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Impact of enhanced public health and infection control measures on pediatric hospital-acquired respiratory viral infections during the SARS-CoV-2 pandemic SARS-CoV-2大流行期间加强公共卫生和感染控制措施对儿科医院获得性呼吸道病毒感染的影响
IF 2.7
Infection Disease & Health Pub Date : 2025-02-07 DOI: 10.1016/j.idh.2025.01.001
William J. Sanders , Andrew Jones , Tegan Milton , Julia E. Clark
{"title":"Impact of enhanced public health and infection control measures on pediatric hospital-acquired respiratory viral infections during the SARS-CoV-2 pandemic","authors":"William J. Sanders ,&nbsp;Andrew Jones ,&nbsp;Tegan Milton ,&nbsp;Julia E. Clark","doi":"10.1016/j.idh.2025.01.001","DOIUrl":"10.1016/j.idh.2025.01.001","url":null,"abstract":"<div><h3>Background</h3><div>Visitor restrictions and mask-wearing may reduce hospital-acquired infections (HAI) as part of infection control bundles. The impact of a strict visitor policy and compulsory surgical mask wearing implemented during the SARS-CoV-2 pandemic, but prior to any local community circulating SARS-CoV-2, on the rates of hospital-acquired respiratory viral infections (HA-RVI) was assessed.</div></div><div><h3>Methods</h3><div>Retrospective audit of a local HAI database for HA-RVI from 1st April 2019 to 29th March 2021 in a tertiary children's hospital. HA-RVI were standardized against occupied bed days (OBD) and admitted community acquired infections (CAI). Rates of HA-RVI were compared during 52 weeks of SARS-CoV-2-associated enhanced control periods (visitor restrictions with and without universal surgical masking), against 52 weeks standard practice. Total respiratory virus infections, respiratory syncytial virus (RSV), and rhinovirus infections were analysed.</div></div><div><h3>Results</h3><div>Comparing standard practice with enhanced measures, 42 v 15 HA-RVI and 1517 v 691 CAI were noted. Enhanced infection controls resulted in significant reductions in total HA-RVI when adjusted for OBD (p = 0.0038) and CAI (p = 0.0122). Non-significant decreases were seen in hospital-acquired respiratory syncytial virus (HA-RSV) adjusted for both CAI and OBD.</div><div>Visitor restrictions combined with universal surgical masks significantly decreased adjusted total HA-RVI compared with visitor restrictions alone (adjusted for OBD p = 0.0123; adjusted for CAI p = 0.0429). HA-RSV decreased non-significantly when mask wearing was combined with visitor restrictions compared with visitor restrictions alone. HA-rhinovirus infections did not decrease with the addition of masks to visitor restrictions.</div></div><div><h3>Conclusion</h3><div>Enhanced infection control measures introduced with SARS-CoV-2 pandemic decreased some HA-RVI. Universal surgical mask wearing decreased HAI rates more than visitor restrictions alone, except for rhinovirus where the HAI rate remained unchanged.</div></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"30 3","pages":"Pages 167-172"},"PeriodicalIF":2.7,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375060","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
Evaluation of the influenza-like illness case definition and the acute respiratory infection case definition in the diagnosis of influenza and COVID-19 in healthcare personnel 评估医护人员在诊断流感和 COVID-19 时采用的流感样病例定义和急性呼吸道感染病例定义。
IF 2.7
Infection Disease & Health Pub Date : 2025-02-01 DOI: 10.1016/j.idh.2024.08.002
Helena C. Maltezou , Flora Sourri , Nikolaos Lemonakis , Amalia Karapanou , Theodoros V. Giannouchos , Maria N. Gamaletsou , Dimitra-Maria Koukou , Kyriakos Souliotis , Athanasia Lourida , Periklis Panagopoulos , Dimitrios Hatzigeorgiou , Nikolaos V. Sipsas
{"title":"Evaluation of the influenza-like illness case definition and the acute respiratory infection case definition in the diagnosis of influenza and COVID-19 in healthcare personnel","authors":"Helena C. Maltezou ,&nbsp;Flora Sourri ,&nbsp;Nikolaos Lemonakis ,&nbsp;Amalia Karapanou ,&nbsp;Theodoros V. Giannouchos ,&nbsp;Maria N. Gamaletsou ,&nbsp;Dimitra-Maria Koukou ,&nbsp;Kyriakos Souliotis ,&nbsp;Athanasia Lourida ,&nbsp;Periklis Panagopoulos ,&nbsp;Dimitrios Hatzigeorgiou ,&nbsp;Nikolaos V. Sipsas","doi":"10.1016/j.idh.2024.08.002","DOIUrl":"10.1016/j.idh.2024.08.002","url":null,"abstract":"<div><h3>Background</h3><div>To evaluate the influenza-like illness (ILI) and acute respiratory infection (ARI) case definitions in the diagnosis of COVID-19 and influenza in healthcare personnel (HCP).</div></div><div><h3>Methods</h3><div>We followed a cohort of 5752 HCP from November 2022 to May 2023. Symptomatic HCP were tested for SARS-CoV-2 and influenza by real-time PCR and/or rapid antigen detection test. ILI was defined as the sudden onset of ≥1 systemic symptom and ≥1 respiratory symptom. ARI was defined as the sudden onset of ≥1 respiratory symptom. Patients with respiratory symptoms were grouped either as ILI or as ARI based on the presence of fever, malaise, headache and/or myalgia.</div></div><div><h3>Results</h3><div>Overall, 466 ILI cases and 383 ARI cases occurred. HCP with ILI had an adjusted odds ratio (aOR) of 22.05 [95% confidence interval (CI): 6.23–78.04] to be diagnosed with influenza. HCP with ARI had an aOR of 2.70 (95% CI: 1.88–3.88) to be diagnosed with COVID-19. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of ILI for influenza were 96.6%, 49.9%, 18.2%, and 99.2%, respectively. The sensitivity, specificity, PPV, and NPV of ARI for COVID-19 were 51.7%, 73.6%, 84.9%, and 34.8%, respectively. ILI and ARI had an overall correct classification rate of 89.6% and 74.1%, respectively.</div></div><div><h3>Conclusion</h3><div>Our findings support the use of both ILI and ARI case definitions in the diagnosis of influenza and COVID-19 in HCP.</div></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"30 1","pages":"Pages 23-27"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142304836","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
Prediction of multidrug-resistant bacteria (MDR) hospital-acquired infection (HAI) and colonisation: A systematic review 耐多药细菌(MDR)医院获得性感染(HAI)和定植的预测:系统综述。
IF 2.7
Infection Disease & Health Pub Date : 2025-02-01 DOI: 10.1016/j.idh.2024.07.003
Leila Figueiredo Dantas , Igor Tona Peres , Bianca Brandão de Paula Antunes , Leonardo S.L. Bastos , Silvio Hamacher , Pedro Kurtz , Ignacio Martin-Loeches , Fernando Augusto Bozza
{"title":"Prediction of multidrug-resistant bacteria (MDR) hospital-acquired infection (HAI) and colonisation: A systematic review","authors":"Leila Figueiredo Dantas ,&nbsp;Igor Tona Peres ,&nbsp;Bianca Brandão de Paula Antunes ,&nbsp;Leonardo S.L. Bastos ,&nbsp;Silvio Hamacher ,&nbsp;Pedro Kurtz ,&nbsp;Ignacio Martin-Loeches ,&nbsp;Fernando Augusto Bozza","doi":"10.1016/j.idh.2024.07.003","DOIUrl":"10.1016/j.idh.2024.07.003","url":null,"abstract":"<div><h3>Background</h3><div>Hospital-Acquired Infections (HAI) represent a public health priority in most countries worldwide. Our main objective was to systematically review the quality of the predictive modeling literature regarding multidrug-resistant gram-negative bacteria in Intensive Care Units (ICUs).</div></div><div><h3>Methods</h3><div>We conducted and reported a Systematic Literature Review according to the recommendations of the PRISMA statement. We analysed the quality of the articles in terms of adherence to the TRIPOD checklist.</div></div><div><h3>Results</h3><div>The initial search identified 1935 papers and 15 final articles were included in the review. Most studies analysed used traditional prediction models (logistic regression), and only three developed machine-learning techniques. We noted poor adherence to the main methodological issues recommended in the TRIPOD checklist to develop prediction models, such as handling missing data (20% adherence), model-building procedures (20% adherence), assessing model performance (47% adherence), and reporting performance measures (33% adherence).</div></div><div><h3>Conclusions</h3><div>Our review found few studies that use efficient alternatives to predict the acquisition of multidrug-resistant gram-negative bacteria in ICUs. Furthermore, we noted a lack of strategies for dealing with missing data, feature selection, and imbalanced datasets, a common problem in HAI studies.</div></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"30 1","pages":"Pages 50-60"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142006188","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
Burkholderia cenocepacia outbreak linked to taps in a neonatal intensive care unit 与新生儿重症监护病房水龙头有关的结核杆菌爆发。
IF 2.7
Infection Disease & Health Pub Date : 2025-02-01 DOI: 10.1016/j.idh.2024.08.001
R. Purcell , S. Ryan , J. Meyer , K. Cisera , N.L. Sherry , A. Stewart , A. Rindt , T.M. Korman , R.L. Stuart
{"title":"Burkholderia cenocepacia outbreak linked to taps in a neonatal intensive care unit","authors":"R. Purcell ,&nbsp;S. Ryan ,&nbsp;J. Meyer ,&nbsp;K. Cisera ,&nbsp;N.L. Sherry ,&nbsp;A. Stewart ,&nbsp;A. Rindt ,&nbsp;T.M. Korman ,&nbsp;R.L. Stuart","doi":"10.1016/j.idh.2024.08.001","DOIUrl":"10.1016/j.idh.2024.08.001","url":null,"abstract":"<div><h3>Background</h3><div><em>Burkholderia cenocepacia</em> complex is an important cause of hospital acquired infections. We describe the management of an outbreak in a neonatal intensive care unit (NICU) due to tap colonisation.</div></div><div><h3>Methods</h3><div>Microbiological testing of touch (n = 26) and non-touch taps (n = 28), sinks and drains, including genomic sequencing of selected isolates. Thermal shocking of taps with 30 min of water flush at 60 °C. Tap aerators were changed with each thermal shock. Adjuvant disinfecting measures were applied to aerator mesh at the water exit point of the tap, point-of-use water filters, drains and sinks using hospital grade chlorine-based detergent.</div></div><div><h3>Results</h3><div>Across the 2 year outbreak, seven microbiological cultures of tap outlets were positive for <em>B. cenocepacia</em>. Two neonates had positive stool samples, and one neonate with gastroschisis had a bloodstream infection. Phylogenetic analysis determined the clinical and tap cultures positive for <em>B. cenocepacia</em> were genomically closely related. Monthly thermal shocking with adjunct disinfection measures and tap aerator changes was effective in controlling tap colonisation with longer intervals associated with positive tap <em>B. cenocepacia</em> cultures.</div></div><div><h3>Conclusions</h3><div><em>B. cenocepacia</em> is an important cause of hospital-acquired infection in neonates. Plumbing and tap design is an important component to consider in the build of new NICUs.</div></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"30 1","pages":"Pages 18-22"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900719","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
The experiences and roles of infection prevention and control professionals working in residential care facilities during global outbreaks: An integrative review 在全球疫情暴发期间,在寄宿护理机构工作的感染预防和控制专业人员的经验和作用:一项综合综述
IF 2.7
Infection Disease & Health Pub Date : 2025-02-01 DOI: 10.1016/j.idh.2025.01.002
Hyunji Lee , Thea F. van de Mortel , Peta-Anne Zimmerman
{"title":"The experiences and roles of infection prevention and control professionals working in residential care facilities during global outbreaks: An integrative review","authors":"Hyunji Lee ,&nbsp;Thea F. van de Mortel ,&nbsp;Peta-Anne Zimmerman","doi":"10.1016/j.idh.2025.01.002","DOIUrl":"10.1016/j.idh.2025.01.002","url":null,"abstract":"<div><h3>Background</h3><div>The escalating threat of global infectious disease outbreaks has underscored the imperative for robust infection prevention and control (IPC) measures, particularly within the high-risk context of residential care facilities. This research aimed to investigate the experiences and roles of IPC professionals (IPCPs) in such settings during global outbreaks.</div></div><div><h3>Methods</h3><div>Utilising an integrative review methodology, four electronic databases – Medline, CINAHL, Embase, and Scopus – were searched from 2003 onwards for relevant papers. A two-tiered independent screening approach was employed to select eligible articles, followed by a consensus-based appraisal and thematic analysis of included studies.</div></div><div><h3>Results</h3><div>The final review encompassed eight articles. IPCPs faced systemic organisational and ground-level operational hurdles, including inequitable access to resources, and lack of training and outbreak preparedness. External and internal variables impacted the effectiveness of outbreak responses, affecting resident and occupational health, and perceptions of IPC over time.</div></div><div><h3>Conclusions</h3><div>The review identified systemic challenges IPCPs face in residential care during outbreaks, including resource inequity and lack of standardised training. Centralised resources and standardised educational benchmarks may help to mitigate these issues. Policy changes are required to enhance healthcare readiness, quality, and research in residential care settings.</div></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"30 3","pages":"Pages 248-259"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082428","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
Credentialling in Australia for infection prevention and control: Philosophy, principles and practice 澳大利亚的感染预防与控制认证:理念、原则和实践。
IF 2.7
Infection Disease & Health Pub Date : 2025-02-01 DOI: 10.1016/j.idh.2024.07.007
Deborough Macbeth , Catherine Viengkham , Ramon Z. Shaban
{"title":"Credentialling in Australia for infection prevention and control: Philosophy, principles and practice","authors":"Deborough Macbeth ,&nbsp;Catherine Viengkham ,&nbsp;Ramon Z. Shaban","doi":"10.1016/j.idh.2024.07.007","DOIUrl":"10.1016/j.idh.2024.07.007","url":null,"abstract":"<div><div>Infection prevention and control programs are vital to ensuring the health and wellbeing of healthcare consumers and staff. Infection control professionals who lead these programs are uniquely positioned with the knowledge, skills and attributes to direct effective infection control practices and policies within their healthcare setting. As with many specialisations, these individuals may choose to undertake a credentialling process, where their expertise and competence are evaluated and formally recognised by a professional body. Globally, there is growing evidence that credentialling improves the standard of practice of infection control professionals, and achieves beneficial outcomes for staff, patients and the broader healthcare systems in which they operate. In Australia, credentialling is a relatively new endeavour emerging in the mid 1990s with the rapidly evolving profile of the infection control professional. In this paper, we detail the history and evolution of credentialling of the infection control professionals in Australia. We also appraise the current three-tier credentialling framework, including its underlying philosophy, how it distinguishes between ‘competence’ and ‘capability’, the mechanisms it provides for career development, and its adaptation in response to critical contemporary developments in the field of infection control in Australia, including the expanding diversity of contemporary practice.</div></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"30 1","pages":"Pages 61-73"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142304835","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
Improvement in antibacterial use in intensive care units from Argentina: A quality improvement collaborative process evaluation using Normalization Process Theory 改善阿根廷重症监护病房的抗菌药物使用情况:使用规范化过程理论进行质量改进协作过程评估。
IF 2.7
Infection Disease & Health Pub Date : 2025-02-01 DOI: 10.1016/j.idh.2024.08.003
Javier Roberti , Juan Pedro Alonso , Natalí Ini , Cecilia Loudet , Wanda Cornistein , Inés Suárez-Anzorena , Marina Guglielmino , Ana Paula Rodríguez , Ezequiel García-Elorrio , Facundo Jorro-Barón , Viviana M. Rodríguez
{"title":"Improvement in antibacterial use in intensive care units from Argentina: A quality improvement collaborative process evaluation using Normalization Process Theory","authors":"Javier Roberti ,&nbsp;Juan Pedro Alonso ,&nbsp;Natalí Ini ,&nbsp;Cecilia Loudet ,&nbsp;Wanda Cornistein ,&nbsp;Inés Suárez-Anzorena ,&nbsp;Marina Guglielmino ,&nbsp;Ana Paula Rodríguez ,&nbsp;Ezequiel García-Elorrio ,&nbsp;Facundo Jorro-Barón ,&nbsp;Viviana M. Rodríguez","doi":"10.1016/j.idh.2024.08.003","DOIUrl":"10.1016/j.idh.2024.08.003","url":null,"abstract":"<div><h3>Background</h3><div>Healthcare-associated infections and antibiotic resistance worsen globally. Antibiotic stewardship programs (ASP) aim to optimise infection treatment and curb resistance, yet implementation hurdles persist. This study examined ASP challenges in ICUs.</div></div><div><h3>Methods</h3><div>This study employed a qualitative methodological design to evaluate the implementation process of an antibiotic stewardship program (ASP) in eight intensive care units (ICUs) across Argentina. Thirty-four semi-structured interviews with healthcare workers (HCWs) were conducted. Interviews were analysed guided by Normalisation Process Theory, examining coherence, cognitive participation, collective action, and reflexive monitoring constructs.</div></div><div><h3>Results</h3><div>Key challenges included insufficient human resources, lack of institutional support, and resistance to change, particularly among staff not initially involved in the study. Despite these challenges, the program saw partial success in improving ICU practices, particularly in antibiotic use and communication across departments. The main strategy implemented in this quality improvement collaborative was the use of improvement cycles, which served as the central component for driving change. However, participation in improvement cycles was inconsistent, and sustainability post-intervention remains uncertain due to workload pressures and the need for continuous education. Concerns about workload and communication barriers persisted. Many participants did not perceive training as a separate component, which led to low engagement. Resistance to change became evident during modifications to clinical guidelines. The intervention had a positive impact on various processes, including communication and record keeping.</div></div><div><h3>Conclusion</h3><div>This study underscores the persistent challenges in implementing ASPs in healthcare, emphasising the need for enhanced collaboration, workforce capacity building, and evidence-based practices to overcome barriers and optimize antimicrobial use to improve patient outcomes.</div></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"30 1","pages":"Pages 28-37"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142304837","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
Arterial catheter outcomes in intensive care: An analysis of 1117 patients 重症监护中动脉导管的效果:对 1117 名患者的分析。
IF 2.7
Infection Disease & Health Pub Date : 2025-02-01 DOI: 10.1016/j.idh.2024.07.006
Samantha Keogh , Emily Larsen , Amanda Corley , Mari Takashima , Nicole Marsh , Melannie Edwards , Heather Reynolds , Jayesh Dhanani , Fiona Coyer , Kevin B. Laupland , Claire M. Rickard
{"title":"Arterial catheter outcomes in intensive care: An analysis of 1117 patients","authors":"Samantha Keogh ,&nbsp;Emily Larsen ,&nbsp;Amanda Corley ,&nbsp;Mari Takashima ,&nbsp;Nicole Marsh ,&nbsp;Melannie Edwards ,&nbsp;Heather Reynolds ,&nbsp;Jayesh Dhanani ,&nbsp;Fiona Coyer ,&nbsp;Kevin B. Laupland ,&nbsp;Claire M. Rickard","doi":"10.1016/j.idh.2024.07.006","DOIUrl":"10.1016/j.idh.2024.07.006","url":null,"abstract":"<div><h3>Background</h3><div>Access to arterial circulation through arterial catheters (ACs) is crucial for monitoring and decision-making in intensive care units (ICU) but carries the risk of complications including bloodstream infection (BSI).</div></div><div><h3>Methods</h3><div>We conducted a secondary analysis of data from four randomised controlled trials in Australian ICUs, investigating the efficacy of different AC interventions. De-identified data were combined into a single dataset, and per-patient outcomes analysed. The primary outcome was AC-BSI, defined as laboratory confirmed bloodstream infection (LCBI) type 1 or 2, with a concurrent local infection. All-cause AC failure was defined as any unplanned removal. AC infection and failure were reported as rates per 1000 catheter days and hours.</div></div><div><h3>Results</h3><div>Data from 1117 adult patients were analysed. Mean age was 58.8 years (±16.6); and 41% (n = 462) were male. Median AC dwell time was 110 h (IQR 28.3–168.0). There was one case (&lt;0.1%; 0.18/1000 catheter days [95% CI 0.03–1.29]) of AC-BSI, and 14 cases of LCBI (1%; 13 LCBI-1 and 1 LCBI-2; 2.54/1000 catheter days [95% CI 1.51–4.30]). LCBI were most commonly <em>Enterococcus faecalis</em>; <em>Escherichia coli</em> and <em>Klebsiella pneumoniae</em>. There were four cases of local infection (&lt;1%; 0.73/1000 catheter days [95% CI 0.27–1.94]). Overall AC failure rate was 13% (n = 146) or 26.53/1000 catheter days (95% CI 22.56–31.20).</div></div><div><h3>Conclusion</h3><div>This study identified a relatively low incidence of complications. This is likely reflective of poor monitoring of ACs in intensive care. Better surveillance and a rigorous prospective evaluation of AC outcomes is required to understand the true risk ACs pose to critically ill patients.</div></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"30 1","pages":"Pages 12-17"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047702","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
Assessment of peripheral venous catheters microbiota and its association with phlebitis 评估外周静脉导管微生物群及其与静脉炎的关系。
IF 2.7
Infection Disease & Health Pub Date : 2025-02-01 DOI: 10.1016/j.idh.2024.07.005
Gustavo Francisco Lopes , Viviane de Cássia Oliveira , Rachel Maciel Monteiro , Pedro Castania Amadio Domingues , Felipe Lazarini Bim , Lucas Lazarini Bim , Gabriela Bassi Ferreira da Silva , André Pereira dos Santos , Cássio do Nascimento , Denise de Andrade , Evandro Watanabe
{"title":"Assessment of peripheral venous catheters microbiota and its association with phlebitis","authors":"Gustavo Francisco Lopes ,&nbsp;Viviane de Cássia Oliveira ,&nbsp;Rachel Maciel Monteiro ,&nbsp;Pedro Castania Amadio Domingues ,&nbsp;Felipe Lazarini Bim ,&nbsp;Lucas Lazarini Bim ,&nbsp;Gabriela Bassi Ferreira da Silva ,&nbsp;André Pereira dos Santos ,&nbsp;Cássio do Nascimento ,&nbsp;Denise de Andrade ,&nbsp;Evandro Watanabe","doi":"10.1016/j.idh.2024.07.005","DOIUrl":"10.1016/j.idh.2024.07.005","url":null,"abstract":"<div><h3>Background</h3><div>Peripheral venous catheters (PVCs) remain the primary mode of short-term venous access for managing intravenous fluid, obtaining blood samples, and peripheral parenteral nutrition. They may get contaminated and require regular monitoring to prevent complications. This study evaluated the occurrence of phlebitis and its associated-clinical and microbiological indicators.</div></div><div><h3>Methods</h3><div>The frequency of phlebitis was evaluated in hospitalized patients of both medical and surgical fields. Subsequently, the dichotomous association between the presence of phlebitis and the clinical aspects was investigated. In parallel, the bacterial contamination of PVCs was assessed through culture-based methods, microscopy observation, and 16S rRNA gene sequencing.</div></div><div><h3>Results</h3><div>Approximately one in four patients presented phlebitis (28.4%). The most frequent symptom was erythema at access site, with or without pain, corresponding to Score 1 on the phlebitis scale (17.9%). Colonization of both lumen and external surface of PVC was observed in 31.3% of the samples. <em>Staphylococcus</em> and <em>Pseudomonas</em> were the most isolated bacterial genera on the PVC surface. No significant association was observed between the presence of phlebitis and the clinical aspects, as well as the presence of microorganisms.</div></div><div><h3>Conclusion</h3><div>Microorganism were present on both internal and external PVC surface, without being associated to phlebitis.</div></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"30 1","pages":"Pages 1-11"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141899239","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
Sustainability and novel technologies to improve environmental cleaning in healthcare – Implications and considerations 改善医疗环境清洁的可持续性和新技术--影响和考虑因素。
IF 2.7
Infection Disease & Health Pub Date : 2025-02-01 DOI: 10.1016/j.idh.2024.07.002
S. Jain , K. Dempsey , K. Clezy , B.G. Mitchell , M.A. Kiernan
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