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 conducted at Virginia Commonwealth University Health System, an 860-bed tertiary care academic center located in Richmond, Virginia, where a well-resourced ASP has been in place for 2 decades. A survey consisting of 12 questions was administered to nursing staff via REDCap (Research Electronic Data Capture) in February 2018. RESULTS:A total of 159 survey responses were included in the study. The results demonstrated gaps in knowledge regarding antibiotic stewardship (AS) and highlighted the importance of improving communication between nurses and ASPs. Overall, 102 (64.15%) of the study participants indicated familiarity with AS. Time constraints and concerns over physician pushback were identified as major barriers to participation. CONCLUSIONS:Many nurses were unaware of our center's ASP. Nurses identified activities falling within their daily workflow as potential areas for contribution to ASPs. Key barriers to participation were also identified. These data will inform efforts to engage nursing in AS activities at our medical center.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Abbas S,Lee K,Pakyz A,Markley D,Cooper K,Vanhoozer G,Doll M,Bearman G,Stevens MPdoi
10.1016/j.ajic.2018.09.008subject
Has Abstractpub_date
2019-03-01 00:00:00pages
230-233issue
3eissn
0196-6553issn
1527-3296pii
S0196-6553(18)30914-3journal_volume
47pub_type
杂志文章abstract：:Since first reported in Europe in the early 1980s, extended-spectrum beta-lactamases (ESBLs) have spread worldwide. When producing these broad-spectrum plasmid-encoded enzymes, organisms become highly effective at inactivating penicillins, most cephalosporins, and aztreonam. Mainly produced by Klebsiella spp, ESBLs ha...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2004.07.010
更新日期：2005-03-01 00:00:00
abstract：:Air treatment with a mobile Plasmair air-decontamination unit significantly reduces the fungal spore load in hematology wards. We report that this system used at a low aspiration flow does not perform total biodecontamination against filamentous fungi. Moreover, the filamentous fungus load remaining in rooms equipped ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2008.12.006
更新日期：2009-10-01 00:00:00
abstract：:In a series of experiments, the barrier integrity of single and double vinyl and latex examination gloves were tested for dye and water leaks after being placed under stress. A total of 886 examination gloves (385 vinyl: single, 199; double, 186; and 501 latex: single, 290; double, 211) were tested with a standardized...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(94)90085-x
更新日期：1994-02-01 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：BACKGROUND:Urinary tract infections (UTIs) are the most common nosocomial infection experienced by patients in United States hospitals and are responsible for significant morbidity and excess hospital costs. The purpose of this study was to determine the efficacy of a silver alloy, hydrogel-coated, urinary catheter in ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2004.05.002
更新日期：2004-12-01 00:00:00
abstract：:The antibacterial efficacy of 4% chlorhexidine gluconate (CHG) and 1% triclosan as handwash antiseptics is well established. Few published studies have identified hand bacteria found in glove juice samples, and most studies have used nonclinical study subjects. We report a longitudinal comparative study to determine t...
journal_title：American journal of infection control
pub_type： 临床试验,杂志文章
doi：10.1016/s0196-6553(99)70051-9
更新日期：1999-08-01 00:00:00
abstract：BACKGROUND:The screening of critically ill patients at high risk of vancomycin resistant enterococci (VRE) colonization, to detect and isolate colonized patients, is recommended to prevent and control the transmission of VRE. Screening asymptomatic carriers brings financial burden for institutions. In this study, we pe...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.11.008
更新日期：2016-04-01 00:00:00
abstract：BACKGROUND:Most cases of microbial transmission to patients via contaminated endoscopes have resulted from nonadherence to reprocessing guidelines. We evaluated the occurrence, features, and implications of reprocessing lapses to gauge the nature and breadth of the problem in the context of widely available and accepte...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.04.022
更新日期：2013-12-01 00:00:00
abstract：BACKGROUND:The teaching of infection control (IC) was introduced at dental schools in Mexico during the 1990s. A 1992 survey indicated that some dentists had limited access to current IC standards. Deficient knowledge of bloodborne pathogens may influence dentists' attitudes about infected individuals and reduce compli...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2002.117042
更新日期：2002-02-01 00:00:00
abstract：:Hand dermatitis as a result of frequent exposure to water and cleansing agents is a significant problem in the health care industry. In developing prevention efforts to address this problem, it is necessary to make appropriate recommendations for moisturizers that are compatible with latex gloves and/or handwashing ag...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2001.117298
更新日期：2001-12-01 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: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：BACKGROUND:Meningococcal disease remains a major concern in populations living under crowded conditions. Following the 1995 report of several cases of meningococcal disease in Israeli soldiers, the Department of Epidemiology of the Army Health Branch, Israel Defense Forces (IDF) adopted an immunization policy for all r...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.04.290
更新日期：2010-02-01 00:00:00
abstract：BACKGROUND:An outbreak of 5 inpatient and otherwise healthy children admitted for respiratory problems developed dry fever and cough after a few days of hospitalization. Burkhuldaria cepacia was isolated from their blood culture. The Infection Control Department (ICD) in the King Fahad Medical City (KFMC) detected and ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2006.03.003
更新日期：2006-08-01 00:00:00
abstract：BACKGROUND:Outbreaks of health care-associated infections in neonatal intensive care units (NICUs) are frequent and have received more attention in medical literature than outbreaks from other types of intensive care units (ICUs). The objective of this systematic review was to identify differences between outbreaks of ...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2006.07.007
更新日期：2007-04-01 00:00:00
abstract：:Infection control practitioners (ICPs) are important partners in enhancing the US public health infrastructure, both as essential recipients of continuing education and as instructors responsible for providing this education. Focus groups were conducted at APIC 2000, the annual meeting for the Association for Professi...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2001.119821
更新日期：2001-12-01 00:00:00
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：BACKGROUND:Numerous state health departments (SHDs) have validated central line-associated bloodstream infection (CLABSI) data, and results from these studies provide important insights into the accuracy of CLABSI reporting to the National Healthcare Safety Network (NHSN) and remediable shortcomings in adherence to the...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2018.04.233
更新日期：2018-11-01 00:00:00
abstract：:Necrotizing fasciitis is a severe polybacterial infection characterized by necrosis of the fascia and adjacent soft tissues with rapid expansion of the infection along the fascial planes. It is a rare and potentially fatal entity in the head and neck region. We present 2 patients with head and neck cancers who develop...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.01.010
更新日期：2015-04-01 00:00:00
abstract：OBJECTIVES:To establish the incidence of postcraniotomy meningitis, identify etiologic agents, assess patients' medical progress in relation to both length of hospitalization and mortality, and analyze risk factors. MATERIAL AND METHODS:This study was developed at Hospital São Paulo, a tertiary university hospital, be...
journal_title：American journal of infection control
pub_type： 临床试验,杂志文章
doi：10.1067/mic.2002.119925
更新日期：2002-05-01 00:00:00
abstract：:Molecular evidence of Listeria monocytogenes cross-contamination in a nursery is presented. Listeria monocytogenes serotype 4b was isolated from the blood and the conjunctiva of a baby with neonatal sepsis who was born after septic amnionitis and premature rupture of membrane. Nine days later, the same bacterium was i...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2003.25
更新日期：2003-08-01 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: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：: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：BACKGROUND:The use of chlorhexidine as a strategy to reduce nosocomial infections in patients has been proven useful. Bacterial contamination of health care worker's uniforms during routine patient care has been demonstrated to have potential for horizontal transmission of pathogens. METHODS:We performed a prospective...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.01.004
更新日期：2020-10-01 00:00:00
abstract：BACKGROUND:Thermally injured patients are at high risk for infections, including hospital acquired infections (HAIs). We modeled a twice-daily chlorhexidine gluconate (CHG) bath protocol aimed at decreasing HAIs. METHODS:Bathing with a 0.9% CHG solution in sterile water was provided twice daily as part of routine care...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.08.015
更新日期：2014-02-01 00:00:00
abstract：BACKGROUND:Clostridioides difficile is a major cause of infectious antibiotic resistant diarrhea. C. difficile spores are shed in patient stool, are hearty and difficult to kill. Bedpans are often used by patients with C. difficile infections and require proper handling and cleaning or disposal to prevent the transmiss...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.11.028
更新日期：2020-07-01 00:00:00
abstract：:During a 17-month period (01/11/85-05/31/86) 225 cases of nosocomial diarrhea were identified in a children's hospital. Diarrhea was considered to be nosocomial if it began at least 72 hours after the patient's hospital admission or within 3 days after discharge. One or more routine diagnostic studies for identificati...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(89)90021-7
更新日期：1989-04-01 00:00:00
abstract：BACKGROUND:The most effective strategy for avoiding nosocomial influenza outbreaks is through vaccination of health care workers (HCWs). In Spain, HCW vaccination coverage rarely exceeds 25%. The objective of this study was to determine whether an active vaccination campaign promoting communication among HCWs increased...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2010.01.013
更新日期：2010-08-01 00:00:00
abstract：BACKGROUND:With the increasing volume of same-day operations and shortened hospital stays, it becomes more likely that a significant percentage of surgical site infections will occur after these patients' discharges. METHODS:To document the true incidence of postdischarge surgical site infection, surveillance was unde...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(95)90004-7
更新日期：1995-02-01 00:00:00
