Abstract：
BACKGROUND:Barrier precautions (gowns and gloves) prevent horizontal transmission of pathogens. Nosocomial infections have been linked to poor hand hygiene. Isolation rooms for infection control improve hand hygiene and decrease nosocomial infections. We hypothesized that both patient isolation and electronic hand hygiene prompts incrementally improve hand hygiene of health care workers compared with nonisolation rooms. METHODS:A prospective, 14.5-month, 3-phase electronic surveillance study of hand hygiene behavior on an intermediate care unit with 9 patient rooms (3 isolation rooms, 6 nonisolation rooms) was conducted. (phase I: electronic observation, phase II: electronic observation with automated voice messages urging hand hygiene, phase III: electronic observation). Electronic sensors monitored room entries and exits and use of all sinks and all soap dispensers. Phases compared by 2 x 3 Tables, and odds ratios (OR) and 95% confidence intervals (CI) are reported. RESULTS:Phase I (1616 patient-days) health care workers were 49% more likely to wash their hands in isolation rooms versus nonisolation rooms (OR, 1.49; 95% CI: 1.17-1.88). Phase II (1390 patient-days) and phase III (543 patient-days) health care workers were 59% more likely to wash their hands in isolation versus nonisolation rooms (OR, 1.59; 95% CI: 1.17-2.14), P = .001. CONCLUSION:Health care workers improve hand hygiene when constrained by isolation rooms. Electronic voice prompts further improve hand hygiene behavior. Both physical and auditory reminders improve hand hygiene.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Swoboda SM,Earsing K,Strauss K,Lane S,Lipsett PAdoi
10.1016/j.ajic.2006.09.009subject
Has Abstractpub_date
2007-09-01 00:00:00pages
470-6issue
7eissn
0196-6553issn
1527-3296pii
S0196-6553(06)01243-0journal_volume
35pub_type
杂志文章abstract：BACKGROUND:Comparability of the 2 commercially available tuberculin skin testing (TST) preparations, Aplisol (Parkdale Pharmaceuticals, Inc, Rochester, MI) and Tubersol (Aventis Pasteur, Inc, Swiftwater, PA), remains uncertain, particularly in groups that undergo repeated testing, such as health care workers. METHODS:...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2006.05.288
更新日期：2006-12-01 00:00:00
abstract：:Residents of residential aged care facilities (RACFs) are at risk of colonization and infection with multidrug-resistant bacteria, and antibiotic prescribing is often inappropriate and not based on culture-proven infection. We describe low levels of resident colonization and environmental contamination with resistant ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.09.034
更新日期：2016-03-01 00:00:00
abstract：BACKGROUND:There are multiple treatment options for the control of legionellae in premise hot water systems. Water chemistry plays a role in the efficacy of these treatments and should be considered when selecting a treatment. This study demonstrated the efficacy of copper-silver ionization (CSI) under alkaline water c...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.05.018
更新日期：2015-09-01 00:00:00
abstract：BACKGROUND:Point prevalence surveys (PPSs) in Japanese hospitals have not yet been reported. The purpose of this pilot PPS study was to evaluate the epidemiology of health care-associated infections (HAIs) and antimicrobial use in a Japanese tertiary university hospital. METHODS:A 1-day, cross-sectional PPS was perfor...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.03.045
更新日期：2016-07-01 00:00:00
abstract：BACKGROUND:Reusable bedpans and urinals are frequently cleaned and decontaminated using washer-disinfectors (WDs) that may be located in the central processing department (CPD) or on the ward. The objective of this study was to determine how efficiently the WDs provided cleaning and to evaluate the ability of such WDs ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2007.04.277
更新日期：2008-02-01 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：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
abstract：BACKGROUND:Urinary tract infection (UTI) is the most common diagnosis made in prescribing antimicrobials in long-term care facilities (LTCF). The diagnostic criteria for UTI vary among institutions and prescribers. Our aim was to reduce the inappropriate use of antimicrobials in LTCFs. METHODS:A team comprising infect...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.09.013
更新日期：2012-10-01 00:00:00
abstract：:Endoscope auditing is unique from other types of auditing normally completed as part of ongoing quality initiatives. When auditors walk into an endoscopy processing area, they are confronted with a variety of complex processes generally packed into a small space. Auditors are challenged to become experts on the proces...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.06.029
更新日期：2020-01-01 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:Information on the rates and factors associated with influenza vaccinations, although limited, is important because it can inform the development of effective vaccination campaigns in a university medical center setting. METHODS:A study was conducted in 2011 to identify individual and organizational level b...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.11.020
更新日期：2013-09-01 00:00:00
abstract：BACKGROUND:Studies taken from different hospitalized patient populations, environments, and geographic regions reveal differences in the numbers and species of organisms colonizing the skin. Our aim was to determine the types and amounts of skin flora, and examine the factors associated with variations in microbial ski...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2003.64
更新日期：2003-04-01 00:00:00
abstract：BACKGROUND:The incidence of postoperative surgical site infections (SSIs) is difficult to estimate because of the current trend of early discharge after surgery. Both operation-related and host factors should be taken into consideration in the prevention of SSIs. We wanted to determine the actual incidence of SSIs and ...
journal_title：American journal of infection control
pub_type： 临床试验,杂志文章
doi：10.1016/s0196-6553(97)90082-1
更新日期：1997-10-01 00:00:00
abstract：BACKGROUND:The objectives of this integrative review were to critically examine the overall state of the current evidence on the relationship between hand hygiene interventions and the incidence of health care-associated infections (HCAIs) in acute care and long-term care settings, and offer recommendations for future ...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2007.08.007
更新日期：2008-06-01 00:00:00
abstract：:Systematic reviews have become a key strategy to identifying evidence-based practice guidelines in infection prevention. They are considered the highest level of evidence providing the most effective answers to practice questions. Infection preventionists need to become familiar with reading systematic reviews and lea...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.08.001
更新日期：2017-12-01 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:Following a period (2009-2012) during which zero measles cases were reported, a measles outbreak occurred in 2013 in Bama County, Guangxi, China, that involved more than 100 children younger than age 8 months. We aimed to identify the pitfalls and risk factors while implementing the control measures. METHOD...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.11.005
更新日期：2016-04-01 00:00:00
abstract：INTRODUCTION:Reverse osmosis (RO), a major advance in hemodialysis (HD) safety, effectively clears most water organisms. Delftia acidovorans is an environmental water-borne pathogen that is rarely reported to cause human infections. We report a pseudo outbreak caused by colonization of RO machines with D acidovorans wi...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.11.027
更新日期：2020-03-01 00:00:00
abstract：BACKGROUND:At the University of Michigan Hospitals and Health Centers, there is increasing use of an electronic medical record. Because orthopedic surgeons dictate all outpatient visits to the patient's electronic record, total knee arthroplasties were chosen to determine whether the use of electronic medical records i...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2001.114401
更新日期：2001-10-01 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:This study was undertaken to determine the temporal relationship between implementation of different interventions in an intensive care unit (ICU) and control of endemic nosocomial acquisition of extended-spectrum β-lactamase Enterobacteriaceae (ESBLE). METHODS:This was a prospective observational study wit...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.07.026
更新日期：2015-12-01 00:00:00
abstract：OBJECTIVE:Surgical site infections (SSIs) are a serious and costly post-op complication. Generating SSI rates often requires labor-intensive methods, but increasing numbers of publications reported SSI rates using administrative data. METHODS:Index laminectomy and spinal fusion procedures were identified using Canadia...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.10.010
更新日期：2020-10-20 00:00:00
abstract：BACKGROUND:Thermally injured patients are at high risk for infections, including hospital acquired infections (HAIs). We modeled a twice-daily chlorhexidine gluconate (CHG) bath protocol aimed at decreasing HAIs. METHODS:Bathing with a 0.9% CHG solution in sterile water was provided twice daily as part of routine care...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.08.015
更新日期：2014-02-01 00:00:00
abstract：BACKGROUND:A penicillin allergy label has been associated with significantly higher rates of methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE) colonization, and correspondingly poorer clinical outcomes. However, there are limited data examining the association between any an...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.09.021
更新日期：2020-06-01 00:00:00
abstract：:We describe 1,132 contacts between anesthesiologists and the operating room. Objects most commonly touched included anesthesia machines and keyboards. Only 13 hand hygiene events were witnessed during 8 hours of observations. Line insertions, bronchoscopies, or blood exposures were not followed by hand hygiene. Stopco...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.03.306
更新日期：2013-10-01 00:00:00
abstract：:Central line-associated bloodstream infection (CLABSI) event data reported to the National Healthcare Safety Network from 2014, the first year of required use of the mucosal barrier injury laboratory-confirmed bloodstream infection (MBI-LCBI) definition, were analyzed to assess the impact of removing MBI-LCBI events f...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.10.015
更新日期：2017-03-01 00:00:00
abstract：:To describe the characteristics of needlestick injuries occurring to health care workers outside the hospital, a new case report form was implemented and analyzed after 12 months. A total of 144 incidents were reported. Of the needlestick injuries in nursing assistants, 84% involved an insulin needle or pen. Thirty-fi...
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：:Viridans group streptococci (VGS), a leading cause of bloodstream infection (BSI) in cancer patients, are thought to arise from the gastrointestinal tract. We sought to determine whether central venous catheters may serve as the source of VGS BSI, and to compare the ability of the newly proposed mucosal barrier injury...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.06.012
更新日期：2014-10-01 00:00:00
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
更新日期：2007-12-01 00:00:00
