Abstract:
BACKGROUND:Debate remains over the core activities of infection control (IC) programs. Differences in stakeholder opinions must be considered if consensus panel guidelines and recommendations are to be broadly applied. This article describes a survey of administrators and clinicians employed in hospitals in New South Wales, Australia. Respondents self-reported their levels of agreement with affirmative statements regarding the role of the infection control practitioner (ICP) and the essential requirements and infrastructure of IC programs. METHOD:The study population included administrators and clinicians in each public, private, and freestanding day hospital in New South Wales. Respondents reported the intensity of their agreement with 16 affirmative statements relating to IC program infrastructure and resources and the ICP's role and responsibilities. RESULTS:The overall response rate was 62.1% (587/945). Clinicians (349/587) and administrators (238/587) accounted for 59.5% and 40.5% of the response rate, respectively. Overall, administrators and clinicians reported greatest levels of agreement for those elements not requiring additional resources. CONCLUSION:The extent of divergence between administrators and clinicians is not so great that it can not be resolved. Our findings demonstrate the degree of administrator support that clinicians can expect for each element. We advocate better communication between clinicians and administrators in conjunction with objective strategic planning. Our findings provide a guide for ICPs to either establish or negotiate the core components of their IC program.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Murphy CL,McLaws MLdoi
10.1067/mic.2001.117037subject
Has Abstractpub_date
2001-08-01 00:00:00pages
262-70issue
4eissn
0196-6553issn
1527-3296pii
S0196-6553(01)17568-1journal_volume
29pub_type
杂志文章abstract:BACKGROUND:Hospital-acquired infections (HAIs) lead to poor health outcomes in hospitalized patients and may be disproportionately affecting the aging population of people living with HIV (PLWH). This study determined the association between HIV and HAIs, and analyzed the potential mediating effects of comorbidities. ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.05.028
更新日期:2019-12-01 00:00:00
abstract:BACKGROUND:Surgical site infection (SSI) after neurosurgery has potentially devastating consequences. METHODS:A prospective cohort study was conducted over a period of 24 months in a university center. All adult patients undergoing neurosurgical procedures, with exception of open skull fractures, were included. Multiv...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.07.005
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:This paper goes beyond detecting specific themes within Zika-related chatter on Twitter, to identify the key actors who influence the diffusive process through which some themes become more amplified than others. METHODS:We collected all Zika-related tweets during the 3 months immediately after the first U....
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.10.015
更新日期:2018-05-01 00:00:00
abstract::In a simultaneous assessment of 250 environmental surfaces after terminal cleaning using aerobic cultures as a gold standard, both fluorescent marker and an adenosine triphosphate bioluminescence assay system demonstrated better diagnosticity compared with subjective visual inspection. These results support the use of...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2012.09.019
更新日期:2013-08-01 00:00:00
abstract::Of the 309 private dental practitioners in Fars, Iran, surveyed most, 77.7% believed they had a professional duty to treat HIV-positive patients, with 61.4% expressing some level of discomfort about treating these patients, and 75.1% believed they should be treated at a specialist practice. Gloves and masks were not a...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2006.03.006
更新日期:2006-10-01 00:00:00
abstract::Videourodynamic studies (VUS) of the lower urinary tract are useful in the evaluation of complicated voiding dysfunctions. These studies involve placement of urethral and rectal catheters, measurement of pressures during bladder filling and voiding, and simultaneous fluoroscopic cystourethrography. A cluster of five c...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(84)90044-0
更新日期:1984-10-01 00:00:00
abstract::Infection control practitioners working within health care facilities are charged with the providing of in-service education programs for all new employees and volunteers as well as for all hospital departments, at least annually. To be effective, each program should be customized to meet the needs of the group for wh...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/s0196-6553(82)80032-1
更新日期:1982-11-01 00:00:00
abstract:BACKGROUND:The incidence of postoperative surgical site infections (SSIs) is difficult to estimate because of the current trend of early discharge after surgery. Both operation-related and host factors should be taken into consideration in the prevention of SSIs. We wanted to determine the actual incidence of SSIs and ...
journal_title:American journal of infection control
pub_type: 临床试验,杂志文章
doi:10.1016/s0196-6553(97)90082-1
更新日期:1997-10-01 00:00:00
abstract:BACKGROUND:We aimed to investigate the frequency of standard precautions (SPs) compliance and the factors affecting the compliance among nursing students (NSs). METHODS:A cross-sectional survey study guided by the health belief model was conducted in 2009. The study questionnaire is valid (content validity index, 0.81...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.03.007
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Influenza is responsible for thousands of deaths in the United States and presents particular challenges in health care facilities with a greater prevalence of people at increased risk for adverse outcomes. Annual influenza vaccination has long been recommended, and employer policies influence the likelihood...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.01.015
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:Little is known about the hand hygiene practices of surgical patients. Most of the research has been directed at the health care worker, and this may discount the role that hand hygiene of the surgical patient might play in surgical site infections. METHODS:A quasiexperimental, pretest/post-test study was c...
journal_title:American journal of infection control
pub_type: 临床试验,杂志文章
doi:10.1016/j.ajic.2012.05.029
更新日期:2013-06-01 00:00:00
abstract::To reduce surgical site infections (SSIs) in colorectal surgeries we introduced a bundle of care elements in partnership with the Enhanced Recovery after Surgery (ERAS) multidisciplinary team. We measured the incidence of National Healthcare Safety Network-defined SSIs, along with adherence to bundle care elements. De...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.11.004
更新日期:2019-06-01 00:00:00
abstract::The primary job responsibility of infection preventionists (IPs) is to lead organizational initiatives that prevent and control health care-associated infections. Increasingly, IPs are participating in activities that support antimicrobial stewardship programs (ASPs). We conducted a survey of Association of Profession...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.02.003
更新日期:2020-05-01 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::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::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::We report macroscopic biofilms on silver hydrogel-coated urinary catheters in 2 patients from 2 different intensive care units. The catheters were removed on observation of a white, jelly layer on the catheters, respectively, 9 and 21 days after insertion. Yeast cells and pseudohyphal structures were observed with mic...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.03.042
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND:Contaminated computer keyboards have been acknowledged as a potential source for bacterial transmission between health care providers and patients. Biosafe HM 4100 is an antimicrobial polymer that can be incorporated into the polyurethane material used to make keyboard covers. This study aimed to determine w...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2012.03.030
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:The screening of critically ill patients at high risk of vancomycin resistant enterococci (VRE) colonization, to detect and isolate colonized patients, is recommended to prevent and control the transmission of VRE. Screening asymptomatic carriers brings financial burden for institutions. In this study, we pe...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.11.008
更新日期:2016-04-01 00:00:00
abstract::We aimed to validate quality assurance (QA) criteria for rectal surveillance cultures (RSCs) for extended-spectrum β-lactamase-producing Enterobacteriaceae. QA for RSCs were tested by observing the presence or absence of fecal soiling and by examining the growth of Enterobacteriaceae on MacConkey agar. Extended-spectr...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.02.036
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVE:Recent research has suggested that episodes of gram-negative (GN) bloodstream infection (BSI) are more common in the population during summer months. Our objective was to determine if the same phenomenon could be observed in patients with health care-associated (HCA) BSI, and if so, whether a summer peak was ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.05.019
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:We previously published a formula to estimate the number of hand hygiene opportunities (HHOs) per patient-day using the World Health Organization's "Five Moments for Hand Hygiene" methodology (HOW2 Benchmark Study). HHOs can be used as a denominator for calculating hand hygiene compliance rates when product ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.02.020
更新日期:2014-06-01 00:00:00
abstract::We conducted a campaign to increase seasonal influenza vaccination of dialysis health care workers (HCWs) in the District of Columbia, Maryland, Virginia, and West Virginia. Between the 2010-2011 and 2011-2012 influenza seasons we examined the correlates of change. HCW vaccination rates improved significantly (P < .01...
journal_title:American journal of infection control
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ajic.2014.12.011
更新日期:2015-04-01 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:OBJECTIVE:We aimed to investigate the relationship between clinical characteristics, outcomes and the severity of severe acute respiratory syndrome coronavirus 2 pneumonia. METHODS:We performed a systematic review and meta-analysis using PubMed, Embase, and Cochrane Library databases to assess the clinical characteris...
journal_title:American journal of infection control
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.ajic.2020.06.008
更新日期:2021-01-01 00:00:00
abstract::Systematic reviews have become a key strategy to identifying evidence-based practice guidelines in infection prevention. They are considered the highest level of evidence providing the most effective answers to practice questions. Infection preventionists need to become familiar with reading systematic reviews and lea...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.08.001
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:Multiple nosocomial outbreaks have been linked to contaminated water sources within the hospital. We report in this article a cluster of patients in a surgical intensive care unit who were colonized or infected with Stenotrophomonas maltophilia. METHODS:This study was conducted at an acute care academic hos...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/s0196-6553(99)70077-5
更新日期:1999-02-01 00:00:00
abstract:BACKGROUND:Thorough drying of flexible endoscope channels has been identified as an essential reprocessing step. Yet, instructions are not specific on how to dry endoscopes. There is lack of data supporting efficacy of current drying practices, due to limitations in determining channel dryness. METHODS:Novel endoscope...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.08.034
更新日期:2020-09-03 00:00:00
abstract:OBJECTIVE:This systematic review had two aims. First to identify the incidence of urinary tract infection (UTI) and bacteriuria in people undertaking intermittent catheterisation (IC), second to determine the effectiveness of antiseptic cleaning of the meatal area prior to IC in reducing the incidence of UTI and bacter...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2021.01.009
更新日期:2021-01-21 00:00:00
abstract:BACKGROUND:Health care-associated infection is one of the most important patient safety problems in the world. While many methods exist to prevent health care-associated infection, most experts believe that improving hand hygiene is paramount. We previously published the results of a successful before-and-after hand hy...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2010.06.015
更新日期:2011-02-01 00:00:00