Survey of isolation practices at a tertiary care pediatric hospital.

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 isolation and compliance with proper isolation requirements focusing on communication of isolation status and availability of personal protective equipment. In this report, we present data from the first 14 months of the study. METHODS:This was a prospective observational study. Twice monthly, between January 2004 and February 2005, infection control professionals reviewed the types and appropriateness of isolation of all hospitalized patients, except for those on the psychiatry unit. RESULTS:Seventeen percent of patients in the hospital during the study period were isolated, most frequently for community-acquired infections. Droplet isolation precautions were the most common form of isolation. Overall, only 74.6% of patients were isolated appropriately. The solid organ transplantation, hematology/oncology, and bone marrow transplantation units were those with the highest rates of inappropriate isolation. CONCLUSION:At our hospital, community-acquired infections, in particular respiratory infections, were the most common reasons for patient isolation. Monitoring of the appropriateness of isolation precautions offers the opportunity to reduce health care-related transmission of infection and identify specific target areas for improvement.

journal_name

Am J Infect Control

authors

Vayalumkal JV,Streitenberger L,Wray R,Goldman C,Freeman R,Drews S,Matlow A

doi

10.1016/j.ajic.2006.03.012

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

207-11

issue

4

eissn

0196-6553

issn

1527-3296

pii

S0196-6553(06)00522-0

journal_volume

35

pub_type

杂志文章
  • Staffing and structure of infection prevention and control programs.

    abstract:BACKGROUND:The nature of infection prevention and control is changing; however, little is known about current staffing and structure of infection prevention and control programs. METHODS:Our objectives were to provide a snapshot of the staffing and structure of hospital-based infection prevention and control programs ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2008.11.001

    authors: Stone PW,Dick A,Pogorzelska M,Horan TC,Furuya EY,Larson E

    更新日期:2009-06-01 00:00:00

  • Necrotizing fasciitis in patients with head and neck cancer.

    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

    authors: Malik A,Chakrabarty S,Nair S,Nair D,Chaturvedi P

    更新日期:2015-04-01 00:00:00

  • An in-room observation study of hand hygiene and contact precaution compliance for Clostridioides difficile patients.

    abstract::Using an innovative, covert, in-room observer method to evaluate infection control practices for patients with Clostridioides difficile infection, we found no difference between physician and nursing hand hygiene compliance and contact precaution usage. There was also no diurnal variation in hand hygiene practices, bu...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2019.03.031

    authors: Barker AK,Cowley ES,McKinley L,Wright MO,Safdar N

    更新日期:2019-10-01 00:00:00

  • Variation in administrators' and clinicians' attitudes toward critical elements of an infection control program and the role of the infection control practitioner in New South Wales, Australia.

    abstract:BACKGROUND:Debate remains over the core activities of infection control (IC) programs. Differences in stakeholder opinions must be considered if consensus panel guidelines and recommendations are to be broadly applied. This article describes a survey of administrators and clinicians employed in hospitals in New South W...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1067/mic.2001.117037

    authors: Murphy CL,McLaws ML

    更新日期:2001-08-01 00:00:00

  • 3D-printed protected face shields for health care workers in Covid-19 pandemic.

    abstract::The coronavirus pandemic resulted in a shortage of protective equipment. To meet the request of eye-protecting devices, an interdisciplinary consortium involving practitioners, researchers, engineers and technicians developed and manufactured thousands of inexpensive 3D-printed face shields, inside hospital setting. T...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2020.08.005

    authors: Lemarteleur V,Fouquet V,Le Goff S,Tapie L,Morenton P,Benoit A,Vennat E,Zamansky B,Guilbert T,Depil-Duval A,Gaultier AL,Tavitian B,Plaisance P,Tharaux PL,Ceccaldi PF,Attal JP,Dursun E

    更新日期:2020-08-11 00:00:00

  • Reduction of methicillin-resistant Staphylococcus aureus infection in long-term care is possible while maintaining patient socialization: A prospective randomized clinical trial.

    abstract:BACKGROUND:Antibiotic resistance is a challenge in long-term care facilities (LTCFs). The objective of this study was to demonstrate that a novel, minimally invasive program not interfering with activities of daily living or socialization could lower methicillin-resistant Staphylococcus aureus (MRSA) disease. METHODS:...

    journal_title:American journal of infection control

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.ajic.2016.04.251

    authors: Peterson LR,Boehm S,Beaumont JL,Patel PA,Schora DM,Peterson KE,Burdsall D,Hines C,Fausone M,Robicsek A,Smith BA

    更新日期:2016-12-01 00:00:00

  • Cross-contamination of bacteria-colonized pierced earring holes and fingers in nurses is a potential source of health care-associated infections.

    abstract:BACKGROUND:In recent years, the wearing of pierced earrings for personal adornment has increased among health care workers in Japan. However, the transmission dynamics between bacteria in pierced earring holes and fingers has not been clearly shown. METHODS:Earlobes and fingers of 200 nurses (128 nurses with pierced e...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2018.06.006

    authors: Kanayama Katsuse A,Takishima M,Nagano M,Kikuchi K,Takahashi H,Kaneko A,Kobayashi I

    更新日期:2019-01-01 00:00:00

  • Impact of patient and visitor hand hygiene interventions at a pediatric hospital: A stepped wedge cluster randomized controlled trial.

    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

    authors: Wong MWH,Xu YZ,Bone J,Srigley JA

    更新日期:2020-05-01 00:00:00

  • Room ventilation and the risk of airborne infection transmission in 3 health care settings within a large teaching hospital.

    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

    authors: Knibbs LD,Morawska L,Bell SC,Grzybowski P

    更新日期:2011-12-01 00:00:00

  • Hand hygiene knowledge, attitudes, and practices among hospital inpatients: A descriptive study.

    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

    authors: Srigley JA,Cho SM,O'Neill C,Bialachowski A,Ali RA,Lee C,Mertz D

    更新日期:2020-05-01 00:00:00

  • The prospective evaluation of risk factors and clinical influence of carbapenem resistance in children with gram-negative bacteria infection.

    abstract:BACKGROUND:Carbapenem-resistant gram-negative (CRGN) infections have been increasing in recent years and associated with significant morbidity, mortality, and health care costs. The aim of this study was to evaluate the epidemiologic and clinical risk characteristics, risk factors, and outcome of CRGN infections and to...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2017.08.013

    authors: Sahbudak Bal Z,Bekmezci N,Soylu M,Sen S,Avcu G,Aydemir S,Vardar F

    更新日期:2018-02-01 00:00:00

  • Assessment of injection practice in primary health care facilities of Shiraz, Iran.

    abstract:BACKGROUND:Occupational risk for several bloodborne viruses is attributable to unsafe injection practices. To understand injection frequency and safety, we surveyed injection rates and factors influencing injection prescription in primary health care facilities and associated health clinics in Shiraz, Iran. METHODS:We...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2013.09.006

    authors: Mclaws ML,Ghahramani S,Palenik CJ,Keshtkar V,Askarian M

    更新日期:2014-03-01 00:00:00

  • Predictors of methicillin-resistant Staphylococcus aureus colonization at hospital admission.

    abstract:BACKGROUND:The best strategy for active surveillance for methicillin-resistant Staphylococcus aureus (MRSA) remains unclear. We attempted to identify a risk factor score to predict MRSA colonization at hospital admission. METHODS:Data on 9 variables reported as risk factors for MRSA colonization were analyzed, and a r...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2013.02.013

    authors: Torres K,Sampathkumar P

    更新日期:2013-11-01 00:00:00

  • A descriptive review of malpractice claims for health care-acquired infections in Philadelphia.

    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

    authors: Guinan JL,McGuckin M,Shubin A,Tighe J

    更新日期:2005-06-01 00:00:00

  • Listeria monocytogenes cross-contamination in a nursery [corrected].

    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

    authors: Colodner R,Sakran W,Miron D,Teitler N,Khavalevsky E,Kopelowitz J

    更新日期:2003-08-01 00:00:00

  • Pseudomonas aeruginosa infections in a neonatal intensive care unit.

    abstract::This report describes a cluster of nosocomial infections with Pseudomonas aeruginosa in a neonatal intensive care nursery. All 5 cases of P aeruginosa infection were clustered in September 1999. Aggressive infection control measures were instituted, including installation of a user-friendly handwashing soap and enviro...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1067/mic.2002.121153

    authors: Zafar AB,Sylvester LK,Beidas SO

    更新日期:2002-11-01 00:00:00

  • Impact of a quality control circle on the incidence of catheter-associated urinary tract infection: An interrupted time series analysis.

    abstract:BACKGROUND:To report a quality control circle (QCC) activity on the theme of reducing the incidence of catheter-associated urinary tract infection (CAUTI), and used an interrupted time series analysis to evaluate the impact of the QCC. METHODS:In a general tertiary hospital in Shenzhen, China, we carried out a QCC act...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2020.01.006

    authors: Zhong X,Xiao LH,Wang DL,Yang SW,Mo LF,He LF,Wu QF,Chen YW,Luo XF

    更新日期:2020-10-01 00:00:00

  • National survey of infection control practitioners' educational needs.

    abstract::The purpose of this study was to conduct a nationwide survey to determine the number of master's-prepared infection control practitioners (ICPs) and those eligible for admission to graduate programs. Continuing education needs also were assessed to determine whether they might best be met through formal education or i...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/0196-6553(90)90087-9

    authors: Turner JG,Booth WC,Brown KC,Williamson KM

    更新日期:1990-04-01 00:00:00

  • Nosocomial outbreak of influenza A H3N2 in an inpatient oncology unit related to health care workers presenting to work while ill.

    abstract:OBJECTIVE:To describe an outbreak of influenza A in an oncology unit, highlighting infection control methods implemented, and examining reasons health care workers (HCWs) present to work with influenza-like illness (ILI). METHODS:Confirmed cases were defined by the presence of ILI and a positive nasopharyngeal polymer...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2018.10.024

    authors: Wilson KE,Wood SM,Schaecher KE,Cromwell KB,Godich J,Knapp MH,Sklar MJ,Ewing D,Raviprakash K,Defang G,Whitman TJ

    更新日期:2019-06-01 00:00:00

  • A cluster of nosocomial Klebsiella pneumoniae bloodstream infections in a neonatal intensive care department: Identification of transmission and intervention.

    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 nosoc...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1067/mic.2003.70

    authors: Gastmeier P,Groneberg K,Weist K,Rüden H

    更新日期:2003-11-01 00:00:00

  • Dissemination of antibiotic resistance in methicillin-resistant Staphylococcus aureus and vancomycin-resistant S aureus strains isolated from hospital effluents.

    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

    authors: Mandal SM,Ghosh AK,Pati BR

    更新日期:2015-12-01 00:00:00

  • Use patterns and frequency of hand hygiene in healthcare facilities: Analysis of electronic surveillance data.

    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

    authors: Albright J,White B,Pedersen D,Carlson P,Yost L,Littau C

    更新日期:2018-10-01 00:00:00

  • Antimicrobial copper alloys decreased bacteria on stethoscope surfaces.

    abstract:BACKGROUND:Stethoscopes may serve as vehicles for transmission of bacteria among patients. The aim of this study was to assess the efficacy of antimicrobial copper surfaces to reduce the bacterial concentration associated with stethoscope surfaces. METHODS:A structured prospective trial involving 21 health care provid...

    journal_title:American journal of infection control

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.ajic.2017.01.030

    authors: Schmidt MG,Tuuri RE,Dharsee A,Attaway HH,Fairey SE,Borg KT,Salgado CD,Hirsch BE

    更新日期:2017-06-01 00:00:00

  • Effect of chlorhexidine bathing in preventing infections and reducing skin burden and environmental contamination: A review of the literature.

    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

    authors: Donskey CJ,Deshpande A

    更新日期:2016-05-02 00:00:00

  • Patient hand hygiene practices in surgical patients.

    abstract:BACKGROUND:Little is known about the hand hygiene practices of surgical patients. Most of the research has been directed at the health care worker, and this may discount the role that hand hygiene of the surgical patient might play in surgical site infections. METHODS:A quasiexperimental, pretest/post-test study was c...

    journal_title:American journal of infection control

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.ajic.2012.05.029

    authors: Ardizzone LL,Smolowitz J,Kline N,Thom B,Larson EL

    更新日期:2013-06-01 00:00:00

  • Influenza A/Philippines/2/82 outbreak in a nursing home: limitations of influenza vaccination in the aged.

    abstract::The failure of the 1982-1983 influenza vaccine to protect elderly NHCU residents from clinical infection with influenza A/Philippines/2/82 resulted primarily from antigenic drift of the epidemic strain, inasmuch as the attack rates in the vaccinated and nonvaccinated patients were not significantly different. This exp...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/0196-6553(84)90005-1

    authors: Arroyo JC,Postic B,Brown A,Harrison K,Birgenheier R,Dowda H

    更新日期:1984-12-01 00:00:00

  • Spreading the word, not the infection: reaching hospitalists about the prevention of antimicrobial resistance.

    abstract:BACKGROUND:To reach and engage hospitalists in the prevention of antimicrobial resistance, the Society of Hospital Medicine and the Centers for Disease Control and Prevention developed and conducted a quality improvement workshop based on the Centers for Disease Control and Prevention's Campaign to Prevent Antimicrobia...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2007.03.006

    authors: Bush-Knapp ME,Brinsley-Rainisch KJ,Lawton-Ciccarone RM,Sinkowitz-Cochran RL,Dressler DD,Budnitz T,Williams MV

    更新日期:2007-12-01 00:00:00

  • Infection prevention and control in dental surgeries in the Pará state prison system in Brazil.

    abstract::Prison populations have higher levels of bloodborne viruses with consequently higher risks of cross-infection. This study assessed infection prevention and occupational hazards in prison dental surgeries in the Brazilian state of Pará. Investigations were undertaken by a single examiner in 11 prison clinics. Manual wa...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2016.04.213

    authors: Lima CM,Smith AJ,Fonseca Silva AS,Flório FM,Zanin L

    更新日期:2016-11-01 00:00:00

  • Does nurse job satisfaction influence adherence to the central line insertion checklist and central line-associated bloodstream infections in the Veterans Health Administration?

    abstract::Nurses satisfied with their jobs report less job stress, more effective nurse-physician collaboration, and higher patient satisfaction scores. It is unknown if job satisfaction influences adherence to best practices or patient outcomes. This secondary data analysis investigated the relationship between job satisfactio...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2017.10.023

    authors: Gilmartin HM,Langner P,Gokhale M,Osatuke K,Hasselbeck R,Battaglia C

    更新日期:2018-05-01 00:00:00

  • Automated washing with the Reliance Endoscope Processing System and its equivalence to optimal manual cleaning.

    abstract:BACKGROUND:Manual cleaning of flexible endoscopes is prone to error. To date, attempts to automate this process have been unsuccessful. The aim of this project was to compare the efficacy of the washing phase in the new Reliance EPS (STERIS Corp, Mentor, OH) with that of optimal manual cleaning. METHODS:Using simulate...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2006.01.010

    authors: Alfa MJ,Olson N,DeGagne P

    更新日期:2006-11-01 00:00:00