Abstract：
BACKGROUND:Multidrug-resistant (MDR) Acinetobacter baumannii (MDR-AB) is an important nosocomial pathogen associated with significant morbidity and mortality. METHODS:We conducted a prospective cohort study of intensive care unit patients colonized or infected with MDR-AB at a tertiary care hospital from October 2008 to January 2009. For each patient, 10 surfaces in the patient room were sampled and evaluated for the presence of A baumannii. Pulsed-field gel electrophoresis was performed on all environmental isolates and a clinical isolate if available. RESULTS:Fifty rooms were sampled; 48% (24/50) were positive at 1 or more environmental sites. Supply carts (10/50, 20%), floors (8/50, 16%), infusion pumps (7/50, 14%), and ventilator touch pads (5/44, 11.4%) were most commonly contaminated. Patients with a recent history of MDR-AB were no more likely to contaminate their environment than patients with a remote history (51% vs 36%, respectively, P value = .50). In 85% (17/20) of cases, the environmental isolate was classified as genetically similar to the patient isolate. CONCLUSION:For patients with MDR-AB, the surrounding environment is frequently contaminated, even among patients with a remote history of MDR-AB. Surfaces often touched by health care workers during routine patient care are commonly contaminated and may be a source of nosocomial spread.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Thom KA,Johnson JK,Lee MS,Harris ADdoi
10.1016/j.ajic.2010.09.005subject
Has Abstractpub_date
2011-11-01 00:00:00pages
711-5issue
9eissn
0196-6553issn
1527-3296pii
S0196-6553(10)00945-4journal_volume
39pub_type
杂志文章abstract：:In a retrospective study conducted over 12 months in a multi-hospital system, the incidence of bloodstream infections associated with midline catheters was not significantly lower than that associated with central venous catheters (0.88 vs 1.10 infections per 1,000 catheter-days). Additional research is needed to furt...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.11.004
更新日期：2020-09-01 00:00:00
abstract：:Central line-associated bloodstream infection (CLABSI) event data reported to the National Healthcare Safety Network from 2014, the first year of required use of the mucosal barrier injury laboratory-confirmed bloodstream infection (MBI-LCBI) definition, were analyzed to assess the impact of removing MBI-LCBI events f...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.10.015
更新日期：2017-03-01 00:00:00
abstract：BACKGROUND:This study assessed reporting behavior and satisfaction with postexposure prophylaxis (PEP) systems among health care workers (HCWs) at risk for occupational bloodborne pathogen exposure (BPE) in 3 public hospitals in Botswana. METHODS:A cross-sectional survey among HCWs provided information on perceptions,...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.01.027
更新日期：2016-08-01 00:00:00
abstract：BACKGROUND:Postoperative wound infection (PWI) after intracranial neurosurgery remains a significant worldwide problem, resulting in substantial morbidity/mortality if not combatted quickly and energetically. Although the danger of PWI is universally recognized, the reported incidence of PWI after intracranial neurosur...
journal_title：American journal of infection control
pub_type： 杂志文章,meta分析
doi：10.1016/j.ajic.2007.07.015
更新日期：2008-10-01 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：BACKGROUND:Catheter-associated urinary tract infections (CAUTIs) are common nosocomial infections. In 2015, the Centers for Medicare and Medicaid Services began imposing financial penalties for institutions where CAUTI rates are higher than predicted. However, the surveillance definition for CAUTI is not a clinical dia...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.11.032
更新日期：2018-07-01 00:00:00
abstract：:We describe 1,132 contacts between anesthesiologists and the operating room. Objects most commonly touched included anesthesia machines and keyboards. Only 13 hand hygiene events were witnessed during 8 hours of observations. Line insertions, bronchoscopies, or blood exposures were not followed by hand hygiene. Stopco...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.03.306
更新日期：2013-10-01 00:00:00
abstract：BACKGROUND:Blood culture contamination with gram-positive organisms is a common occurrence in patients suspected of bloodstream infections, especially in emergency departments. Although numerous research studies have investigated the cost implications of blood culture contamination, a contemporary systematic review of ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.12.020
更新日期：2019-08-01 00:00:00
abstract：BACKGROUND:Infection prevention is a profession that requires highly specified skills and clinical experience. Infection Preventionists (IPs) direct interventions that protect patients from health care-associated infections across clinical and community settings. To enhance the hiring and recruitment of diverse IPs, it...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.07.024
更新日期：2021-01-01 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.2013.12.014
更新日期：2014-05-01 00:00:00
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：:Catheter-associated urinary tract infections represent a significant medical burden in critically ill children. Ethanol locks have been shown to be effective and safe for central line-associated bloodstream infection prevention and we propose utilizing this strategy for urinary catheters. Because this has never been d...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.05.012
更新日期：2015-10-01 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:Little is known about the hand hygiene practices of surgical patients. Most of the research has been directed at the health care worker, and this may discount the role that hand hygiene of the surgical patient might play in surgical site infections. METHODS:A quasiexperimental, pretest/post-test study was c...
journal_title：American journal of infection control
pub_type： 临床试验,杂志文章
doi：10.1016/j.ajic.2012.05.029
更新日期：2013-06-01 00:00:00
abstract：BACKGROUND:The aim of the study was to describe the profile of patients and the characteristics of all bacteremias caused by multidrug-resistant (MDR) bacterial strains in a teaching hospital and to assess the mortality related to these events. METHODS:A monocentric retrospective observational cohort study was conduct...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.05.004
更新日期：2015-09-01 00:00:00
abstract：:Despite the recent focus on prevention of health care-associated infections, rates of Candida bloodstream infections in adults have remained unchanged until recently. We report a decline of Candida bloodstream infections, not explained by changes in broad-spectrum antibiotic use, but coinciding with infection control ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.11.003
更新日期：2016-04-01 00:00:00
abstract：BACKGROUND:We previously published a formula to estimate the number of hand hygiene opportunities (HHOs) per patient-day using the World Health Organization's "Five Moments for Hand Hygiene" methodology (HOW2 Benchmark Study). HHOs can be used as a denominator for calculating hand hygiene compliance rates when product ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.02.020
更新日期：2014-06-01 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:In patient empowerment initiatives, patients are encouraged to ask caregivers if they have washed their hands. However, relatively little is known about the willingness of patients to participate in such initiatives. METHODS:Patients were presented with a "Partners in Your Care" script asking them to remind...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2008.04.248
更新日期：2009-03-01 00:00:00
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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：:Respondents (N = 473) from a randomized stratified sample (N = 600) of U.S. hospital ICPs in a national survey sponsored by the Certification Board of Infection Control were asked to rate specific task, knowledge, and ability statements related to infection control for frequency and importance. The questions included ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(84)90096-8
更新日期：1984-06-01 00:00:00
abstract：:Healthcare systems are expanding, no longer bound by county, state or country, thus necessitating the importance of consistent and standardized guidelines for the management and control of communicable diseases, including influenza. As a healthcare system consisting of diverse facilities with a focus not only on safe ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.05.006
更新日期：2020-11-01 00:00:00
abstract：:In this study examining public health workers' 2009 H1N1 and seasonal influenza vaccination uptake, a survey was conducted to assess flu vaccine acceptance, as well as behaviors and beliefs regarding acceptance, among public health workers in southeastern Tennessee. Factors found to be significantly associated with ac...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.05.010
更新日期：2012-04-01 00:00:00
abstract：:In this 2-phase real-world evaluation of chlorhexidine gluconate (CHG) skin concentrations in intensive care unit patients, we found lower skin CHG concentrations when rinsing with water after CHG solution bath (compared with no rinse), but no significant difference in concentrations between the use of CHG solution wi...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.08.022
更新日期：2018-02-01 00:00:00
abstract：BACKGROUND:Urinary tract infections (UTIs) are the most common nosocomial infection experienced by patients in United States hospitals and are responsible for significant morbidity and excess hospital costs. The purpose of this study was to determine the efficacy of a silver alloy, hydrogel-coated, urinary catheter in ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2004.05.002
更新日期：2004-12-01 00:00:00
abstract：BACKGROUND:Pathogens may be transmitted in hospitals via patients' own hands, but little is known about the facilitators and barriers of hand hygiene among inpatients. This study aimed to assess the hand hygiene knowledge, attitudes, and practices of adult inpatients at 5 hospitals. METHODS:The study consisted of a cr...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.11.020
更新日期：2020-05-01 00:00:00
abstract：BACKGROUND:Filtering facepiece respirators are the most common respirator worn by US health care and industrial workers, yet little is known on the physiologic impact of wearing this protective equipment. METHODS:Twenty young, healthy subjects exercised on a treadmill at a low-moderate (5.6 km/h) work rate while weari...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.02.037
更新日期：2013-01-01 00:00:00
abstract：BACKGROUND:A novel strain of influenza A (H1N1) was identified in April 2009 and developed into a pandemic by June 2009. This rapid and unexpected event had enormous implications for infection preventionists (IP) internationally. Lessons learned from this event should guide future pandemic planning efforts. METHODS:Fo...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.09.003
更新日期：2009-12-01 00:00:00
abstract：:In 1982 the Centers for Disease Control published a set of recommendations and measures to protect persons working in health care settings or performing mortician services from possible exposure to the human immunodeficiency virus. This study of a number of funeral homes in the Fort Worth area was designed to determin...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(89)90130-2
更新日期：1989-08-01 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
