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 method coupled with a filter sampling method to detect the presence of airborne Mycobacterium tuberculosis (MTb) in health care settings. METHODS:Patients with TB history were recruited from a medical intensive care department and negative-pressure isolation rooms at Chang Gung Memorial Hospital in Taichung City, Taiwan, Republic of China. The exhaled gas from different patients with TB who were mechanically ventilated in the intensive care department was collected using a polycarbonate (PC) membrane or polytetrafluoroethylene (PTFE) filter. Airborne MTb concentrations in air exhausted through a bacterial filter attached to a mechanic ventilator were studied. Indoor air samples were taken through a 3-piece cassette with a filter (PC/PTFE) in patient rooms. MTb concentrations in these filters were analyzed using the PCR method. RESULTS:Overall, 75% (12/16) of the exhaled-gas samples in PTFE filters and 25% (4/16) of samples in PC filters were detected as having positive MTb-specific DNA products. Exhausted air from the bacterial filters in mechanic ventilators was found to have positive PCR results (57% in PC filters and 14% in PTFE filters) for MTb. Both negative-pressure isolation rooms and outpatient department areas in the TB center had positive samples (40%-60% in PC/PTFE filters) containing MTb by PCR amplification. CONCLUSIONS:Health care settings were sufficient for various risk factors, including physical, chemical, and biologic hazards. Infectious agents are produced by aerosolization that results in human respiratory-related diseases. The indoor air quality of the entire hospital environment should, therefore, be monitored by health care personnel and the public.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Wan GH,Lu SC,Tsai YHdoi
10.1016/s0196-6553(03)00090-7subject
Has Abstractpub_date
2004-02-01 00:00:00pages
17-22issue
1eissn
0196-6553issn
1527-3296pii
S0196655303000907journal_volume
32pub_type
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.12.026
更新日期:2014-05-01 00:00:00
abstract::Using remote video auditing (RVA) and real-time feedback, we replicated health care workers hand hygiene in a second intensive care unit. During the first 4 weeks using RVA without feedback, the compliance rate was 30.42%. The rate during the 64-week postfeedback period (initial 16 and 48 weeks maintenance) with RVA a...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2012.12.011
更新日期:2013-10-01 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::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:Contributions of contaminated wheelchairs to nosocomial pathogen transmission are relatively unknown. Our aim was to develop a model predicting pathogen exposures for patients utilizing wheelchairs and estimate exposure reduction potential of wheelchair disinfection between rides. METHODS:An agent-based mod...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.06.204
更新日期:2021-02-01 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.2019.01.008
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:Correlations between symptom documentation in medical records and patient self-report (SR) vary depending on the condition studied. Patient symptoms are particularly important in urinary tract infection (UTI) diagnosis, and this correlation for UTI symptoms is currently unknown. METHODS:This is a cross-sect...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.04.208
更新日期:2015-09-01 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: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::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:BACKGROUND:Nosocomial infection (NI) is a cause of patient morbidity and mortality. Conducting an audit of deaths due to NI is a potentially useful approach to improving professional standards. In France, these deaths are required to be reported, but the reporting is left to clinicians, who often do not comply. The aim...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2010.04.216
更新日期:2011-03-01 00:00:00
abstract::We examined the efficacy of 5 experimental handwash formulations in removing nontoxigenic Clostridium difficile spores from the hands of health care workers. Handwashing with sand resulted in an additional 0.5-log reduction in spore recovery compared with the current standard of soap and water. ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.02.008
更新日期:2015-05-01 00:00:00
abstract::We surveyed Ohio acute care hospitals on laboratory testing used for diagnosis of Clostridium difficile infection (CDI). Of 146 hospitals surveyed, 109 (84%) used nucleic acid amplification tests (NAATs) as stand-alone diagnostic assays. Only 53 (42.4%) hospitals using NAATs had a mechanism in place to prevent repeat ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.09.007
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:The Centers for Disease Control and Prevention put forth the recommendation to clean areas considered high touch more frequently than minimal touch surfaces. The operating room was not included in these recommendations. The purpose of this study was to determine the most frequently touched surfaces in the op...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.03.013
更新日期:2016-11-01 00:00:00
abstract::Necrotizing fasciitis is a severe polybacterial infection characterized by necrosis of the fascia and adjacent soft tissues with rapid expansion of the infection along the fascial planes. It is a rare and potentially fatal entity in the head and neck region. We present 2 patients with head and neck cancers who develop...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.01.010
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:Medical devices inserted into the human body can be divided into single-use devices and reusable medical devices (RMDs) depending on the method of use. RMDs are applied to >1 patient, and users reprocess them prior to repeat use. Therefore, reprocessing of RMDs has become more difficult, and issues related t...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.01.017
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:This study was conducted to determine risk factors for infectious complications after urodynamic study (UDS) in women, which can assist clinicians in identifying high-risk subjects who would benefit from antibiotic prophylaxis before UDS. METHODS:In this prospective cohort study, we studied 232 women who un...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.05.031
更新日期:2015-10-01 00:00:00
abstract::Automated systems can facilitate surveillance for health care-associated infections. The New York Antimicrobial Resistance Project (NYARP) electronically monitors trends in bloodstream infections from 6 medical centers in New York, NY. To validate NYARP's data, episodes of health care-associated bloodstream infections...
journal_title:American journal of infection control
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ajic.2003.07.008
更新日期:2004-06-01 00:00:00
abstract:BACKGROUND:Evidence implicates textiles in health care as potential reservoirs of pathogens. No similar data exist for the wastewater treatment plant (WWTP) industry. We investigated if coveralls worn by WWTP workers could present occupational infection risk. METHODS:We enumerated heterotrophic plate counts (HPCs), to...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.11.007
更新日期:2019-05-01 00:00:00
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journal_title:American journal of infection control
pub_type: 临床试验,杂志文章
doi:10.1016/0196-6553(93)90032-y
更新日期:1993-08-01 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
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2006.02.004
更新日期:2006-11-01 00:00:00
abstract:BACKGROUND:Catheter-associated urinary tract infections (CAUTIs) are common nosocomial infections. In 2015, the Centers for Medicare and Medicaid Services began imposing financial penalties for institutions where CAUTI rates are higher than predicted. However, the surveillance definition for CAUTI is not a clinical dia...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.11.032
更新日期:2018-07-01 00:00:00
abstract:OBJECTIVE:To determine whether periurethral cleaning with water before indwelling urinary catheterization increases the risk of urinary tract infections (UTIs) compared with studies using anti-infective agents. METHODS:A literature search via MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials thro...
journal_title:American journal of infection control
pub_type: 杂志文章,meta分析
doi:10.1016/j.ajic.2018.02.031
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:The prevalence of surgical site infections (SSI) is second only to urinary tract infections in hospitalized patients. They continue to threaten the health of hospitalized patients and impact negatively on the financial solvency of hospitals through prolonged hospitalization, increased rates of rehospitalizat...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2005.04.244
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND:Hand hygiene is promoted as an effective practice to counter health care-acquired infections; however, compliance is less than optimal. Nurses have many patient contact opportunities and therefore are frequent participants in intervention research. The optimal combination of efficient and effective intervent...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.12.024
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Patient empowerment is recognized as an important component of a multimodal strategy to improve hand hygiene adherence. We examined the attitudes of adult patients and parents of pediatric patients toward a new patient empowerment tool (PET) at our hospital. We also surveyed physicians to determine their per...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.02.010
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Although familial involvement during inpatient care is not uncommon in western countries, the types of caring activities that family members in Asian countries provide are significantly different. These activities may place the family member at risk from a health care-associated infection. This study aimed t...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.10.001
更新日期:2020-06-01 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: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