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 significantly fewer instances of hand hygiene (HH) per day than did those in other medical professions. Male physicians reported significantly fewer HH per day than did their female colleagues. Significant differences were found among staff groups in emphasis on factors motivating and discouraging HH. The main motivating factor for all groups, however, was an awareness that HH is important for the prevention of infection. Skin problems from frequent handwashing and the use of agents that irritate and dry the skin were the main reasons for disinclination toward HH. The number of points given to these statements correlated well with the stated frequency of HH in staff groups with relatively many (9 to 24) patient contacts per day. Many studies have revealed low standards of HH in health care settings. Whenever HH is taught, the significance of HH for the prevention of infection is always stressed. The participants in this survey were well aware of this significance, but there is still a discrepancy between theory and practice. Goal-specific strategies to improve HH practices would probably be more effective if more were done to minimize the factors that health care workers find detrimental to HH. Continual evaluation of the possibly detrimental effects of current hand washing agents should also be carried out.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Zimakoff J,Kjelsberg AB,Larsen SO,Holstein Bdoi
10.1016/s0196-6553(05)80002-1subject
Has Abstractpub_date
1992-04-01 00:00:00pages
58-64issue
2eissn
0196-6553issn
1527-3296pii
S0196-6553(05)80002-1journal_volume
20pub_type
临床试验,杂志文章,多中心研究abstract::Randomized controlled trials (RCTs) are useful in the evaluation of both new and well-established hospital infection control practices for which the benefit is unproven and not obvious. RCTs are often undertaken to resolve controversies, and many of them have a "negative" or inconclusive outcome. Well-designed RCTs wi...
journal_title:American journal of infection control
pub_type: 临床试验,杂志文章,评审
doi:10.1016/0196-6553(83)90076-7
更新日期:1983-10-01 00:00:00
abstract:BACKGROUND:Needleless connectors (NCs) were introduced to reduce health care work needlestick injuries (NSIs). If not decontaminated prior to use, NCs can be a portal for patient blood stream infections. The optimal disinfectant, and its application duration, for NC decontamination has not been empirically established....
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.11.030
更新日期:2020-09-01 00:00:00
abstract::In a series of experiments, the barrier integrity of single and double vinyl and latex examination gloves were tested for dye and water leaks after being placed under stress. A total of 886 examination gloves (385 vinyl: single, 199; double, 186; and 501 latex: single, 290; double, 211) were tested with a standardized...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(94)90085-x
更新日期:1994-02-01 00:00:00
abstract:BACKGROUND:Staphylococcus aureus (SA) is a common bacterial pathogen in skin and skin structure infections (SSSIs). Limited data exist on hospital treatment patterns and costs for SA-SSSIs. METHODS:This retrospective analysis examined the lengths of stay, treatment patterns, and costs of hospitalized patients with an ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2009.04.287
更新日期:2010-02-01 00:00:00
abstract::The Veterans Affairs methicillin-resistant Staphylococcus aureus (MRSA) Prevention Initiative was implemented in its 133 long-term care facilities in January 2009. Between July 2009 and December 2012, there were ~12.9 million resident-days in these facilities nationwide. During this period, the mean quarterly MRSA adm...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.06.004
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:A cross-sectional study was conducted in a large university hospital in Belo Horizonte, Minas Gerais, Brazil to evaluate surgical glove integrity after use during surgery. METHODS:This 6-month study was conducted by a gastroenterological, cardiovascular, and pediatric surgical team consisting of surgeons (m...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.06.021
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:Although isolation precautions are an important aspect of hospital infection control, current rates of isolation in a pediatric hospital and rates of compliance with established precautions are unknown. We therefore initiated hospital-wide point prevalence studies to determine unit-specific rates of patient ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2006.03.012
更新日期:2007-05-01 00:00:00
abstract::Knowing where we have come from helps to decide where we should be going. Many principles and practices of modern infection control were developed in the nineteenth and early twentieth century. The story is one of halting, yet relentless, progress. The history of these discoveries and their application to infection co...
journal_title:American journal of infection control
pub_type: 历史文章,杂志文章
doi:10.1016/s0196-6553(81)80064-8
更新日期:1981-08-01 00:00:00
abstract:BACKGROUND:Routine hand hygiene effectively removes methicillin-resistant Staphylococcus aureus (MRSA) and/or vancomycin resistant Enterococcus (VRE) from the ungloved hands of healthcare workers (HCWs) who are caring for patients under contact precautions, when exposure to bodily fluids is not expected. METHODS:HCWs'...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.01.013
更新日期:2018-07-01 00:00:00
abstract::Human factors design interventions have been suggested to mitigate infection risk in health care. Among such solutions, many are easily identified and theoretically simple and quick to realize. These are called low-hanging fruit. We present a case of infection risk associated with syringe manipulation that could easil...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.03.002
更新日期:2014-06-01 00:00:00
abstract:BACKGROUND:Patient and visitor hand hygiene has the potential to prevent health care-associated infections, but there are few data on the efficacy of interventions to improve patient/visitor hand hygiene. OBJECTIVE:To determine whether conventional and front-line ownership (FLO) patient/visitor hand hygiene interventi...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.09.026
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:Optimal usability is crucial in providing protection for health care workers who are exposed to severe acute respiratory syndrome day and night while taking care of patients with the virus. No research study has yet tested the usability of personal protective clothing (PPC). METHOD:The study was carried out...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2003.08.004
更新日期:2004-04-01 00:00:00
abstract:BACKGROUND:Isolation precautions used against multidrug-resistant (MDR) organisms are responsible for many emotional side effects. We evaluated patient's feeling after a hospitalization for an MDR infection. METHODS:We conducted a qualitative study that included 11 interviews from August 2017 to June 2018. We used phe...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.03.018
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:Methicillin-resistant Staphylococcus aureus (MRSA) is a challenge for public health, and community-acquired (CA) infections seem to be increasing among people in different areas. METHODS:A total of 700 healthy student volunteers residing in dormitories of universities in Urmia, Iran, were enrolled in this s...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.02.034
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:In 1999, licensed health care facilities in California (N = 2532) were invited to participate in a survey about occupational bloodborne pathogens exposure surveillance activities, recordkeeping methods, and use of safety-enhanced sharps devices. RESULTS:A total of 1274 facilities responded to the survey fro...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1067/mic.2002.122646
更新日期:2002-08-01 00:00:00
abstract::The antibacterial efficacy of 4% chlorhexidine gluconate (CHG) and 1% triclosan as handwash antiseptics is well established. Few published studies have identified hand bacteria found in glove juice samples, and most studies have used nonclinical study subjects. We report a longitudinal comparative study to determine t...
journal_title:American journal of infection control
pub_type: 临床试验,杂志文章
doi:10.1016/s0196-6553(99)70051-9
更新日期:1999-08-01 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
abstract::One medical center in southern Taiwan faced an outbreak of nosocomial Legionnaires' disease; a total of 81 suspected cases were detected during an 8-month period. Baseline environmental surveillance showed that 80% of the distal sites in intensive care units (ICUs) were positive for Legionella pneumophila. Superheat-a...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2004.12.008
更新日期:2005-12-01 00:00:00
abstract::The utilization of isolation precautions has increased in tertiary care hospitals due to the increase in colonization with multidrug-resistant organisms over time. We assessed the frequency of multidrug-resistant microorganisms responsible for implementation of contact precautions in the ICU of a tertiary care hospita...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2012.03.031
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:Aerobic and facultatively anaerobic gram-negative bacilli (AGNB) are opportunistic pathogens and continue to cause a large number of hospital-acquired infections. AGNB residing in the oral cavity and oropharynx have been linked to nosocomial pneumonia and septicemia. Although AGNB are not considered members ...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2011.03.004
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND:Many studies have examined hand hygiene (HH) frequency and adherence in response to various interventions. This study used 2 methods to determine HH frequency and adherence to see how well the outcomes correlated. METHODS:HH frequency was measured over 4, 1-month periods (phases 1-4), using 2 methods: an au...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2005.07.006
更新日期:2006-04-01 00:00:00
abstract:BACKGROUND:Postoperative wound infection (PWI) after intracranial neurosurgery remains a significant worldwide problem, resulting in substantial morbidity/mortality if not combatted quickly and energetically. Although the danger of PWI is universally recognized, the reported incidence of PWI after intracranial neurosur...
journal_title:American journal of infection control
pub_type: 杂志文章,meta分析
doi:10.1016/j.ajic.2007.07.015
更新日期:2008-10-01 00:00:00
abstract:BACKGROUND:Community-associated Clostridioides difficile infections (CA-CDIs) share many risk factors with health care-associated cases, although the role of socioeconomic factors is poorly understood. This study estimates the influence of several census tract-level measures of socioeconomic status on CA-CDI incidence ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.12.014
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:Room ventilation is a key determinant of airborne disease transmission. Despite this, ventilation guidelines in hospitals are not founded on robust scientific evidence related to the prevention of airborne transmission. METHODS:We sought to assess the effect of ventilation rates on influenza, tuberculosis, ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2011.02.014
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:This study assessed reporting behavior and satisfaction with postexposure prophylaxis (PEP) systems among health care workers (HCWs) at risk for occupational bloodborne pathogen exposure (BPE) in 3 public hospitals in Botswana. METHODS:A cross-sectional survey among HCWs provided information on perceptions,...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.01.027
更新日期:2016-08-01 00:00:00
abstract::Urinary tract infections are one of the most common hospital-acquired infections, with 70%-80% resulting from catheter-associated urinary tract infections (CAUTIs). We undertook a qualitative study to assess patient perspectives of indwelling urinary catheters using a semistructured interview. We found that patient aw...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.10.011
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:Data on health care-associated infections (HAIs) outside of intensive care units (ICU) are scarce. We assessed hospital-wide changes in the incidence of health care-associated pathogens by infection site and by service between 2005 and 2011. METHODS:All data on health care-associated pathogens in 2005-2011 ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.03.019
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:The aim of this study was to evaluate the performance of a focused multivector ultraviolet (FMUV) system employing shadowless delivery with a 90-second disinfection cycle for patient care equipment inside and outside the operating room (OR) suite without manual-chemical disinfection. METHODS:A 5-point multi...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.09.019
更新日期:2019-04-01 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::Although substantial improvements in hand hygiene practices have occurred in recent years, many health care facilities continue to encounter challenges in achieving and maintaining high levels of hand hygiene compliance. Issues of current interest include the optimum dose of alcohol-based handrub (ABHR) that should be...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2019.03.024
更新日期:2019-06-01 00:00:00