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 barriers and facilitators to influenza vaccination among clinical and nonclinical personnel (N = 428) from a major university medical center. RESULTS:Seventy-one percent of clinical personnel (n = 170) reported pandemic H1N1 vaccination compared with 27% of nonclinical personnel (n = 258), even though vaccine was made widely available to all personnel at no cost. Similarly, disparate rates between clinical and nonclinical personnel were noted for the 2009/2010 seasonal influenza vaccine (82% vs 42%, respectively) and 2010/2011 combination (pandemic plus seasonal) influenza vaccine (73% vs 28%, respectively). Factors associated with pandemic vaccination in nonclinical personnel included the following: high level of influenza-related knowledge, concern regarding influenza contagion, history of previous influenza vaccinations or influenza illness, participation in vaccine-related training, and awareness of the institution's written pandemic plan. For clinicians, past history of seasonal influenza vaccination was associated with pandemic vaccination. For all participants, taking any 1 or more of the 3 influenza vaccines available in 2009 to 2011 was associated with intent to take a hypothetical future novel pandemic vaccine (odds ratio, 6.7; 95% confidence interval: 4.32-10.44; P < .001). CONCLUSION:Most of the risk factors associated with lack of vaccination uptake are amenable to organizational strategies.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Crowley KA,Myers R,Magda LA,Morse SS,Brandt-Rauf P,Gershon RRdoi
10.1016/j.ajic.2012.11.020subject
Has Abstractpub_date
2013-09-01 00:00:00pages
824-30issue
9eissn
0196-6553issn
1527-3296pii
S0196-6553(13)00061-8journal_volume
41pub_type
杂志文章abstract：BACKGROUND:There are multiple treatment options for the control of legionellae in premise hot water systems. Water chemistry plays a role in the efficacy of these treatments and should be considered when selecting a treatment. This study demonstrated the efficacy of copper-silver ionization (CSI) under alkaline water c...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.05.018
更新日期：2015-09-01 00:00:00
abstract：:The virucidal activity of 2 hand rubs proposed by the World Health Organization was studied in a quantitative suspension test for chemical disinfectants and antiseptics in human medicine (EN 14476). These formulations are recommended if no hand rubs with declared microbiological activity are available in health care s...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.07.009
更新日期：2010-02-01 00:00:00
abstract：BACKGROUND:Manual cleaning of flexible endoscopes is prone to error. To date, attempts to automate this process have been unsuccessful. The aim of this project was to compare the efficacy of the washing phase in the new Reliance EPS (STERIS Corp, Mentor, OH) with that of optimal manual cleaning. METHODS:Using simulate...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2006.01.010
更新日期：2006-11-01 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：: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：:We performed 4 years of active screening for multidrug resistant organism (MDRO) colonization among patients with a history of overseas hospitalization. Thirteen (56.5%) of 23 cases were positive for MDROs, which highlights the importance of preemptive infection control to prevent the spread of MDROs in this populatio...
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 AND OBJECTIVE:Healthcare-associated infections (HAIs) are common and often preventable complications of care, with reduction emphasized in national policy. The Centers for Medicare and Medicaid Services introduced an HAI-focused Hospital Acquired Condition Reduction Program in 2015 to penalize poor-performin...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.05.038
更新日期：2020-12-01 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 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：:Healthcare facility-onset Clostridioides difficile infection rates substantially dropped in a Mexican hospital after its conversion to a full COVID-19 setting, despite heavy contamination of the environment the previous year. Better adherence to hand hygiene and contact precautions may help explain this finding. ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.12.008
更新日期：2020-12-19 00:00:00
abstract：BACKGROUND:Limited information is available on the financial impact of central venous catheter-associated bloodstream infection (BSI) in Argentina. To calculate the cost of BSIs in the intensive care department (ICU), a 5-year prospective nested case-control study was undertaken at 3 hospitals in Argentina. METHODS:We...
journal_title：American journal of infection control
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ajic.2003.03.002
更新日期：2003-12-01 00:00:00
abstract：:Health care-associated infections impact patient morbidity and mortality, and institutions adopt evidence-based measures to prevent and control such infections. In this study, professionals were observed during patient care under empirical contact precautions. A total of 243 observations were performed in which 39.5% ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.10.004
更新日期：2020-07-01 00:00:00
abstract：BACKGROUND:The objective of this study was to understand better the status of and ways to improve dissemination of influenza and pneumococcal standing-order vaccination policies to at-risk adults in health care institutions. METHODS:A statewide sample of 5 different types of institutions serving at-risk elderly person...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2005.01.008
更新日期：2005-10-01 00:00:00
abstract：BACKGROUND:Clostridioides difficile is a major cause of infectious antibiotic resistant diarrhea. C. difficile spores are shed in patient stool, are hearty and difficult to kill. Bedpans are often used by patients with C. difficile infections and require proper handling and cleaning or disposal to prevent the transmiss...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.11.028
更新日期：2020-07-01 00:00:00
abstract：OBJECTIVE:This study describes the organization of infection control committees in a Brazilian multihospital system, identifying their major problems. Our goal is to discuss the main deficiencies in infection control and to target some interventions that can improve the efficiency of these actions in Brazilian hospital...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1053/ic.1999.v27.a98520
更新日期：1999-06-01 00:00:00
abstract：BACKGROUND:Nosocomial infection may contribute to poor long-term consequences in persons who have spinal cord injuries and disorders (SCI&D). METHODS:This is a cohort study of individuals who had SCI&D and were hospitalized at least once during 2002. They were followed for 3 years to assess inpatient (IP) admissions, ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2006.08.012
更新日期：2007-08-01 00:00:00
abstract：BACKGROUND:Hand cleanliness is important in hospital infection control, but skin irritation from frequent alcohol-based hand rub use reduces compliance. We have compared a new copper biocide/Aloe vera-based biocidal hand rub (Xgel) with 7 commercially available hand rubs. METHODS:Hand rubs were cultured with human ski...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2008.09.011
更新日期：2009-05-01 00:00:00
abstract：BACKGROUND:Influenza is responsible for thousands of deaths in the United States and presents particular challenges in health care facilities with a greater prevalence of people at increased risk for adverse outcomes. Annual influenza vaccination has long been recommended, and employer policies influence the likelihood...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.01.015
更新日期：2020-10-01 00:00:00
abstract：:Electronic monitoring of hand hygiene compliance using the World Health Organization's My 5 Moments for Hand Hygiene is a new innovation that has not yet been shown to reduce hospital infections. We analyzed existing data from 23 inpatient units over a 33-month period and found a significant correlation between unit-s...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.04.215
更新日期：2016-08-01 00:00:00
abstract：BACKGROUND:The guideline for staffing infection control programs of 1 infection control professional (ICP) for every 250 occupied acute care beds has been used in many health care facilities in the United States since 1985. Since that time, the health care system, patient populations, and expectations about the work of...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2002.127930
更新日期：2002-10-01 00:00:00
abstract：BACKGROUND:Needleless intravenous devices have now been implemented by many institutions worldwide. A rationale for their use has been a reduction in the number of needlestick injuries. OBJECTIVE:The aim of this review is to outline the possible benefits and dangers of needleless intravenous systems. REVIEW:Many earl...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/s0196-6553(99)70009-x
更新日期：1999-10-01 00:00:00
abstract：:The failure of the 1982-1983 influenza vaccine to protect elderly NHCU residents from clinical infection with influenza A/Philippines/2/82 resulted primarily from antigenic drift of the epidemic strain, inasmuch as the attack rates in the vaccinated and nonvaccinated patients were not significantly different. This exp...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(84)90005-1
更新日期：1984-12-01 00:00:00
abstract：BACKGROUND:In the current COVID-19 pandemic, aggressive Infection Prevention and Control (IPC) measures have been adopted to prevent health care-associated transmission of COVID-19. We evaluated the impact of a multimodal IPC strategy originally designed for the containment of COVID-19 on the rates of other hospital-ac...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.10.019
更新日期：2020-11-04 00:00:00
abstract：BACKGROUND:The objective of this study was to evaluate performance metrics and associated patient outcomes of an automated surveillance system, the blood Nosocomial Infection Marker (NIM). METHODS:We reviewed records of 237 patients with and 36,927 patients without blood NIM using the National Healthcare Safety Networ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.12.044
更新日期：2016-05-01 00:00:00
abstract：:Personal protective equipment (PPE) training aims to reinforce the Centers for Disease Control and Prevention guidelines for donning and doffing; however, many health care and ancillary personnel use non-guideline methods to don and doff their PPE gowns and gloves. We found that hospital personnel commonly deviated fr...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.03.013
更新日期：2019-09-01 00:00:00
abstract：:This article is an executive summary of the APIC Elimination Guide for methicillin-resistant Staphylococcus aureus infection in long-term care facilities. Infection preventionists are encouraged to obtain the original, full-length APIC Elimination Guides for more thorough coverage of methicillin-resistant Staphylococc...
journal_title：American journal of infection control
pub_type： 杂志文章,实务指引
doi：10.1016/j.ajic.2010.10.008
更新日期：2011-04-01 00:00:00
abstract：:Our descriptive analyses show a wide distribution in rates of central line device days and central line-associated bloodstream infections for a given standardized infection ratio-the measure linked to federal payment penalties-among 215 US hospitals serving highly complex patient populations. We established that the s...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.12.001
更新日期：2019-08-01 00:00:00
abstract：BACKGROUND:Minimal structure is required for effective prevention of health care-associated infection (HAI). The objective of this study was to evaluate the structure for prevention of HAI in a sample of Brazilian hospitals. METHODS:This was a cross-sectional study from hospitals in 5 Brazilian regions (n = 153; total...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.08.004
更新日期：2016-01-01 00:00:00
abstract：:Nasal mucosa colonization by Staphylococcus aureus is a risk factor for hospital-acquired infections. This study examined the effectiveness of a decolonization strategy on orthopedic surgeons in a teaching hospital. S aureus colonization was detected in 43.2% of the surgeons, 25% of which were methicillin-resistant S ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.11.003
更新日期：2020-09-01 00:00:00
abstract：:Nasal methicillin-resistant Staphylococcus aureus (MRSA) testing at admission to the hospital was found to have a positive likelihood ratio of 8.5 and a negative likelihood ratio of 0.41 for predicting MRSA soft tissue infections. The clinical utility of this test depends on the prevalence of MRSA infection. In high p...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.03.039
更新日期：2016-10-01 00:00:00
