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：:The primary job responsibility of infection preventionists (IPs) is to lead organizational initiatives that prevent and control health care-associated infections. Increasingly, IPs are participating in activities that support antimicrobial stewardship programs (ASPs). We conducted a survey of Association of Profession...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.02.003
更新日期：2020-05-01 00:00:00
abstract：BACKGROUND:Compliance with cleaning of flexible endoscope channels cannot be verified using visual inspection. Adenosine triphosphate (ATP) has been suggested as a possible rapid cleaning monitor for flexible endoscope channels. There have not been published validation studies to specify the level of ATP that indicates...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.03.018
更新日期：2013-03-01 00:00:00
abstract：BACKGROUND:Catheter-associated urinary tract infections (CAUTIs) are common nosocomial infections. In 2015, the Centers for Medicare and Medicaid Services began imposing financial penalties for institutions where CAUTI rates are higher than predicted. However, the surveillance definition for CAUTI is not a clinical dia...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.11.032
更新日期：2018-07-01 00:00:00
abstract：BACKGROUND:Handwashing with soap or another antisepsis disinfectant solution is a common practice in Vietnam, but the availability and quality of tap water is unpredictable. We assessed the risk for hand contamination and compared the efficacy of 5 hand hygiene methods in a tertiary Vietnamese hospital. METHODS:Five f...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.07.013
更新日期：2014-02-01 00:00:00
abstract：:The utilization of isolation precautions has increased in tertiary care hospitals due to the increase in colonization with multidrug-resistant organisms over time. We assessed the frequency of multidrug-resistant microorganisms responsible for implementation of contact precautions in the ICU of a tertiary care hospita...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.03.031
更新日期：2013-04-01 00:00:00
abstract：BACKGROUND:This study was designed to determine whether removing bacteria from the air with ultraviolet germicidal irradiation (UV-C) at the room level would reduce infection rates. METHODS:We reviewed infection data for 12 months before and after UV-C installation in the special care unit (SCU) of a long-term acute c...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.11.008
更新日期：2018-05-01 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：: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:Following a period (2009-2012) during which zero measles cases were reported, a measles outbreak occurred in 2013 in Bama County, Guangxi, China, that involved more than 100 children younger than age 8 months. We aimed to identify the pitfalls and risk factors while implementing the control measures. METHOD...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.11.005
更新日期：2016-04-01 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：BACKGROUND:Anesthesia providers are at risk for contracting COVID-19 due to close patient contact, especially during shortages of personal protective equipment. We present an easy to follow and detailed protocol for producing 3D printed face shields and an effective decontamination protocol, allowing their reuse. METH...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.07.037
更新日期：2020-08-04 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: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: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
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:This paper goes beyond detecting specific themes within Zika-related chatter on Twitter, to identify the key actors who influence the diffusive process through which some themes become more amplified than others. METHODS:We collected all Zika-related tweets during the 3 months immediately after the first U....
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.10.015
更新日期：2018-05-01 00:00:00
abstract：BACKGROUND:It is generally recognized that the health care system does not have adequate isolation capacity to meet the surge in demand during a major outbreak of airborne infectious disease. Alternatives to engineered isolation rooms undoubtedly will be required as surge isolation requirements exceed the available res...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2008.05.011
更新日期：2009-03-01 00:00:00
abstract：:The optimal frequency for changing pressure monitoring tubing and flush solution that minimizes catheter-related infection and contains cost has not yet been established. We conducted a pilot study to examine the effects of three protocols on catheter-related infection: group I, change of flush solution and pressure m...
journal_title：American journal of infection control
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/0196-6553(88)90061-2
更新日期：1988-10-01 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Healthcare-associated infections (HAIs) are common and often preventable complications of care, with reduction emphasized in national policy. The Centers for Medicare and Medicaid Services introduced an HAI-focused Hospital Acquired Condition Reduction Program in 2015 to penalize poor-performin...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.05.038
更新日期：2020-12-01 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：BACKGROUND:Health care-associated infections (HAIs) can be associated with increased health care costs. We examined extra length of hospital stay (LOS) and associated per diem costs attributable to HAIs in a large academic medical center. METHODS:Data for analysis were acquired in a preinterventional phase of a prospe...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.09.005
更新日期：2016-02-01 00:00:00
abstract：:Hand hygiene is the most effective way to prevent the spread of health care-associated infections, but many facilities may not have the resources or expertise to develop their own hand hygiene promotion campaign. This observational study demonstrated that a campaign developed for 1 facility could successfully contribu...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.02.020
更新日期：2015-06-01 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：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：:Videourodynamic studies (VUS) of the lower urinary tract are useful in the evaluation of complicated voiding dysfunctions. These studies involve placement of urethral and rectal catheters, measurement of pressures during bladder filling and voiding, and simultaneous fluoroscopic cystourethrography. A cluster of five c...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(84)90044-0
更新日期：1984-10-01 00:00:00
abstract：:In this 2-phase real-world evaluation of chlorhexidine gluconate (CHG) skin concentrations in intensive care unit patients, we found lower skin CHG concentrations when rinsing with water after CHG solution bath (compared with no rinse), but no significant difference in concentrations between the use of CHG solution wi...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.08.022
更新日期：2018-02-01 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:Control chart methodology has been widely touted for monitoring and improving quality in the health care setting. P charts and U charts are frequently recommended for rate and ratio statistics, but their practical value in infection control may be limited because they (1) are not risk-adjusted, and (2) perfo...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2000.109883
更新日期：2000-12-01 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：OBJECTIVES:To establish the incidence of postcraniotomy meningitis, identify etiologic agents, assess patients' medical progress in relation to both length of hospitalization and mortality, and analyze risk factors. MATERIAL AND METHODS:This study was developed at Hospital São Paulo, a tertiary university hospital, be...
journal_title：American journal of infection control
pub_type： 临床试验,杂志文章
doi：10.1067/mic.2002.119925
更新日期：2002-05-01 00:00:00
