Abstract:
BACKGROUND:Enterobacter cloacae has become a common cause of nosocomial infections. This study was designed to investigate the pattern of spread of E cloacae during an outbreak in a neonatal intensive care unit. METHODS:Enterobacterial repetitive intergenic consensus polymerase chain reaction was used to examine 111 E cloacae isolates from 17 patients, including 81 from surveillance cultures, 23 from endotracheal tubes, 3 from eyes, and 1 each from blood, urine, skin, and throat. Antibiotic susceptibility profiles were also obtained. RESULTS:Infection with E cloacae resulted from endogenous bacteria and from horizontal transmission. One group of 61 isolates, a third of which were obtained from clinical specimens, was uniformly susceptible to imipenem and ciprofloxacin only. A second group of 50 isolates, only 18% of which were obtained from clinical specimens, was susceptible to all antibiotics tested except for aminopenicillins and first-generation cephalosporins. CONCLUSION:These data indicate that (1) patient-to-patient spread is an important cause of E cloacae infection in the neonatal intensive care unit and (2) highly antibiotic-resistant E cloacae may emerge during an outbreak.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Peters SM,Bryan J,Cole MFsubject
Has Abstractpub_date
2000-04-01 00:00:00pages
123-9issue
2eissn
0196-6553issn
1527-3296pii
S0196-6553(00)90020-8journal_volume
28pub_type
杂志文章abstract::Ortho-phthalaldehyde (OPA), a high-level disinfectant alternative to glutaraldehyde, was tested for efficacy against human hepatitis B virus (HBV) and hepatitis C virus (HCV) using surrogate animal viruses. HBV and HCV are the most prevalent human bloodborne viruses but have not yet been propagated in the laboratory. ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2007.08.005
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:Influenza vaccination among health care personnel (HCP) is a key measure to prevent influenza infection and transmission in health care settings. This study described influenza vaccination coverage among employees in various health care settings in California and examined factors associated with HCP influenz...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2012.10.014
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:Extended-spectrum beta-lactamase (ESBL)-producing organisms, first identified in Germany in 1983, are now widely recognized as clinically relevant causes of infections in community. METHODS:Our objective was to evaluate the clinical and molecular epidemiology of community-onset, extended-spectrum beta-lacta...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2007.05.008
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND:Children in child care settings have a high infectious burden. They are frequently exposed to sanitizing and disinfecting agents, whose toxicities have not been studied in these settings. Current guidance on the preferred disinfection agents for child care is vague. METHODS:This article combines 2 different...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.06.013
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Methicillin-resistant Staphylococcus aureus (MRSA) remains one of the most prevalent multidrug-resistant organisms causing health care-associated infections. Limited data are available about how the prevalence of MRSA has changed over the past several years and what MRSA prevention practices have been implem...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2012.02.001
更新日期:2012-04-01 00:00:00
abstract::This article contains guidelines for selection and design of audiovisual materials pertinent to the teaching of infection control. Clarity, rate of presentation, and color are emphasized because they may correlate directly with effective presentation and learner comprehension. The use of audiovisual programs may cut p...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(84)90066-x
更新日期:1984-02-01 00:00:00
abstract:BACKGROUND:Chlorhexidine gluconate (CHG) and povidone iodine (PI) are rarely used concurrently despite a lack of evidence regarding functional incompatibility of these agents. METHODS:CHG and PI, alone and combined, were evaluated against Staphylococcus aureus (methicillin-susceptible S aureus [MSSA] and methicillin-r...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2010.06.022
更新日期:2010-12-01 00:00:00
abstract::Sample-size determination is a crucial component of study design. Estimates of sample size are influenced by the amount of change that must occur between study groups and the degree of risk that the investigator is willing to accept in evaluating the null hypothesis. A complete understanding of the impact of sample si...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(93)90007-q
更新日期:1993-06-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Observational studies have suggested an association between diabetes mellitus and the risk of surgical site infections (SSIs), but the results remain inconclusive. We conducted a meta-analysis of prospective cohort studies to elucidate the relationship between diabetes mellitus and SSIs. METHO...
journal_title:American journal of infection control
pub_type: 杂志文章,meta分析
doi:10.1016/j.ajic.2015.04.003
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:We observed an increased rate of Pseudomonas aeruginosa bacteremia in our hematology unit in 2004-2007 without an identified environmental source. METHODS:We conducted a matched case-control study to investigate factors associated with P aeruginosa bacteremia in patients with hematologic malignancies. RESU...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2012.07.012
更新日期:2013-06-01 00:00:00
abstract::The overall risk of infection from medical devices is very low, but high infection transmission rates have been related to inadequate reprocessing of arthroscopic shavers and flexible duodenoscopes. Monitoring of manual and automated cleaning is needed to ensure that inadequately cleaned medical devices are recleaned ...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2012.12.006
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND:Methicillin-resistant Staphylococcus aureus (MRSA) is responsible for many hospital-associated infections. Both MRSA-colonized and MRSA-infected patients must be isolated on contact precautions per the Centers for Disease Control and Prevention guidelines. This study evaluates the current practice for removi...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.02.006
更新日期:2019-08-01 00:00:00
abstract::This is the first in a series of case studies that will be published in American Journal of Infection Control following the Centers for Disease Control and Prevention/National Healthcare Safety Network (NHSN) surveillance definition update of 2013. These cases reflect some of the complex patient scenarios infection pr...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.05.009
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:The objective of this study was to understand better the status of and ways to improve dissemination of influenza and pneumococcal standing-order vaccination policies to at-risk adults in health care institutions. METHODS:A statewide sample of 5 different types of institutions serving at-risk elderly person...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2005.01.008
更新日期:2005-10-01 00:00:00
abstract:BACKGROUND:Our objectives were to evaluate the utility of electronic hand hygiene counting devices in outpatient settings and the impact of results feedback on physicians' hand hygiene behaviors. METHODS:We installed 130 electronic hand hygiene counting devices in our redesigned outpatient department. We remotely moni...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.08.002
更新日期:2016-12-01 00:00:00
abstract::Nasal methicillin-resistant Staphylococcus aureus (MRSA) testing at admission to the hospital was found to have a positive likelihood ratio of 8.5 and a negative likelihood ratio of 0.41 for predicting MRSA soft tissue infections. The clinical utility of this test depends on the prevalence of MRSA infection. In high p...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.03.039
更新日期:2016-10-01 00:00:00
abstract::Health care-associated infections impact patient morbidity and mortality, and institutions adopt evidence-based measures to prevent and control such infections. In this study, professionals were observed during patient care under empirical contact precautions. A total of 243 observations were performed in which 39.5% ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.10.004
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:Nursing engagement in antibiotic stewardship programs (ASPs) remains suboptimal. The purpose of this study was to determine the knowledge, attitudes, and practices of nursing staff members regarding ASPs and identify barriers to their participation in such programs. METHODS:This cross-sectional study was co...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.09.008
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND:Blood culture contamination with gram-positive organisms is a common occurrence in patients suspected of bloodstream infections, especially in emergency departments. Although numerous research studies have investigated the cost implications of blood culture contamination, a contemporary systematic review of ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.12.020
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:Environmental decontamination is one of the most effective methods to prevent transmission of infectious pathogens in child care centers (CCCs). Alongside state recommendations, national organizations-including the American Academy of Pediatrics (AAP)-offer best-practice policies. In Michigan, these sets of ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.03.019
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:The Centers for Disease Control and Prevention put forth the recommendation to clean areas considered high touch more frequently than minimal touch surfaces. The operating room was not included in these recommendations. The purpose of this study was to determine the most frequently touched surfaces in the op...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.03.013
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:Many studies have examined hand hygiene (HH) frequency and adherence in response to various interventions. This study used 2 methods to determine HH frequency and adherence to see how well the outcomes correlated. METHODS:HH frequency was measured over 4, 1-month periods (phases 1-4), using 2 methods: an au...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2005.07.006
更新日期:2006-04-01 00:00:00
abstract::Air treatment with a mobile Plasmair air-decontamination unit significantly reduces the fungal spore load in hematology wards. We report that this system used at a low aspiration flow does not perform total biodecontamination against filamentous fungi. Moreover, the filamentous fungus load remaining in rooms equipped ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2008.12.006
更新日期:2009-10-01 00:00:00
abstract::Public health activities to identify and monitor persons at risk for Ebola virus disease in the United States include directing persons at risk to assessment facilities that are prepared to safely evaluate for Ebola virus disease. Although it is unlikely that a person with Ebola virus disease will unexpectedly present...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.06.032
更新日期:2015-11-01 00:00:00
abstract::The Association for Professionals in Infection Control and Epidemiology (APIC) began publishing their series of Elimination Guides in 2007. Since then, 9 Elimination Guides have been developed that cover a range of important infection prevention issues, including the prevention of catheter-related bloodstream infectio...
journal_title:American journal of infection control
pub_type: 杂志文章,实务指引
doi:10.1016/j.ajic.2010.08.003
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND:The best strategy for active surveillance for methicillin-resistant Staphylococcus aureus (MRSA) remains unclear. We attempted to identify a risk factor score to predict MRSA colonization at hospital admission. METHODS:Data on 9 variables reported as risk factors for MRSA colonization were analyzed, and a r...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.02.013
更新日期:2013-11-01 00:00:00
abstract::Healthcare facility-onset Clostridioides difficile infection rates substantially dropped in a Mexican hospital after its conversion to a full COVID-19 setting, despite heavy contamination of the environment the previous year. Better adherence to hand hygiene and contact precautions may help explain this finding. ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.12.008
更新日期:2020-12-19 00:00:00
abstract::We monitored hand surface coverage technique in health care workers in a tertiary care hospital using a 5-item hand hygiene assessment tool based on World Health Organization guidelines. Overall hand hygiene compliance was 86.7% (4,300/4,960). Appropriate hand surface coverage was observed in only 7.9% (182/2,297) of ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.12.014
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:Biocidal high-touch surfaces contact surfaces can be used to help reduce healthcare-acquired infections (HAIs). While the bactericidal protocols are well developed, there remains high variability in the methods used to evaluate the virucidal properties of such surfaces. This paper seeks to identify the most ...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2020.02.008
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:Annual influenza vaccination is recommended for all persons aged ≥6 months. The objective of this study was to assess trends in racial/ethnic disparities in influenza vaccination coverage among adults in the United States. METHODS:We analyzed data from the 2007-2012 National Health Interview Survey (NHIS) a...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.03.021
更新日期:2014-07-01 00:00:00