Abstract:
:This report describes a cluster of nosocomial infections with Pseudomonas aeruginosa in a neonatal intensive care nursery. All 5 cases of P aeruginosa infection were clustered in September 1999. Aggressive infection control measures were instituted, including installation of a user-friendly handwashing soap and environmental cleaning. On the basis of the finding of persistent dirty equipment, a new full-time position was created that was dedicated to equipment cleaning. These measures were effective in eliminating the cluster. The nursery has remained free of P aeruginosa infection for more than 2 years, attesting to the success of our program.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Zafar AB,Sylvester LK,Beidas SOdoi
10.1067/mic.2002.121153subject
Has Abstractpub_date
2002-11-01 00:00:00pages
425-9issue
7eissn
0196-6553issn
1527-3296pii
S0196655302000287journal_volume
30pub_type
杂志文章abstract:BACKGROUND:There are no guidelines or quality benchmarks specific to ureteroscope reprocessing, and patient injuries and infections have been linked to ureteroscopes. This prospective study evaluated ureteroscope reprocessing effectiveness. METHODS:Reprocessing practices at 2 institutions were assessed. Microbial cult...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.03.016
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Despite increased focus on health care-associated infections (HAI), between 1.6 and 3.8 million HAI occur annually among the vulnerable population residing in US nursing homes (NH). This study characterized state department of health (DOH) activities and policies intended to improve quality and reduce HAI in...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.11.024
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:This study was designed to determine whether removing bacteria from the air with ultraviolet germicidal irradiation (UV-C) at the room level would reduce infection rates. METHODS:We reviewed infection data for 12 months before and after UV-C installation in the special care unit (SCU) of a long-term acute c...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.11.008
更新日期:2018-05-01 00:00:00
abstract::A questionnaire survey was carried out anonymously among 2557 health care workers in Denmark and Norway to identify and quantify factors that affect the handwashing behavior of physicians, nurses, and other staff groups who perform direct patient care. For number of daily patient contacts physicians reported significa...
journal_title:American journal of infection control
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1016/s0196-6553(05)80002-1
更新日期:1992-04-01 00:00:00
abstract:BACKGROUND:Anesthesia providers are at risk for contracting COVID-19 due to close patient contact, especially during shortages of personal protective equipment. We present an easy to follow and detailed protocol for producing 3D printed face shields and an effective decontamination protocol, allowing their reuse. METH...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.07.037
更新日期:2020-08-04 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::We evaluated the utility and usability of a spray and a wipe-based cleaner/disinfectant in a behavioral health setting where health care providers institute cleaning and disinfection procedures. The spray-based version resulted in significantly lower adenosine triphosphate readings after use compared with the wipe ver...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.05.028
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:In the United States incidence of sepsis and pneumonia differ by race, but it is unclear whether this is due to intrinsic factors or health care factors. METHODS:We conducted a study of 52,006 patients hospitalized during 2006-2008 at a referral hospital in upper Manhattan. We examined how the prevalence of...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.08.019
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND:Health care worker (HCW) vaccination was critical to protecting HCW during the H1N1 pandemic. However, vaccine uptake rates fell below recommended targets. This study examined motivators and barriers influencing HCW pH1N1 vaccination to identify modifiable factors that can improve influenza vaccine uptake. ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.01.014
更新日期:2013-08-01 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
abstract:BACKGROUND:Acinetobacter baumannii and Staphylococcus aureus have persisted as 2 major pathogens worldwide. AIM:We designed a prevalence study to investigate the prevalence of nasal carriage of S aureus and A baumannii in long-term-care facilities (LCTFs) and their collaborative community hospitals. In addition, we ai...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.02.005
更新日期:2017-07-01 00:00:00
abstract::We tested the ability of an improved hydrogen peroxide solution to decontaminate privacy curtains in inpatient and outpatient areas. The microbial contamination of the curtains was assessed before and after the curtains were sprayed with improved hydrogen peroxide. The disinfectant reduced the microbial load on the pr...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.11.022
更新日期:2014-04-01 00:00:00
abstract::The purpose of this study was to conduct a nationwide survey to determine the number of master's-prepared infection control practitioners (ICPs) and those eligible for admission to graduate programs. Continuing education needs also were assessed to determine whether they might best be met through formal education or i...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(90)90087-9
更新日期:1990-04-01 00:00:00
abstract:BACKGROUND:There is a lack of empiric evidence regarding the optimal approach to controlling the transmission of extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-E) and carbapenem-resistant Enterobacteriaceae (CRE). In this context, we expect that infection control practices for these organisms vary wid...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2011.11.008
更新日期:2012-11-01 00:00:00
abstract::We investigated the occurrence of Pseudomonas aeruginosa in our neonatal and adult intensive care units. Using enterobacterial repetitive intergenic consensus polymerase chain reaction, we showed spatial and temporal associations with clonal identity between patients' and adjacent faucets' clones. Both units' taps wer...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.05.029
更新日期:2017-02-01 00:00:00
abstract::Viridans group streptococci (VGS), a leading cause of bloodstream infection (BSI) in cancer patients, are thought to arise from the gastrointestinal tract. We sought to determine whether central venous catheters may serve as the source of VGS BSI, and to compare the ability of the newly proposed mucosal barrier injury...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.06.012
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:The purpose of this quality improvement project was to determine the effect of providing feedback to managers and bedside nurses on the nurses' central line-associated bloodstream infection (CLABSI) contributing factors, found on visual and documentation audits. METHODS:This nonexperimental, quality improve...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.09.020
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:We observed an increased rate of Pseudomonas aeruginosa bacteremia in our hematology unit in 2004-2007 without an identified environmental source. METHODS:We conducted a matched case-control study to investigate factors associated with P aeruginosa bacteremia in patients with hematologic malignancies. RESU...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2012.07.012
更新日期:2013-06-01 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::Residents of residential aged care facilities (RACFs) are at risk of colonization and infection with multidrug-resistant bacteria, and antibiotic prescribing is often inappropriate and not based on culture-proven infection. We describe low levels of resident colonization and environmental contamination with resistant ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.09.034
更新日期:2016-03-01 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: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::Infection at central venous catheter (CVC) sites remains a common problem, particularly with long-term use. This report discusses the influence of choice of transparent dressing type and chlorhexidine concentration on skin reactions at CVC insertion sites. A concentration of 2% chlorhexidine is associated with a highe...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.06.020
更新日期:2016-12-01 00:00:00
abstract::In a study conducted in 11 health care settings for elderly patients, we demonstrated a significant negative correlation between the proportion of glove use outside any risk of exposure to body fluids and compliance with hand hygiene (P < .02). This result underscores a major limitation of strategies for controlling t...
journal_title:American journal of infection control
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ajic.2011.05.008
更新日期:2012-05-01 00:00:00
abstract:BACKGROUND:Extended-spectrum beta-lactamase (ESBL)-producing organisms, first identified in Germany in 1983, are now widely recognized as clinically relevant causes of infections in community. METHODS:Our objective was to evaluate the clinical and molecular epidemiology of community-onset, extended-spectrum beta-lacta...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2007.05.008
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND:The reasons for gloving-up for surgery are to protect the surgical field from microorganisms on the surgeon's hands and protect the surgeon from the patient's microorganisms. This study measured the concentration of bacteria passing through glove punctures under surgical conditions. METHODS:Double-layered s...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2009.06.013
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:Multidrug-resistant (MDR) Escherichia coli is a serious threat to cancer patients. We aimed to determine the risk factors associated with the development of MDR E coli bacteremia in cancer patients and the possibility of horizontal transmission. METHODS:We conducted a 1:2 case-control study of 58 patients w...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2009.02.002
更新日期:2009-11-01 00:00:00
abstract::This study investigated the presence of adenovirus and norovirus on ward surfaces using real-time polymerase chain reaction (PCR) to assist in the development of evidence-based infection control policy. Screening was carried out weekly for 6 months in the common areas of 2 pediatric wards. Additionally, a one-off scre...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.07.028
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Increasing evidence indicates a strong association between occupational livestock contact and methicillin-resistant Staphylococcus aureus (MRSA) carriage. However, it remains unclear whether there are frequency-risk and duration-risk relations between occupational livestock contact and human MRSA carriage. ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.03.026
更新日期:2015-07-01 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