Abstract:
:The increased use of triple-lumen catheters has brought with it an increase in sepsis. We undertook a study to determine whether this increase was related to the length of time a catheter was in place. Culture of the fluid in each of the three lumens of all triple-lumen catheters in the medical intensive care units was done daily for a 6-month period. In 14 of 31 catheters, 28 of 93 lumens showed bacterial or fungal growth. A temporal relationship between the time a catheter was placed and the onset of catheter colonization and patient sepsis was established (p less than 0.01). Catheter colonization preceded sepsis in three of four patients who became bacteremic with the same organisms that were cultured from the lumens and the catheter tips. As a result of this study, centrally placed intravascular lines are now changed every 7 days in our institution with a noticeable decrease in line-related sepsis.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Ullman RF,Gurevich I,Schoch PE,Cunha BAdoi
10.1016/0196-6553(90)90185-usubject
Has Abstractpub_date
1990-06-01 00:00:00pages
201-7issue
3eissn
0196-6553issn
1527-3296pii
0196-6553(90)90185-Ujournal_volume
18pub_type
杂志文章abstract::We evaluated the utility and usability of a spray and a wipe-based cleaner/disinfectant in a behavioral health setting where health care providers institute cleaning and disinfection procedures. The spray-based version resulted in significantly lower adenosine triphosphate readings after use compared with the wipe ver...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.05.028
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:Postexposure prophylaxis for occupational exposure to hepatitis B virus (HBV) plays an important role in the prevention of HBV infections in health care workers (HCWs). We examined data concerning the acceptable duration between occupational exposure and administration of a hepatitis B immunoglobulin (HBIG) ...
journal_title:American journal of infection control
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ajic.2015.08.024
更新日期:2016-02-01 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::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: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::Using a standardized methodology by the National Nosocomial Infection Surveillance System, a continuous health care-associated infections (HAIs) surveillance was conducted in our mixed intensive care unit at a Chinese teaching hospital. During the study period (2010-2014), 4,013 patients were hospitalized for 32,924 b...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.07.023
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:The aim of this study was to evaluate the performance of a focused multivector ultraviolet (FMUV) system employing shadowless delivery with a 90-second disinfection cycle for patient care equipment inside and outside the operating room (OR) suite without manual-chemical disinfection. METHODS:A 5-point multi...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.09.019
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Reusable bedpans and urinals are frequently cleaned and decontaminated using washer-disinfectors (WDs) that may be located in the central processing department (CPD) or on the ward. The objective of this study was to determine how efficiently the WDs provided cleaning and to evaluate the ability of such WDs ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2007.04.277
更新日期:2008-02-01 00:00:00
abstract::Hand hygiene is the most effective way to prevent the spread of health care-associated infections, but many facilities may not have the resources or expertise to develop their own hand hygiene promotion campaign. This observational study demonstrated that a campaign developed for 1 facility could successfully contribu...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.02.020
更新日期:2015-06-01 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::Knowing where we have come from helps to decide where we should be going. Many principles and practices of modern infection control were developed in the nineteenth and early twentieth century. The story is one of halting, yet relentless, progress. The history of these discoveries and their application to infection co...
journal_title:American journal of infection control
pub_type: 历史文章,杂志文章
doi:10.1016/s0196-6553(81)80064-8
更新日期:1981-08-01 00:00:00
abstract:BACKGROUND:Methicillin-resistant Staphylococcus aureus (MRSA) remains one of the most prevalent multidrug-resistant organisms causing health care-associated infections. Limited data are available about how the prevalence of MRSA has changed over the past several years and what MRSA prevention practices have been implem...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2012.02.001
更新日期:2012-04-01 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:BACKGROUND:Barrier precautions (gowns and gloves) prevent horizontal transmission of pathogens. Nosocomial infections have been linked to poor hand hygiene. Isolation rooms for infection control improve hand hygiene and decrease nosocomial infections. We hypothesized that both patient isolation and electronic hand hygi...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2006.09.009
更新日期:2007-09-01 00:00:00
abstract:BACKGROUND:Contamination of bronchoalveolar lavage fluid is a major problem in the world. Although 2% glutaraldehyde (GA) is widely used as a disinfectant for bronchoscope cleaning, recently, GA-tolerant mycobacteria have been isolated, which makes this problem more complicated. METHODS:We studied the susceptibility t...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2003.07.007
更新日期:2004-06-01 00:00:00
abstract::Necrotizing fasciitis is a severe polybacterial infection characterized by necrosis of the fascia and adjacent soft tissues with rapid expansion of the infection along the fascial planes. It is a rare and potentially fatal entity in the head and neck region. We present 2 patients with head and neck cancers who develop...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.01.010
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:Clostridioides difficile infection (CDI) is among the most common health care-associated infections in the United States and is increasingly affecting the elderly. Although carbapenem-resistant Enterobacteriaceae (CRE) infections are still relatively uncommon, there are reported increases in the rate of infe...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.11.008
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:A cross-sectional study was conducted in a large university hospital in Belo Horizonte, Minas Gerais, Brazil to evaluate surgical glove integrity after use during surgery. METHODS:This 6-month study was conducted by a gastroenterological, cardiovascular, and pediatric surgical team consisting of surgeons (m...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.06.021
更新日期:2014-10-01 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:BACKGROUND:With the increasing volume of same-day operations and shortened hospital stays, it becomes more likely that a significant percentage of surgical site infections will occur after these patients' discharges. METHODS:To document the true incidence of postdischarge surgical site infection, surveillance was unde...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(95)90004-7
更新日期:1995-02-01 00:00:00
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:BACKGROUND:Pertussis is an underestimated disease. Several European countries have developed models to account for underreporting of pertussis. The aim of this study was to estimate pertussis underdetection and underreporting in pediatric patients attending primary health care centers (PHCCs). METHODS:We reviewed clin...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.03.033
更新日期:2016-11-01 00:00:00
abstract::In pediatric bloodstream infections with fluoroquinolone (FQ)-resistant Escherichia coli and Klebsielia species, we noted an association between FQ resistance and extended-spectrum beta-lactamase (ESBL) production (OR, 12; 95% CI: 2.28-83.8). A case control study revealed no significant risk factors (including prior a...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2007.01.012
更新日期:2008-02-01 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::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:Surgical site infection (SSI) after neurosurgery has potentially devastating consequences. METHODS:A prospective cohort study was conducted over a period of 24 months in a university center. All adult patients undergoing neurosurgical procedures, with exception of open skull fractures, were included. Multiv...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.07.005
更新日期:2015-12-01 00:00:00
abstract::Infection control practitioners working within health care facilities are charged with the providing of in-service education programs for all new employees and volunteers as well as for all hospital departments, at least annually. To be effective, each program should be customized to meet the needs of the group for wh...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/s0196-6553(82)80032-1
更新日期:1982-11-01 00:00:00
abstract:BACKGROUND:Infection preventionists (IPs) play key roles in preventing health care-associated infections and ensuring quality of care. To develop strategies to support comprehensive infection prevention practice, it is critical to understand key aspects of their practice. METHODS:A task force of expert IPs, staff repr...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.12.012
更新日期:2017-06-01 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::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