Antonio E Pontiroli, Ivan Zanoni, Lucia La Sala, Elena Tagliabue
{"title":"Comment on a recent meta-analysis of influenza vaccination and COVID-19 infection.","authors":"Antonio E Pontiroli, Ivan Zanoni, Lucia La Sala, Elena Tagliabue","doi":"10.1016/j.ajic.2025.01.020","DOIUrl":"https://doi.org/10.1016/j.ajic.2025.01.020","url":null,"abstract":"","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405170","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}
Ravinder S Saini, Rayan Ibrahim H Binduhayyim, Seyed Ali Mosaddad, Artak Heboyan
{"title":"Strategies for preventing aerosol-generated microbial contamination in dental procedures: A systematic review and meta-analysis.","authors":"Ravinder S Saini, Rayan Ibrahim H Binduhayyim, Seyed Ali Mosaddad, Artak Heboyan","doi":"10.1016/j.ajic.2025.02.001","DOIUrl":"10.1016/j.ajic.2025.02.001","url":null,"abstract":"<p><strong>Background: </strong>Aerosol generation in dental practice is a significant concern in infection control. This study aimed to investigate the strategies for controlling and preventing aerosol-generated microbes during dental procedures.</p><p><strong>Methods: </strong>A comprehensive literature search was performed using Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines through electronic databases (PubMed, ScienceDirect, Cochrane Library, Google Scholar, and Scopus) for studies reporting interventions, including mouthwash and suction devices, that were effective against pathogens generated during dental procedures. Predefined criteria identified eligible studies. Pooled efficacy was estimated using RevMan 5.4's random-effects model.Quality assessments were performed using RoB-2.0 and the Robvis web application.</p><p><strong>Results: </strong>This systematic review and meta-analysis included 19 papers. Cetylpyridinium chloride, chlorhexidine, chlorine dioxide, hydrogen peroxide, botanical medicines, and suction devices are the most used dental therapies to minimise microbial contamination. Overall, these treatments showed success with a pooled effectiveness of -46.64 (95% CI: -60.89 to -32.38, I2=100%, p<0.00001).</p><p><strong>Conclusions: </strong>This study emphasises the need for a multifaceted approach that uses antiseptic mouthwash and suction devices to reduce cross-contamination and infection transmission during aerosol-generated dental procedures, safeguarding patients and dental workforce.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381512","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":"Mitigating COVID-19 transmission in long-term care: A facility's experience with dry hydrogen peroxide.","authors":"Mary Cole","doi":"10.1016/j.ajic.2025.01.022","DOIUrl":"10.1016/j.ajic.2025.01.022","url":null,"abstract":"<p><p>A staff-initiated outbreak of COVID-19 among residents in a long-term care facility was notable for differences in attack rates between units and the association with dry hydrogen peroxide (DHP) deployment for continuous microbial reduction. DHP had previously been shown to significantly reduce environmental bioburden in the facility, but the association with infection had not been monitored. This outbreak highlights the potential for DHP to reduce infection transmission without requiring additional staff intervention.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363472","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}
Victoria Davis, Christopher A Czaja, Pamela Fricke, Shea C McGrath, Janell Nichols, Lauren Biehle
{"title":"Incorporation of antibiotic stewardship into proactive infection prevention and control assessments in the outpatient hemodialysis setting: A brief report.","authors":"Victoria Davis, Christopher A Czaja, Pamela Fricke, Shea C McGrath, Janell Nichols, Lauren Biehle","doi":"10.1016/j.ajic.2025.01.023","DOIUrl":"10.1016/j.ajic.2025.01.023","url":null,"abstract":"<p><p>We developed a tool to evaluate antibiotic stewardship in outpatient hemodialysis infection prevention and control assessments, based on the Centers for Disease Control and Prevention's Core Elements of Outpatient antibiotic stewardship. Of facilities assessed (n=12), the average score was 79% (range 44%-100%) for implementation of the Core Elements. Tracking and reporting had the highest engagement (94.1%) and education had the lowest (58.3%). By leveraging hemodialysis-specific tools, infection preventionists can assess antibiotic use and provide actionable feedback.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363470","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}
Kirsi Terho, Eliisa Löyttyniemi, Esa Rintala, Sanna Salanterä
{"title":"Infection prevention knowledge related to central line infections and ventilator-associated pneumonias: A survey of Finnish intensive care units.","authors":"Kirsi Terho, Eliisa Löyttyniemi, Esa Rintala, Sanna Salanterä","doi":"10.1016/j.ajic.2025.01.021","DOIUrl":"10.1016/j.ajic.2025.01.021","url":null,"abstract":"<p><strong>Background: </strong>Health care-associated infections pose a significant risk for the patients in intensive care due to the use of medical instrumentation required for care.</p><p><strong>Methods: </strong>We conducted a cross-sectional, nationwide survey on awareness of recommended infection prevention practices involving central venous catheters and invasive ventilators in intensive care units.</p><p><strong>Results: </strong>A total of 810 (50% of those surveyed) nurses and physicians participated in the survey. We found that 8% of the respondents had good knowledge of infection prevention in central venous care, while 24% had good knowledge of ventilator-associated pneumonia prevention practices.</p><p><strong>Discussion: </strong>The overall level of knowledge measured with this nationwide survey was suboptimal. The level varied between units, and depending on individual questions for particular professions. The displayed knowledge may have partially been based on tradition rather than on up-to-date evidence-based guidelines.</p><p><strong>Conclusions: </strong>Educational training in evidence-based infection prevention is needed for practical implementation to be improved.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143254458","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}
Weihua Yang PhD , Warren Myers PhD , Mike Bergman , Edward Fisher , Kenneth J. Ryan PhD , Brooke Vollmer , Lee Portnoff , Ziqing Zhuang PhD
{"title":"Total outward leakage of face-worn products used by the general public for source control","authors":"Weihua Yang PhD , Warren Myers PhD , Mike Bergman , Edward Fisher , Kenneth J. Ryan PhD , Brooke Vollmer , Lee Portnoff , Ziqing Zhuang PhD","doi":"10.1016/j.ajic.2024.09.020","DOIUrl":"10.1016/j.ajic.2024.09.020","url":null,"abstract":"<div><h3>Background</h3><div>During Coronavirus disease 2019 pandemic, the general public used any face-worn products they could get to overcome the shortage of N95 respirators and surgical masks. These products, often not meeting any standards, raised concerns about their effectiveness in reducing the spread of respiratory viruses.</div></div><div><h3>Methods</h3><div>This study quantified total outward leakage (TOL) of units from 9 face-worn product categories used by members of the general public. A benchtop system was devised to test 2 units from each category on 2 different-sized headforms with silicone elastomer skin. Each unit was donned 5 times per headform.</div></div><div><h3>Results</h3><div>Both face-worn product category and headform size significantly affected TOL (<span><math><mi>P</mi></math></span> value < .05). The TOL of tested face-worn products varied from 10% to 58% depending on both model and headform size. Face-worn products donned on the medium headform had a higher mean TOL compared to those donned on the larger headform.</div></div><div><h3>Conclusions</h3><div>Overall, single-layer cloth masks are the least effective measure for source control due to their highest TOL among the tested face-worn products. Three-layer disposable face masks may be a favorable option for source control among the public. A standard should be developed for face-worn product design and manufacturing to accommodate different facial sizes.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 2","pages":"Pages 239-244"},"PeriodicalIF":3.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142339278","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 MSN , JaHyun Kang PhD, MPH","doi":"10.1016/j.ajic.2024.09.022","DOIUrl":"10.1016/j.ajic.2024.09.022","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>Among 17, 15 nurses (88.2%) participated and completed the surveys. About 80% were female, and the panel had an average working experience of 14.2<!--> <!-->years 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.</div></div><div><h3>Conclusions</h3><div>ICU nurses’ ICNC can be understood based on this study’s results, and further research can be designed to improve this competency.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 2","pages":"Pages 203-209"},"PeriodicalIF":3.8,"publicationDate":"2025-02-01","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":"Some comments on the efficiency and simulation of Thailand's Chiang Mai University model for COVID-19 mass vaccination hub","authors":"Salvatore Chirumbolo PhD , Umberto Tirelli MD","doi":"10.1016/j.ajic.2024.10.028","DOIUrl":"10.1016/j.ajic.2024.10.028","url":null,"abstract":"","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 2","pages":"Pages 279-280"},"PeriodicalIF":3.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998640","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(24)00913-1","DOIUrl":"10.1016/S0196-6553(24)00913-1","url":null,"abstract":"","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 2","pages":"Page A8"},"PeriodicalIF":3.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143128446","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}
Rebecca Choudhury MD , Jordan Ehni CIC, MPH , Waleed Javaid MD, FACP, FIDSA, FSHEA , Mateen Jangda BS , Itay Rabinovitz MD , Nikita Ekhelikar MD , Bernard C. Camins MD, MSc
{"title":"The epidemiology of midline-associated bloodstream infections in an urban health care system","authors":"Rebecca Choudhury MD , Jordan Ehni CIC, MPH , Waleed Javaid MD, FACP, FIDSA, FSHEA , Mateen Jangda BS , Itay Rabinovitz MD , Nikita Ekhelikar MD , Bernard C. Camins MD, MSc","doi":"10.1016/j.ajic.2024.10.037","DOIUrl":"10.1016/j.ajic.2024.10.037","url":null,"abstract":"<div><div>This study sought to determine the incidence and characteristics of midline-associated bloodstream infections (MABSI) at an urban health system during the COVID-19 pandemic. A MABSI rate similar to the central line-associated bloodstream infection rate was found. A large number of MABSI were caused by <em>Staphylococcus</em> spp and <em>Enterococcus</em> spp, as has previously been reported for central line-associated bloodstream infection. Patients with MABSI had high in-hospital mortality rates.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 2","pages":"Pages 274-276"},"PeriodicalIF":3.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142611773","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}