Journal of Infection Prevention最新文献

{"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":"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":"237-243"},"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":"193-200"},"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 I² 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":"201-211"},"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}

{"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":"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":1.0,"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":"Diary.","authors":"","doi":"10.1177/17571774251358018","DOIUrl":"https://doi.org/10.1177/17571774251358018","url":null,"abstract":"","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"26 4","pages":"185"},"PeriodicalIF":0.9,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584136","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":"138-147"},"PeriodicalIF":1.0,"publicationDate":"2025-05-01","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":"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":"120-128"},"PeriodicalIF":1.0,"publicationDate":"2025-05-01","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":"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":"103-113"},"PeriodicalIF":1.0,"publicationDate":"2025-05-01","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":"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":"114-119"},"PeriodicalIF":1.0,"publicationDate":"2025-05-01","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":"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":"129-137"},"PeriodicalIF":1.0,"publicationDate":"2025-05-01","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}