Abstract:
BACKGROUND:Health care worker (HCW) vaccination was critical to protecting HCW during the H1N1 pandemic. However, vaccine uptake rates fell below recommended targets. This study examined motivators and barriers influencing HCW pH1N1 vaccination to identify modifiable factors that can improve influenza vaccine uptake. METHODS:A cross-sectional survey was conducted at a large Canadian tertiary care hospital. HCW (N = 3,275) completed measures of demographics, vaccination history, influenza risk factors, and attitudes toward pH1N1 vaccination. Self-reported vaccination was verified with staff vaccination records. Of the total sample, 2,862 (87.4%) HCW received the pH1N1 vaccine. Multiple logistic regression analyses were used to predict HCW vaccination. RESULTS:HCW attitudes toward vaccination significantly predicted vaccination, even after adjusting for demographics, vaccine history, and influenza risk factors. This model correctly predicted 95% (confidence interval [CI]: 0.93-0.96) of HCW vaccination. Key modifiable factors driving HCW vaccination include (1) desire to protect family members and patients, (2) belief that vaccination is important even if one is healthy, (3) confidence in vaccine safety, and (4) supervisor and physician encouragement. CONCLUSION:This research identified fundamental reasons why HCW get vaccinated and provides direction for future influenza vaccination programs. To enhance vaccine uptake, it is important to target HCW attitudes in influenza vaccine campaigns and create a culture of vaccine promotion in the workplace, including strong messaging from supervisors and physicians.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Corace K,Prematunge C,McCarthy A,Nair RC,Roth V,Hayes T,Suh KN,Balfour L,Garber Gdoi
10.1016/j.ajic.2013.01.014subject
Has Abstractpub_date
2013-08-01 00:00:00pages
679-84issue
8eissn
0196-6553issn
1527-3296pii
S0196-6553(13)00114-4journal_volume
41pub_type
杂志文章abstract:OBJECTIVE:Surgical site infections (SSIs) are a serious and costly post-op complication. Generating SSI rates often requires labor-intensive methods, but increasing numbers of publications reported SSI rates using administrative data. METHODS:Index laminectomy and spinal fusion procedures were identified using Canadia...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.10.010
更新日期:2020-10-20 00:00:00
abstract:BACKGROUND:A safe alternative to ethylene oxide for reprocessing heat-sensitive lumen medical devices, such as endoscopes, is needed. The effectiveness of a new, safe, low-cost, and environmentally friendly low-temperature sterilization process using ozone was assessed. METHOD:Rigid lumen devices were used to assess t...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2007.06.006
更新日期:2008-05-01 00:00:00
abstract::Varicella-zoster virus is a herpes virus that produces a primary infection, chickenpox, manifested by a vesicular eruption and is considered one of the common childhood infectious diseases. After the initial infection the virus becomes latent, then when activated it is manifested as herpes zoster, commonly known as sh...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/s0196-6553(98)80025-4
更新日期:1998-06-01 00:00:00
abstract::Multidrug-resistant (MDR) organisms in ventilator-associated pneumonia were found in 49 of 107 patients and were associated with home antibiotics, pre-ventilator-associated pneumonia hospital stay, and health care exposure. Overall, MDR organisms were associated with increased mortality (P = .006). On multivariate ana...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.12.009
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:The aim of this study was to determine the prevalence of health care-associated infections (HAI) in our university hospitals (UH) and to delineate the risk factors associated with HAI. METHODS:We conducted a cross-sectional study in the 2 UH of Sfax, Tunisia on July 2017, including all patients hospitalized...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.01.008
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:Insufficient use of behavioral theory to understand health care workers' (HCWs) hand hygiene compliance may result in suboptimal design of hand hygiene interventions and limit effectiveness. Previous studies examined HCWs' intended, rather than directly observed, compliance and/or focused on just 1 behaviora...
journal_title:American journal of infection control
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ajic.2013.07.019
更新日期:2014-02-01 00:00:00
abstract:BACKGROUND:Surgical site infections (SSIs) following hip fracture surgeries have profound clinical and economic implications. The study aims to analyze the effect of an integrative SSI prevention care bundle on the SSI incidence among surgical hip patients. The study also aims to examine the association between SSI and...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.10.011
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:The major concern after occupational exposures is the possible transmission of blood-borne pathogens, especially hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV). This study was undertaken to evaluate the risk of infection after exposure to blood or body fluids of an u...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2008.05.012
更新日期:2008-12-01 00:00:00
abstract:BACKGROUND:A cluster of seven cases of Acinetobacter caleoaceticus anitratus in a community teaching hospital intensive care unit was discovered (the seventh case was located in a step-down unit next to an infected patient recently transferred from the intensive care unit.) METHODS:An outbreak investigation, including...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(94)90020-5
更新日期:1994-10-01 00:00:00
abstract::Air treatment with a mobile Plasmair air-decontamination unit significantly reduces the fungal spore load in hematology wards. We report that this system used at a low aspiration flow does not perform total biodecontamination against filamentous fungi. Moreover, the filamentous fungus load remaining in rooms equipped ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2008.12.006
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVE:To describe an outbreak of influenza A in an oncology unit, highlighting infection control methods implemented, and examining reasons health care workers (HCWs) present to work with influenza-like illness (ILI). METHODS:Confirmed cases were defined by the presence of ILI and a positive nasopharyngeal polymer...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.10.024
更新日期:2019-06-01 00:00:00
abstract::Literature suggests that cancer patients can become colonized or infected with a variety of opportunistic and health care-associated pathogens, putting them at higher risk for nonventilator health care-associated pneumonia. This section will review the epidemiology of nonventilator health care-associated pneumonia and...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.03.005
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:Central line-associated bloodstream infections (CLABSI) carry serious risks for patients and financial consequences for hospitals. Avoiding unnecessary temporary central venous catheters (CVC) can reduce CLABSI. Critical Care Medicine (CCM) is often consulted to insert CVC when alternatives are unavailable. ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.10.006
更新日期:2020-10-17 00:00:00
abstract::Of 7,772 laboratory-confirmed cases of respiratory viral infection among hospitalized patients, 22.8% were categorized as having hospital-acquired infection. The overall incidence of hospital-acquired respiratory viral infection was 3.9 (95% confidence interval, 3.7-4.1) cases per 1,000 admitted patients. Rhinovirus w...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.01.009
更新日期:2017-05-01 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: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::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::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::Health care workers (HCWs) are susceptible to hospital acquired varicella zoster virus (VZV). We evaluated seroprevalence and predictive value of a history of varicella disease (VD) with VZV serology in HCWs in northern Israel. A total of 200 HCWs were enrolled. A high rate of seropositivity for VZV-IgG was found: 98....
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2007.06.004
更新日期:2008-08-01 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: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:Horizontal transmission of bacteria, especially multidrug-resistant organisms (MDROs), remains an important concern in hospitals worldwide. Some studies have implicated provider attire in the transmission of organisms within hospitals, whereas others have suggested that evidence supporting this notion is lim...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.01.012
更新日期:2019-08-01 00:00:00
abstract::From 1988 through 1992, we conducted a prospective study of postdischarge surgical wound infection surveillance in our institution. A total of 6604 patients were seen after discharge in a centralized outpatient clinic, supervised by the infection control commission. Wounds were inspected, stitches were removed, and dr...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(95)90059-4
更新日期:1995-10-01 00:00:00
abstract::Dental sterilization techniques have become a focus of attention as a result of disclosure of occupational HIV transmission from an infected dentist to a cluster of patients. Although there has never been a confirmed report of a patient acquiring an infectious blood-borne disease from a dental instrument or device, re...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/0196-6553(94)90119-8
更新日期:1994-04-01 00:00:00
abstract:BACKGROUND:The use of chlorhexidine as a strategy to reduce nosocomial infections in patients has been proven useful. Bacterial contamination of health care worker's uniforms during routine patient care has been demonstrated to have potential for horizontal transmission of pathogens. METHODS:We performed a prospective...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.01.004
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:Nosocomial infection (NI) is a cause of patient morbidity and mortality. Conducting an audit of deaths due to NI is a potentially useful approach to improving professional standards. In France, these deaths are required to be reported, but the reporting is left to clinicians, who often do not comply. The aim...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2010.04.216
更新日期:2011-03-01 00:00:00
abstract::Videourodynamic studies (VUS) of the lower urinary tract are useful in the evaluation of complicated voiding dysfunctions. These studies involve placement of urethral and rectal catheters, measurement of pressures during bladder filling and voiding, and simultaneous fluoroscopic cystourethrography. A cluster of five c...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(84)90044-0
更新日期:1984-10-01 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
abstract:BACKGROUND:Candidemia in children caused by non-albicans Candida (NAC) spp is increasing in prevalence, but the relevant information is limited. METHODS:All isolates of pediatric candidemia from a medical center in Taiwan between 2003 and 2015 were enrolled. The characteristics of patients with NAC and Candida albican...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.05.015
更新日期:2018-12-01 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