Abstract：
BACKGROUND:Clostridium difficile is the usual and most important cause of antibiotic-associated pseudomembranous enterocolitis. The source of nosocomial acquisition of the organism in nonepidemic settings has not been determined. METHODS:Epidemiologic and microbiologic studies were conducted in a community-teaching hospital complex to assess the impact of carpeting in patient rooms on environmental contamination with C. difficile, along with the prevalence of pseudomembranous enterocolitis. All C. difficile isolates were typed by means of a bacteriophage-bacteriocin typing scheme. RESULTS:No clear evidence of environmental acquisition of C. difficile in a nonepidemic setting of pseudomembranous enterocolitis was found. Carpeted floors were significantly more heavily contaminated for prolonged periods with clinical strains of C. difficile than were noncarpeted floors. CONCLUSION:There was no evidence that contamination of carpeting resulted in increased frequency of pseudomembranous enterocolitis in patients residing in carpeted rooms. Because there is strong evidence of exogenous acquisition of C. difficile during outbreaks, however, room carpeting should be considered a potential reservoir of this organism.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Skoutelis AT,Westenfelder GO,Beckerdite M,Phair JPdoi
10.1016/0196-6553(94)90070-1subject
Has Abstractpub_date
1994-08-01 00:00:00pages
212-7issue
4eissn
0196-6553issn
1527-3296pii
0196-6553(94)90070-1journal_volume
22pub_type
杂志文章abstract：BACKGROUND:Central line-associated bloodstream infection (CLABSI) is one of the most important health care-associated infections in the critical care setting. METHODS:A quasiexperimental study involving multiple interventions to reduce the incidence of CLABSI was conducted in a medical-surgical intensive care unit (IC...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.11.012
更新日期：2010-08-01 00:00:00
abstract：BACKGROUND:A penicillin allergy label has been associated with significantly higher rates of methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE) colonization, and correspondingly poorer clinical outcomes. However, there are limited data examining the association between any an...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.09.021
更新日期：2020-06-01 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：BACKGROUND:Needleless intravenous devices have now been implemented by many institutions worldwide. A rationale for their use has been a reduction in the number of needlestick injuries. OBJECTIVE:The aim of this review is to outline the possible benefits and dangers of needleless intravenous systems. REVIEW:Many earl...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/s0196-6553(99)70009-x
更新日期：1999-10-01 00:00:00
abstract：:Pet-assisted therapy in the nursing home setting, as a vital component of the Eden Alternative or Human Habitat program, is gaining widespread recognition and implementation. Programs such as this help to improve the quality of life of nursing home residents by offsetting resident loneliness, helplessness, and boredom...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1067/mic.2001.115873
更新日期：2001-06-01 00:00:00
abstract：BACKGROUND:Burkholderia cepacia complex (Bcc) is well-known for intrinsic resistance to certain antiseptics. We experienced a sudden rise in Bcc bloodstream infections in a 786-bed hospital. An investigation was conducted to identify the source and to intervene in the ongoing infections. METHODS:The cases were defined...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.11.010
更新日期：2015-03-01 00:00:00
abstract：BACKGROUND:Pathogens may be transmitted in hospitals via patients' own hands, but little is known about the facilitators and barriers of hand hygiene among inpatients. This study aimed to assess the hand hygiene knowledge, attitudes, and practices of adult inpatients at 5 hospitals. METHODS:The study consisted of a cr...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.11.020
更新日期：2020-05-01 00:00:00
abstract：:We report macroscopic biofilms on silver hydrogel-coated urinary catheters in 2 patients from 2 different intensive care units. The catheters were removed on observation of a white, jelly layer on the catheters, respectively, 9 and 21 days after insertion. Yeast cells and pseudohyphal structures were observed with mic...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.03.042
更新日期：2016-10-01 00:00:00
abstract：BACKGROUND:Acinetobacter baumannii and Staphylococcus aureus have persisted as 2 major pathogens worldwide. AIM:We designed a prevalence study to investigate the prevalence of nasal carriage of S aureus and A baumannii in long-term-care facilities (LCTFs) and their collaborative community hospitals. In addition, we ai...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.02.005
更新日期：2017-07-01 00:00:00
abstract：BACKGROUND:In recent years, the wearing of pierced earrings for personal adornment has increased among health care workers in Japan. However, the transmission dynamics between bacteria in pierced earring holes and fingers has not been clearly shown. METHODS:Earlobes and fingers of 200 nurses (128 nurses with pierced e...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.06.006
更新日期：2019-01-01 00:00:00
abstract：BACKGROUND:The major concern after occupational exposures is the possible transmission of blood-borne pathogens, especially hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV). This study was undertaken to evaluate the risk of infection after exposure to blood or body fluids of an u...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2008.05.012
更新日期：2008-12-01 00:00:00
abstract：:Clinical practice protocols for the control and prevention of respiratory infections in rehabilitation settings, especially regarding pediatric tracheostomized patients, are currently lacking. To tackle this issue, we conducted a systematization of our clinical management protocols, aiming at defining a decisional alg...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.12.015
更新日期：2015-04-01 00:00:00
abstract：BACKGROUND:A novel strain of influenza A (H1N1) was identified in April 2009 and developed into a pandemic by June 2009. This rapid and unexpected event had enormous implications for infection preventionists (IP) internationally. Lessons learned from this event should guide future pandemic planning efforts. METHODS:Fo...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.09.003
更新日期：2009-12-01 00:00:00
abstract：BACKGROUND:Surgical site infections (SSIs) contribute significantly to patient morbidity and mortality and exhaust health care system resources. The main objectives of the study were to describe the incidence rates of SSIs among patients undergoing urologic or cardiothoracic surgeries, the associated risk factors, and ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.07.001
更新日期：2012-06-01 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:The number and significance of tuberculin skin test reactions were compared with self-reported baseline values among house staff working in a public hospital. High-risk medical specialties, locations, and infection control practices were examined. METHODS:House staff interviews, tuberculin skin test applica...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(96)90047-4
更新日期：1996-02-01 00:00:00
abstract：BACKGROUND:The guideline for staffing infection control programs of 1 infection control professional (ICP) for every 250 occupied acute care beds has been used in many health care facilities in the United States since 1985. Since that time, the health care system, patient populations, and expectations about the work of...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2002.127930
更新日期：2002-10-01 00:00:00
abstract：BACKGROUND:Data on health care-associated infections (HAIs) outside of intensive care units (ICU) are scarce. We assessed hospital-wide changes in the incidence of health care-associated pathogens by infection site and by service between 2005 and 2011. METHODS:All data on health care-associated pathogens in 2005-2011 ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.03.019
更新日期：2014-07-01 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：BACKGROUND:Patient and visitor hand hygiene has the potential to prevent health care-associated infections, but there are few data on the efficacy of interventions to improve patient/visitor hand hygiene. OBJECTIVE:To determine whether conventional and front-line ownership (FLO) patient/visitor hand hygiene interventi...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.09.026
更新日期：2020-05-01 00:00:00
abstract：BACKGROUND:This study assessed reporting behavior and satisfaction with postexposure prophylaxis (PEP) systems among health care workers (HCWs) at risk for occupational bloodborne pathogen exposure (BPE) in 3 public hospitals in Botswana. METHODS:A cross-sectional survey among HCWs provided information on perceptions,...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.01.027
更新日期：2016-08-01 00:00:00
abstract：:Nurses satisfied with their jobs report less job stress, more effective nurse-physician collaboration, and higher patient satisfaction scores. It is unknown if job satisfaction influences adherence to best practices or patient outcomes. This secondary data analysis investigated the relationship between job satisfactio...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.10.023
更新日期：2018-05-01 00:00:00
abstract：BACKGROUND:Hospital-acquired infections (HAIs) lead to poor health outcomes in hospitalized patients and may be disproportionately affecting the aging population of people living with HIV (PLWH). This study determined the association between HIV and HAIs, and analyzed the potential mediating effects of comorbidities. ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.05.028
更新日期：2019-12-01 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：:Manual counting is considered the gold standard for device day recording by the National Health Safety Network. We describe the development of a process for an electronic count of central line days across our ten-hospital health care system. Our validation process identified discordance between the electronic count an...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.05.013
更新日期：2019-11-01 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:Compliance with hand hygiene guidelines reduces the risk of health care-associated infection, yet doctors are less compliant than other health care workers. Use of observational hand hygiene auditing with targeted individualized feedback was implemented, with improved hand hygiene of consultant doctors; howe...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.12.024
更新日期：2019-07-01 00:00:00
abstract：BACKGROUND:Infection control practice compliance is commonly monitored by measuring hand hygiene compliance. The limitations of this approach were recognized in 1 acute health care organization that led to the development of an Infection Control Continuous Quality Improvement tool. METHODS:The Pronovost cycle, Barrier...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.06.014
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:To reach and engage hospitalists in the prevention of antimicrobial resistance, the Society of Hospital Medicine and the Centers for Disease Control and Prevention developed and conducted a quality improvement workshop based on the Centers for Disease Control and Prevention's Campaign to Prevent Antimicrobia...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2007.03.006
更新日期：2007-12-01 00:00:00
abstract：BACKGROUND:Clostridium difficile is the most common health care-associated infection and a major cause of death and increased morbidity. It is vital that patients and the public are provided with the right information and communication to assist them to understand their role in preventative measures. Successful impleme...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2012.05.026
更新日期：2013-06-01 00:00:00
