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 undertaken in a group of obstetric and gynecologic patients. The study consisted of two parts. (1) A questionnaire was mailed to each surgeon, inquiring about clinical evidence of infection. The infection control service continued to do surveillance of wound infection in the usual manner, and the results of the two methods were compared. (2) A questionnaire was provided to patients undergoing operation, inquiring about signs and symptoms of wound infection. RESULTS:A total of 469 surgical procedures were included, with a total of 24 infections detected (5.2%). Of these, 14 infections (58.3%) were detected by the usual surveillance method. An additional 10 infections (41.7%) were detected after patient discharge by the physician questionnaire. Only two of the 24 infections were detected by the patient questionnaire. CONCLUSIONS:Failure to include postdischarge surgical site surveillance results in a substantial underestimation of the true surgical site infection rate. Physician input and strong support have prompted a regular biannual postdischarge surgical site surveillance program in this patient population.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Gravel-Tropper D,Oxley C,Memish Z,Garber GEdoi
10.1016/0196-6553(95)90004-7subject
Has Abstractpub_date
1995-02-01 00:00:00pages
22-6issue
1eissn
0196-6553issn
1527-3296pii
0196-6553(95)90004-7journal_volume
23pub_type
杂志文章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：:Public health activities to identify and monitor persons at risk for Ebola virus disease in the United States include directing persons at risk to assessment facilities that are prepared to safely evaluate for Ebola virus disease. Although it is unlikely that a person with Ebola virus disease will unexpectedly present...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.06.032
更新日期：2015-11-01 00:00:00
abstract：BACKGROUND:We observed an increased rate of Pseudomonas aeruginosa bacteremia in our hematology unit in 2004-2007 without an identified environmental source. METHODS:We conducted a matched case-control study to investigate factors associated with P aeruginosa bacteremia in patients with hematologic malignancies. RESU...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.07.012
更新日期：2013-06-01 00:00:00
abstract：BACKGROUND:Little is known about the direct economic burden associated with health care-associated infection (HAI) in patients undergoing colorectal cancer surgery in China. This study aims to fill this knowledge gap. METHODS:This study was a prospective monitoring case-control study. The direct economic burden was pr...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.08.003
更新日期：2018-01-01 00:00:00
abstract：:A telephone survey involving 200 household members in and around Seoul, South Korea, was completed during the maturity stage of the outbreak of Middle East respiratory syndrome (MERS) in Korea during June 2015. The study found that respondents perceived low risk from contracting MERS, had low trust in government in co...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.03.014
更新日期：2016-11-01 00:00:00
abstract：BACKGROUND:Control of infection within the long-term care facility is a daunting problem. Elderly patients are at high risk for contracting infection because of reduced innate immunity, malnutrition, and the presence of chronic medical conditions. This small study tested the effect of developing and implementing a comp...
journal_title：American journal of infection control
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1016/s0196-6553(00)90004-x
更新日期：2000-02-01 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 negative impact of surgical site infection (SSI) in terms of morbidity, mortality, additional costs, and length of stay (LOS) in the hospital is well described in the literature, as are risk factors and preventive measures. Given the lack of knowledge regarding patients' experiences of SSI, the aim of th...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2010.03.017
更新日期：2010-11-01 00:00:00
abstract：BACKGROUND:Community-associated Clostridioides difficile infections (CA-CDIs) share many risk factors with health care-associated cases, although the role of socioeconomic factors is poorly understood. This study estimates the influence of several census tract-level measures of socioeconomic status on CA-CDI incidence ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.12.014
更新日期：2019-07-01 00:00:00
abstract：BACKGROUND:We aimed to investigate the frequency of standard precautions (SPs) compliance and the factors affecting the compliance among nursing students (NSs). METHODS:A cross-sectional survey study guided by the health belief model was conducted in 2009. The study questionnaire is valid (content validity index, 0.81...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.03.007
更新日期：2015-07-01 00:00:00
abstract：BACKGROUND:Methicillin-resistant Staphylococcus aureus (MRSA) remains one of the most prevalent multidrug-resistant organisms causing health care-associated infections. Limited data are available about how the prevalence of MRSA has changed over the past several years and what MRSA prevention practices have been implem...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.02.001
更新日期：2012-04-01 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: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：:We report for the first time 2 cases of multidrug-resistant Burkholderia cenocepacia J2315 isolated from blood samples of patients without cystic fibrosis from a pediatric unit in a hospital in India. The first patient presented with community-acquired bacteremia, and the second patient was immunocompromised and devel...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2010.10.034
更新日期：2011-05-01 00:00:00
abstract：BACKGROUND:The prevalence of healthcare associated infection (HAI) is generally higher in countries with limited resources than developed countries. To address the high prevalence of HAI, Turkish Ministry of Health introduced a national infection control program in 2005. METHODS:Device associated (DA)-HAIs routinely s...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.12.013
更新日期：2020-12-25 00:00:00
abstract：BACKGROUND:A survey of infection preventionists was conducted to determine the frequency of outbreak investigations in US hospitals. METHODS:A 2-part electronic survey was sent to Association for Professionals in Infection Control and Epidemiology, Inc, members in US hospitals in January 2010. Part 1 of the survey too...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.10.003
更新日期：2012-02-01 00:00:00
abstract：:We describe influenza immunization coverage trends from the New York State (NYS) Department of Health long-term care facility (LTCF) reports. Overall median immunization coverage levels for NYS LTCF residents and employees were 84.0% (range: 81.6%-86.0%) and 37.7% (range: 32.7%-50.0%), respectively. LTCF resident immu...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.09.025
更新日期：2013-08-01 00:00:00
abstract：BACKGROUND:Influenza is responsible for thousands of deaths in the United States and presents particular challenges in health care facilities with a greater prevalence of people at increased risk for adverse outcomes. Annual influenza vaccination has long been recommended, and employer policies influence the likelihood...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.01.015
更新日期：2020-10-01 00:00:00
abstract：:Respondents (N = 473) from a randomized stratified sample (N = 600) of U.S. hospital ICPs in a national survey sponsored by the Certification Board of Infection Control were asked to rate specific task, knowledge, and ability statements related to infection control for frequency and importance. The questions included ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(84)90096-8
更新日期：1984-06-01 00:00:00
abstract：:This article reviews 2 models of skill acquisition, 1 from nursing and the other from aviation, and compares them to the Association for Professionals in Infection Control and Epidemiology Competency Model for the Infection Preventionist (IP). The authors explore the mental activity associated with competence and prov...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.04.210
更新日期：2018-08-01 00:00:00
abstract：BACKGROUND:In July 2005, New York State legislation requiring the mandatory reporting of specific hospital-associated infections (HAIs) was passed by the legislature and signed by the governor. In an effort to measure the impact of this legislation on infection control resources, the New York State Department of Health...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2008.01.011
更新日期：2008-12-01 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: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：:We tested the ability of an improved hydrogen peroxide solution to decontaminate privacy curtains in inpatient and outpatient areas. The microbial contamination of the curtains was assessed before and after the curtains were sprayed with improved hydrogen peroxide. The disinfectant reduced the microbial load on the pr...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.11.022
更新日期：2014-04-01 00:00:00
abstract：BACKGROUND:The objective of this study was to evaluate performance metrics and associated patient outcomes of an automated surveillance system, the blood Nosocomial Infection Marker (NIM). METHODS:We reviewed records of 237 patients with and 36,927 patients without blood NIM using the National Healthcare Safety Networ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.12.044
更新日期：2016-05-01 00:00:00
abstract：:In pediatric bloodstream infections with fluoroquinolone (FQ)-resistant Escherichia coli and Klebsielia species, we noted an association between FQ resistance and extended-spectrum beta-lactamase (ESBL) production (OR, 12; 95% CI: 2.28-83.8). A case control study revealed no significant risk factors (including prior a...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2007.01.012
更新日期：2008-02-01 00:00:00
abstract：BACKGROUND:Limited information is available on the financial impact of central venous catheter-associated bloodstream infection (BSI) in Argentina. To calculate the cost of BSIs in the intensive care department (ICU), a 5-year prospective nested case-control study was undertaken at 3 hospitals in Argentina. METHODS:We...
journal_title：American journal of infection control
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ajic.2003.03.002
更新日期：2003-12-01 00:00:00
abstract：:We evaluated the utility and usability of a spray and a wipe-based cleaner/disinfectant in a behavioral health setting where health care providers institute cleaning and disinfection procedures. The spray-based version resulted in significantly lower adenosine triphosphate readings after use compared with the wipe ver...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.05.028
更新日期：2016-12-01 00:00:00
abstract：BACKGROUND:Previous data suggest that nursing students in the United States are inadequately protected against hepatitis B. This survey focused on the immunization and education practices, infection control knowledge, and follow-up to infectious disease exposure by U.S. nursing schools. METHODS:To ascertain education ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(05)80175-0
更新日期：1992-06-01 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
