Abstract：
BACKGROUND:Health care-associated infections (HCAIs) are preventable with adoption of recognized preventive measures. The first step is to identify patients at higher risk of HCAI. This study aimed to identify patient risk factors (RFs) present on admission and acquired during inpatient stay which could be associated with higher risk of acquiring HCAI. METHODS:A case-control study was conducted in adult patients admitted during 2011 who were hospitalized for >48 hours. Cases were patients with HCAIs. Controls were selected in a ratio of 3:1, case matched by the admission date. The likelihood of increased HCAI was determined through binary logistic regression. RESULTS:RFs identified as being the more relevant for HCAI were being a man (odds ratio [OR], 2.4; 95% confidence interval [CI], 1.2-4.7), being aged >50 years (OR, 2.9; 95% CI, 1.3-6.9), and having an insertion of a central venous line during hospital stay (OR, 12.4; 95% CI, 5.0-30.5). CONCLUSIONS:RFs that showed statistical significance on admission were the patient's intrinsic factors, and RFs acquired during hospitalization were extrinsic RFs. When a set of RFs were present, the presence of a central venous line proved to be the more relevant one.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Ferreira E,Pina E,Sousa-Uva M,Sousa-Uva Adoi
10.1016/j.ajic.2017.03.036subject
Has Abstractpub_date
2017-10-01 00:00:00pages
e103-e107issue
10eissn
0196-6553issn
1527-3296pii
S0196-6553(17)30292-4journal_volume
45pub_type
杂志文章abstract：:Personal protective equipment (PPE) training aims to reinforce the Centers for Disease Control and Prevention guidelines for donning and doffing; however, many health care and ancillary personnel use non-guideline methods to don and doff their PPE gowns and gloves. We found that hospital personnel commonly deviated fr...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.03.013
更新日期：2019-09-01 00:00:00
abstract：BACKGROUND:We sought to measure the incidence rate of catheter-associated urinary tract infections (CAUTIs), identify risk factors associated with acquiring the infections; and identify the etiologic and antibiotic resistant patterns associated with CAUTIs in the intensive care units (ICUs) of a large University Hospit...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.06.011
更新日期：2010-04-01 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: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: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:A cross-sectional study was conducted in a large university hospital in Belo Horizonte, Minas Gerais, Brazil to evaluate surgical glove integrity after use during surgery. METHODS:This 6-month study was conducted by a gastroenterological, cardiovascular, and pediatric surgical team consisting of surgeons (m...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.06.021
更新日期：2014-10-01 00:00:00
abstract：BACKGROUND:Nursing engagement in antibiotic stewardship programs (ASPs) remains suboptimal. The purpose of this study was to determine the knowledge, attitudes, and practices of nursing staff members regarding ASPs and identify barriers to their participation in such programs. METHODS:This cross-sectional study was co...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.09.008
更新日期：2019-03-01 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：BACKGROUND:Annual influenza vaccination is recommended for all persons aged ≥6 months. The objective of this study was to assess trends in racial/ethnic disparities in influenza vaccination coverage among adults in the United States. METHODS:We analyzed data from the 2007-2012 National Health Interview Survey (NHIS) a...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.03.021
更新日期：2014-07-01 00:00:00
abstract：BACKGROUND:Optimal usability is crucial in providing protection for health care workers who are exposed to severe acute respiratory syndrome day and night while taking care of patients with the virus. No research study has yet tested the usability of personal protective clothing (PPC). METHOD:The study was carried out...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2003.08.004
更新日期：2004-04-01 00:00:00
abstract：BACKGROUND:The reasons for gloving-up for surgery are to protect the surgical field from microorganisms on the surgeon's hands and protect the surgeon from the patient's microorganisms. This study measured the concentration of bacteria passing through glove punctures under surgical conditions. METHODS:Double-layered s...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.06.013
更新日期：2010-03-01 00:00:00
abstract：:This study explored the self-reported behaviors and perceptions of Australian paramedics in relation to their environmental hygiene practices. A national online survey was conducted with Paramedics Australasia members (N = 417). Participants reported working in ambulances often contaminated with body fluids. Widesprea...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.11.007
更新日期：2018-06-01 00:00:00
abstract：INTRODUCTION:Reverse osmosis (RO), a major advance in hemodialysis (HD) safety, effectively clears most water organisms. Delftia acidovorans is an environmental water-borne pathogen that is rarely reported to cause human infections. We report a pseudo outbreak caused by colonization of RO machines with D acidovorans wi...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.11.027
更新日期：2020-03-01 00:00:00
abstract：BACKGROUND:In the current COVID-19 pandemic, aggressive Infection Prevention and Control (IPC) measures have been adopted to prevent health care-associated transmission of COVID-19. We evaluated the impact of a multimodal IPC strategy originally designed for the containment of COVID-19 on the rates of other hospital-ac...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.10.019
更新日期：2020-11-04 00:00:00
abstract：BACKGROUND:Ventilator-associated events are common in mechanically ventilated patients. They are associated with more days on mechanical ventilation, longer intensive care unit (ICU) stay, and increased risk of mortality. Theoretically, interventions that prevent ventilator-associated events should also reduce associat...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.06.022
更新日期：2019-01-01 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：:Methicillin-resistant Staphylococcus aureus (MRSA) health care-associated infections (HAIs) are a cause of extended hospitalizations and escalating health care costs. We typed 49 MRSA HAIs and their corresponding admission nasal MRSA isolates to determine strain-relatedness and better define the role of anterior nares...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.05.026
更新日期：2015-10-01 00:00:00
abstract：BACKGROUND:Ventilator-associated pneumonia (VAP) is a nosocomial pneumonia that develops in patients on mechanical ventilation for >or=48 hours. VAP develops at an estimated rate of 1% to 3% per day of mechanical ventilation. METHODS:Quality improvement project. Mechanically ventilated patients received the following ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2008.12.007
更新日期：2009-09-01 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:To determine if ending the practice of administering prophylactic antibiotics prior to the placement of totally implantable venous access devices (TIVADs) is correlated with an increase in 30-day bloodstream infection-related TIVADs removals. METHODS:The practice of administering prophylactic antibiotics pr...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.06.028
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:Acinetobacter baumannii and Staphylococcus aureus have persisted as 2 major pathogens worldwide. AIM:We designed a prevalence study to investigate the prevalence of nasal carriage of S aureus and A baumannii in long-term-care facilities (LCTFs) and their collaborative community hospitals. In addition, we ai...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.02.005
更新日期：2017-07-01 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：BACKGROUND:Insufficient use of behavioral theory to understand health care workers' (HCWs) hand hygiene compliance may result in suboptimal design of hand hygiene interventions and limit effectiveness. Previous studies examined HCWs' intended, rather than directly observed, compliance and/or focused on just 1 behaviora...
journal_title：American journal of infection control
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ajic.2013.07.019
更新日期：2014-02-01 00:00:00
abstract：BACKGROUND:Total abdominal hysterectomy, a common operative procedure, is infrequently accompanied by incisional wound infection. No recent study has examined the excess hospital stay attributable to such infections. METHODS:This historical cohort study of cases and matched controls was performed in a tertiary care un...
journal_title：American journal of infection control
pub_type： 临床试验,杂志文章
doi：10.1016/0196-6553(93)90032-y
更新日期：1993-08-01 00:00:00
abstract：BACKGROUND:Previous studies have drawn different conclusions about the impact of Candida airway colonization on clinical outcomes in patients with ventilator-associated pneumonia (VAP). METHODS:We searched PubMed, the Cochrane Library, Embase (via OVID), and Web of Science database. We included both retrospective and ...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2019.11.002
更新日期：2020-06-01 00:00:00
abstract：BACKGROUND:Certified Nursing Assistants (CNAs) frequently wear gloves when they care for patients in standard precautions. If CNAs use gloves inappropriately, they may spread pathogens to patients and the environment, potentially leading to health care-associated infections (HAIs). METHODS:Using a descriptive structur...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.02.017
更新日期：2017-09-01 00:00:00
abstract：:The concept of nosocomial versus community-acquired infection is an important one in terms of hospital surveillance and infection control. Risk factors, time of onset, and type of organism are presented in tabular form to assist in classifying infection in the newborn. ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(80)80001-0
更新日期：1980-11-01 00:00:00
abstract：:We investigated the occurrence of Pseudomonas aeruginosa in our neonatal and adult intensive care units. Using enterobacterial repetitive intergenic consensus polymerase chain reaction, we showed spatial and temporal associations with clonal identity between patients' and adjacent faucets' clones. Both units' taps wer...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.05.029
更新日期：2017-02-01 00:00:00
abstract：BACKGROUND:Handwashing with soap or another antisepsis disinfectant solution is a common practice in Vietnam, but the availability and quality of tap water is unpredictable. We assessed the risk for hand contamination and compared the efficacy of 5 hand hygiene methods in a tertiary Vietnamese hospital. METHODS:Five f...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.07.013
更新日期：2014-02-01 00:00:00
abstract：BACKGROUND:Infection prevention is a profession that requires highly specified skills and clinical experience. Infection Preventionists (IPs) direct interventions that protect patients from health care-associated infections across clinical and community settings. To enhance the hiring and recruitment of diverse IPs, it...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.07.024
更新日期：2021-01-01 00:00:00
