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 wearing 4 different models of N95 filtering facepiece respirators for 1 hour each, 2 models of which were equipped with exhalation valves, while being monitored for physiologic variables. RESULTS:Compared with controls, respirator use was associated with mean 1 hour increases in heart rate (range, 5.7-10.6 beats per minute, P < .001), respiratory rate (range, 1.4-2.4 breaths per minute, P < .05), and transcutaneous carbon dioxide (range, 1.7-3.0 mm Hg, P < .001). No significant differences in oxygen saturation between controls and respirators were noted (P > .05). CONCLUSION:The pulmonary and heart rate responses to wearing a filtering facepiece respirator for 1 hour at a low-moderate work rate are relatively small and should generally be well tolerated by healthy persons.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Kim JH,Benson SM,Roberge RJdoi
10.1016/j.ajic.2012.02.037subject
Has Abstractpub_date
2013-01-01 00:00:00pages
24-7issue
1eissn
0196-6553issn
1527-3296pii
S0196-6553(12)00717-1journal_volume
41pub_type
杂志文章abstract:OBJECTIVE:Recent research has suggested that episodes of gram-negative (GN) bloodstream infection (BSI) are more common in the population during summer months. Our objective was to determine if the same phenomenon could be observed in patients with health care-associated (HCA) BSI, and if so, whether a summer peak was ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.05.019
更新日期:2013-12-01 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:BACKGROUND:Nosocomial bacteremia caused by the contamination of intravenous (IV) infusates is considered rare. Unfortunately, this problem has been underestimated because its identification requires culturing infusates, a procedure not performed routinely. METHODS:This study was conducted in a referral hospital where ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2009.08.015
更新日期:2010-04-01 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: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:BACKGROUND:The best strategy for active surveillance for methicillin-resistant Staphylococcus aureus (MRSA) remains unclear. We attempted to identify a risk factor score to predict MRSA colonization at hospital admission. METHODS:Data on 9 variables reported as risk factors for MRSA colonization were analyzed, and a r...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.02.013
更新日期:2013-11-01 00:00:00
abstract:BACKGROUND:Acinetobacter baumannii and Staphylococcus aureus have persisted as 2 major pathogens worldwide. AIM:We designed a prevalence study to investigate the prevalence of nasal carriage of S aureus and A baumannii in long-term-care facilities (LCTFs) and their collaborative community hospitals. In addition, we ai...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.02.005
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:Animal-assisted intervention (AAI) programs are increasing in popularity, but it is unknown to what extent therapy animal organizations that provide AAI and the hospitals and eldercare facilities they work with implement effective animal health and safety policies to ensure safety of both animals and humans....
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.04.287
更新日期:2017-08-01 00:00:00
abstract::The utilization of isolation precautions has increased in tertiary care hospitals due to the increase in colonization with multidrug-resistant organisms over time. We assessed the frequency of multidrug-resistant microorganisms responsible for implementation of contact precautions in the ICU of a tertiary care hospita...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2012.03.031
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:The screening of critically ill patients at high risk of vancomycin resistant enterococci (VRE) colonization, to detect and isolate colonized patients, is recommended to prevent and control the transmission of VRE. Screening asymptomatic carriers brings financial burden for institutions. In this study, we pe...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.11.008
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Clostridium difficile-associated diarrhea (CDAD) is increasingly encountered in the acute care setting with rates of infection increasing dramatically since 2001. Reoccurring episodes are being seen with increasing frequency. The purpose of this study was to examine risk factors specifically associated with ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2010.08.017
更新日期:2011-04-01 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: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
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.09.021
更新日期:2020-06-01 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:BACKGROUND:Information on the rates and factors associated with influenza vaccinations, although limited, is important because it can inform the development of effective vaccination campaigns in a university medical center setting. METHODS:A study was conducted in 2011 to identify individual and organizational level b...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2012.11.020
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:The pandemic coronavirus disease 2019 (COVID-19) has taken a heavy toll on human life and has upended the medical system in many countries. The disease has created a system wide worsening shortage of N95, medical masks, and other personal protective equipment (PPE) that is regularly used by healthcare person...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.07.022
更新日期:2020-07-28 00:00:00
abstract:BACKGROUND:It has been shown that nontoxic concentrations of ethanol are absorbed after hand hygiene using ethanol-based hand rubs. This study investigated whether absorption of propan-1-ol and propan-2-ol from commercially available hand rubs results in measurable concentrations after use. METHODS:The pulmonary and d...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2011.03.009
更新日期:2012-04-01 00:00:00
abstract::The purpose of this study was to conduct a nationwide survey to determine the number of master's-prepared infection control practitioners (ICPs) and those eligible for admission to graduate programs. Continuing education needs also were assessed to determine whether they might best be met through formal education or i...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(90)90087-9
更新日期:1990-04-01 00:00:00
abstract:BACKGROUND:Control of infection within the long-term care facility is a daunting problem. Elderly patients are at high risk for contracting infection because of reduced innate immunity, malnutrition, and the presence of chronic medical conditions. This small study tested the effect of developing and implementing a comp...
journal_title:American journal of infection control
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/s0196-6553(00)90004-x
更新日期:2000-02-01 00:00:00
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:Removing unnecessary central lines is a critical step in reducing risk of infection and was 1 focus of a national quality improvement collaborative. We examined if participating adult intensive care units (ICUs) reduced central line days during the project period compared with the period before implementatio...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.06.003
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:Health care workers (HCWs) use their mobile phones during working hours or medical care. There is evidence that the instruments are colonized with pathogenic microorganisms. Here, we describe levels of Enterobacteriaceae contamination (EC) in cell phones and the risk factors associated with EC in Peruvian in...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.02.020
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:Health care workers' compliance with infection control practices and principles is vital in preventing the spread of disease. One tool to assess infection control practice in clinical areas is the infection control audit; however, many institutions do not approach this in a systematic fashion. METHODS:Key f...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2006.05.293
更新日期:2007-05-01 00:00:00
abstract::We conducted a campaign to increase seasonal influenza vaccination of dialysis health care workers (HCWs) in the District of Columbia, Maryland, Virginia, and West Virginia. Between the 2010-2011 and 2011-2012 influenza seasons we examined the correlates of change. HCW vaccination rates improved significantly (P < .01...
journal_title:American journal of infection control
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ajic.2014.12.011
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:Studies taken from different hospitalized patient populations, environments, and geographic regions reveal differences in the numbers and species of organisms colonizing the skin. Our aim was to determine the types and amounts of skin flora, and examine the factors associated with variations in microbial ski...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1067/mic.2003.64
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND:Following a period (2009-2012) during which zero measles cases were reported, a measles outbreak occurred in 2013 in Bama County, Guangxi, China, that involved more than 100 children younger than age 8 months. We aimed to identify the pitfalls and risk factors while implementing the control measures. METHOD...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.11.005
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Methicillin-resistant Staphylococcus aureus (MRSA) is responsible for many hospital-associated infections. Both MRSA-colonized and MRSA-infected patients must be isolated on contact precautions per the Centers for Disease Control and Prevention guidelines. This study evaluates the current practice for removi...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.02.006
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:Extended-spectrum beta-lactamase (ESBL)-producing organisms, first identified in Germany in 1983, are now widely recognized as clinically relevant causes of infections in community. METHODS:Our objective was to evaluate the clinical and molecular epidemiology of community-onset, extended-spectrum beta-lacta...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2007.05.008
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND:This study described and analyzed the age, gender, infection sources, and timing characteristics of the 416 confirmed cases in two cities near the center of China's COVID-19 outbreak. METHODS:This study used publicly available data to examine gender, age, source of infection, date returned from Hubei, date ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.06.191
更新日期:2020-09-01 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