Abstract：
BACKGROUND:Occupational blood exposures among operating room personnel have been substantially underreported in incident reports. Recent research has indicated several common factors influencing exposure rates: surgical service (thoracic, neurosurgery, orthopedic), length of operation, and emergency status. METHODS:This report examines further data from a study of 8502 surgical cases in nine hospitals, in which a site coordinator and circulating nurses reported consecutive case information, including blood contacts that occurred during the procedures. For three of the participating hospitals, incident reports of blood exposures among operating room personnel that occurred during a 12-month period before the study were also tabulated. RESULTS:Incident reports underreported parenteral exposures (punctures, mucous membrane and nonintact skin contact with patient blood) by as much as a factor of 25. Individual hospital rates of occupational surgical blood exposure varied considerably. CONCLUSIONS:To ensure that resources to prevent occupational blood exposure are allocated appropriately, on the basis of actual risk, among all personnel, hospitals must actively monitor blood exposures in their operating rooms.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Lynch P,White MCdoi
10.1016/0196-6553(93)90402-psubject
Has Abstractpub_date
1993-12-01 00:00:00pages
357-63issue
6eissn
0196-6553issn
1527-3296pii
0196-6553(93)90402-Pjournal_volume
21pub_type
杂志文章abstract：:We performed 4 years of active screening for multidrug resistant organism (MDRO) colonization among patients with a history of overseas hospitalization. Thirteen (56.5%) of 23 cases were positive for MDROs, which highlights the importance of preemptive infection control to prevent the spread of MDROs in this populatio...
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：: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: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：: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:Chlorhexidine gluconate (CHG) and povidone iodine (PI) are rarely used concurrently despite a lack of evidence regarding functional incompatibility of these agents. METHODS:CHG and PI, alone and combined, were evaluated against Staphylococcus aureus (methicillin-susceptible S aureus [MSSA] and methicillin-r...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2010.06.022
更新日期：2010-12-01 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：:Infection control practitioners (ICPs) are important partners in enhancing the US public health infrastructure, both as essential recipients of continuing education and as instructors responsible for providing this education. Focus groups were conducted at APIC 2000, the annual meeting for the Association for Professi...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2001.119821
更新日期：2001-12-01 00:00:00
abstract：BACKGROUND:Long-term acute care hospitals (LTACHs) have a unique patient population, with multiple risk factors for carbapenem-resistant Enterobacteriaceae (CRE) colonization and infection. METHODS:We performed a retrospective analysis of patients in LTACHs who were diagnosed with and treated for CRE infections. Basel...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.07.006
更新日期：2020-01-01 00:00:00
abstract：:Our descriptive analyses show a wide distribution in rates of central line device days and central line-associated bloodstream infections for a given standardized infection ratio-the measure linked to federal payment penalties-among 215 US hospitals serving highly complex patient populations. We established that the s...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.12.001
更新日期：2019-08-01 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：:To describe the characteristics of needlestick injuries occurring to health care workers outside the hospital, a new case report form was implemented and analyzed after 12 months. A total of 144 incidents were reported. Of the needlestick injuries in nursing assistants, 84% involved an insulin needle or pen. Thirty-fi...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2006.02.004
更新日期：2006-11-01 00:00:00
abstract：BACKGROUND:The validity of self-reported varicella history and cost-effectiveness of a prevaccination screening strategy have not been examined among health care workers (HCWs) living in Korea. METHODS:We investigated varicella-zoster virus immunity of all HCWs in high-risk departments. To determine the history of var...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.05.013
更新日期：2014-08-01 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：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
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：BACKGROUND:The purpose of this study was to identify the cause of an unusual outbreak of gram-negative bacteremia in patients undergoing long-term hemodialysis. METHODS:We performed direct observation and investigation of current dialysis techniques and facilities including microbiologic sampling in a long-term hemodi...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(96)90023-1
更新日期：1996-10-01 00:00:00
abstract：BACKGROUND:There is a lack of empiric evidence regarding the optimal approach to controlling the transmission of extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-E) and carbapenem-resistant Enterobacteriaceae (CRE). In this context, we expect that infection control practices for these organisms vary wid...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.11.008
更新日期：2012-11-01 00:00:00
abstract：BACKGROUND:Methicillin-resistant coagulase-negative staphylococci (MRCNS) are increasing nosocomial pathogens in acute care hospital patients. However, there is little information on the epidemiology of MRCNS in skilled nursing facilities (SNFs). We report a pilot survey of the prevalence of MRCNS colonization in SNF p...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2000.103243
更新日期：2000-06-01 00:00:00
abstract：BACKGROUND:Surgical site infection (SSI) after neurosurgery has potentially devastating consequences. METHODS:A prospective cohort study was conducted over a period of 24 months in a university center. All adult patients undergoing neurosurgical procedures, with exception of open skull fractures, were included. Multiv...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.07.005
更新日期：2015-12-01 00:00:00
abstract：:A nurse-to-patient transmission of HIV type 1 was recently documented in a French hospital. The origin of the transmission remained unclear. To inform patients who may have been exposed to the nurse while they had received care, a lookback investigation that included mailings and a viral screening was conducted for 75...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2002.119926
更新日期：2002-06-01 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: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:Contamination of bronchoalveolar lavage fluid is a major problem in the world. Although 2% glutaraldehyde (GA) is widely used as a disinfectant for bronchoscope cleaning, recently, GA-tolerant mycobacteria have been isolated, which makes this problem more complicated. METHODS:We studied the susceptibility t...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2003.07.007
更新日期：2004-06-01 00:00:00
abstract：:Chlorhexidine gluconate (CHG) decreases hospital-acquired methicillin-resistant Staphylococcus aureus (MRSA) that can cause colonization and infection. A standard approach is the bathing of all patients with CHG to prevent MRSA transmission. To decrease CHG utilization, this study assessed selective daily administrati...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.12.026
更新日期：2014-05-01 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：OBJECTIVE:At present, the shortest recommended application time of alcoholic handrubs is an application interval of 30 seconds. However, application times shorter than 30 seconds are regularly practiced. Therefore, the aim of this study was to investigate whether a 15-second application time achieves a comparable wetta...
journal_title：American journal of infection control
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ajic.2018.02.015
更新日期：2018-09-01 00:00:00
abstract：BACKGROUND:Numerous strategies are available to prevent surgical site infections in hip arthroplasty, but there is no consensus on which might be the best. This study examined infection prevention strategies currently recommended for patients undergoing hip arthroplasty. METHODS:Four clinical guidelines on infection p...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2012.03.027
更新日期：2013-03-01 00:00:00
abstract：BACKGROUND:There is a large and growing body of evidence that methicillin-resistant Staphylococcus aureus (MRSA) screening programs are cost effective, but such screening represents a significant cost burden for hospitals. This study investigates the clinical, patient experience and cost impacts of performing active su...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.07.011
更新日期：2014-10-01 00:00:00
abstract：BACKGROUND:Scabies is a dermatologic infestation caused by Sarcoptes scabiei. In industrialized countries, hospitals and other health structures can sometimes be hit. The optimal management of scabies outbreaks still has to be established, mass prophylaxis being one possible option. METHODS:To identify the optimal app...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.10.006
更新日期：2014-03-01 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
