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 health care workers to wash their hands, and follow-up interviews were conducted. Compliance was reassessed using a modified script in which patients were asked to thank health care workers for washing and/or to display a sign stating "Thanks for Washing." RESULTS:Of the 193 patients presented with the initial script, 5 (3%) stated that they had reminded health care workers to wash, and 15 (8%) had not commented despite observing health care workers failing to wash in their presence. Of the 38 patients given the modified script instructing them to thank health care workers for washing, 17 (45%) reported mentioning hand hygiene to health care workers (13 of whom thanked the caregivers), and 6 (16%) did not comment despite observing health care workers failing to wash in their presence. Most patients displayed a sign thanking caregivers for washing; however, no patients were observed to comment on hand hygiene during physician work rounds, and only 2 of 30 (7%) nurses on the study wards reported being thanked for washing. CONCLUSION:In this Veterans Affairs hospital, patients were unlikely to remind health care workers to wash their hands. Patient empowerment initiatives may be more effective if patients are encouraged to provide positive reinforcement and/or display prompting visual reminders.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Lent V,Eckstein EC,Cameron AS,Budavich R,Eckstein BC,Donskey CJdoi
10.1016/j.ajic.2008.04.248subject
Has Abstractpub_date
2009-03-01 00:00:00pages
117-20issue
2eissn
0196-6553issn
1527-3296pii
S0196-6553(08)00559-2journal_volume
37pub_type
杂志文章abstract::Disease transmission from percutaneous injury occurs in 2% to 40% of health care workers (HCWs) after exposure to the hepatitis B virus (HBV), in 3% to 10% after exposure to the hepatitis C (HCV) virus, and in 0.2% to 0.5% after exposure to the HIV virus. According to a recently published case-control study from the C...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/s0196-6553(97)90094-8
更新日期:1997-10-01 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::A comparison of 2 different influenza seasons (2013-2014 and 2014-2015) where early vaccination among health care providers (HCPs) in the latter was the difference. Differences in leave of absence because of influenza-like illness (ILI) (52 vs 15 [total number of leave of absence issued], P < .001) and total days of l...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.10.005
更新日期:2016-02-01 00:00:00
abstract::Multidrug-resistant (MDR) organisms in ventilator-associated pneumonia were found in 49 of 107 patients and were associated with home antibiotics, pre-ventilator-associated pneumonia hospital stay, and health care exposure. Overall, MDR organisms were associated with increased mortality (P = .006). On multivariate ana...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.12.009
更新日期:2014-05-01 00:00:00
abstract::Electronic monitoring of hand hygiene compliance using the World Health Organization's My 5 Moments for Hand Hygiene is a new innovation that has not yet been shown to reduce hospital infections. We analyzed existing data from 23 inpatient units over a 33-month period and found a significant correlation between unit-s...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.04.215
更新日期:2016-08-01 00:00:00
abstract::Between Jan. 11 and March 31, 1983, 60 pediatric patients were diagnosed with rotavirus gastroenteritis. Of these cases 24 were community acquired, 29 were nosocomial, and 7 were of undetermined origin. Despite intensive infection control efforts, nosocomial transmission continued as long as patients with community-ac...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(90)90207-9
更新日期:1990-02-01 00:00:00
abstract:OBJECTIVE:To describe successful termination of an outbreak of vancomycin-resistant Enterococcus faecium (VREfm) colonization within a neonatal service. SETTING:Multisite neonatal intensive care unit and special care nurseries within a single health care service. PARTICIPANTS:Forty-four cases of VREfm-colonized neona...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.05.047
更新日期:2015-10-01 00:00:00
abstract::Our descriptive analyses show a wide distribution in rates of central line device days and central line-associated bloodstream infections for a given standardized infection ratio-the measure linked to federal payment penalties-among 215 US hospitals serving highly complex patient populations. We established that the s...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.12.001
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:The purpose of this educational project was to assess the effect of several interventions on the frequency of handwashing among elementary public school children. METHODS:Participants in this project were first-graders and fourth-graders from jurisdictions within a mid-Atlantic metropolitan area. Phase I in...
journal_title:American journal of infection control
pub_type: 临床试验,杂志文章
doi:10.1016/s0196-6553(98)80011-4
更新日期:1998-06-01 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::We investigated 401 geriatric patients and 453 middle-aged patients with health care-associated bloodstream infection (HABSI) at a medical center during January-December 2014. Compared with middle-aged patients, the geriatric group had higher 30-day mortality (31.2% vs 23.4%, P = .01). Body mass index, serum albumin c...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.07.003
更新日期:2018-01-01 00:00:00
abstract::The predominant form of life for the majority of microorganisms in any hydrated biologic system is a cooperative community termed a "biofilm." A biofilm on an indwelling urinary catheter consists of adherent microorganisms, their extracellular products, and host components deposited on the catheter. The biofilm mode o...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2003.08.005
更新日期:2004-05-01 00:00:00
abstract:BACKGROUND:Evaluate the presence of bacteria and resistance profile in stethoscopes used by health care professionals and its consequences within the hospital environment. METHODS:It is a systematic review, in which articles indexed in the BVS, CAPES-Periódicos, Cochrane Library, PubMed, Scientific Electronic Library ...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2020.07.007
更新日期:2021-02-01 00:00:00
abstract::Microbial contamination of used, unprocessed internal components of dental handpieces (HPs) was assessed. HPs were dismantled aseptically, immersed in phosphate-buffered saline, ultrasonicated, and cultured. A median of 200 CFU per turbine (n = 40), 400 CFU per spray channel (n = 40), and 1000 CFU per item of surgical...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.06.008
更新日期:2014-09-01 00:00:00
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
更新日期:2018-02-01 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::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: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:OBJECTIVES:To establish the incidence of postcraniotomy meningitis, identify etiologic agents, assess patients' medical progress in relation to both length of hospitalization and mortality, and analyze risk factors. MATERIAL AND METHODS:This study was developed at Hospital São Paulo, a tertiary university hospital, be...
journal_title:American journal of infection control
pub_type: 临床试验,杂志文章
doi:10.1067/mic.2002.119925
更新日期:2002-05-01 00:00:00
abstract:BACKGROUND:Hand hygiene (HH) in health care facilities is a key component to reduce pathogen transmission and nosocomial infections. However, most HH interventions (HHI) have not been sustainable. AIMS:This review aims to provide a comprehensive summary of recently published evidence-based HHI designed to improve HH c...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2015.11.034
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:Although hand hygiene (HH) compliance has been an important issue for years, the compliance rate is still a problem in health care today. METHODS:This was an observational, prospective, before-and-after study. We measured HH knowledge and HH compliance before (baseline), directly after (poststrategy), and 6...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2011.09.009
更新日期:2012-10-01 00:00:00
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
更新日期:2019-01-01 00:00:00
abstract::To assess the implementation of hepatitis B virus (HBV) vaccination programs for hospital workers, we mailed questionnaires to all 229 licensed Michigan hospitals. The response rate was 96% (221/229); of these, 68% (150/221) had vaccination programs. Although multiple hospital characteristics were associated with the ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(88)90059-4
更新日期:1988-10-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to determine the epidemiology of burn unit infections, the effect of these infections on the mortality rate, and antibiotic resistance pattern of the predominant bacteria isolated from children. Patients and method Epidemiologic data for 610 children, aged 0 to 15 years, admitted to ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/s0196-6553(02)48226-0
更新日期:2003-10-01 00:00:00
abstract::This article catalogs some of the Centers for Disease Control and Prevention's (CDC) more important information resource offerings, which make public health information accessible via computer and automated telephone systems and on electronic media (diskette and CD-ROM). We review mechanisms for (1) finding and retrie...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/s0196-6553(96)90038-3
更新日期:1996-12-01 00:00:00
abstract::The primary job responsibility of infection preventionists (IPs) is to lead organizational initiatives that prevent and control health care-associated infections. Increasingly, IPs are participating in activities that support antimicrobial stewardship programs (ASPs). We conducted a survey of Association of Profession...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.02.003
更新日期:2020-05-01 00:00:00
abstract::In pediatric bloodstream infections with fluoroquinolone (FQ)-resistant Escherichia coli and Klebsielia species, we noted an association between FQ resistance and extended-spectrum beta-lactamase (ESBL) production (OR, 12; 95% CI: 2.28-83.8). A case control study revealed no significant risk factors (including prior a...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2007.01.012
更新日期:2008-02-01 00:00:00
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
更新日期:2001-08-01 00:00:00
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
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:Methicillin-resistant Staphylococcus aureus (MRSA) strains were isolated and characterized from environmental surfaces of two fire stations from two independent districts in the northwestern United States. After the first sampling and before the second sampling, education was provided, additional signage was...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2010.09.008
更新日期:2011-06-01 00:00:00