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

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-09-14 DOI: 10.1016/S0196-6553(24)00666-7

引用次数: 0

Response to letter to the editor: Did the health care vaccine mandate work? An evaluation of the impact of the COVID-19 vaccine mandate on vaccine uptake and infection risk in a large cohort of Canadian health care workers 回应致编辑的信：医护人员接种疫苗的规定有效吗？评估 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

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-09-14 DOI: 10.1016/j.ajic.2024.05.019

Arnold I. Okpani MD, MSc , Karen Lockhart MA , Stephen Barker BSc , Jennifer M. Grant MDCM, FRCPC , Annalee Yassi PhD

引用次数: 0

Impact of hand hygiene interventions on handwashing practices and microbial risk: A study in an orphanage-based school in Pakistan. 手部卫生干预措施对洗手方法和微生物风险的影响：巴基斯坦一所孤儿学校的研究。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-09-13 DOI: 10.1016/j.ajic.2024.09.008

Afsheen Tunio, Jamil Ahmed, Muhammad Zakir Shaikh, Najeebullah Channa, Samreen Hussain, Enrique Nava Baro

{"title":"Impact of hand hygiene interventions on handwashing practices and microbial risk: A study in an orphanage-based school in Pakistan.","authors":"Afsheen Tunio, Jamil Ahmed, Muhammad Zakir Shaikh, Najeebullah Channa, Samreen Hussain, Enrique Nava Baro","doi":"10.1016/j.ajic.2024.09.008","DOIUrl":"10.1016/j.ajic.2024.09.008","url":null,"abstract":"<p><strong>Background: </strong>Orphaned children are often deprived of quality care, making them more susceptible to diseases due to inadequate hand hygiene. The study aimed to assess the prevalence of hand hygiene practices and detect bacterial loads on children's hands before and after hygiene interventions in an orphanage school.</p><p><strong>Methods: </strong>The study enrolled all the orphan children registered with the Save Our Souls children's orphanage school in Pakistan. Handwashing practices and swab samples from the hand was collected to evaluate the impact of hand hygiene practices on bacterial load. The Quantitative Microbial Risk Assessment model was used to predict the health risk.</p><p><strong>Results: </strong>The study identified the 2 most common bacteria: Staphylococcus aureus and Escherichia coli. The bacterial contamination was significantly reduced after the intervention (S aureus 166 Colony-forming unit (CFU) /mL and E coli 185 CFU/mL). The higher bacterial ingestion rate was attributed to hand contamination and increased bacteria transfer from hand to mouth.</p><p><strong>Conclusions: </strong>The multicomponent hand hygiene intervention showed improvement in accessibility to hand hygiene resources and practices. The findings underscore the need for hygiene interventions in orphanage schools to improve health and educational outcomes.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279011","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

COVID-19 vaccine uptake inequality among older adults: A multidimensional demographic analysis. COVID-19 老年人疫苗接种率不平等：多维人口分析。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-09-12 DOI: 10.1016/j.ajic.2024.09.007

Seyed M Karimi, Md Yasin Ali Parh, Shaminul H Shakib, Hamid Zarei, Venetia Aranha, Angela Graham, Trey Allen, Sirajum Munira Khan, Mana Moghadami, Demetra Antimisiaris, William Paul McKinney, Bert Little, YuTing Chen, Taylor Ingram

{"title":"COVID-19 vaccine uptake inequality among older adults: A multidimensional demographic analysis.","authors":"Seyed M Karimi, Md Yasin Ali Parh, Shaminul H Shakib, Hamid Zarei, Venetia Aranha, Angela Graham, Trey Allen, Sirajum Munira Khan, Mana Moghadami, Demetra Antimisiaris, William Paul McKinney, Bert Little, YuTing Chen, Taylor Ingram","doi":"10.1016/j.ajic.2024.09.007","DOIUrl":"10.1016/j.ajic.2024.09.007","url":null,"abstract":"<p><strong>Background: </strong>Age, race, ethnicity, and sex are important determinants of coronavirus disease of 2019 (COVID-19) outcomes. Older adults (65 years and older) are at the highest risk of COVID-19 morbidity and mortality. Analyzing their vaccine uptake by subclassifying demographics is rare and can assist vaccination policies. This study investigates COVID-19 dose 1 and 2 vaccine uptakes among them by race, ethnicity, and sex.</p><p><strong>Methods: </strong>Immunization registry data were used to calculate temporal changes in older adults' COVID-19 vaccine uptake by race, ethnicity, race-sex, and ethnicity-sex in Kentucky's most populous county, Jefferson County, during the first 6 quarters of the COVID-19 vaccination program.</p><p><strong>Results: </strong>By May 2022, the county's Asian residents had the highest dose 1 and 2 vaccination rates (97.0% and 80.4%), then White residents (90.0% and 80.2%). Black residents had one of the lowest COVID-19 vaccination rates (87.3% and 77.3%). The rate among Hispanic residents (82.0% and 66.4%) was considerably lower than non-Hispanic residents (90.2% and 80.1%). The rates were consistently lower in males.</p><p><strong>Conclusions: </strong>Racial, ethnic, and sex-based COVID-19 vaccine inequalities were largely maintained during the study period. Vaccine rollout practices and promotional programs should aim to boost the uptake of the COVID-19 vaccination among racial minority and male older adults.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279010","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

Prevalence of methicillin-resistant Staphylococcus aureus (MRSA) harboring mupirocin and biocide resistance genes in a large health care system. 一个大型医疗系统中携带莫匹罗星和杀菌剂耐药基因的耐甲氧西林金黄色葡萄球菌（MRSA）的流行情况。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-09-12 DOI: 10.1016/j.ajic.2024.09.002

Rossana Rosa, Rodrigo de Paula Baptista, Truc T Tran, Renzo O Cifuentes, Kelley Manzanillo, Gemma Rosello, Chris Ghaemmaghami, David Zambrana, Octavio V Martinez, Cesar A Arias, Lilian M Abbo

{"title":"Prevalence of methicillin-resistant Staphylococcus aureus (MRSA) harboring mupirocin and biocide resistance genes in a large health care system.","authors":"Rossana Rosa, Rodrigo de Paula Baptista, Truc T Tran, Renzo O Cifuentes, Kelley Manzanillo, Gemma Rosello, Chris Ghaemmaghami, David Zambrana, Octavio V Martinez, Cesar A Arias, Lilian M Abbo","doi":"10.1016/j.ajic.2024.09.002","DOIUrl":"10.1016/j.ajic.2024.09.002","url":null,"abstract":"<p><strong>Background: </strong>We aimed to determine the prevalence of genes associated with high-level mupirocin and biocide resistance in methicillin-resistant Staphylococcus aureus (MRSA) isolates among hospitalized patients and to characterize their genomic and epidemiologic features.</p><p><strong>Methods: </strong>Study conducted on an integrated health system. Clinical cultures with MRSA from hospitalized patients collected between March 1, 2023, and January 20, 2024 underwent prospective whole-genome sequencing, including assessment for the presence of markers of resistance against mupirocin (mupA) and biocides (qac). Demographic and clinical characteristics were reviewed.</p><p><strong>Results: </strong>We analyzed 463 MRSA isolates. The overall prevalence of mupA(+), qacA(+), and qacC(+) genes was 22.0%, 2.4%, and 19.0%, respectively. Most mupA(+) isolates belonged to ST8, but ST8732 (a novel variant of ST8) had the highest prevalence of mupA(+) isolates at 95%. Patients mupA(+) were older, and none of the isolates from pediatric patients harbored this gene.</p><p><strong>Discussion: </strong>Through prospective whole-genome sequencing of MRSA isolates, we detected a prevalence of genes conferring mupirocin resistance considerably higher than previously reported, particularly among MRSA ST8 variants.</p><p><strong>Conclusions: </strong>Our findings highlight the need for monitoring resistance to agents used for the prevention of S aureus infections, as these trends have implications for infection prevention programs and public health at large.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279013","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

Post-occupancy evaluation on temporary negative pressure isolation wards with portable high-efficiency particulate air filter units used during the COVID-19 pandemic in South Korea 对韩国 COVID-19 大流行期间使用便携式高效微粒空气过滤器的临时负压隔离病房进行入住后评估。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-09-06 DOI: 10.1016/j.ajic.2024.08.025

Se Jin Lee MS , Won Seok Lee MS , Joo Yeon Roh MS , Shin Hye Lee MS , Eun Seok Kim PhD , Myoung Souk Yeo PhD

{"title":"Post-occupancy evaluation on temporary negative pressure isolation wards with portable high-efficiency particulate air filter units used during the COVID-19 pandemic in South Korea","authors":"Se Jin Lee MS , Won Seok Lee MS , Joo Yeon Roh MS , Shin Hye Lee MS , Eun Seok Kim PhD , Myoung Souk Yeo PhD","doi":"10.1016/j.ajic.2024.08.025","DOIUrl":"10.1016/j.ajic.2024.08.025","url":null,"abstract":"<div><h3>Background</h3><div>During the COVID-19 pandemic, in South Korea, several inpatient wards were converted to temporary negative pressure isolation (TNPI) wards by using portable high-efficiency particulate air filter units (PHUs). This study proposes improvements to the TNPI ward to prepare for airborne infections.</div></div><div><h3>Methods</h3><div>Existing air-conditioning systems were investigated during the pandemic in 4 hospitals through a document review and field investigation with staff interviews. On-site experiments and measurements were conducted under vacant conditions. Differential pressure (<span><math><mo>∆</mo></math></span><em>P</em>) between spaces was measured in all 4 hospitals, while tracer gas tests were carried out in 2 hospitals.</div></div><div><h3>Results</h3><div>The investigation revealed that thermal discomfort caused the existing systems remaining perpetually active. Additionally, the noise generated by the PHU caused an unexpected shutdown of that equipment. Furthermore, the <span><math><mo>∆</mo></math></span><em>P</em> of over −2.5 Pa was measured as a result of the operating status of equipment. These situations can cause duct backflow and gas diffusion through unsealed diffusers. Moreover, low airtightness of existing facilities can affect indoor environment, pressure difference, and gas diffusion.</div></div><div><h3>Conclusions</h3><div>When using existing facilities as TNPI wards, the airtightness and existing systems should be considered. We concluded that it is important to increase the airtightness and seal unused diffusers in order to prevent cross-infection by unpredictable airflow.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"52 12","pages":"Pages 1403-1411"},"PeriodicalIF":3.8,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142153045","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

Drastic hourly changes in hand hygiene workload and performance rates: A multicenter time series analysis 手卫生工作量和执行率每小时的急剧变化：多中心时间序列分析。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-09-05 DOI: 10.1016/j.ajic.2024.08.026

Lori D. Moore MPH, MSCE, BSN, RN , James W. Arbogast PhD , Greg Robbins BA , Megan DiGiorgio MSN , Albert E. Parker PhD

{"title":"Drastic hourly changes in hand hygiene workload and performance rates: A multicenter time series analysis","authors":"Lori D. Moore MPH, MSCE, BSN, RN , James W. Arbogast PhD , Greg Robbins BA , Megan DiGiorgio MSN , Albert E. Parker PhD","doi":"10.1016/j.ajic.2024.08.026","DOIUrl":"10.1016/j.ajic.2024.08.026","url":null,"abstract":"<div><h3>Background</h3><div>High hand hygiene (HH) workload is a commonly cited barrier to optimal HH performance. The objective of this study was to assess trends of HH workload as defined by HH opportunities (HHO) and performance rates over different timescales using automated HH monitoring system data.</div></div><div><h3>Methods</h3><div>This multiyear retrospective observational study was conducted in 58 inpatient units located in 10 North American hospitals. HHO and HH rates were analyzed by time series mixed effects general additive model.</div></div><div><h3>Results</h3><div>Median HH rates peaked at 50.0 between 6 and 7 AM with a trough of 38.2 at 5 PM. HHO over hours in a day were the highest at 184 per hospital unit per hour at 10 AM with a trough of 49.0 between 2 and 3 AM. Median rates for day and night shifts were 40.8 and 45.5, respectively (<em>P</em> = .078). Weekend day shift had the lowest median rate (39.4) compared with any other 12-hour shift (<em>P</em> < .1018). The median rates and HHO varied little across days in a week and months.</div></div><div><h3>Conclusions</h3><div>HH workload and performance rates were negatively correlated and changed drastically over hours in a day. Hospitals should consider HH workload in the development and timely delivery of improvement interventions.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"52 12","pages":"Pages 1371-1376"},"PeriodicalIF":3.8,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142144952","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 introducing external urinary devices on reducing indwelling urinary catheter days: A quality improvement initiative at a midwestern academic medical center 引入体外排尿设备对减少留置导尿管天数的影响 - 中西部学术医疗中心的质量改进计划。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-09-02 DOI: 10.1016/j.ajic.2024.08.023

Kelly Poch BSN, RN, MBA, CCRN , Alexandra Trannel MS , Nicole Wiltfang BSN, RN , Elizabeth Krigbaum BSE , Oluchi Abosi MBchB, MPH, CIC , Takaaki Kobayashi MD, MPH , Karen Brust MD

引用次数: 0

Five-year VIM-producing Pseudomonas aeruginosa outbreak in four Belgian ICUs, an investigation report (2019-2023) 比利时四家重症监护室五年来暴发的产VIM铜绿假单胞菌疫情，调查报告（2019-2023年）。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-08-31 DOI: 10.1016/j.ajic.2024.08.022

Marco Moretti MD , Robin Vanstokstraeten PhD , Florence Crombé PhD , Kurt Barbé PhD , Ingrid Wybo MD, PhD , Sabine D. Allard MD, PhD , Joop Jonckheer MD, PhD , Deborah De Geyter PhD

{"title":"Five-year VIM-producing Pseudomonas aeruginosa outbreak in four Belgian ICUs, an investigation report (2019-2023)","authors":"Marco Moretti MD , Robin Vanstokstraeten PhD , Florence Crombé PhD , Kurt Barbé PhD , Ingrid Wybo MD, PhD , Sabine D. Allard MD, PhD , Joop Jonckheer MD, PhD , Deborah De Geyter PhD","doi":"10.1016/j.ajic.2024.08.022","DOIUrl":"10.1016/j.ajic.2024.08.022","url":null,"abstract":"<div><h3>Background</h3><div>Verona integron-encoded metallo-β-lactamase-producing <em>Pseudomonas aeruginosa</em> (VIM-PA) outbreaks are frequently linked to contaminated sink-drains in the intensive care unit (ICU). This study aims to investigate a VIM-PA outbreak occurring at 4 ICUs in a Belgian university center.</div></div><div><h3>Methods</h3><div>Between 01/01/2019 and 30/07/2023, data were retrospectively retrieved. Whole-genome sequencing of VIM-PA was carried out for available isolates and the core genome multilocus sequencing typing (cgMLST) was used to confirm clonality. New case incidence was estimated by analyzing the weekly data of at-risk and VIM-PA-colonized patients, fitting a regression model.</div></div><div><h3>Results</h3><div>Fifty-one patients were colonized, among them, 32 (63%) were infected by VIM-PA, which contributed to 7 deaths. The outbreak investigation showed that 19 (47%) of the examined sink-drains grew at least once a VIM-PA. Two major clusters were observed by cgMLST: ST111 (59 clones with 40 clinical isolates), and ST17 (8 clones with 6 clinical isolates). The estimated incidence rate of new cases was significantly higher in one unit.</div></div><div><h3>Conclusions</h3><div>A 5-year prolonged outbreak at the UZ Brussel ICUs was caused by only 2 VIM-PA clones, both linked to sink-drains, with minimal mutations occurring throughout the years. Statistical modeling found different incidence rates between units. Tailored interventions were hence prioritized.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"52 12","pages":"Pages 1425-1431"},"PeriodicalIF":3.8,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103545","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

“Don’t touch your face”---Effectiveness of a health communication intervention on reducing face-touching behaviors "不要摸脸"--健康传播干预对减少摸脸行为的效果。

IF 3.8 3区医学

American journal of infection control Pub Date : 2024-08-28 DOI: 10.1016/j.ajic.2024.08.021

Weijia Shi PhD , Michael Mackert PhD , Deena Kemp PhD , Andy J. King PhD , Yan Liu PhD , Mike Henson-García MPH , Jiahua Yang PhD , Lindsay M. Bouchacourt PhD , Alison G. Cahill MD, MSCI

{"title":"“Don’t touch your face”---Effectiveness of a health communication intervention on reducing face-touching behaviors","authors":"Weijia Shi PhD , Michael Mackert PhD , Deena Kemp PhD , Andy J. King PhD , Yan Liu PhD , Mike Henson-García MPH , Jiahua Yang PhD , Lindsay M. Bouchacourt PhD , Alison G. Cahill MD, MSCI","doi":"10.1016/j.ajic.2024.08.021","DOIUrl":"10.1016/j.ajic.2024.08.021","url":null,"abstract":"<div><h3>Background</h3><div>Given the risk of infection through face-touching behaviors, investigators have called for more research into the development of interventions to reduce the frequency of face-touching. The current study aims to test the effectiveness of messages on reducing face-touching behaviors.</div></div><div><h3>Methods</h3><div>Nine different messages that highlighted the risk of face-touching were developed. Study 1, an online survey-experiment with a national sample of US adults (<em>N</em> = 998), examined message-, risk perceptions, and face-touching-related behavioral intentions. The most promising messages identified in study 1 were then tested in study 2, a follow-up behavioral observation study with a class of undergraduate students. Students’ face-touching behaviors were observed during a 4-week period when intervention versus control messages were displayed in the classroom.</div></div><div><h3>Results</h3><div>Four messages performed better in study 1, 2 of which were selected to test the actual message effectiveness in study 2. Study 2 results showed that on average, students touched their faces less frequently when a “Don’t touch your face” message was present, although such decrease was not statistically significant.</div></div><div><h3>Conclusions</h3><div>Having reminder messages of “Don’t touch your face” in public spaces hold the potential to be a low-cost, effective strategy to reduce face-touching behaviors.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"52 12","pages":"Pages 1419-1424"},"PeriodicalIF":3.8,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103544","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