American journal of infection control最新文献_第8页

Optimizing the implementation of Enhanced Barrier Precautions in community-based nursing homes. 优化社区养老院强化屏障防护措施的实施。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-09-20 DOI: 10.1016/j.ajic.2024.09.014

Stephanie Mayoryk, Lyndsay M O'Hara, Gwen L Robinson, Alison D Lydecker, Kara Jacobs Slifka, Heather Jones, Mary-Claire Roghmann

{"title":"Optimizing the implementation of Enhanced Barrier Precautions in community-based nursing homes.","authors":"Stephanie Mayoryk, Lyndsay M O'Hara, Gwen L Robinson, Alison D Lydecker, Kara Jacobs Slifka, Heather Jones, Mary-Claire Roghmann","doi":"10.1016/j.ajic.2024.09.014","DOIUrl":"10.1016/j.ajic.2024.09.014","url":null,"abstract":"<p><strong>Background: </strong>Enhanced Barrier Precautions (EBPs) recommend using gowns and gloves for certain nursing home residents during specific high-contact care activities associated with multidrug-resistant organism (MDRO) transmission. Though EBP is included in published guidance as an MDRO control strategy, optimal implementation approaches remain unclear.</p><p><strong>Methods: </strong>We implemented a quality improvement (QI) initiative using the 4E process model (engagement, education, execution, and evaluation) to optimize EBP implementation in 4 Maryland nursing homes. Semistructured interviews with health care personnel (HCP) occurred to understand EBP acceptability.</p><p><strong>Results: </strong>Glove use during high-contact care increased from 85% in the baseline to 97% during the intervention (P < .01). Gown use increased from 27% to 78% (P < .01). The accuracy of identifying residents eligible for EBP improved from 63% to 99% (P < .01). Of 780 residents observed, one third met EBP indications: MDRO colonization (21%), indwelling medical device (14%), and/or chronic wound (10%). The most noted facilitator to EBP implementation included HCP perception that EBP reduces MDRO transmission to other residents and staff. The most noted barrier was uncomfortable gowns.</p><p><strong>Conclusions: </strong>Implementation was complex and required assessments of barriers and facilitators within each facility. HCP interviews identified barriers and facilitators of EBP that can inform future EBP implementation projects.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279012","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 impact of a novel color additive for disinfectant wipes on room cleanliness and turnover time 用于消毒湿巾的新型颜色添加剂对房间清洁度和周转时间的影响。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-09-19 DOI: 10.1016/j.ajic.2024.07.009

Olayinka Oremade MD, MPH, CIC , Barbara Odac MD , Jinzy George MD , Frederick Browne MD, MBA, FACP, GSHEA, FASAM

{"title":"The impact of a novel color additive for disinfectant wipes on room cleanliness and turnover time","authors":"Olayinka Oremade MD, MPH, CIC , Barbara Odac MD , Jinzy George MD , Frederick Browne MD, MBA, FACP, GSHEA, FASAM","doi":"10.1016/j.ajic.2024.07.009","DOIUrl":"10.1016/j.ajic.2024.07.009","url":null,"abstract":"<div><h3>Background</h3><div>Contaminated environmental surfaces in the health care setting put patients at risk of acquiring health care-associated infections. Highlight (Kinnos) is a novel color-additive technology for disinfectant wipes that helps users visualize surfaces that have been cleaned by producing a transient color on wiped surfaces that fades off after effective cleaning.</div></div><div><h3>Methods</h3><div>To quantify the impact of real-time visual feedback on room cleanliness and efficiency, a pre-post quasi-experimental study was conducted by comparing Replicate Organism Detection and Counting (RODAC) plate counts and room turnaround times with and without the use of the color additive.</div></div><div><h3>Results</h3><div>Compared with the control group of disinfectant alone, disinfection with the color additive resulted in a 69.2% improvement in room cleanliness accompanied by a 5.9% faster room turnover time.</div></div><div><h3>Discussion</h3><div>As far as we know, this study is the first to publish on the impact of a novel color additive on the environment of care as measured by microbial culturing and room turnaround times, finding advantages in both metrics relative to the status quo.</div></div><div><h3>Conclusions</h3><div>The use of real-time visual feedback can improve the thoroughness of disinfection cleaning while maintaining operational efficiency.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"52 12","pages":"Pages 1366-1370"},"PeriodicalIF":3.8,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279014","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}

引用次数: 0

Determining infection prevention staffing needs for the pediatric ambulatory and procedural care setting. 确定儿科门诊和程序性护理环境的感染预防人员需求。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-09-17 DOI: 10.1016/j.ajic.2024.08.011

Lindsay K Weir, Jennifer A Ormsby, Ana M Vaughan-Malloy, Celeste J Chandonnet

{"title":"Determining infection prevention staffing needs for the pediatric ambulatory and procedural care setting.","authors":"Lindsay K Weir, Jennifer A Ormsby, Ana M Vaughan-Malloy, Celeste J Chandonnet","doi":"10.1016/j.ajic.2024.08.011","DOIUrl":"https://doi.org/10.1016/j.ajic.2024.08.011","url":null,"abstract":"<p><strong>Background: </strong>Recent analyses suggest that existing infection preventionist (IP) staffing ratios do not reflect the scope of institutional needs after accounting for complexity and non-inpatient locations. We sought to determine the current IP staffing level required to address the complexity and scope of our pediatric ambulatory and procedural operations.</p><p><strong>Methods: </strong>This needs assessment was adapted from previous analyses by Bartles et al (2018). We surveyed IPs covering ambulatory/procedural locations regarding clinical complexity indicators and estimated hours per week spent engaged in IP activities. The reported hours were used to calculate total IP hours per week and associated full-time equivalents (FTEs).</p><p><strong>Results: </strong>Half (118/237) of surveyed locations/services reported at least 1 complexity indicator, while nearly 9% (21/237) reported 3 or more complexity indicators. IPs spent 181.0 h/wk focused on ambulatory/procedural locations, equating to 4.5 FTEs.</p><p><strong>Discussion: </strong>Infection prevention and control leadership used these findings to successfully add 4 IP FTEs to the department. These FTEs will allow increased ambulatory/procedural IP support, improved regulatory readiness, and increased quality improvement initiatives.</p><p><strong>Conclusions: </strong>Assessing the complexity and scope of pediatric ambulatory/procedural locations can be a valuable tool for (1) advocating for overall IP staffing increases at a system level and (2) determining the distribution of IP time and resources in such locations.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456031","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

Changes in the mumps vaccine coverage and incidence of mumps before and after the public subsidization program: A descriptive study using a population-based database in Japan. 公共补贴计划前后腮腺炎疫苗覆盖率和腮腺炎发病率的变化：利用日本人口数据库进行的描述性研究。

IF 4.9 3区医学

American journal of infection control Pub Date : 2024-09-16 DOI: 10.1016/j.ajic.2024.09.011

So Sato,Sachiko Ono,Yusuke Sasabuchi,Kohei Uemura,Hideo Yasunaga

{"title":"Changes in the mumps vaccine coverage and incidence of mumps before and after the public subsidization program: A descriptive study using a population-based database in Japan.","authors":"So Sato,Sachiko Ono,Yusuke Sasabuchi,Kohei Uemura,Hideo Yasunaga","doi":"10.1016/j.ajic.2024.09.011","DOIUrl":"https://doi.org/10.1016/j.ajic.2024.09.011","url":null,"abstract":"BACKGROUNDEvidence suggests that mumps infection can be eradicated by continuous mumps vaccine coverage. However, due to safety concerns, the mumps vaccination program in Japan shifted from routine to voluntary. To improve vaccination coverage rates, some municipalities began to independently provide subsidization programs for the mumps vaccine. However, the changes in vaccination coverage and incidence of mumps before and after initiating the subsidization programs remain unknown.METHODSIn April 2018, a city in Japan started a subsidization program for the mumps vaccine for children aged 1-6 years. This study used data on vaccination records and healthcare claims from the city obtained between July 2016 and December 2019. We described changes in vaccination coverage, and the incidence of mumps infections before and after the start of the subsidization program.RESULTSThe mumps vaccination coverage rate among eligible children was 3.3% at the program's initiation; this increased by about 1.5% per month, reaching 38.4% 21 months after the initiation of the program. Among 308,976 individuals, 145 cases of mumps were identified; of these, 92 cases (0.27 cases per 1,000 person-years) occurred before, and 53 (0.15 cases per 1,000 person-years) occurred after the initiation of the subsidization program.CONCLUSIONWhile the mumps vaccination coverage rate increased after the initiation of the subsidization program, it did not reach the level required for eradication.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"6 1","pages":""},"PeriodicalIF":4.9,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142254193","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

Clean Hands are Caring Hands: Improving Anesthesia Provider Hand Hygiene and Double Glove Compliance During Induction of General Anesthesia. 干净的手是充满关爱的手：改善麻醉师在全身麻醉诱导过程中的手部卫生和双层手套合规性。

IF 4.9 3区医学

American journal of infection control Pub Date : 2024-09-16 DOI: 10.1016/j.ajic.2024.09.010

Allie-Lane F Regier,Virginia C Simmons,Sarah Kempel,Staci S Reynolds

{"title":"Clean Hands are Caring Hands: Improving Anesthesia Provider Hand Hygiene and Double Glove Compliance During Induction of General Anesthesia.","authors":"Allie-Lane F Regier,Virginia C Simmons,Sarah Kempel,Staci S Reynolds","doi":"10.1016/j.ajic.2024.09.010","DOIUrl":"https://doi.org/10.1016/j.ajic.2024.09.010","url":null,"abstract":"BACKGROUNDHand hygiene and double gloving practices during induction of general anesthesia can decrease transmission of bacteria to patients and subsequent healthcare associated infections; however, compliance to these practices is low.METHODSA pre/post-implementation quality improvement design was used with Plan-Do-Study-Act cycles. Several implementation strategies were used to improve hand hygiene and double glove compliance among anesthesia providers, including printed educational materials, video, in-person, and virtual meetings, visual reminders, audit and feedback, and improved access to hand sanitizer dispensers in the anesthesia workstation.RESULTSAverage hand hygiene compliance increased from 0% to 11.8% and double gloving compliance increased from 18.5% to 34.5%. A decrease in surgical site infections was shown in the post-implementation period.DISCUSSIONAlthough hand hygiene and double gloving practices increased after the initial implementation, the improvements were not sustained long-term. Practices to support sustainability, such as routine booster sessions, may be considered.CONCLUSIONSIncorporating these quality improvement measures into practice may improve anesthesia provider hand hygiene compliance during induction of general anesthesia and impact subsequent infection rates.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"14 1","pages":""},"PeriodicalIF":4.9,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142254194","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

Effectiveness of water system chemical disinfection against Pseudomonas aeruginosa infections, despite a not-so-obvious connection 供水系统化学消毒对铜绿假单胞菌感染的有效性，尽管两者之间的联系并不明显。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-09-16 DOI: 10.1016/j.ajic.2024.08.028

Adrien Turban PharmD , Amélie Morin-Le Bihan PharmD , Lucille Derbier , Caroline Piau-Couapel PharmD , Nicolas Nesseler MD, PhD , Vincent Cattoir PharmD, PhD , Pierre-Yves Donnio PharmD, PhD , Guillaume Ménard PharmD, PhD

{"title":"Effectiveness of water system chemical disinfection against Pseudomonas aeruginosa infections, despite a not-so-obvious connection","authors":"Adrien Turban PharmD , Amélie Morin-Le Bihan PharmD , Lucille Derbier , Caroline Piau-Couapel PharmD , Nicolas Nesseler MD, PhD , Vincent Cattoir PharmD, PhD , Pierre-Yves Donnio PharmD, PhD , Guillaume Ménard PharmD, PhD","doi":"10.1016/j.ajic.2024.08.028","DOIUrl":"10.1016/j.ajic.2024.08.028","url":null,"abstract":"<div><h3>Background</h3><div><em>Pseudomonas aeruginosa</em> is a well-recognized opportunistic pathogen frequently responsible for hospital-acquired infections. Acquisition routes of <em>P aeruginosa</em> are both endogenous and exogenous, including transmission from a portion of the hospital water system.</div></div><div><h3>Methods</h3><div>The impact of disinfection procedures of the water system and description routes of <em>P aeruginosa</em> transmission in a surgical intensive care unit over a 2-year period were investigated. Two distinct periods A and B were considered, respectively, before and after the disinfection. Fourier transform infrared spectroscopy was used to compare isolates recovered from patients and tap water.</div></div><div><h3>Results</h3><div>Overall, 21.3% of tap water samples were positive but with a significantly lower rate in period B. Concomitantly, the prevalence of patients positive for <em>P aeruginosa</em> decreased from 2.6% to 1%, suggesting a correlation between the presence of environmental sources and patient contaminations. The results revealed that 18% of patients were involved in cross-transmission events not related to any isolate recovered from water, suggesting transmission through care practices. Conversely, only 1 environmental transmission event was suspected in a patient.</div></div><div><h3>Conclusions</h3><div>Although the link between the hospital environment and patients was unclear, HCW-associated care practices could be related to contaminated point-of-use waters and then indirect spreading to patients.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"52 12","pages":"Pages 1432-1437"},"PeriodicalIF":3.8,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142254192","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}

引用次数: 0

Information for Readers 读者信息

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-09-14 DOI: 10.1016/S0196-6553(24)00667-9

引用次数: 0

Assessing COVID-19 transmission risk: Roommate and unit mate exposures at an inpatient behavioral health facility. 评估 COVID-19 传播风险：住院行为健康机构中的室友和单位配偶接触。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-09-14 DOI: 10.1016/j.ajic.2024.09.003

Jennifer Falgione, Graham M Snyder, Catherine Cannon, Janina-Marie Huss

{"title":"Assessing COVID-19 transmission risk: Roommate and unit mate exposures at an inpatient behavioral health facility.","authors":"Jennifer Falgione, Graham M Snyder, Catherine Cannon, Janina-Marie Huss","doi":"10.1016/j.ajic.2024.09.003","DOIUrl":"10.1016/j.ajic.2024.09.003","url":null,"abstract":"<p><strong>Background: </strong>Inpatient psychiatric facilities have an increased risk of infection transmission. This study evaluated the impact of roommate and unit mate exposures on coronavirus disease-2019 (COVID-19) transmission to inform isolation practices.</p><p><strong>Methods: </strong>A single-center retrospective study was conducted among patients hospitalized in an inpatient behavioral health hospital from July 2020 through August 2023. We compared the risk of COVID-19 acquisition after exposure among patients with a contagious roommate versus those exposed to a contagious unit mate.</p><p><strong>Results: </strong>During the study period, the conversion rate was 10.05% overall, 24.4% for roommates, and 9.3% for unit mates; patients exposed to a roommate were at 3.14 times higher odds (95% confidence interval, 1.42-6.92) of acquiring COVID-19 after exposure. On unit-stratified analysis, patients exposed to a roommate on the geropsychiatric unit had the highest risk of postexposure conversion compared with unit mate exposed patients (odds ratio 6.38, 95% confidence interval 1.75-23.22). Logistic regression analysis identified a nonsignificant risk associated with increased time in group therapy.</p><p><strong>Conclusions: </strong>Exposure to a COVID-19-contagious roommate significantly increases the risk of COVID-19 acquisition among exposed patients receiving inpatient psychiatric care. Cohorting contagious and exposed individuals and avoiding multibedded rooms may mitigate COVID-19 transmission risk during psychiatric care.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279096","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 the COVID-19 vaccine mandate on vaccine uptake and infection risk in a large cohort of Canadian health care workers: Correspondence COVID-19 疫苗规定对疫苗接种率和加拿大医护人员大样本感染风险的影响：通讯

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-09-14 DOI: 10.1016/j.ajic.2024.05.017

Hinpetch Daungsupawong PhD , Viroj Wiwanitkit MD

引用次数: 0

Information for Authors 作者须知

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-09-14 DOI: 10.1016/S0196-6553(24)00668-0

引用次数: 0