American journal of infection control最新文献

Infection prevention knowledge related to central line infections and ventilator-associated pneumonias: a survey of Finnish intensive care units.

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-02-03 DOI: 10.1016/j.ajic.2025.01.021

Kirsi Terho, Eliisa Löyttyniemi, Esa Rintala, Sanna Salanterä

{"title":"Infection prevention knowledge related to central line infections and ventilator-associated pneumonias: a survey of Finnish intensive care units.","authors":"Kirsi Terho, Eliisa Löyttyniemi, Esa Rintala, Sanna Salanterä","doi":"10.1016/j.ajic.2025.01.021","DOIUrl":"https://doi.org/10.1016/j.ajic.2025.01.021","url":null,"abstract":"<p><strong>Background: </strong>Healthcare-associated infections pose a significant risk for the patients in intensive care due to the use of medical instrumentation required for care.</p><p><strong>Methods: </strong>We conducted a cross-sectional, nationwide survey on awareness of recommended infection prevention practices involving central venous catheters and invasive ventilators in intensive care units.</p><p><strong>Results: </strong>A total of 810 (50% of those surveyed) nurses and physicians participated in the survey. We found that 8% of the respondents had good knowledge of infection prevention in central venous care, while 24% had good knowledge of ventilator-associated pneumonia prevention practices.</p><p><strong>Discussion: </strong>The overall level of knowledge measured with this nationwide survey was suboptimal. The level varied between units, and depending on individual questions for particular professions. The displayed knowledge may have partially been based on tradition rather than on up-to-date evidence-based guidelines.</p><p><strong>Conclusion: </strong>Educational training in evidence-based infection prevention is needed for practical implementation to be improved.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143254458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Total outward leakage of face-worn products used by the general public for source control 公众使用的面戴式源头控制产品向外泄漏总量。

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-02-01 DOI: 10.1016/j.ajic.2024.09.020

Weihua Yang PhD , Warren Myers PhD , Mike Bergman , Edward Fisher , Kenneth J. Ryan PhD , Brooke Vollmer , Lee Portnoff , Ziqing Zhuang PhD

{"title":"Total outward leakage of face-worn products used by the general public for source control","authors":"Weihua Yang PhD , Warren Myers PhD , Mike Bergman , Edward Fisher , Kenneth J. Ryan PhD , Brooke Vollmer , Lee Portnoff , Ziqing Zhuang PhD","doi":"10.1016/j.ajic.2024.09.020","DOIUrl":"10.1016/j.ajic.2024.09.020","url":null,"abstract":"<div><h3>Background</h3><div>During Coronavirus disease 2019 pandemic, the general public used any face-worn products they could get to overcome the shortage of N95 respirators and surgical masks. These products, often not meeting any standards, raised concerns about their effectiveness in reducing the spread of respiratory viruses.</div></div><div><h3>Methods</h3><div>This study quantified total outward leakage (TOL) of units from 9 face-worn product categories used by members of the general public. A benchtop system was devised to test 2 units from each category on 2 different-sized headforms with silicone elastomer skin. Each unit was donned 5 times per headform.</div></div><div><h3>Results</h3><div>Both face-worn product category and headform size significantly affected TOL (<span><math><mi>P</mi></math></span> value < .05). The TOL of tested face-worn products varied from 10% to 58% depending on both model and headform size. Face-worn products donned on the medium headform had a higher mean TOL compared to those donned on the larger headform.</div></div><div><h3>Conclusions</h3><div>Overall, single-layer cloth masks are the least effective measure for source control due to their highest TOL among the tested face-worn products. Three-layer disposable face masks may be a favorable option for source control among the public. A standard should be developed for face-worn product design and manufacturing to accommodate different facial sizes.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 2","pages":"Pages 239-244"},"PeriodicalIF":3.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142339278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Infection control nursing competency model for nurses in intensive care units: A Delphi study 重症监护病房护士感染控制护理能力模型：德尔菲研究。

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-02-01 DOI: 10.1016/j.ajic.2024.09.022

Eun Jo Kim MSN , JaHyun Kang PhD, MPH

{"title":"Infection control nursing competency model for nurses in intensive care units: A Delphi study","authors":"Eun Jo Kim MSN , JaHyun Kang PhD, MPH","doi":"10.1016/j.ajic.2024.09.022","DOIUrl":"10.1016/j.ajic.2024.09.022","url":null,"abstract":"<div><h3>Background</h3><div>Intensive care unit (ICU) nurses require advanced expertise and skills in critical care and need infection control nursing competency (ICNC). Given the lack of research on it, this study aimed to develop a model of ICU nurses’ ICNC.</div></div><div><h3>Methods</h3><div>A Delphi panel consisting of experts in intensive care nursing and infection control was organized to provide discerning and professional perspective on ICNC. Approved by the Institutional Review Board, a 3-round Delphi survey was conducted via email from July to December 2023. The content validity ratio and the coefficient of variation were calculated for panel responses.</div></div><div><h3>Results</h3><div>Among 17, 15 nurses (88.2%) participated and completed the surveys. About 80% were female, and the panel had an average working experience of 14.2years specifically in the ICUs or infection control departments at hospitals. After the initial round, a preliminary model was developed, consisting of 10 main components and 59 subelements. After eliminating 5 elements with content validity ratio values below 0.49 in the second survey, the final model, consisting of 10 main components and 54 subelements, was confirmed in the third survey.</div></div><div><h3>Conclusions</h3><div>ICU nurses’ ICNC can be understood based on this study’s results, and further research can be designed to improve this competency.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 2","pages":"Pages 203-209"},"PeriodicalIF":3.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142379922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Some comments on the efficiency and simulation of Thailand's Chiang Mai University model for COVID-19 mass vaccination hub 对泰国清迈大学新型冠状病毒大规模疫苗接种中心模型效率和模拟的几点评价

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-02-01 DOI: 10.1016/j.ajic.2024.10.028

Salvatore Chirumbolo PhD , Umberto Tirelli MD

引用次数: 0

Information for Readers

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-02-01 DOI: 10.1016/S0196-6553(24)00913-1

引用次数: 0

The epidemiology of midline-associated bloodstream infections in an urban health care system 城市医疗系统中线相关血流感染的流行病学。

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-02-01 DOI: 10.1016/j.ajic.2024.10.037

Rebecca Choudhury MD , Jordan Ehni CIC, MPH , Waleed Javaid MD, FACP, FIDSA, FSHEA , Mateen Jangda BS , Itay Rabinovitz MD , Nikita Ekhelikar MD , Bernard C. Camins MD, MSc

引用次数: 0

Impact of COVID-19 pandemic on reusable device precleaning training for front-line staff COVID-19 大流行对前线员工可重复使用设备预清洁培训的影响。

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-02-01 DOI: 10.1016/j.ajic.2024.10.003

Josephine Fox MPH, BSN, RN, CIC, FAPIC , Lydia Grimes-Jenkins MSN, BA, RN, CIC, FAPIC , Heather Gasama MPH , Ashley Lloyd BSN, RN, CIC , Helen Wood MA, BSN, RN, CIC, FAPIC , Satish Munigala MBBS, PhD , David K. Warren MD, MPH

引用次数: 0

Infection Prevention and Control Response and Escalation Framework: Evaluation and application beyond a pandemic 感染预防与控制响应和升级框架--大流行后的评估和应用。

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-02-01 DOI: 10.1016/j.ajic.2024.10.036

Kathy Dempsey MNSc, CICP-E , Susan Jain MIPH, PhD, CICP-E , Patricia Bradd PhD , Kate Clezy MBBS, FRACP , David Greenfield PhD

{"title":"Infection Prevention and Control Response and Escalation Framework: Evaluation and application beyond a pandemic","authors":"Kathy Dempsey MNSc, CICP-E , Susan Jain MIPH, PhD, CICP-E , Patricia Bradd PhD , Kate Clezy MBBS, FRACP , David Greenfield PhD","doi":"10.1016/j.ajic.2024.10.036","DOIUrl":"10.1016/j.ajic.2024.10.036","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic resulted in constant changes to Infection Prevention and Control (IPAC) recommendations, impacting clinician capacity to stay up to date. The COVID-19 IPAC Response and Escalation Framework (IPAC Framework), rarely reported or evaluated was developed to provide scalable IPAC guidance during the pandemic to health care in New South Wales (NSW), Australia.</div></div><div><h3>Methods</h3><div>Using a thematic analysis approach, a qualitative study using an online, cross-sectional survey comprising 27 questions was sent to 248 key stakeholders. Participants were health workers with broad clinical and system representation with responsibilities for risk assessment, communicating, implementing, or monitoring the IPAC Framework.</div></div><div><h3>Results</h3><div>The IPAC Framework provided a useful IPAC tool for the management of COVID-19 as perceived by 93% of respondents. The overwhelming majority (91%) reported the Framework provided enough information on IPAC strategies needed for COVID-19 that were aligned with transmission risk. Resources supporting the IPAC Framework were reported by most respondents (84%) as being widely accepted as the authoritative guidance.</div></div><div><h3>Conclusions</h3><div>An IPAC Framework is perceived as invaluable by clinicians and administrators to manage IPAC requirements in health care during a pandemic. The IPAC Framework can be applied more generally to support ongoing IPAC requirements.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 2","pages":"Pages 188-195"},"PeriodicalIF":3.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142611679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Response to the letter to the editor regarding “The impact of a novel color additive for disinfectant wipes on room cleanliness and turnover time” 回复给编辑关于“一种新型颜色添加剂用于消毒湿巾对房间清洁度和周转时间的影响”的信。

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-02-01 DOI: 10.1016/j.ajic.2024.10.033

Olayinka Oremade MD, MPH, CIC , Barbara Odac MD , Jinzy George MD , Frederick Browne MD, MBA, FACP, GSHEA, FASAM

引用次数: 0

Prevalence of infection and reinfection among health care workers in a hospital of Northern China between BA.5/BF.7 and XBB.1.5 wave 华北某医院医护人员在BA.5/BF.7波和XBB.1.5波之间华北某医院医护人员的感染率和再感染率。

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-02-01 DOI: 10.1016/j.ajic.2024.08.009

Xue-Dong Song MM , Hui-Xia Gao MM , Hao Tan MB , Yan-Yan Xie MB , Xin Zhang MM , Chen-Min Zhang MB , Yu-Ling Wang MM , Er-Hei Dai MD

{"title":"Prevalence of infection and reinfection among health care workers in a hospital of Northern China between BA.5/BF.7 and XBB.1.5 wave","authors":"Xue-Dong Song MM , Hui-Xia Gao MM , Hao Tan MB , Yan-Yan Xie MB , Xin Zhang MM , Chen-Min Zhang MB , Yu-Ling Wang MM , Er-Hei Dai MD","doi":"10.1016/j.ajic.2024.08.009","DOIUrl":"10.1016/j.ajic.2024.08.009","url":null,"abstract":"<div><h3>Background</h3><div>To analyze the epidemiological characteristics of the SARS-CoV-2 infection and reinfection associated with the emergence of Omicron variant in Healthcare workers (HCWs).</div></div><div><h3>Methods</h3><div>We enrolled 760 HCWs who received 2-4 vaccination doses of COVID-19 and followed by BA.5/BF.7 and/or XBB.1.5 breakthrough infections between December 2022 and July 2023. Serum sample from each individual were collected approximately 1,3 and 6 months after last exposure. IgM, IgG and Total antibodies against SARS-CoV-2 were measured by chemiluminescent immunoassay. Meanwhile, we created an Enterprise WeChat link for HCWs to self-report SARS-CoV-2 infections, symptoms and post COVID-19 conditions.</div></div><div><h3>Results</h3><div>Our study revealed that the reinfection rate among HCWs reached 26.1%. The main symptoms were fever (91.2% vs 60.1%), cough (78.8% vs 58.0%), and sore throat (75.4% vs 59.6%) during infection and reinfection in Omicron BA.5/BF.7 and XBB.1.5 wave, and the interval for reinfection ranged from 91 to 210 days (median 152). Fatigue (23.6%), memory loss (18.8%) and coughing (18.6%) were the most prevalent long COVID symptoms, with a higher prevalence among female HCWs.</div></div><div><h3>Conclusions</h3><div>HCWs reinfection with SARS-CoV-2 causes milder symptoms, but high reinfection rate and short intervals. Strengthen infection prevention and control is crucial to mitigating infection risk and improving health services.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 2","pages":"Pages 228-238"},"PeriodicalIF":3.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141995112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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