JaHyun Kang, Ki Rog Lee, Im Young Choi, Daehee Lee, Hayoung Chang, Mijung Kim
{"title":"A Systematic Review of Knowledge Assessment Instruments for Isolation Precautions Among Healthcare Personnel.","authors":"JaHyun Kang, Ki Rog Lee, Im Young Choi, Daehee Lee, Hayoung Chang, Mijung Kim","doi":"10.1016/j.ajic.2025.09.010","DOIUrl":"https://doi.org/10.1016/j.ajic.2025.09.010","url":null,"abstract":"<p><strong>Background: </strong>Healthcare personnel (HCP) knowledge of isolation precautions (IPs) is essential for preventing healthcare-associated infections. HCP adherence to IP guidelines remains suboptimal worldwide, often due to knowledge gaps. Post-COVID-19 challenges highlight the need for standardized tools. This study systematically reviews IP knowledge instruments.</p><p><strong>Methods: </strong>Following PRISMA guidelines, five databases were searched for studies published between 2007 and 2024. Eligible studies used instruments with more than 10 items covering CDC-recommended domains. Instruments were evaluated for content coverage, psychometric properties, and methodological quality.</p><p><strong>Results: </strong>Twenty-seven studies met inclusion criteria. All instruments assessed standard precautions, while transmission-based precautions and fundamental elements were underrepresented. A total of 608 items were identified, most focusing on personal protective equipment and hand hygiene. Response formats and scoring systems varied widely, with inconsistent benchmarks. Knowledge of transmission-based precautions was consistently lower than standard precautions. Only 14 studies (51.9%) reported both validity and reliability, indicating limited psychometric rigor. Few studies were high quality, though those published after 2020 showed modest improvement.</p><p><strong>Conclusions: </strong>Current HCP IP knowledge instruments show significant variation, incomplete scope, and limited validation. Standardized tools with balanced coverage and stronger psychometric evaluation are needed to support education, enable comparability, and guide interventions in diverse healthcare settings.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145111781","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}
Lyn-Li Lim, Ann Bull, Stephanie K Tanamas, Noleen Bennett, Leon J Worth, N Deborah Friedman
{"title":"Resourcing of hospital infection prevention and control programs in Victoria, Australia.","authors":"Lyn-Li Lim, Ann Bull, Stephanie K Tanamas, Noleen Bennett, Leon J Worth, N Deborah Friedman","doi":"10.1016/j.ajic.2025.08.033","DOIUrl":"https://doi.org/10.1016/j.ajic.2025.08.033","url":null,"abstract":"<p><strong>Background: </strong>Effective hospital infection prevention and control (IPC) programs require adequate and specialized resourcing. To advocate for future resourcing, we reviewed existing hospital IPC program resourcing in Victoria, Australia.</p><p><strong>Methods: </strong>A cross-sectional study design was used. A voluntary survey was distributed to IPC program leads in Victorian hospitals. Data were collected on hospital characteristics (acute bed numbers, services), IPC program staffing (roles, experience, full-time equivalent [FTE]), and program portfolio. Anonymized responses were analyzed by sector and bed size.</p><p><strong>Results: </strong>Overall, 113 facilities responded, corresponding to 45% of Victorian hospitals. Hospitals with ≥ 200 beds reported that IPC programs had a median FTE per 100 acute beds of 1.6, compared to hospitals in the small (50-99 beds) and medium (100-199) categories, which reported 0.8 and 0.5 FTE, respectively. Median FTE per 100 acute beds was higher in public (3.2) than private (0.4) hospitals. Public hospitals had larger teams and more experienced IPC staff than private hospitals.</p><p><strong>Conclusions: </strong>Differences in IPC program resourcing are evident in Victorian hospitals, when assessed by sector and bed size. With increasing demands on IPC programs, an understanding of current resourcing assists in future workforce planning.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145136359","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}
Annalisa Lombardi, Alessandra Cornacchia, Tonia Borriello, Maria Luisa Maccauro, Alfonso Nardo, Serena Bosica, Mattia Ferrara, Eugenio Toscano, Ida Torre, Francesco Pomilio, Francesca Pennino
{"title":"Pseudomonas aeruginosa investigation in water samples of Campania region, Southern Italy.","authors":"Annalisa Lombardi, Alessandra Cornacchia, Tonia Borriello, Maria Luisa Maccauro, Alfonso Nardo, Serena Bosica, Mattia Ferrara, Eugenio Toscano, Ida Torre, Francesco Pomilio, Francesca Pennino","doi":"10.1016/j.ajic.2025.09.007","DOIUrl":"10.1016/j.ajic.2025.09.007","url":null,"abstract":"<p><strong>Background: </strong>Pseudomonas aeruginosa can be found in pipes and mainly affects immunocompromised patients.</p><p><strong>Methods: </strong>From March to September 2023, 393 drinking water samples were collected and analysed from taps of 21 hospital and 26 non-hospital facilities of Campania region. Antimicrobial susceptibility test was conducted by broth microdilution method and whole genome sequencing was carried out.</p><p><strong>Results: </strong>The bacterium was detected in 47 samples (12.0%) (26 from hospitals and 21 from non-hospital facilities). All strains were resistant to 1<sup>st</sup> and 2<sup>nd</sup> generation cephalosporin, ampicillin and ampicillin/sulbactam. Some strains showed resistance to 4<sup>th</sup> generation cephalosporin cefepime, and 16 of the 47 isolates were multi drug resistant (10 from hospitals and 6 from non-hospital setting). 13 distinct sequence types (STs) have been highlighted in this study revealing a heterogeneous population. ST 309 was the most common observed genotype. It was observed the presence of the same clone in different wards of the same hospital. The presence of the same clone in different facilities indicate P. aeruginosa diffusion in different pipelines.</p><p><strong>Conclusions: </strong>This study revealed P. aeruginosa presence in hospital and non-hospital settings, highlighting the importance of conducting environmental monitoring, especially in locations hosting vulnerable people. Routinely performing this monitoring is important to prevent infections in humans.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084600","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}
{"title":"Reduction in immediate use steam sterilization associated with reduction in surgical site infections.","authors":"Jennifer Jaffe, Linda Merz, Kathleen McMullen","doi":"10.1016/j.ajic.2025.08.039","DOIUrl":"10.1016/j.ajic.2025.08.039","url":null,"abstract":"<p><strong>Background: </strong>Immediate use steam sterilization (IUSS) is a potential risk factor for surgical site infection (SSI). A quality improvement project to reduce IUSS was implemented at a single hospital after a regulatory survey noted excessive use.</p><p><strong>Methods: </strong>Components of the project included 3 signatures for every cycle of IUSS; Ordering of additional trays; removal of ability of surgery personnel to perform IUSS; reduction in number of IUSS sterilizers from 8 to 1. The project was fully implemented in December 2019. No other changes were made that were anticipated to impact orthopedic SSI rates.</p><p><strong>Results: </strong>There was no IUSS use after November 2019. Prior to the project, there were 9 hip SSI (rate = 0.54 per 100 procedures) and 14 knee SSI (rate = 0.49). After the project, hip SSI decreased by 76% (2 SSI, rate = 0.13, P = <.05) and knee SSI decreased by 18% (7 SSI, rate = 0.41, P = .67).</p><p><strong>Conclusions: </strong>A multidisciplinary quality improvement project was successful at drastically reducing the use of IUSS, and a correlating statistically significant decrease in hip SSI and clinically significant decrease in knee SSI was seen for 3 years after the project was completed.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145079489","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}
Muhammad Farhan Khan MBBS , Izhar Ahmad MBBS , Hoore Adan MBBS , Muhammad Ilyas MBBS , Hafsa Akbar MBBS
{"title":"Letter to editor on title: “NICU-specific bundle for minimizing central line-associated bloodstream infections: Comparative healthcare costs of interventions”","authors":"Muhammad Farhan Khan MBBS , Izhar Ahmad MBBS , Hoore Adan MBBS , Muhammad Ilyas MBBS , Hafsa Akbar MBBS","doi":"10.1016/j.ajic.2025.06.022","DOIUrl":"10.1016/j.ajic.2025.06.022","url":null,"abstract":"","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 10","pages":"Page 1127"},"PeriodicalIF":2.4,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048028","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}
{"title":"Information for Authors","authors":"","doi":"10.1016/S0196-6553(25)00534-6","DOIUrl":"10.1016/S0196-6553(25)00534-6","url":null,"abstract":"","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 10","pages":"Pages A11-A12"},"PeriodicalIF":2.4,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145045554","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}
{"title":"Information for Readers","authors":"","doi":"10.1016/S0196-6553(25)00533-4","DOIUrl":"10.1016/S0196-6553(25)00533-4","url":null,"abstract":"","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 10","pages":"Page A10"},"PeriodicalIF":2.4,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145045553","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}
{"title":"Response to the letter regarding: “NICU-specific bundle for minimizing central line–associated bloodstream infections: comparative health care costs of interventions”","authors":"Kubra Aykac MD , Irem Iyigun MD , Hasan Tolga Celik MD , Yasemin Ozsurekci MD, PhD","doi":"10.1016/j.ajic.2025.06.024","DOIUrl":"10.1016/j.ajic.2025.06.024","url":null,"abstract":"","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 10","pages":"Page 1128"},"PeriodicalIF":2.4,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145043907","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}