Abstract:
:Using an innovative, covert, in-room observer method to evaluate infection control practices for patients with Clostridioides difficile infection, we found no difference between physician and nursing hand hygiene compliance and contact precaution usage. There was also no diurnal variation in hand hygiene practices, but decreased contact precaution usage at night. Conversely, hospital-wide data from overt observations collected over the same time period showed significantly higher hand hygiene compliance among nurses than physicians.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Barker AK,Cowley ES,McKinley L,Wright MO,Safdar Ndoi
10.1016/j.ajic.2019.03.031subject
Has Abstractpub_date
2019-10-01 00:00:00pages
1273-1276issue
10eissn
0196-6553issn
1527-3296pii
S0196-6553(19)30214-7journal_volume
47pub_type
杂志文章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: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::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:Information regarding compliance with infection control precautions in the dental settings in the Middle East is scant. OBJECTIVE:To examine the knowledge and practices in infection control among dental staff and dental nurses at a university teaching dental center. METHODS:A self-administered, confidentia...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2005.06.012
更新日期:2006-05-01 00:00:00
abstract:BACKGROUND:Children in child care settings have a high infectious burden. They are frequently exposed to sanitizing and disinfecting agents, whose toxicities have not been studied in these settings. Current guidance on the preferred disinfection agents for child care is vague. METHODS:This article combines 2 different...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.06.013
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Rifampin has been used for the eradication of Staphylococcus aureus (S. aureus) colonization in various populations of healthy and sick people. METHODS:We performed a systematic review of the evidence from randomized and nonrandomized controlled trials that compared the effectiveness and safety of a rifampi...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2006.09.005
更新日期:2007-03-01 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:Surgical site infections after joint arthroplasty are devastating complications and are influenced by patient, surgical, and operating room environmental factors. METHODS:In an effort to reduce the incidence of door openings (DOs) during total joint arthroplasty cases, this prospective observational study c...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.12.019
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:Although hand hygiene (HH) is key to reducing health care-associated infections, it is well documented that health care worker (HCW) adherence to appropriate HH protocols is relatively low. METHODS:This was a collaborative quality improvement project with multiple interventions conducted in a 570-bed academ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.07.003
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Nosocomial infection may contribute to poor long-term consequences in persons who have spinal cord injuries and disorders (SCI&D). METHODS:This is a cohort study of individuals who had SCI&D and were hospitalized at least once during 2002. They were followed for 3 years to assess inpatient (IP) admissions, ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2006.08.012
更新日期:2007-08-01 00:00:00
abstract::Ortho-phthalaldehyde (OPA), a high-level disinfectant alternative to glutaraldehyde, was tested for efficacy against human hepatitis B virus (HBV) and hepatitis C virus (HCV) using surrogate animal viruses. HBV and HCV are the most prevalent human bloodborne viruses but have not yet been propagated in the laboratory. ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2007.08.005
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:Health care workers (HCWs) use their mobile phones during working hours or medical care. There is evidence that the instruments are colonized with pathogenic microorganisms. Here, we describe levels of Enterobacteriaceae contamination (EC) in cell phones and the risk factors associated with EC in Peruvian in...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.02.020
更新日期:2016-08-01 00:00:00
abstract::We report a historic nosocomial outbreak of Salmonella enteritidis affecting 4 inpatients who underwent endoscopic retrograde cholangiopancreatography. The cause was attributed to inadequate decontamination of an on-loan endoscope used over a weekend. This report highlights the risks of using on-loan endoscopes, parti...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.11.024
更新日期:2017-04-01 00:00:00
abstract::Recent data demonstrate that the contaminated hospital surface environment plays a key role in the transmission of Clostridium difficile. Enhanced environmental cleaning of rooms housing Clostridium difficile-infected patients is warranted, and, if additional studies demonstrate a benefit of "no-touch" methods (eg, ul...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2012.12.009
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND:Despite increased focus on health care-associated infections (HAI), between 1.6 and 3.8 million HAI occur annually among the vulnerable population residing in US nursing homes (NH). This study characterized state department of health (DOH) activities and policies intended to improve quality and reduce HAI in...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.11.024
更新日期:2014-04-01 00:00:00
abstract::From 1988 through 1992, we conducted a prospective study of postdischarge surgical wound infection surveillance in our institution. A total of 6604 patients were seen after discharge in a centralized outpatient clinic, supervised by the infection control commission. Wounds were inspected, stitches were removed, and dr...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(95)90059-4
更新日期:1995-10-01 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: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:BACKGROUND:The aim of the study was to describe the profile of patients and the characteristics of all bacteremias caused by multidrug-resistant (MDR) bacterial strains in a teaching hospital and to assess the mortality related to these events. METHODS:A monocentric retrospective observational cohort study was conduct...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.05.004
更新日期:2015-09-01 00:00:00
abstract::Chlorhexidine bathing is effective in reducing levels of pathogens on skin. In this review, we examine the evidence that chlorhexidine bathing can prevent colonization and infection with health care-associated pathogens and reduce dissemination to the environment and the hands of personnel. The importance of education...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2016.02.024
更新日期:2016-05-02 00:00:00
abstract::Vancomycin-resistant Staphylococcus aureus (VRSA) and methicillin-resistant S aureus (MRSA) strains were examined in hospital effluents. Most S aureus strains are resistant to methicillin (MRSA), followed by tetracycline. Approximately 15% of MRSA strains are also resistant to vancomycin (VRSA). All VRSA strains devel...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.08.015
更新日期:2015-12-01 00:00:00
abstract::The appropriate use of antibiotics in nosocomial infections has been a goal of infectious disease practitioners and hospital epidemiologists since the emergence of resistant staphylococci more than 30 years ago. This challenge has assumed new proportions in the 1980s for many reasons. First, resistant gram-positive an...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/0196-6553(89)90188-0
更新日期:1989-10-01 00:00:00
abstract:BACKGROUND:Better characterization of risk factors for extended-spectrum β-lactamase (ESBL)-producing bacteria is important for prevention, control, and treatment. This study aimed to identify risk factors for ESBL-producing Escherichia coli in a population of patients at an acute care urban teaching hospital. METHODS...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2011.04.001
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND:Minimal structure is required for effective prevention of health care-associated infection (HAI). The objective of this study was to evaluate the structure for prevention of HAI in a sample of Brazilian hospitals. METHODS:This was a cross-sectional study from hospitals in 5 Brazilian regions (n = 153; total...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.08.004
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Debate remains over the core activities of infection control (IC) programs. Differences in stakeholder opinions must be considered if consensus panel guidelines and recommendations are to be broadly applied. This article describes a survey of administrators and clinicians employed in hospitals in New South W...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1067/mic.2001.117037
更新日期:2001-08-01 00:00:00
abstract:BACKGROUND:Clostridium difficile is a major cause of hospital-associated infective diarrhea, and its spore form can persist for months in the hospital environment. Chlorine-based cleaning agents are recommended for eliminating this reservoir of potential infection. OBJECTIVES:To investigate the individual contribution...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2010.07.015
更新日期:2011-04-01 00:00:00
abstract:BACKGROUND:Scabies is a dermatologic infestation caused by Sarcoptes scabiei. In industrialized countries, hospitals and other health structures can sometimes be hit. The optimal management of scabies outbreaks still has to be established, mass prophylaxis being one possible option. METHODS:To identify the optimal app...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.10.006
更新日期:2014-03-01 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:This study was designed to determine whether removing bacteria from the air with ultraviolet germicidal irradiation (UV-C) at the room level would reduce infection rates. METHODS:We reviewed infection data for 12 months before and after UV-C installation in the special care unit (SCU) of a long-term acute c...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.11.008
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND:Candidemia in children caused by non-albicans Candida (NAC) spp is increasing in prevalence, but the relevant information is limited. METHODS:All isolates of pediatric candidemia from a medical center in Taiwan between 2003 and 2015 were enrolled. The characteristics of patients with NAC and Candida albican...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.05.015
更新日期:2018-12-01 00:00:00