American journal of infection control最新文献_第6页

Drastic hourly changes in hand hygiene workload and performance rates: A multicenter time series analysis. 手卫生工作量和执行率每小时的急剧变化：多中心时间序列分析。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-09-05 DOI: 10.1016/j.ajic.2024.08.026

Lori D Moore, James W Arbogast, Greg Robbins, Megan DiGiorgio, Albert E Parker

{"title":"Drastic hourly changes in hand hygiene workload and performance rates: A multicenter time series analysis.","authors":"Lori D Moore, James W Arbogast, Greg Robbins, Megan DiGiorgio, Albert E Parker","doi":"10.1016/j.ajic.2024.08.026","DOIUrl":"10.1016/j.ajic.2024.08.026","url":null,"abstract":"Background: High hand hygiene (HH) workload is a commonly cited barrier to optimal HH performance. The objective of this study was to assess trends of HH workload as defined by HH opportunities (HHO) and performance rates over different timescales using automated HH monitoring system data.Methods: This multiyear retrospective observational study was conducted in 58 inpatient units located in 10 North American hospitals. HHO and HH rates were analyzed by time series mixed effects general additive model.Results: Median HH rates peaked at 50.0 between 6 and 7 AM with a trough of 38.2 at 5 PM. HHO over hours in a day were the highest at 184 per hospital unit per hour at 10 AM with a trough of 49.0 between 2 and 3 AM. Median rates for day and night shifts were 40.8 and 45.5, respectively (P = .078). Weekend day shift had the lowest median rate (39.4) compared with any other 12-hour shift (P < .1018). The median rates and HHO varied little across days in a week and months.Conclusions: HH workload and performance rates were negatively correlated and changed drastically over hours in a day. Hospitals should consider HH workload in the development and timely delivery of improvement interventions.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142144952","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

Impact of introducing external urinary devices on reducing indwelling urinary catheter days: A quality improvement initiative at a midwestern academic medical center. 引入体外排尿设备对减少留置导尿管天数的影响 - 中西部学术医疗中心的质量改进计划。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-09-02 DOI: 10.1016/j.ajic.2024.08.023

Kelly Poch, Alexandra Trannel, Nicole Wiltfang, Elizabeth Krigbaum, Oluchi Abosi, Takaaki Kobayashi, Karen Brust

引用次数: 0

Five-year VIM-producing Pseudomonas aeruginosa outbreak in four Belgian ICUs, an investigation report (2019-2023). 比利时四家重症监护室五年来暴发的产VIM铜绿假单胞菌疫情，调查报告（2019-2023年）。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-08-31 DOI: 10.1016/j.ajic.2024.08.022

Marco Moretti, Robin Vanstokstraeten, Florence Crombé, Kurt Barbé, Ingrid Wybo, Sabine D Allard, Joop Jonckheer, Deborah De Geyter

{"title":"Five-year VIM-producing Pseudomonas aeruginosa outbreak in four Belgian ICUs, an investigation report (2019-2023).","authors":"Marco Moretti, Robin Vanstokstraeten, Florence Crombé, Kurt Barbé, Ingrid Wybo, Sabine D Allard, Joop Jonckheer, Deborah De Geyter","doi":"10.1016/j.ajic.2024.08.022","DOIUrl":"10.1016/j.ajic.2024.08.022","url":null,"abstract":"Background: Verona integron-encoded metallo-β-lactamase-producing Pseudomonas aeruginosa (VIM-PA) outbreaks are frequently linked to contaminated sink-drains in the intensive care unit (ICU). This study aims to investigate a VIM-PA outbreak occurring at 4 ICUs in a Belgian university center.Methods: Between 01/01/2019 and 30/07/2023, data were retrospectively retrieved. Whole-genome sequencing of VIM-PA was carried out for available isolates and the core genome multilocus sequencing typing (cgMLST) was used to confirm clonality. New case incidence was estimated by analyzing the weekly data of at-risk and VIM-PA-colonized patients, fitting a regression model.Results: Fifty-one patients were colonized, among them, 32 (63%) were infected by VIM-PA, which contributed to 7 deaths. The outbreak investigation showed that 19 (47%) of the examined sink-drains grew at least once a VIM-PA. Two major clusters were observed by cgMLST: ST111 (59 clones with 40 clinical isolates), and ST17 (8 clones with 6 clinical isolates). The estimated incidence rate of new cases was significantly higher in one unit.Conclusions: A 5-year prolonged outbreak at the UZ Brussel ICUs was caused by only 2 VIM-PA clones, both linked to sink-drains, with minimal mutations occurring throughout the years. Statistical modeling found different incidence rates between units. Tailored interventions were hence prioritized.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103545","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

"Don't touch your face"---Effectiveness of a health communication intervention on reducing face-touching behaviors. "不要摸脸"--健康传播干预对减少摸脸行为的效果。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-08-28 DOI: 10.1016/j.ajic.2024.08.021

Weijia Shi, Michael Mackert, Deena Kemp, Andy J King, Yan Liu, Mike Henson-García, Jiahua Yang, Lindsay M Bouchacourt, Alison G Cahill

{"title":"\"Don't touch your face\"---Effectiveness of a health communication intervention on reducing face-touching behaviors.","authors":"Weijia Shi, Michael Mackert, Deena Kemp, Andy J King, Yan Liu, Mike Henson-García, Jiahua Yang, Lindsay M Bouchacourt, Alison G Cahill","doi":"10.1016/j.ajic.2024.08.021","DOIUrl":"10.1016/j.ajic.2024.08.021","url":null,"abstract":"Background: Given the risk of infection through face-touching behaviors, investigators have called for more research into the development of interventions to reduce the frequency of face-touching. The current study aims to test the effectiveness of messages on reducing face-touching behaviors.Methods: Nine different messages that highlighted the risk of face-touching were developed. Study 1, an online survey-experiment with a national sample of US adults (N = 998), examined message-, risk perceptions, and face-touching-related behavioral intentions. The most promising messages identified in study 1 were then tested in study 2, a follow-up behavioral observation study with a class of undergraduate students. Students' face-touching behaviors were observed during a 4-week period when intervention versus control messages were displayed in the classroom.Results: Four messages performed better in study 1, 2 of which were selected to test the actual message effectiveness in study 2. Study 2 results showed that on average, students touched their faces less frequently when a \"Don't touch your face\" message was present, although such decrease was not statistically significant.Conclusions: Having reminder messages of \"Don't touch your face\" in public spaces hold the potential to be a low-cost, effective strategy to reduce face-touching behaviors.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103544","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

Retrospective, propensity score--matched study examining the relationship between frailty and Clostridioides difficile infection in a national cohort of US veterans. 在美国退伍军人全国队列中开展倾向得分匹配回顾性研究，探讨虚弱与艰难梭菌感染之间的关系。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-08-26 DOI: 10.1016/j.ajic.2024.08.020

Kelly R Reveles, Kelsey A Strey, Esther L Albuquerque, Damaris Jacota, Xavier Jones, Joseph J Carreno

{"title":"Retrospective, propensity score--matched study examining the relationship between frailty and Clostridioides difficile infection in a national cohort of US veterans.","authors":"Kelly R Reveles, Kelsey A Strey, Esther L Albuquerque, Damaris Jacota, Xavier Jones, Joseph J Carreno","doi":"10.1016/j.ajic.2024.08.020","DOIUrl":"10.1016/j.ajic.2024.08.020","url":null,"abstract":"Background: Frailty is often more predictive of disease and mortality compared with chronological age. This study determined the impact of frailty on Clostridioides difficile infection (CDI) risk and outcomes in a national veteran population.Methods: This was a retrospective cohort study of CDI and control veteran inpatients and outpatients from fiscal year 2003 to 2018. Baseline frailty was presented as the Veterans Affairs (VA) Frailty Index. Propensity score--matched analyses were conducted to compare CDI risk, CDI health outcomes, and 1-year new-onset frailty-associated conditions.Results: A total of 11,451 CDI and 11,451 matched control patients were included. Baseline frailty conditions were more common among CDI patients, especially involuntary weight loss (6.0% vs 3.4%, P < .001) and anemia (24.6% vs 18.7%, P < .001). VA Frailty Index was significantly higher for CDI patients (0.13 vs 0.11, P = .019). Frail CDI patients were more likely to experience 30-day mortality (11.3% vs 1.1%, P < .001) and 60-day CDI recurrence (20.4% vs 16.3%, P < .001) compared with non-/prefrail CDI patients. At 1year, CDI patients were significantly more likely to be categorized as frail (19.6% vs 17.0%, P < .001).Conclusions: This study demonstrated the potential association between frailty and CDI risk and health outcomes, as well as new-onset frailty diagnoses in patients who develop CDI.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142091397","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

Experiences when using different EHMR models: Implications for different designs and meeting user expectations. 使用不同 EHMR 模型的经验：不同设计和满足用户期望的意义。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-08-25 DOI: 10.1016/j.ajic.2024.08.019

Emily J Haas, Mihili Edirisooriya, Rohan Fernando, Caitlin McClain, Margaret Sietsema, Adam Hornbeck, Paul Thurman, Sara Angelilli, Hope Waltenbaugh, Sricharan Chalikonda, Stella E Hines

{"title":"Experiences when using different EHMR models: Implications for different designs and meeting user expectations.","authors":"Emily J Haas, Mihili Edirisooriya, Rohan Fernando, Caitlin McClain, Margaret Sietsema, Adam Hornbeck, Paul Thurman, Sara Angelilli, Hope Waltenbaugh, Sricharan Chalikonda, Stella E Hines","doi":"10.1016/j.ajic.2024.08.019","DOIUrl":"10.1016/j.ajic.2024.08.019","url":null,"abstract":"Background: New elastomeric half-mask respirator (EHMR) models without exhalation valves (EVs) or with exhalation valve filters (EVFs) are facilitating expanded use in health settings to reduce workers' exposure to airborne hazards while acting as source control to prevent pathogen spread. The physical comfort of new models has not been assessed in comparison to previously used EHMRs with EVs.Methods: Researchers assessed 1,962 health care and emergency medical service personnels' self-reported adverse experiences from 2 cohorts while wearing EHMR models with EVs (cohort 1, n = 1,080) and without EVs or with EVFs (cohort 2, n = 882). Fisher exact test identified differences between the cohorts accounting for organizational factors when possible.Results: Cohort 1 respondents experienced communication challenges and discomfort when wearing the EHMR > 1 hour statistically significantly more often than cohort 2. Cohort 2 respondents reported statistically significantly more instances of difficulty breathing, moisture buildup, being uncomfortable to wear < 1 hour, and being uncomfortably warm.Conclusions: Discomfort is prevalent among end users and more often among those wearing EHMRs without an EV/with an EVF. As EHMR research and development advances, prevalence in use may increase for emergency and routine situations. Organizations may not only need guidance about respirator selection but also model-specific selection.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142078888","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

Building statewide IP capacity in Maryland: A pilot program for talent recruitment and retention efforts. 马里兰州全州知识产权能力建设：人才招聘和保留工作试点计划》。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-08-24 DOI: 10.1016/j.ajic.2024.08.016

Carol McLay, Jamie Rubin, Daryl Hawkins, Bria Graham-Glover, Deanna Barker

引用次数: 0

A multilayered infection control intervention on carbapenem-resistant Acinetobacter baumannii acquisition: An interrupted time series. 针对耐碳青霉烯类鲍曼不动杆菌感染的多层次感染控制干预：间断时间序列。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-08-23 DOI: 10.1016/j.ajic.2024.08.018

Daniel Grupel, Abraham Borer, Riki Yosipovich, Ronit Nativ, Orli Sagi, Lisa Saidel-Odes

{"title":"A multilayered infection control intervention on carbapenem-resistant Acinetobacter baumannii acquisition: An interrupted time series.","authors":"Daniel Grupel, Abraham Borer, Riki Yosipovich, Ronit Nativ, Orli Sagi, Lisa Saidel-Odes","doi":"10.1016/j.ajic.2024.08.018","DOIUrl":"10.1016/j.ajic.2024.08.018","url":null,"abstract":"Background: Carbapenem-resistant Acinetobacter baumannii (CRAB) causes life-threating hospital-acquired. Due to a limited number of Intensive-Care-Unit (ICU) beds, these patients are often treated in high-dependency (HD) non-ICUs within internal-medicine wards (IMW) in Israel. We aimed to assess the effectiveness of a multilayered infection-control intervention on CRAB infection rate in IMWs, especially in its HD non-ICUs with ongoing CRAB transmission.Methods: A quasi-experimental, before-and-after, interrupted time-series study with control outcomes. We conducted a multilayered intervention over 3.5years, which included 4 phases: (1) Pre intervention; (2) Intervention introduction: introduced enhanced environment cleaning; (3) Intervention phase 1: introduced active surveillance; (4) Intervention phase 2: introduced CRAB-positive patient cohorting, in addition to previous ongoing measures taken.Results: CRAB was isolated from 204 patients aged 69.8y/o ± 15.86y, 59.8% male, 34.3% had CRAB-positive clinical samples. Mean hospital length-of-stay was 30.5days, with a 30-day postdischarge mortality rate of 55.9%. Mean CRAB clinical cases decreased from 0.89 in preintervention to 0.11 at the end of phase 2, with a change in slope and level after the intervention of P = .02 (CI: -0.204 to -0.040) and P = .004 (CI: -0.013 to -0.003), respectively.Conclusions: This intervention, including enhanced environment cleaning, active surveillance, and patient cohorting, successfully reduced CRAB acquisition in IMWs and their HD non-ICUs.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054665","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

Persistent methicillin-resistant Staphylococcus aureus (MRSA) nares test positivity during initial days of systemic antistaphylococcal antimicrobial therapy. 耐甲氧西林金黄色葡萄球菌 (MRSA) 纳氏试验在全身性抗葡萄球菌抗菌治疗初期的持续阳性反应。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-08-23 DOI: 10.1016/j.ajic.2024.08.014

Maximillian S Wu, Wesley Kufel, Scott Riddell, Jeff Steele, Elizabeth Asiago-Reddy

引用次数: 0

Infection preventionists' current and preferred training strategies and tools. 感染预防专家当前和首选的培训策略和工具。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-08-22 DOI: 10.1016/j.ajic.2024.08.015

Terri Rebmann, Charlesnika Evans, Ashley M Hughes, Rachel L Mazzara, Kaeli A Lugo, Jessica Waechter, Shay Drummond, Amanda Carnes, Abigail L Carlson, Janet Glowicz

{"title":"Infection preventionists' current and preferred training strategies and tools.","authors":"Terri Rebmann, Charlesnika Evans, Ashley M Hughes, Rachel L Mazzara, Kaeli A Lugo, Jessica Waechter, Shay Drummond, Amanda Carnes, Abigail L Carlson, Janet Glowicz","doi":"10.1016/j.ajic.2024.08.015","DOIUrl":"10.1016/j.ajic.2024.08.015","url":null,"abstract":"Background: Educating health care staff on infection prevention and control (IPC) is an essential role of infection preventionists (IPs), but the COVID-19 pandemic diverted resources away from IPC education.Methods: Association for Professionals in Infection Control and Epidemiology members were invited to complete an online survey from spring 2023 to assess current and preferred approaches and tools for training health care personnel on IPC. Vendors, retirees, APIC staff, or those not working in health care or public health were excluded.Results: In all, 2,432 IPs participated. IPs were more likely to report engaging in impromptu health care worker training (ie, just-in-time teaching and team huddles) versus planned educational activities (ie, learning modules, formal presentations, train-the-trainer, or simulation; Kruskal-Wallis = 288, P < .001). IPs' top preferred teaching methodologies included simulation or interactive activity, and their lowest preferred approach was independent learning modules. IPC training apps were frequently requested technology.Discussion: IPs ranked simulation as their top preferred teaching method; however, simulation was one of the least frequently used approaches. IP education should include strategies for delivering effective impromptu training and how to develop and implement interactive simulation-based education.Conclusions: The expressed needs and preferences of IPs should be considered when developing IPC-related teaching and training tools.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054666","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