{"title":"MRSA colonization.","authors":"J F John, A C Reboli","doi":"10.1017/s0195941700069733","DOIUrl":"https://doi.org/10.1017/s0195941700069733","url":null,"abstract":"","PeriodicalId":77726,"journal":{"name":"Infection control : IC","volume":"8 11","pages":"445-6"},"PeriodicalIF":0.0,"publicationDate":"1987-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/s0195941700069733","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14554671","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}
L. Fauerbach, D. Goldmann, D. Graham, S. Solomon, S. Troxler
{"title":"Comments from the Audience at the 1987 Annual Meeting of the American Society for Microbiology","authors":"L. Fauerbach, D. Goldmann, D. Graham, S. Solomon, S. Troxler","doi":"10.1017/S0195941700069812","DOIUrl":"https://doi.org/10.1017/S0195941700069812","url":null,"abstract":"I feel that there is a need to apply epidemiological methods to extended health care facilities. At our institu tion we recently completed a survey of nursing homes and hospitals in Florida to evaluate the available infection control resources and the infection control practices. We saw a definite difference in the level of practice between hospitals and extended care facilities. The hospitals had more available resources as indicated by the number of epidemiologists, computer access, infection control meet ings per month, and practitioners. We also found in our survey that the responding extended care facilities were more likely to have practices that increase cost without increasing the infection control within the institution. They were more likely to change IV tubings every 24 hours instead of every 48 hours, to perform routine blad der catheter care, to use disposable dishes, to do environ mental culturing, and to do employee physicals. The nursing homes also responded that they were more inter ested in obtaining help, education, and basic infection control information than hospitals. Florida develop guidelines for review of infection control prac tices states and the methodologies discussed today could certainly be used to assess the occurrence of infection and control methods infor Control","PeriodicalId":77726,"journal":{"name":"Infection control : IC","volume":"8 1","pages":"480 - 483"},"PeriodicalIF":0.0,"publicationDate":"1987-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0195941700069812","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57196954","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":"Surveillance strategies: a primer.","authors":"E Abrutyn, G H Talbot","doi":"10.1017/s0195941700069782","DOIUrl":"https://doi.org/10.1017/s0195941700069782","url":null,"abstract":"<p><p>A variety of acceptable surveillance methodologies have been described. CDC-type surveillance remains the standard, but a limited program may be most sensible for some. Surveillance by objective is an attractive concept and reports of its value are anticipated. For some, laboratory-based systems for identifying nosocomial infections and outbreaks have been highly effective but chart review is often still necessary. Regardless of the surveillance method chosen to anchor a program, the program should be flexible and dynamic, not static. Institutional needs should be assessed continually and the program should change as the problems change. Different strategies may be optimal at different times, and indeed many surveillance programs use a combination of elements. In our view adaptability and flexibility within a well-defined framework are qualities that improve not only responsiveness but also effectiveness.</p>","PeriodicalId":77726,"journal":{"name":"Infection control : IC","volume":"8 11","pages":"459-64"},"PeriodicalIF":0.0,"publicationDate":"1987-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/s0195941700069782","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13966057","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":"Confounding and the analysis of multiple variables in hospital epidemiology.","authors":"J Freeman, D A Goldmann, J E McGowan","doi":"10.1017/s0195941700069794","DOIUrl":"https://doi.org/10.1017/s0195941700069794","url":null,"abstract":"<p><p>Most information in hospital epidemiology comes from observational studies of hospitalized patients rather than planned experiments, and in such observational studies the characteristics of study patients may vary widely, even within a single hospital. Any comparison between hospital populations will usually contain additional, unintended contrasts among patients with varying degrees of health. Adult patients, for example, may have vastly different underlying diseases, and infants may be of substantially different birth weights. We used both underlying disease and birth weight as indices of the basic severity of illness in order to adjust for confounding by differences in underlying disease in reanalyses of several published studies. We give an example in which differing birth weights among groups of infants compared artifactually double the apparent effect of nosocomial infections as a cause of mortality, and another example in which differing degrees of severity of underlying illness artifactually halve the apparent effect of appropriate antibiotics in preventing death from bacteremia with gram-negative bacilli. We describe simple intuitive methods based on stratification, adapted from chronic disease epidemiology, to remove confounding effects during analyses.</p>","PeriodicalId":77726,"journal":{"name":"Infection control : IC","volume":"8 11","pages":"465-73"},"PeriodicalIF":0.0,"publicationDate":"1987-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/s0195941700069794","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14554673","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":"Nosocomial infection surveillance in the United States: historical perspective.","authors":"J M Hughes","doi":"10.1017/s0195941700069769","DOIUrl":"https://doi.org/10.1017/s0195941700069769","url":null,"abstract":"<p><p>During the past 30 years, many important strides have been made in the prevention of nosocomial infections in the United States. Infection control programs have been established in hospitals throughout the country. Techniques for surveillance of nosocomial infections have been developed and utilized extensively. Results of the Study on the Efficacy of Nosocomial Infection Control (SENIC Project) and the experience with surveillance of surgical wound infections have documented the fact that surveillance is an integral component of an effective nosocomial infection control program. In recent years, a number of approaches to nosocomial infection surveillance have been proposed as alternatives to comprehensive or hospital-wide surveillance. In 1986, four surveillance components were introduced in the National Nosocomial Infections Surveillance (NNIS) system to provide participating institutions the option to tailor their surveillance program to their local needs and priorities while continuing to provide information to the national database on nosocomial infections. Infection control practitioners currently face a challenge to develop more meaningful nosocomial infection rates to permit identification of new infection control priorities for their institution and to assess progress toward specific prevention objectives.</p>","PeriodicalId":77726,"journal":{"name":"Infection control : IC","volume":"8 11","pages":"450-3"},"PeriodicalIF":0.0,"publicationDate":"1987-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/s0195941700069769","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13966055","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":"Inactivation of human immunodeficiency virus by Betadine.","authors":"J C Kaplan, D C Crawford, A G Durno, R T Schooley","doi":"10.1017/s0195941700066583","DOIUrl":"https://doi.org/10.1017/s0195941700066583","url":null,"abstract":"<p><p>Human immunodeficiency virus (HIV), the etiological agent of the acquired immunodeficiency syndrome (AIDS), was treated with either Betadine (povidone-iodine) Solution or Betadine Surgical Scrub. HIV inactivation was analyzed using the viral reverse transcriptase assay or by observing the cytopathic effect produced in HIV-infected, H-9, T-cell cultures. The minimum effective Betadine dose was 0.25% for complete inactivation of HIV that was treated for various time intervals (immediate vortex to ten minutes). The titer of HIV stocks used in these experiments (10(5) TCID50 per mL) was greater than amounts generally detected in clinical specimens. Our results provide a rationale for the use of povidone-iodine as a topical antiseptic against HIV in the clinic or laboratory.</p>","PeriodicalId":77726,"journal":{"name":"Infection control : IC","volume":"8 10","pages":"412-4"},"PeriodicalIF":0.0,"publicationDate":"1987-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/s0195941700066583","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14787363","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":"Information for Authors","authors":"","doi":"10.1017/s0195941700066510","DOIUrl":"https://doi.org/10.1017/s0195941700066510","url":null,"abstract":"","PeriodicalId":77726,"journal":{"name":"Infection control : IC","volume":"8 1","pages":"399 - 399"},"PeriodicalIF":0.0,"publicationDate":"1987-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/s0195941700066510","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57195884","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}