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 increased case finding. METHODS:All patients who underwent a total knee arthroplasty during the study period (1996-1999) were followed prospectively with the use of the National Nosocomial Infection Surveillance System definitions. Traditional surveillance methods were used to ascertain infections. In addition, each patient's postdischarge outpatient clinic chart was reviewed electronically for 1 year after operation. RESULTS:From 1996 to 1999, 555 procedures were performed. Overall, 25 infections were identified after operation. Seven infections were identified through traditional surveillance methods, which resulted in an average surgical site infection rate of 1.3%. The use of electronic chart review surveillance after discharge revealed a rate of 4.5%, which was significantly higher than traditional surveillance (P <.01). Eighteen of 25 infections (72%) would not have been identified with the use of traditional surveillance methods. CONCLUSION:Postdischarge electronic chart review enhanced case finding significantly, which resulted in a more accurate infection rate. Awareness should be given to the institutions' surveillance methods and intensity when comparing to published rates.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Friedman C,Sturm LK,Chenoweth Cdoi
10.1067/mic.2001.114401subject
Has Abstractpub_date
2001-10-01 00:00:00pages
329-32issue
5eissn
0196-6553issn
1527-3296pii
S0196655301122170journal_volume
29pub_type
杂志文章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
abstract：BACKGROUND:Tuberculosis (TB) has re-emerged as a major infectious disease in several areas in the world. Airborne tubercle bacilli produced by individuals with pulmonary TB and droplet nuclei remain suspended in the air for a long time. This study attempts to use a sensitive polymerase chain reaction (PCR) analytic met...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(03)00090-7
更新日期：2004-02-01 00:00:00
abstract：BACKGROUND:Despite absence of evidence, in practice, asymptomatic bacteriuria is perceived as a risk factor for surgical site infection (SSI) among patients with cardiac surgery. We aimed to identify whether an association exists between the preoperative presence of asymptomatic bacteriuria or urinary tract infection a...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.08.015
更新日期：2018-02-01 00:00:00
abstract：BACKGROUND:Clostridium difficile is the most common health care-associated infection and a major cause of death and increased morbidity. It is vital that patients and the public are provided with the right information and communication to assist them to understand their role in preventative measures. Successful impleme...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2012.05.026
更新日期：2013-06-01 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：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：:We report a comparative laboratory study between 2 peripheral intravenous catheters equipped with a passive fully automatic safety mechanism to assess generation of blood droplets during withdrawal. One presented no fluid droplets, whereas the other presented droplets in 48% and 60% for the best and worst case, with a...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.11.020
更新日期：2015-03-01 00:00:00
abstract：BACKGROUND:To reach and engage hospitalists in the prevention of antimicrobial resistance, the Society of Hospital Medicine and the Centers for Disease Control and Prevention developed and conducted a quality improvement workshop based on the Centers for Disease Control and Prevention's Campaign to Prevent Antimicrobia...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2007.03.006
更新日期：2007-12-01 00:00:00
abstract：BACKGROUND:Virucidal compounds are essential in preventing the transmission of viral infection in the health care environment. Understanding their mechanisms of action is necessary to improve their efficacy. Inactivation of viruses is less documented than that of bacteria notably because different types of virus have d...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.08.012
更新日期：2010-06-01 00:00:00
abstract：BACKGROUND:To understand whether the burden of hand hygiene contributes to poor compliance we measured the daily number of hand hygiene opportunities (HHOs) by shift for nurses and physicians in 2 wards in a 850-bed university teaching hospital. METHODS:On each ward 4 trained auditors collected the number of HHOs and ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.02.006
更新日期：2016-07-01 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：BACKGROUND:In patient empowerment initiatives, patients are encouraged to ask caregivers if they have washed their hands. However, relatively little is known about the willingness of patients to participate in such initiatives. METHODS:Patients were presented with a "Partners in Your Care" script asking them to remind...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2008.04.248
更新日期：2009-03-01 00:00:00
abstract：:The coronavirus pandemic resulted in a shortage of protective equipment. To meet the request of eye-protecting devices, an interdisciplinary consortium involving practitioners, researchers, engineers and technicians developed and manufactured thousands of inexpensive 3D-printed face shields, inside hospital setting. T...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.08.005
更新日期：2020-08-11 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:Surgical site infections after joint arthroplasty are devastating complications and are influenced by patient, surgical, and operating room environmental factors. METHODS:In an effort to reduce the incidence of door openings (DOs) during total joint arthroplasty cases, this prospective observational study c...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.12.019
更新日期：2018-06-01 00:00:00
abstract：BACKGROUND:Candidemia in children caused by non-albicans Candida (NAC) spp is increasing in prevalence, but the relevant information is limited. METHODS:All isolates of pediatric candidemia from a medical center in Taiwan between 2003 and 2015 were enrolled. The characteristics of patients with NAC and Candida albican...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.05.015
更新日期：2018-12-01 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：:Alcohol-based products for skin antisepsis have a long history of safety and efficacy in the United States and abroad. However, alcohol alone lacks the required antimicrobial persistence to provide for the sustained periods of skin antisepsis desired in the clinical environment. Therefore, alcohol-based products must ...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2004.07.012
更新日期：2005-02-01 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Observational studies have suggested an association between diabetes mellitus and the risk of surgical site infections (SSIs), but the results remain inconclusive. We conducted a meta-analysis of prospective cohort studies to elucidate the relationship between diabetes mellitus and SSIs. METHO...
journal_title：American journal of infection control
pub_type： 杂志文章,meta分析
doi：10.1016/j.ajic.2015.04.003
更新日期：2015-08-01 00:00:00
abstract：BACKGROUND:Improperly cleaned, disinfected, or sterilized reusable medical devices are a critical cause of health care-associated infections. More effective studies are required to address the improvement of cleaning and disinfection instructions, as well as selection of cleaning and disinfecting agents, for surfaces o...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.01.029
更新日期：2013-10-01 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:The potential risks associated with "toilet plume" aerosols produced by flush toilets is a subject of continuing study. This review examines the evidence regarding toilet plume bioaerosol generation and infectious disease transmission. METHODS:The peer-reviewed scientific literature was searched to identify...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2012.04.330
更新日期：2013-03-01 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：: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：: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:The objectives of this integrative review were to critically examine the overall state of the current evidence on the relationship between hand hygiene interventions and the incidence of health care-associated infections (HCAIs) in acute care and long-term care settings, and offer recommendations for future ...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2007.08.007
更新日期：2008-06-01 00:00:00
abstract：BACKGROUND:Surgical site infections (SSIs) contribute significantly to patient morbidity and mortality and exhaust health care system resources. The main objectives of the study were to describe the incidence rates of SSIs among patients undergoing urologic or cardiothoracic surgeries, the associated risk factors, and ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.07.001
更新日期：2012-06-01 00:00:00
abstract：BACKGROUND:Influenza causes mortality and morbidity in the frail elderly population. Influenza prevention and mitigation models need to be developed for this population. METHODS:An observational study at a Program for All-Inclusive Care for the Elderly (PACE) during years 1999-2004. Participants were frail elderly adu...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2005.02.001
更新日期：2005-05-01 00:00:00
abstract：:One medical center in southern Taiwan faced an outbreak of nosocomial Legionnaires' disease; a total of 81 suspected cases were detected during an 8-month period. Baseline environmental surveillance showed that 80% of the distal sites in intensive care units (ICUs) were positive for Legionella pneumophila. Superheat-a...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2004.12.008
更新日期：2005-12-01 00:00:00
abstract：BACKGROUND:Animals could be reservoirs of extended-spectrum β-lactamases (ESBL) strains, but epidemiologic data on ESBL-producing bacteria in healthy pets are missing. We determined the prevalence of ESBL-producing Enterobacteriaceae in pets living in nursing homes and in households to investigate the potential role of...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.11.013
更新日期：2013-09-01 00:00:00
