American journal of infection control最新文献

{"title":"Perception of the hospitalization process among survivors of carbapenem-resistant Acinetobacter baumannii bacteremia: A qualitative study","authors":"Marcela Símaro Gomes M.D. ,&nbsp;Letícia Fernandes de Britto-Costa Ph.D. ,&nbsp;Anna S. Levin Ph.D. ,&nbsp;Yeh-Li Ho Ph.D. ,&nbsp;Centres for Antimicrobial Optimisation Network","doi":"10.1016/j.ajic.2025.10.019","DOIUrl":"10.1016/j.ajic.2025.10.019","url":null,"abstract":"<div><h3>Background</h3><div>Survivors of carbapenem-resistant <em>Acinetobacter baumannii</em> (CRAB) bacteremia endure complex hospitalizations; their perspectives remain underexplored.</div></div><div><h3>Methods</h3><div>We conducted a qualitative study at a tertiary hospital. Survivors (≥18 years) of CRAB bloodstream infection from 2019 to 2024, discharged ≥6 months, were invited to narrative video-call interviews. Interviews were analyzed using critical discourse analysis (CDA) to examine meanings around hospitalization, health care communication, and understanding of resistant bacteria.</div></div><div><h3>Results</h3><div>Nine participants were interviewed. Narratives revealed: (1) hospitalization process and aftermath---profound emotional distress, physical limitations, and long-lasting consequences, with comparisons of life “before” and “after”; (2) barriers in patient-professional communication---limited or absent explanations about procedures, invasive devices, or the infection itself, leading to feelings of alienation and lack of autonomy; and (3) understanding of antibiotic-resistant bacteria---none could define multi-drug resistance, several were unaware of their CRAB diagnosis. Even patients with high health literacy (eg, HIV, aspergillosis, or CMV) did not recall adequate information about antibiotic resistance, underscoring systemic communication gaps.</div></div><div><h3>Discussion</h3><div>Encouraging patient involvement in infection prevention (eg, reminding staff about hand-hygiene) is promising but underused. Participants sometimes feared adverse reactions when speaking up.</div></div><div><h3>Conclusion</h3><div>Structured healthcare-associated infections (HAIs) education with patient participation in hand-hygiene reminders is a feasible, patient-centered approach that may improve understanding and shared safety. Implementation could use scripted bedside prompts and brief teach-back, supported by plain-language leaflets and bedside posters co-designed with patients.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"54 4","pages":"Pages 415-420"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145407876","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":"A new frontier: Translating IPC best practices for the carceral setting","authors":"Anne Schultz MPH, CIC ,&nbsp;DeAnn Richards RN, BSN, CIC, LTC-CIP, CPHQ, CPPS ,&nbsp;Chad Zawitz MD, CCHP ,&nbsp;Marco Ciaccio MPH, CIC, LSSGB ,&nbsp;Ernest Brown-Gomez JD, MPH ,&nbsp;Devin Jopp EdD, MS ,&nbsp;Caroline Mah MBA ,&nbsp;Michelle Funk DVM, MPH","doi":"10.1016/j.ajic.2026.01.008","DOIUrl":"10.1016/j.ajic.2026.01.008","url":null,"abstract":"","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"54 4","pages":"Pages 461-463"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145987773","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":"Sustained reduction of catheter-associated urinary tract infections through data-driven, multidisciplinary interventions: A 7-year retrospective study","authors":"Karina Albuquerque MSN, RN, CIC ,&nbsp;Josy Lamour MS, MBA, CIC ,&nbsp;Tessy Joseph BSN, RN, CIC ,&nbsp;Luz Munoz MPA, BSN, RN, CEN ,&nbsp;Joan M. Curcio MD ,&nbsp;Linda M. Mundy MD, PhD","doi":"10.1016/j.ajic.2026.01.012","DOIUrl":"10.1016/j.ajic.2026.01.012","url":null,"abstract":"<div><div>A 7-year institutional commitment to catheter-associated urinary tract infection (CAUTI) risk mitigation was associated with a sustained reduction from baseline in indwelling urinary catheter (IUC) utilization, CAUTI events below 1 per 1,000 IUC days, and annual CAUTI Standardized Infection Ratios below national benchmarking standards. Multidisciplinary data-driven assessments of IUC utilization and CAUTI events prompted a series of targeted, feasible, and pragmatic multicomponent interventions.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"54 4","pages":"Pages 458-460"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146028177","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":"Limiting central venous catheter access for blood sampling and its impact on central line-associated bloodstream infection: A scoping review","authors":"Mary Beth Hovda Davis PhD, RN, VA-BC ,&nbsp;Takaaki Kobayashi MD, MPH ,&nbsp;Kathryn Trautman DNP, RN, CNML ,&nbsp;Karen Brust MD","doi":"10.1016/j.ajic.2025.11.001","DOIUrl":"10.1016/j.ajic.2025.11.001","url":null,"abstract":"<div><h3>Background</h3><div>Central venous catheters (CVCs) pose a risk of infection through fluid infusion, medication administration, and blood draws. We conducted a scoping review evaluating the risk of accessing a CVC and aiming to identify strategies for limiting CVC usage to decrease the incidence of central line-associated bloodstream infections (CLABSIs) in hospital settings.</div></div><div><h3>Methods</h3><div>This review adheres to the methodological framework proposed by Arksey and O’Malley and is reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. Searches were conducted in the CINAHL, EMBASE, PubMed, and Scopus databases, focusing on publications from the past decade.</div></div><div><h3>Results</h3><div>Six studies met inclusion criteria. Three interventions were identified: (1) establishing standardized CVC sampling times, (2) utilizing phlebotomists to perform peripheral blood cultures, and (3) avoiding the use of CVCs for both blood cultures and routine blood draws.</div></div><div><h3>Conclusions</h3><div>Increased frequency of CVC access is associated with a higher risk of CLABSI. Interventions to reduce CVC access for blood draws can effectively lower CLABSI rates. Identifying and implementing strategies such as use of phlebotomy teams and standardized sampling protocols may help guide hospital policies and improve patient safety outcomes. Future research should focus on prospective evaluation of these approaches.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"54 4","pages":"Pages 369-375"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145456929","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":"Beyond simulation: Embedding virtual reality into competency-based training for safer surgical instrument reprocessing","authors":"Tirayut Veerasatian MD ,&nbsp;Schawanya K. Rattanapitoon MD ,&nbsp;Phatsakul Thitimahatthanakusol PhD ,&nbsp;Nathkapach K. Rattanapitoon PhD","doi":"10.1016/j.ajic.2025.10.016","DOIUrl":"10.1016/j.ajic.2025.10.016","url":null,"abstract":"","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"54 4","pages":"Pages 466-467"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145511729","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":"Reduced duration of isolation and impact on rates of healthcare-associated multidrug-resistant organisms in a pediatric medical center","authors":"Ayelet Rosenthal MD, MSc ,&nbsp;Nabgha Farhat MD ,&nbsp;Sneha Krishna MSHI ,&nbsp;Joseph Fishbein MPH ,&nbsp;Amy Valencia MPH, CPHQ, CIC ,&nbsp;Alison Prati MHS, CIC ,&nbsp;Kendra Holland BS ,&nbsp;Julianne E. Burns MD, MSCE ,&nbsp;Roshni Mathew MD","doi":"10.1016/j.ajic.2026.01.009","DOIUrl":"10.1016/j.ajic.2026.01.009","url":null,"abstract":"<div><div>The necessity and duration of contact precautions for multidrug-resistant organisms (MDROs) in pediatrics is unknown. We compared the incidence rate, level, and trend of healthcare-associated MDROs before and after implementation of revised deisolation criteria allowing for shorter duration of contact isolation for select MDROs. We found that shortening duration of contact isolation was not associated with a statistically significant change in healthcare-associated MDROs in our pediatric hospital.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"54 4","pages":"Pages 454-457"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146016918","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":"Response to the letter to the editor: Automated surveillance system for surgical site infection in coronary artery bypass graft surgery in tertiary care hospitals","authors":"Sumawadee Skuntaniyom MSc ,&nbsp;Thanomvong Muntajit MSc ,&nbsp;Chonnamet Techasaensiri MD","doi":"10.1016/j.ajic.2026.01.014","DOIUrl":"10.1016/j.ajic.2026.01.014","url":null,"abstract":"","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"54 4","pages":"Pages 470-471"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147571932","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":"Comment on evaluation of the economic burden of carbapenem-resistant Enterobacteriaceae nosocomial infection in intensive care unit patients: A propensity score-adjusted analysis","authors":"Shouwei Hu MD ,&nbsp;Youling Xu MD ,&nbsp;Mingqiang Peng MD","doi":"10.1016/j.ajic.2025.08.038","DOIUrl":"10.1016/j.ajic.2025.08.038","url":null,"abstract":"","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"54 4","pages":"Page 464"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147571916","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":"APIC Masthead","authors":"","doi":"10.1016/S0196-6553(26)00105-7","DOIUrl":"10.1016/S0196-6553(26)00105-7","url":null,"abstract":"","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"54 4","pages":"Page A6"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147614154","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":"Supporting practical approaches to hand hygiene observation collection","authors":"Tanya Dvorak a-IPC","doi":"10.1016/j.ajic.2025.08.040","DOIUrl":"10.1016/j.ajic.2025.08.040","url":null,"abstract":"","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"54 4","pages":"Page 465"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058266","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}