{"title":"Hidradenitis suppurativa: an update.","authors":"John R Ingram","doi":"10.7861/clinmedicine.16-1-70","DOIUrl":"10.7861/clinmedicine.16-1-70","url":null,"abstract":"<p><p>Hidradenitis suppurativa (HS) is a chronic, painful skin disease characterised by recurrent inflammatory lesions in flexural locations such as the axillae, groins and perineum. The papules, nodules and abscesses may discharge blood-stained pus which, combined with pain, results in marked quality-of-life reduction. Sinus tracts and scarring may also result. Onset of HS is typically in the second to fourth decades and it affects about 1% of young European adults. There are links with smoking and obesity and an autosomal dominant pattern of inheritance is reported by one-third of patients. Medical management escalates from topical antimicrobials to oral tetracyclines, a combination of clindamycin and rifampicin typically given for 10 weeks, oral disease modifiers, and anti-tumour necrosis factor-alpha therapies. Excision of individual lesions has high recurrence rates which can be minimised by wider excisions, at the expense of longer healing times. Treatment of pain is a relatively neglected aspect of therapy. </p>","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"12 1","pages":"70-3"},"PeriodicalIF":4.4,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4954339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78439224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Antibiotic resistance – what we need to do about it","authors":"Peter Collignon MBBS FRACP","doi":"10.1016/S1329-9360(16)30001-3","DOIUrl":"10.1016/S1329-9360(16)30001-3","url":null,"abstract":"","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"12 4","pages":"Pages 116-117"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1329-9360(16)30001-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56481935","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":"Diary of events 2008","authors":"","doi":"10.1016/S1329-9360(16)30006-2","DOIUrl":"https://doi.org/10.1016/S1329-9360(16)30006-2","url":null,"abstract":"","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"12 4","pages":"Page 144"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1329-9360(16)30006-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137074362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anthony Morton MScAppl, MD, MS, David Looke FRACP, FRCPA, MMedSci
{"title":"Monitoring antibiotic usage: an update","authors":"Anthony Morton MScAppl, MD, MS, David Looke FRACP, FRCPA, MMedSci","doi":"10.1016/S1329-9360(16)30003-7","DOIUrl":"10.1016/S1329-9360(16)30003-7","url":null,"abstract":"<div><p>Within a hospital, antibiotic usage can be affected by clustering of infections. In addition, pharmacy imprest systems may deliver stock in one time period that are used in a subsequent time period. As a result, hospital antibiotic usage data can be unpredictable and highly variable.</p><p>Usage of an antibiotic can be conveniently displayed in a time-series chart with monthly defined daily doses (DDDs) per 1000 bed-days on the vertical axis and months on the horizontal axis. To account for random variation, the chart should ideally have control limits, for example a Shewhart chart. However, conventional Shewhart control charts rely on the availability of a run of predictable data values so that the average and its variability can be determined. Since this may be difficult to achieve with hospital antibiotic usage data, a conventional control chart may give misleading information. A modified control chart based on a generalised additive model can overcome the difficulty in the analysis of these data. This chart is not difficult to employ or interpret.</p></div>","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"12 4","pages":"Pages 127-129"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1329-9360(16)30003-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56481972","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":"A comparison of two devices for the manual cleaning of flexible gastrointestinal endoscopes in a clinical setting","authors":"Timothy S Charlton PhD","doi":"10.1016/S1329-9360(16)30004-9","DOIUrl":"10.1016/S1329-9360(16)30004-9","url":null,"abstract":"<div><p>The ‘Pull Thru’ [Novapharm Research Aust. Pty Ltd], a new device designed for cleaning the biopsy/suction channel of flexible gastrointestinal endoscopes, was compared to reusable brushes in a clinical setting. A total of 53 endoscopes were tested with a microbiological assay. Directly after removing the endoscope from the patient, a sterile saline solution was flushed down the biopsy channel to provide a ‘before clean’ estimate of bioburden. Following a cleaning protocol with either of two manual cleaning devices – i.e. one pass with a Pull Thru or six passes with a reusable brush – a second volume of saline solution was used to provide an ‘after clean’ estimate. The protocols were compared for Log<sub>10</sub>Reduction in colony-forming units (cfu)/mL between the ‘before clean’ and ‘after clean’ samples. No significant difference was found between the two cleaning protocols (P=0.058) using a combined factorial analysis. The adjusted means for Log<sub>10</sub>Reduction (cfu/mL) were 3.003 (brush) and 3.302 (Pull Thru) with a standard error of difference of 0.154. It is concluded that the cleaning efficacy of one pass with the Pull Thru was as effective as six passes with a reusable brush.</p></div>","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"12 4","pages":"Pages 131-132, 134, 136, 138"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1329-9360(16)30004-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56481982","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}
Paul W Nicol PhD MA (Futures Studies), Rochelle E Watkins PhD BSc (Physio), Aileen J Plant PhD FAFPHM (Professor)
{"title":"Infection control in the acute care setting: time for a change of perspective","authors":"Paul W Nicol PhD MA (Futures Studies), Rochelle E Watkins PhD BSc (Physio), Aileen J Plant PhD FAFPHM (Professor)","doi":"10.1016/S1329-9360(16)30002-5","DOIUrl":"10.1016/S1329-9360(16)30002-5","url":null,"abstract":"<div><p>Despite widespread acceptance of the need for better compliance with infection control practices in the acute care setting, methods for instilling sustainable changes in the habits of healthcare workers have been elusive, especially hand hygiene practice. In view of this limited success, a fresh approach is timely. It is contended that such an approach should include consideration of infection control practice improvement as an organisational cultural change issue. Within this framework, an exploration of the conceptual ecologies of healthcare workers using an appropriate qualitative methodology can provide the rich data required to increase the deep-seated understanding that is needed for the construction of improved promotion and education of good infection control practices.</p></div>","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"12 4","pages":"Pages 118, 120, 122-126"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1329-9360(16)30002-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56481952","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":"Journal Watch","authors":"","doi":"10.1016/S1329-9360(16)30005-0","DOIUrl":"https://doi.org/10.1016/S1329-9360(16)30005-0","url":null,"abstract":"<div><p>Journal Watch presents a brief description of articles recently published in other journals and thought to be of relevance or interest to the <em>Australian Infection</em> Control readership. Readers are encouraged to refer to the full article for complete information.</p></div>","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"12 4","pages":"Pages 140, 142"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1329-9360(16)30005-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92057745","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":"“And coming up next….. Mandatory Public Reporting”","authors":"Phil Russo BN, MClinEpid","doi":"10.1016/S1329-9360(16)30007-4","DOIUrl":"10.1016/S1329-9360(16)30007-4","url":null,"abstract":"","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"12 3","pages":"Pages 77-78"},"PeriodicalIF":0.0,"publicationDate":"2007-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1329-9360(16)30007-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56481996","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":"Infections in Critical Care Areas","authors":"Claire M. Rickard RN, PhD","doi":"10.1016/S1329-9360(16)30012-8","DOIUrl":"10.1016/S1329-9360(16)30012-8","url":null,"abstract":"","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"12 3","pages":"Page 109"},"PeriodicalIF":0.0,"publicationDate":"2007-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1329-9360(16)30012-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56482316","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":"A comparison of the efficacy of lumen-cleaning devices for flexible gastrointestinal endoscopes","authors":"Timothy S. Charlton B Sc (Hons), PhD","doi":"10.1016/S1329-9360(16)30008-6","DOIUrl":"10.1016/S1329-9360(16)30008-6","url":null,"abstract":"<div><p>The cleaning efficacy of a new lumen cleaning device for endoscopes, a ‘Pull Thru’, was compared to cleaning devices that use brushes. Efficacy was tested by applying a simulated blood soil to lumens of two different diameters (to match those of biopsy and suction lumens, which require manual cleaning) and comparing the weight difference before and after cleaning. The Pull Thru device was found to offer a consistently significant improvement in soil removal and was equally effective across both lumen sizes and for both new and used lumens.</p></div>","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"12 3","pages":"Pages 81-82, 85-86, 89-90"},"PeriodicalIF":0.0,"publicationDate":"2007-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1329-9360(16)30008-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56482004","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}