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 adults who meet the state Medicaid requirements for nursing home placement. RESULTS:Over 91% of participants have been immunized yearly since the beginning of the program. Employee immunization has increased yearly from 61% to 90%, and caregivers known to be immunized increased from 9% to 62% over the last 4-year period. During 2 influenza seasons, we placed all our participants on ramantidine prophylaxis within a 2-week period. CONCLUSIONS:The incentives and flexibility offered by PACE have allowed our participants to enjoy much higher influenza immunization rates than experienced by other elderly adults while also prophylaxing employees and caregivers. Our systems have allowed us to prophylax all our participants within a short time during 2 influenza seasons. Nonetheless, many questions remain regarding the optimal way to decrease the burden of influenza in frail elderly adults. With adequate integration and supplementary financing, PACE programs throughout the United States could serve as laboratories to test candidate interventions.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Desbiens NAdoi
10.1016/j.ajic.2005.02.001subject
Has Abstractpub_date
2005-05-01 00:00:00pages
238-42issue
4eissn
0196-6553issn
1527-3296pii
S019665530500091Xjournal_volume
33pub_type
杂志文章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：:Our descriptive analyses show a wide distribution in rates of central line device days and central line-associated bloodstream infections for a given standardized infection ratio-the measure linked to federal payment penalties-among 215 US hospitals serving highly complex patient populations. We established that the s...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.12.001
更新日期：2019-08-01 00:00:00
abstract：BACKGROUND:Vancomycin-resistant enterococci (VRE) are important nosocomial pathogens in many hospitals. The true prevalence of VRE in pediatric hospitals is not known. METHODS:A surveillance study was performed at a pediatric tertiary care medical center by using vancomycin-containing screening media. RESULTS:Six chi...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1053/ic.1998.v26.a93115
更新日期：1998-12-01 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: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:Public reports of successful quality improvement efforts are useful, but seldom available. We present 5 successful efforts to prevent surgical site infections (SSIs) with the use of prospectively collected surveillance data. METHODS:Before-and-after intervention studies were conducted in 5 acute care public...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2004.07.001
更新日期：2004-11-01 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：BACKGROUND:Rifampin has been used for the eradication of Staphylococcus aureus (S. aureus) colonization in various populations of healthy and sick people. METHODS:We performed a systematic review of the evidence from randomized and nonrandomized controlled trials that compared the effectiveness and safety of a rifampi...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2006.09.005
更新日期：2007-03-01 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:The prevalence of nosocomial infection in Australian hospitals is estimated to be between 5.5% and 6.3%. Since 1989, infection control professionals (ICPs) in hospitals accredited by the Australian Council on Health Care Standards (ACHS) have been encouraged to collect nosocomial infection data according to ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(99)70024-6
更新日期：1999-12-01 00:00:00
abstract：:Vancomycin-resistant Staphylococcus aureus (VRSA) and methicillin-resistant S aureus (MRSA) strains were examined in hospital effluents. Most S aureus strains are resistant to methicillin (MRSA), followed by tetracycline. Approximately 15% of MRSA strains are also resistant to vancomycin (VRSA). All VRSA strains devel...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.08.015
更新日期：2015-12-01 00:00:00
abstract：:This article reviews 2 models of skill acquisition, 1 from nursing and the other from aviation, and compares them to the Association for Professionals in Infection Control and Epidemiology Competency Model for the Infection Preventionist (IP). The authors explore the mental activity associated with competence and prov...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.04.210
更新日期：2018-08-01 00:00:00
abstract：BACKGROUND:Infection preventionists (IPs) play key roles in preventing health care-associated infections and ensuring quality of care. To develop strategies to support comprehensive infection prevention practice, it is critical to understand key aspects of their practice. METHODS:A task force of expert IPs, staff repr...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.12.012
更新日期：2017-06-01 00:00:00
abstract：BACKGROUND:The negative impact of surgical site infection (SSI) in terms of morbidity, mortality, additional costs, and length of stay (LOS) in the hospital is well described in the literature, as are risk factors and preventive measures. Given the lack of knowledge regarding patients' experiences of SSI, the aim of th...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2010.03.017
更新日期：2010-11-01 00:00:00
abstract：BACKGROUND:Despite the well-recognized role of urinary catheters in nosocomial urinary tract infections, data on risk factors associated with inappropriate urinary catheter use are scarce. METHODS:A prospective review of electronic medical records of 436 patients admitted to an adult medical-surgical unit between Octo...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.03.032
更新日期：2012-02-01 00:00:00
abstract：BACKGROUND:To gain further insights into health care workers (HCWs) attitudes toward influenza vaccination to guide future interventions to increase vaccination rates. METHODS:A standardized anonymous questionnaire was sent to all employees of the University Hospital Basel, Switzerland following the influenza season 2...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.02.004
更新日期：2020-10-01 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：BACKGROUND:Healthcare workers perform hand hygiene much more frequently than workers in other fields. As a result, healthcare workers have a higher exposure to topical antiseptic products. METHODS:Five tertiary care facilities were equipped with an electronic hand hygiene compliance monitoring system. Alcohol-based ha...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.04.205
更新日期：2018-10-01 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Healthcare-associated infections (HAIs) are common and often preventable complications of care, with reduction emphasized in national policy. The Centers for Medicare and Medicaid Services introduced an HAI-focused Hospital Acquired Condition Reduction Program in 2015 to penalize poor-performin...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.05.038
更新日期：2020-12-01 00:00:00
abstract：:In-hospital surveillance of surgical site infections (SSI) was conducted on 599 patients in a German university hospital. On a subgroup of 342 patients, SSI was assessed after discharge from hospital based on data of a questionnaire and telephone interviews. Postdischarge surveillance revealed substantially higher inf...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2008.10.025
更新日期：2009-06-01 00:00:00
abstract：BACKGROUND:Pathogens may be transmitted in hospitals via patients' own hands, but little is known about the facilitators and barriers of hand hygiene among inpatients. This study aimed to assess the hand hygiene knowledge, attitudes, and practices of adult inpatients at 5 hospitals. METHODS:The study consisted of a cr...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.11.020
更新日期：2020-05-01 00:00:00
abstract：OBJECTIVE:This systematic review had two aims. First to identify the incidence of urinary tract infection (UTI) and bacteriuria in people undertaking intermittent catheterisation (IC), second to determine the effectiveness of antiseptic cleaning of the meatal area prior to IC in reducing the incidence of UTI and bacter...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2021.01.009
更新日期：2021-01-21 00:00:00
abstract：BACKGROUND:Composition and diversity of intestinal microbial communities (microbiota) are generally accepted as a risk factor for poor outcomes; however, we cannot yet use this information to prevent adverse outcomes. METHODS:Stool was collected from 8 long-term acute care hospital patients experiencing diarrhea and 2...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.01.003
更新日期：2016-07-01 00:00:00
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 detectio...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2003.72
更新日期：2003-08-01 00:00:00
abstract：BACKGROUND:Our objectives were to evaluate the utility of electronic hand hygiene counting devices in outpatient settings and the impact of results feedback on physicians' hand hygiene behaviors. METHODS:We installed 130 electronic hand hygiene counting devices in our redesigned outpatient department. We remotely moni...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.08.002
更新日期：2016-12-01 00:00:00
abstract：BACKGROUND:Methicillin-resistant Staphylococcus aureus (MRSA) is responsible for many hospital-associated infections. Both MRSA-colonized and MRSA-infected patients must be isolated on contact precautions per the Centers for Disease Control and Prevention guidelines. This study evaluates the current practice for removi...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.02.006
更新日期：2019-08-01 00:00:00
abstract：OBJECTIVE:At present, the shortest recommended application time of alcoholic handrubs is an application interval of 30 seconds. However, application times shorter than 30 seconds are regularly practiced. Therefore, the aim of this study was to investigate whether a 15-second application time achieves a comparable wetta...
journal_title：American journal of infection control
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ajic.2018.02.015
更新日期：2018-09-01 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:We sought to measure the incidence rate of catheter-associated urinary tract infections (CAUTIs), identify risk factors associated with acquiring the infections; and identify the etiologic and antibiotic resistant patterns associated with CAUTIs in the intensive care units (ICUs) of a large University Hospit...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.06.011
更新日期：2010-04-01 00:00:00
abstract：BACKGROUND:In the industrial setting, employee perceptions regarding their organization's commitment to safety (i.e., safety climate) have been shown to be important correlates to both the adoption and maintenance of safe work practices and to workplace injury rates. However, safety climate measures specific to the hos...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2000.105288
更新日期：2000-06-01 00:00:00
