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) injection in an occupational clinical setting. METHODS:A retrospective analysis was conducted with data from 143 cases of HCWs exposed to HBV in 15 secondary and tertiary teaching hospitals between January 2005 and June 2013. Data were taken from the infection control records of each hospital. RESULTS:Active vaccination after HBV exposure was started in 119 cases (83.2%) and postvaccination testing for hepatitis B antibody showed positive seroconversion in 93% of cases. In 98 cases (68.5%), HBIG was administered within 24 hours after HBV exposure; however, 45 HCWs (31.5%) received an HBIG injection more than 24 hours postexposure and 2 among the 45 received an injection after 7 days. Although 31.5% received an HBIG injection more than 24 hours postexposure, no cases of seroconversion to hepatitis b antibody positivity occurred. CONCLUSIONS:For susceptible HCWs, HBIG administered between 24 hours and 7 days postexposure may be as effective as administration within 24 hours in preventing occupational HBV infection.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Chang HH,Lee WK,Moon C,Choi WS,Yoon HJ,Kim J,Ryu SY,Kim HA,Jo YM,Kwon KT,Kim HI,Sohn JW,Yoon YK,Jung SI,Park KH,Kwon HH,Lee MS,Kim YK,Kim YS,Hur J,Kim SWdoi
10.1016/j.ajic.2015.08.024subject
Has Abstractpub_date
2016-02-01 00:00:00pages
189-93issue
2eissn
0196-6553issn
1527-3296pii
S0196-6553(15)00941-4journal_volume
44pub_type
杂志文章,多中心研究abstract::A survey of purchasers of The APIC Curriculum for Infection Control Practice was conducted in early 1985 by the APIC Curriculum Committee to determine characteristics of purchasers, usability of the text, reasons for purchase, and availability of references cited. Data were obtained from 342 (54.3%) respondents to a n...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(85)90025-2
更新日期:1985-12-01 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:To reach and engage hospitalists in the prevention of antimicrobial resistance, the Society of Hospital Medicine and the Centers for Disease Control and Prevention developed and conducted a quality improvement workshop based on the Centers for Disease Control and Prevention's Campaign to Prevent Antimicrobia...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2007.03.006
更新日期:2007-12-01 00:00:00
abstract:OBJECTIVE:To determine whether periurethral cleaning with water before indwelling urinary catheterization increases the risk of urinary tract infections (UTIs) compared with studies using anti-infective agents. METHODS:A literature search via MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials thro...
journal_title:American journal of infection control
pub_type: 杂志文章,meta分析
doi:10.1016/j.ajic.2018.02.031
更新日期:2018-12-01 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::Surgical instrument trays are wrapped for sterilization, and these wraps are inspected by operating room personnel for defects before using the instruments. In this study, we intentionally damaged wraps, and these wraps were evaluated by operating room personnel. Examiners correctly identified a wrapper's sterile inte...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.11.031
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND:There is a large and growing body of evidence that methicillin-resistant Staphylococcus aureus (MRSA) screening programs are cost effective, but such screening represents a significant cost burden for hospitals. This study investigates the clinical, patient experience and cost impacts of performing active su...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.07.011
更新日期:2014-10-01 00:00:00
abstract::A monthly follow-up evaluation of vancomycin-resistant Enterococcus-colonized patients conducted during an outbreak in France revealed that carriage can persist for an extended period. Recurrence was observed despite as many as 3 negative cultures. As a result, we propose another definition for VRE clearance. ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2010.07.003
更新日期:2011-03-01 00:00:00
abstract::We monitored hand surface coverage technique in health care workers in a tertiary care hospital using a 5-item hand hygiene assessment tool based on World Health Organization guidelines. Overall hand hygiene compliance was 86.7% (4,300/4,960). Appropriate hand surface coverage was observed in only 7.9% (182/2,297) of ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.12.014
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVE:At present, the shortest recommended application time of alcoholic handrubs is an application interval of 30 seconds. However, application times shorter than 30 seconds are regularly practiced. Therefore, the aim of this study was to investigate whether a 15-second application time achieves a comparable wetta...
journal_title:American journal of infection control
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ajic.2018.02.015
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:Hand hygiene is an effective strategy for the prevention of health care-associated infection (HAI). We investigated the effect of a hand hygiene promotion strategy introducing alcohol-based handrub (AHBR) on the incidence of HAI in a university hospital in Colombia. METHODS:A Prospective cohort study was pe...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2010.11.004
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:Correlations between symptom documentation in medical records and patient self-report (SR) vary depending on the condition studied. Patient symptoms are particularly important in urinary tract infection (UTI) diagnosis, and this correlation for UTI symptoms is currently unknown. METHODS:This is a cross-sect...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.04.208
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:Improper disinfection of environmental surfaces contaminated by the feces or vomitus of infected patients is believed to be a major cause of the spread of noroviruses (NoV) in close institutional settings. Although several disinfectants are available, the search for safe and effective disinfectant continues....
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2005.05.012
更新日期:2006-02-01 00:00:00
abstract:BACKGROUND:Healthcare associated infections are associated with indwelling devices. Yet, data regarding prevalence of indwelling devices in noncritically ill hospitalized patients remains scant. METHODS:Adult, noncritically ill patients on general care, telemetry, and surgical floors at our quaternary care hospital we...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.06.205
更新日期:2021-02-01 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::Randomized controlled trials (RCTs) are useful in the evaluation of both new and well-established hospital infection control practices for which the benefit is unproven and not obvious. RCTs are often undertaken to resolve controversies, and many of them have a "negative" or inconclusive outcome. Well-designed RCTs wi...
journal_title:American journal of infection control
pub_type: 临床试验,杂志文章,评审
doi:10.1016/0196-6553(83)90076-7
更新日期:1983-10-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to compare the frequency of glove defects for nonlatex surgical gloves while surgeons performed routine surgery and to evaluate surgeons' satisfaction with nonlatex sterile gloves. METHODS:Two brands of latex gloves and 6 brands of nonlatex gloves were tested. Gloves were colle...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2003.12.005
更新日期:2004-08-01 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:BACKGROUND:The purpose of this study was to identify the cause of an unusual outbreak of gram-negative bacteremia in patients undergoing long-term hemodialysis. METHODS:We performed direct observation and investigation of current dialysis techniques and facilities including microbiologic sampling in a long-term hemodi...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/s0196-6553(96)90023-1
更新日期:1996-10-01 00:00:00
abstract:BACKGROUND:The hands of health care workers (HCWs) serve as a major route for transmission of nosocomial infection. Although handwashing is known to reduce cross-transmission of infection, the influence of rings on the efficacy of handwashing and the carriage of bacteria on the hands has not been well established. MET...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/s0196-6553(97)90049-3
更新日期:1997-02-01 00:00:00
abstract::To prevent central line-associated bloodstream infections (CLABSIs), leadership line care rounds (LLCRs) used the engage, educate, execute, and evaluate improvement model to audit compliance, identify barriers and opportunities, empower patients and families, and engage leadership. Findings of excellence and improveme...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.08.032
更新日期:2018-02-01 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:BACKGROUND:Community-based points of dispensing (POD) will be used during disasters to distribute mass quantities of anti-infective therapy/prophylaxis and/or vaccination to an entire community in a short period of time. Without proper planning, staff training, and implementation of infection prevention strategies, dis...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2009.09.001
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:Methicillin-resistant Staphylococcus aureus (MRSA) infections are a concern across the worldwide. METHODS:Antibiotic stewardship and hand hygiene programs were reinforced in a 2,000-bed tertiary hospital in South Korea where the methicillin resistance rate of Staphylococcus aureus is about 65%. The computer...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2012.12.018
更新日期:2013-05-01 00:00:00
abstract::To assess the implementation of hepatitis B virus (HBV) vaccination programs for hospital workers, we mailed questionnaires to all 229 licensed Michigan hospitals. The response rate was 96% (221/229); of these, 68% (150/221) had vaccination programs. Although multiple hospital characteristics were associated with the ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(88)90059-4
更新日期:1988-10-01 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::A comparison of 2 different influenza seasons (2013-2014 and 2014-2015) where early vaccination among health care providers (HCPs) in the latter was the difference. Differences in leave of absence because of influenza-like illness (ILI) (52 vs 15 [total number of leave of absence issued], P < .001) and total days of l...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.10.005
更新日期:2016-02-01 00:00:00
abstract::Clinical practice protocols for the control and prevention of respiratory infections in rehabilitation settings, especially regarding pediatric tracheostomized patients, are currently lacking. To tackle this issue, we conducted a systematization of our clinical management protocols, aiming at defining a decisional alg...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.12.015
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:The number and significance of tuberculin skin test reactions were compared with self-reported baseline values among house staff working in a public hospital. High-risk medical specialties, locations, and infection control practices were examined. METHODS:House staff interviews, tuberculin skin test applica...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/s0196-6553(96)90047-4
更新日期:1996-02-01 00:00:00
abstract:BACKGROUND:Medical devices that are used on patients in fields containing potentially infectious body fluids can become contaminated and transmit infectious agents to other sites on the patient or to other patients if the devices are not properly cleaned and decontaminated after use on each patient treatment site. One ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/s0196-6553(98)70043-4
更新日期:1998-08-01 00:00:00