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-2 pandemic, everyday hygiene measures can play an important role in containing the threat from infectious microorganisms. This position paper has been developed following a meeting of global experts in London, 2019. It presents evidence that home and community settings are important for infection transmission and also the acquisition and spread of AMR. It also demonstrates that the targeted hygiene approach offers a framework for maximizing protection against colonization and infections, thereby reducing antibiotic prescribing and minimizing selection pressure for the development of antibiotic resistance. If combined with the provision of clean water and sanitation, targeted hygiene can reduce the circulation of resistant bacteria in homes and communities, regardless of a country's Human Development Index (overall social and economic development). Achieving a reduction of AMR strains in health care settings requires a mirrored reduction in the community. The authors call upon national and international policy makers, health agencies, and health care professionals to further recognize the importance of targeted hygiene in the home and everyday life settings for preventing and controlling infection, in a unified quest to tackle AMR.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Maillard JY,Bloomfield SF,Courvalin P,Essack SY,Gandra S,Gerba CP,Rubino JR,Scott EAdoi
10.1016/j.ajic.2020.04.011subject
Has Abstractpub_date
2020-09-01 00:00:00pages
1090-1099issue
9eissn
0196-6553issn
1527-3296pii
S0196-6553(20)30209-1journal_volume
48pub_type
杂志文章abstract:BACKGROUND:Carbapenem-resistant gram-negative (CRGN) infections have been increasing in recent years and associated with significant morbidity, mortality, and health care costs. The aim of this study was to evaluate the epidemiologic and clinical risk characteristics, risk factors, and outcome of CRGN infections and to...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.08.013
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVE:This systematic review had two aims. First to identify the incidence of urinary tract infection (UTI) and bacteriuria in people undertaking intermittent catheterisation (IC), second to determine the effectiveness of antiseptic cleaning of the meatal area prior to IC in reducing the incidence of UTI and bacter...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2021.01.009
更新日期:2021-01-21 00:00:00
abstract::Viridans group streptococci (VGS), a leading cause of bloodstream infection (BSI) in cancer patients, are thought to arise from the gastrointestinal tract. We sought to determine whether central venous catheters may serve as the source of VGS BSI, and to compare the ability of the newly proposed mucosal barrier injury...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.06.012
更新日期:2014-10-01 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:BACKGROUND:Community-based points of dispensing (POD) will be used during disasters to distribute mass quantities of anti-infective therapy/prophylaxis and/or vaccination to an entire community in a short period of time. Without proper planning, staff training, and implementation of infection prevention strategies, dis...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2009.09.001
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:The Association for Professionals in Infection Control and Epidemiology (APIC) MegaSurvey, administered in 2015, was completed by approximately 4,079 APIC members. The survey sought to gain a better understanding the current state of 4 components of infection prevention practice: demographic characteristics,...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.03.021
更新日期:2017-06-01 00:00:00
abstract::We aimed to validate quality assurance (QA) criteria for rectal surveillance cultures (RSCs) for extended-spectrum β-lactamase-producing Enterobacteriaceae. QA for RSCs were tested by observing the presence or absence of fecal soiling and by examining the growth of Enterobacteriaceae on MacConkey agar. Extended-spectr...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.02.036
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:We aimed to determine the frequency of vancomycin-resistant enterococci (VRE) infection occurrence in previously VRE-colonized children in a pediatric intensive care unit (PICU) and to identify associated risk factors. METHODS:Infection control nurses have performed prospective surveillance of health care-a...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.11.026
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND:Public reports of successful quality improvement efforts are useful, but seldom available. We present 5 successful efforts to prevent surgical site infections (SSIs) with the use of prospectively collected surveillance data. METHODS:Before-and-after intervention studies were conducted in 5 acute care public...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2004.07.001
更新日期:2004-11-01 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: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 bacteremia caused by the contamination of intravenous (IV) infusates is considered rare. Unfortunately, this problem has been underestimated because its identification requires culturing infusates, a procedure not performed routinely. METHODS:This study was conducted in a referral hospital where ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2009.08.015
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to compare the frequency of glove defects for nonlatex surgical gloves while surgeons performed routine surgery and to evaluate surgeons' satisfaction with nonlatex sterile gloves. METHODS:Two brands of latex gloves and 6 brands of nonlatex gloves were tested. Gloves were colle...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2003.12.005
更新日期:2004-08-01 00:00:00
abstract::There were 256 health care workers in 39 facilities who were interviewed about their perceptions of the quality of care of patients with and without multidrug-resistant organisms based on a standardized questionnaire. There are remarkable differences in the responses between facility types (acute care hospitals, long-...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.12.039
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:Infection preventionists (IPs) play key roles in preventing health care-associated infections and ensuring quality of care. To develop strategies to support comprehensive infection prevention practice, it is critical to understand key aspects of their practice. METHODS:A task force of expert IPs, staff repr...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.12.012
更新日期:2017-06-01 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: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:Methicillin-resistant Staphylococcus aureus (MRSA) isolated from frequently touched dental school clinic surfaces were compared with MRSA isolated nasal cultures of dental students. METHOD:Sixty-one dental students and 95 environmental surfaces from 7 clinics were sampled using SANICULT (Starplex Scientific...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2010.11.007
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:Multidrug-resistant (MDR) Escherichia coli is a serious threat to cancer patients. We aimed to determine the risk factors associated with the development of MDR E coli bacteremia in cancer patients and the possibility of horizontal transmission. METHODS:We conducted a 1:2 case-control study of 58 patients w...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2009.02.002
更新日期:2009-11-01 00:00:00
abstract:OBJECTIVE:Surgical site infections (SSIs) are a serious and costly post-op complication. Generating SSI rates often requires labor-intensive methods, but increasing numbers of publications reported SSI rates using administrative data. METHODS:Index laminectomy and spinal fusion procedures were identified using Canadia...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.10.010
更新日期:2020-10-20 00:00:00
abstract:BACKGROUND:The role of the infection preventionist (IP) has become increasingly complex, underscoring the need for rapid mechanisms of knowledge acquisition. One mechanism for knowledge acquisition is knowledge-sharing through social networks. In a state such as Kentucky with predominantly rural health care facilities,...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2011.05.018
更新日期:2012-06-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.06.040
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:The genetic relatedness of Staphylococcus epidermidis associated with infections in infants and cultured from the hands of nurses was assessed. METHODS:From March 2001 to January 2002, infections caused by S. epidermidis were prospectively monitored. Participating nurses had hand cultures performed quarterl...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2005.02.003
更新日期:2005-08-01 00:00:00
abstract:BACKGROUND:Multiple nosocomial outbreaks have been linked to contaminated water sources within the hospital. We report in this article a cluster of patients in a surgical intensive care unit who were colonized or infected with Stenotrophomonas maltophilia. METHODS:This study was conducted at an acute care academic hos...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/s0196-6553(99)70077-5
更新日期:1999-02-01 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: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
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 ala...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.04.006
更新日期:2020-11-01 00:00:00
abstract:BACKGROUND:Health care personnel (HCP) working while experiencing influenza-like illness (ILI) contribute to influenza transmission in health care settings. Studies focused on certain HCP occupations or work settings have demonstrated that some HCP often continue to work while ill. METHODS:Using a national nonprobabil...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.04.008
更新日期:2017-11-01 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:BACKGROUND:Point prevalence surveys (PPSs) in Japanese hospitals have not yet been reported. The purpose of this pilot PPS study was to evaluate the epidemiology of health care-associated infections (HAIs) and antimicrobial use in a Japanese tertiary university hospital. METHODS:A 1-day, cross-sectional PPS was perfor...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.03.045
更新日期:2016-07-01 00:00:00