Abstract:
OBJECTIVE:We sought to determine the cause and mode of transmission of a cluster of bloodstream infections as a result of Klebsiella pneumoniae. DESIGN AND SETTING:We conducted a prospective cohort study in a neonatal intensive care department from May 1999 to December 2000. METHODS:We performed surveillance of nosocomial infections, and clinical and environmental investigations. RESULTS:During an 8-week period, 5 cases of K pneumoniae bloodstream infections were observed, at least 3 of them belonging to the same genotype. Before the second case developed any symptoms of infection, the same strain had also been found in the patient environment. Intervention measures were, therefore, immediately introduced. Further cases, however, occurred in the following weeks. Even after further intervention activities and the end of the outbreak, the same strain was discovered in environmental samples from a stethoscope and a nurse's hand. CONCLUSIONS:Even where there is acute awareness of the problem and a generally high infection control level in a department, it is difficult to change behavior in such a way that further nosocomial infections can be totally excluded.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Gastmeier P,Groneberg K,Weist K,Rüden Hdoi
10.1067/mic.2003.70subject
Has Abstractpub_date
2003-11-01 00:00:00pages
424-30issue
7eissn
0196-6553issn
1527-3296pii
S0196655302482703journal_volume
31pub_type
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journal_title:American journal of infection control
pub_type: 杂志文章
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更新日期:2017-08-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章,评审
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abstract:BACKGROUND:Outbreaks of health care-associated infections in neonatal intensive care units (NICUs) are frequent and have received more attention in medical literature than outbreaks from other types of intensive care units (ICUs). The objective of this systematic review was to identify differences between outbreaks of ...
journal_title:American journal of infection control
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更新日期:2007-04-01 00:00:00
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journal_title:American journal of infection control
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journal_title:American journal of infection control
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更新日期:2019-12-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2006-04-01 00:00:00
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更新日期:2000-06-01 00:00:00
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journal_title:American journal of infection control
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更新日期:2008-12-01 00:00:00
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journal_title:American journal of infection control
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journal_title:American journal of infection control
pub_type: 杂志文章,评审
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doi:10.1016/j.ajic.2015.05.031
更新日期:2015-10-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.04.215
更新日期:2016-08-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/s0196-6553(99)70034-9
更新日期:1999-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.ajic.2009.04.290
更新日期:2010-02-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2012.12.018
更新日期:2013-05-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.10.015
更新日期:2017-03-01 00:00:00
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更新日期:2020-08-04 00:00:00
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journal_title:American journal of infection control
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doi:10.1016/j.ajic.2006.02.005
更新日期:2006-08-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2004.08.008
更新日期:2005-04-01 00:00:00
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journal_title:American journal of infection control
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doi:10.1016/j.ajic.2019.11.004
更新日期:2020-09-01 00:00:00
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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::Handwashing is the single most important procedure in the prevention of nosocomial infections and yet it remains the most violated of all infection control procedures. With a sequential intervention study in an intensive care unit we have demonstrated that poor handwashing practices are associated with a high nosocomi...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(89)90002-3
更新日期:1989-12-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2019.11.002
更新日期:2020-06-01 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
abstract:BACKGROUND:Certified Nursing Assistants (CNAs) frequently wear gloves when they care for patients in standard precautions. If CNAs use gloves inappropriately, they may spread pathogens to patients and the environment, potentially leading to health care-associated infections (HAIs). METHODS:Using a descriptive structur...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.02.017
更新日期:2017-09-01 00:00:00