Abstract：
BACKGROUND:Better characterization of risk factors for extended-spectrum β-lactamase (ESBL)-producing bacteria is important for prevention, control, and treatment. This study aimed to identify risk factors for ESBL-producing Escherichia coli in a population of patients at an acute care urban teaching hospital. METHODS:A matched case-control study was performed. Cases comprised adults with ESBL E coli isolated from any source and matched with controls on year of hospitalization. One control group included patients with non-ESBL E coli, and a second control group consisted of patients with another resistant bacterium with well-characterized risk factors, Pseudomonas aeruginosa. RESULTS:There were 93 subjects in each group. Risk factors associated with ESBL cases compared with both control groups in a univariate model included sex, age, comorbidity, health care facility residence, recent hospitalization, and hemodialysis. In multivariate analysis, only Charlson comorbidity score remained significant between the cases and both control groups. Recent receipt of antibiotics was a risk factor for ESBL E coli versus non-ESBL E coli but not versus P aeruginosa. CONCLUSIONS:Underlying comorbid illness appears to be a robust risk factor for acquisition of ESBL-producing E coli. Antibiotic use is a less clear risk factor and may be a surrogate for health care exposure in general.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Doernberg SB,Winston LGdoi
10.1016/j.ajic.2011.04.001subject
Has Abstractpub_date
2012-03-01 00:00:00pages
123-7issue
2eissn
0196-6553issn
1527-3296pii
S0196-6553(11)00321-Xjournal_volume
40pub_type
杂志文章abstract：:A monthly follow-up evaluation of vancomycin-resistant Enterococcus-colonized patients conducted during an outbreak in France revealed that carriage can persist for an extended period. Recurrence was observed despite as many as 3 negative cultures. As a result, we propose another definition for VRE clearance. ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2010.07.003
更新日期：2011-03-01 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：OBJECTIVE:This systematic review had two aims. First to identify the incidence of urinary tract infection (UTI) and bacteriuria in people undertaking intermittent catheterisation (IC), second to determine the effectiveness of antiseptic cleaning of the meatal area prior to IC in reducing the incidence of UTI and bacter...
journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：2021-01-21 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：: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:Outbreaks of health care-associated infections in neonatal intensive care units (NICUs) are frequent and have received more attention in medical literature than outbreaks from other types of intensive care units (ICUs). The objective of this systematic review was to identify differences between outbreaks of ...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2006.07.007
更新日期：2007-04-01 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
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更新日期：2020-06-01 00:00:00
abstract：:The Association for Professionals in Infection Control and Epidemiology (APIC) began publishing their series of Elimination Guides in 2007. Since then, 9 Elimination Guides have been developed that cover a range of important infection prevention issues, including the prevention of catheter-related bloodstream infectio...
journal_title：American journal of infection control
pub_type： 杂志文章,实务指引
doi：10.1016/j.ajic.2010.08.003
更新日期：2010-10-01 00:00:00
abstract：:This report describes a cluster of nosocomial infections with Pseudomonas aeruginosa in a neonatal intensive care nursery. All 5 cases of P aeruginosa infection were clustered in September 1999. Aggressive infection control measures were instituted, including installation of a user-friendly handwashing soap and enviro...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2002.121153
更新日期：2002-11-01 00:00:00
abstract：BACKGROUND:The prevalence of nosocomial infection in Australian hospitals is estimated to be between 5.5% and 6.3%. Since 1989, infection control professionals (ICPs) in hospitals accredited by the Australian Council on Health Care Standards (ACHS) have been encouraged to collect nosocomial infection data according to ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(99)70024-6
更新日期：1999-12-01 00:00:00
abstract：BACKGROUND:Gloves are a necessary contact precaution to prevent transmission of infectious pathogens that spread by direct or indirect contact with an infected person or a contaminated environment. This article reports a study investigating hand and environmental contamination levels when health care workers (HCWs) fol...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2010.06.007
更新日期：2011-03-01 00:00:00
abstract：BACKGROUND:The purpose of this educational project was to assess the effect of several interventions on the frequency of handwashing among elementary public school children. METHODS:Participants in this project were first-graders and fourth-graders from jurisdictions within a mid-Atlantic metropolitan area. Phase I in...
journal_title：American journal of infection control
pub_type： 临床试验,杂志文章
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更新日期：1998-06-01 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：:Over the last decade, substantial scientific evidence has accumulated that indicates contamination of environmental surfaces in hospital rooms plays an important role in the transmission of key health care-associated pathogens (eg, methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, Clostrid...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2015.11.015
更新日期：2016-05-02 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：:This is the first in a series of case studies that will be published in American Journal of Infection Control following the Centers for Disease Control and Prevention/National Healthcare Safety Network (NHSN) surveillance definition update of 2013. These cases reflect some of the complex patient scenarios infection pr...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.05.009
更新日期：2013-10-01 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
abstract：:A review of nosocomial infections (NI) from January 1971 to April 1981 was conducted in a university-affiliated hospital to examine NI caused by Acinetobacter and to determine whether a rising trend in rates could be detected. Acinetobacter accounted for 85 of 6115 (1.4%) NI. Sites of infection were respiratory tract ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(84)90067-1
更新日期：1984-02-01 00:00:00
abstract：:An increasing number of hospitals have implemented programs that permit their operating room (OR) personnel to launder their soiled "scrubs" at home. Not only have they not experienced an increase in the incidence of surgical site infections (SSIs), but they have also found the policy to be financially rewarding. Wher...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1067/mic.2001.110366
更新日期：2001-02-01 00:00:00
abstract：BACKGROUND:Biocidal high-touch surfaces contact surfaces can be used to help reduce healthcare-acquired infections (HAIs). While the bactericidal protocols are well developed, there remains high variability in the methods used to evaluate the virucidal properties of such surfaces. This paper seeks to identify the most ...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2020.02.008
更新日期：2020-10-01 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.2016.06.040
更新日期：2016-11-01 00:00:00
abstract：BACKGROUND:The recently introduced concept of hands-free technique (HFT) currently has no recommendations or formal educational program for use in the Republic of Korea. This study evaluated the level of HFT use and investigated factors related to HFT use among Korean operating room nurses. METHOD:Data were obtained t...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2008.01.013
更新日期：2009-03-01 00:00:00
abstract：BACKGROUND:Although hand hygiene (HH) compliance has been an important issue for years, the compliance rate is still a problem in health care today. METHODS:This was an observational, prospective, before-and-after study. We measured HH knowledge and HH compliance before (baseline), directly after (poststrategy), and 6...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.09.009
更新日期：2012-10-01 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
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.12.015
更新日期：2015-04-01 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：: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：BACKGROUND:Little is known about compliance with universal precautions (CUP) or occupational exposures to blood and body fluids among Emergency Medical Services (EMS) providers. The objective of this study was to obtain estimates of CUP and knowledge of universal precautions (KUP), occupational exposures, and needle an...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.05.012
更新日期：2010-03-01 00:00:00
abstract：:Adherence to isolation precaution practices, including use of personal protective equipment (PPE), remains a challenge in most hospitals. We surveyed inpatient and emergency department clinicians about their experiences and opinions of various isolation policies, specifically those related to wearing PPE. Our findings...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.08.029
更新日期：2020-02-01 00:00:00
abstract：BACKGROUND:Valid data are a crucial aspect of infection prevention and control programs. The aim of this study was to examine the accuracy of routine reporting in the Iranian Nosocomial Infection Surveillance System in intensive care units. METHODS:A blinded retrospective review of general intensive care unit medical ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.12.028
更新日期：2019-08-01 00:00:00
