Abstract:
BACKGROUND:We aimed to determine the frequency of vancomycin-resistant enterococci (VRE) infection occurrence in previously VRE-colonized children in a pediatric intensive care unit (PICU) and to identify associated risk factors. METHODS:Infection control nurses have performed prospective surveillance of health care-associated infections and rectal VRE carriage in PICUs from January 2010-December 2014. This database was reviewed to obtain information about VRE-colonized and subsequently infected patients. A case-control study was performed to identify risk factors associated with VRE infection development in previously VRE-colonized patients. RESULTS:Out of 1,134 patients admitted to the PICU, 108 (9.5%) were found to be colonized with VRE throughout the study period. Systemic VRE infections developed in 11 VRE-colonized patients (10.2%), and these included primary bloodstream infection (n = 6), urinary tract infection (n = 3), meningitis and bloodstream infection (n = 1), and meningitis (n = 1). Logistic regression analysis indicated long hospital stay (≥30 days) and glycopeptide use after detection of VRE colonization as risk factors for developing VRE infection in VRE-colonized patients (odds ratio [OR], 5.76; 95% confidence interval [CI], 1.6-15.8; P = .017 and OR, 12.8; 95% CI, 1.9-26.6; P = .012, respectively). CONCLUSIONS:VRE colonization has important consequences in pediatric critically ill patients. Strict infection control measures should be implemented to prevent VRE colonization and thereby VRE infections. Furthermore, irrational antibiotic use and particularly glycopeptide use in VRE-colonized patients should be restricted.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Sutcu M,Akturk H,Acar M,Salman N,Aydın D,Akgun Karapınar B,Ozdemir A,Cihan R,Citak A,Somer Adoi
10.1016/j.ajic.2015.11.026subject
Has Abstractpub_date
2016-05-01 00:00:00pages
515-9issue
5eissn
0196-6553issn
1527-3296pii
S0196-6553(15)01219-5journal_volume
44pub_type
杂志文章abstract:BACKGROUND:This report summarizes the scope and role of infection preventionists in emergency management for all types of disasters. Preventing the transmission of infectious agents during a disaster is an essential component of emergency management. Previous disasters have illustrated the need for better infection pre...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2008.12.002
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:Health care workers (HCWs) use their mobile phones during working hours or medical care. There is evidence that the instruments are colonized with pathogenic microorganisms. Here, we describe levels of Enterobacteriaceae contamination (EC) in cell phones and the risk factors associated with EC in Peruvian in...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.02.020
更新日期:2016-08-01 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: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:BACKGROUND:The Centers for Disease Control and Prevention recently introduced the concept of mucosal barrier injury (MBI) in an attempt to recognize the possibility of a gastrointestinal source for certain bloodstream infections. This could underestimate the central venous catheter (CVC) as the source of central line-a...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.03.011
更新日期:2016-08-01 00:00:00
abstract::The holistic principles of hygiene and public health have contributed substantially to an increase in life expectancy by more than 30 years and in life quality since the beginning of the 20th century. Frank, Pettenkofer, Nightingale, Pasteur, Lister, and Koch have been pioneering protagonists of the holistic approach ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1067/mic.2001.115680
更新日期:2001-08-01 00:00:00
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:Children in child care settings have a high infectious burden. They are frequently exposed to sanitizing and disinfecting agents, whose toxicities have not been studied in these settings. Current guidance on the preferred disinfection agents for child care is vague. METHODS:This article combines 2 different...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.06.013
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Methicillin-resistant coagulase-negative staphylococci (MRCNS) are increasing nosocomial pathogens in acute care hospital patients. However, there is little information on the epidemiology of MRCNS in skilled nursing facilities (SNFs). We report a pilot survey of the prevalence of MRCNS colonization in SNF p...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1067/mic.2000.103243
更新日期:2000-06-01 00:00:00
abstract::Researchers evaluated flexible endoscope damage and contamination levels at baseline and 2 months later. Postcleaning test results exceeded benchmarks for all gastroscopes and no colonoscopes. Microbial growth was found in samples from 47% of fully reprocessed endoscopes at baseline and 60% at follow-up. Borescope exa...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.06.029
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:We observed an increased rate of Pseudomonas aeruginosa bacteremia in our hematology unit in 2004-2007 without an identified environmental source. METHODS:We conducted a matched case-control study to investigate factors associated with P aeruginosa bacteremia in patients with hematologic malignancies. RESU...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2012.07.012
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:Despite increased focus on health care-associated infections (HAI), between 1.6 and 3.8 million HAI occur annually among the vulnerable population residing in US nursing homes (NH). This study characterized state department of health (DOH) activities and policies intended to improve quality and reduce HAI in...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.11.024
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:Increasing evidence indicates a strong association between occupational livestock contact and methicillin-resistant Staphylococcus aureus (MRSA) carriage. However, it remains unclear whether there are frequency-risk and duration-risk relations between occupational livestock contact and human MRSA carriage. ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.03.026
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Contaminated gloves are a major source of transmission of bacteria in the hospital and food industry. We investigated the efficacy of gloves impregnated with a combination of antiseptics consisting of brilliant green dye and chlorhexidine (Gardine). METHODS:Gardine-coated and uncoated 1-cm(2) segments of la...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2008.07.003
更新日期:2009-05-01 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::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::Cleaning reusable medical devices removes organic and inorganic soil, which allows for effective disinfection and sterilization. However, it is not always clear what variables to consider when validating cleaning. This study compared the ability of 3 different cleaning agents (ie, water, alcohol, and bleach) to remove...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.07.025
更新日期:2017-02-01 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::A nurse-to-patient transmission of HIV type 1 was recently documented in a French hospital. The origin of the transmission remained unclear. To inform patients who may have been exposed to the nurse while they had received care, a lookback investigation that included mailings and a viral screening was conducted for 75...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1067/mic.2002.119926
更新日期:2002-06-01 00:00:00
abstract::A telephone survey involving 200 household members in and around Seoul, South Korea, was completed during the maturity stage of the outbreak of Middle East respiratory syndrome (MERS) in Korea during June 2015. The study found that respondents perceived low risk from contracting MERS, had low trust in government in co...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.03.014
更新日期:2016-11-01 00:00:00
abstract::The Veterans Affairs methicillin-resistant Staphylococcus aureus (MRSA) Prevention Initiative was implemented in its 133 long-term care facilities in January 2009. Between July 2009 and December 2012, there were ~12.9 million resident-days in these facilities nationwide. During this period, the mean quarterly MRSA adm...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.06.004
更新日期:2014-01-01 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::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:Since the introduction in the 1970s of surgical hand scrub formulations that contain 4% chlorhexidine gluconate (CHG), new surgical scrub formulations that have improved efficacy, persistence, or significantly improved use characteristics have not been forthcoming. In addition, the manufacturer's labeling fo...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/s0196-6553(98)70024-0
更新日期:1998-10-01 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::The antibacterial efficacy of three alcohol-based products (liquid and gel) were tested on the hands with blood and contaminated with Serratia marcescens (ATCC 14756), using EN 1500 procedures in 14 healthy volunteers. The alcohol-based products tested, either gel or liquid-based, reached bacterial reduction levels hi...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2010.12.018
更新日期:2011-11-01 00:00:00
abstract::The failure of the 1982-1983 influenza vaccine to protect elderly NHCU residents from clinical infection with influenza A/Philippines/2/82 resulted primarily from antigenic drift of the epidemic strain, inasmuch as the attack rates in the vaccinated and nonvaccinated patients were not significantly different. This exp...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(84)90005-1
更新日期:1984-12-01 00:00:00
abstract::This article is an executive summary of the APIC Elimination Guide for methicillin-resistant Staphylococcus aureus infection in long-term care facilities. Infection preventionists are encouraged to obtain the original, full-length APIC Elimination Guides for more thorough coverage of methicillin-resistant Staphylococc...
journal_title:American journal of infection control
pub_type: 杂志文章,实务指引
doi:10.1016/j.ajic.2010.10.008
更新日期:2011-04-01 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:The potential risks associated with "toilet plume" aerosols produced by flush toilets is a subject of continuing study. This review examines the evidence regarding toilet plume bioaerosol generation and infectious disease transmission. METHODS:The peer-reviewed scientific literature was searched to identify...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2012.04.330
更新日期:2013-03-01 00:00:00