 2","pages":"97"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143567381","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 behaviour among hospital nursing staff: Navigating in a complex and shifting work environment.","authors":"Lisa Arvidsson, Maria Lindberg, Bernice Skytt","doi":"10.1177/17571774251322449","DOIUrl":"10.1177/17571774251322449","url":null,"abstract":"<p><strong>Background: </strong>Healthcare-associated infections are a global concern and can be dependent on the infection prevention behaviours of nursing staff, which in turn can be influenced by working conditions. Qualitative studies are scarce, and a greater understanding of the relationship between working conditions and nursing staff behaviour is needed.</p><p><strong>Aim: </strong>The aim was to describe nursing staff's experiences and reflections on working conditions and infection prevention behaviours.</p><p><strong>Methods: </strong>A qualitative study with semi-structured focus group interviews at four surgical units and two orthopaedic hospital units. Twenty-seven nursing staff (12 registered nurses and 15 assistant nurses) participated. Data was analysed using qualitative content analysis.</p><p><strong>Results: </strong>We generated one theme: Navigating in a complex and shifting context. The result indicates that working conditions are sometimes inadequate, which can hinder the nursing staff's infection prevention behaviours. Even when working conditions seemed to be sufficient, hygiene routines could fail, since situations constantly arise in a hospital unit that are difficult to predict and regulate.</p><p><strong>Discussion: </strong>This study highlights the complexities faced by nursing staff in maintaining infection prevention behaviours within the dynamic hospital work environment. While nursing staff are professionally obliged to comply with hygiene routines, organisational support is essential for fostering sustainable working conditions. A multi-tiered approach is needed, from first-line managers to decision-makers, to promote a supportive environment that sustains safe practices.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774251322449"},"PeriodicalIF":0.9,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483198","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":"10.1177/17571774241302982","DOIUrl":"https://doi.org/10.1177/17571774241302982","url":null,"abstract":"","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"26 1","pages":"47"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11688700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921079","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":"Aiming for zero: Success of the hysterectomy surgical site infection prevention bundle.","authors":"Ushma J Patel, Ahmed A Al-Niaimi, Kelly M Parrette, Sara A Zerbel, Stephanie M Barman, Tressa Gill, Christine A Heisler","doi":"10.1177/17571774241266448","DOIUrl":"10.1177/17571774241266448","url":null,"abstract":"<p><strong>Background: </strong>The Center for Disease Control's National Healthcare Safety Network (NHSN) reported increased Standardized Infection Ratios (SIRs) for hysterectomy at a large community hospital.</p><p><strong>Objective: </strong>To promote a surgical site infection (SSI) prevention bundle implemented to reduce hysterectomy-associated SSI.</p><p><strong>Methods: </strong>A multidisciplinary Workgroup implemented the Hysterectomy SSI Prevention Bundle in 2020 to enforce standardization of perioperative techniques. This study included all benign hysterectomies pre-implementation (<i>n</i> = 857) and post-implementation (<i>n</i> = 772). Per NHSN categorization guidelines, \"abdominal hysterectomy\" includes both open and laparoscopic routes. \"Inpatient surgery\" is date of discharge different from date of surgery; \"outpatient surgery\" is same date of discharge. \"SSI\" includes superficial, deep, and organ/space; \"complex SSI\" includes deep and organ/space. Patient demographics were categorized and evaluated for statistical significance.</p><p><strong>Results: </strong>After implementation of the SSI bundle, SIRs for hysterectomy were reduced to <1.0, indicating infection prevention. Reductions in SIR were significant for outpatient abdominal hysterectomy (0.868 [<i>p</i> = .007]), inpatient vaginal hysterectomy (0 [<i>p</i> < .001]), inpatient complex abdominal hysterectomy (0 [<i>p</i> = .040]), and inpatient complex vaginal hysterectomy (0 [<i>p</i> < .001]). Differences between groups were significant for increased laparoscopic and decreased vaginal hysterectomies (<i>p</i> < .001), increased outpatient surgeries (<i>p</i> < .001), and longer procedure duration (<i>p</i> < .001).</p><p><strong>Conclusion: </strong>Implementation of an SSI prevention bundle at a large community hospital has significantly reduced SIR for inpatient vaginal hysterectomies, outpatient abdominal hysterectomies, and all inpatient complex hysterectomies.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"4-10"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648095","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}