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 integrity with an overall 56.1% accuracy, with correct identification of 67.2% for defects between 2 and 5 cm. However, studies have shown bacterial contamination through defects as small as 1.1 mm. This study suggests that the current method for assessing sterility is inadequate.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Mobley KS,Jackson JB 3rddoi
10.1016/j.ajic.2017.11.031subject
Has Abstractpub_date
2018-07-01 00:00:00pages
837-839issue
7eissn
0196-6553issn
1527-3296pii
S0196-6553(17)31300-7journal_volume
46pub_type
杂志文章abstract::Chlorhexidine gluconate (CHG) decreases hospital-acquired methicillin-resistant Staphylococcus aureus (MRSA) that can cause colonization and infection. A standard approach is the bathing of all patients with CHG to prevent MRSA transmission. To decrease CHG utilization, this study assessed selective daily administrati...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.12.026
更新日期:2014-05-01 00:00:00
abstract::We surveyed Ohio acute care hospitals on laboratory testing used for diagnosis of Clostridium difficile infection (CDI). Of 146 hospitals surveyed, 109 (84%) used nucleic acid amplification tests (NAATs) as stand-alone diagnostic assays. Only 53 (42.4%) hospitals using NAATs had a mechanism in place to prevent repeat ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.09.007
更新日期:2017-03-01 00:00:00
abstract::Healthcare facility-onset Clostridioides difficile infection rates substantially dropped in a Mexican hospital after its conversion to a full COVID-19 setting, despite heavy contamination of the environment the previous year. Better adherence to hand hygiene and contact precautions may help explain this finding. ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.12.008
更新日期:2020-12-19 00:00:00
abstract::Electronic monitoring of hand hygiene compliance using the World Health Organization's My 5 Moments for Hand Hygiene is a new innovation that has not yet been shown to reduce hospital infections. We analyzed existing data from 23 inpatient units over a 33-month period and found a significant correlation between unit-s...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.04.215
更新日期:2016-08-01 00:00:00
abstract::In this study examining public health workers' 2009 H1N1 and seasonal influenza vaccination uptake, a survey was conducted to assess flu vaccine acceptance, as well as behaviors and beliefs regarding acceptance, among public health workers in southeastern Tennessee. Factors found to be significantly associated with ac...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2011.05.010
更新日期:2012-04-01 00:00:00
abstract::Handwashing is the single most important procedure in the prevention of nosocomial infections and yet it remains the most violated of all infection control procedures. With a sequential intervention study in an intensive care unit we have demonstrated that poor handwashing practices are associated with a high nosocomi...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(89)90002-3
更新日期:1989-12-01 00:00:00
abstract:BACKGROUND:Methicillin-resistant Staphylococcus aureus (MRSA) is responsible for many hospital-associated infections. Both MRSA-colonized and MRSA-infected patients must be isolated on contact precautions per the Centers for Disease Control and Prevention guidelines. This study evaluates the current practice for removi...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.02.006
更新日期:2019-08-01 00:00:00
abstract::Healthcare systems are expanding, no longer bound by county, state or country, thus necessitating the importance of consistent and standardized guidelines for the management and control of communicable diseases, including influenza. As a healthcare system consisting of diverse facilities with a focus not only on safe ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.05.006
更新日期:2020-11-01 00:00:00
abstract:BACKGROUND:Needleless connectors (NCs) were introduced to reduce health care work needlestick injuries (NSIs). If not decontaminated prior to use, NCs can be a portal for patient blood stream infections. The optimal disinfectant, and its application duration, for NC decontamination has not been empirically established....
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.11.030
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:This study was conducted to evaluate the ongoing transmission of methicillin-resistant Staphylococcus aureus (MRSA) in a 10-bed trauma intensive care unit (TICU) in a large teaching hospital. METHODS:Surveillance cultures for MRSA were obtained on admission to the TICU. Colonized or infected patients were p...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2007.05.013
更新日期:2008-03-01 00:00:00
abstract::There are no standard guidelines for infection prevention and control practices among solid organ transplantation centers. To characterize the differences in infection prevention and control strategies, an electronic survey was performed in 2015 among members of American Society of Transplantation Infectious Diseases ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.06.020
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Clostridium difficile is the usual and most important cause of antibiotic-associated pseudomembranous enterocolitis. The source of nosocomial acquisition of the organism in nonepidemic settings has not been determined. METHODS:Epidemiologic and microbiologic studies were conducted in a community-teaching ho...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(94)90070-1
更新日期:1994-08-01 00:00:00
abstract::Urinary tract infections are one of the most common hospital-acquired infections, with 70%-80% resulting from catheter-associated urinary tract infections (CAUTIs). We undertook a qualitative study to assess patient perspectives of indwelling urinary catheters using a semistructured interview. We found that patient aw...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.10.011
更新日期:2016-03-01 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:OBJECTIVE:This study describes the organization of infection control committees in a Brazilian multihospital system, identifying their major problems. Our goal is to discuss the main deficiencies in infection control and to target some interventions that can improve the efficiency of these actions in Brazilian hospital...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1053/ic.1999.v27.a98520
更新日期:1999-06-01 00:00:00
abstract:BACKGROUND:Contributions of contaminated wheelchairs to nosocomial pathogen transmission are relatively unknown. Our aim was to develop a model predicting pathogen exposures for patients utilizing wheelchairs and estimate exposure reduction potential of wheelchair disinfection between rides. METHODS:An agent-based mod...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.06.204
更新日期:2021-02-01 00:00:00
abstract:BACKGROUND:This study examines how well regulations for bloodborne pathogens (BBPs), established primarily to reduce exposure risk for health care workers, are being followed by workers and employers in the tattooing and body piercing industry. METHOD:Twelve shops performing tattooing and/or body piercing (body art) i...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2009.07.008
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:Stethoscopes are contaminated with bacteria, but predictors of stethoscope disinfection frequency are unknown. We sought to describe health care provider stethoscope disinfection attitudes and practices and determine predictors of frequent disinfection. METHODS:We used an anonymous online survey of nurses, ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2011.11.021
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:Lack of guideline knowledge and cognitive biases are barriers that drive overtreatment of catheter-associated asymptomatic bacteriuria (ASB). We explored whether providers' knowledge and attitudes toward management of ASB differed before and after a multifaceted guidelines implementation intervention, report...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.04.238
更新日期:2016-12-01 00:00:00
abstract::Disease transmission from percutaneous injury occurs in 2% to 40% of health care workers (HCWs) after exposure to the hepatitis B virus (HBV), in 3% to 10% after exposure to the hepatitis C (HCV) virus, and in 0.2% to 0.5% after exposure to the HIV virus. According to a recently published case-control study from the C...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/s0196-6553(97)90094-8
更新日期:1997-10-01 00:00:00
abstract:BACKGROUND:In 1999, licensed health care facilities in California (N = 2532) were invited to participate in a survey about occupational bloodborne pathogens exposure surveillance activities, recordkeeping methods, and use of safety-enhanced sharps devices. RESULTS:A total of 1274 facilities responded to the survey fro...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1067/mic.2002.122646
更新日期:2002-08-01 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:Health care workers are exposed to bloodborne pathogens through occupational injuries, and the replacement of sharps by safety-engineered devices has been recommended as a key preventive measure. This recommendation has been difficult to implement in Brazil. METHODS:We conducted a retrospective study of sel...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.07.017
更新日期:2014-02-01 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:BACKGROUND:Patient and visitor hand hygiene has the potential to prevent health care-associated infections, but there are few data on the efficacy of interventions to improve patient/visitor hand hygiene. OBJECTIVE:To determine whether conventional and front-line ownership (FLO) patient/visitor hand hygiene interventi...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.09.026
更新日期:2020-05-01 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: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::Despite the recent focus on prevention of health care-associated infections, rates of Candida bloodstream infections in adults have remained unchanged until recently. We report a decline of Candida bloodstream infections, not explained by changes in broad-spectrum antibiotic use, but coinciding with infection control ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.11.003
更新日期:2016-04-01 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:BACKGROUND:Meticulous care of intravenous catheters could be expected to minimize associated nosocomial bloodstream infections, but care is often suboptimal. METHODS:To examine the ostensible benefits of a professional, dedicated intravenous therapy team, we compared the secular trends in nosocomial bloodstream infect...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/s0196-6553(98)70033-1
更新日期:1998-08-01 00:00:00