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 performed in 6 intensive care units from January 2001 to December 2005. HAI were identified using standard US Centers for Disease Control and Prevention definitions. Alcohol-based handrub dispensers were installed between February and June 2002. RESULTS:Total ABHR consumption was 5,794 L (mean, 28.9 L per 1,000 patient-days) and significantly increased over time (+9.2% per year; P < .001). Of 14,516 patients cumulating 166,498 patient-days, 2,398 (16.5%) acquired a total of 3,490 HAI episodes (20.9 per 1,000 patient-days). Incidence densities for central line-associated bloodstream infection (CLABSI), ventilator-associated pneumonia, and urinary tract infections were 7.7, 10.6, and 3.6 episodes per 1,000 device-days, respectively. A significant decrease was observed for CLABSI (-12.7% per year; P < .001) with low nurse-to-patient ratio independently associated with infection (odds ratio, 1.11; 95% confidence interval: 1.07-1.16; P < .001). CONCLUSION:Improved hand hygiene measured by increased ABHR consumption resulted in CLABSI reduction. Low nurse-to-patient ratio is independently associated with HAI in an upper-middle income country.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Barrera L,Zingg W,Mendez F,Pittet Ddoi
10.1016/j.ajic.2010.11.004subject
Has Abstractpub_date
2011-10-01 00:00:00pages
633-639issue
8eissn
0196-6553issn
1527-3296pii
S0196-6553(11)00087-3journal_volume
39pub_type
杂志文章abstract:BACKGROUND:Bacillus cereus can cause severe infections in immunocompromised persons. METHODS:We report 3 cases of bacteremia/septicemia (1 fatal) among oncology patients in a children's hospital. Because all cases occurred during a 10-day period, a common source outbreak was suspected. An epidemiologic investigation w...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/s0196-6553(99)70034-9
更新日期:1999-12-01 00:00:00
abstract::We studied the impact of average daily temperature and relative humidity on the risk of surgical site infections in 36,429 surgeries performed in a hospital in inner Brazil. Adjusted Poisson regression models found an association between surgical site infections and temperature (rate ratio [RR], 1.013; 95% confidence ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.07.013
更新日期:2019-01-01 00:00:00
abstract::The antibacterial efficacy of 4% chlorhexidine gluconate (CHG) and 1% triclosan as handwash antiseptics is well established. Few published studies have identified hand bacteria found in glove juice samples, and most studies have used nonclinical study subjects. We report a longitudinal comparative study to determine t...
journal_title:American journal of infection control
pub_type: 临床试验,杂志文章
doi:10.1016/s0196-6553(99)70051-9
更新日期:1999-08-01 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:OBJECTIVE:We sought to determine the cause and mode of transmission of a cluster of bloodstream infections as a result of Klebsiella pneumoniae. DESIGN AND SETTING:We conducted a prospective cohort study in a neonatal intensive care department from May 1999 to December 2000. METHODS:We performed surveillance of nosoc...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1067/mic.2003.70
更新日期:2003-11-01 00:00:00
abstract:BACKGROUND:Methicillin-resistant Staphylococcus aureus (MRSA) is a pathogenic S aureus strain characteristic associated with increased patient morbidity and mortality. The health care system needs to understand MRSA transmissibility in all settings to improve basic preventive measures to generate sustained reductions i...
journal_title:American journal of infection control
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ajic.2017.11.002
更新日期:2018-05-01 00:00:00
abstract::Endoscope auditing is unique from other types of auditing normally completed as part of ongoing quality initiatives. When auditors walk into an endoscopy processing area, they are confronted with a variety of complex processes generally packed into a small space. Auditors are challenged to become experts on the proces...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.06.029
更新日期:2020-01-01 00:00:00
abstract::The Healthcare Infection Control Practices Advisory Committee released hand hygiene guidelines recommending that hospitals educate personnel to increase compliance with hand hygiene. However, few educational tools are available to assist hospitals in this effort. Eight hospitals were recruited to implement hand hygien...
journal_title:American journal of infection control
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ajic.2005.06.010
更新日期:2006-04-01 00:00:00
abstract:OBJECTIVE:To determine whether periurethral cleaning with water before indwelling urinary catheterization increases the risk of urinary tract infections (UTIs) compared with studies using anti-infective agents. METHODS:A literature search via MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials thro...
journal_title:American journal of infection control
pub_type: 杂志文章,meta分析
doi:10.1016/j.ajic.2018.02.031
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:The number and significance of tuberculin skin test reactions were compared with self-reported baseline values among house staff working in a public hospital. High-risk medical specialties, locations, and infection control practices were examined. METHODS:House staff interviews, tuberculin skin test applica...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/s0196-6553(96)90047-4
更新日期:1996-02-01 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:BACKGROUND:There is a large and growing body of evidence that methicillin-resistant Staphylococcus aureus (MRSA) screening programs are cost effective, but such screening represents a significant cost burden for hospitals. This study investigates the clinical, patient experience and cost impacts of performing active su...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.07.011
更新日期:2014-10-01 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:BACKGROUND:Concern about occupational exposure to bloodborne pathogens exists, and medical students, who lack in experience in patient care and surgical technique, may be at an increased exposure risk. METHODS:This prospective cohort study evaluated needlestick injuries and practices regarding the use of protective st...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1067/mic.2003.44
更新日期:2003-06-01 00:00:00
abstract::In September 2011, the Centers for Disease Control and Prevention (CDC) convened a Ventilator-Associated Pneumonia (VAP) Surveillance Definition Working Group to organize a formal process for leaders and experts of key stakeholder organizations to discuss the challenges of VAP surveillance definitions and to propose n...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.07.001
更新日期:2013-11-01 00:00:00
abstract::The Joint Commission on Healthcare Organizations (JCAHO) has received few reports of sentinel events involving health care-associated infection (HAI). The paucity of reporting may lead some to believe that deaths caused by HAI have been overestimated or that health care organizations do not recognize the events. Altho...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2006.12.008
更新日期:2007-10-01 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: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:Patient hand hygiene may be a useful strategy to prevent acquisition of pathogens and to reduce the risk for transmission by colonized patients. Several studies demonstrate that patients and long-term-care facility (LTCF) residents may have difficulty using hand hygiene products that are provided; however, n...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.12.023
更新日期:2017-06-01 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:BACKGROUND:In 1990, the Centers for Disease Control and Prevention recommended substituting dust-mist particulate respirators for simple isolation masks in acid-fast bacillus isolation rooms, reasoning that air leaks around the simple masks could result in a higher rate of purified protein derivative skin-test conversi...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(94)90030-2
更新日期:1994-12-01 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::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::A telephone survey involving 200 household members in and around Seoul, South Korea, was completed during the maturity stage of the outbreak of Middle East respiratory syndrome (MERS) in Korea during June 2015. The study found that respondents perceived low risk from contracting MERS, had low trust in government in co...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.03.014
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:Anticipated psychological responses and perceptions of risk have not been examined prior to the outbreak of an epidemic. METHODS:Using a cross-sectional, telephone survey, 805 Chinese adults in Hong Kong were interviewed anonymously in November, 2005 to examine beliefs related to H5N1 avian influenza and an...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2006.07.010
更新日期:2007-02-01 00:00:00
abstract:BACKGROUND:Health care-associated opportunistic pathogens Staphylococcus aureus and Enterococcus faecium persist on dry environments and can contribute to organism transmission through contact. These organisms can be monitored on surfaces by culture, molecular methods, or metabolic assays. This study was designed to de...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.07.027
更新日期:2018-01-01 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:BACKGROUND:Active surveillance systems are effective in reducing health care-associated infections caused by methicillin-resistant Staphylococcus aureus (MRSA). Nonetheless, some patients develop MRSA infection despite control measures. We tried to identify risk factors related to the appearance of MRSA at sites other ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.03.011
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:We determined the incidence and circumstances of needlestick injuries and other body substance exposures among police officers in a city police department. METHODS:We analyzed data extracted from the city's centralized human resource database on all incidents from January 1, 2011, to December 31, 2016, and ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.08.018
更新日期:2019-03-01 00:00:00
abstract::Surgical instrument trays are wrapped for sterilization, and these wraps are inspected by operating room personnel for defects before using the instruments. In this study, we intentionally damaged wraps, and these wraps were evaluated by operating room personnel. Examiners correctly identified a wrapper's sterile inte...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.11.031
更新日期:2018-07-01 00:00:00