Marisa Almuzara , Roxana Cittadini , Germán Traglia , María Sol Haim , Denise De Belder , Carla Alvarez , Zandra de Lourdes Reynal O'Connor , Cecilia Vera Ocampo , Claudia Barberis , Mónica Prieto , Josefina Campos , Carlos Vay
{"title":"Phytobacter spp: the emergence of a new genus of healthcare-associated Enterobacterales encoding carbapenemases in Argentina: a case series","authors":"Marisa Almuzara , Roxana Cittadini , Germán Traglia , María Sol Haim , Denise De Belder , Carla Alvarez , Zandra de Lourdes Reynal O'Connor , Cecilia Vera Ocampo , Claudia Barberis , Mónica Prieto , Josefina Campos , Carlos Vay","doi":"10.1016/j.infpip.2024.100379","DOIUrl":"10.1016/j.infpip.2024.100379","url":null,"abstract":"<div><p>Members of the genus <em>Phytobacter</em> (order <em>Enterobacterales</em>) are isolated from the natural environment and clinical settings. Identification of <em>Phytobacter</em> strains based on biochemical characteristics is complicated due to taxonomic confusion, and they are often misidentified by automated identification systems in laboratories.</p><p>In this study we describe the first three clinical cases associated with <em>Phytobacter</em> spp. reported in Argentina. We describe the identification, the molecular analysis using whole genome sequencing and the potential clinical relevance.</p></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 3","pages":"Article 100379"},"PeriodicalIF":1.8,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S259008892400043X/pdfft?md5=9220c17852ef2c830645d9cae3a3040a&pid=1-s2.0-S259008892400043X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141403476","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}
Leonie A.J. Derickx , Diana Willemse-Erix , Anne van Piggelen , Paul Steegh , A. Caroline Heijckmann , Mirjam H.A. Hermans , Thijn F. de Vocht , Peter C. Wever
{"title":"An outbreak of Pseudomonas aeruginosa urinary tract infections following cystoscopy traceable to a malfunctioning drying cabinet","authors":"Leonie A.J. Derickx , Diana Willemse-Erix , Anne van Piggelen , Paul Steegh , A. Caroline Heijckmann , Mirjam H.A. Hermans , Thijn F. de Vocht , Peter C. Wever","doi":"10.1016/j.infpip.2024.100378","DOIUrl":"10.1016/j.infpip.2024.100378","url":null,"abstract":"<div><h3>Background</h3><p><em>Pseudomonas aeruginosa</em> is an important bacterial pathogen, particularly as a cause of nosocomial infections in hospitalized patients. Only few reports exist in which cystoscopes were implicated as an outbreak source. We describe an investigation into the cause of a sudden increase in the number of urinary tract infections (UTI) with <em>P</em>. <em>aeruginosa</em> in patients after cystoscopy. In addition, we share the lessons learned and measures taken to reduce the risk of similar infections in the future.</p></div><div><h3>Presentation of Case</h3><p>Over a period of two weeks the urology outpatient department noticed a UTI in four patients following cystoscopy. An investigation was started for a common source of the outbreak in the urological treatment room. Additional screening of patients revealed a total of eleven males with <em>P. aeruginosa</em> UTI following cystoscopy. The infections were found to be due to a defective drying cabinet, which lacked an alarm signaling in case of loss of airflow. Amplified fragment length polymorphism (AFLP) analysis revealed that <em>P. aeruginosa</em> isolates from three patients and six isolates from environmental cultures (including cystoscopes from the drying cabinet) genotypically belonged to one strain.</p></div><div><h3>Discussion</h3><p>The AFLP results suggest that contaminated cystoscopes caused <em>P. aeruginosa</em> UTI in 11 patients, with the drying cabinet as site of transfer of the infective strain. To our knowledge, this is the first report describing a malfunctioning drying cabinet as source of an outbreak following cystoscopy.</p></div><div><h3>Conclusion</h3><p>In case of concomitant <em>P. aeruginosa</em> infections, cystoscopes and drying cabinets should be suspected as a potential source. Molecular techniques are helpful in investigating the epidemiology of an outbreak.</p></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 3","pages":"Article 100378"},"PeriodicalIF":1.8,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590088924000428/pdfft?md5=75187789065eb04702fa41f45dea7cb0&pid=1-s2.0-S2590088924000428-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141407045","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":"Diabetes and MRSA Infections: A comparative analysis in an Indian tertiary healthcare setting","authors":"M. Sagiraju , R. Prasad , A. Gopi","doi":"10.1016/j.infpip.2024.100372","DOIUrl":"10.1016/j.infpip.2024.100372","url":null,"abstract":"","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 3","pages":"Article 100372"},"PeriodicalIF":0.0,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590088924000362/pdfft?md5=1ac03f80876b955eb6b47205a38d028f&pid=1-s2.0-S2590088924000362-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141139455","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":"Evaluation of the detection of diarrhoea-associated RNA viruses in immunocompromised children in Iran","authors":"Shokouh Yasaie , Seyed Dawood Mousavi Nasab , Saeed Shams , Atousa Ferdousi , Hooman Kaghazian","doi":"10.1016/j.infpip.2024.100370","DOIUrl":"10.1016/j.infpip.2024.100370","url":null,"abstract":"<div><h3>Background</h3><p>Gastroenteritis accounts for about 10% of the deaths among children, especially in immunocompromised children. Few studies on the prevalence of gastrointestinal infections caused by RNA viruses have been done in Iran. The aim of the study was to evaluate the detection of RNA viruses causing diarrhoea using a multiplex PCR.</p></div><div><h3>Methods</h3><p>Stool samples were collected from 130 paediatric patients with diarrhoea who had acute lymphocytic leukaemia, non-Hodgkin lymphoma, and retinoblastoma. After RNA extraction and synthesis of cDNA, multiplex PCR was done to evaluate the presence of rotavirus, norovirus, astrovirus, and enterovirus.</p></div><div><h3>Results</h3><p>There were 9 (6.9%), 7 (5.4%), 3 (2.3%), and 6 (4.6%) cases of rotavirus, norovirus, astrovirus, and enterovirus detected, respectively. One case of co-infection with astrovirus and norovirus was observed.</p></div><div><h3>Conclusions</h3><p>This is the first report from Iran which identified the presence of common RNA viruses causing diarrhoea in immunocompromised children. Increased awareness of these viruses will enable healthcare professionals to improve strategies and policies to control spread and infection caused by these viruses.</p></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 3","pages":"Article 100370"},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590088924000349/pdfft?md5=a5fc657e22a643e0f4fbd5f5b391dcf5&pid=1-s2.0-S2590088924000349-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141040501","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}
M. Misailovski , D. Koller , S. Blaschke , M. Berens , A.M. Köster , R. Strobl , R. Berner , P. Boor , M. Eisenmann , S. von Stillfried , D. Krefting , M. Krone , J. Liese , P. Meybohm , G. Ulrich- Merzenich , S. Zenker , S. Scheithauer , E. Grill
{"title":"Refining the hospitalization rate: A mixed methods approach to differentiate primary COVID-19 from incidental cases","authors":"M. Misailovski , D. Koller , S. Blaschke , M. Berens , A.M. Köster , R. Strobl , R. Berner , P. Boor , M. Eisenmann , S. von Stillfried , D. Krefting , M. Krone , J. Liese , P. Meybohm , G. Ulrich- Merzenich , S. Zenker , S. Scheithauer , E. Grill","doi":"10.1016/j.infpip.2024.100371","DOIUrl":"10.1016/j.infpip.2024.100371","url":null,"abstract":"<div><h3>Purpose</h3><p>Until now, the Hospitalization Rate (HR) served as an indicator (among others) for the COVID-19 associated healthcare burden. To ensure that the HR accomplishes its full potential, hospitalizations caused by COVID-19 (primary cases) and hospitalizations of patients with incidental positive SARS-CoV-2 test results (incidental cases) must be differentiated. The aim of this study was to synthesize the existing evidence on differentiation criteria between hospitalizations of primary cases and incidental cases.</p></div><div><h3>Methods</h3><p>An online survey of the members of the German Network University Medicine (NUM) was conducted. Additionally, senior clinicians with expertise in COVID-19 care were invited for qualitative, semi-structured interviews. Furthermore, a rapid literature review was undertaken on publications between 03/2020 and 12/2022.</p></div><div><h3>Results</h3><p>In the online survey (n=30, response rate 56%), pneumonia and acute upper respiratory tract infections were the most indicative diagnoses for a primary case. In contrast, malignant neoplasms and acute myocardial infarctions were most likely to be associated with incidental cases. According to the experts (n=6), the diagnosis, ward, and type of admission (emergency or elective), low oxygen saturation, need for supplemental oxygen, and initiation of COVID-19 therapy point to a primary case. The literature review found that respiratory syndromes and symptoms, oxygen support, and elevated levels of inflammatory markers were associated with primary cases.</p></div><div><h3>Conclusion</h3><p>There are parameters for the differentiation of primary from incidental cases to improve the objective of the HR. Ultimately, an updated HR has the potential to serve as a more accurate indicator of the COVID-19 associated healthcare burden.</p></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 3","pages":"Article 100371"},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590088924000350/pdfft?md5=d05b8ce62a69d3ddf2824c3d118a7cec&pid=1-s2.0-S2590088924000350-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141048005","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}
Taryn B. Amos , Cameron Griffin , Joshua K. Schaffzin , Andrea Ankrum , Felicia Scaggs Huang
{"title":"Adherence to Personal Protective Equipment practices during the COVID-19 pandemic: A pilot study","authors":"Taryn B. Amos , Cameron Griffin , Joshua K. Schaffzin , Andrea Ankrum , Felicia Scaggs Huang","doi":"10.1016/j.infpip.2024.100369","DOIUrl":"10.1016/j.infpip.2024.100369","url":null,"abstract":"<div><p>A direct observational pilot project of healthcare personnel (HCP) was conducted to validate a tool that measures personal protective equipment (PPE) adherence at a large pediatric institution. Overall unit PPE adherence for all moments ranged from 50–61%. Masking was the most adhered to PPE moment (100%); hand hygiene prior to donning PPE had the lowest adherence (13%). Using data from this standardized tool, researchers can evolve PPE standards to maximize their adherence, effectiveness, and ease of utilization.</p></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 2","pages":"Article 100369"},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590088924000337/pdfft?md5=47a983ac4595bd9f3b177071acb21fe9&pid=1-s2.0-S2590088924000337-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141030637","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}
Akaninyene Otu , Zoe Wellbelove , Anda Samson , Andrew Blackmore
{"title":"Use of low-dose, high-frequency in situ simulation for preventing healthcare-associated infections – the STOP-HCAI pilot project","authors":"Akaninyene Otu , Zoe Wellbelove , Anda Samson , Andrew Blackmore","doi":"10.1016/j.infpip.2024.100368","DOIUrl":"10.1016/j.infpip.2024.100368","url":null,"abstract":"","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 2","pages":"Article 100368"},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590088924000325/pdfft?md5=ca4f5d084c85450d2fbb86de6d2f8da4&pid=1-s2.0-S2590088924000325-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141048865","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}
Christina E. Craig , Charles D. Schnorr , Cecilia J. Then Paulino , Eulogia Cristina Payano , Paloma Martínez Guzmán , Carrie Ripkey , Michael de St Aubin , Devan Dumas , Kathryn W. Roberts , William Duke , Ronald Skewes-Ramm , Matthew J. Lozier , Eric J. Nilles
{"title":"Hand hygiene perceptions, preferences, and practices among hospital staff in the Dominican Republic in the context of COVID-19: a qualitative study","authors":"Christina E. Craig , Charles D. Schnorr , Cecilia J. Then Paulino , Eulogia Cristina Payano , Paloma Martínez Guzmán , Carrie Ripkey , Michael de St Aubin , Devan Dumas , Kathryn W. Roberts , William Duke , Ronald Skewes-Ramm , Matthew J. Lozier , Eric J. Nilles","doi":"10.1016/j.infpip.2024.100367","DOIUrl":"https://doi.org/10.1016/j.infpip.2024.100367","url":null,"abstract":"<div><h3>Background</h3><p>Proper hand hygiene (HH), which includes sanitizing with alcohol-based hand rub (ABHR) (or handwashing with soap and water if ABHR is unavailable), is key for preventing healthcare-associated infections (HCAI), including COVID-19. Understanding drivers of HH is key to improving adherence.</p></div><div><h3>Aim</h3><p>This study aims to explore drivers and barriers to HH practice at two hospitals in the Dominican Republic in the context of the COVID-19 pandemic to inform development of HH behaviour change interventions.</p></div><div><h3>Methods</h3><p>We conducted in-depth interviews with 20 hospital staff during September 2021. We used the COM-B (capability, opportunity, motivation, behaviour) model to explore HH experiences and preferences. Interviews were recorded, transcribed, coded, and analysed using a thematic approach.</p></div><div><h3>Results</h3><p>A total of 11 parent codes and 27 sub-codes were identified, and 1145 coded segments were analysed. Use of handwashing with soap and water and/or sanitizing with ABHR was reported by all participants; handwashing was generally preferred. Participants expressed knowledge of proper HH methods (capability), but inconsistent supplies and lack of time presented HH challenges (opportunity). Interviewees described practicing HH to protect themselves and their families from COVID-19 and other infections (reflective motivation) or out of habit (automatic motivation).</p></div><div><h3>Discussion</h3><p>By understanding and addressing underlying factors affecting HH, hospitals can decrease the risk of HCAIs. Our findings suggest that interventions implemented to improve HH in these hospitals should target motivation and opportunity. These findings informed a multimodal intervention to increase ABHR access and implement message-tested communications campaigns; end-point assessments will provide insights into the intervention's impact.</p></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 2","pages":"Article 100367"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590088924000313/pdfft?md5=7462c06c6d12f5d7885f3aacfee84fad&pid=1-s2.0-S2590088924000313-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140905788","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":"Carbapenemase producing Enterobacterales at a large teaching hospital in Ohio: comparison to state surveillance and retrospective analysis of patient characteristics","authors":"Amanda Carroll , Rebekah Carman , Tammy Bannerman , Preeti Pancholi","doi":"10.1016/j.infpip.2024.100366","DOIUrl":"https://doi.org/10.1016/j.infpip.2024.100366","url":null,"abstract":"<div><h3>Background</h3><p>The presence of carbapenemase-producing carbapenem-resistant <em>Enterobacterales</em> (CP-CRE) around the world is increasing, particularly in healthcare settings. Surveillance testing for plasmid-mediated carbapenemase genes is necessary to tracking CP-CRE infections.</p></div><div><h3>Aim</h3><p>In the state of Ohio, surveillance of carbapenem-resistant <em>Enterobacterales</em> (CRE) began in 2018, and to the authors' knowledge data on these cases has not been published to date. This study analyzed data on CRE from a large teaching hospital in Ohio, and by the Ohio Department of Health Laboratory (ODHL).</p></div><div><h3>Methods</h3><p>Carbapenemase production was detected using mCIM, and plasmid-mediated carbapenemase genes were detected using rtPCR. Data was collected on 344 standard-of-care isolates from a large teaching hospital in Ohio, including data collected from chart review. Deidentified surveillance data on 4,391 CRE isolates was provided by the ODHL. Statistical analysis was performed using binary logistic regression.</p></div><div><h3>Findings</h3><p>While KPC was the most common carbapenemase gene (n=1590), NDM (n=98), VIM (n=10), IMP (n=39) and OXA-48 (n=35) were also detected in the isolates studied. <em>Klebsiella pneumoniae</em> and <em>Enterobacter cloacae</em> were the most common CRE, and carbapenemase genes were most commonly detected in <em>K. pneumoniae</em>. Inpatient hospital stays and long-term care were associated with CP-CRE and were more common in women.</p></div><div><h3>Conclusion</h3><p>Surveillance data shows that CP-CRE are present in Ohio, most commonly in <em>Klebsiella pneumoniae</em>. A better understanding of the prevalence of CRE, plasmid-mediated carbapenemase genes present, and the populations affected are important when tracking the spread of disease. Further study and surveillance of carbapenem-resistant organisms can provide a better understanding of their prevalence in the state.</p></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 2","pages":"Article 100366"},"PeriodicalIF":0.0,"publicationDate":"2024-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590088924000301/pdfft?md5=d0c24b68a06f947884147711cd29447a&pid=1-s2.0-S2590088924000301-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140905821","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}
Ida Markström , Karin Falk-Brynhildsen , Margareta Bachrack-Lindström , Gunilla Hollman Frisman , Sara Mernelius , Kristofer Bjerså
{"title":"Impact of postoperative skin disinfection with chlorhexidine on bacterial colonisation following shoulder arthroplasty surgery: a controlled randomised study","authors":"Ida Markström , Karin Falk-Brynhildsen , Margareta Bachrack-Lindström , Gunilla Hollman Frisman , Sara Mernelius , Kristofer Bjerså","doi":"10.1016/j.infpip.2024.100365","DOIUrl":"https://doi.org/10.1016/j.infpip.2024.100365","url":null,"abstract":"<div><h3>Background</h3><p>Surgical site infections are a significant threat to patient safety. Shoulder arthroplasty carries an increased risk due to foreign implants. Skin preparation in general is a key preoperative preventive intervention, and the use of chlorhexidine can have a prolonged effect on bacterial colonisation. There is a lack of evidence regarding whether postoperative disinfection has an impact on bacterial colonisation during the first 48 hours after surgery. Our hypothesis was that applying postoperative antiseptic with 5 mg/ml chlorhexidine in 70% ethanol would lead to reduced bacterial colonisation with <em>Staphylococcus aureus</em>, coagulase-negative staphylococcus and <em>Cutibacterium acnes</em> around the surgical wound within the initial 48 hours after elective shoulder surgery, compared with the use of sodium chloride.</p></div><div><h3>Methods</h3><p>A single-blinded, controlled study was conducted at a county hospital in Sweden. Swabs from the skin were collected four times: at baseline, preoperatively, after the intervention and after 48 hours.</p></div><div><h3>Results</h3><p>Our hypothesis was not confirmed. Although not statistically significant, the chlorhexidine group had a higher prevalence of bacterial colonisation of clinically relevant bacteria.</p></div><div><h3>Conclusions</h3><p>Our study could not confirm that postoperative disinfection with chlorhexidine reduces bacterial colonisation compared with sodium chloride. The results highlight the complexity of SSIs and the importance of evidence-based preventive skin preparation to ensure patient safety. Further research is needed, considering the study's limitations, to explore and evaluate the effectiveness of different skin cleansing solutions and preventive strategies in diverse surgical contexts.</p></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 2","pages":"Article 100365"},"PeriodicalIF":0.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590088924000295/pdfft?md5=97fed633dd40f220e6b6359ba2e8decb&pid=1-s2.0-S2590088924000295-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140842675","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}