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

Evaluation of a point-of-use kiosk for improving the fit of N95/P2 respirators in health care settings: A randomized controlled trial. 使用点自助终端改善医疗机构 N95/P2 呼吸器密合度的评估：随机对照试验

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-08-13 DOI: 10.1016/j.ajic.2024.08.008

Darius Chapman, Campbell Strong, Prabhpreet Kaur, Anand N Ganesan

{"title":"Evaluation of a point-of-use kiosk for improving the fit of N95/P2 respirators in health care settings: A randomized controlled trial.","authors":"Darius Chapman, Campbell Strong, Prabhpreet Kaur, Anand N Ganesan","doi":"10.1016/j.ajic.2024.08.008","DOIUrl":"10.1016/j.ajic.2024.08.008","url":null,"abstract":"<p><strong>Background: </strong>Fit of N95/P2 half-face respirators is critical. No objective ways exist to evaluate their implementation at use. Previously, we showed 26% of health care workers achieve appropriate fit at point of use.</p><p><strong>Methods: </strong>657 quantitative fits were conducted on 166 subjects, using 4 different respirator styles. Randomization was performed; controls employing standard \"fit-check\" and intervention using a infrared video kiosk. Primary outcome was passing rates of quantitative fit, with secondary outcomes of respirator type, gender, race, and previous experience.</p><p><strong>Results: </strong>Intervention demonstrated significantly higher pass rate (50.6%) compared with controls (30.8%). Odds of passing with kiosk was 2.3 (odds ratios [OR] 2.3, 95% confidence intervals [CI] 1.8-2.9, P < .001). Duckbill style improved the greatest (OR 4.1, 95% CI 2.1-7.9, P < .001), and Tri-fold also showing substantial benefit (OR 2.66, 95% CI 1.4-5.2, P < .001). Gender and race did not influence outcomes when using the kiosk, nor did previous experience.</p><p><strong>Conclusions: </strong>A custom point-of-use kiosk improved odds of achieving a satisfactory fit of common respirator styles, independent of participant demographics. These findings open the door to addressing a gap in respiratory protection programs by providing individual assessment and interventions that improve worker safety at the time of highest risk.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141987242","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

Challenges and trends in Gram-negative bacterial infections in critically neonates: A seven-and-a-half-year observational study. 重症新生儿革兰氏阴性菌感染的挑战与趋势：一项为期七年半的观察研究。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-08-09 DOI: 10.1016/j.ajic.2024.08.004

Isadora Caixeta da Silveira Ferreira, Izabella Clara de Brito Machado, Ralciane de Paula Menezes, Thiago Alves de Jesus, Mallu Santos Mendonça Lopes, Lúcio Borges de Araújo, Daniela Marques de Lima Mota Ferreira, Denise Von Dolinger de Brito Röder

{"title":"Challenges and trends in Gram-negative bacterial infections in critically neonates: A seven-and-a-half-year observational study.","authors":"Isadora Caixeta da Silveira Ferreira, Izabella Clara de Brito Machado, Ralciane de Paula Menezes, Thiago Alves de Jesus, Mallu Santos Mendonça Lopes, Lúcio Borges de Araújo, Daniela Marques de Lima Mota Ferreira, Denise Von Dolinger de Brito Röder","doi":"10.1016/j.ajic.2024.08.004","DOIUrl":"10.1016/j.ajic.2024.08.004","url":null,"abstract":"<p><strong>Background: </strong>Analyze the incidence, risk factors, and fatality rates of bloodstream infections by Gram-negative bacteria (GNB-BSIs) in a Neonatal Intensive Care Unit.</p><p><strong>Methods: </strong>This study employs a retrospective cohort design utilizing records of neonates admitted to the Neonatal Intensive Care Unit between January 2015 and June 2022.</p><p><strong>Results: </strong>Among 1,495 neonates, 5.2% developed GNB-BSIs. The average incidence of infection per 1,000 patient-days was 2.9. Primary risk factors for infection that included preceeding carbapenem use were significant risk factors (odds ratio=514.4; P < .01) and fourth-generation cephalosporins (odds ratio=66; P < .01). Among the 85 GNB, 75.3% were fermenters, and 24.7% were non-fermenters. Of the isolates, 14.1% produced extended-spectrum beta-lactamase, and 2.3% carbapenem-resistant. Infection correlated with prolonged hospital stays (10-39days) and increased mortality (10%-29.9%).</p><p><strong>Conclusions: </strong>The high incidence of GNB-BSIs was exacerbated by the preceeding use of broad-spectrum antimicrobials, increasing the presence of multidrug-resistant isolates and fatality rates. These findings emphasize the importance of active surveillance.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141915850","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

Effectiveness of sensing gloves-applied virtual reality education system on hand hygiene practice: A randomized controlled trial. 感知手套应用虚拟现实教育系统对手部卫生实践的效果：随机对照试验

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-08-09 DOI: 10.1016/j.ajic.2024.08.003

Mahiro Izumi, Hideharu Hagiya, Yuki Otsuka, Yoshiaki Soejima, Shinnosuke Fukushima, Mitsunobu Shibata, Satoshi Hirota, Toshihiro Koyama, Fumio Otsuka, Akio Gofuku

{"title":"Effectiveness of sensing gloves-applied virtual reality education system on hand hygiene practice: A randomized controlled trial.","authors":"Mahiro Izumi, Hideharu Hagiya, Yuki Otsuka, Yoshiaki Soejima, Shinnosuke Fukushima, Mitsunobu Shibata, Satoshi Hirota, Toshihiro Koyama, Fumio Otsuka, Akio Gofuku","doi":"10.1016/j.ajic.2024.08.003","DOIUrl":"10.1016/j.ajic.2024.08.003","url":null,"abstract":"<p><strong>Background: </strong>We developed a virtual reality (VR) education system and evaluated its clinical utility for promoting hand hygiene practices.</p><p><strong>Methods: </strong>This prospective, 2-week, randomized controlled study conducted at Okayama University Hospital, Japan, from November 2023 to January 2024, involved 22 participants (18 medical students and 4 residents). A fully immersive 360° VR system (VIVE Pro Eye) using a head-mounted display and sensing gloves was used to develop 3 health care tasks in a virtual patient room-Environmental Cleaning, Gauze Exchange, and Urine Collection. After monitoring all participants' baseline usage data of portable hand-rubbing alcohol in the first week, we randomly assigned them into 1:1 groups (VR training and video lecture groups). The primary outcome was differences in hand-rubbed alcohol use before and after intervention.</p><p><strong>Results: </strong>Before the intervention, alcohol use did not significantly differ between both groups. After the intervention, a significant increase in alcohol use was observed in the VR training group (median: 8.2 g vs 16.2 g; P = .019) but not in the video lecture group.</p><p><strong>Conclusions: </strong>Our immersive 360° VR education system enhanced hand hygiene practices. Infection prevention and control practitioners and digital technology experts must collaborate to advance the development of superior educational devices and content.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141911344","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

Factors associated with correction of personal protective equipment nonadherence in a multidisciplinary emergency department setting: A retrospective video review. 在多学科急诊科环境中纠正不遵守个人防护装备规定的相关因素：回顾性视频回顾。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-08-06 DOI: 10.1016/j.ajic.2024.08.001

Mary S Kim, Aleksandra Sarcevic, Genevieve J Sippel, Kathleen H McCarthy, Eleanor A Wood, Carmen Riley, Aaron H Mun, Karen J O'Connell, Peter T LaPuma, Randall S Burd

{"title":"Factors associated with correction of personal protective equipment nonadherence in a multidisciplinary emergency department setting: A retrospective video review.","authors":"Mary S Kim, Aleksandra Sarcevic, Genevieve J Sippel, Kathleen H McCarthy, Eleanor A Wood, Carmen Riley, Aaron H Mun, Karen J O'Connell, Peter T LaPuma, Randall S Burd","doi":"10.1016/j.ajic.2024.08.001","DOIUrl":"10.1016/j.ajic.2024.08.001","url":null,"abstract":"<p><strong>Background: </strong>Despite local and national recommendations, health care provider adherence to personal protective equipment (PPE) varied during the COVID-19 pandemic. Previous studies have identified factors influencing initial PPE adherence but did not address factors influencing behaviors leading to correction after initial nonadherence.</p><p><strong>Methods: </strong>We conducted a retrospective video review of 18 pediatric resuscitations involving aerosol-generating procedures from March 2020 to December 2022 to identify factors associated with nonadherence correction. We quantified adherent and nonadherent providers, instances of PPE nonadherence, and time to correction. We also analyzed correction behaviors, including provider actions and correction locations.</p><p><strong>Results: </strong>Among 434 providers, 362 (83%) were nonadherent with at least 1 PPE. Only 186 of 1,832 instances of nonadherence were corrected, primarily upon room entry and during patient care. Correction time varied by PPE type and nonadherence level (incomplete vs absent). Most corrections were self-initiated, with few reminders from other providers.</p><p><strong>Discussion: </strong>Potential barriers to correction include a lack of social pressure and external reminders. Solutions include optimizing PPE availability, providing real-time feedback, and educating on double gloving.</p><p><strong>Conclusions: </strong>Most providers were nonadherent to PPE requirements during high-risk infection transmission events. The low correction rate suggests challenges in promoting collective responsibility and maintaining protective behaviors during medical emergencies.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141905601","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

Does the removal of isolation for VRE-infected patients change the incidence of health care–associated VRE?: A systematic review and meta-analysis 取消对 VRE 感染者的隔离是否会改变医疗保健相关 VRE 的发病率？系统回顾和荟萃分析。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-08-05 DOI: 10.1016/j.ajic.2024.07.018

Huiling Pan BS, Chuanlai Zhang BS, Jie Song MS, Ruiqi Yang MS, Zonghong Zhang BS

{"title":"Does the removal of isolation for VRE-infected patients change the incidence of health care–associated VRE?: A systematic review and meta-analysis","authors":"Huiling Pan BS, Chuanlai Zhang BS, Jie Song MS, Ruiqi Yang MS, Zonghong Zhang BS","doi":"10.1016/j.ajic.2024.07.018","DOIUrl":"10.1016/j.ajic.2024.07.018","url":null,"abstract":"<div><h3>Background</h3><div>Several single-center studies have suggested that eliminating isolation for vancomycin-resistant enterococci (VRE) control in the context of endemic or nonoutbreak settings, has no impact on infection rates. We performed a systematic review and meta-analysis on the impact of discontinuing isolation.</div></div><div><h3>Methods</h3><div>We searched PubMed, Embase, the Cochrane Library, and Web of Science through April 10, 2024 for studies evaluating discontinuation of isolation for VRE. Subgroup analyses assessed sources of heterogeneity.</div></div><div><h3>Results</h3><div>Nine studies were included in the final review. Four reported the incidence of hospital-acquired VRE (HA-VRE) infections and 5 reported the incidence of hospital-acquired VRE bloodstream infections (HA-VRE BSI). No significant difference between the rates of HA-VRE infection before and after stopping isolation was observed (risk ratios, 0.93; 95% confidence interval, 0.68-1.26; <em>P</em> = .62), as well as no significant difference on the incidence of HA-VRE BSI (risk ratios, 0.68; 95% confidence interval, 0.44-1.07, <em>P</em> = .09). Furthermore, we conducted 2 subgroup analyses: one stratified by whether the studies were conducted during Coronavirus Disease 19 (COVID-19), and the other stratified by whether clinicians continued to use personal protective equipment. Both analyses revealed no significant differences in the incidence of HA-VRE BSI and termination of isolation between the subgroups.</div></div><div><h3>Conclusions</h3><div>In the context of endemic or nonoutbreak settings, discontinuation of isolation for VRE patients has not been associated with an increased rate of HA-VRE infections.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"52 11","pages":"Pages 1329-1335"},"PeriodicalIF":3.8,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141900654","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

Oral care in nonventilated hospitalized patients. 不通风住院病人的口腔护理。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-08-05 DOI: 10.1016/j.ajic.2024.07.017

Matthew B Crist, Michele J Neuburger, Shelley S Magill, Kiran M Perkins

引用次数: 0

Enhancing infection preventionist certification success through a structured training program 通过结构化培训计划提高感染预防师认证的成功率。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-07-30 DOI: 10.1016/j.ajic.2024.07.015

Kelly Holmes MS, CIC, FAPIC, Kelley M. Boston MPH, CIC, CPHQ, FAPIC , Jennifer McCarty MPH, CIC, FAPIC, Sandi Steinfeld MPH, CIC, FAPIC, Virginia Kennedy RN, MS, CIC, FAPIC

{"title":"Enhancing infection preventionist certification success through a structured training program","authors":"Kelly Holmes MS, CIC, FAPIC, Kelley M. Boston MPH, CIC, CPHQ, FAPIC , Jennifer McCarty MPH, CIC, FAPIC, Sandi Steinfeld MPH, CIC, FAPIC, Virginia Kennedy RN, MS, CIC, FAPIC","doi":"10.1016/j.ajic.2024.07.015","DOIUrl":"10.1016/j.ajic.2024.07.015","url":null,"abstract":"<div><h3>Background</h3><div>Certification in infection control (CIC) is a standardized indicator of the knowledge and competencies essential for effective infection prevention practice. Evidence measuring success of training programs for certfication in infection control is limited.</div></div><div><h3>Methods</h3><div>From 2017 through 2023, 51 novice infection preventionists (IPs) were enrolled in a training program that combined didactic learning, application of knowledge in practice, and mentorship from advanced-practice and near-peer IPs. Participants were tracked through completion of certification examination and pass rates were compared with rates for 2023 CIC candidates.</div></div><div><h3>Results</h3><div>All participants engaged in the training program attempted the CIC examination. The training group had a pass rate of 98%. This is 27% higher than the most recent rate published by Certification Board of Infection Control and Epidemiology (CBIC) of 71%.</div></div><div><h3>Discussion</h3><div>Participants were significantly more likely to pass the CIC exam on the first try, showing that a supported, competency-based training program can be successful in supporting novice IPs in certification success.</div></div><div><h3>Conclusions</h3><div>Building foundational knowledge on key concepts in infection prevention and control and enhancing learning through supervised, direct application of skills improves CIC certification exam pass rates and supports progression of early career IPs to more independent practice.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"52 11","pages":"Pages 1235-1240"},"PeriodicalIF":3.8,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141873874","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

Academic-practice partnership: Exploring a model for collaborative nursing education in infection prevention and control 学术实践伙伴关系：探索感染预防与控制护理合作教育模式。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-07-30 DOI: 10.1016/j.ajic.2024.07.016

Mary Lou Manning PhD, CRNP, CIC, APIC, FSHEA, FAAN , Kelly Zabriskie MLS, BS, CIC, FAPIC , Susan Egger PhD, MSN, RN , Mariann Kerr PhD, MSN, RN, PCCN-K, CNE , Julia Kay BFA, PMP , John Renzi DNP, MBA, RN, CCCTM, NE-BC

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APIC Masthead 亚太信息中心刊头

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-07-19 DOI: 10.1016/S0196-6553(24)00569-8

引用次数: 0

Information for Readers 读者信息

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-07-19 DOI: 10.1016/S0196-6553(24)00570-4

引用次数: 0