Abstract：
BACKGROUND:Methicillin-resistant coagulase-negative staphylococci (MRCNS) are increasing nosocomial pathogens in acute care hospital patients. However, there is little information on the epidemiology of MRCNS in skilled nursing facilities (SNFs). We report a pilot survey of the prevalence of MRCNS colonization in SNF patients. METHODS:Anterior nasal swabs were plated on oxacillin salt screening agar for selection of MRCNS. Suspected MRCNS were confirmed by coagulase and catalase tests and standard disc-diffusion antimicrobial susceptibility tests. RESULTS:The overall prevalence of MRCNS was 40% for in-house continuing SNF patients, 49% for newly admitted patients, and 60% for SNF nursing personnel. The prevalence was 13% in a "control" group of nonmedical personnel. Forty-six percent of MRCNS were resistant to ciprofloxacin. The frequency of colonization with MRCNS increased over time. After an average 17 months of facility stay, 32% of noncarriers acquired MRCNS. High frequency of colonization was associated with greater disability. CONCLUSION:Colonization with MRCNS is common among SNF patients, who can serve as a reservoir for transfer of such strains to acute care hospitals. Careful infection control practice, including judicious use of antibiotics with frequent handwashing, will remain critical policies for limiting spread of such strains.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Lee YL,Cesario T,Tran C,Stone G,Thrupp Ldoi
10.1067/mic.2000.103243subject
Has Abstractpub_date
2000-06-01 00:00:00pages
269-72issue
3eissn
0196-6553issn
1527-3296pii
S0196-6553(00)47725-4journal_volume
28pub_type
杂志文章abstract：:A monthly follow-up evaluation of vancomycin-resistant Enterococcus-colonized patients conducted during an outbreak in France revealed that carriage can persist for an extended period. Recurrence was observed despite as many as 3 negative cultures. As a result, we propose another definition for VRE clearance. ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2010.07.003
更新日期：2011-03-01 00:00:00
abstract：BACKGROUND:Medical devices that are used on patients in fields containing potentially infectious body fluids can become contaminated and transmit infectious agents to other sites on the patient or to other patients if the devices are not properly cleaned and decontaminated after use on each patient treatment site. One ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(98)70043-4
更新日期：1998-08-01 00:00:00
abstract：BACKGROUND:Health care-associated infections (HCAIs) are preventable with adoption of recognized preventive measures. The first step is to identify patients at higher risk of HCAI. This study aimed to identify patient risk factors (RFs) present on admission and acquired during inpatient stay which could be associated w...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.03.036
更新日期：2017-10-01 00:00:00
abstract：BACKGROUND:The British Columbia Provincial Hand Hygiene Working Group was formed in September 2010 and tasked with the development and implementation of a provincial hand hygiene (HH) program for health care. METHODS:As part of an evaluation of the provincial HH program, qualitative key informant interviews of program...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.04.004
更新日期：2014-07-01 00:00:00
abstract：BACKGROUND:A cross-sectional study was conducted in a large university hospital in Belo Horizonte, Minas Gerais, Brazil to evaluate surgical glove integrity after use during surgery. METHODS:This 6-month study was conducted by a gastroenterological, cardiovascular, and pediatric surgical team consisting of surgeons (m...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.06.021
更新日期：2014-10-01 00:00:00
abstract：BACKGROUND:Burkholderia cepacia complex (Bcc) is well-known for intrinsic resistance to certain antiseptics. We experienced a sudden rise in Bcc bloodstream infections in a 786-bed hospital. An investigation was conducted to identify the source and to intervene in the ongoing infections. METHODS:The cases were defined...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.11.010
更新日期：2015-03-01 00:00:00
abstract：:To prevent central line-associated bloodstream infections (CLABSIs), leadership line care rounds (LLCRs) used the engage, educate, execute, and evaluate improvement model to audit compliance, identify barriers and opportunities, empower patients and families, and engage leadership. Findings of excellence and improveme...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.08.032
更新日期：2018-02-01 00:00:00
abstract：BACKGROUND:The hepatitis B (HepB) vaccine is recommended for adults traveling to a country of high or intermediate endemicity. METHODS:Data from the 2016 and 2017 National Health Interview Surveys were pooled. RESULTS:The weighted prevalence of HepB vaccination initiation (≥1 dose) was 37.67% in 2016 (weighted number...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.02.014
更新日期：2019-08-01 00:00:00
abstract：BACKGROUND:Valid data are a crucial aspect of infection prevention and control programs. The aim of this study was to examine the accuracy of routine reporting in the Iranian Nosocomial Infection Surveillance System in intensive care units. METHODS:A blinded retrospective review of general intensive care unit medical ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.12.028
更新日期：2019-08-01 00:00:00
abstract：:This article is an executive summary of the APIC Elimination Guide for methicillin-resistant Staphylococcus aureus infection in long-term care facilities. Infection preventionists are encouraged to obtain the original, full-length APIC Elimination Guides for more thorough coverage of methicillin-resistant Staphylococc...
journal_title：American journal of infection control
pub_type： 杂志文章,实务指引
doi：10.1016/j.ajic.2010.10.008
更新日期：2011-04-01 00:00:00
abstract：OBJECTIVE:Recommendations by most national advisory committees on immunization include evaluating all pregnant women for chronic hepatitis B virus infection and immunity to rubella. It is recommended that all pregnant women be screened for hepatitis B surface antigen during an early prenatal visit and that rubella vacc...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2000.109886
更新日期：2000-10-01 00:00:00
abstract：BACKGROUND:The implementation of a time- and cost-effective system for the surveillance of the nosocomial infection (NI) is a challenge for infection control practitioners. OBJECTIVES:The aim of this study was to assess the sensitivity and the time reduction using a selective surveillance method (SSM) for the detectio...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2003.72
更新日期：2003-08-01 00:00:00
abstract：BACKGROUND:The hands of health care workers (HCWs) serve as a major route for transmission of nosocomial infection. Although handwashing is known to reduce cross-transmission of infection, the influence of rings on the efficacy of handwashing and the carriage of bacteria on the hands has not been well established. MET...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(97)90049-3
更新日期：1997-02-01 00:00:00
abstract：:Over the last decade, substantial scientific evidence has accumulated that indicates contamination of environmental surfaces in hospital rooms plays an important role in the transmission of key health care-associated pathogens (eg, methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, Clostrid...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2015.11.015
更新日期：2016-05-02 00:00:00
abstract：:Knowing where we have come from helps to decide where we should be going. Many principles and practices of modern infection control were developed in the nineteenth and early twentieth century. The story is one of halting, yet relentless, progress. The history of these discoveries and their application to infection co...
journal_title：American journal of infection control
pub_type： 历史文章,杂志文章
doi：10.1016/s0196-6553(81)80064-8
更新日期：1981-08-01 00:00:00
abstract：BACKGROUND:Patient hand hygiene may be a useful strategy to prevent acquisition of pathogens and to reduce the risk for transmission by colonized patients. Several studies demonstrate that patients and long-term-care facility (LTCF) residents may have difficulty using hand hygiene products that are provided; however, n...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.12.023
更新日期：2017-06-01 00:00:00
abstract：:A comparison of 2 different influenza seasons (2013-2014 and 2014-2015) where early vaccination among health care providers (HCPs) in the latter was the difference. Differences in leave of absence because of influenza-like illness (ILI) (52 vs 15 [total number of leave of absence issued], P < .001) and total days of l...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.10.005
更新日期：2016-02-01 00:00:00
abstract：BACKGROUND:Staphylococcus aureus (SA) is a common bacterial pathogen in skin and skin structure infections (SSSIs). Limited data exist on hospital treatment patterns and costs for SA-SSSIs. METHODS:This retrospective analysis examined the lengths of stay, treatment patterns, and costs of hospitalized patients with an ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.04.287
更新日期：2010-02-01 00:00:00
abstract：BACKGROUND:Lack of guideline knowledge and cognitive biases are barriers that drive overtreatment of catheter-associated asymptomatic bacteriuria (ASB). We explored whether providers' knowledge and attitudes toward management of ASB differed before and after a multifaceted guidelines implementation intervention, report...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.04.238
更新日期：2016-12-01 00:00:00
abstract：BACKGROUND:Hand hygiene is an effective strategy for the prevention of health care-associated infection (HAI). We investigated the effect of a hand hygiene promotion strategy introducing alcohol-based handrub (AHBR) on the incidence of HAI in a university hospital in Colombia. METHODS:A Prospective cohort study was pe...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2010.11.004
更新日期：2011-10-01 00:00:00
abstract：BACKGROUND:This report summarizes the scope and role of infection preventionists in emergency management for all types of disasters. Preventing the transmission of infectious agents during a disaster is an essential component of emergency management. Previous disasters have illustrated the need for better infection pre...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2008.12.002
更新日期：2009-05-01 00:00:00
abstract：:In a retrospective study conducted over 12 months in a multi-hospital system, the incidence of bloodstream infections associated with midline catheters was not significantly lower than that associated with central venous catheters (0.88 vs 1.10 infections per 1,000 catheter-days). Additional research is needed to furt...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.11.004
更新日期：2020-09-01 00:00:00
abstract：BACKGROUND:Catheter-associated urinary tract infection is the most common health care-associated infection, is considered avoidable, and has cost implications for health services. Prevalence is high in nursing homes, but little research has been undertaken to establish whether implementing clinical guidelines can reduc...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2016.09.015
更新日期：2017-05-01 00:00:00
abstract：:Although substantial improvements in hand hygiene practices have occurred in recent years, many health care facilities continue to encounter challenges in achieving and maintaining high levels of hand hygiene compliance. Issues of current interest include the optimum dose of alcohol-based handrub (ABHR) that should be...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2019.03.024
更新日期：2019-06-01 00:00:00
abstract：:This article catalogs some of the Centers for Disease Control and Prevention's (CDC) more important information resource offerings, which make public health information accessible via computer and automated telephone systems and on electronic media (diskette and CD-ROM). We review mechanisms for (1) finding and retrie...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/s0196-6553(96)90038-3
更新日期：1996-12-01 00:00:00
abstract：BACKGROUND:Evidence implicates textiles in health care as potential reservoirs of pathogens. No similar data exist for the wastewater treatment plant (WWTP) industry. We investigated if coveralls worn by WWTP workers could present occupational infection risk. METHODS:We enumerated heterotrophic plate counts (HPCs), to...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.11.007
更新日期：2019-05-01 00:00:00
abstract：BACKGROUND:Compliance with cleaning of flexible endoscope channels cannot be verified using visual inspection. Adenosine triphosphate (ATP) has been suggested as a possible rapid cleaning monitor for flexible endoscope channels. There have not been published validation studies to specify the level of ATP that indicates...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.03.018
更新日期：2013-03-01 00:00:00
abstract：:Viridans group streptococci (VGS), a leading cause of bloodstream infection (BSI) in cancer patients, are thought to arise from the gastrointestinal tract. We sought to determine whether central venous catheters may serve as the source of VGS BSI, and to compare the ability of the newly proposed mucosal barrier injury...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.06.012
更新日期：2014-10-01 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:This study evaluated whether a multi-ingredient surfactant colloidal silver technology was noninferior to a 4% chlorhexidine gluconate (CHG) antiseptic on immediate and persistent antimicrobial activity. METHODS:The inguinal regions of 81 healthy adults were demarcated into 4 quadrants, and 3 were used for ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.04.232
更新日期：2018-11-01 00:00:00
