Abstract：
BACKGROUND:It is generally recognized that the health care system does not have adequate isolation capacity to meet the surge in demand during a major outbreak of airborne infectious disease. Alternatives to engineered isolation rooms undoubtedly will be required as surge isolation requirements exceed the available resources. The purpose of this work was to estimate containment efficiency of expedient airborne infectious isolation units with and without anterooms in the absence and presence of care provider traffic. METHODS:Fluorescent 2-microm aerosol particles were released into the interior of expedient-construction isolation modules exhausted with a high-efficiency particulate air (HEPA)-filtered fan unit. Particle concentrations inside and outside the enclosure were measured with and without provider traffic simulated with a mannequin. Measurements were obtained on modules constructed with and without an anteroom, which was not separately ventilated. RESULTS:Containment estimates were excellent for all isolation configurations evaluated, generally exceeding 99.7%. Particle escape was statistically significantly higher with simulated traffic than without; however, there was no statistically significant difference in particle escape with and without an anteroom. CONCLUSION:Our findings demonstrate that effective isolation may be possible using low-technology, low-cost, easily built structures that can be readily constructed within hospital and other environments in emergency response situations.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Johnson DL,Lynch RA,Mead KRdoi
10.1016/j.ajic.2008.05.011subject
Has Abstractpub_date
2009-03-01 00:00:00pages
94-100issue
2eissn
0196-6553issn
1527-3296pii
S0196-6553(08)00691-3journal_volume
37pub_type
杂志文章abstract：BACKGROUND:Methicillin-resistant Staphylococcus aureus (MRSA) remains one of the most prevalent multidrug-resistant organisms causing health care-associated infections. Limited data are available about how the prevalence of MRSA has changed over the past several years and what MRSA prevention practices have been implem...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.02.001
更新日期：2012-04-01 00:00:00
abstract：BACKGROUND:Control chart methodology has been widely touted for monitoring and improving quality in the health care setting. P charts and U charts are frequently recommended for rate and ratio statistics, but their practical value in infection control may be limited because they (1) are not risk-adjusted, and (2) perfo...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2000.109883
更新日期：2000-12-01 00:00:00
abstract：:Varicella-zoster virus is a herpes virus that produces a primary infection, chickenpox, manifested by a vesicular eruption and is considered one of the common childhood infectious diseases. After the initial infection the virus becomes latent, then when activated it is manifested as herpes zoster, commonly known as sh...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/s0196-6553(98)80025-4
更新日期：1998-06-01 00:00:00
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
更新日期：2013-11-01 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：:In an investigation of microbial contamination of enteral feeding solutions, all 22 residual solutions obtained immediately after administration were contaminated at concentrations of 10(3) to 10(6) viable counts/ml. Major contaminants were glucose-nonfermenting gram-negative bacilli such as Pseudomonas aeruginosa and...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(93)90205-i
更新日期：1993-02-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.11.003
更新日期：2010-06-01 00:00:00
abstract：BACKGROUND:Postexposure prophylaxis for occupational exposure to hepatitis B virus (HBV) plays an important role in the prevention of HBV infections in health care workers (HCWs). We examined data concerning the acceptable duration between occupational exposure and administration of a hepatitis B immunoglobulin (HBIG) ...
journal_title：American journal of infection control
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ajic.2015.08.024
更新日期：2016-02-01 00:00:00
abstract：:We analyzed a set of clinical parameters using Cox proportional hazard regressions to yield significant factors associated with the development of ventilator-associated events. In our study, intubation site, certain comorbidities, morphine, prednisone, and nutrition emerged as factors. Additionally, we presented poten...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.09.024
更新日期：2019-04-01 00:00:00
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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：BACKGROUND:The purpose of this study was to compare the frequency of glove defects for nonlatex surgical gloves while surgeons performed routine surgery and to evaluate surgeons' satisfaction with nonlatex sterile gloves. METHODS:Two brands of latex gloves and 6 brands of nonlatex gloves were tested. Gloves were colle...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2003.12.005
更新日期：2004-08-01 00:00:00
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
更新日期：2020-05-01 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：:The antibacterial efficacy of three alcohol-based products (liquid and gel) were tested on the hands with blood and contaminated with Serratia marcescens (ATCC 14756), using EN 1500 procedures in 14 healthy volunteers. The alcohol-based products tested, either gel or liquid-based, reached bacterial reduction levels hi...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2010.12.018
更新日期：2011-11-01 00:00:00
abstract：BACKGROUND:An outbreak of 5 inpatient and otherwise healthy children admitted for respiratory problems developed dry fever and cough after a few days of hospitalization. Burkhuldaria cepacia was isolated from their blood culture. The Infection Control Department (ICD) in the King Fahad Medical City (KFMC) detected and ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2006.03.003
更新日期：2006-08-01 00:00:00
abstract：:Candida auris presents a unique challenge to practitioners and infection control teams worldwide because of its virulence, alarming resistance profile, environmental fitness, and risk of nosocomial transmission. We describe 2 cases of Candida auris infection managed with the CDC recommendations with no evidence of in-...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.08.027
更新日期：2020-08-20 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：BACKGROUND:Acquisition of pathogens into health care settings from prior room occupants has been documented. Hospital room privacy curtains are at high risk for pathogenic bacterial contamination. Antimicrobial impregnated curtains could be effective in reducing contamination. METHODS:Rooms within an intensive care un...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.12.024
更新日期：2020-08-01 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: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：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：BACKGROUND AND OBJECTIVE:Healthcare-associated infections (HAIs) are common and often preventable complications of care, with reduction emphasized in national policy. The Centers for Medicare and Medicaid Services introduced an HAI-focused Hospital Acquired Condition Reduction Program in 2015 to penalize poor-performin...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.05.038
更新日期：2020-12-01 00:00:00
abstract：:The overall risk of infection from medical devices is very low, but high infection transmission rates have been related to inadequate reprocessing of arthroscopic shavers and flexible duodenoscopes. Monitoring of manual and automated cleaning is needed to ensure that inadequately cleaned medical devices are recleaned ...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2012.12.006
更新日期：2013-05-01 00:00:00
abstract：BACKGROUND:Health care personnel (HCP) working while experiencing influenza-like illness (ILI) contribute to influenza transmission in health care settings. Studies focused on certain HCP occupations or work settings have demonstrated that some HCP often continue to work while ill. METHODS:Using a national nonprobabil...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.04.008
更新日期：2017-11-01 00:00:00
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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：:In a simultaneous assessment of 250 environmental surfaces after terminal cleaning using aerobic cultures as a gold standard, both fluorescent marker and an adenosine triphosphate bioluminescence assay system demonstrated better diagnosticity compared with subjective visual inspection. These results support the use of...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.09.019
更新日期：2013-08-01 00:00:00
abstract：BACKGROUND:Infection control practice compliance is commonly monitored by measuring hand hygiene compliance. The limitations of this approach were recognized in 1 acute health care organization that led to the development of an Infection Control Continuous Quality Improvement tool. METHODS:The Pronovost cycle, Barrier...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.06.014
更新日期：2020-01-01 00:00:00
abstract：:In 1982 the Centers for Disease Control published a set of recommendations and measures to protect persons working in health care settings or performing mortician services from possible exposure to the human immunodeficiency virus. This study of a number of funeral homes in the Fort Worth area was designed to determin...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(89)90130-2
更新日期：1989-08-01 00:00:00
abstract：BACKGROUND:Nursing has been called for greater participation in antibiotic stewardship. Although many of the functions that are integral to successful stewardship are within the scope of bedside nurses, data evaluating nursing engagement in stewardship are limited. The objective of this study was to identify nurses' ro...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.03.028
更新日期：2018-07-01 00:00:00
abstract：BACKGROUND:Previous studies have drawn different conclusions about the impact of Candida airway colonization on clinical outcomes in patients with ventilator-associated pneumonia (VAP). METHODS:We searched PubMed, the Cochrane Library, Embase (via OVID), and Web of Science database. We included both retrospective and ...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2019.11.002
更新日期：2020-06-01 00:00:00
