Abstract：
BACKGROUND:Researchers have found that lack of hand hygiene and environmental contamination are sources of infection transmission in the health care environment. One factor that may lead to lack of hand hygiene is alarm fatigue, the sensory overload that results when clinicians are exposed to an excessive number of alarms, causing them to silence alarms without taking proper precautions. In this study, we report hand hygiene compliance and infusion pump contamination in the context of infusion pump alarm prevalence. METHODS:Health care worker hand hygiene audits were conducted to determine percent compliance. Cultures were obtained from infusion pumps to determine environmental contamination. The frequency of alarms from August 4, 2019 to September 7, 2019 was determined. RESULTS:Hand hygiene compliance ranged from 50% to 87%. Pump contamination ranged from 20% to 70% per unit. A total of 116, 872 infusion pump alarms sounded in the hospital. DISCUSSION:Pumps were contaminated primarily with skin flora. This was demonstrated in the context of poor hand hygiene compliance and a high number of alarms, indicative of alarm fatigue. CONCLUSIONS:The intersection of a high prevalence of infusion pump alarms and poor hand hygiene resulting in bacterial contamination of pumps could be a source of health care-associated infection transmission for patients.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Nas MY,Ibiebele J,Dolgin G,Malczynski M,Qi C,Bolon M,Zembower Tdoi
10.1016/j.ajic.2020.04.006subject
Has Abstractpub_date
2020-11-01 00:00:00pages
1311-1314issue
11eissn
0196-6553issn
1527-3296pii
S0196-6553(20)30207-8journal_volume
48pub_type
杂志文章abstract：:A questionnaire survey was carried out anonymously among 2557 health care workers in Denmark and Norway to identify and quantify factors that affect the handwashing behavior of physicians, nurses, and other staff groups who perform direct patient care. For number of daily patient contacts physicians reported significa...
journal_title：American journal of infection control
pub_type： 临床试验,杂志文章,多中心研究
doi：10.1016/s0196-6553(05)80002-1
更新日期：1992-04-01 00:00:00
abstract：:We describe 1,132 contacts between anesthesiologists and the operating room. Objects most commonly touched included anesthesia machines and keyboards. Only 13 hand hygiene events were witnessed during 8 hours of observations. Line insertions, bronchoscopies, or blood exposures were not followed by hand hygiene. Stopco...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.03.306
更新日期：2013-10-01 00:00:00
abstract：:This study describes the role of a novel vascular access service in the reduction and prevention of central line-associated bloodstream infections (CLABSIs). We conducted a retrospective analysis of data obtained over a span of 24 months after implementation of our vascular access service. We identified a progressive ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.08.019
更新日期：2020-04-01 00:00:00
abstract：:Although substantial improvements in hand hygiene practices have occurred in recent years, many health care facilities continue to encounter challenges in achieving and maintaining high levels of hand hygiene compliance. Issues of current interest include the optimum dose of alcohol-based handrub (ABHR) that should be...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2019.03.024
更新日期：2019-06-01 00:00:00
abstract：:Randomized controlled trials (RCTs) are useful in the evaluation of both new and well-established hospital infection control practices for which the benefit is unproven and not obvious. RCTs are often undertaken to resolve controversies, and many of them have a "negative" or inconclusive outcome. Well-designed RCTs wi...
journal_title：American journal of infection control
pub_type： 临床试验,杂志文章,评审
doi：10.1016/0196-6553(83)90076-7
更新日期：1983-10-01 00:00:00
abstract：:Antimicrobial resistance (AMR) continues to threaten global health. Although global and national AMR action plans are in place, infection prevention and control is primarily discussed in the context of health care facilities with home and everyday life settings barely addressed. As seen with the recent global SARS-CoV...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.04.011
更新日期：2020-09-01 00:00:00
abstract：:In a study conducted in 11 health care settings for elderly patients, we demonstrated a significant negative correlation between the proportion of glove use outside any risk of exposure to body fluids and compliance with hand hygiene (P < .02). This result underscores a major limitation of strategies for controlling t...
journal_title：American journal of infection control
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ajic.2011.05.008
更新日期：2012-05-01 00:00:00
abstract：BACKGROUND:Postoperative wound infection (PWI) after intracranial neurosurgery remains a significant worldwide problem, resulting in substantial morbidity/mortality if not combatted quickly and energetically. Although the danger of PWI is universally recognized, the reported incidence of PWI after intracranial neurosur...
journal_title：American journal of infection control
pub_type： 杂志文章,meta分析
doi：10.1016/j.ajic.2007.07.015
更新日期：2008-10-01 00:00:00
abstract：BACKGROUND:Studies taken from different hospitalized patient populations, environments, and geographic regions reveal differences in the numbers and species of organisms colonizing the skin. Our aim was to determine the types and amounts of skin flora, and examine the factors associated with variations in microbial ski...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2003.64
更新日期：2003-04-01 00:00:00
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...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.04.006
更新日期：2017-08-01 00:00:00
abstract：:We monitored hand surface coverage technique in health care workers in a tertiary care hospital using a 5-item hand hygiene assessment tool based on World Health Organization guidelines. Overall hand hygiene compliance was 86.7% (4,300/4,960). Appropriate hand surface coverage was observed in only 7.9% (182/2,297) of ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.12.014
更新日期：2014-05-01 00:00:00
abstract：BACKGROUND:Nursing has been called for greater participation in antibiotic stewardship. Although many of the functions that are integral to successful stewardship are within the scope of bedside nurses, data evaluating nursing engagement in stewardship are limited. The objective of this study was to identify nurses' ro...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.03.028
更新日期：2018-07-01 00:00:00
abstract：BACKGROUND:The purpose of this quality improvement project was to determine the effect of providing feedback to managers and bedside nurses on the nurses' central line-associated bloodstream infection (CLABSI) contributing factors, found on visual and documentation audits. METHODS:This nonexperimental, quality improve...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.09.020
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND:Routine hand hygiene effectively removes methicillin-resistant Staphylococcus aureus (MRSA) and/or vancomycin resistant Enterococcus (VRE) from the ungloved hands of healthcare workers (HCWs) who are caring for patients under contact precautions, when exposure to bodily fluids is not expected. METHODS:HCWs'...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.01.013
更新日期：2018-07-01 00:00:00
abstract：BACKGROUND:The recently introduced concept of hands-free technique (HFT) currently has no recommendations or formal educational program for use in the Republic of Korea. This study evaluated the level of HFT use and investigated factors related to HFT use among Korean operating room nurses. METHOD:Data were obtained t...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2008.01.013
更新日期：2009-03-01 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：:We report a comparative laboratory study between 2 peripheral intravenous catheters equipped with a passive fully automatic safety mechanism to assess generation of blood droplets during withdrawal. One presented no fluid droplets, whereas the other presented droplets in 48% and 60% for the best and worst case, with a...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.11.020
更新日期：2015-03-01 00:00:00
abstract：BACKGROUND:Proper hand hygiene has been linked to lower susceptibility to infectious diseases in many types of communities, but it has not been well established on college campuses. This study investigated the hand hygiene statuses of college students and their occurrences in relation to infectious diseases, medical vi...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.08.012
更新日期：2016-01-01 00:00:00
abstract：BACKGROUND:The removal of personal protective equipment (PPE) after patient care may result in transfer of virus to hands and clothing of health care workers (HCWs). The risk of transfer can be modeled using harmless viruses to obtain quantitative data. To determine whether double-gloving reduces virus transfer to HCWs...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.04.324
更新日期：2012-05-01 00:00:00
abstract：:Automated systems can facilitate surveillance for health care-associated infections. The New York Antimicrobial Resistance Project (NYARP) electronically monitors trends in bloodstream infections from 6 medical centers in New York, NY. To validate NYARP's data, episodes of health care-associated bloodstream infections...
journal_title：American journal of infection control
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ajic.2003.07.008
更新日期：2004-06-01 00:00:00
abstract：:Catheter-associated urinary tract infections represent a significant medical burden in critically ill children. Ethanol locks have been shown to be effective and safe for central line-associated bloodstream infection prevention and we propose utilizing this strategy for urinary catheters. Because this has never been d...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.05.012
更新日期：2015-10-01 00:00:00
abstract：BACKGROUND:Patient empowerment is recognized as an important component of a multimodal strategy to improve hand hygiene adherence. We examined the attitudes of adult patients and parents of pediatric patients toward a new patient empowerment tool (PET) at our hospital. We also surveyed physicians to determine their per...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.02.010
更新日期：2017-08-01 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: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：:Bacteria can develop resistance to antibiotics, but little is known about their ability to increase resistance to chemical disinfectants. This study randomly sampled 3 automated endoscope reprocessors in the United States using aldehydes for endoscope disinfection. Bacterial contamination was found after disinfection ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.11.004
更新日期：2012-11-01 00:00:00
abstract：BACKGROUND:Although antimicrobial stewardship programs (ASPs) are uniquely positioned to improve treatment of Clostridium difficile infection (CDI) through targeted interventions, studies to date have not rigorously evaluated the influence of ASP involvement on clinical outcomes attributed to CDI. METHODS:We performed...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.05.027
更新日期：2016-12-01 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：OBJECTIVE:To describe an outbreak of influenza A in an oncology unit, highlighting infection control methods implemented, and examining reasons health care workers (HCWs) present to work with influenza-like illness (ILI). METHODS:Confirmed cases were defined by the presence of ILI and a positive nasopharyngeal polymer...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.10.024
更新日期：2019-06-01 00:00:00
abstract：BACKGROUND:ICD-9-CM coding alone has been proposed as a method of surveillance for health care-associated infections (HAIs). The accuracy of this method, however, relative to accepted infection control criteria is not known. METHODS:Retrospective analysis of patients at an academic medical center in 2005 who underwent...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2008.01.004
更新日期：2008-04-01 00:00:00
abstract：BACKGROUND:Stethoscopes may serve as vehicles for transmission of bacteria among patients. The aim of this study was to assess the efficacy of antimicrobial copper surfaces to reduce the bacterial concentration associated with stethoscope surfaces. METHODS:A structured prospective trial involving 21 health care provid...
journal_title：American journal of infection control
pub_type： 临床试验,杂志文章
doi：10.1016/j.ajic.2017.01.030
更新日期：2017-06-01 00:00:00
