Infection Prevention in Practice最新文献

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Changes in entire acute bronchiolitis seasons before, during, and after the COVID-19 pandemic in Spain 西班牙 COVID-19 大流行之前、期间和之后整个急性支气管炎季节的变化
IF 1.8
Infection Prevention in Practice Pub Date : 2024-09-23 DOI: 10.1016/j.infpip.2024.100399
Juan Manuel Rius-Peris , María del Carmen Vicent Castelló , Marta Pareja León , Sara Pons Morales , Ana Amat Madramany , Jorge Pantoja-Martínez , Raquel Gil Piquer , Nuria Roda Martínez , Alicia Coret Sinisterra , Francisca Castillo Ochando , Francisco Javier Caballero Mora , María Teresa Moya Díaz-Pintado
{"title":"Changes in entire acute bronchiolitis seasons before, during, and after the COVID-19 pandemic in Spain","authors":"Juan Manuel Rius-Peris ,&nbsp;María del Carmen Vicent Castelló ,&nbsp;Marta Pareja León ,&nbsp;Sara Pons Morales ,&nbsp;Ana Amat Madramany ,&nbsp;Jorge Pantoja-Martínez ,&nbsp;Raquel Gil Piquer ,&nbsp;Nuria Roda Martínez ,&nbsp;Alicia Coret Sinisterra ,&nbsp;Francisca Castillo Ochando ,&nbsp;Francisco Javier Caballero Mora ,&nbsp;María Teresa Moya Díaz-Pintado","doi":"10.1016/j.infpip.2024.100399","DOIUrl":"10.1016/j.infpip.2024.100399","url":null,"abstract":"<div><h3>Background</h3><div>Paediatric acute bronchiolitis normally occurs from October to April in the temperate northern hemisphere, peaking in January. Nonpharmacological measures to control the spread of COVID-19 resulted in a decrease in the number of cases of bronchiolitis during the 2020–21 season. The discontinuation of these measures created an uncertain scenario.</div></div><div><h3>Aim</h3><div>To describe the epidemiological evolution of acute bronchiolitis seasons and the changes in the demographics of the affected population before, during, and after the implementation of nonpharmacological interventions for COVID-19 in Spain.</div></div><div><h3>Methods</h3><div>This was a multicentre and descriptive study. A total of 6,334 infants aged up to 12 months who were diagnosed with acute bronchiolitis were recruited from sixteen Spanish hospitals. We collected data from participants from September 1st, 2021, through August 31st, 2023, as part of the ECEALHBA research project. The study periods were before (P1), during (P2), and after (P3) the COVID-19 pandemic.</div></div><div><h3>Findings</h3><div>In P2 and after the discontinuation of nonpharmacological interventions, an unexpected increase in the number of acute bronchiolitis cases was observed from June–August 2021, resulting in an out-of-season peak. A subsequent peak was observed in November 2021, earlier than expected for the 2021-22 season. In the 2022-23 season, admissions followed a historical trend, with a greater number of cases than in the two previous seasons. Statistically significant differences in the length of stay (p&lt;0.001), number of RSV infections (p=0.021), and number of paediatric intensive care unit admissions (p&lt;0.001) were observed among the periods.</div></div><div><h3>Conclusions</h3><div>Two out-of-season peaks in the number of acute bronchiolitis cases were observed in 2020–2021 and 2021–2022. However, following the relaxation of nonpharmacological intervention measures, the peak observed in 2022–2023, although occurring 2–6 weeks earlier, was more similar to the peaks observed in the prepandemic seasons. Additionally, increased case severity was observed during these periods.</div></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 4","pages":"Article 100399"},"PeriodicalIF":1.8,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142422317","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
Water, sanitation, hygiene, and waste management in primary healthcare facilities in war-torn Tigray, Ethiopia: implications for infection prevention and control 埃塞俄比亚受战争蹂躏的提格雷地区初级保健设施中的水、环境卫生、个人卫生和废物管理:对感染预防和控制的影响
IF 1.8
Infection Prevention in Practice Pub Date : 2024-09-23 DOI: 10.1016/j.infpip.2024.100397
Akeza Awealom Asgedom, Gebru Hailu Redae
{"title":"Water, sanitation, hygiene, and waste management in primary healthcare facilities in war-torn Tigray, Ethiopia: implications for infection prevention and control","authors":"Akeza Awealom Asgedom,&nbsp;Gebru Hailu Redae","doi":"10.1016/j.infpip.2024.100397","DOIUrl":"10.1016/j.infpip.2024.100397","url":null,"abstract":"<div><h3>Background</h3><div>Water, sanitation and hygiene (WASH) and infection prevention and control (IPC) are compromised during emergencies and in the post-conflict period. The IPC-WASH status of primary healthcare facilities in Tigray, Ethiopia, is not known. The aim of the study was to assess the IPC-WASH status of facilities in war-torn Tigray, Ethiopia.</div></div><div><h3>Methods</h3><div>As part of a cross-sectional study, data were collected from January to February 2024 in 32 randomly selected primary healthcare facilities using an electronic Open Data Kit (ODK) based on a questionnaire. A descriptive analysis was conducted to describe the IPC-WASH services. The analyzed data were compared with the Joint Monitoring Program (JMP) service ladders and presented in texts, figures and tables.</div></div><div><h3>Results</h3><div>Nearly seven out of ten primary healthcare facilities had improved water sources, nine out of ten had latrines with limited sanitation facilities, and four out of ten had handwashing facilities. Eight out of ten facilities had no access to personal protective equipment, and most facilities surveyed had very limited waste management services, IPC capacity building and IPC committee. According to JMP service ladders, almost one in four primary healthcare facilities had basic water supply, one in ten had basic sanitation, basic hygiene and basic waste disposal.</div></div><div><h3>Conclusions</h3><div>The overall result of the study shows that access to IPC-WASH is low in primary healthcare facilities in war-torn Tigray, Ethiopia. Collaborative efforts to improve access to basic IPC-WASH facilities and IPC capacity building are essential to improve the quality of care.</div></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 4","pages":"Article 100397"},"PeriodicalIF":1.8,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142422544","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
Determinants of transmission prevention behavior among Tuberculosis patients in Surabaya, Indonesia 印度尼西亚泗水肺结核患者预防传播行为的决定因素
IF 1.8
Infection Prevention in Practice Pub Date : 2024-09-21 DOI: 10.1016/j.infpip.2024.100404
Ni Njoman Juliasih , Luluk Fadhoh Sakinah , Reny Mareta Sari , Hudi Winarso , Salmon Charles P.T. Siahaan , Erik Jaya Gunawan
{"title":"Determinants of transmission prevention behavior among Tuberculosis patients in Surabaya, Indonesia","authors":"Ni Njoman Juliasih ,&nbsp;Luluk Fadhoh Sakinah ,&nbsp;Reny Mareta Sari ,&nbsp;Hudi Winarso ,&nbsp;Salmon Charles P.T. Siahaan ,&nbsp;Erik Jaya Gunawan","doi":"10.1016/j.infpip.2024.100404","DOIUrl":"10.1016/j.infpip.2024.100404","url":null,"abstract":"<div><h3>Background</h3><div>Tuberculosis (TB) is associated with significant morbidity and mortality, causing significant health challenges globally. Meanwhile, Indonesia ranks second worldwide in terms of TB prevalence, with East Java being among the most affected provinces. Surabaya, in particular, a major city reported approximately 4.628 cases in 2021, underscoring the urgent need to prevent transmission through behavior of patients. Therefore, this study aimed to analyze determinants of transmission behavior among TB patients in Surabaya, Indonesia.</div></div><div><h3>Methods</h3><div>The methodology used in this study was a cross-sectional design and the participants were 144 TB patients at three community health centers in Surabaya, selected using simple random sampling. Variables including knowledge level, supportive behavior, and medication adherence were analyzed and data collection was carried out using a structured questionnaire. Additionally, data analysis was performed with statistical methods to determine the significance of variables.</div></div><div><h3>Results</h3><div>The results showed that knowledge (<em>P</em>-value = &lt;0.001), supportive behavior (<em>P</em>-value = 0.001), and medication adherence (<em>P</em>-value = 0.004) had a significant effect on transmission prevention behavior among TB patients.</div></div><div><h3>Conclusion</h3><div>Based on our results, it was concluded that higher knowledge level, supportive behavior, and medication adherence had a significant correlation with increased social support provided by patients in preventing and controlling TB transmission. Therefore, there is a need to implement targeted programs to enhance prevention behavior.</div></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 4","pages":"Article 100404"},"PeriodicalIF":1.8,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142422314","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
“Contribution of the Whole Genome Sequencing to surveillance programs of carbapenemase-producing Enterobacteriaceae (CPE) strains” "全基因组测序对产碳青霉烯酶肠杆菌科细菌(CPE)菌株监测计划的贡献"。
IF 1.8
Infection Prevention in Practice Pub Date : 2024-09-21 DOI: 10.1016/j.infpip.2024.100401
Natalia García Allende , Verónica E. Álvarez , Adrián Gonzales Machuca , María Piekar , Eduardo J. Carpio Diaz , Carolina Molina , Josefina Campos , Bárbara Fox , Nicolas Mendiondo , Andrea P. Aguilar , Liliana Fernández-Canigia , María P. Quiroga , Daniela Centrón
{"title":"“Contribution of the Whole Genome Sequencing to surveillance programs of carbapenemase-producing Enterobacteriaceae (CPE) strains”","authors":"Natalia García Allende ,&nbsp;Verónica E. Álvarez ,&nbsp;Adrián Gonzales Machuca ,&nbsp;María Piekar ,&nbsp;Eduardo J. Carpio Diaz ,&nbsp;Carolina Molina ,&nbsp;Josefina Campos ,&nbsp;Bárbara Fox ,&nbsp;Nicolas Mendiondo ,&nbsp;Andrea P. Aguilar ,&nbsp;Liliana Fernández-Canigia ,&nbsp;María P. Quiroga ,&nbsp;Daniela Centrón","doi":"10.1016/j.infpip.2024.100401","DOIUrl":"10.1016/j.infpip.2024.100401","url":null,"abstract":"","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 4","pages":"Article 100401"},"PeriodicalIF":1.8,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11513509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523259","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
Methods to assess environmental surface disinfectants against viruses: the quest and recommendations for a globally harmonized approach to microbicide testing 评估环境表面消毒剂抗病毒能力的方法:寻求和建议全球统一的杀微生物剂测试方法
IF 1.8
Infection Prevention in Practice Pub Date : 2024-08-29 DOI: 10.1016/j.infpip.2024.100395
Syed A. Sattar , Bahram Zargar , Jason Tetro
{"title":"Methods to assess environmental surface disinfectants against viruses: the quest and recommendations for a globally harmonized approach to microbicide testing","authors":"Syed A. Sattar ,&nbsp;Bahram Zargar ,&nbsp;Jason Tetro","doi":"10.1016/j.infpip.2024.100395","DOIUrl":"10.1016/j.infpip.2024.100395","url":null,"abstract":"<div><p>Viruses pose a wide-ranging and significant risk to human health through acute and persistent infections that may confer risks for sequelae including musculoskeletal, immunological, and oncological disease. Infection prevention and control (IPAC) remains a highly effective, generic, global, and cost-effective means to mitigate virus spread. IPAC recommends proper disinfection of high-touch environmental surfaces (HITES) to reduce the risk of direct and indirect virus spread. The United States, Canada and many other countries mandate pre-market assessments of HITES disinfectants against viruses and other types of microbial pathogens. However, there are basic disparities in the regulation of disinfectants. Such incongruity in test protocols interferes with the determination of the true breadth of the microbicidal potential of a given product in the field where target pathogens are often unknown or may be encountered as mixtures. This review examines the various methodological disparities and recommends a more cohesive and harmonized approach. While there is particular emphasis on viruses here, an overall harmonization in microbicide testing of HITES disinfectants will greatly assist the numerous stakeholders involved in IPAC.</p></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 4","pages":"Article 100395"},"PeriodicalIF":1.8,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590088924000593/pdfft?md5=7b013fc8e84836403eeab8c7c1b79514&pid=1-s2.0-S2590088924000593-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142274407","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
Performance of an Autonomous Sanitary Sterilisation Ultraviolet Machine (ASSUM) on terminal disinfection of surgical theaters and rooms of an intensive-intermediate care unit 自主卫生消毒紫外线机(ASSUM)在手术室和重症-中度护理病房的终端消毒方面的性能
IF 1.8
Infection Prevention in Practice Pub Date : 2024-08-29 DOI: 10.1016/j.infpip.2024.100396
Sabina Herrera , Ignasi Roca , Ana Del Río , Javier Fernández , Cristina Pitart , Isabel Fortes , Blanca Torralbo , Gemina Santana , Romina Parejo-González , Andreu Veà-Baró , Josep Maria Campistol , Mireia Aguilar , Sergi Degea , Climent Casals-Pascual , Alex Soriano , José A. Martínez
{"title":"Performance of an Autonomous Sanitary Sterilisation Ultraviolet Machine (ASSUM) on terminal disinfection of surgical theaters and rooms of an intensive-intermediate care unit","authors":"Sabina Herrera ,&nbsp;Ignasi Roca ,&nbsp;Ana Del Río ,&nbsp;Javier Fernández ,&nbsp;Cristina Pitart ,&nbsp;Isabel Fortes ,&nbsp;Blanca Torralbo ,&nbsp;Gemina Santana ,&nbsp;Romina Parejo-González ,&nbsp;Andreu Veà-Baró ,&nbsp;Josep Maria Campistol ,&nbsp;Mireia Aguilar ,&nbsp;Sergi Degea ,&nbsp;Climent Casals-Pascual ,&nbsp;Alex Soriano ,&nbsp;José A. Martínez","doi":"10.1016/j.infpip.2024.100396","DOIUrl":"10.1016/j.infpip.2024.100396","url":null,"abstract":"<div><h3>Background</h3><p>Ultraviolet- C (UV–C) light is effective for reducing environmental bioburden in hospitals, and the use of robots to deliver it may be advantageous.</p></div><div><h3>Aim</h3><p>To evaluate the feasibility and clinical efficacy of an autonomous programmable UV-C robot in surgical and intensive care unit (ICU) rooms of a tertiary hospital.</p></div><div><h3>Method</h3><p>During ten consecutive months, the device was used in six theatres where cardiac, colorectal and orthopaedic surgeries were performed, and in the rooms previously occupied by patients subjected to contact precautions of a 14-bed ICU. Surgical site infection (SSI) rates of procedures performed in the UV-cleaned theatres were compared with those of the previous year. Incidence in clinical samples of ICU-acquired multiple-drug resistant (MDR) microorganisms was compared with that of the same period of the previous year. An UV-C exposure study done by semi-quantitative dosimeters and a survey of the bioburden on surfaces were carried out.</p></div><div><h3>Findings</h3><p>SSI rates in the pre- and post-intervention periods were 8.67% (80/922) and 7.5% (61/813), respectively (p=0.37). Incidence of target microorganisms in clinical samples remained unchanged (38.4 vs. 39.4 per 10,000 patient-days, p=0.94). All the dosimeters exposed to ≤1 meter received ≥500 mJ/cm<sup>2</sup>. The bacterial load on surfaces decreased after the intervention, particularly in ICU rooms (from 4.57±7.4 CFU to 0.27±0.8 CFU, p&lt;0.0001).</p></div><div><h3>Conclusion</h3><p>Deployment of an UV-C robot in surgical and ICU rooms is feasible, ensures adequate delivery of germicidal UV-C light and reduces the environmental bacterial burden. Rates of surgical site infections or acquisition of MDR in clinical samples of critically-ill patients remained unchanged.</p></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 4","pages":"Article 100396"},"PeriodicalIF":1.8,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S259008892400060X/pdfft?md5=024a0d705dc6b17c7c6aa1506801f1f2&pid=1-s2.0-S259008892400060X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164862","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
An assessment of infection prevention and control implementation in Malawian hospitals using the WHO Infection Prevention and Control Assessment Framework (IPCAF) tool 利用世界卫生组织感染预防与控制评估框架(IPCAF)工具评估马拉维医院的感染预防与控制实施情况
IF 1.8
Infection Prevention in Practice Pub Date : 2024-08-22 DOI: 10.1016/j.infpip.2024.100388
Dorica Ng'ambi , Thomasena O'Byrne , Emmie Jingini , Hope Chadwala , Owen Musopole , Wala Kamchedzera , Tara Tancred , Nicholas Feasey
{"title":"An assessment of infection prevention and control implementation in Malawian hospitals using the WHO Infection Prevention and Control Assessment Framework (IPCAF) tool","authors":"Dorica Ng'ambi ,&nbsp;Thomasena O'Byrne ,&nbsp;Emmie Jingini ,&nbsp;Hope Chadwala ,&nbsp;Owen Musopole ,&nbsp;Wala Kamchedzera ,&nbsp;Tara Tancred ,&nbsp;Nicholas Feasey","doi":"10.1016/j.infpip.2024.100388","DOIUrl":"10.1016/j.infpip.2024.100388","url":null,"abstract":"<div><h3>Background</h3><p>Infection prevention and control (IPC) is important for the reduction of healthcare-associated infections (HAI). The World Health Organization (WHO) developed the IPC Assessment Framework (IPCAF) tool to assess the level of IPC implementation and to identify areas for improvement in healthcare facilities.</p></div><div><h3>Methods</h3><p>A cross -sectional survey was conducted using the WHO IPCAF tool from May to June 2023. The aim was to provide a baseline assessment of the IPC programme and activities within health care facilities in Malawi. Forty healthcare facilities were invited to participate. IPC teams were requested to complete the IPCAF and return the scores. The IPCAF tool scores were assessed as recommended in the WHO IPCAF tool.</p></div><div><h3>Results</h3><p>The response rate was 82.5%. The median IPCAF score was 445 out of 800 corresponding to an intermediate IPC implementation level. The results revealed that 66.7% facilities were at intermediate level, 26.4% at basic level, and 6.9% at advanced level. Most facilities (76%) had an IPC program in place with clear objectives and an IPC focal person. Few had a dedicated budget for IPC. The IPCAF domain “monitoring/audit of IPC practices and feedback” had the lowest median score of 15/100, and in 90% of facilities, no monitoring, audit, and feedback was done. HAI surveillance median score was 40/100, workload, staffing and bed occupancy median score was 45/100.</p></div><div><h3>Conclusions</h3><p>Whilst there has been some degree of implementation of WHO IPC guidelines in Malawi's healthcare system, there is significant room for improvement. The IPCAF tool revealed that monitoring/audit and feedback, HAI surveillance and workload, staffing and bed occupancy need to be strengthened. The IPCAF scoring system may need reconsidering given the centrality of these domains to IPC.</p></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 4","pages":"Article 100388"},"PeriodicalIF":1.8,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590088924000520/pdfft?md5=8b28b2547fe669741f33b412897af756&pid=1-s2.0-S2590088924000520-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142096081","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
Device associated healthcare associated infection (DA-HAI): a detailed analysis of risk factors and outcomes in a university hospital in Rome, Italy 设备相关医护相关感染(DA-HAI):意大利罗马一所大学医院的风险因素和结果详细分析
IF 1.8
Infection Prevention in Practice Pub Date : 2024-08-18 DOI: 10.1016/j.infpip.2024.100391
Luca Guarente , Claudia Mosconi , Mariagrazia Cicala , Carolina De Santo , Fausto Ciccacci , Mariachiara Carestia , Leonardo Emberti Gialloreti , Leonardo Palombi , Giuseppe Quintavalle , Daniele Di Giovanni , Ersilia Buonomo , Stefania Moramarco , Fabio Riccardi , Stefano Orlando
{"title":"Device associated healthcare associated infection (DA-HAI): a detailed analysis of risk factors and outcomes in a university hospital in Rome, Italy","authors":"Luca Guarente ,&nbsp;Claudia Mosconi ,&nbsp;Mariagrazia Cicala ,&nbsp;Carolina De Santo ,&nbsp;Fausto Ciccacci ,&nbsp;Mariachiara Carestia ,&nbsp;Leonardo Emberti Gialloreti ,&nbsp;Leonardo Palombi ,&nbsp;Giuseppe Quintavalle ,&nbsp;Daniele Di Giovanni ,&nbsp;Ersilia Buonomo ,&nbsp;Stefania Moramarco ,&nbsp;Fabio Riccardi ,&nbsp;Stefano Orlando","doi":"10.1016/j.infpip.2024.100391","DOIUrl":"10.1016/j.infpip.2024.100391","url":null,"abstract":"<div><h3>Introduction</h3><p>This study investigates the impact of invasive procedures on healthcare-associated infections (HAI) at Policlinico Universitario Tor Vergata in Rome, Italy, aiming to understand their role in device-associated HAI and to inform prevention strategies.</p></div><div><h3>Methods</h3><p>A retrospective cohort analysis was conducted, examining mandatory discharge records and microbiology data from 2018 across all departments. The study focused on adult patients, analysing the correlation between invasive procedures and HAI through univariate and multivariate logistic regression.</p></div><div><h3>Results</h3><p>Of the 12,066 patients reviewed, 1,214 (10.1%) experienced HAI. Univariate analysis indicated an association between invasive procedures and HAI (OR = 1.81, <em>P</em> &lt; 0.001), which was not observed in multivariable analysis. Specific procedures significantly raised HAI risks: temporary tracheostomy (AOR = 22.69, <em>P</em> &lt;0.001), central venous pressure monitoring (AOR = 6.74, <em>P</em> &lt;0.001) prolonged invasive mechanical ventilation (AOR = 4.44, <em>P</em> &lt;0.001), and venous catheterisation (AOR = 1.58, <em>P</em> &lt;0.05). Aggregated high-risk procedures had an increased likelihood of HAI in multivariable analysis (OR = 2.51, <em>P</em> &lt; 0.001). High-risk departments were also notably associated with HAI (OR = 6.13, <em>P</em> &lt; 0.001).</p></div><div><h3>Conclusions</h3><p>This study suggests that specific invasive procedures, such as temporary tracheostomy, significantly increase HAI risks. The results highlighting the need for targeted infection prevention and control procedures and supports the need for innovative methods such as record-linkage in policymaking to address HAI. These findings inform clinical practice and healthcare policy to improve patient safety and care quality.</p></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 4","pages":"Article 100391"},"PeriodicalIF":1.8,"publicationDate":"2024-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590088924000556/pdfft?md5=43d7c06fec6ad516bbc45fda70374095&pid=1-s2.0-S2590088924000556-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142238686","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
Evaluation of the antimicrobial effect of a far-uv radiation lamp in a real-life environment 评估远紫外辐射灯在真实环境中的抗菌效果
IF 1.8
Infection Prevention in Practice Pub Date : 2024-08-18 DOI: 10.1016/j.infpip.2024.100390
Szava Bansaghi , Jörn Klein
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引用次数: 0
Airborne SARS-CoV-2 RNA detected during deliveries with unmasked patients 在接生未戴口罩病人时检测到空气传播的 SARS-CoV-2 RNA
IF 1.8
Infection Prevention in Practice Pub Date : 2024-08-17 DOI: 10.1016/j.infpip.2024.100389
Sara Thuresson , Malin Alsved , Åsa Leijonhufvud , Andreas Herbst , Patrik Medstrand , Jakob Löndahl , Carl-Johan Fraenkel
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引用次数: 0
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