Abstract：
BACKGROUND:The major concern after occupational exposures is the possible transmission of blood-borne pathogens, especially hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV). This study was undertaken to evaluate the risk of infection after exposure to blood or body fluids of an unknown or an HBV-, HCV-, and HIV-negative source and to determine the epidemiologic characteristics of these incidents in health care workers. METHODS:The survey was conducted over a 6-year period at a university hospital in Turkey, using a questionnaire to elicit demographic and epidemiologic information. Serologic tests for HBV, HCV, and HIV were performed and repeated after 3 months. RESULTS:Of the 449 incidents, complete follow-up was achieved in 320 (71.3%), and no seroconversion was observed for HBV, HCV and HIV. Most of the incidents occurred in medical (34.7%) and surgical (25.4%) work areas. The most frequent type of exposure was percutaneous injury (94%), most commonly caused by handling of garbage bags (58.4%), needle recapping (16.5%), and invasive interventions (13.4%). CONCLUSION:Infection risk seems to be extremely low for HCV and HIV, because of low endemicity, and for HBV in groups immunized against HBV.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Kuruuzum Z,Yapar N,Avkan-Oguz V,Aslan H,Ozbek OA,Cakir N,Yuce Adoi
10.1016/j.ajic.2008.05.012subject
Has Abstractpub_date
2008-12-01 00:00:00pages
e27-31issue
10eissn
0196-6553issn
1527-3296pii
S0196-6553(08)00692-5journal_volume
36pub_type
杂志文章abstract：BACKGROUND:Hand cleanliness is important in hospital infection control, but skin irritation from frequent alcohol-based hand rub use reduces compliance. We have compared a new copper biocide/Aloe vera-based biocidal hand rub (Xgel) with 7 commercially available hand rubs. METHODS:Hand rubs were cultured with human ski...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2008.09.011
更新日期：2009-05-01 00:00:00
abstract：:From 1988 through 1992, we conducted a prospective study of postdischarge surgical wound infection surveillance in our institution. A total of 6604 patients were seen after discharge in a centralized outpatient clinic, supervised by the infection control commission. Wounds were inspected, stitches were removed, and dr...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(95)90059-4
更新日期：1995-10-01 00:00:00
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：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：:A collaborative effort reduced catheter-associated urinary tract infections in the neuro-spine intensive care unit where the majority of infections occurred at our institution. Our stepwise approach included retrospective data review, daily rounding with clinicians, developing and implementing an action plan, conducti...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.04.184
更新日期：2015-08-01 00:00:00
abstract：BACKGROUND:Insufficient use of behavioral theory to understand health care workers' (HCWs) hand hygiene compliance may result in suboptimal design of hand hygiene interventions and limit effectiveness. Previous studies examined HCWs' intended, rather than directly observed, compliance and/or focused on just 1 behaviora...
journal_title：American journal of infection control
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ajic.2013.07.019
更新日期：2014-02-01 00:00:00
abstract：:We tested the ability of an improved hydrogen peroxide solution to decontaminate privacy curtains in inpatient and outpatient areas. The microbial contamination of the curtains was assessed before and after the curtains were sprayed with improved hydrogen peroxide. The disinfectant reduced the microbial load on the pr...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.11.022
更新日期：2014-04-01 00:00:00
abstract：BACKGROUND:To determine if ending the practice of administering prophylactic antibiotics prior to the placement of totally implantable venous access devices (TIVADs) is correlated with an increase in 30-day bloodstream infection-related TIVADs removals. METHODS:The practice of administering prophylactic antibiotics pr...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.06.028
更新日期：2020-01-01 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：:The utilization of isolation precautions has increased in tertiary care hospitals due to the increase in colonization with multidrug-resistant organisms over time. We assessed the frequency of multidrug-resistant microorganisms responsible for implementation of contact precautions in the ICU of a tertiary care hospita...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.03.031
更新日期：2013-04-01 00:00:00
abstract：BACKGROUND:Antimicrobial stewardship programs (ASPs) are dedicated to improving antimicrobial use. Although clinical practice guidelines (CPGs) are available for the development of ASPs, it is unclear what the quality of these guidelines are. We therefore systematically reviewed published CPGs for the development of ac...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.02.010
更新日期：2019-08-01 00:00:00
abstract：:We conducted a campaign to increase seasonal influenza vaccination of dialysis health care workers (HCWs) in the District of Columbia, Maryland, Virginia, and West Virginia. Between the 2010-2011 and 2011-2012 influenza seasons we examined the correlates of change. HCW vaccination rates improved significantly (P < .01...
journal_title：American journal of infection control
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ajic.2014.12.011
更新日期：2015-04-01 00:00:00
abstract：BACKGROUND:In 1999, licensed health care facilities in California (N = 2532) were invited to participate in a survey about occupational bloodborne pathogens exposure surveillance activities, recordkeeping methods, and use of safety-enhanced sharps devices. RESULTS:A total of 1274 facilities responded to the survey fro...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2002.122646
更新日期：2002-08-01 00:00:00
abstract：BACKGROUND:Antimicrobial exposure remains an important risk factor for developing Clostridium difficile infection (CDI). Efficient method to identify antibiotics associated with CDI is important for formulating strategies to curtail their use. As a prelude to a more extensive Agency for Healthcare Research and Quality-...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.05.001
更新日期：2014-10-01 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:The Centers for Disease Control and Prevention put forth the recommendation to clean areas considered high touch more frequently than minimal touch surfaces. The operating room was not included in these recommendations. The purpose of this study was to determine the most frequently touched surfaces in the op...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.03.013
更新日期：2016-11-01 00:00:00
abstract：BACKGROUND:Methicillin-resistant coagulase-negative staphylococci (MRCNS) are increasing nosocomial pathogens in acute care hospital patients. However, there is little information on the epidemiology of MRCNS in skilled nursing facilities (SNFs). We report a pilot survey of the prevalence of MRCNS colonization in SNF p...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2000.103243
更新日期：2000-06-01 00:00:00
abstract：BACKGROUND:Clostridium difficile is a major cause of hospital-associated infective diarrhea, and its spore form can persist for months in the hospital environment. Chlorine-based cleaning agents are recommended for eliminating this reservoir of potential infection. OBJECTIVES:To investigate the individual contribution...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2010.07.015
更新日期：2011-04-01 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:Contamination of bronchoalveolar lavage fluid is a major problem in the world. Although 2% glutaraldehyde (GA) is widely used as a disinfectant for bronchoscope cleaning, recently, GA-tolerant mycobacteria have been isolated, which makes this problem more complicated. METHODS:We studied the susceptibility t...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2003.07.007
更新日期：2004-06-01 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：: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:A survey of infection preventionists was conducted to determine the frequency of outbreak investigations in US hospitals. METHODS:A 2-part electronic survey was sent to Association for Professionals in Infection Control and Epidemiology, Inc, members in US hospitals in January 2010. Part 1 of the survey too...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.10.003
更新日期：2012-02-01 00:00:00
abstract：BACKGROUND:A cluster of seven cases of Acinetobacter caleoaceticus anitratus in a community teaching hospital intensive care unit was discovered (the seventh case was located in a step-down unit next to an infected patient recently transferred from the intensive care unit.) METHODS:An outbreak investigation, including...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(94)90020-5
更新日期：1994-10-01 00:00:00
abstract：BACKGROUND:Surgical site infections (SSIs) contribute significantly to patient morbidity and mortality and exhaust health care system resources. The main objectives of the study were to describe the incidence rates of SSIs among patients undergoing urologic or cardiothoracic surgeries, the associated risk factors, and ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.07.001
更新日期：2012-06-01 00:00:00
abstract：BACKGROUND:The nontuberculous mycobacteria (NTM) are widely spread. In Brazil, 2,520 cases of rapidly growing mycobacteria (RGM) infections after medical procedures were reported, with 5.4% of cases related to nonsurgical invasive procedures and with an occurrence of 1 clone (BRA100) of Mycobacterium abscessus subsp bo...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.06.019
更新日期：2016-11-01 00:00:00
abstract：BACKGROUND:Health care-associated infections (HAIs) can be associated with increased health care costs. We examined extra length of hospital stay (LOS) and associated per diem costs attributable to HAIs in a large academic medical center. METHODS:Data for analysis were acquired in a preinterventional phase of a prospe...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.09.005
更新日期：2016-02-01 00:00:00
abstract：:This article contains guidelines for selection and design of audiovisual materials pertinent to the teaching of infection control. Clarity, rate of presentation, and color are emphasized because they may correlate directly with effective presentation and learner comprehension. The use of audiovisual programs may cut p...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(84)90066-x
更新日期：1984-02-01 00:00:00
abstract：BACKGROUND:Nosocomial infection (NI) is a cause of patient morbidity and mortality. Conducting an audit of deaths due to NI is a potentially useful approach to improving professional standards. In France, these deaths are required to be reported, but the reporting is left to clinicians, who often do not comply. The aim...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2010.04.216
更新日期：2011-03-01 00:00:00
abstract：:Recent data demonstrate that the contaminated hospital surface environment plays a key role in the transmission of Clostridium difficile. Enhanced environmental cleaning of rooms housing Clostridium difficile-infected patients is warranted, and, if additional studies demonstrate a benefit of "no-touch" methods (eg, ul...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2012.12.009
更新日期：2013-05-01 00:00:00
