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

Robotic versus manual disinfection of global priority pathogens at COVID-19-dedicated hospitals

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-01-21 DOI: 10.1016/j.ajic.2025.01.013

Sayara Bista MSc , Gopiram Syangtan MSc , Kamal Darlami MSc , Arun Bahadur Chand MSc , Shrijana Bista MSc , Mohammad Ataullah Siddiqui MSc , Lok R. Pokhrel MSc, MS, PhD , Prabin Dawadi MS , Dev Raj Joshi PhD

{"title":"Robotic versus manual disinfection of global priority pathogens at COVID-19-dedicated hospitals","authors":"Sayara Bista MSc , Gopiram Syangtan MSc , Kamal Darlami MSc , Arun Bahadur Chand MSc , Shrijana Bista MSc , Mohammad Ataullah Siddiqui MSc , Lok R. Pokhrel MSc, MS, PhD , Prabin Dawadi MS , Dev Raj Joshi PhD","doi":"10.1016/j.ajic.2025.01.013","DOIUrl":"10.1016/j.ajic.2025.01.013","url":null,"abstract":"<div><h3>Background</h3><div>Twelve bacterial families identified as global priority pathogens (GPPs) pose the greatest threat to human health due to declining antibiotic efficacy. Robotics, a swift and contactless tool for disinfecting hospital surfaces, was sought to compare with manual disinfection.</div></div><div><h3>Methods</h3><div>The disinfection efficacy of a robot was compared with manual disinfection for multiple clinical surfaces and inanimate objects at two hospitals in Nepal using bleach (NaOCl). Surfaces were swabbed pre- and post-disinfection and total heterotrophic plate count evaluated, and bacterial pathogens identified using Gram’s staining and biochemical characteristics. Disinfection outcomes were reported as log reduction (log10 CFU/inch<sup>2</sup>) of heterotrophic count and presence or absence of GPPs: <em>Staphylococcus aureus</em>, <em>Escherichia coli</em>, <em>Acinetobacter</em> spp., and <em>Klebsiella pneumoniae</em>, among others.</div></div><div><h3>Results</h3><div>Both robotic and manual disinfection significantly reduced the microbial load (log 2.3 to log 5.8) on hospital surfaces. No pathogens were detected post-disinfection using the robot. Robotic disinfection was more effective, significantly reducing the bacterial load (log 5.8) compared to manual disinfection (log 3.95).</div></div><div><h3>Conclusions</h3><div>Our results showed better efficacy of robotic disinfection over manual disinfection of hospital surfaces, and thus contactless robotic disinfection is recommended for disinfecting surfaces in the hospital and clinical settings as it favors patient safety against GPPs.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 5","pages":"Pages 588-595"},"PeriodicalIF":3.8,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027873","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

Does routine use of sporicidal disinfectants for all postdischarge hospital rooms reduce environmental contamination with Clostridioides difficile spores?

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-01-21 DOI: 10.1016/j.ajic.2025.01.010

Jennifer L. Cadnum BS , Sarah Plumlee BS , Jennifer M. Hailes BS , Martin Mathew Varghese MD , Rebecca Crapanzano-Sigafoos DrPH , Samir Memic BS , Annette L. Jencson CIC , Curtis J. Donskey MD

引用次数: 0

Infection prevention observations and the expectations of cleaning practices in an assisted reproductive technology (ART)/in vitro fertilization (IVF) clinic: The challenges

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-01-21 DOI: 10.1016/j.ajic.2025.01.012

Helen Wood MA, BSN, RN, CIC, FAPIC , Josephine Fox MPH, BSN, RN, CIC, FAPIC , Heather Gasama MPH , David K. Warren MD, MPH , Misha Foster PhD, CIC, CRCST, CHL , Kenan Omurtag MD , Cindy Barkman RN , Lydia Grimes-Jenkins MSN, RN, BA, CIC, FAPIC

引用次数: 0

Impact of antibiotic treatment and predictors for subsequent infections in multidrug-resistant Pseudomonas aeruginosa catheter-associated asymptomatic bacteriuria

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-01-21 DOI: 10.1016/j.ajic.2025.01.015

Chisook Moon MD, PhD , Yu Mi Wi MD, PhD

{"title":"Impact of antibiotic treatment and predictors for subsequent infections in multidrug-resistant Pseudomonas aeruginosa catheter-associated asymptomatic bacteriuria","authors":"Chisook Moon MD, PhD , Yu Mi Wi MD, PhD","doi":"10.1016/j.ajic.2025.01.015","DOIUrl":"10.1016/j.ajic.2025.01.015","url":null,"abstract":"<div><h3>Background</h3><div>The rate of antibiotic treatment for catheter-associated asymptomatic bacteriuria (CA-ASB) remains high.</div></div><div><h3>Methods</h3><div>We conducted a retrospective study involving hospitalized patients with multidrug-resistant <em>Pseudomonas aeruginosa</em> (MDRP) CA-ASB. Cox proportional hazards regression models were used to identify predictors for subsequent symptomatic infections in patients with MDRP CA-ASB. The probability of remaining free from symptomatic infection was analyzed using Kaplan-Meier curves.</div></div><div><h3>Results</h3><div>The study cohort comprised 139 patients with MDRP CA-ASB. Subsequent symptomatic MDRP infections were observed in 37 (26.6%) patients. Multivariate analysis revealed that underlying urologic diseases (hazard ratio [HR]=2.17, 95% confidence interval [CI]=1.01-4.66, <em>P</em>      =.046), and recurrent bacteriuria (HR=3.57, 95% CI=1.73-7.38, <em>P</em>  =.006, log-rank test).</div></div><div><h3>Conclusions</h3><div>These findings support the current guidelines against routine antibiotic therapy, even for MDRP CA-ASB, and emphasize the need for close monitoring and timely intervention in high-risk populations.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 5","pages":"Pages 607-611"},"PeriodicalIF":3.8,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027856","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

Staffing paradigm for infection prevention and control in the era of antimicrobial resistance: The Veterans Health Administration experience

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-01-21 DOI: 10.1016/j.ajic.2025.01.011

Linda McKinley RN, PhD , Natalie Hicks RN, MSN , Julie Keating PhD , Carman Fritz RN, MSN , Illa Penavs RN, MSN, MHA , Nasia Safdar MD, PhD

引用次数: 0

A review of initial and ongoing training needs through the Alabama Regional Center for Infection Prevention and Control 通过阿拉巴马州感染预防和控制区域中心对初始和正在进行的培训需求的审查。

IF 3.8 3区医学

American journal of infection control Pub Date : 2025-01-19 DOI: 10.1016/j.ajic.2025.01.006

Matthew Fifolt PhD , Elena Kidd MPH , Lisa C. McCormick DrPH, MPH

引用次数: 0

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 PhD, Paige R. Gannon RN, MPH, Victoria R. Dotto MPH, Rachel Regina MPH, Joel M. Mumma PhD

{"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 PhD, Paige R. Gannon RN, MPH, Victoria R. Dotto MPH, Rachel Regina MPH, Joel M. Mumma PhD","doi":"10.1016/j.ajic.2025.01.007","DOIUrl":"10.1016/j.ajic.2025.01.007","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>From the beginning to the end of the training program, self-efficacy scores and overall hand hygiene adherence in VR increased linearly by 11% (<em>P</em>  <.001), respectively.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 5","pages":"Pages 576-581"},"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 PharmD, MSc , Anaïs Andreo PharmD, MSc , Reynald Mangeant PharmD, PhD , Florence Le Gallou PharmD , Géraldine Marquot PharmD , Dominique Demeure Dit Latte MD , Pierre-Joachim Mahé MD , Gabriel Birgand PharmD, PhD , Chrystèle Bidon NP , Karim Asehnoune MD, PhD , Stéphane Corvec PharmD, PhD , Didier Lepelletier MD, PhD

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 MPH, PhD , Jill Morgan RN, BSN , Colleen S. Kraft MD , David Grimm MS , Alexandra Nguyen MS , Joel M. Mumma PhD , Lisa M. Casanova MS, PhD

{"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 MPH, PhD , Jill Morgan RN, BSN , Colleen S. Kraft MD , David Grimm MS , Alexandra Nguyen MS , Joel M. Mumma PhD , Lisa M. Casanova MS, PhD","doi":"10.1016/j.ajic.2025.01.002","DOIUrl":"10.1016/j.ajic.2025.01.002","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Discussion</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 5","pages":"Pages 582-587"},"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