American journal of infection control最新文献_第9页

Visualizing the WHO "My Five Moments for Hand Hygiene," framework: A virtual reality training program for improving hand hygiene adherence among nurses. 可视化世界卫生组织“我的五个手部卫生时刻”框架：提高护士手部卫生依从性的虚拟现实培训计划。

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-01-15 DOI: 10.1016/j.ajic.2025.01.007

Jacob P Stuart, Paige R Gannon, Victoria R Dotto, Rachel Regina, Joel M Mumma

{"title":"Visualizing the WHO \"My Five Moments for Hand Hygiene,\" framework: A virtual reality training program for improving hand hygiene adherence among nurses.","authors":"Jacob P Stuart, Paige R Gannon, Victoria R Dotto, Rachel Regina, Joel M Mumma","doi":"10.1016/j.ajic.2025.01.007","DOIUrl":"10.1016/j.ajic.2025.01.007","url":null,"abstract":"<p><strong>Background: </strong>Health care-associated infections (HAIs) contribute to patient morbidity and mortality. Hand hygiene is essential for preventing HAIs, but training can fail to transfer to clinical practice. Experiential learning through virtual reality (VR) may improve adherence by offering realistic practice opportunities and feedback.</p><p><strong>Methods: </strong>We developed and evaluated a VR-based training program that uses the World Health Organization's (WHO) \"My Five Moments for Hand Hygiene\" framework to provide feedback about pathogen transmission and hand hygiene adherence in 4 clinical scenarios. Sixty-eight registered nurses from 4 hospitals in the United States completed the VR training program. Using the Theory of Planned Behavior, we assessed behavioral determinants (intention, attitudes, subjective norms, and perceived behavioral control [self-efficacy]) of hand hygiene adherence pre-, midway, and post training. We also measured overall adherence to the Five Moments in each scenario.</p><p><strong>Results: </strong>From the beginning to the end of the training program, self-efficacy scores and overall hand hygiene adherence in VR increased linearly by 11% (P=.02) and 68% (P<.001), respectively.</p><p><strong>Conclusions: </strong>Our findings support VR as an educational tool for enhancing hand hygiene practices of health care workers. Future research should assess the transfer of training to clinical settings and its impact on real-world adherence and HAIs.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998626","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

Corrigendum to "Challenges and trends in Gram-negative bacterial infections in critically ill neonates: A seven-and-a-half-year observational study" [Am J Infect Control, Volume 53, Issue 1, January 2025, Pages 13-21]. “危重新生儿革兰氏阴性细菌感染的挑战和趋势：一项为期7年半的观察性研究”[J].感染控制杂志，第53卷，第1期，2025年1月，页13-21]。

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-01-15 DOI: 10.1016/j.ajic.2025.01.001

Isadora Caixeta da Silveira Ferreira, Izabella Clara de Brito Machado, Ralciane de Paula Menezes, Thiago Alves de Jesus, Mallu Santos Mendonça Lopes, Lúcio Borges de Araújo, Daniela Marques de Lima Mota Ferreira, Denise Von Dolinger de Brito Röder

引用次数: 0

Hospital outbreak of NDM-producing Klebsiella pneumoniae in a surgical intensive care unit: Sink traps as the causing source of epidemic strain resurgence. 外科重症监护病房中产生ndm的肺炎克雷伯菌的医院暴发：水槽陷阱是流行病菌株再次出现的原因来源。

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-01-11 DOI: 10.1016/j.ajic.2025.01.003

Céline Bourigault, Anaïs Andreo, Reynald Mangeant, Florence Le Gallou, Géraldine Marquot, Dominique Demeure Dit Latte, Pierre-Joachim Mahé, Gabriel Birgand, Chrystèle Bidon, Karim Asehnoune, Stéphane Corvec, Didier Lepelletier

引用次数: 0

Self-contamination risk and failure modes during high-level PPE doffing: A pilot comparison of 2 powered air-purifying respirator (PAPR) hoods. 高水平个人防护装备降落过程中的自污染风险和失效模式：两种动力空气净化呼吸器（PAPR）罩的比较：一项试点研究。

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-01-09 DOI: 10.1016/j.ajic.2025.01.002

Kimberly Erukunuakpor, Jill Morgan, Colleen S Kraft, David Grimm, Alexandra Nguyen, Joel M Mumma, Lisa M Casanova

{"title":"Self-contamination risk and failure modes during high-level PPE doffing: A pilot comparison of 2 powered air-purifying respirator (PAPR) hoods.","authors":"Kimberly Erukunuakpor, Jill Morgan, Colleen S Kraft, David Grimm, Alexandra Nguyen, Joel M Mumma, Lisa M Casanova","doi":"10.1016/j.ajic.2025.01.002","DOIUrl":"10.1016/j.ajic.2025.01.002","url":null,"abstract":"<p><strong>Background: </strong>Personal protective equipment doffing protocols can reduce risks of pathogen self-contamination. Powered air-purifying respirators may increase these risks. This study compares viral contamination and errors during simulated doffing of single-layer versus double-layer hood powered air-purifying respirators.</p><p><strong>Methods: </strong>Eight participants performed 2 simulations (video recorded for failure modes [FMs] and effects analysis): 1 single-layer hood (laid over Tyvek suit) and 1 double-layer hood (top laid over and bottom tucked into suit). Hoods were contaminated with viruses. After doffing, inner gloves, face, hands, and scrubs were sampled.</p><p><strong>Results: </strong>Virus contaminated at least 1 site in 6/8 single- and 5/8 double-layer simulations. Virus-contaminated inner gloves in single- (6 participants, median 5.42 × 10<sup>4</sup> plaque-forming units) and double-layer (2 participants, median 7.23 × 10<sup>2</sup> plaque-forming units) simulations, and hands of 2 participants in single-layer simulations. Single-layer doffing had 13 FMs; double had 31.</p><p><strong>Discussion: </strong>Double-layer doffing reduced inner glove contamination. The double-layer protocol may reduce glove-face shield contact but allow more opportunities for error. Double-layer doffing errors may less frequently lead to contamination than single layer.</p><p><strong>Conclusions: </strong>Contamination and FMs may differ between double- and single-layer doffing. Although inner glove contamination was reduced, double-layer doffing may need redesign to reduce FMs and contamination.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969471","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 effect of clinical observations on nursing students' compliance with standard precautions: A cross-sectional study. 临床观察对护生遵守标准预防措施的影响：一项横断面研究。

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-01-09 DOI: 10.1016/j.ajic.2025.01.004

Simge Coşkun Palaz, Seyma Demir Erbaş

{"title":"The effect of clinical observations on nursing students' compliance with standard precautions: A cross-sectional study.","authors":"Simge Coşkun Palaz, Seyma Demir Erbaş","doi":"10.1016/j.ajic.2025.01.004","DOIUrl":"10.1016/j.ajic.2025.01.004","url":null,"abstract":"<p><strong>Background: </strong>Health care-associated infections pose a significant global challenge, highlighting the need for enhanced knowledge and practices among health care professionals. This study investigates the impact of clinical observations on nursing students' compliance with standard precautions.</p><p><strong>Methods: </strong>Employing a cross-sectional descriptive design, the study surveyed 405 nursing students using a \"Personal Information Form,\" the \"Nurses' Observations on Infection Control and Prevention Questionnaire,\" the \"Standard Precautions Scale,\" and the \"Factors Affecting Compliance with Standard Precautions Scale.\"</p><p><strong>Results: </strong>The mean scores for the Nurses' Observations on Infection Control and Prevention Questionnaire, the Standard Precautions Scale, and the Factors Affecting Compliance with Standard Precautions Scale were 33.39 ± 12.98, 10.93 ± 4.79, and 53.38 ± 10.35, respectively. A significant negative correlation was found between students' observations on infection control and their compliance with standard precautions (r = -0.254, P < .01), with their observations explaining only 6% of the variance in compliance.</p><p><strong>Discussion: </strong>The findings suggest that the influence of nursing students' observations during clinical practice on their compliance to standard precautions is minimal.</p><p><strong>Conclusions: </strong>This study highlights the necessity of developing more effective strategies to improve nursing students' compliance to standard precautions, extending beyond observational learning alone.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969472","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

Cultivating excellence: Development and validation of a bilingual competency self-assessment tool for infection prevention and control practitioners. 培养卓越：感染预防和控制从业人员双语能力自我评估工具的开发和验证。

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-01-08 DOI: 10.1016/j.ajic.2024.12.020

Adriana M S Felix, Lígia Maria Abraão, Viviane Cristina de Lima Gusmão, Peta-Anne Zimmerman, Marcelo Carneiro, Maria Clara Padoveze

{"title":"Cultivating excellence: Development and validation of a bilingual competency self-assessment tool for infection prevention and control practitioners.","authors":"Adriana M S Felix, Lígia Maria Abraão, Viviane Cristina de Lima Gusmão, Peta-Anne Zimmerman, Marcelo Carneiro, Maria Clara Padoveze","doi":"10.1016/j.ajic.2024.12.020","DOIUrl":"10.1016/j.ajic.2024.12.020","url":null,"abstract":"<p><strong>Background: </strong>The study aimed at developing and validating a bilingual competency self-assessment tool for infection prevention and control practitioners based on the core competencies proposed by the World Health Organization.</p><p><strong>Methods: </strong>The study was conducted from December 2021 to June 2023. The bilingual tool (Brazilian Portuguese and English versions) was developed according to 4 stages: (1) conceptual framework establishment and item generation; (2) content validity; (3) response process validity; and (4) internal structure validity.</p><p><strong>Results: </strong>The Brazilian Portuguese version of the tool was organized into 5 areas, 36 items, and a Cronbach's alpha coefficient between 0.89 and 0.97; the English version of the tool was organized into 5 areas, 37 items, and a Cronbach's alpha coefficient between 0.91 and 0.98.</p><p><strong>Discussion: </strong>The bilingual tool gathers evidence of content validity and internal structure validity.</p><p><strong>Conclusions: </strong>The current evidence suggests that these are the first self-assessment tools that have utilized the core competencies proposed by the World Health Organization as a conceptual basis. Such tools can be applied in countries of all income classifications, which makes it possible to design educational initiatives and enhance core competencies.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142963369","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 implementing a strategy on the rate reduction of catheter-associated urinary tract infections (CAUTI) in national health care facilities in Saudi Arabia. 沙特阿拉伯国家卫生保健机构实施降低导尿管相关尿路感染（CAUTI）发生率战略的影响

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-01-06 DOI: 10.1016/j.ajic.2024.12.019

Fayez Aldalbehi, Faisal Mohammad Alsheddi, Mohammad Ali Alqahtani, Tabish Humayun, Yvonne Suzette Aldecoa, Mutlaq Alotaibi, Wafa Hamad Alshammari, Shmokh Mohammad Alsalamah, Hind Owyed Alanizi, Mishari Saud Almana, Bader Mohammed Albalawai, Amani Mahal Alaida, Khalid H Alanazi

{"title":"The impact of implementing a strategy on the rate reduction of catheter-associated urinary tract infections (CAUTI) in national health care facilities in Saudi Arabia.","authors":"Fayez Aldalbehi, Faisal Mohammad Alsheddi, Mohammad Ali Alqahtani, Tabish Humayun, Yvonne Suzette Aldecoa, Mutlaq Alotaibi, Wafa Hamad Alshammari, Shmokh Mohammad Alsalamah, Hind Owyed Alanizi, Mishari Saud Almana, Bader Mohammed Albalawai, Amani Mahal Alaida, Khalid H Alanazi","doi":"10.1016/j.ajic.2024.12.019","DOIUrl":"10.1016/j.ajic.2024.12.019","url":null,"abstract":"<p><strong>Background: </strong>To address catheter associated urinary tract infections (CAUTI) in adult medical surgical (M/S) intensive care units ICUs, a strategy known as CAUTI out of nation (CAUTIoN) was implemented in MOH (Ministry of Health) facilities in KSA (Kingdom of Saudi Arabia).</p><p><strong>Objectives: </strong>The aim of this study was to assess the effectiveness of the implementation of a national strategy, in healthcare facilities and evaluate the outcome of each strategy's components and to compare the pre and post intervention rates of CAUTI.</p><p><strong>Methods: </strong>It was a retrospective, to assess changes in CAUTI rates after the implementation of strategy.</p><p><strong>Results: </strong>CAUTI rates reduced by 3.6 percentage points (PP) between the second quarter of 2022 and the first quarter of 2024. The rate of CAUTI slightly increased to 0.9 per 1000 catheter-days in the first quarter after the intervention, then dropped to 0.34 per 1000 catheter-days in the fourth quarter of 2023, before increasing to 0.62 in the first quarter of 2024.</p><p><strong>Conclusions: </strong>Strategy implementation of CAUTIoN is found to be effective for turning our organizational vision into action. We retrospectively studied the correlation of interventions and the CAUTI rates. Interventions like leadership, surveillance, data management, training, education and C2C (CAUTIoN to CAUTI) initiative were most effective in the implementation of the strategy.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942732","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

Presence of multidrug-resistant bacteria on ready-to-use laryngoscope blades and handles: A cross-sectional study

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-01-04 DOI: 10.1016/j.ajic.2024.12.018

Sara Ester Barbosa MSc , Angelica Zaninelli Schreiber PhD , Eliane Picoli Alves Bensi MSc , Patricia Cristiane Spirlandelli Teixeira BSc , Maria Isabel Pedreira de Freitas PhD , Henrique Ceretta Oliveira PhD , Vanessa Aparecida Vilas-Boas PhD

{"title":"Presence of multidrug-resistant bacteria on ready-to-use laryngoscope blades and handles: A cross-sectional study","authors":"Sara Ester Barbosa MSc , Angelica Zaninelli Schreiber PhD , Eliane Picoli Alves Bensi MSc , Patricia Cristiane Spirlandelli Teixeira BSc , Maria Isabel Pedreira de Freitas PhD , Henrique Ceretta Oliveira PhD , Vanessa Aparecida Vilas-Boas PhD","doi":"10.1016/j.ajic.2024.12.018","DOIUrl":"10.1016/j.ajic.2024.12.018","url":null,"abstract":"<div><h3>Background</h3><div>The presence of microorganisms in laryngoscopes emphasizes the risk to patient safety during orotracheal intubations.</div></div><div><h3>Methods</h3><div>A cross-sectional study was carried out in university hospital in the inpatient, emergency, intensive care, and surgical center sectors. Microorganisms were recovered from the blades using a filter membrane and from the handles using swab. They were then sown on blood agar plates and incubated at 35 °C (±2 °C) for a maximum of 5days. Microorganisms were identified by mass spectrometry, antimicrobial susceptibility tests were carried out for pathogenic bacteria. Associations were made using χ² and Fisher exact tests, and Poisson regression model.</div></div><div><h3>Results</h3><div>A total of 158 blades and 45 handles were analyzed. Microbial growth was observed on 59.5% of the blades and 64.4% of the handles, with fungi and bacteria isolated, such as <em>Enterococcus faecium</em>, <em>Staphylococcus aureus</em>, <em>Klebsiella pneumoniae</em>, <em>Acinetobacter baumannii</em>, <em>Pseudomonas aeruginosa</em>, <em>and Enterobacter</em> sp. Multidrug-resistant bacteria, producing extended-spectrum β-lactamases and carbapenemases, were found.</div></div><div><h3>Conclusions</h3><div>Multidrug-resistant bacteria were found on ready-to-use laryngoscopes. In the surgical center, there was lower probability of microbial growth, while the intensive care sector showed higher probability. This study reinforces the warning that this equipment is a potential source of transmission of microorganisms, especially multiresistant strains.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 4","pages":"Pages 498-505"},"PeriodicalIF":3.8,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363473","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 a biocontainment unit: Infrastructure and organizational experiences of the 13 regional biocontainment units in the United States 建立生物安全单位：美国 13 个地区生物安全单位的基础设施和组织经验。

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-01-01 DOI: 10.1016/j.ajic.2024.06.021

Caroline Persson MPH, CPH, FAPIC , Corri B. Levine PhD, MS, MPH , Kara Marshall MPH , Sophia Shea MPH , Christa Arguinchona MSN, BSN, CCRN , Sharon Vanairsdale Carrasco DNP, APRN, FAEN, FAAN, FNAP , Lauren M. Sauer MSc , Jocelyn J. Herstein PhD, MPH

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 3.8 3区医学

American journal of infection control Pub Date : 2025-01-01 DOI: 10.1016/j.ajic.2024.09.011

So Sato MD , Sachiko Ono DDS, MPH, PhD , Yusuke Sasabuchi MD, MPH, PhD , Kohei Uemura PhD , Hideo Yasunaga MD, PhD

{"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 MD , Sachiko Ono DDS, MPH, PhD , Yusuke Sasabuchi MD, MPH, PhD , Kohei Uemura PhD , Hideo Yasunaga MD, PhD","doi":"10.1016/j.ajic.2024.09.011","DOIUrl":"10.1016/j.ajic.2024.09.011","url":null,"abstract":"<div><h3>Background</h3><div>Continuous mumps vaccine coverage is essential for eradicating mumps. However, due to safety concerns, Japan’s mumps vaccination program transitioned from routine to voluntary. To improve coverage, some municipalities introduced subsidization programs, but the effects on vaccination rates and mumps incidence remain unclear.</div></div><div><h3>Methods</h3><div>In April 2018, a city in Japan launched a subsidization program for the mumps vaccine for children aged 1–6 years. Using vaccination records and healthcare claims from July 2016 to December 2019, we analyzed changes in vaccination coverage and mumps incidence before and after the program’s initiation.</div></div><div><h3>Results</h3><div>At the program’s start, mumps vaccination coverage among eligible children was 3.3%, increasing by approximately 1.5% monthly to 38.4% after 21 months. Among 308,976 individuals, 145 mumps cases were identified: 92 cases (0.27 per 1,000 person-years) occurred before, and 53 (0.15 per 1,000 person-years) occurred after the program’s start.</div></div><div><h3>Conclusions</h3><div>Although the mumps vaccination coverage rate increased following the program’s initiation, it remained below the level required for eradication.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 1","pages":"Pages 82-86"},"PeriodicalIF":3.8,"publicationDate":"2025-01-01","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0