American journal of infection control最新文献

Indicator-based tuberculosis infection control assessments with knowledge, attitudes, and practices evaluations among health facilities in China, 2017-2019.

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-12-19 DOI: 10.1016/j.ajic.2024.12.013

Canyou Zhang, Stephanie O'Connor, Hui Chen, Diana Forno Rodriguez, Ling Hao, Yanfu Wang, Yan Li, Jiying Xu, Yuhui Chen, Lan Xia, Xing Yang, Yanlin Zhao, Jun Cheng

{"title":"Indicator-based tuberculosis infection control assessments with knowledge, attitudes, and practices evaluations among health facilities in China, 2017-2019.","authors":"Canyou Zhang, Stephanie O'Connor, Hui Chen, Diana Forno Rodriguez, Ling Hao, Yanfu Wang, Yan Li, Jiying Xu, Yuhui Chen, Lan Xia, Xing Yang, Yanlin Zhao, Jun Cheng","doi":"10.1016/j.ajic.2024.12.013","DOIUrl":"https://doi.org/10.1016/j.ajic.2024.12.013","url":null,"abstract":"Background: Tuberculosis (TB) Building and Strengthening Infection Control Strategies (TB BASICS) aimed to achieve improvements in TB infection prevention and control (IPC) through structured training and mentorship.Methods: TB BASICS was implemented in six Chinese provinces from 2017-2019. Standardized, facility-based risk assessments tailored to inpatient, laboratory, and outpatient departments were conducted quarterly for 18 months. Knowledge, attitudes, and practices surveys were administered to healthcare workers (HCW) at nine participating facilities during the first and last assessments. Kruskal-Wallis rank sum test assessed score differences between departments (alpha = 0.05).Results: Fifty-seven departments received risk assessments. IPC policies and practices improved substantially during follow up. Facility-based assessment scores were significantly lower in outpatient departments than other departments (p <0.05). All indicators achieved at least partial implementation by the final assessment. Low scores persisted for implementing isolation protocols, while personal protective equipment use among staff was consistent among all departments. Overall, we observed minimal change in IPC knowledge among HCW. In general, HCW had favorable views of their own IPC capabilities, but reported limited agency to improve institutional IPC.Conclusions: TB BASICS demonstrated improvements in TB IPC implementation. Structured training and mentorship engaged HCW to maintain confidence and competency for TB prevention.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871094","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

Predictors for non-compliant intra-vascular catheter insertion site dressings at a large academic center. 一家大型学术中心血管内导管插入部位敷料不符合要求的预测因素。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-12-17 DOI: 10.1016/j.ajic.2024.12.010

Satish Munigala, Helen Wood, Josephine Fox, Heather Gasama, Robert Russel, David K Warren

引用次数: 0

Evaluation of a far ultraviolet-C device for decontamination of portable equipment in clinical areas. 对用于净化临床区域便携式设备的远紫外-C 设备进行评估。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-12-17 DOI: 10.1016/j.ajic.2024.12.011

Samir Memic, Maria M Torres-Teran, Jennifer L Cadnum, Curtis J Donskey

引用次数: 0

Bacterial air contamination and the protective effect of coverage for sterile surgical goods: A randomized controlled trial.

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-12-16 DOI: 10.1016/j.ajic.2024.12.012

Camilla Wistrand, Bo Söderquist, Örjan Friberg, Ann-Sofie Sundqvist

{"title":"Bacterial air contamination and the protective effect of coverage for sterile surgical goods: A randomized controlled trial.","authors":"Camilla Wistrand, Bo Söderquist, Örjan Friberg, Ann-Sofie Sundqvist","doi":"10.1016/j.ajic.2024.12.012","DOIUrl":"https://doi.org/10.1016/j.ajic.2024.12.012","url":null,"abstract":"Background: There is limited knowledge regarding how long prepared sterile goods can wait before becoming contaminated. We investigated whether surgical goods could be prepared the day before surgery and kept sterile overnight in the operating room, if protected by sterile covers.Methods: Sterile surgical goods for open-heart surgeries (n=70) were randomized to preparation on the morning of the operation or on the previous evening. Exposure time was the total time between preparation and use. Primary outcome was bacterial growth reported as colony forming units (cfu), isolated on 840 agar plates. The protocol was registered with ClinicalTrials.gov (NCT05597072).Results: When the agar plates were protected with sterile covers, exposure time had no impact (intervention group: 7 cfu, control group: 17 cfu). Without protection, longer exposure time was associated with more cfu (p=0.016). A total of 499 cfu were isolated, displaying 59 different types of bacteria including 13 resistant Staphylococcus epidermidis, 6 (46%) of which were multidrug resistant.Conclusions: Sterile goods could wait in the operating room for at least 15 hours before use without increased risk of bacterial air contamination, if protected with sterile covers. However, if the goods were not covered, bacterial air contamination occurred over time.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142852098","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

Survey said! LTC-CIP® Certificant's Perspective with Passing the Certification Exam.

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-12-14 DOI: 10.1016/j.ajic.2024.12.009

Steven J Schweon, Monika Pogorzelska-Maziarz

{"title":"Survey said! LTC-CIP® Certificant's Perspective with Passing the Certification Exam.","authors":"Steven J Schweon, Monika Pogorzelska-Maziarz","doi":"10.1016/j.ajic.2024.12.009","DOIUrl":"https://doi.org/10.1016/j.ajic.2024.12.009","url":null,"abstract":"Background: The COVID-19 pandemic's severe long-term care (LTC) e disease burden underscores the need for infection prevention and control (IPC) expertise in LTC facilities. Launched in 2023, the LTC Certification in Infection Prevention (LTC-CIP®) exam allows LTC infection preventionists to demonstrate proficiency in IPC program management. This study aims to evaluate the LTC-CIP® certification's impact on certificants' IPC practices, programs, and personal and professional growth.Methods: An electronic survey was distributed to all certificants in March 2024. Data was analyzed using thematic analysis.Results: Eighty responses were collected (17% response rate). Key themes were identified regarding certification's impact on IPC practices including best practice implementation, enhanced knowledge and skills, and increased confidence and professional growth. Respondents reported certification resulted in enhanced program effectiveness, improved staff knowledge and compliance, and increased leadership and influence. Additionally, certificants reported lower infection rates, improved antimicrobial stewardship and vaccine adherence, and stronger data analysis skills.Discussion: The findings demonstrate LTC-CIP certificants were highly motivated to gain advanced LTC IPC knowledge and apply it to their IPC programs, leading to reported improvements in resident and staff outcomes.Conclusion: This study highlights the LTC-CIP® certification's positive impact on reported IPC practices, infection rates, and professional growth in LTC settings. Future research should validate findings with objective outcome data, assess long-term effects, broader applicability, and certification barriers.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142833435","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

A Model to Guide Outbreak Response in Congregate Settings.

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-12-13 DOI: 10.1016/j.ajic.2024.12.007

Sarah Bur

引用次数: 0

Alcohol Use as a Risk Factor for Clostridioides difficile. 饮酒是难辨梭状芽孢杆菌的危险因素。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-12-12 DOI: 10.1016/j.ajic.2024.12.002

Hala Ashmaig, Kaia Lindsey, Sara M Reese, Kelley Knapek

{"title":"Alcohol Use as a Risk Factor for Clostridioides difficile.","authors":"Hala Ashmaig, Kaia Lindsey, Sara M Reese, Kelley Knapek","doi":"10.1016/j.ajic.2024.12.002","DOIUrl":"https://doi.org/10.1016/j.ajic.2024.12.002","url":null,"abstract":"Background: Clostridioides difficile (C. diff) is a pathogen of concern. Several risk factors are known, but patients without these risk factors continue to develop the disease. Alcohol use disorder (AUD) is known to disrupt the gut similar to antibiotics, which prompted this evaluation of the association between AUD and C. diff infection METHODS: A retrospective cohort study was conducted within five hospitals in a health system in Colorado. Adults 18 years of age or older who were seen in the Emergency Department or directly admitted to the hospital in 2022 and 2023 were included. A logistic regression was used to investigate the association between AUD and C. diff.Results: Using an adjusted model, patients with AUD had 2.36 times greater odds of C. diff compared to patients without AUD. The odds of C. diff were 1.88 times greater for those with AUD diagnoses alone compared to patients without AUD. The odds were 1.96 greater for those with AUD and active withdrawal compared to those without.Conclusions: There is a significant association between AUD and increased risk of C. diff, with that risk increasing in patients actively withdrawing. This information can be used to guide earlier interventions.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142823676","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

How do residential aged care antibiograms compare with other local resistance data?

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-12-11 DOI: 10.1016/j.ajic.2024.12.001

Dipti Khatri, Nazanin Falconer, Sonali Coulter, Leonard C Gray, David L Paterson, Christopher Freeman

{"title":"How do residential aged care antibiograms compare with other local resistance data?","authors":"Dipti Khatri, Nazanin Falconer, Sonali Coulter, Leonard C Gray, David L Paterson, Christopher Freeman","doi":"10.1016/j.ajic.2024.12.001","DOIUrl":"https://doi.org/10.1016/j.ajic.2024.12.001","url":null,"abstract":"Background: Antibiograms can optimise empirical antibiotic prescribing however they are not readily available for residential aged care facilities (RACFs) in Queensland, Australia. This study aimed to determine whether alternatively available data can be used to approximate resistance patterns for RACFs.Method: Annual RACF-specific antibiograms were compared with local hospital antibiograms accessed through pathology providers. Additionally, composite antibiograms, of geographically united RACF data, were compared to regional hospital and private pathology RACF antibiograms. Antibiotic susceptibility rates for commonly observed bacteria (Escherichia coli, Klebsiella pneumonia, Enterococcus faecalis, Pseudomonas aeruginosa and Staphylococcus aureus) were compared amongst different antibiograms using Fisher's exact test, with a p-value ≤ 0.05 indicating statistically significant difference. The concordance amongst the antibiograms was described by percentage similarity overall, and for a subset of clinically relevant pathogen-antibiotic pairs (PAPs).Results: Composite RACF-antibiogram was highly concordant (83-100% similarity) to private pathology RACF data when compared for clinically relevant PAPs. Mixed results were found when individual RACF-specific antibiograms were compared to local hospital all-ages and ≥65years data (50-100% and 67-100% similarity respectively).Conclusion: Private pathology RACF antibiograms can serve as a proxy indicator of resistance patterns for RACFs. Mixed findings were noted for comparisons with hospital data.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142821831","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

Indoor air quality and symptoms of acute respiratory infections and gastrointestinal issues in children and employees in day-care nurseries.

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-12-11 DOI: 10.1016/j.ajic.2024.12.006

Lars Andrup, Barbara Kolarik, Anne Mette Klingenberg, Lene Stephansen, Karen A Krogfelt, Anne Mette Madsen

{"title":"Indoor air quality and symptoms of acute respiratory infections and gastrointestinal issues in children and employees in day-care nurseries.","authors":"Lars Andrup, Barbara Kolarik, Anne Mette Klingenberg, Lene Stephansen, Karen A Krogfelt, Anne Mette Madsen","doi":"10.1016/j.ajic.2024.12.006","DOIUrl":"https://doi.org/10.1016/j.ajic.2024.12.006","url":null,"abstract":"Background: Children attending day-care centers (DCCs) experience more infections than those cared for at home and DCC employees have high sickness absence rates. This study aimed to investigate the association between indoor air quality (IAQ) and absenteeism among children and staff in DCCs.Methods: CO2 levels, relative humidity (RH), and temperature were continuously measured in 22 DCCs over three winter months. Simultaneously, absenteeism due to sickness was recorded for 721 children and 213 employees. In 11 DCCs, staff received training to improve ventilation.Results: The median CO2 concentration, RH, and temperature were 818 ppm, 38.7%, and 20.8°C, respectively. Acute respiratory infections (ARI) accounted for 42% of child absenteeism and 53% of staff absenteeism, while gastrointestinal symptoms (GI) were responsible for 24.7% and 27.3% of absenteeism in children and staff, respectively. No significant association was found between ARI absenteeism and CO2 concentration, RH, or temperature. However, a significant association was observed between GI and room temperature (p<0.05). No significant differences in CO2 concentration or absenteeism were observed between intervention and control groups.Conclusions: No statistical evidence was found that ARI absenteeism was associated with the measured IAQ parameters. GI for staff and children was significantly associated with room temperature. Absenteeism was not associated significantly with targeted interventions.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142821832","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

Cluster of Extensively Drug-Resistant Shigella sonnei Carrying bla_CTX-M-15 in Los Angeles, California, 2023-2024.

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-12-10 DOI: 10.1016/j.ajic.2024.12.005

J R Caldera, Bennett Shaw, Daniel Z Uslan, Shangxin Yang

引用次数: 0