American journal of infection control最新文献_第7页

Latent profiles in herpes zoster vaccine hesitancy among middle-aged and elderly adults: A cross-sectional study in Shanghai, China. 中国上海中老年人群带状疱疹疫苗犹豫的潜在特征：一项横断面研究

IF 2.4 3区医学

American journal of infection control Pub Date : 2025-08-12 DOI: 10.1016/j.ajic.2025.08.004

Xiaolong Wang, Shuhui Shang, Enming Zhang, Tianle Zou, Yuan Li, Zhuoying Huang, Qiong Fang

{"title":"Latent profiles in herpes zoster vaccine hesitancy among middle-aged and elderly adults: A cross-sectional study in Shanghai, China.","authors":"Xiaolong Wang, Shuhui Shang, Enming Zhang, Tianle Zou, Yuan Li, Zhuoying Huang, Qiong Fang","doi":"10.1016/j.ajic.2025.08.004","DOIUrl":"10.1016/j.ajic.2025.08.004","url":null,"abstract":"Background: Herpes zoster (HZ) poses health risks for adults aged ≥ 50. Despite vaccine effectiveness, uptake remains low due to hesitancy. This study explored heterogeneity in HZ vaccine hesitancy using latent profile analysis (LPA), guided by the 5C model.Methods: A cross-sectional survey of 833 adults aged ≥ 50 was conducted in Shanghai (March-September 2024) using stratified cluster sampling. Data included sociodemographics, psychological antecedents (Chinese 5C scale: Confidence, Complacency, Constraints, Calculation, Collective Responsibility), vaccine literacy, and information-seeking behavior. LPA was performed using Mplus 8.3; model fit assessed via Akaike information criterion, Bayesian information criterion, entropy, and likelihood ratio test. Group comparisons used χ² tests and logistic regression (SPSS 28.0).Results: Two profiles emerged (1) Prudent Observers (37.9%)-low confidence and collective responsibility, high chronic disease prevalence (72.5%), lower education, and only 1.9% vaccinated. (2) Proactive Advocates (62.1%)-high confidence, collective responsibility, higher income, and education. Only 34% had encountered HZ vaccine information, mostly regarding safety and side effects; sources were mainly social networks and media.Conclusions: The study revealed the multidimensions of HZ vaccine hesitancy, highlighting the critical role of confidence, collective responsibility, and tailored health communication. The identified profiles underscored the need for differentiated interventions, targeted education for Prudent Observers and reinforcement of social norms for Proactive Advocates.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144854253","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

Acceptability of proposed stewardship interventions to reduce preoperative screening and treatment of asymptomatic bacteriuria. 建议管理干预减少术前筛查和治疗无症状细菌尿的可接受性。

IF 2.4 3区医学

American journal of infection control Pub Date : 2025-08-11 DOI: 10.1016/j.ajic.2025.08.005

Kimberly C Dukes, Kalpana Gupta, Julia Friberg Walhof, Madisen E Brown, Judith Strymish, Dan Suh, William J O'Brien, Jeffrey Chan, Brice Beck, Vanessa Au, Heather Schacht Reisinger, Marin L Schweizer

{"title":"Acceptability of proposed stewardship interventions to reduce preoperative screening and treatment of asymptomatic bacteriuria.","authors":"Kimberly C Dukes, Kalpana Gupta, Julia Friberg Walhof, Madisen E Brown, Judith Strymish, Dan Suh, William J O'Brien, Jeffrey Chan, Brice Beck, Vanessa Au, Heather Schacht Reisinger, Marin L Schweizer","doi":"10.1016/j.ajic.2025.08.005","DOIUrl":"10.1016/j.ajic.2025.08.005","url":null,"abstract":"Background: The Infectious Diseases Society of America Clinical Practice guidelines do not recommend screening patients for asymptomatic bacteriuria (ASB) before nonurological surgeries.Methods: We conducted semistructured interviews at 5 Veterans Affairs hospitals about the acceptability of 4 prospectively identified potential interventions to deimplement routine preoperative urine testing for ASB: substitution of another infection prevention intervention, laboratory restrictions on ordering urine tests, audit and feedback on guideline concordance, and interactive workshops. We coded responses as acceptable, not acceptable, or possibly acceptable and noted recommendations for modifications.Results: We interviewed 35 clinicians. Clinicians expressed concerns about deimplementing routine urine testing for specific procedures and specialties. Some actively sought to identify and treat ASB. Interviewees found audit and feedback and substitution of different infection control practices most acceptable. Interviewees suggested changes to make interventions more acceptable or feasible and identified new potential interventions.Discussion: Understanding clinical decision-making about preoperative urine screening and treatment can help design effective interventions to facilitate guideline concordance and support antibiotic stewardship.Conclusions: Interventions to optimize preoperative urine screening and treatment may require tailoring for surgical specialties and should address clinical concerns about intervention feasibility. Developing a suite of interventions could allow sites to choose intervention(s) that would work for them.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144844017","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

Assessment of air infectious contamination during wound care in a burn intensive care unit using shotgun metagenomics. 使用散弹枪宏基因组学评估烧伤重症监护病房伤口护理期间空气感染性污染。

IF 2.4 3区医学

American journal of infection control Pub Date : 2025-08-08 DOI: 10.1016/j.ajic.2025.08.003

Guillaume Mellon, Nadia Mahjoub, Emmanuel Dudoignon, François Dépret, Audrey Gabassi, Nathalie Osinski, Maurice Mimoun, Séverine Mercier-Delarue, Benoit Plaud, Théo Ghelfenstein-Ferreira, François Caméléna, Jérôme Le Goff, Maud Salmona

{"title":"Assessment of air infectious contamination during wound care in a burn intensive care unit using shotgun metagenomics.","authors":"Guillaume Mellon, Nadia Mahjoub, Emmanuel Dudoignon, François Dépret, Audrey Gabassi, Nathalie Osinski, Maurice Mimoun, Séverine Mercier-Delarue, Benoit Plaud, Théo Ghelfenstein-Ferreira, François Caméléna, Jérôme Le Goff, Maud Salmona","doi":"10.1016/j.ajic.2025.08.003","DOIUrl":"10.1016/j.ajic.2025.08.003","url":null,"abstract":"Background: Airborne microbial contamination in burn intensive care units (BICUs) poses a significant risk to immunocompromised patients. Wound care procedures, including dressing removal, may contribute to the aerosolization of pathogens and antimicrobial resistance genes. This study employs clinical metagenomics to analyze the microbial composition of air during wound care in a BICU.Methods: Air and skin samples were collected over 3 days from a BICU patient with extensive burns (70% total body surface area). Air sampling was performed using 3 high-efficiency aerosol samplers. Microbial analysis included multiplex PCR for respiratory and herpes viruses, bacterial and fungal cultures, and metagenomic sequencing for taxonomic and resistome profiling.Results: HSV-1 DNA was detected in air samples on days when dressing removal occurred, with the highest viral loads observed during intensive wound care. Bacterial diversity and antibiotic resistance gene prevalence were also highest on these days, with Enterobacterales and Micrococcales dominating the bacterial profile. Candida albicans was detected in skin cultures but not in air samples, likely due to its reduced airborne persistence.Conclusions: This study demonstrates the significant impact of wound care on airborne microbial contamination in BICUs. Clinical metagenomics provides an advanced culture-independent approach to assess aerobiological risks, supporting improved infection control strategies in health care settings.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144815575","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

Time-series analysis of the 2013 to 2024 detection rate of carbapenem-resistant Klebsiella pneumoniae in a tertiary hospital. 某三级医院2013-2024年耐碳青霉烯类肺炎克雷伯菌检出率时间序列分析

IF 2.4 3区医学

American journal of infection control Pub Date : 2025-08-06 DOI: 10.1016/j.ajic.2025.08.002

Bing Zhang, Lei Li, Yi-Ping Mao

{"title":"Time-series analysis of the 2013 to 2024 detection rate of carbapenem-resistant Klebsiella pneumoniae in a tertiary hospital.","authors":"Bing Zhang, Lei Li, Yi-Ping Mao","doi":"10.1016/j.ajic.2025.08.002","DOIUrl":"10.1016/j.ajic.2025.08.002","url":null,"abstract":"Background: The detection rate of carbapenem-resistant Klebsiella pneumoniae (CRKP) is on a rapid rise. The seasonal autoregressive integrated moving average (SARIMA) model is extensively employed in predicting the infectious diseases incidence. We hypothesized CRKP detection rates showed seasonal patterns.Methods: Data on the annual and monthly detection rates of CRKP for all inpatients in the affiliated hospital of Xuzhou Medical University from 2013 to 2024 were collected retrospectively. Annual data were used to identify the annual trends in CRKP detection rates. Monthly data from 2013 to 2023 were used as the training set to establish the SARIMA model, and monthly data from 2024 were used for testing to evaluate the model's predictive performance.Results: CRKP had an annual detection rate of 32% on average, with a linear decrease during the COVID-19 pandemic (2020-2022) (χ2= 44.652, P < .001). The time-series of monthly CRKP detection rates displayed long-term fluctuations and seasonal patterns, with the SARIMA (0,1,1)(0,1,1)12 model providing the best fit (BIC = 4.504, stationary R² = 0.371), and showing a reasonable prediction accuracy (MAPE = 29.26%). High-incidence periods for CRKP were observed in January, February, and May of each year.Conclusions: The SARIMA model holds value in CRKP detection rate prediction, but the prediction performance needs to be improved.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144803203","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

Susceptibility profile of Acinetobacter baumannii and Pseudomonas aeruginosa isolated from hospitalized patients: Retrospective study and pharmacokinetic/pharmacodynamic modeling of antibiotic therapy. 住院患者分离的鲍曼不动杆菌和铜绿假单胞菌的敏感性分析：回顾性研究和抗生素治疗的药代动力学/药效学模型。

IF 2.4 3区医学

American journal of infection control Pub Date : 2025-08-06 DOI: 10.1016/j.ajic.2025.08.001

Bruna Ribeiro Duque, Izabell Maria Martins Teixeira, Natasha Maria Lima Pinheiro, Mac Dionys Rodrigues da Costa, Cauan Farias Ananias, Hugo Leonardo Pereira Filho, Amanda Costa Lobo, Maria do Carmo Soares de Azevedo Tavares, Gleiciane Moreira Dantas, André Jhonathan Dantas, Ila Fernanda Nunes Lima, Paulo César Pereira de Sousa, Tiago Lima Sampaio

{"title":"Susceptibility profile of Acinetobacter baumannii and Pseudomonas aeruginosa isolated from hospitalized patients: Retrospective study and pharmacokinetic/pharmacodynamic modeling of antibiotic therapy.","authors":"Bruna Ribeiro Duque, Izabell Maria Martins Teixeira, Natasha Maria Lima Pinheiro, Mac Dionys Rodrigues da Costa, Cauan Farias Ananias, Hugo Leonardo Pereira Filho, Amanda Costa Lobo, Maria do Carmo Soares de Azevedo Tavares, Gleiciane Moreira Dantas, André Jhonathan Dantas, Ila Fernanda Nunes Lima, Paulo César Pereira de Sousa, Tiago Lima Sampaio","doi":"10.1016/j.ajic.2025.08.001","DOIUrl":"10.1016/j.ajic.2025.08.001","url":null,"abstract":"Background: Acinetobacter baumannii and Pseudomonas aeruginosa stand out for their resistance to last-line antibiotics. This study aims to assess the outcome and the susceptibility profile and to verify the therapeutic regimens by pharmacokinetic/pharmacodynamic modeling.Methods: A retrospective study involved clinical variables and antibiotic use of 121 patients attended from January to December 2023. Monte Carlo simulations were applied to simulate pharmacokinetics and pharmacodynamics of β-lactam antibiotics.Results: A baumannii (n = 39) was associated with higher mortality (76.9%) and identified as a predictor for death (P = .006). Infections detected in tracheal aspirates (n = 65) increased chances of death (P = .014), as hospitalization in intensive care unit (n = 60) (P = .002). Among the isolates, 49.6% showed antimicrobial resistance, being a predictive factor for death (P = .034). No β-lactam antibiotic reached the ideal cumulative response fraction.Discussion: Monte Carlo simulations showed that current regimens have limited efficacy for the observed resistance profile. The failure of therapeutic regimens to be effective reflects the urgent need to re-evaluate hospital protocols and strategies to contain antimicrobial resistance.Conclusions: A baumannii infections were associated with intensive care and ventilator-associated pneumonia, as well as high resistance to carbapenems.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144803202","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

Rethinking sterility in surgical hand-drying: Evidence-based, cost-efficient, and globally scalable practice. 重新思考无菌手术手干燥：循证，成本效益和全球可扩展的做法。

IF 2.4 3区医学

American journal of infection control Pub Date : 2025-08-05 DOI: 10.1016/j.ajic.2025.07.014

Schawanya Kaewpitoon Rattanapitoon, Natthawut Charoenphon, Khristine Laguador Sandoval, Nathkapach Kaewpitoon Rattanapitoon

引用次数: 0

Health care-associated infections in neonatal intensive care units in public hospitals, South Ethiopia: Incidence, risk factors, and outcomes during 2017-2022. 南埃塞俄比亚公立医院新生儿重症监护病房的医疗保健相关感染：2017-2022年期间的发病率、风险因素和结果

IF 2.4 3区医学

American journal of infection control Pub Date : 2025-07-31 DOI: 10.1016/j.ajic.2025.07.012

Yusuf Haji, Achamyelesh Gebretsadik, Mark Spigt, Eefje de Bont

{"title":"Health care-associated infections in neonatal intensive care units in public hospitals, South Ethiopia: Incidence, risk factors, and outcomes during 2017-2022.","authors":"Yusuf Haji, Achamyelesh Gebretsadik, Mark Spigt, Eefje de Bont","doi":"10.1016/j.ajic.2025.07.012","DOIUrl":"10.1016/j.ajic.2025.07.012","url":null,"abstract":"Background: The extent of hospital-associated infections (HAIs) in low-income settings remains largely unknown and underestimated. Our aim is to describe the burden of HAIs associated with hospitalization in neonatal intensive care units (NICUs) in Sidama Region, Ethiopia.Methods: We performed a retrospective cohort study at the NICUs of 4 purposely selected public hospitals among 5,216 neonates admitted over a 5-year period (2017-2022). Neonatal surveillance registers were reviewed and patients' characteristics, HAIs incidence, risk factors, and outcomes of infections were recorded. Bayesian logistic regression analyses were used to control potential confounders.Results: Among 5,216 neonates (52,514 observed patient-days), 2,079 cases of HAI were observed (40%), equivalent to 39.59 per 1,000 patient-days. The neonatal mortality rate was 105 deaths per 1,000 live births. Over the 5-year period, the infection rate decreased overall. Risk factors for HAIs were hospital type, place of delivery, antibiotic treatment, and low-birth-weight babies 2,000 to < 2,500 g.Conclusions: We found a high incidence of HAIs in NICUs, and HAIs-related deaths were unexpectedly high. Hospital type, place of birth, birth weight, and inappropriate use of antibiotic treatment were risk factors for HAIs. Emphasis should be given to reduce inappropriate antibiotic use and focus on risk factors.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144768286","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

Resources, implementation, and performance of hand hygiene practices and their impact on hospital care: A multicenter cross-sectional survey in Greece. 资源、实施和手部卫生实践的表现及其对医院护理的影响：希腊的多中心横断面调查。

IF 2.4 3区医学

American journal of infection control Pub Date : 2025-07-31 DOI: 10.1016/j.ajic.2025.07.013

Eirini Astrinaki, Evangelos I Kritsotakis, Efsevia Vitsaxaki, Stamatina Saplamidou, Panagiotis Skevakis, Emmanouil Bolikas, Despoina Christofaki, Apostolia Salvaraki, Christos Kleovoulou, Styliani Papathanasaki, Chrisanthi Markopoulou, Evagelia Magouli, Diamantis Kofteridis, Petros Ioannou

{"title":"Resources, implementation, and performance of hand hygiene practices and their impact on hospital care: A multicenter cross-sectional survey in Greece.","authors":"Eirini Astrinaki, Evangelos I Kritsotakis, Efsevia Vitsaxaki, Stamatina Saplamidou, Panagiotis Skevakis, Emmanouil Bolikas, Despoina Christofaki, Apostolia Salvaraki, Christos Kleovoulou, Styliani Papathanasaki, Chrisanthi Markopoulou, Evagelia Magouli, Diamantis Kofteridis, Petros Ioannou","doi":"10.1016/j.ajic.2025.07.013","DOIUrl":"10.1016/j.ajic.2025.07.013","url":null,"abstract":"Background: Limited data exist on hand hygiene practices in Greek hospitals. This study assessed hand hygiene resources, implementation, and compliance in 8 public hospitals and their impact on health care-associated bloodstream infections (BSIs).Methods: The World Health Organization's \"Ward Infrastructure Survey,\" \"Hand Hygiene Self-Assessment Framework\" (HHSAF), and the \"5 Moments\" concept were employed. Hand hygiene indicators and BSI rates were assessed using Poisson regression.Results: Handwashing facilities were provided in 87% of patient room toilets. Νearly, all sinks (96%) had soap, but disposable paper towels availability was 51%. Alcohol-based hand rub (ABHR) availability at the point of care was 41.8%. Hospitals scored at the \"Basic\" (n = 5, 62%) or \"Inadequate\" (n = 3, 38%) hand hygiene implementation level with a mean HHSAF score of 140. Compliance was 58.8% (95% CI: 56.9%-60.6%) in 1 surveyed tertiary hospital but only 9.8% (95% CI: 8.7%-11%) in 1 secondary. BSI rates in the wards were higher with higher ABHR availability (incidence rate ratio 1.09 per 10% increase in ABHR, P = .002) and when powdered gloves were not used (incidence rate ratio 2.09, P < .001).Conclusions: Significant hand hygiene compliance discrepancies and ineffective implementation strategies within surveyed hospitals were determined. Improving hand hygiene infrastructure, education, and feedback could foster current scores.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144768287","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

The INTERACT study: Infection prevention and surveillance practice in the care of the Australasian cancer and transplant population. INTERACT研究-澳大利亚癌症和移植人群护理中的感染预防和监测实践。

IF 2.4 3区医学

American journal of infection control Pub Date : 2025-07-30 DOI: 10.1016/j.ajic.2025.07.008

P Garg, K Y Yong, O Smibert, M K Yong, A Khanina, M A Slavin, L Hall, L J Worth

{"title":"The INTERACT study: Infection prevention and surveillance practice in the care of the Australasian cancer and transplant population.","authors":"P Garg, K Y Yong, O Smibert, M K Yong, A Khanina, M A Slavin, L Hall, L J Worth","doi":"10.1016/j.ajic.2025.07.008","DOIUrl":"10.1016/j.ajic.2025.07.008","url":null,"abstract":"Background: Australasian cancer and transplant populations are expanding, with increased infection risk related to prolonged survivorship and broader use of novel immunosuppressants. To optimise care, standardised approaches to infection prevention and control (IPC) practices and surveillance for the high-risk immunocompromised host (ICH) are required in Australasian healthcare facilities (HCFs). We sought to evaluate current practices to inform future policy.Methods: A cross-sectional survey was conducted among infectious disease (ID), microbiology, and IPC specialists caring for the high-risk ICH in Australasian HCFs.Results: 140 healthcare-workers from all Australian jurisdictions and New Zealand responded, primarily employed within public (95.7%), non-specialist (77.9%) HCFs. Healthcare-associated infection (HAI) surveillance was common (75.7%) however monitoring for opportunistic infections (OIs) infrequent (22.9%). Although 51.4% reported a staff mask-wearing mandate on ICH wards, there was limited consensus on appropriate clinical setting for use, or application of other personal protective equipment (PPE). Strategies for multidrug-resistant organism (MDRO) screening were heterogeneous. Challenges to ICH-IPC including lack of infrastructure and ICH-adapted policy were identified.Conclusions: This is the first survey of IPC/surveillance practice in the care of the Australasian cancer/transplant population, demonstrating multiple areas of variation including PPE use and approach to MDRO surveillance. Practice standardisation will help optimise clinical care and reduce preventable infection.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144764374","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

Single-site sampling strategy versus multisite sampling strategy in blood culture collection within the hospital setting: A systematic review 单点采样策略与多点采样策略在医院血液培养收集：一个系统的回顾。

IF 2.4 3区医学

American journal of infection control Pub Date : 2025-07-30 DOI: 10.1016/j.ajic.2025.07.010

Anniella Vashti MD, RN, Judy Mullan PhD, FSHPA, BS, BPharm, GAICD, Michael Nitzberg FACEM, FACEP

{"title":"Single-site sampling strategy versus multisite sampling strategy in blood culture collection within the hospital setting: A systematic review","authors":"Anniella Vashti MD, RN, Judy Mullan PhD, FSHPA, BS, BPharm, GAICD, Michael Nitzberg FACEM, FACEP","doi":"10.1016/j.ajic.2025.07.010","DOIUrl":"10.1016/j.ajic.2025.07.010","url":null,"abstract":"<div><h3>Background</h3><div>Many global infectious disease and sepsis guidelines suggest a multisite sampling (MSS) strategy of blood cultures to diagnose bloodstream infections, however, single-site sampling (SSS) may be a viable alternative. This systematic review aims to identify the current state of literature comparing SSS to MSS.</div></div><div><h3>Methods</h3><div>MEDLINE, CINAHL, Pubmed, Web of Science, Scopus, and Google Scholar were searched from inception to August 2023. Studies comparing SSS and MSS in hospital settings among adult patients were included. Key outcomes being compared were bacteremia detection, contamination rates, and volume of sample collected.</div></div><div><h3>Results</h3><div>Seven studies met the inclusion criteria and were selected, with a total of 18,901 participants and 24,955 blood culture samples. Despite differences in collection methods, 5 out of 7 studies highlighted that increased blood volume using the SSS technique improves pathogen detection and lowers contamination rates. The studies evaluated were of variable quality with potential bias.</div></div><div><h3>Conclusions</h3><div>This systematic review demonstrates that the SSS technique for blood culture collection provides similar, if not improved, rates of bacteremia detection without increased contamination. We recommend that the above evidence is considered in future guideline publications.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 10","pages":"Pages 1113-1120"},"PeriodicalIF":2.4,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144764373","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