Abstract:
BACKGROUND:Improperly cleaned, disinfected, or sterilized reusable medical devices are a critical cause of health care-associated infections. More effective studies are required to address the improvement of cleaning and disinfection instructions, as well as selection of cleaning and disinfecting agents, for surfaces of reusable devices and equipment. METHODS:Six commercially available disinfectant cleaning wipes were evaluated for their effectiveness to remove a coagulated blood test soil or Streptococcus pneumoniae bacteria from the surface of a reusable medical device. Liquid aliquots of the coagulated blood or bacteria were dried onto the surface of the device and removed with the wipes. Effectiveness of the wipes was assessed by 3 methods: residual protein debris by o-phthaldialdehyde analysis, bacterial survival by adenosine triphosphate measurement, and force required to remove the dried debris by force measurement. RESULTS:A sodium hypochlorite wipe was most effective in removing protein debris from the device surface. All tested wipes were equivalent in disinfecting bacterial contamination from the device surface. CONCLUSION:The active ingredient, wipe design, and wipe wetness are important factors to consider when selecting a disinfectant cleaning wipe. Additionally, achieving conditions that effectively clean, disinfect, and/or inactivate surface bacterial contamination is critical to preventing the spread of health care-associated infections.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Gold KM,Hitchins VMdoi
10.1016/j.ajic.2013.01.029subject
Has Abstractpub_date
2013-10-01 00:00:00pages
901-7issue
10eissn
0196-6553issn
1527-3296pii
S0196-6553(13)00192-2journal_volume
41pub_type
杂志文章abstract:BACKGROUND:Hospitalized carriers of carbapenem-resistant Enterobacteriaceae (CRE) are cohorted under contact precautions, including in the days between rehospitalization and surveillance culture results. This study investigates duration of CRE carriage to define populations requiring precautions upon readmission. METH...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2012.09.020
更新日期:2013-03-01 00:00:00
abstract::The infection control team in a university hospital designed, implemented, and evaluated a program to audit infection control policies. Process surveillance techniques of observation and monitoring were used during surveys of patient care areas to evaluate infection control practices. Nineteen unit surveys have been c...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(84)90113-5
更新日期:1984-08-01 00:00:00
abstract:BACKGROUND:Health care-associated infection is one of the most important patient safety problems in the world. While many methods exist to prevent health care-associated infection, most experts believe that improving hand hygiene is paramount. We previously published the results of a successful before-and-after hand hy...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2010.06.015
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:Hospital-acquired influenza potentially leads to significant morbidity and mortality in already vulnerable patients, but its overall burden is not fully understood. We undertook this study to estimate the incidence and trends of hospital-acquired laboratory-confirmed influenza among adults, and to compare cl...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.12.003
更新日期:2020-12-13 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:Little is known about compliance with universal precautions (CUP) or occupational exposures to blood and body fluids among Emergency Medical Services (EMS) providers. The objective of this study was to obtain estimates of CUP and knowledge of universal precautions (KUP), occupational exposures, and needle an...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2009.05.012
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:In recent years, the wearing of pierced earrings for personal adornment has increased among health care workers in Japan. However, the transmission dynamics between bacteria in pierced earring holes and fingers has not been clearly shown. METHODS:Earlobes and fingers of 200 nurses (128 nurses with pierced e...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.06.006
更新日期:2019-01-01 00:00:00
abstract::Handwashing is the single most important procedure in the prevention of nosocomial infections and yet it remains the most violated of all infection control procedures. With a sequential intervention study in an intensive care unit we have demonstrated that poor handwashing practices are associated with a high nosocomi...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(89)90002-3
更新日期:1989-12-01 00:00:00
abstract:BACKGROUND:Fourteen patients in the pediatric cardiac intensive care unit (CICU) had > or =1 positive culture for a single strain of Serratia marcescens from April through December 1995 (study period). OBJECTIVES:To identify risk factors for S marcescens infection or colonization in a pediatric CICU. METHODS:Retrospe...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1067/mic.2001.114222
更新日期:2001-04-01 00:00:00
abstract:BACKGROUND:Clostridium difficile is the most common health care-associated infection and a major cause of death and increased morbidity. It is vital that patients and the public are provided with the right information and communication to assist them to understand their role in preventative measures. Successful impleme...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2012.05.026
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:Acquisition of pathogens into health care settings from prior room occupants has been documented. Hospital room privacy curtains are at high risk for pathogenic bacterial contamination. Antimicrobial impregnated curtains could be effective in reducing contamination. METHODS:Rooms within an intensive care un...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.12.024
更新日期:2020-08-01 00:00:00
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::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: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:Isolation precautions used against multidrug-resistant (MDR) organisms are responsible for many emotional side effects. We evaluated patient's feeling after a hospitalization for an MDR infection. METHODS:We conducted a qualitative study that included 11 interviews from August 2017 to June 2018. We used phe...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.03.018
更新日期:2019-09-01 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:BACKGROUND:Surgical site infections after joint arthroplasty are devastating complications and are influenced by patient, surgical, and operating room environmental factors. METHODS:In an effort to reduce the incidence of door openings (DOs) during total joint arthroplasty cases, this prospective observational study c...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.12.019
更新日期:2018-06-01 00:00:00
abstract::We report a historic nosocomial outbreak of Salmonella enteritidis affecting 4 inpatients who underwent endoscopic retrograde cholangiopancreatography. The cause was attributed to inadequate decontamination of an on-loan endoscope used over a weekend. This report highlights the risks of using on-loan endoscopes, parti...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.11.024
更新日期:2017-04-01 00:00:00
abstract::During a 17-month period (01/11/85-05/31/86) 225 cases of nosocomial diarrhea were identified in a children's hospital. Diarrhea was considered to be nosocomial if it began at least 72 hours after the patient's hospital admission or within 3 days after discharge. One or more routine diagnostic studies for identificati...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(89)90021-7
更新日期:1989-04-01 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: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:This study was conducted to evaluate the ongoing transmission of methicillin-resistant Staphylococcus aureus (MRSA) in a 10-bed trauma intensive care unit (TICU) in a large teaching hospital. METHODS:Surveillance cultures for MRSA were obtained on admission to the TICU. Colonized or infected patients were p...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2007.05.013
更新日期:2008-03-01 00:00:00
abstract::To reduce surgical site infections (SSIs) in colorectal surgeries we introduced a bundle of care elements in partnership with the Enhanced Recovery after Surgery (ERAS) multidisciplinary team. We measured the incidence of National Healthcare Safety Network-defined SSIs, along with adherence to bundle care elements. De...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.11.004
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Varicella vaccine was first available in Taiwan in 1997. The aims of this study were to investigate varicella vaccine safety and occurrence of breakthrough in Taiwan during the first 3 years. The adverse events, incidence of breakthrough, and factors associated with breakthrough were analyzed. METHODS:A per...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1067/mic.2003.58
更新日期:2003-05-01 00:00:00
abstract:BACKGROUND:National blood exposure (BE) surveys are valuable to health care facilities striving to reduce percutaneous sharps injuries (SIs) or mucocutaneous (MC) exposures among their health care workers (HCWs). In the Exposure Survey of Trends in Occupational Practice (EXPO-S.T.O.P.) 2015 we surveyed hospital BE inci...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.05.023
更新日期:2017-11-01 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: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::In a study conducted in 11 health care settings for elderly patients, we demonstrated a significant negative correlation between the proportion of glove use outside any risk of exposure to body fluids and compliance with hand hygiene (P < .02). This result underscores a major limitation of strategies for controlling t...
journal_title:American journal of infection control
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ajic.2011.05.008
更新日期:2012-05-01 00:00:00
abstract:BACKGROUND:The nature of infection prevention and control is changing; however, little is known about current staffing and structure of infection prevention and control programs. METHODS:Our objectives were to provide a snapshot of the staffing and structure of hospital-based infection prevention and control programs ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2008.11.001
更新日期:2009-06-01 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