Journal of Patient Safety and Infection Control最新文献_第2页

Staphylococcal nasal colonisation amongst medical students: Importance of imparting knowledge about infection control practices during undergraduates training 医学生中葡萄球菌鼻腔定植:在本科生培训中传授感染控制知识的重要性

Journal of Patient Safety and Infection Control Pub Date : 2022-05-01 DOI: 10.4103/jpsic.jpsic_9_22

M. Gupta, G. Sinha, Ashutosh Kumar Singh, P. Prakash

{"title":"Staphylococcal nasal colonisation amongst medical students: Importance of imparting knowledge about infection control practices during undergraduates training","authors":"M. Gupta, G. Sinha, Ashutosh Kumar Singh, P. Prakash","doi":"10.4103/jpsic.jpsic_9_22","DOIUrl":"https://doi.org/10.4103/jpsic.jpsic_9_22","url":null,"abstract":"Background: Staphylococcus aureus is a common cause of hospital-acquired infections. Medical undergraduates are frequently exposed to hospital-adapted bacterial strains especially S. aureus and therefore are always at risk of colonisation. Materials and Methods: A prospective study was conducted on 150 undergraduate students, of different semesters, to detect S. aureus nasal colonisation. A detailed history regarding attending the hospital ward teaching, hospitalisation, frequency of nose touching and immunocompromised condition was unequivocally obtained from all the participants. Anterior nares were swabbed and inoculated on mannitol salt and blood agar plates. S. aureus isolates were subsequently verified by conventional microbiological techniques. The antibiotic susceptibility testing was done by the modified Kirby–Bauer disc diffusion method. In addition, PCR-based detection of mecA gene and pvl gene was performed. Results: Out of 150 students, we found 18 students (3 of 1st, 10 of 5th and 5 of 9th semester, respectively) to be colonised by S. aureus. Of these 18 isolates, 8 were found to be methicillin-resistant. We observed a significant association (P < 0.05) of hospital exposure, ward teaching/hospitalisation with S. aureus colonisation. These S. aureus isolates exhibited varying susceptibility towards different antibiotics with multiple antibiotic resistance indexes ranging from 0.08 to 0.58. Interestingly, all eight methicillin-resistant S. aureus isolates displayed mecA positivity while all were found to be pvl negative. Conclusion: The results indicate the importance of imparting knowledge about infection control practices during the initial years of undergraduate training in medical schools, which may increase awareness amongst students before getting outpatient or ward postings.","PeriodicalId":310565,"journal":{"name":"Journal of Patient Safety and Infection Control","volume":"180 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114944897","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

An audit of perioperative antibiotic prescriptions in patients undergoing clean surgeries and compliance with antibiotic policy in a tertiary hospital 某三级医院清洁手术患者围手术期抗生素处方及抗生素政策依从性审计

Journal of Patient Safety and Infection Control Pub Date : 2022-05-01 DOI: 10.4103/jpsic.jpsic_33_22

S. Sinha, S. Biswal

{"title":"An audit of perioperative antibiotic prescriptions in patients undergoing clean surgeries and compliance with antibiotic policy in a tertiary hospital","authors":"S. Sinha, S. Biswal","doi":"10.4103/jpsic.jpsic_33_22","DOIUrl":"https://doi.org/10.4103/jpsic.jpsic_33_22","url":null,"abstract":"Introduction: There has been a rise in the use of broad spectrum antibiotics in patients undergoing surgeries in perioperative period including clean surgeries. The use of such antimicrobials is also found to be longer than recommended and is responsible for emregence of multi drug resistant infections. These add to antibiotic related complications and cost as well. Aim: To study the type of antibiotic prescription in patients undergoing clean surgeries and assess compliance with antibiotic policy and frame recommendations for improvements if any. Method: Fifty five patients were prospectively evaluated for perioperative antibiotics prescriptions and followed up till discharge/1 month for any nosocomial infections or other complications. The kind and duration of antibiotics were noted and assessed for extent of compliance to antibiotic policy. Results and Discussions: Compliance to perioperative surgical prophylaxis in time was good (91%) as per the protocol and all patients received prophylaxis. Broad spectrum antibiotics were used in almost 50% cases and duration was prolonged compared to the prescribed protocol. Prescription of oral antibiotics was continued in 72.7% % cases( 40/55 ). There was no increased incidence of health care associated infections(HAI) in these patients. Conclusion: Compliance to Surgical antibiotic prophylaxis practices in clean surgeries is good in the hospital Broad spectrum antibiotics were in use in more than half cases and oral antibiotics were prescribed at discharge in most patients which is not in accordance with the protocol. The incidences of HAIs in these cases were not increased. Regular audit and continued training of all stake holders is necessary to raise awareness and improve practices for antimicrobial stewardship.","PeriodicalId":310565,"journal":{"name":"Journal of Patient Safety and Infection Control","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130645264","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

Link nursing programme in Indian hospitals: Are we overlooking the low-hanging fruit in infection control? 链接印度医院护理项目:我们是否忽视了感染控制中容易实现的目标?

Journal of Patient Safety and Infection Control Pub Date : 2022-05-01 DOI: 10.4103/jpsic.jpsic_31_22

Arghya Das, Saikat Mondal, N. Begam, Rituparna Dasgupta

引用次数: 0

The future of COVID-19: The game of variants COVID-19的未来:变种的游戏

Journal of Patient Safety and Infection Control Pub Date : 2022-01-01 DOI: 10.4103/jpsic.jpsic_25_22

N. Jaggi

引用次数: 0

Hand hygiene: An effective key HIC parameter for reducing healthcare-associated infections in a haemodialysis unit – Identification and analysis of work system factors 手卫生:减少血液透析单位卫生保健相关感染的有效关键HIC参数-工作系统因素的识别和分析

Journal of Patient Safety and Infection Control Pub Date : 2022-01-01 DOI: 10.4103/jpsic.jpsic_6_22

R. Harsvardhan, Richa Mishra, Ruchi Kushwaha, N. Prasad

{"title":"Hand hygiene: An effective key HIC parameter for reducing healthcare-associated infections in a haemodialysis unit – Identification and analysis of work system factors","authors":"R. Harsvardhan, Richa Mishra, Ruchi Kushwaha, N. Prasad","doi":"10.4103/jpsic.jpsic_6_22","DOIUrl":"https://doi.org/10.4103/jpsic.jpsic_6_22","url":null,"abstract":"Introduction: Infection is the most common cause of hospitalisation and the second most common cause of mortality amongst haemodialysis (HD) patients, after cardiovascular disease. Hand hygiene (HH) reduces infections and enhances patient safety across all settings. However, the lack of compliance with HH amongst health-care providers is problematic worldwide. With the above background, a study was conceptualised to ascertain the current status of the HH practices during a complete HD procedure among nursing staff of an HD unit at a tertiary healthcare teaching institute in India. Methodology: A prospective cross-sectional study was conducted from 10 October, 2018, to 10 December, 2018. A structured checklist for HH during a complete HD procedure was developed as per the WHO's five moments of HH. One hundred and fifty HD procedures were observed for compliance appropriate number of HH. Data analysis was done using the SPSS version 22. Results: Despite being a very simple step, the compliance rates of health-care workers (HCWs) in HH were found extremely poor, ranging from 23% to 35% only. Reasons for non-compliance by HCWs told by them were: poor nurse-to-patient ratio, frequent turnover of nursing staff, lack or inadequate training and lower level of competency among HD staff. Conclusion: The high number of times an HD staff is required to perform HH could be a reason for lack of compliance. However, compliance can be improved by continuous education and supervision and by providing, in convenient locations, sufficient number of sink with soap dispensers, paper towels, hand lotions and Anti-Bacterial Hand Rubs (ABHRs) placed at each patient station.","PeriodicalId":310565,"journal":{"name":"Journal of Patient Safety and Infection Control","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130448918","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: 1

Microbiological profile of oxygen humidifiers at a tertiary care centre in the Himalayas: An exploratory study 在喜马拉雅山三级保健中心的氧气加湿器的微生物概况:一项探索性研究

Journal of Patient Safety and Infection Control Pub Date : 2022-01-01 DOI: 10.4103/jpsic.jpsic_27_22

Oshin Puri, Sasi Udayakumar, M. Bhatia, Monika Pathania, M. Dhar

{"title":"Microbiological profile of oxygen humidifiers at a tertiary care centre in the Himalayas: An exploratory study","authors":"Oshin Puri, Sasi Udayakumar, M. Bhatia, Monika Pathania, M. Dhar","doi":"10.4103/jpsic.jpsic_27_22","DOIUrl":"https://doi.org/10.4103/jpsic.jpsic_27_22","url":null,"abstract":"Background: Reusable humidifiers are often colonised by microbes, the aerosols generated from which are hypothesised to transmit respiratory infections-jeopardising patient safety. Materials and Methods: In this time-bound cross-sectional study, 10 ml of water was collected in sterile containers from humidifiers installed in selected wards/critical care units/intensive care units and from the source used to refill these humidifiers. These samples were subjected to KOH and gram staining followed by inoculation on blood, MacConkey and Sabouraud dextrose agar and brain heart infusion broth in the aerobic environment at 37°C. Observations were recorded as per standard guidelines and compared against blood and respiratory cultures of patients. Results: Despite an average of 8.23 days of exposure to oxygen humidified by contaminated water, n = 28 (of n = 39) blood samples reported no growth (NG) and n = 12 reported nonpathogenic organisms (NPO). Among n = 18 available respiratory samples, n = 1 reported Escherichia coli, which was not cultured from the same humidifier indicative of some other source. n = 1 reported NG, n = 6 reported NPO and n = 10 reported normal throat flora. No fungal elements were reported from any humidifier, source, or patient samples. The source-humidifier pathogen pair did not match for any humidifier. Conclusions: Sterile patient cultures, despite prolonged exposure to oxygen humidified with contaminated water, indicate that humidifier contaminants did not infect patients. The disparity between the source or patient cultures and humidifier contaminants may be attributed to compromised universal precautions due to the exhaustion of health-care professionals during COVID-19. Furthermore, the type of water used to refill (Distilled/RO/Tap water) had no effect on the microbial contamination of humidifiers.","PeriodicalId":310565,"journal":{"name":"Journal of Patient Safety and Infection Control","volume":"286 21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126956473","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

Cusco's speculum-induced iatrogenic deep vaginal wall laceration in a peri-menopausal woman – An unusual case report 库斯科镜诱发的医源性阴道深壁撕裂伤在围绝经期妇女-一个不寻常的病例报告

Journal of Patient Safety and Infection Control Pub Date : 2022-01-01 DOI: 10.4103/jpsic.jpsic_5_22

V. Sharmila, G. Kavitha

引用次数: 0

I wear a mask because I care about you 我戴着面具是因为我在乎你

Journal of Patient Safety and Infection Control Pub Date : 2022-01-01 DOI: 10.4103/jpsic.jpsic_28_22

H. Gupta

引用次数: 0

Bacterial counts of hospital linen and effectiveness of laundry process: A need for consensus on microbial sterility of hospital linen 医院布草的细菌计数和洗衣过程的有效性:需要对医院布草的微生物无菌达成共识

Journal of Patient Safety and Infection Control Pub Date : 2022-01-01 DOI: 10.4103/jpsic.jpsic_1_22

Raman Sharma, S. Krishnamoorthi, Ashok Kumar, M. Biswal, V. Koushal

{"title":"Bacterial counts of hospital linen and effectiveness of laundry process: A need for consensus on microbial sterility of hospital linen","authors":"Raman Sharma, S. Krishnamoorthi, Ashok Kumar, M. Biswal, V. Koushal","doi":"10.4103/jpsic.jpsic_1_22","DOIUrl":"https://doi.org/10.4103/jpsic.jpsic_1_22","url":null,"abstract":"Background: Health care linen is a source of healthcare-associated infections. Hospital laundry services play a vital role in linen decontamination. Effective laundry is essential in preventing hospital-acquired infections, especially in multidrug-resistant organisms. Aims and Objectives: The study aimed to check the microbial load in linen after the laundry process and the during the supply chain in the hospital. We investigated the bacterial load in linen before and after the laundering process and the linen from stored linen banks. Materials and Methods: Linens (n=125) from the hospital were collected in different stages of the laundry process [31 linen before decontamination; 94 linen after decontamination (Post washing = 30; Linen Bank = 34; Ward 30)]. A square inch of linen from each linen was vortexed in normal saline, and colony forming units (CFU)/inch of linen were calculated using appropriate media. The identification and susceptibility of organisms were performed using MALDI-TOF MS and CLSI disk diffusion methods, respectively. The difference in the load of the organism was analysed between different stages of the laundry and storage process. Results: We found that100% of pre-decontamination linen harbour viable organisms (22.59% including multidrug-resistant pathogenic organisms: MDROs), which decreased to 40% (no MDROs) post-decontamination. The overall load was reduced by a factor of 103.77. Conclusion: The microbial contamination of linen is common, and there is an urgent need to develop consensus on the microbial examination frequency and acceptable range of organisms on hospital linen worldwide.","PeriodicalId":310565,"journal":{"name":"Journal of Patient Safety and Infection Control","volume":"&NA; 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126028136","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: 1

Antimicrobial resistance in COVID-19: Pandemic within pandemic COVID-19的抗菌素耐药性:大流行中的大流行

Journal of Patient Safety and Infection Control Pub Date : 2022-01-01 DOI: 10.4103/jpsic.jpsic_11_22

A. Siddiqui

引用次数: 0