American journal of infection control最新文献_第5页

Becoming hand hygiene heroes: Implementation of an infection prevention and control campaign for patient and family hospital safety. 成为手部卫生英雄：实施感染预防和控制运动，促进患者和家属的医院安全。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-10-28 DOI: 10.1016/j.ajic.2024.10.026

Brooke Cheng, Mavis Chan, Danielle Abi-Farrage, Melissa Braschel, Pamela Harrison, Jocelyn A Srigley

{"title":"Becoming hand hygiene heroes: Implementation of an infection prevention and control campaign for patient and family hospital safety.","authors":"Brooke Cheng, Mavis Chan, Danielle Abi-Farrage, Melissa Braschel, Pamela Harrison, Jocelyn A Srigley","doi":"10.1016/j.ajic.2024.10.026","DOIUrl":"10.1016/j.ajic.2024.10.026","url":null,"abstract":"Background: The COVID-19 pandemic highlighted that hand hygiene (HH) is key in preventing health care-associated infections. Patients and families are understudied targets for infection prevention and control practices. Previous campaigns to change HH behavior have been effective, but often face systemic challenges with implementation.Methods: The \"Hand Hygiene Heroes\" educational campaign was developed to improve patient and family HH at 2 tertiary care pediatric and obstetrics hospitals. Its multiple phases included visual materials, tailored activities for 9 hospital units, and long-term evaluation during a 2-year period. HH rates among patients/families and health care workers were measured at baseline and throughout the campaign via direct observation.Results: Overall, HH significantly increased for both patients/families (OR 1.82, P .041) and health care workers (OR 2.15, P < .001) after campaign initiation. However, individual units had varying degrees of sustainment on follow-up evaluations.Discussion: Duration of intervention, activity simplicity, active participation, and resource availability may affect success of campaign initiatives. Positive prognostic factors included mixed leadership support from administration and frontline workers, predetermined sustainability plans, and tailored activities by target audience.Conclusions: Implementation of hospital educational campaigns can be resource-intensive but can positively impact patient and family HH.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567619","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 to blood and body fluids among health care professionals in a military hospital in Greece: A retrospective single-center study. 希腊一家军医院医护人员的血液和体液职业暴露：一项回顾性单中心研究。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-10-25 DOI: 10.1016/j.ajic.2024.10.017

Petroula Stamataki, Angeliki Angeletopoulou, Angeliki Chandrinou, Maria Kagialari, Konstantina Gaitanou, Maria Tseroni

{"title":"Occupational exposure to blood and body fluids among health care professionals in a military hospital in Greece: A retrospective single-center study.","authors":"Petroula Stamataki, Angeliki Angeletopoulou, Angeliki Chandrinou, Maria Kagialari, Konstantina Gaitanou, Maria Tseroni","doi":"10.1016/j.ajic.2024.10.017","DOIUrl":"10.1016/j.ajic.2024.10.017","url":null,"abstract":"Background: Health care professional (HCP) worldwide are subjected to various occupational hazards, including exposure to blood and body fluids (BBF). However, with systematic training and supervision, the impact of such incidents can be significantly mitigated. This study aims to assess the incidence of occupational exposure to BBF among HCPs reported to a military hospital over a 5-year period. Additionally, it seeks to explore the characteristics of the affected HCP and the conditions of exposure, and to evaluate HCP' overall compliance with the hospital's guidelines.Methods: This is a retrospective, single-center study that includes all self-reported forms submitted from January 1, 2019 to December 31, 2023.Results: The overall incidence of BBF exposure was 3.05 per 100 full-time employment-years or 3.01 per 100 HCP per year, whereas the incidence of needlesticks and sharps injuries was 2.73 per 100 full-time employment-years or 2.54 per 100 HCPs per year. Overall, HCP' compliance was 34.1%, with an increase from 1.6% in 2019 to 45.9% in 2023.Conclusions: There is a need for a unified process for the collection of nationwide, longitudinal data on exposure to BBF, as well as for the development of targeted training programs on occupational health and safety for HCP.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567625","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

Microbial contamination in reusable health care bath basins: An observational descriptive study. 可重复使用的医疗浴盆中的微生物污染：观察性描述研究。

IF 4.3 3区医学

American journal of infection control Pub Date : 2024-10-25 DOI: 10.1016/j.ajic.2024.10.015

Barbara J Quinn, Kathleen Vollman

引用次数: 0

The impact of COVID-19 pandemic on reported notifiable infectious diseases in China: An interrupted time series analysis. COVID-19大流行对中国报告的应报传染病的影响：间断时间序列分析

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-10-23 DOI: 10.1016/j.ajic.2024.10.010

Jin Li, Fang Yuan, Shengfu Fan, Jie Tian, Jianzhou Yang

{"title":"The impact of COVID-19 pandemic on reported notifiable infectious diseases in China: An interrupted time series analysis.","authors":"Jin Li, Fang Yuan, Shengfu Fan, Jie Tian, Jianzhou Yang","doi":"10.1016/j.ajic.2024.10.010","DOIUrl":"10.1016/j.ajic.2024.10.010","url":null,"abstract":"Background: During major public health crises, the epidemiological characteristics of commonly reported infectious diseases may change. Based on routinely reported data on notifiable infectious diseases, we investigated whether the incidence and mortality of infectious diseases in China were affected by the coronavirus disease (COVID-19).Methods: We analyzed monthly reported data on nationally notifiable infectious diseases from January 2013 to March 2024. Using an interrupted time series design, we performed Poisson regression to assess changes in the incidence and mortality rates of infectious diseases before, during, and after the COVID-19 pandemic.Results: We found that during the COVID-19 outbreak, the reported incidence of nationally notifiable infectious diseases significantly and immediately decreased (relative risk [RR]= 0.6206; 95% confidence interval [CI]= 0.6201-0.6211), and so did the mortality rate (RR=0.7814; 95% CI=0.7696-0.7933). After the end of pandemic control measures, the reported incidence surged abruptly starting from January 2023, showing a sharp rise compared with the prepandemic period (RR=1.8608; 95% CI=1.8595-1.8621). The reported mortality increased, too (RR=1.081; 95% CI=1.0638-1.0984).Conclusions: The overall incidence and mortality of infectious diseases decreased immediately after the outbreak of COVID-19. After the end of pandemic control measures, their incidence rate sharply increased, and their mortality rate also rose.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492965","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

Elizabethkingia meningoseptica in Dubai, United Arab Emirates: A 7-year multicenter study. 阿拉伯联合酋长国迪拜的 Elizabethkingia Meningoseptica：一项为期 7 年的多中心研究。

IF 4.3 3区医学

American journal of infection control Pub Date : 2024-10-23 DOI: 10.1016/j.ajic.2024.10.016

Hawra Ali Hussain Alsayed, Narjes Saheb Sharif-Askari, Fatemeh Saheb Sharif-Askari, Rabih Halwani

{"title":"Elizabethkingia meningoseptica in Dubai, United Arab Emirates: A 7-year multicenter study.","authors":"Hawra Ali Hussain Alsayed, Narjes Saheb Sharif-Askari, Fatemeh Saheb Sharif-Askari, Rabih Halwani","doi":"10.1016/j.ajic.2024.10.016","DOIUrl":"10.1016/j.ajic.2024.10.016","url":null,"abstract":"Background: Elizabethkingia meningoseptica (E. meningoseptica) is a gram-negative bacillus. Widely distributed in nature, it poses a significant threat as a nosocomial pathogen, particularly affecting immunocompromised neonates and the elderly.Methods: This study aimed to describe the antimicrobial susceptibility and outcomes of E. meningoseptica infections over seven years in United Arab Emirates. A retrospective chart review study was conducted at four hospitals that are part of Dubai Academic Health Corporation.Results: A total of 23 cases were observed during the study, 21 (91%) of which exhibited multidrug resistance. More than half of the cases required intensive care and mechanical ventilation (n = 13, 57%). The in-hospital mortality rate was 38% (n = 5) in adults and 20% (n = 2) in pediatrics.Conclusions: E. meningoseptica is a significant nosocomial pathogen with high antibiotic resistance, posing severe risks to immunocompromised pediatric and adult patients. Effective management of E. meningoseptica requires vigilant monitoring, comprehensive control, and targeted therapies.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492963","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

A Burkholderia contaminans outbreak in an intensive care unit associated with contaminated bath solution: Control and microbiological findings. 重症监护室爆发的伯克霍尔德氏菌污染与受污染的浴液有关：控制和微生物学发现。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-10-22 DOI: 10.1016/j.ajic.2024.10.006

Daniela Kallíope de Sá Paraskevopoulos, Carlos Henrique Camargo, Priscila Koba Kodato, Amanda Yaeko Yamada, Adriana Aparecida Buzzo Almodovar, Ellen Gameiro Hilinski, Alexandre Inácio de Paula, Elaine Fernanda Irineu, Sandra Rodrigues Barrio, Cibele L Fonseca, Cristiano de Melo Gamba, Nair Hosino, Augusto Yamaguti, João S de Mendonça, Thaís Guimarães

{"title":"A Burkholderia contaminans outbreak in an intensive care unit associated with contaminated bath solution: Control and microbiological findings.","authors":"Daniela Kallíope de Sá Paraskevopoulos, Carlos Henrique Camargo, Priscila Koba Kodato, Amanda Yaeko Yamada, Adriana Aparecida Buzzo Almodovar, Ellen Gameiro Hilinski, Alexandre Inácio de Paula, Elaine Fernanda Irineu, Sandra Rodrigues Barrio, Cibele L Fonseca, Cristiano de Melo Gamba, Nair Hosino, Augusto Yamaguti, João S de Mendonça, Thaís Guimarães","doi":"10.1016/j.ajic.2024.10.006","DOIUrl":"10.1016/j.ajic.2024.10.006","url":null,"abstract":"Background: The Burkholderia cepacia complex comprises a group of bacteria with a growing threat as a contaminant of nonsterile solutions. We describe an outbreak of a Burkholderia cepacia complex involving patients at intensive care unit related to a no-rinse bathing solution (NRBS).Methods: We carried out patients, environmental and laboratory investigation performing analyses of cases, pulsed-field-gel electrophoresis and whole genome sequence (WGS) of isolates.Results: We investigated 32 cases and 16 isolates that were identified as Burkholderia contaminans, belonging to 2 different clones. One clone (new ST2175) was identified in 6 sequences (4 from patients and 2 from bath cart samples) and for the remaining 10 isolates (7 isolates from patients and 3 from NRBS) we identified the ST762. The investigation demonstrated that NRBS was the source of the outbreak caused by ST762 clone of B contaminans.Discussion: Early suspicion of a common source, rapid implementation of control measures, and laboratory support are vital in an outbreak investigation. We also highlight the role of WGS which was very important to conclude our investigation regarding environmental samples and bacterial typing.Conclusions: We highlight the need to regulate water-based products and the role of WGS for investigate environmental samples.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492962","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

Infection prevention and control in long-term care facilities in Florida: A needs assessment survey. 佛罗里达州长期护理机构的感染预防与控制：需求评估调查。

IF 4.3 3区医学

American journal of infection control Pub Date : 2024-10-22 DOI: 10.1016/j.ajic.2024.10.008

Cindy Prins, Avery E Bollinger, Cassandra L Johnson, Jamie L Pomeranz, Sally M Bethart, Kartikeya Cherabuddi, Ann L Horgas, Veena Venugopalan, Nicole M Marlow, Duzgun Agdas, Chang-Yu Wu, Antarpreet Singh Jutla, Mishal Khan, Argentina Charles, A C Burke, F Lee Revere

{"title":"Infection prevention and control in long-term care facilities in Florida: A needs assessment survey.","authors":"Cindy Prins, Avery E Bollinger, Cassandra L Johnson, Jamie L Pomeranz, Sally M Bethart, Kartikeya Cherabuddi, Ann L Horgas, Veena Venugopalan, Nicole M Marlow, Duzgun Agdas, Chang-Yu Wu, Antarpreet Singh Jutla, Mishal Khan, Argentina Charles, A C Burke, F Lee Revere","doi":"10.1016/j.ajic.2024.10.008","DOIUrl":"10.1016/j.ajic.2024.10.008","url":null,"abstract":"Background: Although several surveys of infection prevention and control (IPC) practices have been conducted in the United States, none have focused on the state of Florida, which has the fourth-largest number of certified nursing facilities in the country. A needs assessment survey was conducted to better understand the specific needs and practices of individuals responsible for IPC in long-term care facilities (LTCFs) in Florida.Methods: In November and December of 2022, a 90-question online survey was distributed to individuals responsible for IPC activities at 3,690 LTCFs in Florida. After omitting incomplete responses, 304 survey responses were analyzed using descriptive statistics.Results: Survey responses regarding hand hygiene, sharps safety, and staff training reflect compliance with recommended IPC practices. Staffing shortages for registered nurses, licensed practical nurses, and certified nursing assistants were high among respondents (30%), while few reported shortages of personal protective equipment (5%). Only 11% of respondents state their facility requires flu vaccines, despite the high-risk environment of LTCFs. Concerning the built environment, the results suggest infection preventionists have limited awareness of the scope of heating, ventilation, and air conditioning systems in their facilities.Conclusions: Some areas of compliance with IPC best practices were noted, but multiple opportunities for education and training on IPC best practices were identified.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492964","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

Targeting prolonged short-term central venous catheters to reduce hospital-wide catheter days and CLABSI rates. 针对长期短期中心静脉导管，减少全院导管使用天数和 CLABSI 感染率。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-10-19 DOI: 10.1016/j.ajic.2024.10.011

Regev Cohen, Shelly Lipman-Arens, Lamis Mahamid, Linor Ishay, Olga Feld Simon, Sharon Reisfeld, Orna Ben-Natan, Aliza Vaknin, Mohammed Ganayem, Razi Abu Hadba, Erez Karisi, Noa Melnik, Sarit Freimann, Maanit Shapira, Nina Avshovich, Ayed Darawshe, Ronit Rachmilevitch, Valery Istomin, Rena Abilevitch, Saif Abu-Mouch, Rotem Novoselsky, Marinella Beckerman, Vlada Dubinchik, Boris Kessel, Veacheslav Zilbermints, Veronika Starobinsky, Inna Furman, Konstantin Neimark, Yaakov Daskal, Mohanad Ganayem, Fanny Biton, Boris Isakovich, Elias Tannous

{"title":"Targeting prolonged short-term central venous catheters to reduce hospital-wide catheter days and CLABSI rates.","authors":"Regev Cohen, Shelly Lipman-Arens, Lamis Mahamid, Linor Ishay, Olga Feld Simon, Sharon Reisfeld, Orna Ben-Natan, Aliza Vaknin, Mohammed Ganayem, Razi Abu Hadba, Erez Karisi, Noa Melnik, Sarit Freimann, Maanit Shapira, Nina Avshovich, Ayed Darawshe, Ronit Rachmilevitch, Valery Istomin, Rena Abilevitch, Saif Abu-Mouch, Rotem Novoselsky, Marinella Beckerman, Vlada Dubinchik, Boris Kessel, Veacheslav Zilbermints, Veronika Starobinsky, Inna Furman, Konstantin Neimark, Yaakov Daskal, Mohanad Ganayem, Fanny Biton, Boris Isakovich, Elias Tannous","doi":"10.1016/j.ajic.2024.10.011","DOIUrl":"10.1016/j.ajic.2024.10.011","url":null,"abstract":"Background: The risk of central line-associated bloodstream infection (CLABSI) is associated with central venous catheter (CVC) dwelling time. We implemented a hospital-wide intervention aimed to alert physicians to CVC duration and necessity and to improve the monitoring of CLABSI prevention process measures outside the intensive care unit (ICU).Methods: A retrospective, before-after study that evaluated short-term, nonhemodialysis CVCs in and out of the ICU. The intervention included enhanced bundle-prevention measures monitoring and staff \"sensitization\" regarding prolonged (> 7 days) CVCs (pCVCs). The ICU intervention also included daily CVC-stewardship visits. We assessed CVC utilizations and CLABSI episodes 20 months before to 19 months after the intervention using Mann-Whitney tests.Results: Out of the ICU, CVC-utilization ratio (CVC-UR) and pCVC-UR reduced significantly (4.1-2.7/100 hospital days, P = .005; and 28%-21%, P = .02, respectively). Bundle-prevention measures improved, and CLABSI rates reduced postintervention (7.9-3.6/1,000 CVC days, P = .03). In the ICU, pCVC-UR reduced significantly (29%-15%, P < .0001). Baseline ICU-CLABSI rates were low and did not reduce postintervention.Conclusions: Sensitizing physicians to the existence and duration of CVCs accompanied by improved bundle-prevention measures, resulted in reduction of pCVCs, and outside the ICU, also in reduction of CVC-UR and CLABSI rates.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142455937","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}

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IF 3.8 3区医学

American journal of infection control Pub Date : 2024-10-19 DOI: 10.1016/S0196-6553(24)00729-6

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IF 3.8 3区医学

American journal of infection control Pub Date : 2024-10-19 DOI: 10.1016/S0196-6553(24)00728-4

引用次数: 0