Abstract:
:An increasing number of hospitals have implemented programs that permit their operating room (OR) personnel to launder their soiled "scrubs" at home. Not only have they not experienced an increase in the incidence of surgical site infections (SSIs), but they have also found the policy to be financially rewarding. Whereas the Association of periOperative Registered Nurses (AORN) opposes the practice, the Centers for Disease Control and Prevention (CDC) describes it as an unresolved issue. The variances in the positions taken by these two organizations obviously accounts for the differences in positions taken by the infection control community. In the absence of any evidence in the literature, the only alternative is to draw from knowledge and experience to determine whether the practice can be considered clinically effective and does not have a harmful effect on the home environment. On the basis of the results of that examination, it is concluded that the need for having soiled scrubs laundered by a facility-approved laundry is indefensible and simply predicated on the "that's the way we've always done it" syndrome.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Belkin NLdoi
10.1067/mic.2001.110366subject
Has Abstractpub_date
2001-02-01 00:00:00pages
58-64issue
1eissn
0196-6553issn
1527-3296pii
S0196-6553(01)66835-4journal_volume
29pub_type
杂志文章,评审abstract:BACKGROUND:The role of the infection preventionist (IP) has become increasingly complex, underscoring the need for rapid mechanisms of knowledge acquisition. One mechanism for knowledge acquisition is knowledge-sharing through social networks. In a state such as Kentucky with predominantly rural health care facilities,...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2011.05.018
更新日期:2012-06-01 00:00:00
abstract::Health care workers (HCWs) are susceptible to hospital acquired varicella zoster virus (VZV). We evaluated seroprevalence and predictive value of a history of varicella disease (VD) with VZV serology in HCWs in northern Israel. A total of 200 HCWs were enrolled. A high rate of seropositivity for VZV-IgG was found: 98....
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2007.06.004
更新日期:2008-08-01 00:00:00
abstract:BACKGROUND:Comparability of the 2 commercially available tuberculin skin testing (TST) preparations, Aplisol (Parkdale Pharmaceuticals, Inc, Rochester, MI) and Tubersol (Aventis Pasteur, Inc, Swiftwater, PA), remains uncertain, particularly in groups that undergo repeated testing, such as health care workers. METHODS:...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2006.05.288
更新日期:2006-12-01 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:BACKGROUND:Carbapenem-resistant gram-negative (CRGN) infections have been increasing in recent years and associated with significant morbidity, mortality, and health care costs. The aim of this study was to evaluate the epidemiologic and clinical risk characteristics, risk factors, and outcome of CRGN infections and to...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.08.013
更新日期:2018-02-01 00:00:00
abstract::The appropriate use of antibiotics in nosocomial infections has been a goal of infectious disease practitioners and hospital epidemiologists since the emergence of resistant staphylococci more than 30 years ago. This challenge has assumed new proportions in the 1980s for many reasons. First, resistant gram-positive an...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/0196-6553(89)90188-0
更新日期:1989-10-01 00:00:00
abstract:BACKGROUND:It has been shown that nontoxic concentrations of ethanol are absorbed after hand hygiene using ethanol-based hand rubs. This study investigated whether absorption of propan-1-ol and propan-2-ol from commercially available hand rubs results in measurable concentrations after use. METHODS:The pulmonary and d...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2011.03.009
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND:Methicillin-resistant Staphylococcus aureus (MRSA) infections are a concern across the worldwide. METHODS:Antibiotic stewardship and hand hygiene programs were reinforced in a 2,000-bed tertiary hospital in South Korea where the methicillin resistance rate of Staphylococcus aureus is about 65%. The computer...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2012.12.018
更新日期:2013-05-01 00:00:00
abstract::This study explored the self-reported behaviors and perceptions of Australian paramedics in relation to their environmental hygiene practices. A national online survey was conducted with Paramedics Australasia members (N = 417). Participants reported working in ambulances often contaminated with body fluids. Widesprea...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.11.007
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:Because blood culture is a common test at our institution, we hoped to save money and reduce the risk of needlestick injury by modifying our current technique for the preparation of culture specimens without increasing the risk of contamination. METHODS: OBJECTIVE:To compare the contamination rates of bloo...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/s0196-6553(05)80176-2
更新日期:1992-06-01 00:00:00
abstract::As legislative mandates for disclosure of data on health care-associated infections (HAIs) to the public escalate, with both economic and reputational implications for hospitals, the development of a valid national surveillance system has become imperative. Recent studies have identified interinstitutional variability...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2012.03.009
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:The nontuberculous mycobacteria (NTM) are widely spread. In Brazil, 2,520 cases of rapidly growing mycobacteria (RGM) infections after medical procedures were reported, with 5.4% of cases related to nonsurgical invasive procedures and with an occurrence of 1 clone (BRA100) of Mycobacterium abscessus subsp bo...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.06.019
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:Methicillin-resistant Staphylococcus aureus (MRSA) isolated from frequently touched dental school clinic surfaces were compared with MRSA isolated nasal cultures of dental students. METHOD:Sixty-one dental students and 95 environmental surfaces from 7 clinics were sampled using SANICULT (Starplex Scientific...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2010.11.007
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:At the University of Michigan Hospitals and Health Centers, there is increasing use of an electronic medical record. Because orthopedic surgeons dictate all outpatient visits to the patient's electronic record, total knee arthroplasties were chosen to determine whether the use of electronic medical records i...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1067/mic.2001.114401
更新日期:2001-10-01 00:00:00
abstract:BACKGROUND:Stethoscopes are contaminated with bacteria, but predictors of stethoscope disinfection frequency are unknown. We sought to describe health care provider stethoscope disinfection attitudes and practices and determine predictors of frequent disinfection. METHODS:We used an anonymous online survey of nurses, ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2011.11.021
更新日期:2012-12-01 00:00:00
abstract::Intrahospital variations in antimicrobial profiles may be related to many factors. This study compared causative agents of nosocomial bloodstream infections between a neonatal intensive care unit (NICU) that adopted a ward-tailored antibiotic policy and adult intensive care units (ICUs). Data on organisms from blood c...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2012.02.032
更新日期:2012-08-01 00:00:00
abstract:BACKGROUND:Although familial involvement during inpatient care is not uncommon in western countries, the types of caring activities that family members in Asian countries provide are significantly different. These activities may place the family member at risk from a health care-associated infection. This study aimed t...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.10.001
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND:Iranian were advice to wear a mask and not touch their face during COVID-19 restrictions in Iran. METHODS:One-thousand people were observed for 15-30 minutes in public places between April 22 and May 9, 2020. The average number of touches to the mucosal zone was calculated per hour and mask wearers (N = 568...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.08.009
更新日期:2020-12-01 00:00:00
abstract:BACKGROUND:In long-term care facilities, treatment of asymptomatic bacteriuria (ASB) is common. However, randomized, controlled trials suggest that such treatment offers no benefit and may promote antimicrobial resistance. METHODS:For 3 months before and 30 months after instituting an educational intervention, we moni...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2007.11.007
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:Researchers have found that lack of hand hygiene and environmental contamination are sources of infection transmission in the health care environment. One factor that may lead to lack of hand hygiene is alarm fatigue, the sensory overload that results when clinicians are exposed to an excessive number of ala...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.04.006
更新日期:2020-11-01 00:00:00
abstract::Six hundred twenty-two isolates from 554 samples taken from hands of 103 hospital personnel and 50 controls were obtained over a mean period of 35 days. Eighty-five were obtained immediately before and after handwashing (HW), the remainder after HW only. The relationship of HW agent used, clinical area and job, and fr...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(84)90020-8
更新日期:1984-04-01 00:00:00
abstract::Oral care is an important component of the ventilator bundle; however, few studies have investigated the factors related to compliance with performing oral care among critical care nurses. In this observational study of 759 oral care opportunities performed by 133 critical care nurses, we found that the overall oral c...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.01.023
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:The removal of personal protective equipment (PPE) after patient care may result in transfer of virus to hands and clothing of health care workers (HCWs). The risk of transfer can be modeled using harmless viruses to obtain quantitative data. To determine whether double-gloving reduces virus transfer to HCWs...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2011.04.324
更新日期:2012-05-01 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::Researchers evaluated flexible endoscope damage and contamination levels at baseline and 2 months later. Postcleaning test results exceeded benchmarks for all gastroscopes and no colonoscopes. Microbial growth was found in samples from 47% of fully reprocessed endoscopes at baseline and 60% at follow-up. Borescope exa...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.06.029
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:The recent outbreaks of severe acute respiratory syndrome, H5N1 (avian influenza), and, most recently, the novel H1N1 influenza pandemic of 2009 have raised awareness of the danger of new and emerging infections. Preparedness and response plans for such outbreaks are crucial, and given the centrality of the ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2011.02.021
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND:Pseudomonas aeruginosa is an important nosocomial pathogen that commonly colonizes hospital water supplies, including in taps and sinks. We report the transmission of P. aeruginosa from water to patients in a clinical hematology setting. METHODS:P. aeruginosa from water samples were compared to clinical iso...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.10.013
更新日期:2018-04-01 00:00:00
abstract::We performed 4 years of active screening for multidrug resistant organism (MDRO) colonization among patients with a history of overseas hospitalization. Thirteen (56.5%) of 23 cases were positive for MDROs, which highlights the importance of preemptive infection control to prevent the spread of MDROs in this populatio...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.06.040
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:Patient and visitor hand hygiene has the potential to prevent health care-associated infections, but there are few data on the efficacy of interventions to improve patient/visitor hand hygiene. OBJECTIVE:To determine whether conventional and front-line ownership (FLO) patient/visitor hand hygiene interventi...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.09.026
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:Control chart methodology has been widely touted for monitoring and improving quality in the health care setting. P charts and U charts are frequently recommended for rate and ratio statistics, but their practical value in infection control may be limited because they (1) are not risk-adjusted, and (2) perfo...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1067/mic.2000.109883
更新日期:2000-12-01 00:00:00