Epidemiology of nosocomial outbreaks: 14-year experience at a tertiary-care center.

abstract：OBJECTIVE:To estimate the clinical and economic burden of Clostridium difficile-associated disease (CDAD) in Massachusetts over 2 years. DESIGN:A retrospective analysis of Massachusetts hospital discharge data from 1999-2003 was conducted. Cases of CDAD in 2000 were identified using code 008.45 from the International ...

journal_title：Infection control and hospital epidemiology

authors： O'Brien JA,Lahue BJ,Caro JJ,Davidson DM

更新日期：2007-11-01 00:00:00

abstract：:Though many agents have been proposed as potential biological weapons, the feasibility of biological warfare is largely a matter of conjecture. The unpredictable and indiscriminate devastation caused by natural epidemics during wartime should warn us of the dangers of employing microbes as weapons. ...

journal_title：Infection control and hospital epidemiology

authors： Nettleman MD

更新日期：1991-06-01 00:00:00

abstract：OBJECTIVE:To describe the identification, management, and clinical characteristics of hospitalized patients with influenza-like illness (ILI) during the peak period of activity of the 2009 pandemic strain of influenza A virus subtype H1N1 (2009 H1N1). DESIGN:Retrospective review of electronic medical records. PATIENT...

journal_title：Infection control and hospital epidemiology

authors： Metzger KE,Black SR,Jones RC,Nelson SR,Robicsek A,Trenholme GM,Lavin MA,Weber SG,Garcia-Houchins S,Landon E,Parada JP,Gerber SI

更新日期：2011-10-01 00:00:00

abstract：OBJECTIVE:To describe the epidemiology, interventions, and molecular typing methods used during the investigation and control of concurrent outbreaks of Serratia marcescens and methicillin-resistant Staphylococcus aureus (MRSA) infections in a neonatal intensive-care unit (NICU). SETTING:A 206-bed women's and infants'...

journal_title：Infection control and hospital epidemiology

authors： Campbell JR,Zaccaria E,Mason EO Jr,Baker CJ

更新日期：1998-12-01 00:00:00

abstract：:Aerobic gram-negative bacillus (AGNB) groin skin carriage was prospectively studied in ambulatory geriatric outpatients: 42 from three nursing homes and 44 from private homes. Initially, 12 (28.6%) Proteeae carriers were in the former group and 3 (6.8%) were in the latter (P = 0.01). At one year, 6 of 7 surviving nurs...

journal_title：Infection control and hospital epidemiology

authors： Ehrenkranz NJ,Eckert DG,Alfonso BC,Moskowitz LB

更新日期：1989-04-01 00:00:00

abstract：BACKGROUND:Vancomycin-resistant Enterococcus (VRE) bloodstream infections (BSIs) are associated with increased morbidity and mortality. OBJECTIVE:To determine the hospital costs and length of stay attributable to VRE BSI and vancomycin-sensitive Enterococcus (VSE) BSI and the independent effect of vancomycin resistanc...

journal_title：Infection control and hospital epidemiology

authors： Butler AM,Olsen MA,Merz LR,Guth RM,Woeltje KF,Camins BC,Fraser VJ

更新日期：2010-01-01 00:00:00

abstract：OBJECTIVES:Describe an outbreak of surgical wound infections associated with total hip arthroplasty; identify risk factors for surgical wound infection during the pre-outbreak and outbreak periods. SETTING:A 100-bed hospital. From May 1 to September 30, 1988, 7 of 15 patients who underwent total hip arthroplasty devel...

journal_title：Infection control and hospital epidemiology

authors： Beck-Sague CM,Chong WH,Roy C,Anderson R,Jarvis WR

更新日期：1992-09-01 00:00:00

abstract：OBJECTIVE:The prevalence of vancomycin-resistant enterococci (VRE) has increased markedly during the past decade. Few data exist regarding the epidemiology of resistance of VRE to chloramphenicol, one of the few therapeutic options. DESIGN:Survey and case-control study. SETTING:A 725-bed, tertiary-care academic medic...

journal_title：Infection control and hospital epidemiology

authors： Gould CV,Fishman NO,Nachamkin I,Lautenbach E

更新日期：2004-02-01 00:00:00

abstract：OBJECTIVE:To evaluate changing Clostridioides difficile infection (CDI) testing among inpatients with indeterminate enzyme immunoassay (EIA) results (antigen+/toxin-) from reflexive polymerase chain reaction (PCR) testing to clinician-ordered PCR testing. DESIGN:Multicenter, before-and-after, quasi-experimental study....

journal_title：Infection control and hospital epidemiology

authors： Sullivan EL,Majumdar R,Ortiz C,Riggs PK,Crum-Cianflone NF

更新日期：2020-06-01 00:00:00

abstract：OBJECTIVE:To assess healthcare workers' attitudes and concerns regarding seasonal and pandemic influenza vaccines in order to improve vaccination campaign communications. DESIGN:Cross-sectional survey. SETTING:All 6 health authorities in British Columbia, Canada. METHODS:An anonymous, self-administered online survey...

journal_title：Infection control and hospital epidemiology

authors： Kaboli F,Astrakianakis G,Li G,Guzman J,Donovan T,Naus M

更新日期：2010-10-01 00:00:00

abstract：:An intensive care nurse with eczema was repeatedly treated for methicillin-resistant Staphylococcus aureus (MRSA) carriage. Because cultures remained positive for MRSA, her house was investigated. Thirty-four percent of environmental samples yielded MRSA. Her children and cat were free of MRSA. The house was decontami...

journal_title：Infection control and hospital epidemiology

authors： de Boer HE,van Elzelingen-Dekker CM,van Rheenen-Verberg CM,Spanjaard L

更新日期：2006-10-01 00:00:00

abstract：:We studied the association between chlorhexidine gluconate (CHG) concentration on skin and resistant bacterial bioburden. CHG was almost always detected on the skin, and detection of methicillin-resistant Staphylococcus aureus, carbapenem-resistant Enterobacteriaceae, and vancomycin-resistant Enterococcus on skin site...

journal_title：Infection control and hospital epidemiology

authors： Nadimpalli G,O'Hara LM,Leekha S,Calfee DP,Miller LG,Pineles L,Blanco N,Johnson JK,Harris AD,CDC Prevention Epicenters Program.

更新日期：2019-12-01 00:00:00

abstract：:The effectiveness of five 30-second handwashes with a non-antiseptic lotion soap to remove nosocomial pathogens (10(8) CFU) applied to fingertips was studied. CFU for all species dropped rapidly after the first handwash; persistence (10 to 15 CFU) was maintained thereafter. Wiping hands with an antiseptic (70% isoprop...

journal_title：Infection control and hospital epidemiology

authors： Bottone EJ,Cheng M,Hymes S

更新日期：2004-03-01 00:00:00

abstract：:This retrospective case-control study examined whether there was a difference in length of time awaiting long-term-care placement for patients identified as having methicillin-resistant Staphylococcus aureus or vancomycin-resistant Enterococcus compared to controls. Thirty-nine patients with methicillin-resistant Stap...

journal_title：Infection control and hospital epidemiology

authors： Bryce EA,Tiffin SM,Isaac-Renton JL,Wright CJ

更新日期：2000-04-01 00:00:00

abstract：OBJECTIVE:We evaluated the usefulness of topical decolonization therapy for reducing the risk of methicillin-resistant Staphylococcus aureus (MRSA) infection among MRSA-colonized inpatients. DESIGN:Retrospective cohort study. SETTING AND INTERVENTION:Three hospitals with universal surveillance for MRSA; at their phys...

journal_title：Infection control and hospital epidemiology

authors： Robicsek A,Beaumont JL,Thomson RB Jr,Govindarajan G,Peterson LR

更新日期：2009-07-01 00:00:00

abstract：OBJECTIVE:To evaluate the impact of changes to urine testing orderables in computerized physician order entry (CPOE) system on urine culturing practices. DESIGN:Retrospective before-and-after study. SETTING:A 1,250-bed academic tertiary-care referral center. PATIENTS:Hospitalized adults who had ≥1 urine culture perf...

journal_title：Infection control and hospital epidemiology

authors： Munigala S,Rojek R,Wood H,Yarbrough ML,Jackups RR,Burnham CD,Warren DK

更新日期：2019-03-01 00:00:00

abstract：:Standardizing healthcare surface sampling requires the evaluation of sampling tools for organism adherence. Here, 7 sampling tools were evaluated to assess their elution efficiencies in the presence of 5 pathogens. Foam sponges (80.6%), microfiber wipes (80.5%), foam swabs (77.9%), and cellulose sponges (66.5%) yielde...

journal_title：Infection control and hospital epidemiology

authors： West-Deadwyler RM,Moulton-Meissner HA,Rose LJ,Noble-Wang JA

更新日期：2020-02-01 00:00:00

abstract：:Several discrete strategies have been suggested to prevent or reduce microbial resistance to antimicrobials, including optimal use of the agents (also known as good stewardship); control, removal, or restriction of antimicrobials; use of antimicrobials in combination; and rotational or cyclic use of antimicrobials. Th...

journal_title：Infection control and hospital epidemiology

authors： Gerding DN

更新日期：2000-01-01 00:00:00

abstract：:We report the results of a 2-year, 7-center program of surveillance of deep sternal wound infection (DSWI) after cardiac surgery. DSWI was defined as the need for reoperation. Stratification data were abstracted from computerized files. The incidence of DSWI was 2.2% (198 of 8,816 cardiac surgery procedures). The risk...

journal_title：Infection control and hospital epidemiology

authors： Lucet JC,Parisian Mediastinitis Study Group.

更新日期：2006-12-01 00:00:00

abstract：OBJECTIVE:Surgical site infection (SSI) surveillance represents a key method of nosocomial infection control programs worldwide. However, most SSI surveillance systems are considered to be poorly cost effective regarding human and economic resources required for data collection and patient follow up. This study aims to...

journal_title：Infection control and hospital epidemiology

authors： Grammatico-Guillon L,Baron S,Gaborit C,Rusch E,Astagneau P

更新日期：2014-06-01 00:00:00

abstract：BACKGROUND:Surgical site infections (SSIs) are common surgical complications that lead to increased costs. Depending on payer type, however, they do not necessarily translate into deficits for every hospital. OBJECTIVE:We investigated how surgical site infections (SSIs) influence the contribution margin in 2 reimburse...

journal_title：Infection control and hospital epidemiology

authors： von Strauss M,Marti WR,Mujagic E,Coslovsky M,Diernberger K,Hall P,Zeindler J,Salm LA,Soysal SD,Mechera R,von Holzen U,Weber WP

更新日期：2019-12-01 00:00:00

abstract：OBJECTIVE:The investigation and control of an outbreak of nosocomial Pseudomonas cepacia respiratory tract colonization and infection. DESIGN:Epidemiologic investigation based on infection control surveillance data, including definition and characterization of case patients, environmental cultures based on epidemiolog...

journal_title：Infection control and hospital epidemiology

authors： Weems JJ Jr

更新日期：1993-10-01 00:00:00

abstract：:We investigated alternative measurement methodology for infrared body thermometry to increase accuracy for outdoor fever screening during the 2003 SARS epidemic. Our results indicate that the auditory meatus temperature is a superior alternative compared with the forehead body surface temperature due to its close appr...

journal_title：Infection control and hospital epidemiology

authors： Liu CC,Chang RE,Chang WC

更新日期：2004-12-01 00:00:00

abstract：:An anonymous national survey of a representative population of healthcare workers who were thought likely to have frequent and intensive exposures to blood and other body fluids (certified nurse-midwives [CNMs]), was conducted to assess the type and frequency of self-reported occupational exposures to blood and body f...

journal_title：Infection control and hospital epidemiology

authors： Willy ME,Dhillon GL,Loewen NL,Wesley RA,Henderson DK

更新日期：1990-07-01 00:00:00

abstract：:The cumulative risk of human immunodeficiency virus (HIV) infection over a healthcare career has rarely been estimated, but is more relevant to the description of an occupational hazard than the risk of seroconversion from a single exposure. We describe a model for assessing the individualized risk for HIV infection a...

journal_title：Infection control and hospital epidemiology

authors： McKinney WP,Young MJ

更新日期：1990-05-01 00:00:00

abstract：OBJECTIVE:To assess the impact of an automated intraoperative alert to redose prophylactic antibiotics in prolonged cardiac operations. DESIGN:Randomized, controlled, evaluator-blinded trial. SETTING:University-affiliated hospital. PATIENTS:Patients undergoing cardiac surgery that lasted more than 4 hours after the ...

journal_title：Infection control and hospital epidemiology

authors： Zanetti G,Flanagan HL Jr,Cohn LH,Giardina R,Platt R

更新日期：2003-01-01 00:00:00

abstract：BACKGROUND:The role of coagulase-negative staphylococci (CNS) in bacteremias continues to be controversial. Until the 1970s, CNS were mostly recognized as contaminants, being part of the cutaneous flora. Since then, several studies have reported increasing incidence and severity of infections due to CNS. PURPOSE:To re...

journal_title：Infection control and hospital epidemiology

authors： Thylefors JD,Harbarth S,Pittet D

更新日期：1998-08-01 00:00:00

abstract：OBJECTIVE:Ambulatory healthcare-associated infections (HAIs) occur frequently in children and are associated with morbidity. Less is known about ambulatory HAI costs. This study estimated additional costs associated with pediatric ambulatory central-line-associated bloodstream infections (CLABSIs), catheter-associated ...

journal_title：Infection control and hospital epidemiology

authors： Rinke ML,Oyeku SO,Ford WJH,Heo M,Saiman L,DeLaMora P,Rabin B,Zachariah P,Rosenberg RE,Mirhaji P,Obaro-Best O,Drasher M,Klein E,Peshansky A,Bundy DG

更新日期：2020-11-01 00:00:00

abstract：:We describe an outbreak of methicillin-resistant Staphylococcus aureus (MRSA) ST398 in a nursing home in the Netherlands. Seven residents and 4 healthcare workers were identified with MRSA ST398, but 2 of the healthcare workers carried other strains. This study demonstrates that MRSA ST398 can spread in nursing homes....

journal_title：Infection control and hospital epidemiology

authors： Verkade E,Bosch T,Hendriks Y,Kluytmans J

更新日期：2012-06-01 00:00:00

abstract：OBJECTIVE:Patients colonized with methicillin-resistant Staphylococcus aureus (MRSA) may contaminate their immediate environment with this organism. However, the extent to which gastrointestinal colonization with MRSA affects environmental contamination is not known. We investigated the frequency of environmental conta...

journal_title：Infection control and hospital epidemiology

authors： Boyce JM,Havill NL,Otter JA,Adams NM

更新日期：2007-10-01 00:00:00