Abstract：
BACKGROUND:Despite the well-recognized role of urinary catheters in nosocomial urinary tract infections, data on risk factors associated with inappropriate urinary catheter use are scarce. METHODS:A prospective review of electronic medical records of 436 patients admitted to an adult medical-surgical unit between October and December 2007 was performed to examine the appropriateness of urinary catheter use. RESULTS:The use of 157 urinary catheters in 144 patients was observed. A total of 557 urinary catheter-days were recorded in these patients, of which 175 (31.4%) were found to be inappropriate based on the study criteria. The total number of catheters used and the total duration of catheterization were risk factors for inappropriate urinary catheter use (P < .05). Inappropriate catheter use was not associated with such adverse events as mortality, readmission, intensive care unit admission, catheter complications, or urine culture rates, but was associated with a trend toward longer duration of hospitalization. CONCLUSIONS:Significant rates of inappropriate urinary catheter use and a trend toward longer duration of hospitalization with inappropriate catheter use were observed. These findings underscore the importance of establishing guidelines and effective policy implementation for the appropriate use of urinary catheters in hospitalized patients.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Tiwari MM,Charlton ME,Anderson JR,Hermsen ED,Rupp MEdoi
10.1016/j.ajic.2011.03.032subject
Has Abstractpub_date
2012-02-01 00:00:00pages
51-4issue
1eissn
0196-6553issn
1527-3296pii
S0196-6553(11)00325-7journal_volume
40pub_type
杂志文章abstract：:We illustrate how genotyping of mycobacterial strains contributed to the discovery of an undetected outbreak of tuberculosis in a hospital ward, ruling out misleading assumptions of transmission chains. Genotyping should be taken into account in routine tests for the control of tuberculosis. ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.03.003
更新日期：2012-02-01 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: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:Most cases of microbial transmission to patients via contaminated endoscopes have resulted from nonadherence to reprocessing guidelines. We evaluated the occurrence, features, and implications of reprocessing lapses to gauge the nature and breadth of the problem in the context of widely available and accepte...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.04.022
更新日期：2013-12-01 00:00:00
abstract：BACKGROUND:Although hand hygiene (HH) is key to reducing health care-associated infections, it is well documented that health care worker (HCW) adherence to appropriate HH protocols is relatively low. METHODS:This was a collaborative quality improvement project with multiple interventions conducted in a 570-bed academ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.07.003
更新日期：2014-11-01 00:00:00
abstract：BACKGROUND:The genetic relatedness of Staphylococcus epidermidis associated with infections in infants and cultured from the hands of nurses was assessed. METHODS:From March 2001 to January 2002, infections caused by S. epidermidis were prospectively monitored. Participating nurses had hand cultures performed quarterl...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2005.02.003
更新日期：2005-08-01 00:00:00
abstract：BACKGROUND:Influenza causes mortality and morbidity in the frail elderly population. Influenza prevention and mitigation models need to be developed for this population. METHODS:An observational study at a Program for All-Inclusive Care for the Elderly (PACE) during years 1999-2004. Participants were frail elderly adu...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2005.02.001
更新日期：2005-05-01 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：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
doi：10.1016/j.ajic.2021.01.009
更新日期：2021-01-21 00:00:00
abstract：BACKGROUND:Hospitalized carriers of carbapenem-resistant Enterobacteriaceae (CRE) are cohorted under contact precautions, including in the days between rehospitalization and surveillance culture results. This study investigates duration of CRE carriage to define populations requiring precautions upon readmission. METH...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.09.020
更新日期：2013-03-01 00:00:00
abstract：BACKGROUND:Antibiotic resistance is a challenge in long-term care facilities (LTCFs). The objective of this study was to demonstrate that a novel, minimally invasive program not interfering with activities of daily living or socialization could lower methicillin-resistant Staphylococcus aureus (MRSA) disease. METHODS:...
journal_title：American journal of infection control
pub_type： 临床试验,杂志文章
doi：10.1016/j.ajic.2016.04.251
更新日期：2016-12-01 00:00:00
abstract：BACKGROUND:Composition and diversity of intestinal microbial communities (microbiota) are generally accepted as a risk factor for poor outcomes; however, we cannot yet use this information to prevent adverse outcomes. METHODS:Stool was collected from 8 long-term acute care hospital patients experiencing diarrhea and 2...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.01.003
更新日期：2016-07-01 00:00:00
abstract：BACKGROUND:The hepatitis B (HepB) vaccine is recommended for adults traveling to a country of high or intermediate endemicity. METHODS:Data from the 2016 and 2017 National Health Interview Surveys were pooled. RESULTS:The weighted prevalence of HepB vaccination initiation (≥1 dose) was 37.67% in 2016 (weighted number...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.02.014
更新日期：2019-08-01 00:00:00
abstract：BACKGROUND:Catheter-related bloodstream infections are costly and associated with substantial morbidity and mortality. Trials suggest that central venous catheters impregnated with minocycline/rifampin, although more expensive, are clinically superior to chlorhexidine/silver sulfadiazine impregnated catheters. It remai...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2003.35
更新日期：2003-02-01 00:00:00
abstract：:In a simultaneous assessment of 250 environmental surfaces after terminal cleaning using aerobic cultures as a gold standard, both fluorescent marker and an adenosine triphosphate bioluminescence assay system demonstrated better diagnosticity compared with subjective visual inspection. These results support the use of...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.09.019
更新日期：2013-08-01 00:00:00
abstract：BACKGROUND:Asymptomatic bacteriuria is often treated with antimicrobials despite no benefit to patients, contributing to antimicrobial resistance and costs. Identifying knowledge deficits may improve physician training and antimicrobial stewardship efforts. We surveyed internal medicine and medicine-pediatrics resident...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.01.020
更新日期：2013-10-01 00:00:00
abstract：:Infection control practitioners (ICPs) are important partners in enhancing the US public health infrastructure, both as essential recipients of continuing education and as instructors responsible for providing this education. Focus groups were conducted at APIC 2000, the annual meeting for the Association for Professi...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2001.119821
更新日期：2001-12-01 00:00:00
abstract：BACKGROUND:Improperly cleaned, disinfected, or sterilized reusable medical devices are a critical cause of health care-associated infections. More effective studies are required to address the improvement of cleaning and disinfection instructions, as well as selection of cleaning and disinfecting agents, for surfaces o...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.01.029
更新日期：2013-10-01 00:00:00
abstract：:Many different treatment options are available for hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP), which are important causes of morbidity and mortality. Although guidelines for the diagnosis and treatment of HAP and VAP have been published by various American and European societies, these...
journal_title：American journal of infection control
pub_type： 杂志文章,实务指引
doi：10.1016/j.ajic.2007.01.015
更新日期：2008-05-01 00:00:00
abstract：BACKGROUND:An outbreak of 5 inpatient and otherwise healthy children admitted for respiratory problems developed dry fever and cough after a few days of hospitalization. Burkhuldaria cepacia was isolated from their blood culture. The Infection Control Department (ICD) in the King Fahad Medical City (KFMC) detected and ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2006.03.003
更新日期：2006-08-01 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:The reasons for gloving-up for surgery are to protect the surgical field from microorganisms on the surgeon's hands and protect the surgeon from the patient's microorganisms. This study measured the concentration of bacteria passing through glove punctures under surgical conditions. METHODS:Double-layered s...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.06.013
更新日期：2010-03-01 00:00:00
abstract：BACKGROUND:Vancomycin-resistant enterococci (VRE) are important nosocomial pathogens in many hospitals. The true prevalence of VRE in pediatric hospitals is not known. METHODS:A surveillance study was performed at a pediatric tertiary care medical center by using vancomycin-containing screening media. RESULTS:Six chi...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1053/ic.1998.v26.a93115
更新日期：1998-12-01 00:00:00
abstract：BACKGROUND:Despite absence of evidence, in practice, asymptomatic bacteriuria is perceived as a risk factor for surgical site infection (SSI) among patients with cardiac surgery. We aimed to identify whether an association exists between the preoperative presence of asymptomatic bacteriuria or urinary tract infection a...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.08.015
更新日期：2018-02-01 00:00:00
abstract：BACKGROUND:Pseudomonas aeruginosa is an important nosocomial pathogen that commonly colonizes hospital water supplies, including in taps and sinks. We report the transmission of P. aeruginosa from water to patients in a clinical hematology setting. METHODS:P. aeruginosa from water samples were compared to clinical iso...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.10.013
更新日期：2018-04-01 00:00:00
abstract：:The treatment of bacterial infections is increasingly complicated by the ability of bacteria to develop resistance to antimicrobial agents. Antimicrobial agents are often categorized according to their principal mechanism of action. Mechanisms include interference with cell wall synthesis (eg, beta-lactams and glycope...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2006.05.219
更新日期：2006-06-01 00:00:00
abstract：BACKGROUND:Medical devices inserted into the human body can be divided into single-use devices and reusable medical devices (RMDs) depending on the method of use. RMDs are applied to >1 patient, and users reprocess them prior to repeat use. Therefore, reprocessing of RMDs has become more difficult, and issues related t...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.01.017
更新日期：2015-05-01 00:00:00
abstract：BACKGROUND:Handwashing with soap or another antisepsis disinfectant solution is a common practice in Vietnam, but the availability and quality of tap water is unpredictable. We assessed the risk for hand contamination and compared the efficacy of 5 hand hygiene methods in a tertiary Vietnamese hospital. METHODS:Five f...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.07.013
更新日期：2014-02-01 00:00:00
abstract：BACKGROUND:The Association for Professionals in Infection Control and Epidemiology (APIC) MegaSurvey, administered in 2015, was completed by approximately 4,079 APIC members. The survey sought to gain a better understanding the current state of 4 components of infection prevention practice: demographic characteristics,...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.03.021
更新日期：2017-06-01 00:00:00
abstract：BACKGROUND:Room ventilation is a key determinant of airborne disease transmission. Despite this, ventilation guidelines in hospitals are not founded on robust scientific evidence related to the prevention of airborne transmission. METHODS:We sought to assess the effect of ventilation rates on influenza, tuberculosis, ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.02.014
更新日期：2011-12-01 00:00:00
