American journal of infection control最新文献

{"title":"Efficiency and Simulation of Thailand's Chiang Mai University Model for COVID-19 Mass Vaccination Hub (CMU-MVH Model).","authors":"Amornphat Kitro, Danuphon Tippong, Wachiranun Sirikul, Natthanaphop Isaradech, Apiradee Kosai, Pimprapas Saengoa, Jiraporn Thammasarot, Penprapa Siviroj, Chaiy Rungsiyakull, Kriengkrai Srithanaviboonchai","doi":"10.1016/j.ajic.2024.10.005","DOIUrl":"https://doi.org/10.1016/j.ajic.2024.10.005","url":null,"abstract":"<p><strong>Background: </strong>Mass vaccination is crucial for achieving herd immunity and controlling pandemics. Simulation models predict vaccination outcomes. This study evaluates efficiency and designs a tailored vaccination plan for Thailand.</p><p><strong>Methods: </strong>Data was derived from a COVID-19 Mass Vaccination Hub (MVH) in Chiang Mai, Thailand. It was taken between June 2021 and December 2021. The discreet event simulation model is developed in Arena Simulation Enterprise Suite version 14.0.</p><p><strong>Results: </strong>The operational efficiency of Chiang Mai University Mass Vaccination Hub (CMU-MVH) was 1,073 vaccinations per 8 hours with 38 service staff. The average processing times (APT) were 2.5 minutes for the registration station, 12.2 minutes for the assessment station, 8.3 minutes for vaccination, and 28.2 minutes for observation. With 100% staff availability and staff utilization ranging from 0.5 to 0.7, the CMU-MVH could handle 180 to 230 vaccinees per hour or 1,227 to 1,527 vaccinees per day. Reduced staff availability leads to an increase in average processing time, especially when staff availability is lower or equal to 60%.</p><p><strong>Conclusions: </strong>The CMU-MVH could handle approximately a thousand vaccinations within 8 working hours. This capability could assist policymakers in developing more effective strategies and planning for future mass vaccinations.</p><p><strong>Data availability statement: </strong>The data that support the findings of this study are available from the corresponding author, upon reasonable request.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456032","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":"Elimination of an outbreak of carbapenem-resistant Acinetobacter baumannii in a burn unit.","authors":"Nancy L Havill, Monique Samuels, Anjali Poudyal, Vineetha Sujanan, Christina Murdzek, Michael J Aniskiewicz, Meghan Maloney, Jacqueline Laird, Alisa Savetamal","doi":"10.1016/j.ajic.2024.10.002","DOIUrl":"10.1016/j.ajic.2024.10.002","url":null,"abstract":"<p><p>Carbapenem-resistant Acinetobacter baumannii is an opportunistic pathogen which has caused numerous health care-associated outbreaks particularly in intensive care and burn units. We describe an outbreak in a burn unit where 3 patients were identified as being colonized or infected with carbapenem-resistant Acinetobacter baumannii. A multifaceted approach and rapid implementation of infection prevention measures were effective in identification and removal of potential environmental reservoirs resulting in the prevention of further transmission.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142405819","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":"Impact of COVID-19 Pandemic on Reusable Device Pre-Cleaning Training for Front-line Staff.","authors":"Josephine Fox, Lydia Grimes-Jenkins, Heather Gasama, Ashley Lloyd, Helen Wood, Satish Munigala, David K Warren","doi":"10.1016/j.ajic.2024.10.003","DOIUrl":"https://doi.org/10.1016/j.ajic.2024.10.003","url":null,"abstract":"<p><p>High-level disinfection and sterilization are complex processes, requiring initial and ongoing training of frontline staff.¹ A key component of appropriate disinfection and sterilization is point-of-use pre-cleaning performed by front-line staff. Our facility implemented an annual hospital-wide education and competency program for staff that perform pre-cleaning of reusable medical devices.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142455935","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":"Analysis of an expanded admission screening protocol for Candida auris at a New York City hospital.","authors":"Aaron Cheng, Karen Brody, Jordan Ehni, Zachary Gallate, Scott Lorin, Bernard Camins, Waleed Javaid","doi":"10.1016/j.ajic.2024.08.027","DOIUrl":"https://doi.org/10.1016/j.ajic.2024.08.027","url":null,"abstract":"<p><strong>Background: </strong>Candida auris (C auris) is an emerging global infectious disease threat, and screening practices for identification of C auris are inconsistent across healthcare facilities. This study describes the utility of expanding a C auris admission screening protocol at an acute care hospital to screen all patients presenting from any skilled nursing facility.</p><p><strong>Methods: </strong>A retrospective review identified all patients screened on admission for C auris from January 2022 through September 2023. Patients were identified for risk potential, and those deemed high risk were placed on transmission-based precautions while awaiting culture results.</p><p><strong>Results: </strong>Of the 591 patients screened, 14 cases were identified (2.4%). Nine cases presented with tracheostomies or were ventilator-dependent and classified as high risk. Five cases were considered low risk at the time of screening. Eight of these newly identified cases would not be screened under the prior criteria.</p><p><strong>Discussion: </strong>This study's findings support prior studies that patients with tracheostomies or were ventilator-dependent have greater risk for C auris colonization. Adopting an expanded admission screening program has allowed the hospital to detect more cases earlier to prevent nosocomial transmissions.</p><p><strong>Conclusions: </strong>Healthcare facilities should consider initiating or expanding admission screening programs for C auris based on community prevalence rates of C auris.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142563759","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":"Health care workers' perceptions about infection prevention and control in Latin America.","authors":"Valeria Fabre, Carolyn Herzig, Lucy Anchiraico Galarza, Bowen Aquiles, Ana Belen Arauz, Maria Del Carmen Bangher, Marisa L Bernan, Sol Burokas, Iris L Cazali, Angel Colque, Marisabel Comas, Rosa Verónica Contreras, Maria Gabriela Cordoba, Silvia Mabel Correa, Gustavo Costilla Campero, Aura Chiroy, Gabriela De Ascencao, Carlos Cruz García, Cecilia Ezcurra, Leandro Falleroni, Johana Fernandez, Sandra Ferrari, Veronica Freire, Maria Isabel Garzón, José Anel Gonzales, Lucrecia Guaymas, Fausto Guerrero-Toapanta, Sandra Lambert, Diego Laplume, Paola Romina Lazarte, Herberth Maldonado, Diego M Maurizi, Sandra Miriam Manami, Florencia Mesplet, Cristina Moreno Izquierdo, Yanina Nuccetelli, Argelis Olmedo, Belén Palacio, Florencia Pellice, Carla Lorena Raffo, Carolina Ramos, Fanny Reino, Viviana Rodriguez, Federico Romero, Juan José Romero, Graciela Sadino, Nancy Sandoval, Ines Staneloni, Mariana Suarez, Maria Victoria Suayter, Maria Alejandra Urueña, Marisol Valle, Silvia Vera Amate Perez, Hugo Videla, Silvina Villamandos, Olmedo Villarreal, Maria Alejandra Viteri, Eduardo Warley, Clare Rock, Elizabeth Bancroft, Rodolfo E Quiros","doi":"10.1016/j.ajic.2024.10.004","DOIUrl":"10.1016/j.ajic.2024.10.004","url":null,"abstract":"<p><strong>Background: </strong>Limited information exists regarding health care workers' (HCWs) perceptions about infection prevention and control (IPC) in Latin America.</p><p><strong>Methods: </strong>We conducted an electronic voluntary anonymous survey to assess HCWs' perceptions toward IPC in 30 hospitals in Latin America during August to September 2022. Nurses, physicians, and environmental cleaning (EVC) staff were prioritized for recruitment.</p><p><strong>Results: </strong>Overall, 1,340 HCWs completed the survey. Of these, 28% were physicians, 49% nurses, 8% EVC staff, and 15% had \"other\" roles. Self-compliance with hand hygiene and prevention bundles was perceived to be high by 95% and 89% of respondents, respectively; however, ratings were lower when asked about compliance by their peers (reported as high by 81% and 75%, respectively). Regular training on IPC and access to health care-associated infections (HAI) rates were more limited among physicians than other HCWs (eg, 87% of EVC staff and 45% of physicians reported training upon hiring and thereafter, 60% of nurses and 51% of physicians reported regular access to HAI rate reports).</p><p><strong>Conclusions: </strong>We identified several opportunities to strengthen IPC practices in Latin American hospitals, including improving HCW education and training on IPC and their awareness of HAI rates and compliance with prevention measures.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142455934","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":"Development and implementation of learning collaboratives for infection prevention and control education in long-term care facilities.","authors":"Cindy Prins, Mishal Khan, Nicole M Marlow, Avery Bollinger, Cassandra L Johnson, Jamie L Pomeranz, Sally M Bethart, Kartikeya Cherabuddi, Ann L Horgas, Veena Venugopalan, Duzgun Agdas, Chang-Yu Wu, Antarpreet Singh Jutla, Argentina Charles, F Lee Revere","doi":"10.1016/j.ajic.2024.09.021","DOIUrl":"10.1016/j.ajic.2024.09.021","url":null,"abstract":"<p><p>Infections in long-term care facilities pose a critical challenge, with 1 to 3 million serious infections annually and up to 380,000 associated deaths. The vulnerability of aging populations and inadequate infection prevention and control programs underscore the need for intervention. This initiative provided tailored continuing education through 8 virtual learning collaboratives serving 541 infection preventionists. The project also developed 9 infection prevention and control toolkits and a manual to further support long-term care facilities' infection prevention efforts.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142379921","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":"Atmospheric CO₂ monitoring to identify zones of increased airborne pathogen transmission risk in hospital settings.","authors":"Andrew P Shoubridge, Amanda Brass, Levi Elms, Sarah K Sims, Angela Anderson, Dylan Mordaunt, Maria Crotty, Lito E Papanicolas, Steven L Taylor, Geraint B Rogers","doi":"10.1016/j.ajic.2024.10.001","DOIUrl":"10.1016/j.ajic.2024.10.001","url":null,"abstract":"<p><p>Measures to reduce airborne pathogen transmission in health care settings, such as increased air exchange, air decontamination, and reductions in peak occupancy, can be expensive and disruptive, particularly when employed in an untargeted manner. We report the empirical identification of high transmission risk zones in a tertiary hospital, using carbon dioxide-based assessments of air exchange. This rapid, cost-effective, and unobtrusive approach led to the targeted remediation of a high transmission risk zone.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142379920","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":"Prevalence of bacteremia and antimicrobial resistance pattern among patients in South Lebanon.","authors":"Zahra Hnaineh, Elie Salem Sokhn","doi":"10.1016/j.ajic.2024.09.023","DOIUrl":"10.1016/j.ajic.2024.09.023","url":null,"abstract":"<p><strong>Background: </strong>Bacteremia is a leading cause of morbidity and mortality worldwide. Rising prevalence and antimicrobial resistance (AMR) are critical public health issues. This study aims to determine the prevalence of bacteremia and the AMR pattern among patients in South Lebanon.</p><p><strong>Methods: </strong>A cross-sectional study analyzed 76 positive blood cultures from Hammoud and Labib Hospitals in South Lebanon between September 2023 and March 2024. The phenotype and antimicrobial susceptibility of gram-positive and gram-negative were determined by using disk diffusion. Genotypically, polymerase chain reaction was used to detect the carbapenemase-resistant Enterobacterales (CRE), extended-spectrum β-lactamases (ESBL), and methicillin-resistant Staphylococcus aureus genes.</p><p><strong>Results: </strong>Out of 76 isolates, 38 (50%) were gram-positive and 38 (50%) were gram-negative. Escherichia coli was the most common among gram-negative (18. 42%), with 10.52% ESBL and 3.94% CRE. Staphylococcus coagulase negative was the most common among gram-positive (40.78%), followed by Staphylococcus aureus (6.57%), with 3.94% methicillin-resistant S. aureus. The prevalent ESBL gene was CTX-M (100%), and for the CRE, NDM (66.66%) was the most common gene. Regarding S. aureus, 66.66% were mecA.</p><p><strong>Discussion: </strong>The diverse bacteremia isolates and resistance genes in South Lebanon reflect global variability in incidence and resistance profiles.</p><p><strong>Conclusions: </strong>High rates of bacteremia and AMR in South Lebanon underscore the need for effective antibiotic stewardship programs.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387291","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":"Infection control nursing competency model for nurses in intensive care units: A Delphi study.","authors":"Eun Jo Kim, JaHyun Kang","doi":"10.1016/j.ajic.2024.09.022","DOIUrl":"10.1016/j.ajic.2024.09.022","url":null,"abstract":"<p><strong>Background: </strong>Intensive care unit (ICU) nurses require advanced expertise and skills in critical care and need infection control nursing competency (ICNC). Given the lack of research on it, this study aimed to develop a model of ICU nurses' ICNC.</p><p><strong>Methods: </strong>A Delphi panel consisting of experts in intensive care nursing and infection control was organized to provide discerning and professional perspective on ICNC. Approved by the Institutional Review Board, a 3-round Delphi survey was conducted via email from July to December 2023. The content validity ratio and the coefficient of variation were calculated for panel responses.</p><p><strong>Results: </strong>Among 17, 15 nurses (88.2%) participated and completed the surveys. About 80% were female, and the panel had an average working experience of 14.2years specifically in the ICUs or infection control departments at hospitals. After the initial round, a preliminary model was developed, consisting of 10 main components and 59 subelements. After eliminating 5 elements with content validity ratio values below 0.49 in the second survey, the final model, consisting of 10 main components and 54 subelements, was confirmed in the third survey.</p><p><strong>Conclusions: </strong>ICU nurses' ICNC can be understood based on this study's results, and further research can be designed to improve this competency.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142379922","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":"Spine surgical site infection outcome with preoperative application of a presaturated 10% povidone-iodine nasal decolonization product in a 32-bed surgical hospital.","authors":"Patti S Grant, Caitlin Crews-Stowe","doi":"10.1016/j.ajic.2024.09.016","DOIUrl":"10.1016/j.ajic.2024.09.016","url":null,"abstract":"<p><strong>Background: </strong>To pursue an irreducible minimum overall surgical site infection (SSI) rate, a 32-bed surgical hospital employed an outside consultant and performed sterile processing and surgery internal audits: No obvious improvements were identified. A 10-year review determined that 70% of SSI's were spine procedure patients. After a nasal decolonization product literature review, an intervention was implemented. The purpose of this study was to assess if the intervention impacted spine SSI rates.</p><p><strong>Methods: </strong>A 36-month implementation science study was conducted. The 18-month intervention was the immediate preoperative application of a manufactured presaturated 10% povidone-iodine nasal decolonization product in spine surgery patients, with monthly product application documentation surveillance feedback to the preoperative staff. Chi-square test was used to determine the difference in types of spine SSI surgery rates pre and post intervention.</p><p><strong>Results: </strong>Overall spine SSI decreased 35.7% (P = .04) with a 58.7% reduction in superficial incisional SSI (P = .02). The 16.1% decline in deep incisional SSI was not significant (P = .29).</p><p><strong>Conclusions: </strong>Within this hospital, conducting 7,576 surgical spine procedures over 36 months, with the immediate preoperative application of a presaturated 10% povidone-iodine nasal decolonization product, the only intervention in SSI prevention protocol, produced a statistically significant decrease in spine patient SSI rate percent.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142370757","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}