Abstract：
BACKGROUND:The most effective strategy for avoiding nosocomial influenza outbreaks is through vaccination of health care workers (HCWs). In Spain, HCW vaccination coverage rarely exceeds 25%. The objective of this study was to determine whether an active vaccination campaign promoting communication among HCWs increased influenza vaccination coverage rates and permitted a shorter campaign. METHODS:This was a before-after trial, comparing free mobile vaccination teams without and with strategies promoting HCW involvement by means of weekly educational and promotional messages through electronic mail, including 2 prize draws for vaccinated HCWs and a Web page including pictures of vaccinated HCWs and all senior hospital management. Weekly coverages were publicized, the staff of mobile units was increased, and their routes in the hospital were advertised. The study population was >4500 HCWs (permanent and temporary staff) at a Spanish university hospital during the 2007-08 and 2008-09 influenza seasons. RESULTS:Coverage was 23% (95% confidence interval [CI], 22.5%-24.9%) in the 2007-08 season and 37% (95% CI, 34.7%-37.4%) in 2008-09 season. The vaccination rate was highest in HCWs aged > or =65 years and in physicians. The weekly vaccination rates were significantly higher for the 2008-09 season compared with the 2007-08 season except for the first and third weeks; for example, in week 2, the rate was 1.7 HCWs per 100 persons-week (95% CI, 1.3-2.1) in 2007-08, compared with 3.7 HCWs per 100 persons-week (95% CI, 3.2-4.4) in 2009-09. Rate increases were concentrated in the first weeks of the program, with a peak occurring in week 3 during the 2007-08 season and in week 2 during the 2008-09 season. CONCLUSION:This intervention improved influenza vaccination coverage of HCWs and allowed more rapid achievement of higher coverage.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Llupià A,García-Basteiro AL,Olivé V,Costas L,Ríos J,Quesada S,Varela P,Bayas JM,Trilla Adoi
10.1016/j.ajic.2010.01.013subject
Has Abstractpub_date
2010-08-01 00:00:00pages
476-81issue
6eissn
0196-6553issn
1527-3296pii
S0196-6553(10)00179-3journal_volume
38pub_type
杂志文章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:Clostridium difficile infection (CDI) is most commonly diagnosed using toxin enzyme immunoassays (EIAs). A sudden decrease in CDI incidence was noted after a change in the EIA used at Barnes-Jewish Hospital in St Louis. The objective of this study was to determine whether the decreased CDI incidence related ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.04.002
更新日期：2012-05-01 00:00:00
abstract：BACKGROUND:Needleless connectors (NCs) were introduced to reduce health care work needlestick injuries (NSIs). If not decontaminated prior to use, NCs can be a portal for patient blood stream infections. The optimal disinfectant, and its application duration, for NC decontamination has not been empirically established....
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.11.030
更新日期：2020-09-01 00:00:00
abstract：:Vancomycin-resistant Staphylococcus aureus (VRSA) and methicillin-resistant S aureus (MRSA) strains were examined in hospital effluents. Most S aureus strains are resistant to methicillin (MRSA), followed by tetracycline. Approximately 15% of MRSA strains are also resistant to vancomycin (VRSA). All VRSA strains devel...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.08.015
更新日期：2015-12-01 00:00:00
abstract：BACKGROUND:The guideline for staffing infection control programs of 1 infection control professional (ICP) for every 250 occupied acute care beds has been used in many health care facilities in the United States since 1985. Since that time, the health care system, patient populations, and expectations about the work of...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2002.127930
更新日期：2002-10-01 00:00:00
abstract：BACKGROUND:This study was conducted to evaluate the ongoing transmission of methicillin-resistant Staphylococcus aureus (MRSA) in a 10-bed trauma intensive care unit (TICU) in a large teaching hospital. METHODS:Surveillance cultures for MRSA were obtained on admission to the TICU. Colonized or infected patients were p...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2007.05.013
更新日期：2008-03-01 00:00:00
abstract：:Infection control practitioners working within health care facilities are charged with the providing of in-service education programs for all new employees and volunteers as well as for all hospital departments, at least annually. To be effective, each program should be customized to meet the needs of the group for wh...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(82)80032-1
更新日期：1982-11-01 00:00:00
abstract：:One medical center in southern Taiwan faced an outbreak of nosocomial Legionnaires' disease; a total of 81 suspected cases were detected during an 8-month period. Baseline environmental surveillance showed that 80% of the distal sites in intensive care units (ICUs) were positive for Legionella pneumophila. Superheat-a...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2004.12.008
更新日期：2005-12-01 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
abstract：:Health care-associated infections impact patient morbidity and mortality, and institutions adopt evidence-based measures to prevent and control such infections. In this study, professionals were observed during patient care under empirical contact precautions. A total of 243 observations were performed in which 39.5% ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.10.004
更新日期：2020-07-01 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: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：OBJECTIVE:At present, the shortest recommended application time of alcoholic handrubs is an application interval of 30 seconds. However, application times shorter than 30 seconds are regularly practiced. Therefore, the aim of this study was to investigate whether a 15-second application time achieves a comparable wetta...
journal_title：American journal of infection control
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ajic.2018.02.015
更新日期：2018-09-01 00:00:00
abstract：BACKGROUND:The Centers for Disease Control and Prevention recently issued updated guidelines for preventing the transmission of tuberculosis in health care facilities. Many recommendations, including the use of high-efficiency particulate air filter respirators, are expensive to implement and of unproven efficacy. We t...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(95)90265-1
更新日期：1995-12-01 00:00:00
abstract：BACKGROUND:Our objectives were to evaluate the utility of electronic hand hygiene counting devices in outpatient settings and the impact of results feedback on physicians' hand hygiene behaviors. METHODS:We installed 130 electronic hand hygiene counting devices in our redesigned outpatient department. We remotely moni...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.08.002
更新日期：2016-12-01 00:00:00
abstract：:A nurse-to-patient transmission of HIV type 1 was recently documented in a French hospital. The origin of the transmission remained unclear. To inform patients who may have been exposed to the nurse while they had received care, a lookback investigation that included mailings and a viral screening was conducted for 75...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2002.119926
更新日期：2002-06-01 00:00:00
abstract：BACKGROUND:Manual cleaning of flexible endoscopes is prone to error. To date, attempts to automate this process have been unsuccessful. The aim of this project was to compare the efficacy of the washing phase in the new Reliance EPS (STERIS Corp, Mentor, OH) with that of optimal manual cleaning. METHODS:Using simulate...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2006.01.010
更新日期：2006-11-01 00:00:00
abstract：BACKGROUND:Clostridioides difficile infection (CDI) is among the most common health care-associated infections in the United States and is increasingly affecting the elderly. Although carbapenem-resistant Enterobacteriaceae (CRE) infections are still relatively uncommon, there are reported increases in the rate of infe...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.11.008
更新日期：2019-05-01 00:00:00
abstract：BACKGROUND:Low-frequency ultrasonic debridement (LFUD) is a technology that uses sound waves conducted through saline mist to debride wound tissue. Whilst this technology purportedly reduces wound-healing times, the airborne mist generated is potentially problematic. Theoretically, the saline mist could carry an increa...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.04.228
更新日期：2016-12-01 00:00:00
abstract：:Handwashing is the single most important procedure in the prevention of nosocomial infections and yet it remains the most violated of all infection control procedures. With a sequential intervention study in an intensive care unit we have demonstrated that poor handwashing practices are associated with a high nosocomi...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(89)90002-3
更新日期：1989-12-01 00:00:00
abstract：BACKGROUND:The validity of self-reported varicella history and cost-effectiveness of a prevaccination screening strategy have not been examined among health care workers (HCWs) living in Korea. METHODS:We investigated varicella-zoster virus immunity of all HCWs in high-risk departments. To determine the history of var...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.05.013
更新日期：2014-08-01 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:Tuberculosis (TB) has re-emerged as a major infectious disease in several areas in the world. Airborne tubercle bacilli produced by individuals with pulmonary TB and droplet nuclei remain suspended in the air for a long time. This study attempts to use a sensitive polymerase chain reaction (PCR) analytic met...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(03)00090-7
更新日期：2004-02-01 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：BACKGROUND:There are no guidelines or quality benchmarks specific to ureteroscope reprocessing, and patient injuries and infections have been linked to ureteroscopes. This prospective study evaluated ureteroscope reprocessing effectiveness. METHODS:Reprocessing practices at 2 institutions were assessed. Microbial cult...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.03.016
更新日期：2017-08-01 00:00:00
abstract：BACKGROUND:We used workers' compensation data to identify health care workers at risk of tuberculosis exposure in the hospital and nonhospital environment. METHODS:We identified State Fund workers' compensation claims having a documented tuberculin skin test (TST) conversion (size >or=10 mm) with a previous negative s...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2006.02.005
更新日期：2006-08-01 00:00:00
abstract：BACKGROUND:Health care-associated infection is one of the most important patient safety problems in the world. While many methods exist to prevent health care-associated infection, most experts believe that improving hand hygiene is paramount. We previously published the results of a successful before-and-after hand hy...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2010.06.015
更新日期：2011-02-01 00:00:00
abstract：:Randomized controlled trials (RCTs) are useful in the evaluation of both new and well-established hospital infection control practices for which the benefit is unproven and not obvious. RCTs are often undertaken to resolve controversies, and many of them have a "negative" or inconclusive outcome. Well-designed RCTs wi...
journal_title：American journal of infection control
pub_type： 临床试验,杂志文章,评审
doi：10.1016/0196-6553(83)90076-7
更新日期：1983-10-01 00:00:00
abstract：BACKGROUND:Minimal structure is required for effective prevention of health care-associated infection (HAI). The objective of this study was to evaluate the structure for prevention of HAI in a sample of Brazilian hospitals. METHODS:This was a cross-sectional study from hospitals in 5 Brazilian regions (n = 153; total...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.08.004
更新日期：2016-01-01 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
