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IF 3.8 3区医学

American journal of infection control Pub Date : 2025-02-01 DOI: 10.1016/S0196-6553(24)00914-3

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Response to some comments on the efficiency and simulation of Thailand's Chiang Mai University model for COVID-19 mass vaccination hub 对泰国清迈大学COVID-19大规模疫苗接种中心模型的效率和模拟的一些评论作出回应。

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-02-01 DOI: 10.1016/j.ajic.2024.11.003

Amornphat Kitro MD, MCTM , Danuphon Tippong PhD , Wachiranun Sirikul MD, MSc , Kriengkrai Srithanaviboonchai MD, MPH

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APIC Masthead

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-02-01 DOI: 10.1016/S0196-6553(24)00912-X

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Efficiency and simulation of Thailand’s Chiang Mai University Model for COVID-19 mass vaccination hub (CMU-MVH model) 泰国清迈大学 COVID-19 大规模疫苗接种中心模型（CMU-MVH 模型）的效率与模拟。

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-02-01 DOI: 10.1016/j.ajic.2024.10.005

Amornphat Kitro MD, MCTM , Danuphon Tippong PhD , Wachiranun Sirikul MD, MSc , Natthanaphop Isaradech MD , Apiradee Kosai RN , Pimprapas Saengoa RN , Jiraporn Thammasarot RN , Penprapa Siviroj DrPH , Chaiy Rungsiyakull PhD , Kriengkrai Srithanaviboonchai MD, MPH

{"title":"Efficiency and simulation of Thailand’s Chiang Mai University Model for COVID-19 mass vaccination hub (CMU-MVH model)","authors":"Amornphat Kitro MD, MCTM , Danuphon Tippong PhD , Wachiranun Sirikul MD, MSc , Natthanaphop Isaradech MD , Apiradee Kosai RN , Pimprapas Saengoa RN , Jiraporn Thammasarot RN , Penprapa Siviroj DrPH , Chaiy Rungsiyakull PhD , Kriengkrai Srithanaviboonchai MD, MPH","doi":"10.1016/j.ajic.2024.10.005","DOIUrl":"10.1016/j.ajic.2024.10.005","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>Data were derived from a coronavirus disease-19 mass vaccination hub 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.</div></div><div><h3>Results</h3><div>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 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%.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 2","pages":"Pages 245-253"},"PeriodicalIF":3.8,"publicationDate":"2025-02-01","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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An online educational resource to support infection prevention and control in schools: Results from a pilot study in Missouri 支持学校感染预防和控制的在线教育资源：密苏里州试点研究的结果。

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-02-01 DOI: 10.1016/j.ajic.2024.11.004

Janet Haas PhD, RN, CIC , Devin Jopp EdD, MS , Benjamen Pringer BS , India Rose PhD, MPH, CHES , Alyssa Contreras MPH , Sarah Conklin PhD , Chris Smith MHA

{"title":"An online educational resource to support infection prevention and control in schools: Results from a pilot study in Missouri","authors":"Janet Haas PhD, RN, CIC , Devin Jopp EdD, MS , Benjamen Pringer BS , India Rose PhD, MPH, CHES , Alyssa Contreras MPH , Sarah Conklin PhD , Chris Smith MHA","doi":"10.1016/j.ajic.2024.11.004","DOIUrl":"10.1016/j.ajic.2024.11.004","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic underscored the need to provide schools with support for implementing infection prevention and control (IPC) measures. The Missouri Department of Health and Senior Services engaged the Association for Professionals in Infection Control and Epidemiology to develop the IPC Toolkit for Missouri Schools to train school-based IPC teams.</div></div><div><h3>Methods</h3><div>A needs assessment was conducted with Missouri school staff and IPC professionals, among other partners. Once the IPC Toolkit was developed, 8 school districts were selected to participate in a pilot program. Pre-/post-surveys and qualitative interviews were conducted to evaluate participants’ experience with the IPC Toolkit.</div></div><div><h3>Results</h3><div>More than half of respondents to the presurvey reported that funding, clear guidance or guidelines, and training are needed to implement IPC practices more efficiently and effectively in schools. Participants in the pilot program agreed that the toolkit was engaging (98.94%), clear (100%), easy to navigate (97.87%), and supported learning (100%).</div></div><div><h3>Discussion</h3><div>The IPC Toolkit helped to increase self-reported knowledge about IPC practices, the confidence to implement IPC practices, the level of importance participants attributed to IPC, and the extent to which participants embraced IPC as a responsibility of their role.</div></div><div><h3>Conclusions</h3><div>This study could help inform the implementation of IPC educational materials for other elementary, middle, and high schools.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 2","pages":"Pages 196-202"},"PeriodicalIF":3.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142783940","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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Seasonality of surgical site infection rates across a broad surgical sample and diverse health system

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-01-30 DOI: 10.1016/j.ajic.2025.01.018

Tochi Anioke BS , Yizhou Fei MS , Christina M. Stuart MD , Kathryn L. Colborn PhD, MSPH , Garrett L. Healy BA , Adam R. Dyas MD , Michael R. Bronsert PhD, MS , William G. Henderson PhD, MPH , Robert A. Meguid MD, MPH, FACS

{"title":"Seasonality of surgical site infection rates across a broad surgical sample and diverse health system","authors":"Tochi Anioke BS , Yizhou Fei MS , Christina M. Stuart MD , Kathryn L. Colborn PhD, MSPH , Garrett L. Healy BA , Adam R. Dyas MD , Michael R. Bronsert PhD, MS , William G. Henderson PhD, MPH , Robert A. Meguid MD, MPH, FACS","doi":"10.1016/j.ajic.2025.01.018","DOIUrl":"10.1016/j.ajic.2025.01.018","url":null,"abstract":"<div><h3>Background</h3><div>Prior data suggest that surgical site infections (SSIs) occur more frequently in warmer months. Although several studies have shown this, most do not adequately account for confounding factors or the non-parametric nature of seasonal trends. This study examined SSI rates across multiple hospitals within a single healthcare system, using previously published statistical models applied to electronic health record (EHR) data.</div></div><div><h3>Methods</h3><div>We retrospectively analyzed all surgeries from 2014 to 2019. Preoperative risk and postoperative probabilities of SSIs were estimated using our Automated Surveillance of Postoperative Infections (ASPIN) models. Observed to expected (O/E) ratios were calculated and plotted by week, with cubic smoothing splines visualizing trends. Seasonality was modeled using generalized linear mixed models with sine and cosine transformations of the week of the year or quadratic transformations as predictors.</div></div><div><h3>Results</h3><div>348,289 surgeries were analyzed. Most SSIs occurred between July and August. The risk-adjusted O/E ratio and postoperative SSI probabilities significantly increased (P < 0.05) during the summer in Region 1, an academic hospital, but not in the other two regions.</div></div><div><h3>Conclusions</h3><div>Our study supports prior work suggesting a summer peak in SSIs but not a distinct July spike. We incorporated novel statistical models to predict preoperative risk and postoperative probability of SSI.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 5","pages":"Pages 559-564"},"PeriodicalIF":3.8,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073322","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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APIC’s research priorities identified for 2025 and beyond

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-01-30 DOI: 10.1016/j.ajic.2025.01.019

Sara M. Reese PhD, MPH, CIC, FAPIC, Rebecca Crapanzano-Sigafoos DrPH, MPH, CIC, FAPIC

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Fluoroquinolone consumption and resistance after an Antibiotic Stewardship Team intervention—An interventional study in a single hospital in Southern Poland from 2018 to 2023

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-01-30 DOI: 10.1016/j.ajic.2025.01.017

P. Serwacki MD , D.A. Hareza MD , M. Gajda MD, PhD , W. Świątek-Kwapniewska MSc , M. Adamowska MSc , K. Serwacka MD , G. Zawada MD , M. Wałaszek Assoc. Prof. , J. Wójkowska-Mach Prof.

{"title":"Fluoroquinolone consumption and resistance after an Antibiotic Stewardship Team intervention—An interventional study in a single hospital in Southern Poland from 2018 to 2023","authors":"P. Serwacki MD , D.A. Hareza MD , M. Gajda MD, PhD , W. Świątek-Kwapniewska MSc , M. Adamowska MSc , K. Serwacka MD , G. Zawada MD , M. Wałaszek Assoc. Prof. , J. Wójkowska-Mach Prof.","doi":"10.1016/j.ajic.2025.01.017","DOIUrl":"10.1016/j.ajic.2025.01.017","url":null,"abstract":"<div><h3>Background</h3><div>Fluoroquinolones (FQs) are widely used in empiric treatment with progressively rising resistance. Using in-hospital surveillance and following the recommendations of the US Food and Drug Administration and European Medicines Agency, our Antibiotic Stewardship Team(AST) decided to pursue a restrictive policy for FQ utilization. The aim of this study was to evaluate AST intervention restricting FQ use with preauthorization to determine its effectiveness in decreasing consumption and resistance.</div></div><div><h3>Methods</h3><div>This study was conducted in a 650-bed hospital in Poland during 2018 to 2019 and 2022 (preintervention) and 2023 (postintervention). Antibiotic consumption (ABC) and antibiotic resistance were compared for both periods. ABC was expressed as a defined daily doses (DDD) per 1,000 pds, and antibiotic resistance was expressed as a resistance rate parameter to FQ in select gram-negative bacilli.</div></div><div><h3>Results</h3><div>The ABC of all antibiotics varied significantly from 2,987.7 DDD/1,000 pds to 3,741.1 DDD/1,000 pds (2018 vs. 2023). The urology ward showed decreasing FQ consumption from 358.9 DDD/1,000 pds to 43.4 DDD/1,000 pds (from 2018 to 2023, <em>P</em> < .001). A 25% reduction in the resistance rate to FQ was observed, with the greatest difference between 2022 (69.9%) and 2023 (52.6%).</div></div><div><h3>Conclusions</h3><div>This study demonstrates the effectiveness of FQ restriction and preauthorization in a hospital.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 5","pages":"Pages 612-618"},"PeriodicalIF":3.8,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073318","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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Lack of mpox transmission in a long-term care facility despite widespread exposure: Kentucky, 2023.

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-01-26 DOI: 10.1016/j.ajic.2025.01.016

Alexandra Barger, Jennifer Duncan, Dalen Traore, Mattheus Smit, Douglas Thoroughman, Kathleen Winter

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Evaluation of surgical antimicrobial prophylaxis compliance: A multicenter point prevalence study

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-01-22 DOI: 10.1016/j.ajic.2025.01.014

Yasemin Çakır Kıymaz , Taliha Karakök , Merve Büyükkörük , Barış Manavlı , Cihad Baysal , Muhammed Fatih Karaşın , Merve Türker Işık , Kübra Erbay , Levent Şensoy , Eren Öztürk , Hasan Selçuk Özger , Derya Korkmaz , Sıla Akhan , Alpay Azap

{"title":"Evaluation of surgical antimicrobial prophylaxis compliance: A multicenter point prevalence study","authors":"Yasemin Çakır Kıymaz , Taliha Karakök , Merve Büyükkörük , Barış Manavlı , Cihad Baysal , Muhammed Fatih Karaşın , Merve Türker Işık , Kübra Erbay , Levent Şensoy , Eren Öztürk , Hasan Selçuk Özger , Derya Korkmaz , Sıla Akhan , Alpay Azap","doi":"10.1016/j.ajic.2025.01.014","DOIUrl":"10.1016/j.ajic.2025.01.014","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to determine the frequency of compliance with surgical antimicrobial prophylaxis (SAP) in Turkey and to identify the causes for noncompliance.</div></div><div><h3>Methods</h3><div>This multicenter, prospective, point prevalence study was conducted in 8 hospitals from different regions of Turkey. Patients over 18years who underwent SAP in all hospital surgical units were included. The SAP compliance assessment was carried out under 5 headings: unnecessary prophylaxis, inappropriate drug choice, prolonged prophylaxis, inappropriate dose interval, and inappropriate dosage.</div></div><div><h3>Results</h3><div>The study included 541 patients from 8 centers. About 52.7% (n=285) were female and the median age was 54years (min-max: 18-94). Orthopedics (23.7%) and general surgery (22.2%) were the most common specialties. SAP compliance was 14%. The specialty with the highest rate of inappropriate SAP was orthopedics (97%) and the lowest rate was in ophthalmology (25%). The most common causes of inappropriate SAP were prolonged prophylaxis (92.0%) and inappropriate dose interval (84.6%). Multivariate logistic regression analysis revealed that prolonged surgical time, American Society of Anaesthesiologists (ASA) score 3, and some specialties increased the risk of noncompliance with surgical prophylaxis.</div></div><div><h3>Conclusions</h3><div>This study showed that SAP compliance is low in Turkey and that inappropriateness is caused mostly by prolonged and inappropriate antimicrobial use.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 5","pages":"Pages 552-558"},"PeriodicalIF":3.8,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143035667","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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