Journal of Infection Prevention最新文献_第7页

Diary. 日记。

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Journal of Infection Prevention Pub Date : 2025-05-01 Epub Date: 2025-05-07 DOI: 10.1177/17571774251336563

引用次数: 0

Why do staff comply? A study to determine factors influencing staff adherence to PPE and hand hygiene policy and standards within an acute healthcare setting. 员工为什么要遵守规定？一项旨在确定在急性医疗保健环境中影响工作人员遵守个人防护装备和手卫生政策和标准的因素的研究。

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Journal of Infection Prevention Pub Date : 2025-04-13 eCollection Date: 2025-07-01 DOI: 10.1177/17571774251334045

Graham Kaye, Debbi Marais

{"title":"Why do staff comply? A study to determine factors influencing staff adherence to PPE and hand hygiene policy and standards within an acute healthcare setting.","authors":"Graham Kaye, Debbi Marais","doi":"10.1177/17571774251334045","DOIUrl":"10.1177/17571774251334045","url":null,"abstract":"Background: Hand hygiene is commonly regarded as being the single most important method in preventing various healthcare-associated infections which cause an estimated 37,000 deaths in Europe and 100,000 deaths in the United States annually. Despite this, infection prevention and control audits regularly demonstrate that staff are missing hand hygiene opportunities, and that personal protective equipment (PPE) is being used inappropriately, clearly highlighting that policies are not being conformed to.Aim: The aim of this was to identify factors that facilitate and hinder staff in their compliance with hand hygiene and PPE standards and policies.Methods: A mixed methods approach sequential explanatory design was used to investigate levels of compliance and staff identified barriers and facilitators. Quantitative data was obtained regarding COVID-19 cases, hand hygiene, and PPE compliance over a 10-month period in all inpatient wards (approximately 750 beds) across an acute Trust. Following a review of this data, two wards were selected. Four participants on each ward, covering various grades of staff, were interviewed to explore their perceptions of compliance (qualitative data), and a thematic analysis was conducted to determine themes of facilitators and barriers.Results: When compared to COVID-19 cases, hand hygiene and PPE compliance showed a downward trend over the study period. Barriers and facilitators to compliance identified by staff were time, information, training, safety, and accessibility. Time was the most common theme, with compliance to policy being deemed as too time consuming.Conclusion: Patient safety was identified as the most influential aspect on staff being compliant with time being the one aspect that would contribute most to non-compliance.","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"161-166"},"PeriodicalIF":1.0,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11994624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007548","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}

引用次数: 0

Antimicrobial stewardship practice and metrics use to assess antibiotic consumption in paediatric ward: A national survey. 抗菌药物管理实践和指标用于评估儿科病房抗生素消费：一项全国性调查。

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Journal of Infection Prevention Pub Date : 2025-04-10 eCollection Date: 2025-07-01 DOI: 10.1177/17571774251334039

Nazedah Ain Ibrahim, Nurul Husna Syuhaidah Yusof, Sharini Sha'ari, Lau Hui Shan

{"title":"Antimicrobial stewardship practice and metrics use to assess antibiotic consumption in paediatric ward: A national survey.","authors":"Nazedah Ain Ibrahim, Nurul Husna Syuhaidah Yusof, Sharini Sha'ari, Lau Hui Shan","doi":"10.1177/17571774251334039","DOIUrl":"10.1177/17571774251334039","url":null,"abstract":"Background: Antibiotics are widely prescribed therapeutic agents in the paediatric population.Aim/objective: This survey aims to describe an overview of antimicrobial stewardship (AMS) and the type of metrics used to monitor antibiotic consumption in paediatric wards in Malaysian public hospitals.Methods: This research was conducted as a multicentre, quantitative research online survey in all Ministry of Health Malaysia hospitals with paediatric ward services. The survey respondents were the pharmacists in charge of either a paediatric ward or antibiotic consumption in each facility.Results: Out of the 145 hospitals, only 99 with eligible facilities were shortlisted for the survey. Of the 99 hospitals identified in this survey, only 91 of the facilities responded. The result from the survey revealed that only six hospitals had a paediatric infectious disease (ID) specialist. Only 26 out of the 91 facilities that responded performed paediatric antibiotic monitoring. The survey showed that the type of metrics used to monitor antibiotic consumption varied. 46.2% (12/26) of paediatric monitored facilities were using defined daily dose (DDD), 23.1% (6/26) using days of therapy, 19.2% (5/26) using the number of vials, 15.4% (4/26) using the number of patients and 11.5% (3/26) using the length of therapy as their consumption metrics. Half (50%, 13/26) of the paediatric monitored facilities did not use any denominator for reporting while some facilities (38.5%, 10/26) used patient days.Conclusion: Although 90% of the facilities practice AMS, in paediatrics, there appears to be no standardisation especially in antimicrobial consumption monitoring.","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"173-180"},"PeriodicalIF":1.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11985464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999681","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}

引用次数: 0

The COVID-19 pandemic and critical laboratory functions. Can fast-track molecular testing reduce work absence in the laboratory? COVID-19大流行与关键实验室功能。快速分子检测能减少实验室缺勤吗？

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Journal of Infection Prevention Pub Date : 2025-04-03 eCollection Date: 2025-07-01 DOI: 10.1177/17571774251330455

Thea A Andersen, Johan Bjerner, Trygve Tjade, Trond E Ranheim, Eyvind W Axelsen, Michael Sovershaev, Ying Chen, Peter Gaustad

{"title":"The COVID-19 pandemic and critical laboratory functions. Can fast-track molecular testing reduce work absence in the laboratory?","authors":"Thea A Andersen, Johan Bjerner, Trygve Tjade, Trond E Ranheim, Eyvind W Axelsen, Michael Sovershaev, Ying Chen, Peter Gaustad","doi":"10.1177/17571774251330455","DOIUrl":"10.1177/17571774251330455","url":null,"abstract":"Background: Amid the SARS-CoV-2 pandemic, laboratories faced the challenge of maintaining diagnostic operations while adhering to infection prevention and control (IPC) guidelines. We investigated the impact of implementing rapid molecular testing of employees of a large medical laboratory to prevent workplace transmission.Aim/objective: To evaluate if fast-track PCR diagnostics, alongside local infection control measures, could reduce internal transmission and workplace sickness absence.Methods: Employees with respiratory symptoms, but testing negative for SARS-CoV-2, were allowed to work if clinically healthy. All included employees completed a questionnaire and underwent SARS-CoV-2 antibody testing post-pandemic. Data on sickness absence were retrieved from local human resources systems, and comparative analyses were conducted between the pre-pandemic and pandemic periods.Findings/results: Of 153 participants, 84 (55%) reported having had COVID-19, with 12 (14%) suspecting workplace transmission. Six (4%) tested positive for SARS-CoV-2 IgG nucleocapsid despite no COVID-19 diagnosis. Among 101 (66%) reporting respiratory symptoms and negative SARS-CoV-2 tests, 80 (79%) were allowed to return to the workplace. Mean workplace sickness absence during the pandemic 2020 (3.74%) and 2021 (4.19%) was significant lower compared with sickness absence in the laboratory before the pandemic in 2019 (4.54%). No larger outbreaks in the laboratory were recorded.Discussion: SARS-CoV-2 infections in the laboratory were mostly symptomatic and acquired outside the workplace. The combination of local IPC and rapid and frequent testing of employees facilitated an effective infection control and minimized workplace absence, maintain diagnostic operations.","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"167-172"},"PeriodicalIF":1.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795627","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}

引用次数: 0

Colonisation at admission to an intensive care unit in an Italian University Hospital: Risk factors and clinical implications. 意大利大学医院重症监护病房入院时的定植：危险因素和临床意义

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Journal of Infection Prevention Pub Date : 2025-04-02 eCollection Date: 2025-07-01 DOI: 10.1177/17571774251330450

Carlo Pallotto, Giovanni Genga, Elisabetta Svizzeretto, Andrea Tommasi, Fabio Mencarelli, Eleonora Natali, Cristina Todisco, Anna Gidari, Daniela Francisci

{"title":"Colonisation at admission to an intensive care unit in an Italian University Hospital: Risk factors and clinical implications.","authors":"Carlo Pallotto, Giovanni Genga, Elisabetta Svizzeretto, Andrea Tommasi, Fabio Mencarelli, Eleonora Natali, Cristina Todisco, Anna Gidari, Daniela Francisci","doi":"10.1177/17571774251330450","DOIUrl":"10.1177/17571774251330450","url":null,"abstract":"Background: Antibiotic resistance represents a great concern worldwide with increasing related morbidity and mortality. Multidrug resistant microorganisms are going to be detected more and more frequently even in the community setting. Therefore, patients could be colonised even at the admission to the hospital.Objective: The aim of this study is to evaluate colonisation at admission to an intensive care unit (ICU) and the acquisition of new colonisation during the ICU stay and the related risk factors. Secondly, healthcare-associated infections and surgical prophylaxis efficacy were also evaluated.Methods: Retrospective observational study. All the patients admitted to the post-cardiosurgical ICU from 01 January to 30 June 2021 were enrolled. Colonisation was evaluated by rectal and nasal swab at admission or at the pre-hospitalisation visit and then every 7 days during the hospital stay.Results: 80 out of 183 patients were colonised at admission, 46 by non-susceptible microorganisms (NSM). An antibiotic treatment in the previous 3 months was identified as risk factor for NSM colonisation. According to these isolates, about one third of the surgical prophylaxis could be ineffective. During the hospital stay, 36 patients acquired new colonisations; antibiotic treatment and length of hospital stay were recognised as risk factors. At least one (≥1) healthcare-associated infection (HAI) was detected in 54 patients (68 episodes); HAIs were significantly more frequent in the colonised patients. Moreover, in 35/68 HAIs aetiology was consistent with the colonisation.Discussion: Knowing patients' colonisations could be fundamental to tailor antibiotic treatments and prophylaxis and to avoid NSM spread.","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"153-160"},"PeriodicalIF":1.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795626","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}

引用次数: 0

Optimizing healthcare staffing for infection prevention: Insights from the Association for Professionals in Infection Control and Epidemiology's staffing pattern calculator. 信件回复：优化感染预防的医疗人员配置：来自感染控制和流行病学专业人员配置模式计算器协会的见解。

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Journal of Infection Prevention Pub Date : 2025-03-01 Epub Date: 2024-12-23 DOI: 10.1177/17571774241309800

Manya Soni, Ashok Kumar Balaraman, Nishant Rai

引用次数: 0

A peer-to-peer infection prevention and control programme in neglected settings: The case of home care and nursing homes in North Italy. 被忽视环境中的点对点感染预防和控制计划：意大利北部的家庭护理和养老院案例。

IF 1

Journal of Infection Prevention Pub Date : 2025-03-01 Epub Date: 2024-09-25 DOI: 10.1177/17571774241287473

Monica Ronco, Bruna Odasmini, Stefania Chiappinotto, Alvisa Palese

{"title":"A peer-to-peer infection prevention and control programme in neglected settings: The case of home care and nursing homes in North Italy.","authors":"Monica Ronco, Bruna Odasmini, Stefania Chiappinotto, Alvisa Palese","doi":"10.1177/17571774241287473","DOIUrl":"10.1177/17571774241287473","url":null,"abstract":"Healthcare-associated infections (HAIs) are an increasing concern and educational programmes may increase healthcare professionals' adherence to infection prevention and control (IPC) guidelines. However, despite evidence regarding the effectiveness of peer-to-peer educational programmes, to our knowledge, no studies have been conducted in non-hospital settings. A post-intervention pilot study based on peer-to-peer meetings on HAI topics in home care and nursing homes was conducted. A survey was administered to eligible nurses willing to participate, collecting socio-demographic data, the perceived effectiveness and quality of the programme, and the topics for future meetings. Twelve 'Pills of Prevention' seminars were held, enrolling 115 nurses and nursing aides. Of the 115 participants, 81 (70.4%) were eligible and 31 (38.2%) completed the survey. Participants found tangible changes in the clinical settings mostly at the individual level, with bundles/checklists delivered during the meetings mostly being used in everyday practice. Regarding the perceived quality, the overall satisfaction with the programme was high due to the opportunity to 'freely share own opinions' and the 'appropriateness of selected topics'. 'Bundles/checklists' were seen as the most interesting topics to prioritize in the future among home care nurses, while HAIs in COVID-19 patients were the least. A community-based peer-to-peer programme, still neglected in terms of HAIs' continuing education strategies, is appreciated and may produce benefits both at the individual and the group level.","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"91-94"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559432/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Healthcare-associated infections and nursing leadership: A systematic review. 医疗相关感染与护理领导力：系统综述。

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Journal of Infection Prevention Pub Date : 2025-03-01 Epub Date: 2024-09-27 DOI: 10.1177/17571774241287467

Eva Cappelli, Francesco Zaghini, Jacopo Fiorini, Alessandro Sili

{"title":"Healthcare-associated infections and nursing leadership: A systematic review.","authors":"Eva Cappelli, Francesco Zaghini, Jacopo Fiorini, Alessandro Sili","doi":"10.1177/17571774241287467","DOIUrl":"10.1177/17571774241287467","url":null,"abstract":"Background: Healthcare-associated infections are strictly related to healthcare practices. A head nurse stimulates and motivates nurses, boosts nurses' job performance and satisfaction, and can influence adverse event development.Aim: To explore the relationship between healthcare-associated infections and head nurse leadership style.Methods: A systematic review was conducted. The search was conducted from 1973 until March 2022 on PubMed, Cochrane Library, Scopus, CINAHL, Web of Science, Embase, and APA PsycInfo databases. The review followed the Joanna Briggs Institute Manual for Evidence Synthesis and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. A thematic synthesis and critical appraisal of the included studies have been conducted.Results: Eight articles were included in this review. Head nurses' leadership, supported by the organization, can positively influence the job performance and job satisfaction of nurses by reducing infection rates associated with vascular access and urinary catheters.Discussion: Authentic and transformational nurse leadership styles can foster targeted interventions and improvements tailored to preventing and controlling healthcare-associated infections. Even if there is limited evidence, the results support that the occurrence of infections can be reduced by leadership strategies implemented by head nurses.","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"78-90"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Real-time intervention to increase daily chlorhexidine bathing and reduce central line-associated bloodstream infections. 实时干预，增加每日洗必泰沐浴次数，减少中心静脉相关血流感染。

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Journal of Infection Prevention Pub Date : 2025-03-01 Epub Date: 2024-11-19 DOI: 10.1177/17571774241301713

Brad A Krier, Pawan Bhandari, Ashley M Brooks, Kristin J Schultz, Jonna J Zarbano, Gokhan Anil

{"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":"Background: 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.Objective: To increase the rate of daily CHG bathing in hospitalized patients with central lines and subsequently reduce the number of CLABSIs.Methods: 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.Results: 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 (p = .003).Discussion: 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.","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"62-66"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","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}

引用次数: 0

Examination of the COVID-19 fear levels of nurses and their compliance to isolation. 研究护士对 COVID-19 的恐惧程度及其遵守隔离规定的情况。

IF 1

Journal of Infection Prevention Pub Date : 2025-03-01 Epub Date: 2024-08-13 DOI: 10.1177/17571774241273088

Rabia Acar, Aklime Sarikaya, Dilek Yildirim

{"title":"Examination of the COVID-19 fear levels of nurses and their compliance to isolation.","authors":"Rabia Acar, Aklime Sarikaya, Dilek Yildirim","doi":"10.1177/17571774241273088","DOIUrl":"10.1177/17571774241273088","url":null,"abstract":"Background: It is very important for healthcare professionals to know the isolation precautions and apply the isolation rules correctly in COVID-19 process.Aim: This study was conducted to determine the COVID-19 fear levels and isolation compliance levels of nurses.Method: This descriptive, cross-sectional, and correlational study was conducted between December 2020-February 2021 with 217 nurses working in a public hospital in Istanbul/Turkey. Data were collected using the Sociodemographic-Form, the COVID-19 Fear Scale, and the Compliance with Isolation Measures Scale.Results: Statistically significant difference was found between the level of compliance with the isolation measures and the education level of the nurses (p = .011), as well as their professional position (p = .026) (p < .05). A positive, low-level significant relationship was determined between the COVID-19 fear of nurses and their compliance with isolation measures (r = 0.168; p = .015).Conclusions: It was determined that nurses' compliance with Isolation Precautions and their level of fear were high during the COVID-19 pandemic. It was observed that nurses' fear levels and isolation adaptation levels were related.","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"53-61"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0