British Journal of Infection Control最新文献

{"title":"The future for infection prevention and control in English primary care trusts","authors":"H. Pickles, B. Nunkoo, K. Sadler","doi":"10.1177/1469044607085005","DOIUrl":"https://doi.org/10.1177/1469044607085005","url":null,"abstract":"Although less well developed than in the hospital sector, the infection prevention and control function is important to primary and community care. In each reorganisation in the NHS, any specialist workforce needs to align with that part of the system that holds the relevant responsibilities and duties. This paper describes how infection control nursing has shifted its focus over the past decade. It questions whether the primary care trust (PCT) will remain an appropriate employing organisation in the future, as those provider functions currently within PCTs move away. The challenge will then be to ensure that infection prevention and control remains prominent within the decision making of PCTs and practice-based commissioners, with expert infection control advice and support also remaining available to independent primary care practitioners. A market for infection prevention and control advice and support services would be possible, provided suitable employment conditions could be ensured.","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116670535","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}

{"title":"Regional microbiology network","authors":"C. McCartney","doi":"10.1177/1469044607084546","DOIUrl":"https://doi.org/10.1177/1469044607084546","url":null,"abstract":"","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"111 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122774043","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}

{"title":"Nurses' perceptions of meticillin-resistant Staphylococcus aureus: Impacts on practice","authors":"G. Lugg, H. A. Ahmed","doi":"10.1177/1469044607084969","DOIUrl":"https://doi.org/10.1177/1469044607084969","url":null,"abstract":"Aim and objectives: The main aim of this study is to explore the perceptions and understanding of meticillin-resistant Staphylococcus aureus (MRSA) infections among adults' and children's nurses. Specifically the objectives are: ■ to assess and compare adults' and children's nurses' self-reported practices ■ to examine the correlation between knowledge and self-reported practices among nursing staff members ■ to investigate the factors that influence nurses' compliance with good infection control practice. Background: MRSA is notorious for having serious physical and economical implications for patients, healthcare managers and practitioners. Therefore, it is important that healthcare professionals and managers are given adequate information to enhance their knowledge and understanding of the condition in order to minimise and control it. There are few studies from the United Kingdom that address nurses' knowledge, attitudes and self-reported practices, and hence a gap in human knowledge is identified, which provides a good rationale for this study. Design: A combined quantitative and qualitative research design, which comes from a positivist paradigm perspective, was used in this study. Methods: A cross-sectional survey with a purposive sample was used. Adults' and children's nurses' (n = 144) knowledge and self-reported practices were studied using a self-reporting questionnaire devised for the study using information from the literature. Results: The overall level of knowledge of infection control was relatively inadequate. However, adults' nurses scored significantly higher on knowledge (p = 0.001) and self-reported practice (p = 0.001) than did children's nurses. In addition, there was no significant difference in self-reported practices between nurses who had received infection control training and those who did not receive training (p = 0.16), in both specialties. Conclusion: Adults' nurses in this sample have higher levels of knowledge and self-reported practice than children's nurses with regard to MRSA. Moreover, there is a correlation between subjects' knowledge and self-reported practices. Relevance to clinical practice: Educational interventions and training should be implemented with nurses of different disciplines in order to improve their knowledge scores and practice proficiency. Repeating the study in other settings and in a larger sample size would be worthwhile to see if these conclusions can be generalised.","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126695634","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}

{"title":"Hand hygiene: What about our patients?","authors":"E. Burnett, K. Lee, P. Kydd","doi":"10.1177/1469044607085549","DOIUrl":"https://doi.org/10.1177/1469044607085549","url":null,"abstract":"Effective hand hygiene practice within health care is widely recognised as being one of the single most important interventions to control and prevent the spread of healthcare associated infection (HCAI). This study aimed to explore nurses' and patients' perceptions towards patient hand hygiene and determine whether patients who required assistance with their hand hygiene were encouraged and offered appropriate facilities at appropriate times. In January 2007, within an acute teaching hospital in Scotland, six observational sessions, each lasting 4 hours were undertaken, 33 nurses completed a survey questionnaire, and interviews were carried out with 22 patients who required hand hygiene assistance. 100% of nurses and 95% of patients believed that patient hand hygiene was an important part of controlling and preventing HCAI. 64% of nurses reported having offered patients facilities to decontaminate their hands during the observational period, but only 14% of patients agreed with this. Out of 75 patient hand hygiene opportunities identified, facilities were provided on only one occasion. Despite nurses believing patient hand hygiene is an important part of preventing and controlling HCAI, unless patients are able to undertake this task independently, they are rarely encouraged or offered facilities to do so.","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125120480","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}

{"title":"An audit of healthcare workers' knowledge of meticillin resistant Staphylococcus aureus (MRSA) against current infection control standards","authors":"D. Trigg, S. Timmons, C. Pynegar","doi":"10.1177/1469044607084970","DOIUrl":"https://doi.org/10.1177/1469044607084970","url":null,"abstract":"The aim of this audit was to establish the knowledge of different healthcare workers regarding meticillin resistant Staphylococcus aureus (MRSA) infection control precautions within the clinical environment. Data was interpreted to identify how education could be appropriately targeted to enhance the knowledge of all staff. A cross-sectional audit tool was developed from existing policies and national guidelines. Stratified random sampling was undertaken and 961 audits were distributed proportionately to differing groups of healthcare workers from within one UK NHS hospital; 411 audits were returned giving a 43% response rate. The majority of staff (71%) felt that MRSA is a very serious issue. The amount of staff that had read the trust's MRSA policy or received any formal MRSA education varied considerably, depending on the healthcare worker's occupation, and it was predominantly the nursing staff who had read the MRSA policy. It was unexpected, but encouraging, to find that unregistered nurses (healthcare assistants) and doctors had received the most education regarding MRSA. Of concern was that the majority of hotel services staff (69%) had not read the policy or received any MRSA education (79%). Only medical staff felt they had received adequate amounts of education on MRSA.","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"172 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132122630","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}

{"title":"Serratia marcescens: A colourful microbe","authors":"S. Newsom","doi":"10.1177/1469044607085004","DOIUrl":"https://doi.org/10.1177/1469044607085004","url":null,"abstract":"VOL. 9 NO. 1 JANUARY 2008 British Journal of Infection Control 25 Newsom’, said the professor,’ I want you to test this surgeon’s mask’. ‘Go to the roof garden, gargle with a broth culture of Chromobacterium prodigiosum, put the mask on and read aloud for ten minutes holding an agar plate in front of your mouth’. I thoroughly enjoyed escaping from the laboratory to the Westminster Medical School roof garden with its view of the Houses of Parliament. Today I would think twice about swallowing that culture, as we recognise Serratia marcescens as an antibiotic-resistant pathogen, capable of causing nosocomial infections. However its ability to produce a red pigment (prodigiosin) makes it a good marker germ (Figure 1), and growth on starchy foods means its effects have been recognised since medieval times. Today we call it a ‘coliform’ and link it with klebsiellas and enterobacters. Pigment is not produced by all strains, and laboratory subcultures may lose the ability to make it, so that colonies resemble those of other coliforms. It has been isolated from water, soil, sewerage, foodstuffs and animals. There are two excellent historical reviews one from Gaughren in 1969 and the other by Yu in 1979, from which I have quoted extensively.","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122916201","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}

{"title":"NHS Scotland National Healthcare Associated Infection (HAI) Prevalence Survey Report released","authors":"","doi":"10.1177/1469044607084437","DOIUrl":"https://doi.org/10.1177/1469044607084437","url":null,"abstract":"","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116974305","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}

{"title":"Brucellosis, or Mediterranean Fever","authors":"Newsom Swb","doi":"10.1177/1469044607083190","DOIUrl":"https://doi.org/10.1177/1469044607083190","url":null,"abstract":"","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128251296","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}

{"title":"Evaluation of ATP bioluminescence swabbing as a monitoring and training tool for effective hospital cleaning","authors":"C. Willis, R. Morley, J. Westbury, M. Greenwood, A. Pallett","doi":"10.1177/1469044607083604","DOIUrl":"https://doi.org/10.1177/1469044607083604","url":null,"abstract":"Effective cleaning in hospitals is an important aspect of infection control of pathogens such as methicillin resistant Staphylococcus aureus (MRSA). There is a need for simple, rapid methods of assessing cleanliness in order to effectively audit cleaning programmes and to educate staff. The aim of this study was to evaluate the use of adenosine triphosphate (ATP) bioluminescence swabs for assessing cleanliness in hospitals. Sites (n=108) in three hospital wards, including floors, patient equipment and clinical workstations were examined by visual assessment, microbiological swabbing and ATP bioluminescence swabbing. Overall, ATP swabbing detected a similar number of undesirably high results compared to microbiological swabbing, but visual assessment gave significantly fewer unsatisfactory results. Highest median contamination levels (both ATP and microbiological) were obtained from floor sites under patient beds, and the lowest levels from patient equipment. It was concluded that ATP bioluminescence swabbing, while not directly equivalent to microbiological swabbing, was a useful tool for monitoring cleanliness. In addition, because of its ability to produce on-the-spot results, it proved useful during education sessions with ward staff and cleaning staff, as a novel way of demonstrating the importance of cleaning.","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132946904","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}

{"title":"Creuzfeldt Jacob Disease","authors":"P. Weaving","doi":"10.1177/1469044607083580","DOIUrl":"https://doi.org/10.1177/1469044607083580","url":null,"abstract":"Creuzfeldt Jacob disease is a fatal neurodegenerative condition that is caused by an unconventional infectious agent that can be transmitted through some healthcare interventions. This article describes the etiology and epidemiology of the disease and discusses measures to minimize the risk of healthcare-associated transmission","PeriodicalId":265443,"journal":{"name":"British Journal of Infection Control","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132956005","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}