Journal of Infection Prevention最新文献

{"title":"Comment on \"Use of bundle for prevention of infiltration in peripheral intravenous catheters in hospitalized children: A scoping review\".","authors":"Umakant Mokalikar, Reenoo Jauhari, Anjana Rani, Rajesh Singh","doi":"10.1177/17571774261456664","DOIUrl":"https://doi.org/10.1177/17571774261456664","url":null,"abstract":"<p><p>This commentary discusses the scoping review by da Silva et al. on care bundles to prevent infiltration in short peripheral intravenous catheters in hospitalized children. While the review addresses an important paediatric patient safety issue, its conclusions should be interpreted cautiously. The evidence base comprised only four heterogeneous studies, mainly quality improvement or pre-post designs, which is sufficient for mapping bundle elements but not for determining which components are truly effective. Recurrent elements such as site assessment, securement, review of catheter need, and timely removal may indicate a preventive core. Further prospective multicenter studies are needed to define components.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774261456664"},"PeriodicalIF":1.0,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13233588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148199210","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":"Infections associated with peripheral venous catheters: A scoping review.","authors":"Camila Piuco Preve, Luis Gustavo Sampaio, Fernanda Klagenberg Arenhardt, Murilo Martini, Maria Helena Rigatto","doi":"10.1177/17571774261456666","DOIUrl":"https://doi.org/10.1177/17571774261456666","url":null,"abstract":"<p><strong>Background: </strong>Peripheral venous catheters (PVCs) are widely used vascular access devices and can cause significant adverse events, including bloodstream infections (BSIs).</p><p><strong>Aim/objectives: </strong>To map the scientific literature on PVC-BSI.</p><p><strong>Methods: </strong>A scoping review including 67 studies, from MEDLINE/PubMed, SciELO, EMBASE, and LILACS/BIREME, was conducted, synthesizing data on incidence rates, microbiology, risk factors, preventive strategies, and economic burden.</p><p><strong>Findings/results: </strong>PVC-BSI incidence shows marked geographic and clinical variation, with rates ranging from 0.1 to 0.5 cases per 1,000 catheter-days in high-income countries, contrasting with significantly higher averages in developing regions such as Latin America (2.06) and the Middle East (2.32). Effective preventive strategies included staff education, bundle implementation, active surveillance, multimodal interventions, chlorhexidine-alcohol skin antisepsis, and use of innovative devices. <i>Staphylococcus spp.</i> accounted for 20% to 70.7% of infections, but the proportion of Gram-negative bacilli might be increasing. Identified risk factors included the insertion site (hand punctures were protective), parenteral nutrition, catheter gauge (larger than 16G), and material contamination. Only one study addressed costs, estimating an additional expenditure exceeding €5,000 per infected patient.</p><p><strong>Discussion: </strong>Although less frequent than central venous catheter infections, PVC-related bloodstream infections represent an important public health concern due to their widespread use. Incidence is likely underestimated because of limited reporting and variable diagnostic criteria. Standardized definitions, systematic surveillance, continued professional training, and more research-especially in low- and middle-income settings-are needed to improve prevention and management.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774261456666"},"PeriodicalIF":1.0,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13233604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148199271","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 influence of general hospital nurses' intention to care for patients with COVID-19 on infection control practices: A cross-sectional study.","authors":"Jeong Ha Choi, Ka Young Kim","doi":"10.1177/17571774261456669","DOIUrl":"https://doi.org/10.1177/17571774261456669","url":null,"abstract":"<p><strong>Background: </strong>Nurses' infection control practices are crucial for managing infectious diseases like coronavirus disease 2019 (COVID-19). While various factors influence these practices, they may be mediated by nurses' intention to provide care. Research on intention-based factors remains limited. This study aimed to identify factors influencing infection control practices based on nurses' intention to care for COVID-19 patients.</p><p><strong>Methods: </strong>This cross-sectional study surveyed 240 nurses from three general hospitals in Korea in March 2021 regarding individual and environmental factors. Multiple regression analyzed predictors of infection control practices based on care intention levels.</p><p><strong>Results: </strong>The findings revealed distinct influencing factors based on nurses' intention levels. Among nurses with high care intention, individual factors were predominant: COVID-19-related infection control awareness (<i>β</i> = .449, <i>p</i> < .001) and psychosocial stress (<i>β</i> = -.271, <i>p</i> = .012) were significantly associated with their practices. In contrast, for nurses with moderate intention, both individual and environmental factors were significant: infection control awareness (<i>β</i> = .362, <i>p</i> < .001) and the availability of negative pressure rooms (<i>β</i> = .224, <i>p</i> = .042) played key roles.</p><p><strong>Conclusion: </strong>Factors influencing infection control practices vary depending on nurses' care intention. Specifically, strategies should focus on maintaining awareness and managing stress for nurses with high intention, while enhancing environmental support and infrastructure is more effective for those with moderate intention. These results emphasize the need for tailored, multi-level interventions-integrating both individual and environmental strategies-to sustain effective infection control during infectious disease outbreaks.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774261456669"},"PeriodicalIF":1.0,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13216098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148138258","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":"Simulation of healthcare professional teams in infection prevention and control: A scoping review.","authors":"Isabela Passerini, Erica Gomes Pereira, Isabela Galvão Fernandes Alves, Maria Clara Padoveze","doi":"10.1177/17571774261456671","DOIUrl":"https://doi.org/10.1177/17571774261456671","url":null,"abstract":"<p><strong>Background: </strong>Healthcare-associated infections (HAIs) are a major public health concern. Although interprofessional education (IPE) is recognized as a promising strategy, there is limited robust evidence demonstrating its effectiveness in reducing infection rates in healthcare settings.</p><p><strong>Aim/objective: </strong>To identify studies on interprofessional simulation for healthcare teams focused on infection prevention and control (IPC).</p><p><strong>Methods: </strong>This scoping review followed the PRISMA-ScR checklist and was registered on the OSF platform (https://osf.io/bj6uc/). Six databases (MEDLINE, Embase, Web of Science, CINAHL, ERIC, Scopus) were searched, yielding 632 citations. After screening and applying exclusion criteria, 11 studies were included.</p><p><strong>Finding/results: </strong>Among the selected studies, four (36.4%) originated from the United States. Five studies (45.5%) employed simulation practices based on evidence or expert consensus. Seven studies (63.6%) involved teams comprising three or more professional categories. All studies addressed infectious diseases requiring rapid response, mainly COVID-19 (55%) and Ebola (45%). Most (81.8%) used patient simulators. The most frequently addressed IPE competencies were teamwork (90.9%), roles and responsibilities (81.8%), and interprofessional communication (72.7%).</p><p><strong>Discussion: </strong>Findings indicate a reliance on expert-driven simulation practices and a concentration on emergency contexts. There is a lack of studies evaluating interprofessional simulation in routine care environments, such as primary health care and long-term care. Additionally, the absence of medium- and long-term outcome assessments limits our understanding of the sustained impact of interprofessional simulation on IPC. Further research is needed to support evidence-based implementation in diverse healthcare settings.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774261456671"},"PeriodicalIF":1.0,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13216103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148138245","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":"Perceptions of health care workers on involving patients in hand hygiene promotion in selected health facilities of rural and semi-urban districts in Uganda.","authors":"Fred Twinomugisha, David Musoke, Richard K Mugambe, John Bosco Isunju, Vicent Kasiita, Henry Kajumbula, Esther Buregyeya","doi":"10.1177/17571774261450888","DOIUrl":"https://doi.org/10.1177/17571774261450888","url":null,"abstract":"<p><strong>Background: </strong>Healthcare-associated infections (HAIs) are rising globally, contributing to significant patient morbidity and mortality, as well as financial strain on healthcare systems. Poor hand hygiene (HH) practices among healthcare workers (HCWs) remain a major contributor. This study explored HCWs' perceptions of patient involvement in promoting HH practices.</p><p><strong>Methods: </strong>An exploratory qualitative study was conducted in sixteen healthcare facilities across rural and semi-urban districts of Uganda. Sixteen key informant interviews (KIIs) were conducted with HCWs working in medical, surgical, and maternity wards. Interviews were audio recorded, transcribed verbatim, and analyzed thematically in Atlas.ti (version 24), guided by constructs of the Health Belief Model (HBM).</p><p><strong>Results: </strong>Six major themes aligned with HBM constructs emerged: perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. Additional themes included power dynamics, professional hierarchy, and cultural norms. Participants generally viewed patient involvement in HH promotion as beneficial, noting that patients could remind HCWs to perform HH, reduce HH lapses, and enhance accountability. Patient engagement was also seen as a way to empower patients and strengthen their role in care. However, some HCWs expressed concern that patient reminders could be perceived as disrespectful or confrontational, particularly in hierarchical and culturally sensitive contexts.</p><p><strong>Conclusion: </strong>Patient involvement in HH promotion is perceived as a promising strategy to improve adherence. However, cultural norms and professional hierarchies remain key barriers that may limit HCWs' acceptance of patient-initiated reminders.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774261450888"},"PeriodicalIF":1.0,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13201377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148042601","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":"Infectious and non-infectious complications associated with transrectal MRI-guided prostate biopsy using an alternative antibiotic regimen with oral cefixime.","authors":"Wolff Laura, Stankovic Mladen, Mendes Joao","doi":"10.1177/17571774261449132","DOIUrl":"https://doi.org/10.1177/17571774261449132","url":null,"abstract":"<p><strong>Background: </strong>Transrectal prostate biopsy has raised concerns due to potential postbiopsy infections.</p><p><strong>Objective: </strong>This study evaluated infectious and non-infectious complication rates following transrectal biopsy without bowel preparation, using third-generation cephalosporin prophylaxis instead of resource-intensive targeted approaches.</p><p><strong>Materials and methods: </strong>A single-centre retrospective study included biopsy-naïve patients undergoing MRI-ultrasound fusion-guided transrectal systematic and targeted prostate biopsies under local anaesthesia in an outpatient setting. All patients received third-generation cephalosporin prophylaxis, cefixime. The primary endpoint was the 30-day infectious complication rate, including fever, genitourinary infections, additional antibiotic prescriptions, unscheduled office/emergency visits, hospitalisations, or sepsis. Secondary endpoints were non-infectious complications such as gross haematuria, rectal bleeding, or acute urinary retention.</p><p><strong>Results: </strong>Data from 336 cases were analysed. No cases of sepsis or positive blood cultures were observed. Infectious complications were uncommon, with fever ≥38°C occurring in 10 patients (2.9%), of whom 6 (1.8%) required hospitalisation. Localised infection, limited to epididymitis, was reported in 5 patients (1.5%) and was managed with additional antibiotics. Overall, 14 patients (4.2%) required unscheduled visits due to complications. Non-infectious complications were infrequent, with haematuria requiring bladder irrigation in 3 patients (0.9%) and acute urinary retention in 2 patients (0.6%). The median pain score during the procedure was 1.8 on a standardised scale.</p><p><strong>Discussion: </strong>Transrectal prostate biopsy using third-generation cephalosporin prophylaxis was associated with low infectious and non-infectious complication rates, with no sepsis cases reported. These findings highlight the procedure's safety and effectiveness, supporting its continued clinical use without the need for intensive prophylactic measures.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774261449132"},"PeriodicalIF":1.0,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13194339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015935","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":"10.1177/17571774261448125","DOIUrl":"https://doi.org/10.1177/17571774261448125","url":null,"abstract":"","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"27 3","pages":"134-135"},"PeriodicalIF":1.0,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147941540","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 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}