Australian infection control : official journal of the Australian Infection Control Association Inc最新文献_第7页

The culmination of rare events – a global healthcare and public health concern 罕见事件的高潮——全球卫生保健和公共卫生问题

Australian infection control : official journal of the Australian Infection Control Association Inc Pub Date : 2005-12-01 DOI: 10.1071/HI05119

Mary-Louise McLaws (AProfessor Epidemiology and Statistics)

引用次数: 0

Infection control practices among Chinese physicians 中国医生的感染控制实践

Australian infection control : official journal of the Australian Infection Control Association Inc Pub Date : 2005-12-01 DOI: 10.1071/HI05137

Derek R. Smith , Ning Wei , Yi-Jie Zhang , Rui-Sheng Wang

{"title":"Infection control practices among Chinese physicians","authors":"Derek R. Smith , Ning Wei , Yi-Jie Zhang , Rui-Sheng Wang","doi":"10.1071/HI05137","DOIUrl":"10.1071/HI05137","url":null,"abstract":"<div><p>Although sound infection control practices are essential within hospital settings, compliance rates among physicians may be suboptimal and this latter issue has rarely been studied in mainland China. Therefore, we surveyed a complete cross-section of physicians from a large teaching hospital in Shijiazhuang City, Hebei Province. Of the respondents, 54.1% said they never wore protective gloves whilst taking blood samples. Regular glove usage during gastric lavage, endotracheal intubation and indwelling urinary catheter insertion or removal was reported by 65.6%, 63.5% and 95.8% respectively. Most physicians (61.5%) washed their hands less than 10 times per work shift, with domestic soap being the most common method (71.1%). A complete course of Hepatitis B virus (HBV) vaccinations was reported by 64.3%, although 24.1% had not been vaccinated at all. Overall, our study suggests that infection control practices may be suboptimal among Chinese physicians. As such, a greater priority must be urgently directed towards improving compliance during clinical procedures in mainland China.</p></div>","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"10 4","pages":"Pages 137-140"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1071/HI05137","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59225637","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}

引用次数: 1

Diary of Events 事件日记

Australian infection control : official journal of the Australian Infection Control Association Inc Pub Date : 2005-12-01 DOI: 10.1071/HI05144

引用次数: 0

Peer Reviewers 2005 2005年同行评审

Australian infection control : official journal of the Australian Infection Control Association Inc Pub Date : 2005-12-01 DOI: 10.1016/S1329-9360(16)30066-9

引用次数: 0

Prevention of scalpel blade injuries: Staff ignorance of the Australian/New Zealand Standard 预防手术刀刀片伤害:员工对澳大利亚/新西兰标准的无知

Australian infection control : official journal of the Australian Infection Control Association Inc Pub Date : 2005-09-01 DOI: 10.1071/HI05089

Dennis Tseng MBBS (Dr, deceased), Michael Sinnott MBBS, FACEM, FRACP (Dr), James Collier MBBS, FACEM (Dr), Daryl Wall MBBS, FRACS (Dr), Michael Whitby MBBS, FRACP, FRCPA (Dr)

{"title":"Prevention of scalpel blade injuries: Staff ignorance of the Australian/New Zealand Standard","authors":"Dennis Tseng MBBS (Dr, deceased), Michael Sinnott MBBS, FACEM, FRACP (Dr), James Collier MBBS, FACEM (Dr), Daryl Wall MBBS, FRACS (Dr), Michael Whitby MBBS, FRACP, FRCPA (Dr)","doi":"10.1071/HI05089","DOIUrl":"10.1071/HI05089","url":null,"abstract":"<div><h3>Background</h3><p>The objectives of this study were to (1) Assess staff knowledge of Australian/New Zealand Standard (AS/NZS 3825:1998), ’Procedures and devices for the removal and disposal of scalpel blades from scalpel handles’; (2) Determine compliance with this standard within a tertiary hospital setting.</p></div><div><h3>Methods</h3><p>Knowledge of and compliance with AS/NZS 3825:1998 (the Standard) at the Princess Alexandra Hospital was determined by a non standardised, de-identified cross sectional survey. The sampling frame was clinical staff working in areas where scalpel blades and reusable scalpel handles were in common usage (as defined by data from the hospital's purchasing department).</p></div><div><h3>Results</h3><p>A total of 96 medical and nursing personnel completed the survey. No staff member was able to describe the Standard completely. Only 16% (5/30) of medical staff and 19% (13/66) of nursing staff surveyed were able to describe the AS/NZS 3825:1998 in part. It was determined that only 3.3% (1/30) of medical and 1.5% (1/66) of nursing staff were routinely utilising a safe method for the removal of scalpel blades.</p></div><div><h3>Conclusion</h3><p>Within the study hospital there is a deficiency in the knowledge of AS/NZS 3825:1998. The majority of currently employed methods for removing used scalpel blades from reusable scalpel handles in this setting do not comply with this Standard.</p></div>","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"10 3","pages":"Pages 89-90, 92-94"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1071/HI05089","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59225186","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}

引用次数: 8

The Norovirus experience: An exercise in outbreak management at a tertiary referral hospital 诺如病毒的经验:在三级转诊医院的疫情管理演习

Australian infection control : official journal of the Australian Infection Control Association Inc Pub Date : 2005-09-01 DOI: 10.1071/HI05095

Rae Conway RN RPN BHSc (Nursing) MBA, Sue Bunt RN MSc, Health Policy and Management, INE, Erica Mathias RN BN MN, Helen Said RN Coronary Care Cert., BHS Nursing

{"title":"The Norovirus experience: An exercise in outbreak management at a tertiary referral hospital","authors":"Rae Conway RN RPN BHSc (Nursing) MBA, Sue Bunt RN MSc, Health Policy and Management, INE, Erica Mathias RN BN MN, Helen Said RN Coronary Care Cert., BHS Nursing","doi":"10.1071/HI05095","DOIUrl":"10.1071/HI05095","url":null,"abstract":"<div><p>Norovirus outbreaks in hospitals test infection control measures, outbreak management protocols and alert the hospital to the insidious nature of outbreaks and the requirement for staff to be prepared at all times.</p><p>In June 2003, an outbreak of gastroenteritis associated with Norovirus occurred at a Sydney hospital. The outbreak affected patients, relatives, staff members and provided an outbreak management challenge for staff. Prompt implementation of infection control strategies was a major factor in containment of the outbreak, which lasted four weeks. This paper discusses the course of disease, measures implemented to contain the virus and impact on the organisation. These measures included isolating or cohorting symptomatic patients till they were symptom free for 48 hours. Stringent environmental cleaning and transmission based precautions were adhered to. Daily communication was maintained between Infection Control, Staff Health, Nursing Unit Managers, Senior Nurse Managers, the Executive, Public Health and other key players. Support and education on Norovirus and patient management was provided to ward staff as well as facility wide education on ’Gastroenteritis’ in the weeks following the outbreak.</p></div>","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"10 3","pages":"Pages 95, 97-102"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1071/HI05095","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59225286","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}

引用次数: 5

Comparative efficacy of medical instrument cleaning products in digesting some blood proteins 医疗器械清洁产品消化某些血液蛋白的比较疗效

Australian infection control : official journal of the Australian Infection Control Association Inc Pub Date : 2005-09-01 DOI: 10.1071/HI05103

Norman W.H. Cheetham BSc, PhD

{"title":"Comparative efficacy of medical instrument cleaning products in digesting some blood proteins","authors":"Norman W.H. Cheetham BSc, PhD","doi":"10.1071/HI05103","DOIUrl":"10.1071/HI05103","url":null,"abstract":"<div><p>The instrument-cleaning step is recognised as critical in achieving sterility or high-level disinfection in the medical instrument reprocessing cycle. Proteins in the residual bioburden on instruments after their use present a serious challenge to successful reprocessing, as they can adversely affect both chemical and physical sterilisation. The commercial products used in the cleaning step have a variety of functionalities, one of the most important of which is the elimination of human proteins from the instrument prior to the sterilisation/high level disinfection step.</p><p>The methodology employed in this study is SDS-PAGE, a gel electrophoresis technique, which is a standard for determining protein molecular weights. Some proteins have low water-solubility and can be reliably eliminated only when broken down into small water-soluble fragments. The study involves the comparison of protein molecular weights before and after treatment with various cleaning products to give a clear indication of protein digestion efficacy.</p><p>The study concludes that many products claiming protein digestion properties have virtually no efficacy in this regard, whilst others tested are highly effective. This is alarming since most of the products tested claim ’removal of all proteins’ within two minutes.</p></div>","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"10 3","pages":"Pages 103-104, 106-109"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1071/HI05103","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59225496","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}

引用次数: 1

Journal Watch 杂志看

Australian infection control : official journal of the Australian Infection Control Association Inc Pub Date : 2005-09-01 DOI: 10.1071/HI05110

引用次数: 0

Diary of Events 事件日记

Australian infection control : official journal of the Australian Infection Control Association Inc Pub Date : 2005-09-01 DOI: 10.1071/HI05116

引用次数: 0

A microbiological survey of stethoscopes in Australian teaching hospitals: potential for nosocomial infection? 澳大利亚教学医院听诊器微生物学调查:院内感染的可能性?

Australian infection control : official journal of the Australian Infection Control Association Inc Pub Date : 2005-09-01 DOI: 10.1071/HI05079

Justin T Denholm BMed, MBioethics , Anthony Levine BMed , Ian H Kerridge MPhil, FRACP, FRCPA , Chris Ashhurst-Smith FIBMS, FACTM , John Ferguson MBBS DTM&H FRCPA FRACP , Catherine D’Este PhD

{"title":"A microbiological survey of stethoscopes in Australian teaching hospitals: potential for nosocomial infection?","authors":"Justin T Denholm BMed, MBioethics , Anthony Levine BMed , Ian H Kerridge MPhil, FRACP, FRCPA , Chris Ashhurst-Smith FIBMS, FACTM , John Ferguson MBBS DTM&H FRCPA FRACP , Catherine D’Este PhD","doi":"10.1071/HI05079","DOIUrl":"10.1071/HI05079","url":null,"abstract":"<div><p>Our study aimed to investigate how frequently ward-based stethoscopes in high-risk areas are colonised with potential pathogens, and to compare that with the colonisation rates for personal stethoscopes. We performed a survey of microbiological flora on stethoscopes, with single-blinded laboratory analysis, based in immunologically high-risk areas in three tertiary teaching hospitals in Newcastle, Australia. Onn hundred fifty-five doctors and medical students working in pre-selected areas of each hospital at the time of the survey were selected for inclusion, and participants’ stethoscopes and the ward-based stethoscopes used in the same areas were swabbed and cultured. Participants also completed a questionnaire regarding their stethoscope use and cleaning. The stethoscopes were compared on the basis of total colony count and pathogenic organisms, cross-matched against personal characteristics (e.g. doctor or student) and stethoscope use and cleaning habits. We found that there were significantly more organisms isolated from personal stethoscopes (mean colony count (CC) = 50·3, 95% CI 41·7-58·9) than ward-based (mean CC = 29·3, 95% CI 17·9-40.7) (<em>p</em><0·01). There was no significant relationship between the frequency of stethoscope cleaning and degree of stethoscope contamination, nor was the amount of patients seen per day a significant factor. This study suggests that even regular cleaning of stethoscopes may be insufficient to prevent colonisation with potentially pathogenic organisms, and that patients at high-risk for nosocomial infection should only be examined with stethoscopes that are restricted to single-patient use.</p></div>","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"10 3","pages":"Pages 79-80, 82, 84-86"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1071/HI05079","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59225129","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}

引用次数: 2