Infection Disease & Health最新文献_第2页

Hand hygiene remains key in mobile phone cross-infection risk – Author response 手卫生仍然是移动电话交叉感染风险的关键——作者回应

IF 2.7

Infection Disease & Health Pub Date : 2025-01-23 DOI: 10.1016/j.idh.2024.11.003

Matthew Olsen, Adrian Goldsworthy, Mark Morgan, John Leggett, Thibaut Demaneuf, Natalia Van Der Bruggen, Gobinddeep Singh, Rose Ghemrawi, Abiola Senok, Reem Almheiri, Simon McKirdy, Rashed Alghafri, Lotti Tajouri

引用次数: 0

The application of environmental health assessment strategies to detect Streptococcus pyogenes in Kimberley school classrooms 应用环境健康评估策略检测金伯利学校教室中的化脓性链球菌。

IF 2.7

Infection Disease & Health Pub Date : 2024-12-24 DOI: 10.1016/j.idh.2024.12.001

Stephanie L. Enkel , Bernadette Wong , August Mikucki , Abbey J. Ford , Megan O'Brien , Tharushi Pallegedara , Liam Bedford , Hannah M.M. Thomas , Nina Lansbury , Jonathan R. Carapetis , Dylan D. Barth , Janessa Pickering , Asha C. Bowen

{"title":"The application of environmental health assessment strategies to detect Streptococcus pyogenes in Kimberley school classrooms","authors":"Stephanie L. Enkel , Bernadette Wong , August Mikucki , Abbey J. Ford , Megan O'Brien , Tharushi Pallegedara , Liam Bedford , Hannah M.M. Thomas , Nina Lansbury , Jonathan R. Carapetis , Dylan D. Barth , Janessa Pickering , Asha C. Bowen","doi":"10.1016/j.idh.2024.12.001","DOIUrl":"10.1016/j.idh.2024.12.001","url":null,"abstract":"<div><h3>Background</h3><div>Children spend almost one-third of their waking hours at school. <em>Streptococcus pyogenes</em> (Strep A) is a common childhood bacterial infection that can progress to causing serious disease. We aimed to detect Strep A in classrooms by using environmental settle plates and swabbing of high-touch surfaces in two remote schools in the Kimberley, Western Australia.</div></div><div><h3>Methods</h3><div>Twelve classrooms in two schools participated in 2021 and 2022. Seven horse-blood agar plates containing colistin and nalidixic acid (HBA-CNA) were placed in each occupied classroom at varied heights for 4 h, and 20 high-touch items were swabbed and later cultured on HBA-CNA plates. The primary outcome of each sample was presence or absence of Strep A. Identified Strep A isolates were whole genome sequenced (WGS) to assess for similarity between host-derived and environmental strains.</div></div><div><h3>Results</h3><div>During two visits to each participating Kimberley school in June 2021 and September 2022, the point prevalence of Strep A positive throat swab ranged between 3/34 (8.8 %) and 5/21 (23.8 %); Strep A impetigo was lower at between 0/43 (0 %) and 2/23 (8.7 %). Strep A was detected from 4/240 (2 %) environmental swabs collected across 3/12 (25 %) classrooms but not cultured from any of the classroom settle plates. Whole genome sequencing identified environmental <em>emm</em> types to also be those strains in circulation.</div></div><div><h3>Conclusions</h3><div>There was little evidence to support fomite, droplet or airborne Strep A in classrooms as major modes of transmission among children. Further work is required to determine if classrooms play a role in the transmission of Strep A between students.</div></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"30 2","pages":"Pages 143-151"},"PeriodicalIF":2.7,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900911","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

Identifying gaps in infection prevention and control practice in Australian residential aged care using scenarios 使用情景识别澳大利亚老年住宅护理感染预防和控制实践中的差距。

IF 2.7

Infection Disease & Health Pub Date : 2024-11-30 DOI: 10.1016/j.idh.2024.10.003

Joanne Tropea , Noleen Bennett , Lyn-li Lim , Madelaine Flynn , Caroline Marshall , Robyn A. Smith , Jill J. Francis , Deirdre Fetherstonhaugh , Judy McCahon , Kirsty L. Buising , Wen K. Lim , Sanne Peters

{"title":"Identifying gaps in infection prevention and control practice in Australian residential aged care using scenarios","authors":"Joanne Tropea , Noleen Bennett , Lyn-li Lim , Madelaine Flynn , Caroline Marshall , Robyn A. Smith , Jill J. Francis , Deirdre Fetherstonhaugh , Judy McCahon , Kirsty L. Buising , Wen K. Lim , Sanne Peters","doi":"10.1016/j.idh.2024.10.003","DOIUrl":"10.1016/j.idh.2024.10.003","url":null,"abstract":"<div><h3>Background</h3><div>Older people living in residential aged care are vulnerable to infections. High quality infection prevention and control (IPC) practice is therefore vital in this setting. It is important to assess current IPC practice to identify areas where best practice is lacking, and where improvement efforts could most effectively be targeted. The aim of this study was to identify evidence-practice gaps in IPC practice in residential aged care.</div></div><div><h3>Methods</h3><div>This study used two scenarios to assess use of a range of standard and transmission-based precautions in residential aged care. Systematic methods were used to design the scenarios. Twenty-seven staff from four residential aged care facilities participated in semi-structured interviews. Participants were presented with the scenarios and asked what IPC actions they would take in everyday practice. Individual and team-based practice was explored. Participants reported practices were then compared to evidence-based practice.</div></div><div><h3>Results</h3><div>Results from both scenarios were combined and a total of 11 evidence-practice gaps identified. These included gaps in performing hand hygiene before touching a resident (for example, when helping a resident transfer) and not donning protective eyewear or face shield before taking a nasal/throat swab on the resident with suspected respiratory viral infection.</div></div><div><h3>Conclusion</h3><div>The use of scenarios provided a practical and acceptable method to rapidly assess a range of IPC practices among a diverse group of participants. The IPC evidence-practice gaps identified will be used in the next phase of work where barriers to uptake of the identified IPC evidence-practice gaps will be explored.</div></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"30 2","pages":"Pages 119-127"},"PeriodicalIF":2.7,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775991","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

Prevalence, knowledge, and awareness of needle stick injuries among nursing students in Palestine and associated factors 巴勒斯坦护生对针刺伤害的患病率、知识和意识及其相关因素。

IF 2.7

Infection Disease & Health Pub Date : 2024-11-29 DOI: 10.1016/j.idh.2024.11.004

Imad Asmar, Omar Almahmoud, Ayat Abu zahra, Nadeen Qattousah, Fatima Sumreen, Anfal Mahmoud, Sabreen Maali

{"title":"Prevalence, knowledge, and awareness of needle stick injuries among nursing students in Palestine and associated factors","authors":"Imad Asmar, Omar Almahmoud, Ayat Abu zahra, Nadeen Qattousah, Fatima Sumreen, Anfal Mahmoud, Sabreen Maali","doi":"10.1016/j.idh.2024.11.004","DOIUrl":"10.1016/j.idh.2024.11.004","url":null,"abstract":"<div><h3>Background</h3><div>Student nurses are vulnerable to blood-borne infections from needle stick injuries (NSIs) during clinical training. To stay safe from the threats, they; must comprehend every facet of NSIs. The study's objectives were to determine the level; of knowledge among student nurses about NSIs and to examine their prevalence and; prevention strategies in Palestine.</div></div><div><h3>Methods</h3><div>A descriptive, cross-sectional design was employed on a sample of 449 student nurses through an online anonymous survey between February 20, 2024, and March 20, 2024. The three questionnaire parts assessed the demographics of the students, the nurses' knowledge of NSIs, their exposure to NSIs, and their use of preventative measures. The data; were analyzed using SPSS Version 26.</div></div><div><h3>Results</h3><div>A total of 449 students answered the questionnaire; 345 (76.8 %) were female and their average age was 21.08 (SD = 2.47) years. Out of ten, the average score for total knowledge was 7.04 (SD = 1.51). Nearly 105 students (23.4 %) reported having been exposed to NSIs at least once and most of them were junior students 67 (63.8 %). Of these, 69.5 % happened in open hospital units, while the technique of withdrawing blood caused 41.9 % of NSIs, and 67.6 % of students didn't report the incident of injury.</div></div><div><h3>Conclusion</h3><div>Training programs are necessary to reduce the risk of blood-borne disease transmission and improve workplace safety for nursing students. Clinical nursing administrators should create practical plans to lower the incidence of NSIs.</div></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"30 2","pages":"Pages 132-142"},"PeriodicalIF":2.7,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142756064","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

Changes in isolation guidelines for CPE patients results in only mild reduction in required hospital beds 对 CPE 患者隔离指南的修改仅导致所需病床的轻微减少。

IF 2.7

Infection Disease & Health Pub Date : 2024-11-24 DOI: 10.1016/j.idh.2024.10.004

Michael J. Lydeamore , David Wu , Tjibbe Donker , Claire Gorrie , Charlie K. Higgs , Marion Easton , Daneeta Hennessy , Nicholas Geard , Benjamin P. Howden , Ben S. Cooper , Andrew Wilson , Anton Y. Peleg , Andrew J. Stewardson

{"title":"Changes in isolation guidelines for CPE patients results in only mild reduction in required hospital beds","authors":"Michael J. Lydeamore , David Wu , Tjibbe Donker , Claire Gorrie , Charlie K. Higgs , Marion Easton , Daneeta Hennessy , Nicholas Geard , Benjamin P. Howden , Ben S. Cooper , Andrew Wilson , Anton Y. Peleg , Andrew J. Stewardson","doi":"10.1016/j.idh.2024.10.004","DOIUrl":"10.1016/j.idh.2024.10.004","url":null,"abstract":"<div><h3>Background</h3><div>Carbapenemase-producing Enterobacterales (CPE) are an emerging public health concern globally as they are resistant to a broad spectrum of antibiotics. Colonisation with CPE typically requires patients to be managed under ‘contact precautions’, which creates additional physical bed demands in healthcare facilities.</div></div><div><h3>Methods</h3><div>This study examined the potential impact of revised isolation guidelines introduced in late 2023 in Victoria, Australia, that relaxed the requirement for indefinite isolation of CPE-colonised patients in contact precautions, based on admission of CPE-diagnosed cases prior to the guideline change.</div></div><div><h3>Results & conclusions</h3><div>Our analysis showed that while the changes result in modest savings in the need for dedicated isolation rooms, they could reduce the duration of time individual patients spend in isolation by up to three weeks. However, ongoing investments to expand isolation capacity would still be required to accommodate the rising incidence of CPE.</div></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"30 2","pages":"Pages 128-131"},"PeriodicalIF":2.7,"publicationDate":"2024-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717170","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

Evaluating the accuracy of an automatic counting system to detect dispensing of hand hygiene product 评估自动计数系统检测手部卫生用品分配的准确性。

IF 2.7

Infection Disease & Health Pub Date : 2024-11-24 DOI: 10.1016/j.idh.2024.11.001

Georgia Matterson , Katrina Browne , Philip L. Russo , Sonja Dawson , Hannah Kent , Brett G. Mitchell

{"title":"Evaluating the accuracy of an automatic counting system to detect dispensing of hand hygiene product","authors":"Georgia Matterson , Katrina Browne , Philip L. Russo , Sonja Dawson , Hannah Kent , Brett G. Mitchell","doi":"10.1016/j.idh.2024.11.001","DOIUrl":"10.1016/j.idh.2024.11.001","url":null,"abstract":"<div><h3>Background</h3><div>Hand hygiene (HH) is an essential element of infection prevention and control programs. Direct observation of adherence to the 5 moments for HH is considered the gold standard in compliance monitoring. However, as direct observation introduces potential bias, other strategies have been proposed to supplement HH compliance data in healthcare facilities. This study evaluated the accuracy of an automatic counting system (MEZRIT™) to detect when a HH product (soap or alcohol-based hand rub) was dispensed, and thus measure product usage as opposed to compliance with the 5 moments for HH.</div></div><div><h3>Methods</h3><div>A quasi-experimental study was conducted in a nursing simulation lab where seven participants undertook basic nursing tasks which included performing HH. Sensors were attached to soap and alcohol-based hand rub dispensers to record the time at which a product was dispensed. HH events were video recorded (time-stamped) and validated against timestamps from the automatic counting system.</div></div><div><h3>Results</h3><div>260 HH events were detected by the automatic counting system and confirmed by video recordings. 5182 non-HH events were calculated from analysis of the video recordings. The automatic counting system had 90 % sensitivity (95%CI 85.8–93.1 %), and 100 % specificity (95%CI 99.9–100 %). This model generated a positive predictive value of 100 % (95%Cl 98.4–100 %), and a negative predictive value of 99.5 % (95%CI 99.3–99.7 %).</div></div><div><h3>Conclusion</h3><div>The MEZRIT™ system accurately identified 90 % of HH events and excluded 100 % of non-HH events. The real-time monitoring of HH product usage may be beneficial in responding quickly to changes in product usage.</div></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"30 2","pages":"Pages 105-110"},"PeriodicalIF":2.7,"publicationDate":"2024-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142712324","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

Exploring challenges and policy considerations in point-of-care testing for hospital preparedness ahead of infectious disease emergencies: A qualitative study 探索在传染病突发事件发生前医院准备工作中进行床旁检测所面临的挑战和政策考虑因素：定性研究。

IF 2.7

Infection Disease & Health Pub Date : 2024-11-21 DOI: 10.1016/j.idh.2024.10.001

Oluremilekun Oyefolu, Gigi Kwik Gronvall

{"title":"Exploring challenges and policy considerations in point-of-care testing for hospital preparedness ahead of infectious disease emergencies: A qualitative study","authors":"Oluremilekun Oyefolu, Gigi Kwik Gronvall","doi":"10.1016/j.idh.2024.10.001","DOIUrl":"10.1016/j.idh.2024.10.001","url":null,"abstract":"<div><h3>Background</h3><div>Despite the uncertainty raised by several studies regarding the practicality of Point-of-Care Testing (POCT) in hospital settings, the urgency prompted by the COVID-19 pandemic led many hospitals to invest in these rapid diagnostics. As the COVID-19 pandemic showcased the potential of POCT in emergency situations, an urgent call arises to leverage the successes and lessons learned for the long-term benefit of healthcare systems, particularly in preparation for the next pandemic of viral respiratory nature.</div></div><div><h3>Methods</h3><div>We conducted semi-structured interviews with nine emergency care and hospital laboratory stakeholders with expertise and responsibility over POCT operations within hospital systems during the COVID-19 pandemic in Maryland, USA. The grounded theory approach was utilized, and the transcripts were thematically analyzed through an iterative process.</div></div><div><h3>Results</h3><div>Three distinct themes were identified as barriers to POCT implementation: Regulatory barriers encompassed inconsistencies between the federal and state regulations and a regulatory structure that lags technological advancements. Staffing and operational barriers comprised a shortage of POCT workforce including nurses and Point of Care coordinators. Economic barriers were linked to the overall cost of integrating new POCT devices into the existing testing menu at emergency departments.</div></div><div><h3>Conclusion</h3><div>We conclude with strategies, including policy considerations, to enable and sustain decentralized POCT programs within hospitals. Some of these strategies include expanding the workforce trained in the regulatory procedures required to support POCT; harmonizing state and federal regulations for diagnostic testing, especially for FDA-waived POCT; and sustained funding for POCT development and use for public health preparedness.</div></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"30 2","pages":"Pages 111-118"},"PeriodicalIF":2.7,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693532","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

Moral distress among infection prevention and control professionals: A scoping review 感染预防与控制专业人员的精神压力：范围审查。

IF 2.7

Infection Disease & Health Pub Date : 2024-11-21 DOI: 10.1016/j.idh.2024.10.002

Matt Mason , Byeonghun Im , Jocelyne M. Basseal , Peta-Anne Zimmerman

{"title":"Moral distress among infection prevention and control professionals: A scoping review","authors":"Matt Mason , Byeonghun Im , Jocelyne M. Basseal , Peta-Anne Zimmerman","doi":"10.1016/j.idh.2024.10.002","DOIUrl":"10.1016/j.idh.2024.10.002","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic highlighted the vital role of Infection Prevention and Control Professionals (IPCPs) in safeguarding public health. Amid rapidly evolving guidelines, critical personal protective equipment shortages, and surging workloads, IPCPs encountered unprecedented moral and ethical dilemmas. However, their experiences, ethical challenges, and the resulting moral distress remain understudied.</div></div><div><h3>Methods</h3><div>A scoping review following Arksey and O’Malley’s methodology was conducted to examine current research on ethical challenges and moral distress among IPCPs. Searches in CINAHL, MEDLINE via OVID, Emcare, Scopus, and Korea Citation Index yielded two extracted articles.</div></div><div><h3>Results</h3><div>Common themes included high workload, increased recognition, pressure to deliver accurate and timely information, need for peer support, and evidence-based practice. Differences in nationality, role discretion, and administrative systems led to varied experiences. District Medical Officers in Norway experienced more decision-making responsibilities and resulting ethical dilemmas in the context of broader communities and municipalities. The experiences of IPCPs were confined to their respective healthcare facilities.</div></div><div><h3>Conclusion</h3><div>There is a dearth of available research reporting the moral distress experienced by IPCPs whilst there is a plethora for those seen as “frontline” workers. Given the integral decision-making and implementation roles of these health professionals, and the burdens of ethical dilemmas they experienced in pandemic preparedness and response, further research is imperative to inform strategies to build moral resilience in the future.</div></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"30 2","pages":"Pages 152-161"},"PeriodicalIF":2.7,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693533","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

75. Trends, epidemiology, and source of Staphylococcus aureus bloodstream infections in Queensland: hospital-based surveillance 75. 昆士兰金黄色葡萄球菌血流感染的趋势、流行病学和来源：基于医院的监测

IF 2.7

Infection Disease & Health Pub Date : 2024-11-01 DOI: 10.1016/j.idh.2024.09.016

Yun-Ju Shih (Mrs) , Sally Healy (Mrs)

引用次数: 0

7. Antibiotics misuse: External constraints on physicians 7. 抗生素滥用：对医生的外部约束

IF 2.7

Infection Disease & Health Pub Date : 2024-11-01 DOI: 10.1016/j.idh.2024.09.003

Nastaran Nazrul Tui (Ms)

引用次数: 0