American journal of infection control最新文献_第10页

Beyond simulation: Embedding virtual reality into competency-based training for safer surgical instrument reprocessing 超越模拟：将虚拟现实嵌入到基于能力的培训中，以实现更安全的手术器械再处理。

IF 2.4 3区医学

American journal of infection control Pub Date : 2026-04-01 Epub Date: 2025-10-24 DOI: 10.1016/j.ajic.2025.10.016

Tirayut Veerasatian MD , Schawanya K. Rattanapitoon MD , Phatsakul Thitimahatthanakusol PhD , Nathkapach K. Rattanapitoon PhD

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Reduced duration of isolation and impact on rates of healthcare-associated multidrug-resistant organisms in a pediatric medical center 缩短隔离时间及对儿科医疗中心医疗相关多重耐药菌率的影响

IF 2.4 3区医学

American journal of infection control Pub Date : 2026-04-01 Epub Date: 2026-01-19 DOI: 10.1016/j.ajic.2026.01.009

Ayelet Rosenthal MD, MSc , Nabgha Farhat MD , Sneha Krishna MSHI , Joseph Fishbein MPH , Amy Valencia MPH, CPHQ, CIC , Alison Prati MHS, CIC , Kendra Holland BS , Julianne E. Burns MD, MSCE , Roshni Mathew MD

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Response to the letter to the editor: Automated surveillance system for surgical site infection in coronary artery bypass graft surgery in tertiary care hospitals 回复编辑：三级医院冠状动脉搭桥术手术部位感染的自动监测系统。

IF 2.4 3区医学

American journal of infection control Pub Date : 2026-04-01 Epub Date: 2026-03-27 DOI: 10.1016/j.ajic.2026.01.014

Sumawadee Skuntaniyom MSc , Thanomvong Muntajit MSc , Chonnamet Techasaensiri MD

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Comment on evaluation of the economic burden of carbapenem-resistant Enterobacteriaceae nosocomial infection in intensive care unit patients: A propensity score-adjusted analysis 重症监护病房患者耐碳青霉烯肠杆菌科医院感染的经济负担评价：倾向评分调整分析。

IF 2.4 3区医学

American journal of infection control Pub Date : 2026-04-01 Epub Date: 2026-03-27 DOI: 10.1016/j.ajic.2025.08.038

Shouwei Hu MD , Youling Xu MD , Mingqiang Peng MD

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APIC Masthead APIC报头

IF 2.4 3区医学

American journal of infection control Pub Date : 2026-04-01 Epub Date: 2026-03-27 DOI: 10.1016/S0196-6553(26)00105-7

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Supporting practical approaches to hand hygiene observation collection 支持手卫生观察收集的实用方法。

IF 2.4 3区医学

American journal of infection control Pub Date : 2026-04-01 Epub Date: 2025-09-11 DOI: 10.1016/j.ajic.2025.08.040

Tanya Dvorak a-IPC

引用次数: 0

The neglected 4th catheter: An suspected outbreak of carbapenem-resistant Pseudomonas aeruginosa in a kidney transplant ward 被忽视的第4根导管：在肾移植病房疑似爆发耐碳青霉烯类铜绿假单胞菌。

IF 2.4 3区医学

American journal of infection control Pub Date : 2026-04-01 Epub Date: 2025-10-26 DOI: 10.1016/j.ajic.2025.10.022

Bingchao Cai M.S. , Feng Lu B.S. , Ya Yang Ph.D. , Tinghua Li Ph.D. , Dawei Li Ph.D. , Huihui Lu M.S. , Juanxiu Qin Ph.D. , Min Chen B.S. , Min Li Ph.D. , Ming Zhang Ph.D. , Haiqun Ban Ph.D.

{"title":"The neglected 4th catheter: An suspected outbreak of carbapenem-resistant Pseudomonas aeruginosa in a kidney transplant ward","authors":"Bingchao Cai M.S. , Feng Lu B.S. , Ya Yang Ph.D. , Tinghua Li Ph.D. , Dawei Li Ph.D. , Huihui Lu M.S. , Juanxiu Qin Ph.D. , Min Chen B.S. , Min Li Ph.D. , Ming Zhang Ph.D. , Haiqun Ban Ph.D.","doi":"10.1016/j.ajic.2025.10.022","DOIUrl":"10.1016/j.ajic.2025.10.022","url":null,"abstract":"<div><h3>Background</h3><div>Carbapenem-resistant <em>Pseudomonas aeruginosa</em> (CRPA) is one of the important opportunistic pathogens causing nosocomial infections. This study aims to investigate a suspected outbreak of CRPA in a kidney transplant ward.</div></div><div><h3>Methods</h3><div>Clinical data of 6 kidney transplant recipients with positive CRPA tests from September 5th to 30th, 2023, were collected, and environmental sampling. A retrospective investigation was conducted on CRPA infections and positive drainage fluid cases in the ward from 2019 to 2023. Whole genome sequencing (WGS) of CRPA isolates was conducted to identify potential transmission routes. Emergency intervention measures were implemented.</div></div><div><h3>Findings</h3><div>CRPA was detected in the drainage fluid or urine of 6 patients after renal transplantation, with the infection sites being the surgical site. The positive rate of CRPA in renal transplant drainage fluids in 2023 (5.07%) was significantly higher than that of 2019 to 2022 (0.36%) (<em>P</em> < .001). The multi-locus sequence typing showed complete consistency in the allele scores of 7 housekeeping genes among 11 CRPA isolates, which also exhibited 100% similarity of resistance genes and 93.91% similarity of virulence genes. Pairwise comparisons of single nucleotide polymorphisms indicated that the differences between H2-H6 and H1 were no more than 5 single nucleotide polymorphisms.</div></div><div><h3>Conclusions</h3><div>A cluster of CRPA was found among kidney transplant recipients, attributed to contamination of drainage fluid due to the failure to adhere to protocols during the collection of drainage fluid. These findings highlight the necessity for enhanced postoperative drainage catheter management.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"54 4","pages":"Pages 396-401"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145385310","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

Comparing observed with self-reported hand hygiene adherence among bedside nurses and physicians at two hospitals in the United States 比较美国两家医院床边护士和医生的观察与自我报告的手卫生依从性。

IF 2.4 3区医学

American journal of infection control Pub Date : 2026-03-01 Epub Date: 2025-11-07 DOI: 10.1016/j.ajic.2025.10.032

Prathit A. Kulkarni MD , M. Todd Greene PhD, MPH , Sanjay Saint MD, MPH , Karen E. Fowler MPH , Serene Jacob MSN, RN , Laura Dillon MS , Michelle Espiritu MBBS , Nathan Houchens MD , Huberta T. Cozart PhD, RN , Barbara W. Trautner MD, PhD

{"title":"Comparing observed with self-reported hand hygiene adherence among bedside nurses and physicians at two hospitals in the United States","authors":"Prathit A. Kulkarni MD , M. Todd Greene PhD, MPH , Sanjay Saint MD, MPH , Karen E. Fowler MPH , Serene Jacob MSN, RN , Laura Dillon MS , Michelle Espiritu MBBS , Nathan Houchens MD , Huberta T. Cozart PhD, RN , Barbara W. Trautner MD, PhD","doi":"10.1016/j.ajic.2025.10.032","DOIUrl":"10.1016/j.ajic.2025.10.032","url":null,"abstract":"<div><h3>Background</h3><div>Hand hygiene is a core component of infection prevention in healthcare settings. One potential reason for lack of adherence to recommended hand hygiene practices is erroneous self-perception. We aimed to compare perceptions about hand hygiene compliance with objective data.</div></div><div><h3>Methods</h3><div>Direct observations of hand hygiene performance by nurses and physicians during typical workflow in inpatient general medicine wards were conducted from 12 September 2022 to 27 October 2022 at two academic Veterans Affairs medical centers. Participants were surveyed regarding perceptions about their hand hygiene performance relative to recommended practices.</div></div><div><h3>Results</h3><div>Among nurses, hand hygiene was performed in 1,397/3,690 (37.9%) room entry and 2,159/4,012 (53.8%) room exit opportunities (combined adherence, 46.2%). For physicians, hand hygiene was performed in 1,016/1,237 (82.1%) room entry and 1,073/1,285 (83.5%) room exit opportunities (combined adherence, 82.8%). Surveys were collected from 92/161 nurses (57.1%) and 189/294 physicians (64.3%). Nurses self-reported compliance in 95.1% of recommended situations, while physicians self-reported 91.0%.</div></div><div><h3>Conclusions</h3><div>We found a disconnect between actual and perceived adherence to hand hygiene recommendations among bedside nurses and physicians in inpatient general medicine wards. This disconnect may be due to social desirability, self-serving, or overestimation biases, or time pressures. Awareness of such a disconnect may help policymakers increase hand hygiene rates.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"54 3","pages":"Pages 241-246"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145480620","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

Utilizing the antibiotic spectrum index to assess hospital-onset Clostridioides difficile infection in treating adults with community-onset bloodstream infections 利用抗生素谱指数评估医院源性艰难梭菌感染在治疗社区源性血流感染中的作用。

IF 2.4 3区医学

American journal of infection control Pub Date : 2026-03-01 Epub Date: 2025-10-30 DOI: 10.1016/j.ajic.2025.10.023

Shao-Tsung Huang MD, MBa , Ming-Yuan Hong MD, PhD , Ching-Yu Ho MSc , Ching-Chi Lee MD, MSc , Wen-Chien Ko MD

{"title":"Utilizing the antibiotic spectrum index to assess hospital-onset Clostridioides difficile infection in treating adults with community-onset bloodstream infections","authors":"Shao-Tsung Huang MD, MBa , Ming-Yuan Hong MD, PhD , Ching-Yu Ho MSc , Ching-Chi Lee MD, MSc , Wen-Chien Ko MD","doi":"10.1016/j.ajic.2025.10.023","DOIUrl":"10.1016/j.ajic.2025.10.023","url":null,"abstract":"<div><h3>Background</h3><div>Antimicrobial therapy is the management cornerstone of patients with bloodstream infections (BSIs). We aimed to investigate the application of an antibiotic spectrum index (ASI) to assess hospital-onset <em>Clostridioides difficile</em> infection (hCDI) when treating individuals with BSIs.</div></div><div><h3>Methods</h3><div>In a retrospective multicenter cohort consisted of treatment-naïve and hospitalized adults experiencing community-onset BSIs, the association of ASIs and hCDI was recognized after adjusting for the independent predictors of hCDI.</div></div><div><h3>Results</h3><div>Of the total 2,966 patients, each day of prolonged antimicrobial therapy was associated with an average increase of 11% for the likelihood of hCDI; each additional 30 units of total ASIs was linked to an average increase of 146%; and each additional unit of daily ASIs was associated with an average increase of 22%. Notably, the total ASI demonstrated superior performance in predicting hCDI, as reflected by the area under the receiver operating characteristic curve (AUROC = 0.971), compared with the total duration of antimicrobial administration (AUROC = 0.956).</div></div><div><h3>Conclusions</h3><div>The ASI metrics applied to assess hCDI episodes following the initiation of antimicrobial therapy in treating patients with community-onset BSIs proved effective. Accordingly, incorporating ASI-based assessments into antimicrobial stewardship programs might serve as a practical approach to mitigate hCDI risk.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"54 3","pages":"Pages 267-274"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145426405","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

Occupational exposure intensity trends in health care workers: Joinpoint Regression identifies COVID-19 associated inflection point (2017-2024) 医护人员职业暴露强度趋势：连接点回归确定COVID-19相关拐点（2017-2024）

IF 2.4 3区医学

American journal of infection control Pub Date : 2026-03-01 Epub Date: 2025-09-30 DOI: 10.1016/j.ajic.2025.09.016

Peiyun Zhou MSc , Bingyan Zhang MSc , Zongke Long MSc , Jianan Shi PhD , Siya Meng MSc , Fang Xue MSc , Lan Gao MSc , Yi Li BSc

{"title":"Occupational exposure intensity trends in health care workers: Joinpoint Regression identifies COVID-19 associated inflection point (2017-2024)","authors":"Peiyun Zhou MSc , Bingyan Zhang MSc , Zongke Long MSc , Jianan Shi PhD , Siya Meng MSc , Fang Xue MSc , Lan Gao MSc , Yi Li BSc","doi":"10.1016/j.ajic.2025.09.016","DOIUrl":"10.1016/j.ajic.2025.09.016","url":null,"abstract":"<div><h3>Background</h3><div>Health care workers (HCWs) globally face substantial risks from occupational blood and body fluids (BBFs) exposure, with disparities heightened by the COVID-19 pandemic. China’s health care system, characterized by low workforce density and chronic HCW fatigue (53.9%-82%), presents a critical context for analyzing exposure dynamics. Existing studies lack longitudinal data across pandemic phases and stratified analyses by years of service (YoS).</div></div><div><h3>Methods</h3><div>This longitudinal study (2017-2024) analyzed 860 occupational BBFs exposures from a Chinese tertiary hospital. Trends were assessed via Joinpoint Regression, while risk factors for recurrent exposures were identified through logistic regression.</div></div><div><h3>Results</h3><div>A 2021 inflection point (95% CI: 2019-2022) marked a shift from prepandemic exposure intensity growth (Annual Percent Change = 6.76, <em>P</em> < .05) to post-2021 decline (Annual Percent Change = −15.55, <em>P</em> < .05). Junior HCWs accounted for 71.9% of exposures. Doctors and mid-career HCWs were significantly associated with recurrent exposures. Needlestick injuries are the most common type of exposure, accounting for 72.1% of all incidents.</div></div><div><h3>Conclusions</h3><div>Systemic vulnerabilities in understaffed health care systems amplify exposure risks, particularly among early-career HCWs. Although pandemic-induced safety measures may have temporarily reduced exposures, workforce shortages and role-specific hazards require tenure-stratified interventions.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"54 3","pages":"Pages 317-324"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211285","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