Journal of Infection Prevention最新文献

{"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}

{"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":"11-18"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","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":"Letter re: Optimizing healthcare staffing for infection prevention: Insights from the Association for Professionals in Infection Control and Epidemiology's staffing pattern calculator.","authors":"Manya Soni, Ashok Kumar Balaraman, Nishant Rai","doi":"10.1177/17571774241309800","DOIUrl":"10.1177/17571774241309800","url":null,"abstract":"","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774241309800"},"PeriodicalIF":0.9,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142895172","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":"The effect of the theory of planned behavior based hand hygiene intervention program on the health outcomes and school absenteeism of the primary school students: Quasi-experimental study.","authors":"Gülçin Uyanık, Şafak Dağhan","doi":"10.1177/17571774241300481","DOIUrl":"10.1177/17571774241300481","url":null,"abstract":"<p><strong>Background: </strong>Acute upper respiratory tract infections are the most common infections among school children. Improving water, sanitation, and hygiene facilities in schools is an important intervention for the healthy development of children. The most important component of this intervention is hand washing, which is the primary infection control measure.</p><p><strong>Aim: </strong>This study aims to test the effect of the Theory of Planned Behavior (TPB) based hand hygiene intervention program on the health outcomes and school absenteeism of students.</p><p><strong>Method: </strong>The study is quasi-experimental with pretest-posttest control groups. The study was conducted with 159 students (intervention: 82, control: 77) in two separate primary schools that were assigned to intervention and control groups. The intervention group were applied a TPB-based hand hygiene intervention program for the school children. The data were collected using the Student Questionnaire, Hand Hygiene Assessment Question Form, and Surveillance Form.</p><p><strong>Findings: </strong>The mean Hand Hygiene Assessment Question Form Hand Hygiene Behavior scores did not differ between the groups in the pre- and posttest (<i>p</i> > .05). In the posttest, the frequency of encountering a ten-week-upper respiratory tract infection symptom (U = 5277.50 <i>p</i> < .0001), school absenteeism days (<i>p</i> = .046) and absenteeism episodes (<i>p</i> = .043) was lower in the intervention group than in the control group.</p><p><strong>Conclusions: </strong>The findings suggest that was concluded that the TPB-based hand hygiene intervention program did not make a difference in creating hand hygiene behavior in school children compared to the classical education. The program was effective in reducing upper respiratory tract infections and school absenteeism due to these infections.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774241300481"},"PeriodicalIF":0.9,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710483","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":"Real-time intervention to increase daily chlorhexidine bathing and reduce central line-associated bloodstream infections.","authors":"Brad A Krier, Pawan Bhandari, Ashley M Brooks, Kristin J Schultz, Jonna J Zarbano, Gokhan Anil","doi":"10.1177/17571774241301713","DOIUrl":"10.1177/17571774241301713","url":null,"abstract":"<p><strong>Background: </strong>After an increase of central line-associated bloodstream infections (CLABSIs) at our community hospital in 2021, a case-control study suggested that patients with CLABSIs were 3.0 times more likely to have missed daily chlorhexidine gluconate (CHG) bathing than patients without CLABSIs.</p><p><strong>Objective: </strong>To increase the rate of daily CHG bathing in hospitalized patients with central lines and subsequently reduce the number of CLABSIs.</p><p><strong>Methods: </strong>Our pre-post intervention was launched on September 2022 and consisted of enhancements to the electronic health record (EHR) to simplify the identification of overdue CHG bathing instances to increase compliance, and therefore decrease the CLABSI rate at our hospital. A workflow was implemented Monday-Friday utilizing these EHR enhancements for active surveillance to engage frontline nursing staff and address gaps in care in real time.</p><p><strong>Results: </strong>After the initiative was implemented, adherence to daily CHG bathing increased from 94.9% to 95.3%, with a considerable disparity between weekdays (97.6%) and weekends (89.3%). After weekend data were excluded, the post-intervention increase in the adherence rate was statistically significant (<i>p</i> = .003).</p><p><strong>Discussion: </strong>This initiative underscored the importance of involving health care informatics partners and showed how technology can bridge gaps in health care quality. Outreach and reminders effectively improved CHG bathing adherence by emphasizing the importance of consistent communication and follow-up.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774241301713"},"PeriodicalIF":0.9,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11574771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142681526","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":"Letter re: Glove Use/Hand Disinfection-Index (GUHDI): A new metric for hand hygiene quality.","authors":"Benjamin Hoch, Sebastian Schulz-Stübner","doi":"10.1177/17571774241297671","DOIUrl":"10.1177/17571774241297671","url":null,"abstract":"","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774241297671"},"PeriodicalIF":0.9,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622050","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":"Lateral effects of infection prevention measures during COVID-19 pandemic on hospital-acquired <i>Clostridioides difficile</i> infection.","authors":"Eleni Mylona, Sofia Kostourou, Fani Veini, Chrysoula Kolokotroni, Eleni Belesiotou, Katerina Kaziani, Athina Argyropoulou, Vasileios Papastamopoulos","doi":"10.1177/17571774241251662","DOIUrl":"10.1177/17571774241251662","url":null,"abstract":"<p><p><b>Background:</b> Systematic surveillance of <i>Clostridioides difficile</i> infection (CDI) in our institution showed a reduction in the incidence of healthcare associated CDI (HA-CDI) during COVID-19 pandemic. <b>Aim:</b> Our objective was to search for factors related to this reduction. <b>Methods:</b> We retrospectively studied the trend of the incidences of HA-CDI, Multidrug Resistant (MDR) organisms, total antibiotic and chlorine consumptions as well as the influence of the last two on the incidence of HA-CDI. <b>Results:</b> During COVID-19 pandemic, the HA-CDI incidence was reduced with respect to the previous years, although total antibiotic consumption was found to increase (<i>p</i> < .01). MDR organisms' incidence was found to increase (<i>p</i> < .01), as well as the chlorine consumption (<i>p</i> = .04) which was the only factor to be related to the decreased rates of HA-CDI (r = -0.786, <i>p</i> < .05). <b>Discussion:</b> In our institution, COVID-19 epidemic overlapped with the reduction in the HA-CDI's incidence. This could be due to faithful compliance with the contact precaution measures but then, we would expect the incidence of MDR organisms to decrease as well. Chlorine usage for environmental cleaning was generalized during pandemic. It was the only factor to be related to the decreased rates of HA-CDI, highlighting the importance of environmental cleaning as a measure for HA-CDI prevention.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"25 6","pages":"247-250"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142568397","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":"10.1177/17571774241285251","DOIUrl":"https://doi.org/10.1177/17571774241285251","url":null,"abstract":"","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"25 5","pages":"202"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11412451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289285","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":0.9,"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}