Infection Disease & Health最新文献

{"title":"An evaluation of influenza, pneumococcal and herpes zoster vaccination coverage in Australian aged care residents, 2018 to 2022","authors":"Noleen Bennett ,&nbsp;Brett Morris ,&nbsp;Michael J. Malloy ,&nbsp;Lyn-li Lim ,&nbsp;Eliza Watson ,&nbsp;Ann Bull ,&nbsp;Janet Sluggett ,&nbsp;Leon J. Worth ,&nbsp;NISPAC Advisory Group","doi":"10.1016/j.idh.2023.03.005","DOIUrl":"10.1016/j.idh.2023.03.005","url":null,"abstract":"<div><h3>Background</h3><p>For older persons, vaccination<span> mitigates the harmful impact of vaccine preventable infections. Our study objectives were to evaluate in the Victorian public sector residential aged care services (PSRACS) (1) the existence of local vaccination policies and admission assessment practices, (2) the current documented status of resident influenza, pneumococcal and herpes zoster vaccination uptake and (3) changes in documented resident vaccination uptake over time.</span></p></div><div><h3>Methods</h3><p>Standardised data were annually reported by all PSRACS between 2018 and 2022. The influenza, pneumococcal and herpes zoster vaccination status of each resident was classified as vaccinated, declined, contraindicated or unknown. Annual trends in vaccination status were assessed using Spearman's correlation.</p></div><div><h3>Results</h3><p><span>In 2022, most PSRACS reported an influenza immunisation policy existed (87.1%) and new residents were assessed for their influenza vaccination status (97.2%); fewer PSRACS reported the same for pneumococcal disease (73.1% and 78.9%) and herpes zoster (69.3% and 75.6%). The median resident influenza, pneumococcal and herpes zoster (70–79 years old) vaccination uptake was 86.8%, 32.8% and 19.3% respectively. The median unknown status was 6.9%, 63.0% and 76.0% respectively. Statistical evidence of an increase in annual uptake was observed for the herpes zoster (all resident) surveillance module (r</span>_s = 0.900, p = 0.037).</p></div><div><h3>Conclusions</h3><p>Our study showed local influenza vaccination policies and practices exist and influenza vaccination uptake was consistently high. Pneumococcal and herpes zoster vaccination uptake were lower. Quality improvement strategies that at least determine the status of those residents classified as unknown are required.</p></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9405863","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}

{"title":"Peripheral intravenous catheter material and design to reduce device failure: A systematic review and meta-analysis","authors":"Robyn Matthews ,&nbsp;Nicole C. Gavin ,&nbsp;Nicole Marsh ,&nbsp;Louise Marquart-Wilson ,&nbsp;Samantha Keogh","doi":"10.1016/j.idh.2023.05.005","DOIUrl":"10.1016/j.idh.2023.05.005","url":null,"abstract":"<div><h3>Background</h3><p>Patients require vascular access for medical treatments, diagnostic procedures and symptom management. Current failure rates of peripheral intravascular catheters (PIVCs) are unacceptably high (40–50%). This systematic review aimed to determine the effect of different PIVC materials and designs on the incidence of PIVC failure.</p></div><div><h3>Methods</h3><p>A systematic search was conducted in November 2022 using CINAHL, PubMed, EMBASE and Cochrane Central Register of Controlled Trials databases. Randomised controlled trials that compared PIVC novel PIVC material/design and standard material/design were included. The primary outcome was all causes of PIVC failure, any reason for device removal due to cessation of device function; and secondary outcomes included individual PIVC complications and infection (local or systemic), and dwell times. Quality appraisal was conducted using the Cochrane risk of bias tool. A meta-analysis was performed using random effects model.</p></div><div><h3>Results</h3><p>Seven randomised controlled trials were eligible for inclusion. In meta-analysis, the impact of material and design on PIVC failure in the studies favoured the intervention arms (RR 0.71, 95% CI 0.57–0.89), however there was substantial heterogeneity (I² = 81%, 95% CI 61–91%). Through subgroup analyses, a significant difference on PIVC failure favoured the closed system over the open system (RR 0.85, 95% CI 0.73 to 0.99; I² = 23%, 95% CI 0–90%).</p></div><div><h3>Conclusion</h3><p>Catheter material and design can impact PIVC outcome. Conclusive recommendations are limited due to the small number of studies and inconsistent reporting of clinical outcomes. Further rigorous research of PIVC types is necessary to improve clinical practice and device selection pathways should reflect the resulting evidence.</p></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9817473","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}

{"title":"Time-to-first-isolation of methicillin-resistant Staphylococcus aureus (MRSA) in cystic fibrosis (CF): An underutilised metric in infection control?","authors":"John E. Moore ,&nbsp;Jacqueline C. Rendall ,&nbsp;Beverley C. Millar","doi":"10.1016/j.idh.2023.05.002","DOIUrl":"10.1016/j.idh.2023.05.002","url":null,"abstract":"<div><h3>Background</h3><p>Methicillin-resistant <em>Staphylococcus aureus</em><span> (MRSA) has emerged as a significant pathogen<span><span> in people with cystic fibrosis (PwCF). There is a paucity of reports on </span>MRSA infection dynamics within CF. It was the aim to examine the utility of </span></span><strong><em>T</em></strong><em>ime-</em> <strong><em>T</em></strong><em>o-</em><strong><em>F</em></strong><em>irst</em> <strong><em>I</em></strong><em>solation</em><span> (TTFI) metric and to correlate this with patient gender and CF transmembrane conductance regulator (CFTR) mutation type.</span></p></div><div><h3>Methods</h3><p>The microbiology of respiratory specimens from 100 adult (≥18 years) PwCF was examined (50 females; 50 males; mean age 24.6 years ±6.25 (SD)) from birth to present, equating to 2455 patient years. TTFI was determined in relation to (i) presence/absence of MRSA, (ii) CFTR mutation type and (iii) PwCF gender.</p></div><div><h3>Results</h3><p>MRSA was noted in 23% patients (10 female/13 males); (i) F508del/F508del homozygous (43.5%) and (ii) F508del/other heterozygous (56.5%). No non-F508del CFTR mutations types were noted. The median and mean TTFI was 137 months and 127.4 months respectively, shortest time was 23 months, longest time 211 months. There was no statistical significance in TTFI in relation to CFTR mutation group (p = 0.39) or gender (p = 0.71).</p></div><div><h3>Conclusions</h3><p>TTFI is useful and applicable to the chronic infection model, where patients with a specific underlying disease are predisposed to acquire infections and where these infections are likely to become chronic. Intelligence offered by TTFI provides a window of opportunity to target IPC interventions, to help prevent MRSA acquisition. CF multidisciplinary teams, microbiologists and infection prevention specialists should utilise such TTFI data from their respective centres to help inform and plan intervention strategies to help prevent MRSA acquisition.</p></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9551886","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}

{"title":"An educational intervention in the emergency department seeking to improve COVID-19 vaccination rates among unvaccinated patients aged 20-64","authors":"Shelby DeWaard ,&nbsp;Zachary Dewyer ,&nbsp;Talal Al Assil ,&nbsp;Rachael Gallap ,&nbsp;Lauren Patrick ,&nbsp;Noelle Fukuda ,&nbsp;Maureen Ford","doi":"10.1016/j.idh.2023.07.001","DOIUrl":"10.1016/j.idh.2023.07.001","url":null,"abstract":"<div><h3>Background</h3><p>The COVID-19 vaccination<span> rate in the US has plateaued, especially among minorities and young populations. Previous efforts within the Emergency Department<span> (ED) setting to address this disparity<span> have shown positive results. The ED can play a crucial role in engaging vaccine-hesitant individuals, particularly those with limited access to healthcare. By providing education, addressing concerns, and using positive framing, vaccination rates can be improved in the ED. This quality improvement project aimed to increase vaccination rates through one-on-one educational interventions and open discussions with patients.</span></span></span></p></div><div><h3>Methods</h3><p>Between November 2021 and June 2022, unvaccinated adult patients aged 20 to 64 visiting a local ED in Kalamazoo, MI were approached for a discussion on COVID vaccines. A research team, trained in motivational interviewing techniques, provided an educational intervention, offering evidence-based information and resources to unvaccinated participants.</p></div><div><h3>Results</h3><p>A total of 37 participants were enrolled, and their demographics were recorded. The participants expressed various concerns about the vaccine, including potential side effects, speed of testing and production, perceived ineffectiveness, mistrust, and low personal risk. At the four-week follow-up, three participants (8%) had received their first dose of the COVID-19 vaccine.</p></div><div><h3>Conclusion</h3><p>The study fell short of its desired sample size and the intervention failed to raise vaccination rates among ED patients. Factors like low perceived risk, vaccine hesitancy, and limited resources may have influenced these outcomes. Future research should focus on staffing, operational hours, repeated educational interventions, and targeted approaches for different populations. Improving participant recruitment through institutional engagement and involvement of multiple EDs should be explored. Addressing these factors can help inform effective interventions to increase COVID-19 vaccination rates in the ED.</p></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9965509","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}

{"title":"Response to the letter: Comment on “Care bundle for the prevention of peripheral venous catheter blood stream infections at a secondary care university hospital: Implementation and results”","authors":"Yolanda Lladó Maura,&nbsp;Magdalena Lucía Berga Figuerola,&nbsp;M José Rodríguez Moreno,&nbsp;Verónica Lluch Garvi,&nbsp;Elisabet E Soler Felsner,&nbsp;Adrián Rodríguez-Rodríguez,&nbsp;Alexander Almendral,&nbsp;Enric Limón,&nbsp;Ester Fusté","doi":"10.1016/j.idh.2023.07.003","DOIUrl":"10.1016/j.idh.2023.07.003","url":null,"abstract":"","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9938018","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}

{"title":"The impact of rapid diagnostic testing on hospital administrative coding accuracy for influenza","authors":"Hugh C. Murray ,&nbsp;Benjamin J. Smith ,&nbsp;Mark Putland ,&nbsp;Lou Irving ,&nbsp;Douglas Johnson ,&nbsp;Deborah A. Williamson ,&nbsp;Steven Y.C. Tong","doi":"10.1016/j.idh.2023.05.003","DOIUrl":"10.1016/j.idh.2023.05.003","url":null,"abstract":"<div><h3>Background</h3><p>Hospital administrative coding may underestimate the true incidence of influenza-associated hospitalisation. Earlier availability of test results could lead to improved accuracy of administrative coding.</p></div><div><h3>Methods</h3><p><span><span>In this study we evaluated International Classification of Diseases 10 (ICD-10) coding for influenza (with [J09-J10] or without [J11] </span>virus identified) in adult inpatients who underwent testing in the year prior, compared to those in the 2.5 years after, the introduction of rapid PCR testing in 2017. Other factors associated with influenza coding were evaluated using </span>logistic regression. Discharge summaries were audited to assess the impact of documentation and result availability on coding accuracy.</p></div><div><h3>Results</h3><p><span>Influenza was confirmed by laboratory testing in 862 of 5755 (15%) patients tested after rapid PCR introduction compared with 170 of 926 (18%) prior. Following the introduction of rapid testing there was a significant increase in patients allocated J09 or J10 ICD-10 codes (768 of 860 [89%] </span>vs 107 of 140 [79%], P = 0.001). On multivariable analysis, factors independently associated with correct coding were rapid PCR testing (aOR 4.36 95% CI [2.75–6.90]) and increasing length of stay (aOR 1.01, 95% CI [1.00–1.01]). Correctly coded patients were more likely to have documentation of influenza in their discharge summaries (95 of 101 [89%] vs 11 of 101 [10%], P &lt; 0.001) and less likely to have pending results at discharge (8 of 101 [8%] vs 65 of 101 [61%], P &lt; 0.001).</p></div><div><h3>Conclusion</h3><p>The introduction of rapid PCR testing for influenza was associated with more accurate hospital coding. One possible explanation is faster test turnaround leading to improvement in clinical documentation.</p></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9624089","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}

{"title":"COVID-19 Outbreak Management Response for Residential Aged Care Facilities in Western Sydney: A Donabedian Health Evaluation","authors":"Dr Catherine Viengkham ,&nbsp;Mr Vincent Villanueva Vicencio ,&nbsp;Mr Heonsu Shin ,&nbsp;Dr Shopna Bag ,&nbsp;Dr Conrad Moreira ,&nbsp;Richard Lindley (Professor) ,&nbsp;Mr Nicholas Grange ,&nbsp;Ms Sophie Norton ,&nbsp;Ms Jenny Watts ,&nbsp;Ms Claire Thomas ,&nbsp;Ms Bronnie Anderson-Smith ,&nbsp;Ms Jasmin Ellis ,&nbsp;Ramon Shaban (Professor)","doi":"10.1016/j.idh.2023.09.025","DOIUrl":"https://doi.org/10.1016/j.idh.2023.09.025","url":null,"abstract":"","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67739271","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}

{"title":"P2-N95 Mask Use During the COVID- 19 Pandemic - Experiences and Perceptions of Nurses Who Suffered Adverse Effects","authors":"Mrs Anie Edward ,&nbsp;Dr Bodil Rasmussen ,&nbsp;Dr Sara Holton ,&nbsp;Stephane Bouchoucha (A/Prof)","doi":"10.1016/j.idh.2023.09.018","DOIUrl":"https://doi.org/10.1016/j.idh.2023.09.018","url":null,"abstract":"","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67739275","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}

{"title":"A new reliable method for testing the performance of pre-moistened cleaning wipes against bacteria and bacterial biofilms","authors":"Greg Whiteley (A/Prof.) ,&nbsp;Dr Trevor Glasbey ,&nbsp;Dr Theerthankar Das","doi":"10.1016/j.idh.2023.09.023","DOIUrl":"https://doi.org/10.1016/j.idh.2023.09.023","url":null,"abstract":"","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67740065","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}

{"title":"Does longer peripheral intravenous catheter length optimise antimicrobial delivery? A randomised controlled trial","authors":"Dr Amanda Corley ,&nbsp;Ms Catherine O'Brien ,&nbsp;Mrs Elizabeth Wignall ,&nbsp;Ms Hannah Peach ,&nbsp;Mrs Emily Larsen ,&nbsp;Claire Rickard (Prof) ,&nbsp;Ms Barbara Hewer ,&nbsp;Nicole Marsh (Prof)","doi":"10.1016/j.idh.2023.09.032","DOIUrl":"https://doi.org/10.1016/j.idh.2023.09.032","url":null,"abstract":"","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67735302","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}