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 to kill Clostridium difficile spores. METHODS:The cleaning efficacy of 2 bedpan/urinal WDs (1 in the ward [ward-WD] and 1 in the CPD [CPD-WD]) were evaluated using simulated-use testing that included an ultraviolet-visible marker (UVM) that is readily removed when exposed to liquid. In addition, a proprietary test object surgical instrument (TOSI) device was used to assess the efficacy of the WDs. Artificial test soil (ATS) and C. difficile spore removal and killing also were evaluated. The removal of approximately 10(6) C. difficile spores and subsequent killing of these spores was assessed using autoclaved stool and/or urine as the soil challenge. RESULTS:Reusable stainless steel bedpans, plastic bedpans, and plastic urinals were assessed. Triplicate testing done on 3 separate days using TOSI devices, UVM, ATS, and stool and urine soils indicated that the ward-WD did not demonstrate adequate cleaning. It was determined that installation errors accounted for the inadequate cleaning. But the ward-WD did not adequately inactivate C. difficile spores even when the installation problems were corrected and the manufacturer-adjusted maximal thermal conditions were used. The CPD-WD was able not only to adequately clean the test devices of organic soil, but also to completely inactivate the 6 logs of C. difficile spores placed in sealed ampules inside the WD. CONCLUSION:The results of this study indicate that user testing of the efficacy of WDs is critical to ensure appropriate functionality. The currently accepted thermal decontamination parameters for all bedpan WDs (ie, 80 degrees C for 1 minute) are not adequate to eliminate C. difficile spores from bedpans.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Alfa MJ,Olson N,Buelow-Smith Ldoi
10.1016/j.ajic.2007.04.277subject
Has Abstractpub_date
2008-02-01 00:00:00pages
5-11issue
1eissn
0196-6553issn
1527-3296pii
S0196-6553(07)00566-4journal_volume
36pub_type
杂志文章abstract::There were 256 health care workers in 39 facilities who were interviewed about their perceptions of the quality of care of patients with and without multidrug-resistant organisms based on a standardized questionnaire. There are remarkable differences in the responses between facility types (acute care hospitals, long-...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.12.039
更新日期:2016-06-01 00:00:00
abstract::The appropriate use of antibiotics in nosocomial infections has been a goal of infectious disease practitioners and hospital epidemiologists since the emergence of resistant staphylococci more than 30 years ago. This challenge has assumed new proportions in the 1980s for many reasons. First, resistant gram-positive an...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/0196-6553(89)90188-0
更新日期:1989-10-01 00:00:00
abstract:BACKGROUND:The objective of this study was to evaluate performance metrics and associated patient outcomes of an automated surveillance system, the blood Nosocomial Infection Marker (NIM). METHODS:We reviewed records of 237 patients with and 36,927 patients without blood NIM using the National Healthcare Safety Networ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.12.044
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND:This report summarizes the scope and role of infection preventionists in emergency management for all types of disasters. Preventing the transmission of infectious agents during a disaster is an essential component of emergency management. Previous disasters have illustrated the need for better infection pre...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2008.12.002
更新日期:2009-05-01 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:Hospital-acquired infections (HAIs) lead to poor health outcomes in hospitalized patients and may be disproportionately affecting the aging population of people living with HIV (PLWH). This study determined the association between HIV and HAIs, and analyzed the potential mediating effects of comorbidities. ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.05.028
更新日期:2019-12-01 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:BACKGROUND:Multidrug-resistant (MDR) Escherichia coli is a serious threat to cancer patients. We aimed to determine the risk factors associated with the development of MDR E coli bacteremia in cancer patients and the possibility of horizontal transmission. METHODS:We conducted a 1:2 case-control study of 58 patients w...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2009.02.002
更新日期:2009-11-01 00:00:00
abstract::A survey of purchasers of The APIC Curriculum for Infection Control Practice was conducted in early 1985 by the APIC Curriculum Committee to determine characteristics of purchasers, usability of the text, reasons for purchase, and availability of references cited. Data were obtained from 342 (54.3%) respondents to a n...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(85)90025-2
更新日期:1985-12-01 00:00:00
abstract:BACKGROUND:Needleless intravenous devices have now been implemented by many institutions worldwide. A rationale for their use has been a reduction in the number of needlestick injuries. OBJECTIVE:The aim of this review is to outline the possible benefits and dangers of needleless intravenous systems. REVIEW:Many earl...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/s0196-6553(99)70009-x
更新日期:1999-10-01 00:00:00
abstract:OBJECTIVES:The World Health Organization recommends empowering patients/families to remind healthcare workers (HCWs) to perform hand hygiene (HH). We sought to understand acceptability of a family empowerment strategy in a Vietnamese pediatric intensive care unit (PICU). METHODS:With end-user input, we designed a tool...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.05.030
更新日期:2020-12-01 00:00:00
abstract:BACKGROUND:Urinary tract infections (UTIs) are the most common nosocomial infection experienced by patients in United States hospitals and are responsible for significant morbidity and excess hospital costs. The purpose of this study was to determine the efficacy of a silver alloy, hydrogel-coated, urinary catheter in ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2004.05.002
更新日期:2004-12-01 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: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:BACKGROUND:Children in child care settings have a high infectious burden. They are frequently exposed to sanitizing and disinfecting agents, whose toxicities have not been studied in these settings. Current guidance on the preferred disinfection agents for child care is vague. METHODS:This article combines 2 different...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.06.013
更新日期:2019-01-01 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::Growing evidence reveals the importance of improving safety culture in efforts to eliminate health care-associated infections. This multisite, cross-sectional survey examined the association between professional role and health care experience on infection prevention safety culture at 5 hospitals. The findings suggest...
journal_title:American journal of infection control
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ajic.2012.09.006
更新日期:2013-07-01 00:00:00
abstract:BACKGROUND:The Centers for Disease Control and Prevention recently introduced the concept of mucosal barrier injury (MBI) in an attempt to recognize the possibility of a gastrointestinal source for certain bloodstream infections. This could underestimate the central venous catheter (CVC) as the source of central line-a...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.03.011
更新日期:2016-08-01 00:00:00
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
更新日期:2015-04-01 00:00:00
abstract::Sample-size determination is a crucial component of study design. Estimates of sample size are influenced by the amount of change that must occur between study groups and the degree of risk that the investigator is willing to accept in evaluating the null hypothesis. A complete understanding of the impact of sample si...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(93)90007-q
更新日期:1993-06-01 00:00:00
abstract:BACKGROUND:The genetic relatedness of Staphylococcus epidermidis associated with infections in infants and cultured from the hands of nurses was assessed. METHODS:From March 2001 to January 2002, infections caused by S. epidermidis were prospectively monitored. Participating nurses had hand cultures performed quarterl...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2005.02.003
更新日期:2005-08-01 00:00:00
abstract::We surveyed Ohio acute care hospitals on laboratory testing used for diagnosis of Clostridium difficile infection (CDI). Of 146 hospitals surveyed, 109 (84%) used nucleic acid amplification tests (NAATs) as stand-alone diagnostic assays. Only 53 (42.4%) hospitals using NAATs had a mechanism in place to prevent repeat ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.09.007
更新日期:2017-03-01 00:00:00
abstract::The Association for Professionals in Infection Control and Epidemiology (APIC) began publishing their series of Elimination Guides in 2007. Since then, 9 Elimination Guides have been developed that cover a range of important infection prevention issues, including the prevention of catheter-related bloodstream infectio...
journal_title:American journal of infection control
pub_type: 杂志文章,实务指引
doi:10.1016/j.ajic.2010.08.003
更新日期:2010-10-01 00:00:00
abstract::In this 2-phase real-world evaluation of chlorhexidine gluconate (CHG) skin concentrations in intensive care unit patients, we found lower skin CHG concentrations when rinsing with water after CHG solution bath (compared with no rinse), but no significant difference in concentrations between the use of CHG solution wi...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.08.022
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND:The hepatitis B (HepB) vaccine is recommended for adults traveling to a country of high or intermediate endemicity. METHODS:Data from the 2016 and 2017 National Health Interview Surveys were pooled. RESULTS:The weighted prevalence of HepB vaccination initiation (≥1 dose) was 37.67% in 2016 (weighted number...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.02.014
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:Although hand hygiene (HH) is key to reducing health care-associated infections, it is well documented that health care worker (HCW) adherence to appropriate HH protocols is relatively low. METHODS:This was a collaborative quality improvement project with multiple interventions conducted in a 570-bed academ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.07.003
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Infection control partially depends on hygiene and communication skills. Unfortunately, motivation for continuous training is lower than desired. Many health care providers (HCPs) do not recognize the need for training but express this need for others. This is attributable to heuristic errors, such as the ov...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.10.022
更新日期:2019-05-01 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:Colonized or infected patients are a major reservoir for patient-to-patient transmission of methicillin-resistant Staphylococcus aureus (MRSA) in hospitals. Despite attempted adherence to recommended infection prevention and control procedures, a general medicine unit in our hospital continued to experience ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2008.05.007
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND:The recently introduced concept of hands-free technique (HFT) currently has no recommendations or formal educational program for use in the Republic of Korea. This study evaluated the level of HFT use and investigated factors related to HFT use among Korean operating room nurses. METHOD:Data were obtained t...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2008.01.013
更新日期:2009-03-01 00:00:00