Lack of Comprehensive Outbreak Detection in Hospitals.

abstract：OBJECTIVE:To characterize occupationally acquired human immunodeficiency virus (HIV) infection detected through case surveillance efforts in the United States. DESIGN:National surveillance systems, based on voluntary case reporting. SETTING:Healthcare or laboratory (clinical or research) settings. PATIENTS:Healthcar...

journal_title：Infection control and hospital epidemiology

authors： Do AN,Ciesielski CA,Metler RP,Hammett TA,Li J,Fleming PL

更新日期：2003-02-01 00:00:00

abstract：OBJECTIVE:Flash sterilization is most commonly used for emergency sterilization of unwrapped items in a gravity displacement sterilizer for three minutes. Sterilization quality assurance is monitored by biological indicators that require a 24-hour incubation prior to reading. In this study, we compared a new biological...

journal_title：Infection control and hospital epidemiology

authors： Rutala WA,Gergen MF,Weber DJ

更新日期：1993-07-01 00:00:00

abstract：OBJECTIVE:To confirm the vertical transmission of Citrobacter diversus from a mother to her infant and to evaluate the epidemiologic usefulness of a new automated procedure for analysis of polymerase chain reaction (PCR)-generated DNA fingerprints. DESIGN:Repetitive element-based PCR (rep-PCR) analysis of C diversus i...

journal_title：Infection control and hospital epidemiology

authors： Harvey BS,Koeuth T,Versalovic J,Woods CR,Lupski JR

更新日期：1995-10-01 00:00:00

abstract：:OBJECTIVESThe risk of cross infection in a busy emergency department (ED) is a serious public health concern, especially in times of pandemic threats. We simulated cross infections due to respiratory diseases spread by large droplets using empirical data on contacts (ie, close-proximity interactions of ≤1m) in an ED t...

journal_title：Infection control and hospital epidemiology

authors： Hertzberg VS,Wang YA,Elon LK,Lowery-North DW

更新日期：2018-06-01 00:00:00

abstract：:We describe the prevalence of and risk factors for colonization with extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-EB) in the long-term care facility (LTCF) setting. Colonization prevalence differed significantly across the 3 LTCFs evaluated in the study, with recent use of levofloxacin and fecal in...

journal_title：Infection control and hospital epidemiology

authors： Lautenbach E,Han J,Santana E,Tolomeo P,Bilker WB,Maslow J

更新日期：2012-03-01 00:00:00

abstract：OBJECTIVE:In patients with smear-positive pulmonary tuberculosis who are hospitalized or reside in congregate settings, guidelines recommend airborne infection isolation until sputum smear results are negative. Studies have identified factors associated with delayed sputum smear and culture conversion in patients with ...

journal_title：Infection control and hospital epidemiology

authors： Horne DJ,Johnson CO,Oren E,Spitters C,Narita M

更新日期：2010-01-01 00:00:00

abstract：:A surgeon-specific computer-generated monthly questionnaire was used to improve surveillance of surgical wound infections in outpatients as well as inpatients following discharge. From July 1988 through June 1989, 20,536 surgical procedures were performed at our medical center, of which 53% were for outpatients. The t...

journal_title：Infection control and hospital epidemiology

authors： Manian FA,Meyer L

更新日期：1990-10-01 00:00:00

abstract：OBJECTIVE:To devise a system for surveying the frequency of nosocomial infections in a tertiary care hospital in a developing country. DESIGN:Prospective selective surveillance by nurses of the charts of patients at high risk for nosocomial infections, as identified by a form completed by resident physicians. The sens...

journal_title：Infection control and hospital epidemiology

authors： Lima NL,Pereira CR,Souza IC,Facanha MC,Lima AA,Guerrant RL,Farr BM

更新日期：1993-04-01 00:00:00

abstract：OBJECTIVE:To describe the rate, risk factors, and outcome of ventilator-associated pneumonia (VAP) in pediatric patients. METHODS:This prospective surveillance study of VAP among all patients receiving mechanical ventilation for 48 hours or more admitted to a pediatric intensive care unit (PICU) in Saudi Arabia from M...

journal_title：Infection control and hospital epidemiology

authors： Almuneef M,Memish ZA,Balkhy HH,Alalem H,Abutaleb A

更新日期：2004-09-01 00:00:00

abstract：:We evaluated the impact of reflex urine culture screen results on antibiotic initiation. More patients with positive urine screen but negative culture received antibiotics than those with a negative screen (30.5 vs 7.1%). Urine screen results may inappropriately influence antibiotic initiation in patients with a low l...

journal_title：Infection control and hospital epidemiology

authors： Klein CN,Elman MR,Townes JM,Lewis JS,McGregor JC

更新日期：2020-09-01 00:00:00

abstract：:During the closing years of the 20th century, there has been an unprecedented number of newly recognized infectious agents and a resurgence of infectious diseases only recently thought to be conquered. These problems have been compounded by the increasing number of pathogens that have evolved resistance to antimicrobi...

journal_title：Infection control and hospital epidemiology

authors： Ostroff SM

更新日期：1996-08-01 00:00:00

abstract：:An episode of acute hepatitis in a patient with hemophilia during immunoadsorption therapy initially was misinterpreted as a reactivated hepatitis C virus (HCV) infection, but ultimately was shown to be an exogenous reinfection during cohort treatment with another HCV-positive patient. This incident illustrates that p...

journal_title：Infection control and hospital epidemiology

authors： Kaiser R,Geulen O,Matz B,Brackmann HH,Spengler U,Kramer MH,Exner M,Nettekoven W,Ko YD,Zeitler H,Vetter H

更新日期：2002-06-01 00:00:00

abstract：OBJECTIVE:Identify independent risk factors associated with the development of nosocomial bacteremia. DESIGN:Exploratory, unmatched, case-control study. SETTING:A 970-bed Spanish university hospital. PATIENTS:All non-neutropenic adult patients with nosocomial bacteremia admitted during a 12-month period were eligibl...

journal_title：Infection control and hospital epidemiology

authors： Trilla A,Gatell JM,Mensa J,Latorre X,Almela M,Soriano E,Jimenez de Anta MT,Garcia San Miguel J

更新日期：1991-03-01 00:00:00

abstract：:We observed bacterial or fungal coinfections in COVID-19 patients admitted between March 1 and April 18, 2020 (152 of 4,267, 3.6%). Among these patients, mortality was 57%; 74% were intubated; 51% with bacteremia had central venous catheters. Time to culture positivity was 6-7 days, and 79% had received prior antibiot...

journal_title：Infection control and hospital epidemiology

authors： Nori P,Cowman K,Chen V,Bartash R,Szymczak W,Madaline T,Punjabi Katiyar C,Jain R,Aldrich M,Weston G,Gialanella P,Corpuz M,Gendlina I,Guo Y

更新日期：2021-01-01 00:00:00

abstract：:We assessed hand hygiene adherence in 2 infectious disease units. In one unit, adherence declined slightly from year 1 (84.2%) to year 4 (71.0%) after a multimodal intervention but remained much higher than before intervention. Adherence dropped in the second unit after a loss of leadership (from 50.7% to 5.7%). Stron...

journal_title：Infection control and hospital epidemiology

authors： Lieber SR,Mantengoli E,Saint S,Fowler KE,Fumagalli C,Bartolozzi D,Magistri L,Niccolini F,Bartoloni A

更新日期：2014-03-01 00:00:00

abstract：OBJECTIVE:To determine knowledge and attitudes about pertussis and pertussis vaccination among healthcare workers (HCWs). DESIGN:Self-administered, Web-based survey. SETTING:Tertiary-care academic medical center. PARTICIPANTS:Medical center employees who participated in direct patient care were recruited to complete...

journal_title：Infection control and hospital epidemiology

authors： Goins WP,Schaffner W,Edwards KM,Talbot TR

更新日期：2007-11-01 00:00:00

abstract：:A point prevalence survey was conducted on May 11, 2017, among inpatients at 6 hospitals in Saudi Arabia. The overall point prevalence was 6.8% (114 of 1,666). The most common types of infections were pneumonia (27.2%), urinary tract infections (20.2%), and bloodstream infections (10.5%). Approximately 19.2% of health...

journal_title：Infection control and hospital epidemiology

authors： Alshamrani MM,El-Saed A,Alsaedi A,El Gammal A,Al Nasser W,Nazeer S,Balkhy HH

更新日期：2019-03-01 00:00:00

abstract：OBJECTIVE:Laboratory investigations were initiated with a povidone-iodine antiseptic solution that was intrinsically contaminated with Pseudomonas cepacia. These investigations were helpful in understanding the microbicidal and chemical properties of iodophor solutions and the mechanism by which P cepacia can survive i...

journal_title：Infection control and hospital epidemiology

authors： Anderson RL,Vess RW,Carr JH,Bond WW,Panlilio AL,Favero MS

更新日期：1991-05-01 00:00:00

abstract：OBJECTIVE:To determine the rates of and risk factors for carriage and acquisition of extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae during hospitalization. DESIGN:Cohort study. SETTING:Shaare Zedek Medical Center, a 550-bed teaching hospital. METHODS:During a 5-month period (February 1-June 30,...

journal_title：Infection control and hospital epidemiology

authors： Friedmann R,Raveh D,Zartzer E,Rudensky B,Broide E,Attias D,Yinnon AM

更新日期：2009-06-01 00:00:00

abstract：:OBJECTIVE Recerntly, the role of the healthcare network, defined as a set of hospitals linked by patient transfers, has been increasingly considered in the control of antimicrobial resistance. Here, we investigate the potential impact of nursing homes on the spread of antimicrobial-resistant pathogens across the healt...

journal_title：Infection control and hospital epidemiology

authors： van den Dool C,Haenen A,Leenstra T,Wallinga J

更新日期：2016-07-01 00:00:00

abstract：:This study was conducted to evaluate the effect of normal use on latex glove integrity in a flow cytometry laboratory. The gloves were tested using the 1,000 microL water-tight test and met industrial standards (less than 4% leakage) before, but not after use. More durable gloves, or more frequent changes of gloves, m...

journal_title：Infection control and hospital epidemiology

authors： Cappuccio WR,Lees PS,Breysse PN,Margolick JB

更新日期：1997-06-01 00:00:00

abstract：:Multiple cultures were positive for Bacillus cereus during routine quality assurance testing of a pharmacy robot that prepares intravenous medications. An investigation confirmed bacterial contamination of the robot as well as drug product made by the robot. The process and outcomes of the investigation are described ...

journal_title：Infection control and hospital epidemiology

authors： Cluck D,Williamson JC,Glasgo M,Diekema D,Sherertz R

更新日期：2012-05-01 00:00:00

abstract：OBJECTIVE:To assess the ability of a protective isolation room ventilation system to reduce patient exposure to airborne infectious agents, using a small-scale model that permits cost-effective and unobtrusive study of relevant indices of performance. DESIGN:A one-half scale model of a protective isolation room at the...

journal_title：Infection control and hospital epidemiology

authors： Marshall JW,Vincent JH,Kuehn TH,Brosseau LM

更新日期：1996-01-01 00:00:00

abstract：OBJECTIVE:To assess the effect of multiple sources of bias on state- and hospital-specific National Healthcare Safety Network (NHSN) laboratory-identified Clostridium difficile infection (CDI) rates. DESIGN:Sensitivity analysis. SETTING:A total of 124 New York hospitals in 2010. METHODS:New York NHSN CDI events from...

journal_title：Infection control and hospital epidemiology

authors： Haley VB,DiRienzo AG,Lutterloh EC,Stricof RL

更新日期：2014-01-01 00:00:00

abstract：OBJECTIVE:The sterility assurance level of 10(-6) is an established standard that defines the quality of sterile products. The aim of the present study was to develop a method that correlated the results from microbial-barrier testing of flexible sterile barrier systems with the estimated microbial challenge that the p...

journal_title：Infection control and hospital epidemiology

authors： Dunkelberg H,Schmelz U

更新日期：2009-02-01 00:00:00

abstract：:Nine hundred sixteen cultures were obtained from homes of patients with cystic fibrosis, control homes, salad bars, and food markets, and analyzed for the presence of Pseudomonas cepacia and related bacteria. P cepacia was recovered from 5 (18%) of 27 homes, and from 20 (4%) of 509 cultures collected outside of homes....

journal_title：Infection control and hospital epidemiology

authors： Mortensen JE,Fisher MC,LiPuma JJ

更新日期：1995-01-01 00:00:00

abstract：:A case-control study of patients with and without confirmed UTI was performed to identify risk factors for nosocomial UTI. Duration of hospitalization, unit of admission, history of diabetes mellitus or debilitating diseases, and duration and number of urinary catheters were independently associated with increased ris...

journal_title：Infection control and hospital epidemiology

authors： Al-Helali NS,Al-Asmary SM,Abdel-Fattah MM,Al-Jabban TM,Al-Bamri AL

更新日期：2004-11-01 00:00:00

abstract：OBJECTIVE:To determine the impact of the introduction of a plastic shield-shaped device (Needleguard, Biosafe, Auckland, New Zealand) and education program designed to allow safer recapping, on recorded rates of needlestick injury. DESIGN:A before-after trial with a two-year duration of follow-up. SETTING:Tertiary re...

journal_title：Infection control and hospital epidemiology

authors： Whitby M,Stead P,Najman JM

更新日期：1991-04-01 00:00:00

abstract：OBJECTIVE:Surgical site infection (SSI) surveillance represents a key method of nosocomial infection control programs worldwide. However, most SSI surveillance systems are considered to be poorly cost effective regarding human and economic resources required for data collection and patient follow up. This study aims to...

journal_title：Infection control and hospital epidemiology

authors： Grammatico-Guillon L,Baron S,Gaborit C,Rusch E,Astagneau P

更新日期：2014-06-01 00:00:00

abstract：:Evidence that genes were transferred during evolution from plants to bacteria was obtained from nucleotide and protein sequence analyses. However, the extent of such transfers among phylogenetically distant organisms is limited by various factors, including those related to complexity of the environment and those endo...

journal_title：Infection control and hospital epidemiology

authors： Bertolla F,Kay E,Simonet P

更新日期：2000-06-01 00:00:00