{"title":"Reducing catheter-associated urinary tract infection in high dependency unit: an eighteen-month quality improvement intervention study period","authors":"Waleed Abdulmotalib Mazi , Mylene Bondad , Maryam Althumali , Turki Alzahrani","doi":"10.1016/j.infpip.2024.100362","DOIUrl":"https://doi.org/10.1016/j.infpip.2024.100362","url":null,"abstract":"<div><h3>Background</h3><p>The urinary catheter usually leads to a catheter-associated urinary tract infection (CAUTI) contributing to further morbidity and mortality. There is very limited data on the CAUTI incidence rate in high-dependency units (HDUs) in the Kingdom of Saudi Arabia. The institutional CAUTI incidence rate in HDU was six times higher compared to the United States National Healthcare Safety Network (US–NHSN) in 2021.</p></div><div><h3>Objective</h3><p>To reduce 50% CAUTI incidence rate by the end of 2022.</p></div><div><h3>Method</h3><p>A prospective study was conducted in tertiary HDU from January 2022 to June 2023. A gap analysis was assessed between the hospital practices and the Society Healthcare Epidemiology of America/Infectious Diseases Society of America (SHEA/IDSA) basic recommendations. The Kotter and Rathgebers' changing behavior model was applied at the beginning of the project. Formal education and prevention of CAUTI were applied using the National Strategy Model. Surveillance and statistical data analysis were carried out using US-NHSN guidelines.</p></div><div><h3>Results</h3><p>The overall CAUTI incidence rate declined from 7.07- to 3.57/1000 urinary catheter days despite of significant increase in the utilization ratio from 0.79 to 0.94 (<em>P</em> value 0.0001). The compliance rate of the bundle CAUTI prevention was improved and sustained above 90%. A CAUTI incidence rate reduction was observed following the combination of the changing behavior and SHEA/IDSA of CAUTI prevention models over 18 months.</p></div><div><h3>Conclusion</h3><p>We assumed the combination of the changing behavior and the prevention models for a long period is useful in reducing the CAUTI incidence rate and possibly applied to reduce other healthcare-associated infections.</p></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 2","pages":"Article 100362"},"PeriodicalIF":0.0,"publicationDate":"2024-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S259008892400026X/pdfft?md5=5890ba01353ff38c15a2274ae463a4af&pid=1-s2.0-S259008892400026X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140350391","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}
Yehia S. Mohamed , Anastasiya Spaska , Gabriel Andrade , Mohamed A. Baraka , Hafiz Ahmad , Sinclair Steele , Eman Y. Abu-rish , Eiman Mohamed Nasor , Kowthar Forsat , Hajar Jamal Teir , Ibrahim Bani , Debadatta Panigrahi
{"title":"Hand hygiene knowledge, attitude, and practice before, during and post COVID-19: a cross-sectional study among university students in the United Arab Emirates","authors":"Yehia S. Mohamed , Anastasiya Spaska , Gabriel Andrade , Mohamed A. Baraka , Hafiz Ahmad , Sinclair Steele , Eman Y. Abu-rish , Eiman Mohamed Nasor , Kowthar Forsat , Hajar Jamal Teir , Ibrahim Bani , Debadatta Panigrahi","doi":"10.1016/j.infpip.2024.100361","DOIUrl":"https://doi.org/10.1016/j.infpip.2024.100361","url":null,"abstract":"<div><h3>Aims</h3><p>Hand hygiene (HH) is an essential practice to evade the transmission of germs and minimize community-acquired infections. This study assesses the knowledge, attitude and practice (KAP) of HH and other health and safety measures before, during, and after the COVID-19 pandemic. in university students in the United Arab Emirates (UAE).</p></div><div><h3>Methods</h3><p>A cross-sectional questionnaire study was conducted between December 2022 and March 2023, targeting university students from all disciplines and study levels. A 44-item questionnaire was used which included student demographics, knowledge, attitude, and practice of HH, as well as the anticipated risk of COVID-19 morbidity and mortality. Participants consented before commencing the questionnaire, and the collected data were analysed using the student's t-test and ANOVA test, as required.</p></div><div><h3>Results</h3><p>A total of 378 responses were received nationwide, with a valid response rate of 98%. The HH knowledge revealed an average score of 62%, which was significantly higher in students with moderate family income. Additionally, the average attitude score was 74.7%, as measured on the Likert scale, and the score lacked any correlation with the other variables. HH practice showed an average score of 86.8%, which was correlated with the students' gender and field of study.</p></div><div><h3>Conclusions</h3><p>This study showed a moderate level of knowledge, a good attitude, and good practice around HH and other safety measures among the UAE's university students. Socioeconomic status, gender, and field of study influenced the study outcomes. This study highlights the need for effective awareness campaigns to reinforce students' health and safety, especially for male and non-health science students, in order to protect against communicable diseases.</p></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 2","pages":"Article 100361"},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590088924000258/pdfft?md5=2d7b7b704abdf47dacd814f822ca45ff&pid=1-s2.0-S2590088924000258-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140553863","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}
Lily Shui-Kuen Cheng , Sandy Ka-Yee Chau , Wai-Shan Chan , Jonathan Hon-Kwan Chen , Barry Kin-Chung Wong , Kitty Sau-Chun Fung
{"title":"An outbreak of Burkholderia cepacia complex exit site infection among peritoneal dialysis patients caused by contaminated spray dressing","authors":"Lily Shui-Kuen Cheng , Sandy Ka-Yee Chau , Wai-Shan Chan , Jonathan Hon-Kwan Chen , Barry Kin-Chung Wong , Kitty Sau-Chun Fung","doi":"10.1016/j.infpip.2024.100359","DOIUrl":"https://doi.org/10.1016/j.infpip.2024.100359","url":null,"abstract":"<div><h3>Background</h3><p>Wound dressing is intended to provide a physical barrier from microorganisms. Spray dressing is convenient and can be applied to wounds of various contours. In July 2020, a cluster of four <em>Burkholderia cepacia</em> complex (BCC) exit site infections was identified among peritoneal dialysis patients in a regional hospital in Hong Kong. In response, our hospital infection control team conducted an epidemiologic investigation.</p></div><div><h3>Methods</h3><p>We conducted a retrospective cohort study of peritoneal dialysis patients with culture-confirmed BCC exit site infections from January 2011 to July 2020. Outbreak investigations, including case finding, molecular typing and post-outbreak surveillance, were performed.</p></div><div><h3>Discussion</h3><p>A substantial increase in BCC exit site infections has been observed since 2013, rising from 0.23 in 2012 to 1.09 episodes per 100 patient-year in 2015, with the number of cases in the first half of 2020 already surpassing the total from 2019. The potential source had been traced to a spray dressing introduced to exit site care in December 2012. <em>Burkholderia cepacia</em> complex was isolated from both the unopened and in-use sprays from the same lot. Multilocus sequence typing analysis confirmed their genetic relatedness. The spray dressing was subsequently removed from exit site care. Post-outbreak surveillance over two years showed a marked and sustained decrease in BCC exit site infection.</p></div><div><h3>Conclusion</h3><p>Water-based spray dressing can be a source of BCC causing wound infections. The use of contaminated spray dressing, especially in chronic wounds with proximity to indwelling catheters, may pose an inherent risk to patients.</p></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 2","pages":"Article 100359"},"PeriodicalIF":0.0,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590088924000234/pdfft?md5=c76af1fce2fca4361fe4281f69a2c9c3&pid=1-s2.0-S2590088924000234-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140191167","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}
Pearl Ntshonga , Irene Gobe , Garesego Koto , Jonathan Strysko , Giacomo Maria Paganotti
{"title":"Biocide resistance in Klebsiella pneumoniae: a narrative review","authors":"Pearl Ntshonga , Irene Gobe , Garesego Koto , Jonathan Strysko , Giacomo Maria Paganotti","doi":"10.1016/j.infpip.2024.100360","DOIUrl":"10.1016/j.infpip.2024.100360","url":null,"abstract":"<div><p><em>Klebsiella pneumoniae</em> is among the World Health Organization's list of priority pathogens, notorious for its role in causing healthcare-associated infections and neonatal sepsis globally. Containment of <em>K. pneumoniae</em> transmission depends on the continued effectiveness of antimicrobials and of biocides used for topical antisepsis and surface disinfection. <em>Klebsiella pneumoniae</em> is known to disseminate antimicrobial resistance (AMR) through a large auxiliary genome made up of plasmids, transposons and integrons, enabling it to evade antimicrobial killing through the use of efflux systems and biofilm development. Because AMR mechanisms are also known to impart tolerance to biocides, AMR is frequently linked with biocide resistance (BR). However, despite extensive research on AMR, there is a gap in knowledge about BR and the extent to which AMR and BR mechanisms overlap remains debatable. The aim of this paper is to review and summarise the current knowledge on the determinants of BR in <em>K. pneumoniae</em> and highlight content areas that require further inquiry.</p></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 2","pages":"Article 100360"},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590088924000246/pdfft?md5=58e2fb5790255f32f2fbc28373ed416f&pid=1-s2.0-S2590088924000246-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140275153","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}
Per-Ola Blomgren , Christine Leo Swenne , Birgitta Lytsy , Katarina Hjelm
{"title":"Hand hygiene knowledge among nurses and nursing students–a descriptive cross-sectional comparative survey using the WHO's “Hand Hygiene Knowledge Questionnaire”","authors":"Per-Ola Blomgren , Christine Leo Swenne , Birgitta Lytsy , Katarina Hjelm","doi":"10.1016/j.infpip.2024.100358","DOIUrl":"10.1016/j.infpip.2024.100358","url":null,"abstract":"<div><h3>Aim</h3><p>To determine the level of knowledge and explore the difference of hand hygiene between nursing students and nurses.</p></div><div><h3>Background</h3><p>Annually, 3.8 million people in Europe acquire healthcare-associated infections, highlighting the importance of hand hygiene. Despite WHO's emphasis on the fact that greater hand hygiene knowledge correlates with improved hand hygiene compliance, several studies have shown knowledge gaps among nurses and nursing students regarding hand hygiene.</p></div><div><h3>Design</h3><p>Descriptive cross-sectional comparative survey.</p></div><div><h3>Methods</h3><p>A version of the WHO “Hand Hygiene Knowledge Questionnaire”, translated into Swedish, was used for data collection among nursing students in the first and last semester, and registered nurses from a university and associated hospital. Data were analyzed by descriptive statistics, and comparison between groups with Fisher's exact test, one-way ANOVA, and post-hoc tests (Pairwise Z-Tests, Tukey HSD).</p></div><div><h3>Results</h3><p>The survey, conducted between December 2020 and January 2021, received responses from 201 participants, including 71 first semester students, 46 last semester students and 84 registered nurses, showing moderate (55.7% [50–74% correct answers]) to good (43.8% [75–100% correct answers]) knowledge levels. First-semester students scored lower (17.0 ± 2.1) than last-semester students (18.8 ± 1.8) and registered nurses (18.3 ± 2.1) out of 25 questions.</p></div><div><h3>Discussion</h3><p>It is necessary for all groups to receive proper education on hand hygiene knowledge and to have an educational program that does not separate the groups but combines them with continuing education, since the students will someday be influencing future hand hygiene knowledge as a peer, together with the nurse.</p></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 2","pages":"Article 100358"},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590088924000222/pdfft?md5=56d7ef59019519d6b50c85708b4d0d74&pid=1-s2.0-S2590088924000222-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140276822","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}
Cozie Gwaikolo , Bongomin Bodo , Doreen Nabawanuka , Michael Mukiibi , Emmanuel Seremba , Paul Muyinda , Andrew Bakainaga , Yonas Tegegn Woldemariam , Christopher C. Moore , Richard Ssekitoleko
{"title":"Impact of supportive supervision visits on the availability of World Health Organization infection prevention and control core components in health facilities in Southwestern Uganda","authors":"Cozie Gwaikolo , Bongomin Bodo , Doreen Nabawanuka , Michael Mukiibi , Emmanuel Seremba , Paul Muyinda , Andrew Bakainaga , Yonas Tegegn Woldemariam , Christopher C. Moore , Richard Ssekitoleko","doi":"10.1016/j.infpip.2024.100355","DOIUrl":"10.1016/j.infpip.2024.100355","url":null,"abstract":"<div><h3>Background</h3><p>In sub-Saharan Africa, the provision of infection prevention and control (IPC) measures are often limited by resource constraints.</p></div><div><h3>Aim</h3><p>To determine the association of supportive supervision activities with the availability of the WHO core components for IPC at health facilities in Southwestern Uganda.</p></div><div><h3>Methods</h3><p>We employed a before and after quality improvement study design. We conducted a baseline assessment of the availability of the WHO IPC core components and provided supportive supervision activities, which was followed by a second IPC assessment. We included health centers II-IV, which have increasing clinical care capacity, and regional hospitals.</p></div><div><h3>Findings</h3><p>Of 244 regional health facilities, baseline assessment occurred at 111 (45%) of which 23 (21%) were reassessed. The number of facilities in the Red (<70%) category for each core component stayed the same or decreased at each facility type, but there was an increase from five to six health center III facilities scoring Red (<70%) for PPE. The number of facilities in the Green (>85%) category for each core component stayed the same or was increased at each facility type, but there was a decrease from four to two health center III facilities scoring Green (>85%) for instrument processing. There was an increase in the median (interquartile range [IQR]) overall score for all facilities (65 [54–72] vs 75 [68–83], <em>P</em>=0.0001).</p></div><div><h3>Conclusion</h3><p>Supportive supervision activities were associated with improved availability of the core components of IPC at health facilities in Southwestern Uganda. PPE should be prioritized in health care facilities in Southwestern Uganda.</p></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 2","pages":"Article 100355"},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590088924000192/pdfft?md5=63773e08ec431d08bb68602bdb2518e8&pid=1-s2.0-S2590088924000192-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140275036","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}
Abigail Jenkins , Jubeyr Ahmed , Andrew Bosworth , I Michael Kidd , Husam Osman , Sowsan F. Atabani
{"title":"Stewardship: it's going viral","authors":"Abigail Jenkins , Jubeyr Ahmed , Andrew Bosworth , I Michael Kidd , Husam Osman , Sowsan F. Atabani","doi":"10.1016/j.infpip.2024.100356","DOIUrl":"https://doi.org/10.1016/j.infpip.2024.100356","url":null,"abstract":"<div><h3>Introduction</h3><p>Historically, antimicrobial stewardship (AMS) has considered the judicious use of antibiotics. AMS is widely adopted across Europe and the US; recently antifungal AMS is gaining momentum but antiviral AMS has been little described. Here we describe the introduction of AMS virology reviews at University Hospitals Birmingham (UHBFT); a novel concept and an opportunity to broaden the beneficial aspects of AMS to virology, termed anti-viral stewardship (AVS).</p></div><div><h3>Method</h3><p>In June 2022, a UK supply issue with aciclovir injection (ACV IV) was announced. In order to review and preserve parenteral ACV for those in greatest need, UHBFT pharmacist and virologists implemented a specialist review for patients prescribed more than 48 hours of treatment. This review initially lasted 10 weeks and data was collected on the advice offered, whether it was accepted, and time required completing the review.</p></div><div><h3>Results</h3><p>AVS rounds halved IV ACV consumption, compared to pre or post intervention levels, with more than half of patients advised to stop or switch to oral therapy. Diagnostics and sampling guidance was offered in one quarter of reviews, whilst the remaining interventions were more stewardship focused. In almost all cases stewardship advice was readily accepted by clinical teams. Due to positive feedback from clinicians and its effective management of supply, the anti-viral stewardship (AVS) programme was re-introduced in June 2023.</p></div><div><h3>Conclusions</h3><p>Antiviral AMS rounds provide an opportunity to optimise sampling, diagnosis and improve patient management. Introduction of regular AVS at UHBFT are now well established and plan to be implemented in other hospitals.</p></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 2","pages":"Article 100356"},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590088924000209/pdfft?md5=67e6537e6f6be35f70cd2e7f6c8de0bd&pid=1-s2.0-S2590088924000209-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140191166","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":"Occupational exposure to Hepatitis B virus, disease burden and pathways for postexposure prophylaxis management: recommendations for healthcare workers in highly endemic settings","authors":"Vivian Efua Senoo-Dogbey , Lillian Akorfa Ohene , Delali Adwoa Wuaku","doi":"10.1016/j.infpip.2024.100354","DOIUrl":"https://doi.org/10.1016/j.infpip.2024.100354","url":null,"abstract":"<div><p>Hepatitis B Virus (HBV) was recognized many decades ago as an important occupational hazard for Health Care Workers (HCWs) globally. HCWs who are directly involved in patient care and are in continuous contact with blood or body fluids have an increased risk of occupationally acquiring the virus. The risk of HCWs in highly endemic areas is greater due to the greater prevalence of infection in the general population. Recommendations are available to guide HBV prevention activities or practices among HCWs. These include the use of the hepatitis B vaccine as a preexposure prophylaxis and the use of hepatitis B immunoglobulin alone or hepatitis B immunoglobulin plus the vaccine as postexposure prophylaxis. The uptake of preexposure prophylaxis has been observed to be low in resource-poor settings where the disease is highly endemic. Postexposure prophylaxis has become the remedy for preventing occupational transmission of HBV in these settings.</p><p>This review aimed to summarize the available evidence on the risk of transmission of HBV infection, the burden of infection and recommendations for pre- and postexposure prophylaxis for the prevention of occupational acquisition of HBV among HCWs. We conducted a narrative review to summarize the evidence available on the recommended steps of HBV exposure management and the utilization of post-exposure prophylaxis (PEP) for HBV. A comprehensive search was conducted in PubMed, Science Direct, Google Scholar, and Africa Journals Online (AJOL) databases. The keywords used were hepatitis B, hepatitis B virus postexposure prophylaxis, occupational exposures, and recommendations for postexposure to hepatitis B virus. We gleaned evidence from the literature sources and summarized the concepts related to exposure forms, postexposure prophylaxis management pathways and recommendations for the utilization of postexposure prophylaxis among exposed healthcare workers.</p><p>From the synthesis of evidence, we conclude that HBV infection is a life-threatening condition. However, the disease is preventable by using the HBV vaccine as a preexposure prophylaxis measure. An effective postexposure prophylaxis management program is also available, and the last resort to preventing occupational transmission of HBV among HCWs who non-responders are, or who fail to vaccinate completely against HBV. Irrespective of the availability of these lifesaving interventions, the use of pre- and post-exposure prophylaxis among HCWs in highly endemic regions is suboptimal. Many barriers operating at the individual HCW and health facility levels have been identified as impacting the successful use of HBV preventive measures.</p></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 2","pages":"Article 100354"},"PeriodicalIF":0.0,"publicationDate":"2024-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590088924000180/pdfft?md5=7888ecc92290368e439aaca01451b9e7&pid=1-s2.0-S2590088924000180-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140195759","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}
Isabella Centeleghe , Philip Norville , Jean-Yves Maillard , Louise Hughes
{"title":"Infection prevention control in practice: a survey of healthcare professionals' knowledge and experiences","authors":"Isabella Centeleghe , Philip Norville , Jean-Yves Maillard , Louise Hughes","doi":"10.1016/j.infpip.2024.100357","DOIUrl":"10.1016/j.infpip.2024.100357","url":null,"abstract":"<div><h3>Background</h3><p>Laboratory experiments are crucial in understanding efficacy of disinfectant products, but without compliance and appropriate application, the effectiveness of products is compromised. This study aims to understand current perceptions and knowledge of healthcare professionals (HCPs) to common cleaning and disinfection routines and microbial contamination, including biofilms, in healthcare environments.</p></div><div><h3>Methods</h3><p>An online survey, including open and closed questions, was developed. Non-probability convenience and purposive sampling were used: those currently or previously in a healthcare profession were eligible. Survey responses were taken over 24 months, including the COVID-19 pandemic.</p></div><div><h3>Discussion</h3><p>137 participants completed the survey; over 50% were nurses. Surface cleaning frequency increased post COVID-19 from ‘twice a day’ to ‘three/more times a day’. Disinfection frequency reduced from ‘between every patient’ before COVID-19 to ‘twice a day’ afterwards. A multimethod approach to cleaning and disinfection (70.8%) was predominant when considering the best method to deliver infection control. Most areas of clinical settings were identified as high risk (13/19). Most (87.6%) participants had heard the term ‘biofilm’, mainly at conference/study days (60%). 39.1% said they were aware of dry surface biofilms (DSB) in the healthcare environment.</p></div><div><h3>Conclusions</h3><p>There remain mixed views on surface cleaning and disinfection within healthcare. Education is important for understanding microbial contamination and tackling problems. More people than expected had heard the term DSB. Infection control practices seemed consistent across responses, however whether this is reality is unknown. This study provides an initial insight into current opinions/knowledge of HCPs and can form basis for further in-depth investigation.</p></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 2","pages":"Article 100357"},"PeriodicalIF":0.0,"publicationDate":"2024-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590088924000210/pdfft?md5=fa12b81c6a82d71b76fbf0816451b4d5&pid=1-s2.0-S2590088924000210-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140283074","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}
Prachi Ray , Bryant Lim , Katarina Zorcic , Jennie Johnstone , Aaron Hinz , Alexandra M.A. Hicks , Alex Wong , Derek R. MacFadden , Caroline Nott , Lucas Castellani , Rees Kassen , Michael Fralick
{"title":"Environmental surveillance of SARS-CoV-2 for COVID-19 outbreak detection in hospital: a single-centre prospective study","authors":"Prachi Ray , Bryant Lim , Katarina Zorcic , Jennie Johnstone , Aaron Hinz , Alexandra M.A. Hicks , Alex Wong , Derek R. MacFadden , Caroline Nott , Lucas Castellani , Rees Kassen , Michael Fralick","doi":"10.1016/j.infpip.2024.100353","DOIUrl":"https://doi.org/10.1016/j.infpip.2024.100353","url":null,"abstract":"","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 2","pages":"Article 100353"},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590088924000179/pdfft?md5=98cca928b2d622f2d55c43fa92a8e802&pid=1-s2.0-S2590088924000179-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140134029","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}