American journal of infection control最新文献_第2页

Information for Authors

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-03-17 DOI: 10.1016/S0196-6553(25)00080-X

引用次数: 0

Changing trends in the sources and volumes of clinical cultures with Candida auris at an integrated health system in Miami, Florida, United States, 2019-2023.

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-03-17 DOI: 10.1016/j.ajic.2025.03.013

Rossana Rosa, Rodrigo de Paula Baptista, Truc T Tran, Safoura Eskandari, Gemma Rosello, Cesar A Arias, Octavio V Martinez, Lilian M Abbo

{"title":"Changing trends in the sources and volumes of clinical cultures with Candida auris at an integrated health system in Miami, Florida, United States, 2019-2023.","authors":"Rossana Rosa, Rodrigo de Paula Baptista, Truc T Tran, Safoura Eskandari, Gemma Rosello, Cesar A Arias, Octavio V Martinez, Lilian M Abbo","doi":"10.1016/j.ajic.2025.03.013","DOIUrl":"10.1016/j.ajic.2025.03.013","url":null,"abstract":"Background: Candida auris (C auris) has rapidly spread in the United States. We aimed to characterize the trends in volumes and sources of clinical cultures with C auris at a large health care system.Methods: We conducted a retrospective observational study including clinical cultures with C auris collected between April 1, 2019, and December 31, 2023. Surveillance cultures were excluded. Clinical specimens were processed through routine methods, and identification was performed using mass spectrometry. Whole-genome sequencing was performed on select specimens.Results: We identified 327 clinical cultures belonging to 231 unique patients. The number of clinical cultures increased each year, from 5 in 2019 to 29 in 2020 (580%), 71 in 2021 (251% relative to 2020), 107 in 2022 (46% relative to 2021), and 115 in 2023 (7% relative to 2022). Blood cultures were the most common source, but specimens originating from soft tissue/bone infections had a large increase in 2022 and 2023. All sequenced isolates belong to clade III (South African clade) and were resistant to fluconazole and susceptible to echinocandins and amphotericin B.Conclusions: The volumes of clinical cultures with C auris have rapidly increased, accompanied by an expansion in the sources of infection.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662077","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

Response to the comment on the article "Challenges and trends in Gram-negative bacterial infections in critically-ill neonates: A seven-and-a-half-year observational study"

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-03-17 DOI: 10.1016/j.ajic.2025.01.008

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

引用次数: 0

A multifaceted nursing process to reduce catheter-associated urinary tract infections in a medical intensive care unit in the era of COVID-19.

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-03-11 DOI: 10.1016/j.ajic.2025.03.012

Qiuhua Li, Rachel K Ussery, Scott Woodby, Robert Hastedt, Brenda Tyler, Mary Ann Demaet, Janak Patel

{"title":"A multifaceted nursing process to reduce catheter-associated urinary tract infections in a medical intensive care unit in the era of COVID-19.","authors":"Qiuhua Li, Rachel K Ussery, Scott Woodby, Robert Hastedt, Brenda Tyler, Mary Ann Demaet, Janak Patel","doi":"10.1016/j.ajic.2025.03.012","DOIUrl":"10.1016/j.ajic.2025.03.012","url":null,"abstract":"Background: The catheter-associated urinary tract infection (CAUTI) rate started to rise in October 2020 in our medical intensive care unit during the early months of coronavirus disease 2019 (COVID-19) pandemic. A multidisciplinary taskforce, therefore, took the initiative in developing the CAUTI reduction process.Methods: In this quality improvement initiative, the effectiveness of the CAUTI reduction process was examined retrospectively during the 25-month period from October 2020 to October 2022 in the medical intensive care unit. The processes utilized a multifaceted approach, incorporating nurse-driven protocol for the removal of indwelling urinary catheters. The urinary catheter device utilization ratios (DURs) and CAUTI rates from preintervention and postintervention were monitored and compared.Results: The DUR decreased significantly from 0.59 in the preintervention period to 0.39 in the postintervention phase 1 (33.9% reduction, P = .002). The significant reduction continued through the postintervention phase 2. In association with decline in DUR, the CAUTI rates reduced significantly from 3.14 in the preintervention period to 0.57 CAUTI per 1,000 catheter days in the postintervention phase 2 (81.8% reduction, P = .029).Conclusions: The CAUTI reduction process effectively decreased the DURs, and in turn, the CAUTI rates. Our effort highlights the success achieved through sustained multidisciplinary team participation.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623182","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

Implementation of a secure electronic form for bloodborne pathogen exposure reporting associated with increased reports among healthcare workers: A quasi-experimental study.

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-03-11 DOI: 10.1016/j.ajic.2025.03.008

Erin Bammann, Himgauri Nikrad, Deborah Aragon, Heather Young

{"title":"Implementation of a secure electronic form for bloodborne pathogen exposure reporting associated with increased reports among healthcare workers: A quasi-experimental study.","authors":"Erin Bammann, Himgauri Nikrad, Deborah Aragon, Heather Young","doi":"10.1016/j.ajic.2025.03.008","DOIUrl":"10.1016/j.ajic.2025.03.008","url":null,"abstract":"Background: Bloodborne pathogen exposures (BBPEs) are an ongoing health hazard among health care employees and are often underreported. Prior studies have revealed that BBPEs may be underreported due to challenges related to the reporting process.Methods: This quasi-experimental study was completed using data from the Denver Health and Hospital Authority. BBPE reporting was compared before and after the implementation of a self-reported secure electronic form (SELF) reporting system. The primary outcome was the number of monthly BBPE reports. The secondary outcomes were nurse triage line call volume and proportion of cases referred for urgent evaluation.Results: The mean number of monthly BBPE reports increased by 9.5 (P = .001, 95% CI 6.23, 12.54), the mean number of monthly nurse triage line calls decreased from 7 to 23 (P < .001, 95% CI 14.39, 19.22), and referral for urgent evaluation decreased by 61.8% (P < .001, df = 1) between the preintervention and postintervention periods.Conclusions: Implementing a SELF may help capture a greater number of BBPE reports in large health care systems compared with a nurse triage system alone. Additionally, SELFs allow for the acquisition of additional descriptive information about BBPEs and may help reduce unnecessary emergency department utilization.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623184","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

Leveraging agents of change to improve the use of an electronic hand hygiene monitoring system.

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-03-08 DOI: 10.1016/j.ajic.2025.03.007

Jamie L Romeiser, Rachel Elliott, Nicholas Allis, Julie Briggs, Matthew Glidden, Elizabeth Luke, Veronica Rivé, Jana Shaw, Paul Suits, Telisa Stewart

{"title":"Leveraging agents of change to improve the use of an electronic hand hygiene monitoring system.","authors":"Jamie L Romeiser, Rachel Elliott, Nicholas Allis, Julie Briggs, Matthew Glidden, Elizabeth Luke, Veronica Rivé, Jana Shaw, Paul Suits, Telisa Stewart","doi":"10.1016/j.ajic.2025.03.007","DOIUrl":"10.1016/j.ajic.2025.03.007","url":null,"abstract":"Background: We evaluated the effectiveness of an \"agents of change\" intervention in enhancing hand hygiene compliance (HHC) with an electronic hand hygiene monitoring system (EHHMS), and improving perceptions of the EHHMS among health care workers.Methods: Two intervention units and 1 control unit were selected. Thirteen agents received training, then worked independently on the intervention units to improve their colleagues' perceptions and behaviors toward the EHHMS. Agents and unit health care workers were surveyed before and after the intervention to measure perceptions of the EHHMS and impact of the intervention. HHC was electronically monitored across all units 8weeks before, 5weeks during, and 8weeks after the intervention.Results: Postintervention, 70% of agents believed they influenced their colleagues' behaviors, but 50% felt they changed attitudes. Unit-level surveys confirmed minimal change in attitudes and culture. Average HHC rates increased by 6.8% and 5% in the intervention units during the intervention (both P<.01), whereas the control did not. One intervention unit maintained improvement in the post period, whereas the other returned to baseline. Compliance rates for all units were similar in the post period.Conclusions: Implementing an agents of change program to target EHHMS compliance is feasible, but sustained improvement is less certain.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143584404","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

Use of automated room disinfection systems in the health care environment: A national survey.

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-03-07 DOI: 10.1016/j.ajic.2025.03.001

Jongrim Choi, Ihn Sook Jeong, Jae Sim Jeong, Jae Geum Ryu, Eun-Suk Park, Si Hyeon Han

{"title":"Use of automated room disinfection systems in the health care environment: A national survey.","authors":"Jongrim Choi, Ihn Sook Jeong, Jae Sim Jeong, Jae Geum Ryu, Eun-Suk Park, Si Hyeon Han","doi":"10.1016/j.ajic.2025.03.001","DOIUrl":"10.1016/j.ajic.2025.03.001","url":null,"abstract":"Background: Automated room disinfection systems (ARDSs) have been increasingly adopted worldwide to address emerging infectious diseases and antibiotic-resistant bacteria. This study aims to assess the current use of ARDSs in acute health care settings across South Korea.Methods: A nationwide online survey was conducted in 150 tertiary general hospitals and identified the experiences of ARDS use.Results: Among the hospitals surveyed, 32.7% used ultraviolet C (UV-C), 26.0% used aerosolized hydrogen peroxide (aHP), and 15.3% used vaporized hydrogen peroxide (vHP). Most systems were adopted after the Middle East Respiratory Syndrome outbreak. UV-C was mainly used in examination and isolation rooms, while aHP and vHP were used in isolation rooms. Satisfaction rates were 81.6% for UV-C, 76.9% for aHP, and 78.3% for vHP, with 91.3% to 94.9% of respondents intending to continue use. Barriers to adoption included high maintenance costs, uncertainty about UV-C efficacy, challenges with aHP systems, and high costs for vHP systems.Conclusions: To increase the adoption of ARDSs, addressing high maintenance costs and confirming the disinfection efficacy of these systems is crucial. Enhancing convenience, cost-effectiveness, operational efficiency, and developing user guidelines and educational programs will be essential for the effective utilization of ARDSs.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143584322","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

Quantifying the progressing landscape of infection preventionists: A survey-based analysis of workload and resource needs.

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-03-07 DOI: 10.1016/j.ajic.2025.03.003

Brenna Doran, Jessica Swain, Shanina Knighton

{"title":"Quantifying the progressing landscape of infection preventionists: A survey-based analysis of workload and resource needs.","authors":"Brenna Doran, Jessica Swain, Shanina Knighton","doi":"10.1016/j.ajic.2025.03.003","DOIUrl":"10.1016/j.ajic.2025.03.003","url":null,"abstract":"Background: Current infection preventionist (IP) staffing ratio recommendations are inadequate to address the increasing demands and complexities of the role. This study sought to characterize current staffing levels and workloads for IPs, while investigating the relationships between these factors and the number of licensed inpatient beds, the complexity of acute care hospital services, and the geographical location of the facility.Methods: A cross-sectional, web-based survey questionnaire was administered to 91 acute care facilities to assess staffing and resource allocation strategies for infection prevention departments from August to September 2023.Results: The analysis revealed associations between IP full-time equivalents and the number of inpatient licensed beds (P<.001) and geographical regions (P<.001). The average work hours of an IP exceeded the traditional 40-hour workweek, participants (n=91) reported working an average of 43.6 hours per week. Cross-sharing of IP full-time equivalents increased with the complexity of the health care delivery services, with IPs most frequently supporting the Quality department.Conclusions: This study highlights that infection prevention departments are persistently understaffed, and IPs are consistently working excessive hours across health care settings. Factors such as geographic location and interdepartmental collaboration significantly influence staffing needs and workload demands.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143584321","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

Prevalence, antimicrobial resistance profiles, and determinants of Acinetobacter baumannii and Pseudomonas aeruginosa isolates among nosocomial infection--suspected patients in the northwestern region of Ethiopia.

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-03-07 DOI: 10.1016/j.ajic.2025.03.004

Medina Kemal, Gebereselassie Demeke, Adane Adugna, Tebelay Dilnessa, Abtie Abebaw, Ahmed Esmael

{"title":"Prevalence, antimicrobial resistance profiles, and determinants of Acinetobacter baumannii and Pseudomonas aeruginosa isolates among nosocomial infection--suspected patients in the northwestern region of Ethiopia.","authors":"Medina Kemal, Gebereselassie Demeke, Adane Adugna, Tebelay Dilnessa, Abtie Abebaw, Ahmed Esmael","doi":"10.1016/j.ajic.2025.03.004","DOIUrl":"10.1016/j.ajic.2025.03.004","url":null,"abstract":"Background: Pseudomonas aeruginosa and Acinetobacter baumannii are common causes of nosocomial infections. Furthermore, antimicrobial resistance is frequently observed in these pathogens, posing significant challenges to treatment.Objective: This study aimed to determine the prevalence, antimicrobial resistance profiles, and determinants of A baumannii and P aeruginosa isolates among nosocomial infection--suspected patients at Debre Markos Comprehensive Specialized Hospital.Methods: An institutional-based cross-sectional study was conducted from March 01, 2021 to May 30, 2021. A consecutive convenient sampling technique was applied to select 200 nosocomial infection--suspected patients. Clinical samples were collected and inoculated on MacConkey agar, blood agar, and Tryptic Soy broth. Testing for antibiotic susceptibility was done on Mueller Hinton agar.Results: The overall prevalence of A baumannii and P aeruginosa isolates among nosocomial infection--suspected patients was 11.5%. All isolates of P aeruginosa and A baumannii were 100% resistant to cefepime and piperacillin. Prolonged hospitalization and antibiotics use were significant determinants of P aeruginosa and A baumannii--induced nosocomial infection (adjusted odds ratio: 5.691, 95% CI: 1.069-7.296, P<.050 and adjusted odds ratio: 4.199, 95% CI: 0.997-6.675, P<.042, respectively).Conclusions: The prevalence of A baumannii and P aeruginosa isolates was high in the study area. Therefore, there should be serious attention to control the spread of drug-resistant nosocomial infections in the study area.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143584410","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

Development of the initial Leapfrog Group's hand hygiene standard.

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-03-07 DOI: 10.1016/j.ajic.2025.03.006

Preeti Joshi, John Boyce, Elaine Larson, Emily Landon, Gonzalo Bearman, Kathryn Burggraf Stewart, Jordan Derk, Melissa Danforth, J Matthew Austin

{"title":"Development of the initial Leapfrog Group's hand hygiene standard.","authors":"Preeti Joshi, John Boyce, Elaine Larson, Emily Landon, Gonzalo Bearman, Kathryn Burggraf Stewart, Jordan Derk, Melissa Danforth, J Matthew Austin","doi":"10.1016/j.ajic.2025.03.006","DOIUrl":"10.1016/j.ajic.2025.03.006","url":null,"abstract":"Background: Health care-associated infections (HAIs) remain a major concern in US hospitals, contributing to significant patient mortality and medical costs. Studies indicate that up to 70% of HAIs are preventable, with proper hand hygiene the most effective method of preventing transmission. Despite this, adherence to hand hygiene in hospitals remains low.Methods: This article describes the process of developing, testing, and refining a standard to improve hand hygiene adherence in US hospitals. Building on the published literature and guidance from a national expert panel, Leapfrog developed a standard with 5 key domains.Results: In 2019, 1,698 hospitals pilot tested an initial set of survey questions intended to measure hospital performance against the hand hygiene standard. Responses were not scored, but reviewed to make refinements. The scoring of hospital responses to the survey questions and the public reporting of hospitals' performance on meeting the hand hygiene standard began in 2020. From 2020 to 2023, the percentage of reporting hospitals that have met each domain of the hand hygiene standard and fully achieved Leapfrog's hand hygiene standard continued to grow.Conclusions: Leapfrog's hand hygiene standard provides hospitals with a \"how-to guide\" for best practices to promote hand hygiene and prevent HAIs.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143584398","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