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 with MDR E coli bacteremia. The patient's demographics, clinical characteristics, and antibiotic use were obtained. MDR E coli was defined as resistant strains to quinolones plus 1 of the following: piperacillin, ceftazidime, or cefepime. Repetitive sequence-based polymerase chain reaction (Rep-PCR) was used to identify DNA interstrain similarities. RESULTS:Conditional multiple logistic analysis showed that admission to the hospital within the 30 days prior to infection and chemotherapy use were risk factors for infection with MDR E coli. Rep-PCR showed that, among the MDR E coli strains recovered, 48.6% showed >95% similarity, representing a possible clonal outbreak. Infection control measures were implemented and controlled this horizontal transmission. CONCLUSION:Prior admission to the hospital and previous chemotherapy were independent risk factors of acquiring MDR E coli. Molecular fingerprinting techniques detected a possible nosocomial clonal outbreak of MDR E coli, which was aborted through infection control measures.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Vigil KJ,Adachi JA,Aboufaycal H,Hachem RY,Reitzel RA,Jiang Y,Tarrand JJ,Chemaly RF,Bodey GP,Rolston KV,Raad Idoi
10.1016/j.ajic.2009.02.002subject
Has Abstractpub_date
2009-11-01 00:00:00pages
741-5issue
9eissn
0196-6553issn
1527-3296pii
S0196-6553(09)00429-5journal_volume
37pub_type
杂志文章abstract：:We examined the efficacy of 5 experimental handwash formulations in removing nontoxigenic Clostridium difficile spores from the hands of health care workers. Handwashing with sand resulted in an additional 0.5-log reduction in spore recovery compared with the current standard of soap and water. ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.02.008
更新日期：2015-05-01 00:00:00
abstract：:Research has substantiated that animals improve human health, both psychologically and physiologically. Therefore, healthcare facilities have begun to implement programs, such as the "Furry Friends Foundation," that bring animals into the facility to improve the quality of life of patients. When implementing these pro...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2005.06.005
更新日期：2006-06-01 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：BACKGROUND:Hand hygiene is an effective strategy for the prevention of health care-associated infection (HAI). We investigated the effect of a hand hygiene promotion strategy introducing alcohol-based handrub (AHBR) on the incidence of HAI in a university hospital in Colombia. METHODS:A Prospective cohort study was pe...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2010.11.004
更新日期：2011-10-01 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：:The Association for Practitioners in Infection Control, Inc. (APIC) is a multidisciplinary organization of over 9000 health care professionals who practice institutional epidemiology in the form of infection control and quality improvement within a variety of settings. As a national leader in prevention and control of...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(93)90230-2
更新日期：1993-04-01 00:00:00
abstract：:There are no standard guidelines for infection prevention and control practices among solid organ transplantation centers. To characterize the differences in infection prevention and control strategies, an electronic survey was performed in 2015 among members of American Society of Transplantation Infectious Diseases ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.06.020
更新日期：2019-01-01 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：:Infection control professionals have traditionally relied on didacticism to promote behavior change among health care workers, but this approach yields disappointing results in a postmodern era of social fragmentation and intellectual ambiguity. We define a socioethical approach to behavior change and propose its impl...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2005.09.004
更新日期：2006-03-01 00:00:00
abstract：:This study describes the role of a novel vascular access service in the reduction and prevention of central line-associated bloodstream infections (CLABSIs). We conducted a retrospective analysis of data obtained over a span of 24 months after implementation of our vascular access service. We identified a progressive ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.08.019
更新日期：2020-04-01 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: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：: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:Airborne infection isolation rooms (AIIRs) help prevent the spread of infectious agents in hospitals. The performance of 678 AIIRs was evaluated and compared with construction design guidelines. METHODS:The pressure differentials (DeltaP) between the isolation rooms and adjacent areas were measured, and ven...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2006.10.012
更新日期：2007-06-01 00:00:00
abstract：BACKGROUND:Removing unnecessary central lines is a critical step in reducing risk of infection and was 1 focus of a national quality improvement collaborative. We examined if participating adult intensive care units (ICUs) reduced central line days during the project period compared with the period before implementatio...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.06.003
更新日期：2014-10-01 00:00:00
abstract：:This study explored the self-reported behaviors and perceptions of Australian paramedics in relation to their environmental hygiene practices. A national online survey was conducted with Paramedics Australasia members (N = 417). Participants reported working in ambulances often contaminated with body fluids. Widesprea...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.11.007
更新日期：2018-06-01 00:00:00
abstract：:The holistic principles of hygiene and public health have contributed substantially to an increase in life expectancy by more than 30 years and in life quality since the beginning of the 20th century. Frank, Pettenkofer, Nightingale, Pasteur, Lister, and Koch have been pioneering protagonists of the holistic approach ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2001.115680
更新日期：2001-08-01 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:A temporal artery thermometer was introduced at our hospital. Immediately staff noted subnormal temperature readings. METHODS:Three serial evaluations of patient temperatures were done: August 2000 (initial), September 2000 (posteducation), and December 2000 (after removal of temporal artery thermometer). ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2003.10
更新日期：2003-02-01 00:00:00
abstract：BACKGROUND:This study evaluated whether a multi-ingredient surfactant colloidal silver technology was noninferior to a 4% chlorhexidine gluconate (CHG) antiseptic on immediate and persistent antimicrobial activity. METHODS:The inguinal regions of 81 healthy adults were demarcated into 4 quadrants, and 3 were used for ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.04.232
更新日期：2018-11-01 00:00:00
abstract：:Knowing where we have come from helps to decide where we should be going. Many principles and practices of modern infection control were developed in the nineteenth and early twentieth century. The story is one of halting, yet relentless, progress. The history of these discoveries and their application to infection co...
journal_title：American journal of infection control
pub_type： 历史文章,杂志文章
doi：10.1016/s0196-6553(81)80064-8
更新日期：1981-08-01 00:00:00
abstract：:Pet-assisted therapy in the nursing home setting, as a vital component of the Eden Alternative or Human Habitat program, is gaining widespread recognition and implementation. Programs such as this help to improve the quality of life of nursing home residents by offsetting resident loneliness, helplessness, and boredom...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1067/mic.2001.115873
更新日期：2001-06-01 00:00:00
abstract：:In a study conducted in 11 health care settings for elderly patients, we demonstrated a significant negative correlation between the proportion of glove use outside any risk of exposure to body fluids and compliance with hand hygiene (P < .02). This result underscores a major limitation of strategies for controlling t...
journal_title：American journal of infection control
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ajic.2011.05.008
更新日期：2012-05-01 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:This study describes the organization of infection control committees in a Brazilian multihospital system, identifying their major problems. Our goal is to discuss the main deficiencies in infection control and to target some interventions that can improve the efficiency of these actions in Brazilian hospital...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1053/ic.1999.v27.a98520
更新日期：1999-06-01 00:00:00
abstract：BACKGROUND:Many studies have examined hand hygiene (HH) frequency and adherence in response to various interventions. This study used 2 methods to determine HH frequency and adherence to see how well the outcomes correlated. METHODS:HH frequency was measured over 4, 1-month periods (phases 1-4), using 2 methods: an au...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2005.07.006
更新日期：2006-04-01 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：:During a 17-month period (01/11/85-05/31/86) 225 cases of nosocomial diarrhea were identified in a children's hospital. Diarrhea was considered to be nosocomial if it began at least 72 hours after the patient's hospital admission or within 3 days after discharge. One or more routine diagnostic studies for identificati...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(89)90021-7
更新日期：1989-04-01 00:00:00
abstract：BACKGROUND:There is a lack of empiric evidence regarding the optimal approach to controlling the transmission of extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-E) and carbapenem-resistant Enterobacteriaceae (CRE). In this context, we expect that infection control practices for these organisms vary wid...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.11.008
更新日期：2012-11-01 00:00:00
abstract：:The concept of nosocomial versus community-acquired infection is an important one in terms of hospital surveillance and infection control. Risk factors, time of onset, and type of organism are presented in tabular form to assist in classifying infection in the newborn. ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(80)80001-0
更新日期：1980-11-01 00:00:00
