Abstract:
BACKGROUND:Many hand hygiene (HH) programs have been implemented across Sub-Saharan Africa (SSA); however, most of these have been in large, referral hospitals. Our objective was to assess the impact of HH programs aimed at improving compliance at a rural hospital, and to identify unique challenges to HH sustainability. METHODS:Interventions to improve HH through providing handwashing stations, health care worker (HCW) training, and alcohol handrub were completed in 2014 and 2015. HH infrastructure, compliance, and glove use were assessed among HCWs after the intervention in 2015 and 2016. HCWs were interviewed about challenges to sustainability of HH compliance. RESULTS:Total HH compliance decreased 32.1% between 2015 and 2016 (P < .001). HH for patient protection was completed significantly less than HH for HCW protection in 2016, and HCWs appeared to substitute HH for patient protection with glove use. A high rate of physician turnover was associated with a larger decrease in HH compliance compared with nurses, and interviews suggested recruiting and retention of key personnel might play a role in HH sustainability. Availability of alcohol-based handrub in patient rooms decreased from 100% in 2015 to 79.5% in 2016 (P < .01). CONCLUSIONS:Many challenges exist to sustaining HH compliance in SSA. In rural settings, difficulty recruiting and retaining trained personnel, inconsistent availability in HH infrastructure, and variability in HCW HH training may be contributing factors.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Holmen IC,Niyokwizerwa D,Nyiranzayisaba B,Singer T,Safdar Ndoi
10.1016/j.ajic.2017.04.006subject
Has Abstractpub_date
2017-08-01 00:00:00pages
855-859issue
8eissn
0196-6553issn
1527-3296pii
S0196-6553(17)30298-5journal_volume
45pub_type
杂志文章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::The infection control team in a university hospital designed, implemented, and evaluated a program to audit infection control policies. Process surveillance techniques of observation and monitoring were used during surveys of patient care areas to evaluate infection control practices. Nineteen unit surveys have been c...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(84)90113-5
更新日期:1984-08-01 00:00:00
abstract:BACKGROUND:Influenza causes mortality and morbidity in the frail elderly population. Influenza prevention and mitigation models need to be developed for this population. METHODS:An observational study at a Program for All-Inclusive Care for the Elderly (PACE) during years 1999-2004. Participants were frail elderly adu...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2005.02.001
更新日期:2005-05-01 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::This is the first in a series of case studies that will be published in American Journal of Infection Control following the Centers for Disease Control and Prevention/National Healthcare Safety Network (NHSN) surveillance definition update of 2013. These cases reflect some of the complex patient scenarios infection pr...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.05.009
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:In the industrial setting, employee perceptions regarding their organization's commitment to safety (i.e., safety climate) have been shown to be important correlates to both the adoption and maintenance of safe work practices and to workplace injury rates. However, safety climate measures specific to the hos...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1067/mic.2000.105288
更新日期:2000-06-01 00:00:00
abstract:BACKGROUND:A cluster of seven cases of Acinetobacter caleoaceticus anitratus in a community teaching hospital intensive care unit was discovered (the seventh case was located in a step-down unit next to an infected patient recently transferred from the intensive care unit.) METHODS:An outbreak investigation, including...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(94)90020-5
更新日期:1994-10-01 00:00:00
abstract:BACKGROUND:Vancomycin-resistant enterococci (VRE) are important nosocomial pathogens in many hospitals. The true prevalence of VRE in pediatric hospitals is not known. METHODS:A surveillance study was performed at a pediatric tertiary care medical center by using vancomycin-containing screening media. RESULTS:Six chi...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1053/ic.1998.v26.a93115
更新日期:1998-12-01 00:00:00
abstract:INTRODUCTION:Preoperative nasal mupirocin has been shown to reduce surgical site infections (SSIs) in patients undergoing cardiac surgery. We analyzed the effect of mupirocin plus antiseptic body wash on SSI rate and etiology. METHODS:Prospective SSI surveillance was done for patients undergoing cardiac surgery before...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.04.188
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Anticipated psychological responses and perceptions of risk have not been examined prior to the outbreak of an epidemic. METHODS:Using a cross-sectional, telephone survey, 805 Chinese adults in Hong Kong were interviewed anonymously in November, 2005 to examine beliefs related to H5N1 avian influenza and an...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2006.07.010
更新日期:2007-02-01 00:00:00
abstract::We aimed to validate quality assurance (QA) criteria for rectal surveillance cultures (RSCs) for extended-spectrum β-lactamase-producing Enterobacteriaceae. QA for RSCs were tested by observing the presence or absence of fecal soiling and by examining the growth of Enterobacteriaceae on MacConkey agar. Extended-spectr...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.02.036
更新日期:2017-09-01 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:BACKGROUND:Multidrug-resistant (MDR) Acinetobacter baumannii (MDR-AB) is an important nosocomial pathogen associated with significant morbidity and mortality. METHODS:We conducted a prospective cohort study of intensive care unit patients colonized or infected with MDR-AB at a tertiary care hospital from October 2008 ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2010.09.005
更新日期:2011-11-01 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:BACKGROUND:There is a lack of empiric evidence regarding the optimal approach to controlling the transmission of extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-E) and carbapenem-resistant Enterobacteriaceae (CRE). In this context, we expect that infection control practices for these organisms vary wid...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2011.11.008
更新日期:2012-11-01 00:00:00
abstract::This article catalogs some of the Centers for Disease Control and Prevention's (CDC) more important information resource offerings, which make public health information accessible via computer and automated telephone systems and on electronic media (diskette and CD-ROM). We review mechanisms for (1) finding and retrie...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/s0196-6553(96)90038-3
更新日期:1996-12-01 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: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::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::To reduce surgical site infections (SSIs) in colorectal surgeries we introduced a bundle of care elements in partnership with the Enhanced Recovery after Surgery (ERAS) multidisciplinary team. We measured the incidence of National Healthcare Safety Network-defined SSIs, along with adherence to bundle care elements. De...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.11.004
更新日期:2019-06-01 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: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: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:Nosocomial infection (NI) is a cause of patient morbidity and mortality. Conducting an audit of deaths due to NI is a potentially useful approach to improving professional standards. In France, these deaths are required to be reported, but the reporting is left to clinicians, who often do not comply. The aim...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2010.04.216
更新日期:2011-03-01 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::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:Point prevalence surveys (PPSs) in Japanese hospitals have not yet been reported. The purpose of this pilot PPS study was to evaluate the epidemiology of health care-associated infections (HAIs) and antimicrobial use in a Japanese tertiary university hospital. METHODS:A 1-day, cross-sectional PPS was perfor...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.03.045
更新日期:2016-07-01 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 Association for Professionals in Infection Control and Epidemiology (APIC) MegaSurvey, administered in 2015, was completed by approximately 4,079 APIC members. The survey sought to gain a better understanding the current state of 4 components of infection prevention practice: demographic characteristics,...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.03.021
更新日期:2017-06-01 00:00:00
abstract::Because the absolute numbers of both community-acquired and nosocomial rotavirus gastroenteritis (RVGE) vary, we studied the percentage of hospitalizations for RVGE that were transmitted nosocomially as an indicator of in-hospital acquisition of the infection. In a 4-year prospective study, the percentage of nosocomia...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2010.06.008
更新日期:2011-03-01 00:00:00