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 risk factor score to predict MRSA colonization was generated using multivariable logistic regression and receiver operating characteristic curve analyses. This risk score was then prospectively validated. RESULTS:Four risk factors (nursing home residence, diabetes, hospitalization in the past year, and chronic skin condition/infection) were significantly associated with MRSA colonization (c-statistic = 0.846). A cut-off score of 8 or greater would result in screening 20% of admissions and would detect 71% of MRSA-colonized patients. In the prospective validation study, a cut-off score of 8 or greater required screening 21% of admissions and detected 54% of MRSA. Nursing home residence was the best predictor of MRSA colonization. CONCLUSION:A similar risk factor-based screening strategy could be used to predict MRSA colonization in other institutions. Our data support routine screening of nursing home patients at hospital admission.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Torres K,Sampathkumar Pdoi
10.1016/j.ajic.2013.02.013subject
Has Abstractpub_date
2013-11-01 00:00:00pages
1043-7issue
11eissn
0196-6553issn
1527-3296pii
S0196-6553(13)00291-5journal_volume
41pub_type
杂志文章abstract：BACKGROUND:The prevalence of healthcare associated infection (HAI) is generally higher in countries with limited resources than developed countries. To address the high prevalence of HAI, Turkish Ministry of Health introduced a national infection control program in 2005. METHODS:Device associated (DA)-HAIs routinely s...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.12.013
更新日期：2020-12-25 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：BACKGROUND:This paper goes beyond detecting specific themes within Zika-related chatter on Twitter, to identify the key actors who influence the diffusive process through which some themes become more amplified than others. METHODS:We collected all Zika-related tweets during the 3 months immediately after the first U....
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.10.015
更新日期：2018-05-01 00:00:00
abstract：:Viridans group streptococci (VGS), a leading cause of bloodstream infection (BSI) in cancer patients, are thought to arise from the gastrointestinal tract. We sought to determine whether central venous catheters may serve as the source of VGS BSI, and to compare the ability of the newly proposed mucosal barrier injury...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.06.012
更新日期：2014-10-01 00:00:00
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 wa...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(90)90185-u
更新日期：1990-06-01 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：:The Joint Commission on Healthcare Organizations (JCAHO) has received few reports of sentinel events involving health care-associated infection (HAI). The paucity of reporting may lead some to believe that deaths caused by HAI have been overestimated or that health care organizations do not recognize the events. Altho...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2006.12.008
更新日期：2007-10-01 00:00:00
abstract：BACKGROUND:The validity of self-reported varicella history and cost-effectiveness of a prevaccination screening strategy have not been examined among health care workers (HCWs) living in Korea. METHODS:We investigated varicella-zoster virus immunity of all HCWs in high-risk departments. To determine the history of var...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.05.013
更新日期：2014-08-01 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：:The appropriate use of antibiotics in nosocomial infections has been a goal of infectious disease practitioners and hospital epidemiologists since the emergence of resistant staphylococci more than 30 years ago. This challenge has assumed new proportions in the 1980s for many reasons. First, resistant gram-positive an...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/0196-6553(89)90188-0
更新日期：1989-10-01 00:00:00
abstract：:Adherence to isolation precaution practices, including use of personal protective equipment (PPE), remains a challenge in most hospitals. We surveyed inpatient and emergency department clinicians about their experiences and opinions of various isolation policies, specifically those related to wearing PPE. Our findings...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.08.029
更新日期：2020-02-01 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:During a large-scale airborne infectious disease outbreak, the number of patients needing hospital-based health care services may exceed available negative-pressure isolation room capacity. METHODS:To test one method of increasing hospital surge capacity, a temporary negative-pressure isolation ward was est...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.01.029
更新日期：2017-06-01 00:00:00
abstract：:One medical center in southern Taiwan faced an outbreak of nosocomial Legionnaires' disease; a total of 81 suspected cases were detected during an 8-month period. Baseline environmental surveillance showed that 80% of the distal sites in intensive care units (ICUs) were positive for Legionella pneumophila. Superheat-a...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2004.12.008
更新日期：2005-12-01 00:00:00
abstract：:Over the last decade, substantial scientific evidence has accumulated that indicates contamination of environmental surfaces in hospital rooms plays an important role in the transmission of key health care-associated pathogens (eg, methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, Clostrid...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2015.11.015
更新日期：2016-05-02 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: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：:The treatment of bacterial infections is increasingly complicated by the ability of bacteria to develop resistance to antimicrobial agents. Antimicrobial agents are often categorized according to their principal mechanism of action. Mechanisms include interference with cell wall synthesis (eg, beta-lactams and glycope...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2006.05.219
更新日期：2006-06-01 00:00:00
abstract：BACKGROUND:The incidence of postoperative surgical site infections (SSIs) is difficult to estimate because of the current trend of early discharge after surgery. Both operation-related and host factors should be taken into consideration in the prevention of SSIs. We wanted to determine the actual incidence of SSIs and ...
journal_title：American journal of infection control
pub_type： 临床试验,杂志文章
doi：10.1016/s0196-6553(97)90082-1
更新日期：1997-10-01 00:00:00
abstract：:Research has substantiated that animals improve human health, both psychologically and physiologically. Therefore, healthcare facilities have begun to implement programs, such as the "Furry Friends Foundation," that bring animals into the facility to improve the quality of life of patients. When implementing these pro...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2005.06.005
更新日期：2006-06-01 00:00:00
abstract：BACKGROUND:Surgical site infection (SSI) is an important clinical indicator of quality of patient care and infection control; therefore, we aimed to assess risk factors SSI in colon and gastric surgeries. METHODS:SSI was assessed according to the National Nosocomial Infection Surveillance (NNIS) system (1999). Risk fa...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2007.12.011
更新日期：2008-12-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to determine the epidemiology of burn unit infections, the effect of these infections on the mortality rate, and antibiotic resistance pattern of the predominant bacteria isolated from children. Patients and method Epidemiologic data for 610 children, aged 0 to 15 years, admitted to ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(02)48226-0
更新日期：2003-10-01 00:00:00
abstract：BACKGROUND:This study investigated the self-perceived infection control (IC) knowledge and practice levels of professional standards competency (PSC) among Korean infection control nurses (ICNs) to identify factors that may influence PSC. METHODS:Using a self-reporting questionnaire method, we collected data from a to...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.05.023
更新日期：2014-09-01 00:00:00
abstract：:Intrahospital variations in antimicrobial profiles may be related to many factors. This study compared causative agents of nosocomial bloodstream infections between a neonatal intensive care unit (NICU) that adopted a ward-tailored antibiotic policy and adult intensive care units (ICUs). Data on organisms from blood c...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.02.032
更新日期：2012-08-01 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：:Human factors design interventions have been suggested to mitigate infection risk in health care. Among such solutions, many are easily identified and theoretically simple and quick to realize. These are called low-hanging fruit. We present a case of infection risk associated with syringe manipulation that could easil...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.03.002
更新日期：2014-06-01 00:00:00
abstract：BACKGROUND:Clostridium difficile infection (CDI) is most commonly diagnosed using toxin enzyme immunoassays (EIAs). A sudden decrease in CDI incidence was noted after a change in the EIA used at Barnes-Jewish Hospital in St Louis. The objective of this study was to determine whether the decreased CDI incidence related ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.04.002
更新日期：2012-05-01 00:00:00
abstract：BACKGROUND:A temporal artery thermometer was introduced at our hospital. Immediately staff noted subnormal temperature readings. METHODS:Three serial evaluations of patient temperatures were done: August 2000 (initial), September 2000 (posteducation), and December 2000 (after removal of temporal artery thermometer). ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2003.10
更新日期：2003-02-01 00:00:00
abstract：BACKGROUND:We used workers' compensation data to identify health care workers at risk of tuberculosis exposure in the hospital and nonhospital environment. METHODS:We identified State Fund workers' compensation claims having a documented tuberculin skin test (TST) conversion (size >or=10 mm) with a previous negative s...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2006.02.005
更新日期：2006-08-01 00:00:00
abstract：BACKGROUND:Nursing has been called for greater participation in antibiotic stewardship. Although many of the functions that are integral to successful stewardship are within the scope of bedside nurses, data evaluating nursing engagement in stewardship are limited. The objective of this study was to identify nurses' ro...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.03.028
更新日期：2018-07-01 00:00:00
