Journal of Infection Prevention最新文献

{"title":"Indwelling urinary catheter use and adherence to clinical practice guidelines: A point prevalence study in adult hospital inpatients.","authors":"Jane Wickins, Claire M Rickard, Karen Kasper, Leanne Morton, Jessica Doellinger, Patricia Thomas-Gabbett, Nicole Marsh","doi":"10.1177/17571774241270995","DOIUrl":"10.1177/17571774241270995","url":null,"abstract":"<p><strong>Background: </strong>Approximately 25% of hospitalised adults require an indwelling urinary catheter (IDC) during their hospital stay. IDCs expose patients to risks of infectious and non-infectious complications.</p><p><strong>Aims: </strong>To identify IDC prevalence, assess adherence to clinical practice guidelines and patient-reported involvement in IDC care for adult hospital inpatients.</p><p><strong>Methods: </strong>This point prevalence study was conducted in 22 wards in a single quaternary hospital. Data was collected by clinical and research nurses working in pairs on a single day. Study outcomes were reported descriptively as frequencies and percentages.</p><p><strong>Results: </strong>Of 502 patients included, 77 (15.3%) had an IDC (median duration 99.6 h). The median age of patients with an IDC was 64 years (interquartile range 22-88 years), 54 (70%) were male and one-quarter (<i>n</i> = 19; 25%) of IDCs were inserted at another hospital. More than half (<i>n</i> = 44; 57%) of the 77 IDCs had no documented removal plan. Three patients were unavailable for review for observed clinical practices, and it was found 43% (<i>n</i> = 32/74) lacked a securement device. Of 77 people with IDCs, there were 44 patient responses, and 27 (61.4%) patients did not know the reason for their catheter.</p><p><strong>Discussion: </strong>Areas for improvement included securement device use, timely removal plans and patient education for the reason for the device. Regular point prevalence studies to assess use and adherence to clinical practical guidelines can improve safety outcomes for patients requiring IDCs.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774241270995"},"PeriodicalIF":0.9,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648108","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":"17571774241266448"},"PeriodicalIF":0.9,"publicationDate":"2024-07-21","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}

{"title":"Factors responsible for student nurses' use of non-sterile gloves: An exploratory qualitative study.","authors":"Jennifer Bate","doi":"10.1177/17571774241238686","DOIUrl":"10.1177/17571774241238686","url":null,"abstract":"<p><strong>Background: </strong>Disposable non-sterile gloves are part of the personal protective equipment (PPE) to be considered to protect oneself from the risk of infection. They have subsequently become the topic of concern related to increased use, inappropriate use, and potentially increasing the risk of cross-infection and environmental impact of plastic waste.</p><p><strong>Aim/objective: </strong>This study aimed to explore the views of pre-registration student nurses about non-sterile glove use in clinical practice and to identify the factors that impact student nurses' decision on whether to wear non- sterile gloves.</p><p><strong>Methods: </strong>Using a social constructivist approach, the study was organised in a higher education institution. Semi-structured interviews were conducted with second year student nurses, utilising a theoretical domains framework (TDF).</p><p><strong>Findings/results: </strong>The key findings showed that students had limited awareness of the national infection prevention and control best practice procedures. The primary influential factors for non-sterile gloves use behaviour were personal protection, the type of care interventions required and the observations of peers and role models.</p><p><strong>Discussion: </strong>The study found limited awareness on the importance of infection prevention and control precautions, including the correct procedure for donning, and doffing of personal protection equipment, along with a lack of confidence to challenge non-compliance.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"25 4","pages":"95-102"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11268239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141763978","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":"World Health Organization World Hand Hygiene Day, 5 May 2024. SAVE LIVES: Clean Your Hands campaign: Promoting knowledge and capacity building on infection prevention and control, including hand hygiene, among health and care workers.","authors":"Claire Kilpatrick, Ermira Tartari, Miranda Deeves, Didier Pittet, Benedetta Allegranzi","doi":"10.1177/17571774241239044","DOIUrl":"10.1177/17571774241239044","url":null,"abstract":"<p><p>The World Health Organization's (WHO) World Hand Hygiene Day continues to <i>\"bring people together and accelerate hand hygiene action at the point of care in health care to contribute to a reduction in health care-associated infections and the achievement of safer, quality health care for all.\"</i></p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"25 3","pages":"49-50"},"PeriodicalIF":1.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10998551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850961","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":"‘Family members screaming for help makes it very difficult to don PPE’. A qualitative study on UK ambulance staff experiences of infection prevention and control practices during the COVID-19 pandemic","authors":"P. Eaton-Williams, Julia Williams","doi":"10.1177/17571774231209494","DOIUrl":"https://doi.org/10.1177/17571774231209494","url":null,"abstract":"During the first wave of the COVID-19 pandemic in the UK, ambulance staff continued to deliver direct patient care whilst simultaneously adapting to a considerable escalation in evolving infection prevention and control (IPC) practices. To enable learning to benefit future planning, this qualitative article aims to describe ambulance staff’s experiences of this rapid escalation of IPC practices. Three online surveys were presented during the acceleration, peak, and deceleration phases of the pandemic’s first wave in the UK (2020). Overall, 18 questions contributed 14,237 free text responses that were examined using inductive thematic analysis at both descriptive and interpretive levels. Many participants lacked confidence in policies related to the use of personal protective equipment (PPE) because of perceived inadequate supporting evidence, confusing communication, and low familiarity with items. Compliance with policy and confidence in PPE use were further influenced by discomfort, urgency, and perceptions of risk. Various suggestions were made to improve IPC practices within the work environment, including reducing unnecessary exposure through public education and remote triage improvements. Some participants’ poor experiences of escalating IPC practices were shared with health care workers studied in other environments and in previous epidemics, emphasising the need for lessons to be learnt. PPE should be developed with consideration of ambulance staff’s unique working environment and regular familiarisation training could be beneficial. Pragmatic, evidence-based, clearly communicated policies implemented with sufficient resources may protect staff and facilitate them to maintain standards of care delivery during a pandemic.","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"59 3","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139447715","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":"Impact of an educational intervention on hand hygiene practice among nursing students, with a focus on hand drying efficacy","authors":"John Gammon, Julian Hunt, Lisa Duffy, Ioan Humphreys, Jon Hinkin, Alan Watkins","doi":"10.1177/17571774231224695","DOIUrl":"https://doi.org/10.1177/17571774231224695","url":null,"abstract":"Hand hygiene and its significance for reducing the spread of infection is well evidenced and has been brought into sharp focus following the COVID-19 pandemic. Although a crucial clinical skill in ensuring safe healthcare, little is known regarding nursing students’ effectiveness of hand hygiene practice. The aim of this study was to evaluate the impact of an educational intervention on hand hygiene practice, designed by the research team for first year pre-registration nursing students. Particular emphasis was placed upon hand drying technique and time. 825 nursing students were observed and assessed for their hand hygiene practice in a clinical suite at a university setting. Nursing students were observed for compliance against set outcome measures involving hand hygiene preparation, hand and wrist washing technique, hand drying technique and time. Data were analysed quantitatively using SPSS. The educational intervention had a significant impact on the clinical skills learning of nursing students. 779 students passed the assessment at the first attempt (94.4%). Of the 46 students that failed to meet the necessary criteria, 45 satisfied the criteria at the second attempt; giving an overall optimal compliance of 99.9%. 99.6% of students complied with recommended hand drying standards. This study offers an important contribution to the development and delivery of nursing education programmes. The educational intervention improved compliance with recommended hand hygiene technique and practice. Lack of attention to hand drying may negate effective hand hygiene in healthcare.","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"318 9","pages":""},"PeriodicalIF":1.2,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139152341","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":"Efficacy of facemasks in preventing transmission of COVID-19 in non-healthcare settings: A scoping review","authors":"Chloe Enright, Claire Gilbourne, Rachel Kiersey, Randal Parlour, Paula Flanagan, Emer McGowan, Mairin Boland, Deirdre Mulholland","doi":"10.1177/17571774231203387","DOIUrl":"https://doi.org/10.1177/17571774231203387","url":null,"abstract":"Background During the COVID-19 pandemic, an abundance of literature relating to the efficacy of face masks on reducing transmission of COVID-19 in non-healthcare settings emerged. Aim/objective The aim of this scoping review was to allow the identification of: types of evidence conducted in this area; knowledge gaps and common concepts relating to mask efficacy in non-healthcare settings. Methods A comprehensive literature search was conducted in PubMed, CINAHL, MEDLINE, Embase and the Irish Management Institute bibliographic database on December 15th, 2021. All types of face masks were included. Of 722 records, 16 were included after full text screening. Findings/results Themes from an adapted model of Howard et al. framework were used to group results and identify common concepts. The grouped thematic results were then applied to the socio-ecological model. This illustrated the multifactorial elements determining the efficacy of masks themselves while also illustrating how other factors such as individual behaviours, social interactions, settings and national policy can influence the degree of the protective effect. Discussion The findings from this scoping review indicate that an abundance of experimental literature is available indicating that masks are effective at preventing COVID-19 transmission but their degree of efficacy is impacted by external factors. This review highlights that the quality of the evidence available is low.","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"8 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135589750","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 effectiveness of interventions to improve the seasonal influenza vaccination uptake among nurses: A systematic review.","authors":"Paula Flanagan, Maura Dowling, Duygu Sezgin, Jolita Mereckiene, Louise Murphy, Martina Giltenane, Peter Carr, Georgina Gethin","doi":"10.1177/17571774231208115","DOIUrl":"10.1177/17571774231208115","url":null,"abstract":"<p><strong>Background: </strong>Seasonal influenza is a significant cause of mortality and morbidity worldwide. Despite annual recommendations, influenza vaccination uptake rates are disproportionately lower among nurses compared to other health care professionals, especially when compared to physicians. Nurses have an additional risk of exposure to influenza infection due to the nature of their work.</p><p><strong>Aim: </strong>To determine the effectiveness of interventions in increasing seasonal influenza vaccination uptake among nurses.</p><p><strong>Methods: </strong>Evidence on the effectiveness of interventions to improve seasonal influenza vaccination uptake among nurses was systematically reviewed. A comprehensive search of six electronic databases and grey literature was undertaken. A minimum of two reviewers completed study selection, data extraction and risk of bias assessment independently.</p><p><strong>Results: </strong>One hundred and thirty-four studies were identified of which one cluster randomised trial met the inclusion criteria. The results of the included study found the implementation of an intervention with multiple components increased nurses' seasonal influenza vaccination rates during a single influenza season in geriatric healthcare settings in France. As the evidence in this review was very limited, it was not possible to make recommendations regarding which interventions were effective at increasing the seasonal influenza vaccination rate for nurses.</p><p><strong>Conclusion: </strong>This systematic review highlights a lack of high-quality studies that assessed interventions to improve the seasonal influenza vaccination of nurses. In view of the likelihood of influenza and the coronavirus (COVID-19) pandemic occurring together, it is imperative to have evidence on effective interventions for the nursing workforce and for policy decision makers.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"24 6","pages":"268-277"},"PeriodicalIF":0.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10638950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134649086","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":"10.1177/17571774231214663","DOIUrl":"https://doi.org/10.1177/17571774231214663","url":null,"abstract":"","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135565238","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":"Personal protection equipment: Preliminary evidence of effectiveness from a three-phase simulation program.","authors":"Ghazwan Altabbaa, Corrinne Pidhorney, Tanya Beran, Joseph Kim, Donna Ledgerwood, Michèle Cowan, Elizabeth Oddone Paolucci","doi":"10.1177/17571774231208118","DOIUrl":"https://doi.org/10.1177/17571774231208118","url":null,"abstract":"<p><strong>Background: </strong>Healthcare providers carry the occupational risk of being exposed to pathogens. Personal Protection Equipment (PPE) requires proficiency whenever used. Yet, evidence shows significant errors and variation in competency when applying PPE.</p><p><strong>Objective: </strong>In this study, we developed a three-phase intervention to promote PPE proficiency.</p><p><strong>Methods: </strong>Education and assessment of participants' PPE knowledge and skills occurred at a large academic university in Western Canada. Participants first completed an online module; second, they experienced one-on-one coaching and deliberate practice with infection control professionals; and third, participants managed a COVID-19 clinical simulation scenario. The measured outcomes include a 15-item pre- and post-knowledge test and a pre- and post-skills assessment of donning and doffing behaviors. These behaviors were observed from video recordings and were assessed using two standardized checklists.</p><p><strong>Results: </strong>Knowledge and donning/doffing post-test scores (11.73, 0.95, and 0.96, respectively) were significantly higher after completing all three phases of the educational intervention, <i>p</i> < .001.</p><p><strong>Conclusions: </strong>An online module alone is insufficient for PPE knowledge and skill development. Rather, a module followed by practice and simulation allows learners to gain proficiency.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"24 6","pages":"244-251"},"PeriodicalIF":1.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10638951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134649085","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}