Helen Rawson (Prof) , Dr Karen Harris , Dr Victoria Team , Dr Kaori Shimoinaba , Gabrielle Brand (Prof) , Mrs Chris Lynch , Prof Philip Russo
{"title":"105. Challenges and opportunities for effective infection prevention and control in Residential Aged Care Homes","authors":"Helen Rawson (Prof) , Dr Karen Harris , Dr Victoria Team , Dr Kaori Shimoinaba , Gabrielle Brand (Prof) , Mrs Chris Lynch , Prof Philip Russo","doi":"10.1016/j.idh.2024.09.024","DOIUrl":"10.1016/j.idh.2024.09.024","url":null,"abstract":"","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"29 ","pages":"Page S7"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143131416","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}
Dr Victoria Madigan , Elizabeth Kindred , Melissa Sajeva , Dr Dorothy Ling
{"title":"102. Impact of Electronic Medical Record Implementation on Hospital Coding for Pneumonia as a Healthcare-associated Complication","authors":"Dr Victoria Madigan , Elizabeth Kindred , Melissa Sajeva , Dr Dorothy Ling","doi":"10.1016/j.idh.2024.09.022","DOIUrl":"10.1016/j.idh.2024.09.022","url":null,"abstract":"","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"29 ","pages":"Page S7"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143131417","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}
Dr Mary Wyer , Dr Patricia E. Ferguson , Dr Jaimie Henry , Jaisa Kuriakose , Dr Su-Yin Hor , Dr Matthew O'Sullivan , Dr Nicky Gilroy , Gwendolyn L. Gilbert (Professor)
{"title":"91. Assessing the operational readiness of a biocontainment centre using a 24hr in situ simulation and video-reflexivity","authors":"Dr Mary Wyer , Dr Patricia E. Ferguson , Dr Jaimie Henry , Jaisa Kuriakose , Dr Su-Yin Hor , Dr Matthew O'Sullivan , Dr Nicky Gilroy , Gwendolyn L. Gilbert (Professor)","doi":"10.1016/j.idh.2024.09.019","DOIUrl":"10.1016/j.idh.2024.09.019","url":null,"abstract":"","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"29 ","pages":"Page S6"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143131419","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":"Infection prevention and control professionals: Stress, resilience, personality traits and views about their workforce and profession","authors":"Brett G. Mitchell , Philip L. Russo","doi":"10.1016/j.idh.2024.09.038","DOIUrl":"10.1016/j.idh.2024.09.038","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic placed considerable strain on the infection control professional workforce, who were at the forefront of pandemic response in their organisations and beyond. In order to support infection control professionals and inform future initiatives, it is important to further understand the infection control workforce. The objective of this study was to determine stress and resilience levels, personality traits and workforce intentions of infection control professionals in Australia and New Zealand.</div></div><div><h3>Methods</h3><div>We undertook an anonymous, cross-sectional online survey of infection control professionals in Australia and New Zealand. Validated tools, the brief resilience tool, workforce stressor tool and the Big Five personality test, were used to evaluate levels of stress, resilience and personality traits.</div></div><div><h3>Results</h3><div>Three hundred and fifty-six infection control professionals started the survey, with representation from all Australian jurisdictions and New Zealand. The mean stress score was 4.28 (SD 3.39) and 3.34 (SD 0.65) for resilience. Younger participants and those with less experience in infection control had higher levels of stress and lower levels of resilience. Individual personality traits vary by age, level of education and credentialing status. Approximately one-fifth of participants indicated that they planned to leave the IC workforce in the next three years.</div></div><div><h3>Conclusions</h3><div>Our study was the largest published study involving infection control professionals in Australia and New Zealand. Findings highlight the need for mentoring, peer support and wellbeing initiatives to support the profession. Understanding personality traits may also be beneficial for further enhancing communication and interpersonal relationships.</div></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"30 2","pages":"Pages 97-104"},"PeriodicalIF":2.7,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549793","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}
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
{"title":"Microbial laden mobile phones from international conference attendees pose potential risks to public health and biosecurity","authors":"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","doi":"10.1016/j.idh.2024.08.004","DOIUrl":"10.1016/j.idh.2024.08.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Mobile phones, contaminated with pathogenic microorganisms, have the potential to act as “trojan horses”. The microbial signatures present on their surfaces most probably vary across different geographical regions. As a result, mobile phones belonging to international conference attendees may serve as a model for global microbial dissemination, posing potential risks to public health and biosecurity.</div></div><div><h3>Aim</h3><div>This study aimed to profile the microbes present on mobile phones belonging to delegates attending an international scientific conference through use of metagenomic shotgun DNA sequencing.</div></div><div><h3>Methods</h3><div>Twenty mobile phones, representing ten different geographical zones from around the world, were swabbed and pooled together into ten geographical-specific samples for high definition next-generation DNA sequencing. WONCA council members were invited to participate and provided verbal consent. Following DNA extraction, next generation sequencing, to a depth of approximately 10Gbp per sample, was undertaken on a v1.5 Illumina NovaSeq6000 system. Bioinformatic analysis was performed via the CosmosID platform.</div></div><div><h3>Results</h3><div>A total of 2204 microbial hits were accumulated across 20 mobile phones inclusive of 882 bacteria, 1229 viruses, 88 fungi and 5 protozoa. Of particular concern was the identification of 65 distinct antibiotic resistance genes and 86 virulence genes. Plant, animal and human pathogens, including ESKAPE and HACEK bacteria were found on mobile phones.</div></div><div><h3>Discussion/conclusion</h3><div>Mobile phones of international attendees are contaminated with many & varied microorganisms. Further research is required to characterize the risks these devices pose for biosecurity and public health. Development of new policies which appropriately address and prevent such risks maybe warranted.</div></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"30 2","pages":"Pages 85-96"},"PeriodicalIF":2.7,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335195","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}
Matiu Bush , Ana Hutchinson , Stéphane L. Bouchoucha , Catherine M. Bennett
{"title":"Mapping Australia's COVID-19 quarantine cohort journeys","authors":"Matiu Bush , Ana Hutchinson , Stéphane L. Bouchoucha , Catherine M. Bennett","doi":"10.1016/j.idh.2024.07.001","DOIUrl":"10.1016/j.idh.2024.07.001","url":null,"abstract":"<div><h3>Background</h3><p>Australia rapidly developed COVID-19 quarantine programs to reduce the adverse outcomes of a novel pathogen imported by visitors and returned travellers. Different quarantine pathways were utilised over the pandemic, yet no definitive cohort map exists to guide future preparedness. We created a whole-of-system cohort journey map of Australian quarantine cohorts to inform future pandemic preparedness activities.</p></div><div><h3>Methods</h3><p>Australian parliamentary websites and Google were searched for publicly available grey literature from 2019 to 2023. Data about quarantine cohorts, pandemic plans and documents, journey activities, viral escape events, and quarantine recommendations were extracted and plotted to produce a whole-of-system cohort journey map.</p></div><div><h3>Results</h3><p>The system mapping process identified 22 distinct quarantine cohort journeys during COVID-19, yet few of the cohorts were mentioned in pandemic and emergency plans. Viral escape events were documented 27 times, and COVID-19 reviews and inquiries produced 282 quarantine-specific recommendations. Cohorts included international and domestic travellers who experienced home, hotel, and facility quarantine iterations. Other cohorts, such as humanitarian evacuations, diplomats, airline crews, community close contacts, and people experiencing homelessness, had distinctive quarantine journeys.</p></div><div><h3>Conclusions</h3><p>This whole-of-system quarantine cohort map furthers the case for governments and policymakers to update pandemic plans to include the 22 identified cohorts and test plans through pandemic exercises. Recommendations from inquiries should be acquitted to reduce the risk of viral escape and to strengthen national preparedness if quarantine systems are required in future pandemic responses.</p></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"29 4","pages":"Pages 233-242"},"PeriodicalIF":2.7,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468045124000464/pdfft?md5=b949c4c5c7e374ffbd808347f22b1d5d&pid=1-s2.0-S2468045124000464-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977461","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}
Nicholai De La Cruz , Ann Whitaker , Nicholas Rukin , Kevin O'Callaghan
{"title":"Reducing candidaemia risk in urology patients: Revised algorithm & Pharmacist-Led Implementation","authors":"Nicholai De La Cruz , Ann Whitaker , Nicholas Rukin , Kevin O'Callaghan","doi":"10.1016/j.idh.2024.06.001","DOIUrl":"10.1016/j.idh.2024.06.001","url":null,"abstract":"<div><h3>Background</h3><p>Candidaemia is an invasive infection with high morbidity and mortality. All urology procedures carry risk of post-operative infection. Risk mitigation strategies include preoperative urine culture and treatment of cultured organism(s) regardless of symptoms. After zero cases of candidaemia for two years, there were five cases in elective urology patients within 15 weeks between June – September 2021. This increased incidence of candidaemia amongst these patients prompted multidisciplinary investigation.</p></div><div><h3>Methods</h3><p>Single centre case series, in a 250-bed hospital which annually performs 2000-2500 elective urology surgeries. Affected patients were elderly with multiple comorbidities. Notably, four of five patients had prior indwelling ureteral stents. All five patients had preoperative bacteriuria requiring antibiotics and one patient had pre-operative candiduria.</p></div><div><h3>Results</h3><p>Hypotheses including sterilisation failure, surgical instrument contamination, or surgical technique issues were unfounded. We propose that pre-operative duration of antibacterial therapy, particularly in the setting of ureteral stent biofilm, is a significant factor for candiduria. A new prescribing algorithm for urology patients was devised. Antibiotic treatment duration in asymptomatic patients with indwelling urinary tract foreign material was reduced from 14 to 3 days, and from 14 to 7 days in symptomatic patients. Dedicated pharmacist resources were allocated to support this change and pre-operatively manage these patients. These interventions led to zero candidaemia cases over the subsequent 21 months, along with zero post-operative bacterial bloodstream infections.</p></div><div><h3>Conclusions</h3><p>Prolonged pre-operative antibacterial therapy poses a risk for post-operative candidaemia, especially in patients with ureteral stents. Shortening pre-operative antibiotic courses, coupled with increased pharmacist involvement, effectively reduced candidaemia incidence.</p></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"29 4","pages":"Pages 227-232"},"PeriodicalIF":2.7,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141763560","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":"Designing for transparency and trust: Next steps for healthcare associated infection surveillance in Queensland","authors":"","doi":"10.1016/j.idh.2024.05.002","DOIUrl":"10.1016/j.idh.2024.05.002","url":null,"abstract":"","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"29 4","pages":"Pages 243-245"},"PeriodicalIF":2.7,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312605","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 experience of infection prevention and control nurse (IPCN) in conducting post-discharge surveillance (PDS) of surgical site infections (SSI): A qualitative study","authors":"","doi":"10.1016/j.idh.2024.05.001","DOIUrl":"10.1016/j.idh.2024.05.001","url":null,"abstract":"<div><h3>Background</h3><p><span>Surgical Site infections (SSI) are healthcare-associated infections (HAI) resulting from surgical procedures, which can increase morbidity, mortality, and economic burden. SSI surveillance is useful for detecting the magnitude of SSI cases and evaluating the impact of SSI prevention implementation. Post-discharge surveillance (PDS) of SSIs may identify more significant cases. To the best of our knowledge, there is no research exploring the experiences of Infection </span>Prevention and Control Nurse (IPCN) in conducting PDS of SSI.</p></div><div><h3>Methods</h3><p>To explore the experience of IPCN in conducting PDS of SSI. A qualitative transcendent phenomenological (descriptive) research, using a purposive sampling technique with 15 informants from 9 hospitals in Indonesia. Data were collected through in-depth direct and semi-structured interviews and analyzed using thematic analysis through Nvivo 12 plus software.</p></div><div><h3>Results</h3><p>Five themes were generated, including the stages of PDS of SSI, the collaborative role of PDS of SSI officers, inhibiting factors of PDS of SSI, supporting factors of PDS of SSI, and optimization of PDS of SSI.</p></div><div><h3>Conclusion</h3><p>This study provides a deep understanding of the implementation PDS of SSI through an exploration of IPCN experiences, offering insights into the execution and various challenges faced by hospitals in conducting PDS of SSI.</p></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"29 4","pages":"Pages 218-226"},"PeriodicalIF":2.7,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238851","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}