{"title":"The analysis of the impact of a mild, low-iodine, lotion soap on the reduction of nosocomial methicillin-resistant Staphylococcus aureus: a new opportunity for surveillance by objectives.","authors":"K M Onesko, E C Wienke","doi":"10.1017/s019594170006625x","DOIUrl":"https://doi.org/10.1017/s019594170006625x","url":null,"abstract":"<p><p>A significant unremitting increase in the incidence of nosocomial methicillin-resistant Staphylococcus aureus (MRSA) infections in a 500-bed acute care community teaching hospital prompted reevaluation of the efficacy of the infection control measures used. A well-accepted, low-iodine, antimicrobial soap was used to replace a liquid natural handsoap in two areas with the highest incidence of MRSA--the intensive care unit, and a medical division. Over a two-year period, an analysis was made of the effect of soap replacement on nosocomial infections and pathogens. Soap changeover occurred at the midpoint of the two-year period. From year to year, the nosocomial MRSA rate decreased 80% (t test, P = 0.005). Other pathogens that demonstrated a dramatic decrease included methicillin-sensitive Staphylococcus aureus (MSSA), infections where no pathogens were isolated, and various gram-negative infections. Categories of nosocomial infections that decreased included surgical wound infections, primary bacteremias, and respiratory tract infections. The overall nosocomial infection rate of the two combined areas decreased 21.5%, representing a year-to-year savings of $109,500. As a result, the decision was made to install the low-iodine handsoap permanently at all sinks within the hospital.</p>","PeriodicalId":77726,"journal":{"name":"Infection control : IC","volume":"8 7","pages":"284-8"},"PeriodicalIF":0.0,"publicationDate":"1987-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/s019594170006625x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14771695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S F Bradley, K H Wilson, M A Rosloniec, C A Kauffman
{"title":"Recurrent pseudobacteremias traced to a radiometric blood culture device.","authors":"S F Bradley, K H Wilson, M A Rosloniec, C A Kauffman","doi":"10.1017/s0195941700066248","DOIUrl":"https://doi.org/10.1017/s0195941700066248","url":null,"abstract":"<p><p>Five clusters of pseudobacteremias over a seven-month period were traced to a BACTEC radiometric device. Four episodes were due to enterococcus and one involved Staphylococcus aureus. Each cluster began with multiple positive blood cultures from a patient with clinical evidence of bacteremia. On subsequent days each bottle in sequence yielded growth of the identical organism, as shown by phage typing and antibiograms. Cultures from patients believed to be infected with the organisms tested positive earlier (mean = 1.4 days) than those patients believed to be pseudobacteremic (mean = 4.8 days). Investigation pointed toward the BACTEC device as the most likely source. Resin beads were found in the needle on several occasions and were shown to be transferred from bottle to bottle. We postulated that contaminated resin beads or liquid from a positive bottle remained in the needle above the portion that was heat-sterilized, contaminating the next bottle when it was sampled.</p>","PeriodicalId":77726,"journal":{"name":"Infection control : IC","volume":"8 7","pages":"281-3"},"PeriodicalIF":0.0,"publicationDate":"1987-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/s0195941700066248","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14433613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Richard E. ReeseMD and R. Gordon DouglasJr., MD, (eds) A Practical Approach to Infectious Diseases (2e)Boston; Little, Brown and Co, 1986, 782 pp","authors":"P. Gross","doi":"10.1017/S0195941700066285","DOIUrl":"https://doi.org/10.1017/S0195941700066285","url":null,"abstract":"","PeriodicalId":77726,"journal":{"name":"Infection control : IC","volume":"8 1","pages":"297 - 297"},"PeriodicalIF":0.0,"publicationDate":"1987-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0195941700066285","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57194947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Strain variation among Candida species: application of various typing methods to study the epidemiology and pathogenesis of candidiasis in hospitalized patients.","authors":"M A Pfaller","doi":"10.1017/s0195941700066224","DOIUrl":"https://doi.org/10.1017/s0195941700066224","url":null,"abstract":"","PeriodicalId":77726,"journal":{"name":"Infection control : IC","volume":"8 7","pages":"273-6"},"PeriodicalIF":0.0,"publicationDate":"1987-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/s0195941700066224","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14433612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ms. Sue Crow, nurse epidemiologist, responds to Dr. Silver's letter","authors":"S. Crow","doi":"10.1017/S019594170006608X","DOIUrl":"https://doi.org/10.1017/S019594170006608X","url":null,"abstract":"","PeriodicalId":77726,"journal":{"name":"Infection control : IC","volume":"8 1","pages":"232 - 234"},"PeriodicalIF":0.0,"publicationDate":"1987-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S019594170006608X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57195219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}