Abstract：
BACKGROUND:Airborne infection isolation rooms (AIIRs) help prevent the spread of infectious agents in hospitals. The performance of 678 AIIRs was evaluated and compared with construction design guidelines. METHODS:The pressure differentials (DeltaP) between the isolation rooms and adjacent areas were measured, and ventilation and construction details were recorded for each room. Ultrafine particle concentrations were evaluated in the rooms, surrounding areas, and ventilation systems serving the rooms. Measurements were analyzed as a function of room parameters. RESULTS:Only 32% of the isolation rooms achieved the recommended DeltaP of -2.5 Pascals (Pa) relative to surrounding areas. AIIRs with solid ceilings had an average DeltaP of -4.4 Pa, which was significantly higher than the average DeltaP of -2.0 Pa for rooms with dropped ceilings (P = .0002). Isolation room ultrafine particle concentrations were more highly correlated with particle levels in surrounding areas (R(2) = 0.817) than in the ventilation systems serving the rooms (R(2) = 0.441). Almost all ventilation filters serving AIIRs collected fewer particles than anticipated. CONCLUSION:The results indicate that hospitals are not all maintaining AIIRs to correspond with current guidelines. The findings also support the contention that having tightly sealed rooms helps maintain appropriate pressure differentials.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Saravia SA,Raynor PC,Streifel AJdoi
10.1016/j.ajic.2006.10.012subject
Has Abstractpub_date
2007-06-01 00:00:00pages
324-31issue
5eissn
0196-6553issn
1527-3296pii
S0196-6553(07)00049-1journal_volume
35pub_type
杂志文章abstract：BACKGROUND:Clostridium difficile is the usual and most important cause of antibiotic-associated pseudomembranous enterocolitis. The source of nosocomial acquisition of the organism in nonepidemic settings has not been determined. METHODS:Epidemiologic and microbiologic studies were conducted in a community-teaching ho...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(94)90070-1
更新日期：1994-08-01 00:00:00
abstract：:Infection control practitioners (ICPs) are important partners in enhancing the US public health infrastructure, both as essential recipients of continuing education and as instructors responsible for providing this education. Focus groups were conducted at APIC 2000, the annual meeting for the Association for Professi...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2001.119821
更新日期：2001-12-01 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: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
更新日期：2013-06-01 00:00:00
abstract：BACKGROUND:Little is known about compliance with universal precautions (CUP) or occupational exposures to blood and body fluids among Emergency Medical Services (EMS) providers. The objective of this study was to obtain estimates of CUP and knowledge of universal precautions (KUP), occupational exposures, and needle an...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.05.012
更新日期：2010-03-01 00:00:00
abstract：BACKGROUND:Gloves are a necessary contact precaution to prevent transmission of infectious pathogens that spread by direct or indirect contact with an infected person or a contaminated environment. This article reports a study investigating hand and environmental contamination levels when health care workers (HCWs) fol...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2010.06.007
更新日期：2011-03-01 00:00:00
abstract：BACKGROUND:In long-term care facilities, treatment of asymptomatic bacteriuria (ASB) is common. However, randomized, controlled trials suggest that such treatment offers no benefit and may promote antimicrobial resistance. METHODS:For 3 months before and 30 months after instituting an educational intervention, we moni...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2007.11.007
更新日期：2008-09-01 00:00:00
abstract：BACKGROUND:Central line-associated bloodstream infection (CLABSI) is one of the most important health care-associated infections in the critical care setting. METHODS:A quasiexperimental study involving multiple interventions to reduce the incidence of CLABSI was conducted in a medical-surgical intensive care unit (IC...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.11.012
更新日期：2010-08-01 00:00:00
abstract：:Intrahospital variations in antimicrobial profiles may be related to many factors. This study compared causative agents of nosocomial bloodstream infections between a neonatal intensive care unit (NICU) that adopted a ward-tailored antibiotic policy and adult intensive care units (ICUs). Data on organisms from blood c...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.02.032
更新日期：2012-08-01 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 article is an executive summary of the APIC Elimination Guide for methicillin-resistant Staphylococcus aureus infection in long-term care facilities. Infection preventionists are encouraged to obtain the original, full-length APIC Elimination Guides for more thorough coverage of methicillin-resistant Staphylococc...
journal_title：American journal of infection control
pub_type： 杂志文章,实务指引
doi：10.1016/j.ajic.2010.10.008
更新日期：2011-04-01 00:00:00
abstract：BACKGROUND:Anticipated psychological responses and perceptions of risk have not been examined prior to the outbreak of an epidemic. METHODS:Using a cross-sectional, telephone survey, 805 Chinese adults in Hong Kong were interviewed anonymously in November, 2005 to examine beliefs related to H5N1 avian influenza and an...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2006.07.010
更新日期：2007-02-01 00:00:00
abstract：:The Joint Commission on Healthcare Organizations (JCAHO) has received few reports of sentinel events involving health care-associated infection (HAI). The paucity of reporting may lead some to believe that deaths caused by HAI have been overestimated or that health care organizations do not recognize the events. Altho...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2006.12.008
更新日期：2007-10-01 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: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：OBJECTIVE:Recent research has suggested that episodes of gram-negative (GN) bloodstream infection (BSI) are more common in the population during summer months. Our objective was to determine if the same phenomenon could be observed in patients with health care-associated (HCA) BSI, and if so, whether a summer peak was ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.05.019
更新日期：2013-12-01 00:00:00
abstract：BACKGROUND:Infection prevention is a profession that requires highly specified skills and clinical experience. Infection Preventionists (IPs) direct interventions that protect patients from health care-associated infections across clinical and community settings. To enhance the hiring and recruitment of diverse IPs, it...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.07.024
更新日期：2021-01-01 00:00:00
abstract：BACKGROUND:A safe alternative to ethylene oxide for reprocessing heat-sensitive lumen medical devices, such as endoscopes, is needed. The effectiveness of a new, safe, low-cost, and environmentally friendly low-temperature sterilization process using ozone was assessed. METHOD:Rigid lumen devices were used to assess t...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2007.06.006
更新日期：2008-05-01 00:00:00
abstract：:Of the 309 private dental practitioners in Fars, Iran, surveyed most, 77.7% believed they had a professional duty to treat HIV-positive patients, with 61.4% expressing some level of discomfort about treating these patients, and 75.1% believed they should be treated at a specialist practice. Gloves and masks were not a...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2006.03.006
更新日期：2006-10-01 00:00:00
abstract：BACKGROUND:Skin prick tests are commonly used for human allergy testing and determination. Because solutions are kept at 4 degrees C and patient's skin is cleaned, the same solutions are used on many patients with the same applicators without sterilization. OBJECTIVES:Our objectives were to determine whether a model b...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2008.11.007
更新日期：2009-09-01 00:00:00
abstract：BACKGROUND:Animal-assisted intervention (AAI) programs are increasing in popularity, but it is unknown to what extent therapy animal organizations that provide AAI and the hospitals and eldercare facilities they work with implement effective animal health and safety policies to ensure safety of both animals and humans....
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.04.287
更新日期：2017-08-01 00:00:00
abstract：BACKGROUND:Pseudomonas aeruginosa is an important nosocomial pathogen that commonly colonizes hospital water supplies, including in taps and sinks. We report the transmission of P. aeruginosa from water to patients in a clinical hematology setting. METHODS:P. aeruginosa from water samples were compared to clinical iso...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.10.013
更新日期：2018-04-01 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: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:With the increasing volume of same-day operations and shortened hospital stays, it becomes more likely that a significant percentage of surgical site infections will occur after these patients' discharges. METHODS:To document the true incidence of postdischarge surgical site infection, surveillance was unde...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(95)90004-7
更新日期：1995-02-01 00:00:00
abstract：OBJECTIVE:Recommendations by most national advisory committees on immunization include evaluating all pregnant women for chronic hepatitis B virus infection and immunity to rubella. It is recommended that all pregnant women be screened for hepatitis B surface antigen during an early prenatal visit and that rubella vacc...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2000.109886
更新日期：2000-10-01 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
abstract：:Over the last decade, substantial scientific evidence has accumulated that indicates contamination of environmental surfaces in hospital rooms plays an important role in the transmission of key health care-associated pathogens (eg, methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, Clostrid...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2015.11.015
更新日期：2016-05-02 00:00:00
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：:Nasal mucosa colonization by Staphylococcus aureus is a risk factor for hospital-acquired infections. This study examined the effectiveness of a decolonization strategy on orthopedic surgeons in a teaching hospital. S aureus colonization was detected in 43.2% of the surgeons, 25% of which were methicillin-resistant S ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.11.003
更新日期：2020-09-01 00:00:00
