Abstract：
:The holistic principles of hygiene and public health have contributed substantially to an increase in life expectancy by more than 30 years and in life quality since the beginning of the 20th century. Frank, Pettenkofer, Nightingale, Pasteur, Lister, and Koch have been pioneering protagonists of the holistic approach to hygiene and public health. Socioeconomic development and related factors such as nutrition status and food hygiene, housing conditions, water supply and sewage systems, and education (including motivation for personal hygiene) have obviously been of more importance for life expectancy and life quality than progress in curative medicine, such as availability of microbial diagnosis, vaccination, and antibiotics. Today, new risk factors for infectious diseases arise, even in developed countries. These risk factors arise from emerging pathogens, antibiotic-resistant microorganisms, changing demographic patterns, an increasing amount of ambulatory and home care, socioeconomic and environmental changes, technical environments, worldwide distribution of food, and changing human behavior with a decreased awareness of microbial threats. These new challenges worldwide make a renewal of the holistic approach of hygiene and public health both urgent and necessary. On the basis of historic experience, policies that focus on surveillance and control, diagnosis, and therapy only can be assumed to be both insufficient and inefficient in controlling the new challenges in infectious diseases. Experiences in Germany with a holistic hospital hygiene strategy since 1976 provide encouragement for the promotion of holistic health concepts. Risk assessment, risk management, and risk communication are basic steps of a modern holistic strategy. Hygiene has the potential to act as a moderator of diverging positions of different disciplines within this renewed approach.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Exner M,Hartemann P,Kistemann Tdoi
10.1067/mic.2001.115680subject
Has Abstractpub_date
2001-08-01 00:00:00pages
228-31issue
4eissn
0196-6553issn
1527-3296pii
S0196-6553(01)13095-6journal_volume
29pub_type
杂志文章abstract：:Molecular evidence of Listeria monocytogenes cross-contamination in a nursery is presented. Listeria monocytogenes serotype 4b was isolated from the blood and the conjunctiva of a baby with neonatal sepsis who was born after septic amnionitis and premature rupture of membrane. Nine days later, the same bacterium was i...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2003.25
更新日期：2003-08-01 00:00:00
abstract：BACKGROUND:Routine hand hygiene effectively removes methicillin-resistant Staphylococcus aureus (MRSA) and/or vancomycin resistant Enterococcus (VRE) from the ungloved hands of healthcare workers (HCWs) who are caring for patients under contact precautions, when exposure to bodily fluids is not expected. METHODS:HCWs'...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.01.013
更新日期：2018-07-01 00:00:00
abstract：BACKGROUND:Insufficient use of behavioral theory to understand health care workers' (HCWs) hand hygiene compliance may result in suboptimal design of hand hygiene interventions and limit effectiveness. Previous studies examined HCWs' intended, rather than directly observed, compliance and/or focused on just 1 behaviora...
journal_title：American journal of infection control
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ajic.2013.07.019
更新日期：2014-02-01 00:00:00
abstract：:Disease transmission from percutaneous injury occurs in 2% to 40% of health care workers (HCWs) after exposure to the hepatitis B virus (HBV), in 3% to 10% after exposure to the hepatitis C (HCV) virus, and in 0.2% to 0.5% after exposure to the HIV virus. According to a recently published case-control study from the C...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/s0196-6553(97)90094-8
更新日期：1997-10-01 00:00:00
abstract：BACKGROUND:Low-frequency ultrasonic debridement (LFUD) is a technology that uses sound waves conducted through saline mist to debride wound tissue. Whilst this technology purportedly reduces wound-healing times, the airborne mist generated is potentially problematic. Theoretically, the saline mist could carry an increa...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.04.228
更新日期：2016-12-01 00:00:00
abstract：BACKGROUND:Nosocomial infection (NI) is a cause of patient morbidity and mortality. Conducting an audit of deaths due to NI is a potentially useful approach to improving professional standards. In France, these deaths are required to be reported, but the reporting is left to clinicians, who often do not comply. The aim...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2010.04.216
更新日期：2011-03-01 00:00:00
abstract：BACKGROUND:The prevalence of surgical site infections (SSI) is second only to urinary tract infections in hospitalized patients. They continue to threaten the health of hospitalized patients and impact negatively on the financial solvency of hospitals through prolonged hospitalization, increased rates of rehospitalizat...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2005.04.244
更新日期：2005-09-01 00:00:00
abstract：BACKGROUND:Health care workers are exposed to bloodborne pathogens through occupational injuries, and the replacement of sharps by safety-engineered devices has been recommended as a key preventive measure. This recommendation has been difficult to implement in Brazil. METHODS:We conducted a retrospective study of sel...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.07.017
更新日期：2014-02-01 00:00:00
abstract：:Bacteria can develop resistance to antibiotics, but little is known about their ability to increase resistance to chemical disinfectants. This study randomly sampled 3 automated endoscope reprocessors in the United States using aldehydes for endoscope disinfection. Bacterial contamination was found after disinfection ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.11.004
更新日期：2012-11-01 00:00:00
abstract：BACKGROUND:A high prevalence of working while ill (presenteeism) has been documented among health care workers (HCWs). However, previous evidence is primarily based on nonspecific causes of sickness and self-reported data. Our study examined presenteeism among HCWs with laboratory-confirmed influenza. METHODS:The data...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.07.024
更新日期：2020-04-01 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: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：:Human factors design interventions have been suggested to mitigate infection risk in health care. Among such solutions, many are easily identified and theoretically simple and quick to realize. These are called low-hanging fruit. We present a case of infection risk associated with syringe manipulation that could easil...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.03.002
更新日期：2014-06-01 00:00:00
abstract：:Automated systems can facilitate surveillance for health care-associated infections. The New York Antimicrobial Resistance Project (NYARP) electronically monitors trends in bloodstream infections from 6 medical centers in New York, NY. To validate NYARP's data, episodes of health care-associated bloodstream infections...
journal_title：American journal of infection control
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ajic.2003.07.008
更新日期：2004-06-01 00:00:00
abstract：BACKGROUND:Health care workers (HCWs) use their mobile phones during working hours or medical care. There is evidence that the instruments are colonized with pathogenic microorganisms. Here, we describe levels of Enterobacteriaceae contamination (EC) in cell phones and the risk factors associated with EC in Peruvian in...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.02.020
更新日期：2016-08-01 00:00:00
abstract：BACKGROUND:Removing unnecessary central lines is a critical step in reducing risk of infection and was 1 focus of a national quality improvement collaborative. We examined if participating adult intensive care units (ICUs) reduced central line days during the project period compared with the period before implementatio...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.06.003
更新日期：2014-10-01 00:00:00
abstract：:In an investigation of microbial contamination of enteral feeding solutions, all 22 residual solutions obtained immediately after administration were contaminated at concentrations of 10(3) to 10(6) viable counts/ml. Major contaminants were glucose-nonfermenting gram-negative bacilli such as Pseudomonas aeruginosa and...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(93)90205-i
更新日期：1993-02-01 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:To gain further insights into health care workers (HCWs) attitudes toward influenza vaccination to guide future interventions to increase vaccination rates. METHODS:A standardized anonymous questionnaire was sent to all employees of the University Hospital Basel, Switzerland following the influenza season 2...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.02.004
更新日期：2020-10-01 00:00:00
abstract：BACKGROUND:Methicillin-resistant Staphylococcus aureus (MRSA) is a challenge for public health, and community-acquired (CA) infections seem to be increasing among people in different areas. METHODS:A total of 700 healthy student volunteers residing in dormitories of universities in Urmia, Iran, were enrolled in this s...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.02.034
更新日期：2017-07-01 00:00:00
abstract：:There were 256 health care workers in 39 facilities who were interviewed about their perceptions of the quality of care of patients with and without multidrug-resistant organisms based on a standardized questionnaire. There are remarkable differences in the responses between facility types (acute care hospitals, long-...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.12.039
更新日期：2016-06-01 00:00:00
abstract：:Varicella-zoster virus is a herpes virus that produces a primary infection, chickenpox, manifested by a vesicular eruption and is considered one of the common childhood infectious diseases. After the initial infection the virus becomes latent, then when activated it is manifested as herpes zoster, commonly known as sh...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/s0196-6553(98)80025-4
更新日期：1998-06-01 00:00:00
abstract：BACKGROUND:Anticipated psychological responses and perceptions of risk have not been examined prior to the outbreak of an epidemic. METHODS:Using a cross-sectional, telephone survey, 805 Chinese adults in Hong Kong were interviewed anonymously in November, 2005 to examine beliefs related to H5N1 avian influenza and an...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2006.07.010
更新日期：2007-02-01 00:00:00
abstract：BACKGROUND:Previous data suggest that nursing students in the United States are inadequately protected against hepatitis B. This survey focused on the immunization and education practices, infection control knowledge, and follow-up to infectious disease exposure by U.S. nursing schools. METHODS:To ascertain education ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(05)80175-0
更新日期：1992-06-01 00:00:00
abstract：BACKGROUND:Health care-associated opportunistic pathogens Staphylococcus aureus and Enterococcus faecium persist on dry environments and can contribute to organism transmission through contact. These organisms can be monitored on surfaces by culture, molecular methods, or metabolic assays. This study was designed to de...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.07.027
更新日期：2018-01-01 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：BACKGROUND:The number and significance of tuberculin skin test reactions were compared with self-reported baseline values among house staff working in a public hospital. High-risk medical specialties, locations, and infection control practices were examined. METHODS:House staff interviews, tuberculin skin test applica...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(96)90047-4
更新日期：1996-02-01 00:00:00
abstract：BACKGROUND:Little is known about compliance with universal precautions (CUP) or occupational exposures to blood and body fluids among Emergency Medical Services (EMS) providers. The objective of this study was to obtain estimates of CUP and knowledge of universal precautions (KUP), occupational exposures, and needle an...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.05.012
更新日期：2010-03-01 00:00:00
abstract：BACKGROUND:The most effective strategy for avoiding nosocomial influenza outbreaks is through vaccination of health care workers (HCWs). In Spain, HCW vaccination coverage rarely exceeds 25%. The objective of this study was to determine whether an active vaccination campaign promoting communication among HCWs increased...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2010.01.013
更新日期：2010-08-01 00:00:00
abstract：:Chlorhexidine bathing is effective in reducing levels of pathogens on skin. In this review, we examine the evidence that chlorhexidine bathing can prevent colonization and infection with health care-associated pathogens and reduce dissemination to the environment and the hands of personnel. The importance of education...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2016.02.024
更新日期：2016-05-02 00:00:00
