Abstract:
BACKGROUND:The implementation of a time- and cost-effective system for the surveillance of the nosocomial infection (NI) is a challenge for infection control practitioners. OBJECTIVES:The aim of this study was to assess the sensitivity and the time reduction using a selective surveillance method (SSM) for the detection of NIs in comparison with a reference surveillance method (RSM). METHODS:During a 12-month period, surveillance was performed prospectively in 4 intensive care departments on a rotating basis. Using the RSM, NIs were identified by prospective chart reviews performed twice a week combined with weekly infectious disease ward rounds. In the SSM, surveillance was reduced to microbiologic data and participation in the weekly infectious disease ward rounds followed by selective chart review. RESULTS:In all, 578 patients amounting to 3597 patient-days were included in the study. In total, 78 NIs among 56 patients were identified. The overall sensitivity of the SSM compared with the RSM was 93.6% (73 of 78 NIs). The sensitivity of the SSM for the most important device-associated NIs (pneumonia, bloodstream infections, and urinary tract infections) was 96.3% (52 of 54 NIs) and 87.5% (21 of 24 NIs) for other NIs. Time required using the SSM was 1.3 hours compared with 4.1 hours per 10 beds per week (P =.0001) with the RSM. CONCLUSIONS:Within our setting, a SSM with restriction to microbiology reports and participation in the infectious disease ward rounds detected NIs with a high sensitivity and a remarkable time reduction.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Zolldann D,Haefner H,Poetter C,Buzello S,Sohr D,Luetticken R,Lemmen SWdoi
10.1067/mic.2003.72subject
Has Abstractpub_date
2003-08-01 00:00:00pages
261-5issue
5eissn
0196-6553issn
1527-3296pii
S0196655303000373journal_volume
31pub_type
杂志文章abstract:BACKGROUND:Occupational blood exposures among operating room personnel have been substantially underreported in incident reports. Recent research has indicated several common factors influencing exposure rates: surgical service (thoracic, neurosurgery, orthopedic), length of operation, and emergency status. METHODS:Th...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(93)90402-p
更新日期:1993-12-01 00:00:00
abstract:BACKGROUND:Valid data are a crucial aspect of infection prevention and control programs. The aim of this study was to examine the accuracy of routine reporting in the Iranian Nosocomial Infection Surveillance System in intensive care units. METHODS:A blinded retrospective review of general intensive care unit medical ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.12.028
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:Philadelphia's rate of malpractice filings per population is just over double the national median. Plaintiffs prevail in 44% of verdicts in Philadelphia compared with 20% for all US jury verdicts, with 24% of awarded verdicts in excess of $1 million. OBJECTIVE:To determine patient and procedure demographic ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2005.03.005
更新日期:2005-06-01 00:00:00
abstract:BACKGROUND:The objective of this study was to understand better the status of and ways to improve dissemination of influenza and pneumococcal standing-order vaccination policies to at-risk adults in health care institutions. METHODS:A statewide sample of 5 different types of institutions serving at-risk elderly person...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2005.01.008
更新日期:2005-10-01 00:00:00
abstract:BACKGROUND:Contaminated gloves are a major source of transmission of bacteria in the hospital and food industry. We investigated the efficacy of gloves impregnated with a combination of antiseptics consisting of brilliant green dye and chlorhexidine (Gardine). METHODS:Gardine-coated and uncoated 1-cm(2) segments of la...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2008.07.003
更新日期:2009-05-01 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:BACKGROUND:This study described and analyzed the age, gender, infection sources, and timing characteristics of the 416 confirmed cases in two cities near the center of China's COVID-19 outbreak. METHODS:This study used publicly available data to examine gender, age, source of infection, date returned from Hubei, date ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.06.191
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:Chlorhexidine gluconate (CHG) and povidone iodine (PI) are rarely used concurrently despite a lack of evidence regarding functional incompatibility of these agents. METHODS:CHG and PI, alone and combined, were evaluated against Staphylococcus aureus (methicillin-susceptible S aureus [MSSA] and methicillin-r...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2010.06.022
更新日期:2010-12-01 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: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: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::Ortho-phthalaldehyde (OPA), a high-level disinfectant alternative to glutaraldehyde, was tested for efficacy against human hepatitis B virus (HBV) and hepatitis C virus (HCV) using surrogate animal viruses. HBV and HCV are the most prevalent human bloodborne viruses but have not yet been propagated in the laboratory. ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2007.08.005
更新日期:2008-04-01 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
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::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: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:BACKGROUND:Methicillin-resistant Staphylococcus aureus (MRSA) remains one of the most prevalent multidrug-resistant organisms causing health care-associated infections. Limited data are available about how the prevalence of MRSA has changed over the past several years and what MRSA prevention practices have been implem...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2012.02.001
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND:Evaluate the presence of bacteria and resistance profile in stethoscopes used by health care professionals and its consequences within the hospital environment. METHODS:It is a systematic review, in which articles indexed in the BVS, CAPES-Periódicos, Cochrane Library, PubMed, Scientific Electronic Library ...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2020.07.007
更新日期:2021-02-01 00:00:00
abstract:BACKGROUND:The teaching of infection control (IC) was introduced at dental schools in Mexico during the 1990s. A 1992 survey indicated that some dentists had limited access to current IC standards. Deficient knowledge of bloodborne pathogens may influence dentists' attitudes about infected individuals and reduce compli...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1067/mic.2002.117042
更新日期:2002-02-01 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: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: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:Numerous strategies are available to prevent surgical site infections in hip arthroplasty, but there is no consensus on which might be the best. This study examined infection prevention strategies currently recommended for patients undergoing hip arthroplasty. METHODS:Four clinical guidelines on infection p...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2012.03.027
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:The major concern after occupational exposures is the possible transmission of blood-borne pathogens, especially hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV). This study was undertaken to evaluate the risk of infection after exposure to blood or body fluids of an u...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2008.05.012
更新日期:2008-12-01 00:00:00
abstract::Microbial contamination of used, unprocessed internal components of dental handpieces (HPs) was assessed. HPs were dismantled aseptically, immersed in phosphate-buffered saline, ultrasonicated, and cultured. A median of 200 CFU per turbine (n = 40), 400 CFU per spray channel (n = 40), and 1000 CFU per item of surgical...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.06.008
更新日期:2014-09-01 00:00:00
abstract::We evaluated symptom documentation for 312 inpatients with bacteriuria by comparing information found in the chart with that obtained prospectively from the medical and nursing team caring for the patient. There was only moderate agreement (κ = 0.55), and only 77% of symptomatic patients had any symptom documented in ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.07.037
更新日期:2015-11-01 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::Pet-assisted therapy in the nursing home setting, as a vital component of the Eden Alternative or Human Habitat program, is gaining widespread recognition and implementation. Programs such as this help to improve the quality of life of nursing home residents by offsetting resident loneliness, helplessness, and boredom...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1067/mic.2001.115873
更新日期:2001-06-01 00:00:00
abstract::The virucidal activity of 2 hand rubs proposed by the World Health Organization was studied in a quantitative suspension test for chemical disinfectants and antiseptics in human medicine (EN 14476). These formulations are recommended if no hand rubs with declared microbiological activity are available in health care s...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2009.07.009
更新日期:2010-02-01 00:00:00
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 ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1067/mic.2001.115680
更新日期:2001-08-01 00:00:00