British Journal of Infection Control最新文献_第10页

The history of infection control: Tuberculosis: part two — Finding the cause and trying to eliminate it 感染控制的历史:结核病:第二部分-寻找病因并努力消除它

British Journal of Infection Control Pub Date : 2006-12-01 DOI: 10.1177/14690446060070060301

S. Newsom

{"title":"The history of infection control: Tuberculosis: part two — Finding the cause and trying to eliminate it","authors":"S. Newsom","doi":"10.1177/14690446060070060301","DOIUrl":"https://doi.org/10.1177/14690446060070060301","url":null,"abstract":"Introduction The plot thickens. I mentioned multiple-drug-resistant (MDR) strains of Mycobacterium tuberculosis in part one published in the last issue of this journal. The drastic control measures taken in the US were followed by a reduction in cases, and are recommended in the National Institute for Health and Clinical Excellence (NICE) guidelines on tuberculosis recently published by the Royal College of Physicians (2006). However, we now have extensively drug resistant (XDR) strains, which are also resistant to some of the ‘third line’ drugs used to treat MDR infections. Of 17 690 isolates from reference laboratories throughout the world in 2000 to 2005, 20% were MDR and 2% were XDR. XDR strains were found as far apart as the US, South Korea and Latvia (Morbidity and Mortality Weekly Report, 2006). The potential danger of XDR strains is shown in an outbreak in South Africa, 52 of 53 patients (all with HIV) died within a median of 25 days. All had been in hospital previously, raising the likelihood of nosocomial infection – this was a real ‘wake-up call’ (Lawn and Wilkinson, 2006). However, back to history. Was the disease familial or contagious? Hippocrates mentioned the phthisic diathesis. The occurrence of the disease in families (the Keats’ for example) and the high death rate in small children (grandfather coughing over the baby) suggested a genetic element. Galen thought phthisis was contagious and later Benjamin Marten (1722) wrote in A new theory of consumptions: ‘The original and essential cause may possibly be certain species of animalculi or wonderfully minute living creatures that by their peculiar shape or disagreeable parts are inimical to our nature... Worms and animalculi fretting and gnawing.’","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116246720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Review of guidance for pandemic influenza 大流行性流感指南审查

British Journal of Infection Control Pub Date : 2006-12-01 DOI: 10.1177/14690446060070060401

S. Millership, M. Edoo

引用次数: 0

HAI rates decrease over last decade 在过去十年中，HAI率有所下降

British Journal of Infection Control Pub Date : 2006-12-01 DOI: 10.1177/14690446060070060201

引用次数: 0

Qualitative research: a challenging paradigm for infection control 定性研究:感染控制的一个具有挑战性的范例

British Journal of Infection Control Pub Date : 2006-12-01 DOI: 10.1177/14690446060070060701

M. Cole

引用次数: 36

Infection control policies and procedures for meticillin-resistant Staphylococcus aureus in care homes for older people in Northern Ireland: a questionnaire study 北爱尔兰老年人护理院耐甲氧西林金黄色葡萄球菌感染控制政策和程序:一项问卷研究

British Journal of Infection Control Pub Date : 2006-12-01 DOI: 10.1177/14690446060070060601

M. Tunney, C. Hughes, J. Magee

{"title":"Infection control policies and procedures for meticillin-resistant Staphylococcus aureus in care homes for older people in Northern Ireland: a questionnaire study","authors":"M. Tunney, C. Hughes, J. Magee","doi":"10.1177/14690446060070060601","DOIUrl":"https://doi.org/10.1177/14690446060070060601","url":null,"abstract":"ackground: Limited information is available regarding the role of infection control in the prevention of infection in nursing and residential care homes. Objectives: To determine what infection control policies and procedures are in place in care homes for older people in Northern Ireland. Methods: Anonymous postal questionnaire survey of all 410 nursing and residential homes in Northern Ireland that provide care to residents over the age of 65. Results: A total of 318 (78%) questionnaires were returned. Visits from infection control nurses from health boards or community trusts were infrequent, with only 23% of homes receiving such a visit. Nearly all homes (99.7%) had a policy on infection control, with 72.4% and 84.3% of homes having a policy on the admission and care of residents with meticillin-resistant Staphylococcus aureus (MRSA) respectively. Of those respondents that had a policy on admission of persons with MRSA, only a small percentage (9.2%) would not admit residents with MRSA. Only 11% of respondents believed that MRSA was a problem in their particular home, but at least 30% agreed that there was a problem with MRSA in care homes. A desire was expressed for more information and support, with 75% of respondents agreeing that more information should be provided to homes on MRSA. Conclusions: There is a clear need for additional infection control advice to be available to care homes and for the development of uniform policies and an infection control audit tool. The audit tool could then be used to ensure that the appropriate policies and standards are in place within care homes and that these standards are met on an ongoing basis.","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128683695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

OxOid infectiOn cOntrOl awards Open OxOid感染控制奖励开放

British Journal of Infection Control Pub Date : 2006-12-01 DOI: 10.1177/14690446060070060203

引用次数: 0

Healthcare workers' compliance with glove use and the effect of glove use on hand hygiene compliance 医护人员手套使用依从性及手套使用对手卫生依从性的影响

British Journal of Infection Control Pub Date : 2006-12-01 DOI: 10.1177/14690446060070060501

A. Flores, D. Pevalin

{"title":"Healthcare workers' compliance with glove use and the effect of glove use on hand hygiene compliance","authors":"A. Flores, D. Pevalin","doi":"10.1177/14690446060070060501","DOIUrl":"https://doi.org/10.1177/14690446060070060501","url":null,"abstract":"espite considerable evidence that appropriate hand hygiene is the leading measure to prevent healthcare-associated infection, compliance with infection control recommendations remains low among healthcare workers. Literature regarding the role that concomitant glove use has on compliance with hand hygiene is limited and conflicting. The aims of this study were to examine healthcare workers' glove use by observation and to evaluate the effect that glove use has on compliance with hand hygiene. Non-participant observation was carried out on 12 randomly-selected wards in two district general hospitals. Although the overall compliance rate for glove use was high at 92%, gloves were also overused. The proportion of glove overuse was 42%. Overall hand hygiene compliance was 64%. However, hand hygiene compliance was significantly worse following glove overuse, demonstrating that inappropriate glove use may be a component of poor hand hygiene compliance. Recommendations arising from these results are that, in order to improve adherence to hand hygiene recommendations, multi-faceted interventions should be aimed at changing healthcare workers' glove use behaviour.","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124451072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 39

Scotland launches new hand hygiene campaign 苏格兰发起新的手部卫生运动

British Journal of Infection Control Pub Date : 2006-12-01 DOI: 10.1177/14690446060070060204

引用次数: 0

NICE abandons its SSI guidance NICE放弃了SSI指南

British Journal of Infection Control Pub Date : 2006-10-01 DOI: 10.1177/14690446060070050201

{"title":"NICE abandons its SSI guidance","authors":"","doi":"10.1177/14690446060070050201","DOIUrl":"https://doi.org/10.1177/14690446060070050201","url":null,"abstract":"Vascular access device toolkit launched at 2006 ICNA conference A unique resource pack for all healthcare professionals aimed at reducing infection rates in patients using vascular access devices was launched at the ICNA conference last month. The toolkit, entitled Preventing Infections in Vascular Access (PIVA), offers both hospital and community healthcare practitioners easily accessible information and guidelines to implement a direct management approach involving practical measures for introducing, managing or removing intravascular devices. The audit tools will inform staff of the actual outcome of these interventions, thus enabling action plans to be developed for targeted education and review of practice. ICNA president professor Dame Jill Macleod Clark said: ‘The PIVA toolkit combines innovation and excellence and provides a gold standard for practice. It is an outstanding example of a resource which will directly reduce the incidence of infections and improve quality of care of patients and their health outcomes.’ The toolkit has been developed by senior representatives of the ICNA in collaboration with 3M Health Care, and its contents can be dowloaded from the websites www.icna.co.uk and www.3mhealthcare.co.uk.","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121970883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Infection control link professionals' knowledge of Clostridium difficile 感染控制环节专业人员艰难梭菌知识

British Journal of Infection Control Pub Date : 2006-10-01 DOI: 10.1177/14690446060070050801

N. Vaughan, J. Randle, G. Adams

引用次数: 13