Abstract:
:An antimicrobial stewardship program was implemented throughout 2012 at a tertiary pediatric institution with guideline development preceding prospective audit and feedback starting in 2013. Meropenem use decreased over 62% during the next 5 years. Non-cystic fibrosis Pseudomonas aeruginosa isolate susceptibility to meropenem increased from 89% in 2011 to 98% in 2017 (P < .001) and correlated with meropenem use the preceding year (Rs: -0.78, P = .008).
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Stultz JS,Arnold SR,Shelton CM,Bagga B,Lee KRdoi
10.1016/j.ajic.2019.05.001subject
Has Abstractpub_date
2019-12-01 00:00:00pages
1513-1515issue
12eissn
0196-6553issn
1527-3296pii
S0196-6553(19)30520-6journal_volume
47pub_type
杂志文章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::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::In 1982 the Centers for Disease Control published a set of recommendations and measures to protect persons working in health care settings or performing mortician services from possible exposure to the human immunodeficiency virus. This study of a number of funeral homes in the Fort Worth area was designed to determin...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(89)90130-2
更新日期:1989-08-01 00:00:00
abstract:BACKGROUND:Antibiotic resistance is a challenge in long-term care facilities (LTCFs). The objective of this study was to demonstrate that a novel, minimally invasive program not interfering with activities of daily living or socialization could lower methicillin-resistant Staphylococcus aureus (MRSA) disease. METHODS:...
journal_title:American journal of infection control
pub_type: 临床试验,杂志文章
doi:10.1016/j.ajic.2016.04.251
更新日期:2016-12-01 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::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:Because blood culture is a common test at our institution, we hoped to save money and reduce the risk of needlestick injury by modifying our current technique for the preparation of culture specimens without increasing the risk of contamination. METHODS: OBJECTIVE:To compare the contamination rates of bloo...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/s0196-6553(05)80176-2
更新日期:1992-06-01 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
abstract:BACKGROUND:Healthcare workers perform hand hygiene much more frequently than workers in other fields. As a result, healthcare workers have a higher exposure to topical antiseptic products. METHODS:Five tertiary care facilities were equipped with an electronic hand hygiene compliance monitoring system. Alcohol-based ha...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.04.205
更新日期:2018-10-01 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: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:Methicillin-resistant Staphylococcus aureus (MRSA) infections are a concern across the worldwide. METHODS:Antibiotic stewardship and hand hygiene programs were reinforced in a 2,000-bed tertiary hospital in South Korea where the methicillin resistance rate of Staphylococcus aureus is about 65%. The computer...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2012.12.018
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND:Carbapenem-resistant Acinetobacter baumannii (CRAB) tops the list of threats to human health. Studies exploring predictors of mortality in patients with CRAB infection produced conflicting results. METHODS:A systematic search of the PubMed, Embase, and the Cochrane Library databases was performed from incep...
journal_title:American journal of infection control
pub_type: 杂志文章,meta分析
doi:10.1016/j.ajic.2019.03.003
更新日期:2019-09-01 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::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::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:Extended-spectrum beta-lactamase (ESBL)-producing organisms, first identified in Germany in 1983, are now widely recognized as clinically relevant causes of infections in community. METHODS:Our objective was to evaluate the clinical and molecular epidemiology of community-onset, extended-spectrum beta-lacta...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2007.05.008
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND:There are multiple treatment options for the control of legionellae in premise hot water systems. Water chemistry plays a role in the efficacy of these treatments and should be considered when selecting a treatment. This study demonstrated the efficacy of copper-silver ionization (CSI) under alkaline water c...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.05.018
更新日期:2015-09-01 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:Room ventilation is a key determinant of airborne disease transmission. Despite this, ventilation guidelines in hospitals are not founded on robust scientific evidence related to the prevention of airborne transmission. METHODS:We sought to assess the effect of ventilation rates on influenza, tuberculosis, ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2011.02.014
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:Evaluate the presence of bacteria and resistance profile in stethoscopes used by health care professionals and its consequences within the hospital environment. METHODS:It is a systematic review, in which articles indexed in the BVS, CAPES-Periódicos, Cochrane Library, PubMed, Scientific Electronic Library ...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2020.07.007
更新日期:2021-02-01 00:00:00
abstract:BACKGROUND:The prevalence of surgical site infections (SSI) is second only to urinary tract infections in hospitalized patients. They continue to threaten the health of hospitalized patients and impact negatively on the financial solvency of hospitals through prolonged hospitalization, increased rates of rehospitalizat...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2005.04.244
更新日期:2005-09-01 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: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
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:Hospital-acquired influenza potentially leads to significant morbidity and mortality in already vulnerable patients, but its overall burden is not fully understood. We undertook this study to estimate the incidence and trends of hospital-acquired laboratory-confirmed influenza among adults, and to compare cl...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.12.003
更新日期:2020-12-13 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:BACKGROUND:Despite absence of evidence, in practice, asymptomatic bacteriuria is perceived as a risk factor for surgical site infection (SSI) among patients with cardiac surgery. We aimed to identify whether an association exists between the preoperative presence of asymptomatic bacteriuria or urinary tract infection a...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.08.015
更新日期:2018-02-01 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