Postoperative wound infection after total abdominal hysterectomy: a controlled study of the increased duration of hospital stay and trends in postoperative wound infection.

Abstract:

BACKGROUND:Total abdominal hysterectomy, a common operative procedure, is infrequently accompanied by incisional wound infection. No recent study has examined the excess hospital stay attributable to such infections. METHODS:This historical cohort study of cases and matched controls was performed in a tertiary care university hospital. RESULTS:During the 5-year study period (1985 to 1989), the infection rate was 10.5 per 100 procedures; patients with infection remained hospitalized 3.55 days longer than did matched control patients (p = 0.0025). CONCLUSION:In this era after the introduction of the diagnosis-related groups for reimbursement, incisional wound infection after total abdominal hysterectomy leads to a significant period of extra hospital stay.

journal_name

Am J Infect Control

authors

Kandula PV,Wenzel RP

doi

10.1016/0196-6553(93)90032-y

subject

Has Abstract

pub_date

1993-08-01 00:00:00

pages

201-4

issue

4

eissn

0196-6553

issn

1527-3296

pii

0196-6553(93)90032-Y

journal_volume

21

pub_type

临床试验,杂志文章
  • Impact of a mandated provincial hand hygiene program: messages from the field.

    abstract:BACKGROUND:The British Columbia Provincial Hand Hygiene Working Group was formed in September 2010 and tasked with the development and implementation of a provincial hand hygiene (HH) program for health care. METHODS:As part of an evaluation of the provincial HH program, qualitative key informant interviews of program...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2014.04.004

    authors: Bryce E,Islam S,Nelson B,Gamage B,Wilson R,Welsh P,Han G,British Columbia Provincial Hand Hygiene Working Group.

    更新日期:2014-07-01 00:00:00

  • Outbreak of Burkholderia cepacia bacteremia in immunocompetent children caused by contaminated nebulized sulbutamol in Saudi Arabia.

    abstract:BACKGROUND:An outbreak of 5 inpatient and otherwise healthy children admitted for respiratory problems developed dry fever and cough after a few days of hospitalization. Burkhuldaria cepacia was isolated from their blood culture. The Infection Control Department (ICD) in the King Fahad Medical City (KFMC) detected and ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2006.03.003

    authors: Ghazal SS,Al-Mudaimeegh K,Al Fakihi EM,Asery AT

    更新日期:2006-08-01 00:00:00

  • Impact of a quality control circle on the incidence of catheter-associated urinary tract infection: An interrupted time series analysis.

    abstract:BACKGROUND:To report a quality control circle (QCC) activity on the theme of reducing the incidence of catheter-associated urinary tract infection (CAUTI), and used an interrupted time series analysis to evaluate the impact of the QCC. METHODS:In a general tertiary hospital in Shenzhen, China, we carried out a QCC act...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2020.01.006

    authors: Zhong X,Xiao LH,Wang DL,Yang SW,Mo LF,He LF,Wu QF,Chen YW,Luo XF

    更新日期:2020-10-01 00:00:00

  • Urosepsis associated with videourodynamic studies.

    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

    authors: Talbot GH,Doorley M,Banner MP

    更新日期:1984-10-01 00:00:00

  • Cross-contamination of bacteria-colonized pierced earring holes and fingers in nurses is a potential source of health care-associated infections.

    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

    authors: Kanayama Katsuse A,Takishima M,Nagano M,Kikuchi K,Takahashi H,Kaneko A,Kobayashi I

    更新日期:2019-01-01 00:00:00

  • Facilitators and barriers to a family empowerment strategy to improve healthcare worker hand hygiene in a resource-limited setting.

    abstract:OBJECTIVES:The World Health Organization recommends empowering patients/families to remind healthcare workers (HCWs) to perform hand hygiene (HH). We sought to understand acceptability of a family empowerment strategy in a Vietnamese pediatric intensive care unit (PICU). METHODS:With end-user input, we designed a tool...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2020.05.030

    authors: Campbell JI,Pham TT,Le T,Dang TTH,Chandonnet CJ,Truong TH,Duong H,Nguyen DD,Le TH,Tran TH,Nguyen TKO,Ho TMT,Le KN,Pollack TM,Sandora TJ

    更新日期:2020-12-01 00:00:00

  • Assessment of a selective surveillance method for detecting nosocomial infections in patients in the intensive care department.

    abstract:BACKGROUND:The implementation of a time- and cost-effective system for the surveillance of the nosocomial infection (NI) is a challenge for infection control practitioners. OBJECTIVES:The aim of this study was to assess the sensitivity and the time reduction using a selective surveillance method (SSM) for the detectio...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1067/mic.2003.72

    authors: Zolldann D,Haefner H,Poetter C,Buzello S,Sohr D,Luetticken R,Lemmen SW

    更新日期:2003-08-01 00:00:00

  • Sharps injury recordkeeping activities and safety product use in California health care facilities: pilot study results from the sharps injury control program.

    abstract:BACKGROUND:In 1999, licensed health care facilities in California (N = 2532) were invited to participate in a survey about occupational bloodborne pathogens exposure surveillance activities, recordkeeping methods, and use of safety-enhanced sharps devices. RESULTS:A total of 1274 facilities responded to the survey fro...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1067/mic.2002.122646

    authors: Gillen M,Davis M,McNary J,Boyd A,Lewis J,Curran C,Young CA,Schuller M,Cone J

    更新日期:2002-08-01 00:00:00

  • Determining high touch areas in the operating room with levels of contamination.

    abstract:BACKGROUND:The Centers for Disease Control and Prevention put forth the recommendation to clean areas considered high touch more frequently than minimal touch surfaces. The operating room was not included in these recommendations. The purpose of this study was to determine the most frequently touched surfaces in the op...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2016.03.013

    authors: Link T,Kleiner C,Mancuso MP,Dziadkowiec O,Halverson-Carpenter K

    更新日期:2016-11-01 00:00:00

  • Does the removal of contact precautions for MRSA and VRE infected patients change health care-associated infection rate?: A systematic review and meta-analysis.

    abstract:OBJECTIVE:Update existing meta-analysis to analyze if discontinuation of contact precautions (CPs) for Methicillin-resistant Staphylococcus aureus (MRSA) and Vancomycin resistant Enterococcus (VRE) colonization or infection affects hospital-associated MRSA or VRE infection rates. METHODS:We conducted a systematic revi...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2020.11.020

    authors: Kleyman R,Cupril-Nilson S,Robinson K,Thakore S,Haq F,Chen L,Oyesanmi O,Browning K,Pino J,Mhaskar R

    更新日期:2020-12-01 00:00:00

  • Detection of vancomycin-resistant enterococci colonization in a children's hospital.

    abstract:BACKGROUND:Vancomycin-resistant enterococci (VRE) are important nosocomial pathogens in many hospitals. The true prevalence of VRE in pediatric hospitals is not known. METHODS:A surveillance study was performed at a pediatric tertiary care medical center by using vancomycin-containing screening media. RESULTS:Six chi...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1053/ic.1998.v26.a93115

    authors: Christenson JC,Korgenski EK,Jenkins E,Daly JA

    更新日期:1998-12-01 00:00:00

  • Status of nosocomial tuberculosis transmission prevention in hospitals in Thailand.

    abstract::A national survey was conducted during July to September 2009 to determine tuberculosis (TB) prevention activities, problems, and support needed of Thai hospitals. Ninety-seven percent of hospitals established TB isolation policy, 96.3% provided guidelines for caring of TB patients, 95% and 91.8% provided prevention o...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2013.09.019

    authors: Unahalekhaka A,Lueang-a-papong S,Chitreecheur J

    更新日期:2014-03-01 00:00:00

  • Methicillin-resistant Staphylococcus aureus nasal carriage between healthy students of medical and nonmedical universities.

    abstract:BACKGROUND:Methicillin-resistant Staphylococcus aureus (MRSA) is a challenge for public health, and community-acquired (CA) infections seem to be increasing among people in different areas. METHODS:A total of 700 healthy student volunteers residing in dormitories of universities in Urmia, Iran, were enrolled in this s...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2017.02.034

    authors: Abroo S,Hosseini Jazani N,Sharifi Y

    更新日期:2017-07-01 00:00:00

  • Predictors of methicillin-resistant Staphylococcus aureus colonization at hospital admission.

    abstract:BACKGROUND:The best strategy for active surveillance for methicillin-resistant Staphylococcus aureus (MRSA) remains unclear. We attempted to identify a risk factor score to predict MRSA colonization at hospital admission. METHODS:Data on 9 variables reported as risk factors for MRSA colonization were analyzed, and a r...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2013.02.013

    authors: Torres K,Sampathkumar P

    更新日期:2013-11-01 00:00:00

  • Nasal colonization by methicillin-resistant coagulase-negative staphylococcus in community skilled nursing facility patients.

    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

    authors: Lee YL,Cesario T,Tran C,Stone G,Thrupp L

    更新日期:2000-06-01 00:00:00

  • The numbers game: sample-size determination.

    abstract::Sample-size determination is a crucial component of study design. Estimates of sample size are influenced by the amount of change that must occur between study groups and the degree of risk that the investigator is willing to accept in evaluating the null hypothesis. A complete understanding of the impact of sample si...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/0196-6553(93)90007-q

    authors: Edmiston CE Jr,Josephson A,Pottinger J,Ciacco-Tsivitis M,Palenik C

    更新日期:1993-06-01 00:00:00

  • Saving time and resources: observational research to support adoption of a hand hygiene promotion campaign.

    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

    authors: Mackert M,Lazard A,Liang MC,Mabry A,Champlin S,Stroever S

    更新日期:2015-06-01 00:00:00

  • Mechanisms of antimicrobial resistance in bacteria.

    abstract::The treatment of bacterial infections is increasingly complicated by the ability of bacteria to develop resistance to antimicrobial agents. Antimicrobial agents are often categorized according to their principal mechanism of action. Mechanisms include interference with cell wall synthesis (eg, beta-lactams and glycope...

    journal_title:American journal of infection control

    pub_type: 杂志文章,评审

    doi:10.1016/j.ajic.2006.05.219

    authors: Tenover FC

    更新日期:2006-06-01 00:00:00

  • Merging video coaching and an anthropologic approach to understand health care provider behavior toward hand hygiene protocols.

    abstract:BACKGROUND:We used videorecordings of routine care to analyze health care providers' deviance from protocols and organized follow-up interviews that were conducted by an anthropologist and a nurse. METHODS:After consent, health care workers were recorded during routine care by an automatic video remote control. Each p...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2016.12.016

    authors: Boudjema S,Tarantini C,Peretti-Watel P,Brouqui P

    更新日期:2017-05-01 00:00:00

  • Staffing and structure of infection prevention and control programs.

    abstract:BACKGROUND:The nature of infection prevention and control is changing; however, little is known about current staffing and structure of infection prevention and control programs. METHODS:Our objectives were to provide a snapshot of the staffing and structure of hospital-based infection prevention and control programs ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2008.11.001

    authors: Stone PW,Dick A,Pogorzelska M,Horan TC,Furuya EY,Larson E

    更新日期:2009-06-01 00:00:00

  • Contamination of intravenous fluids: a continuing cause of hospital bacteremia.

    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

    authors: Macias AE,Huertas M,de Leon SP,Munoz JM,Chavez AR,Sifuentes-Osornio J,Romero C,Bobadilla M

    更新日期:2010-04-01 00:00:00

  • Nasal decolonization of Staphylococcus aureus in orthopedic surgeons using mupirocin and chlorhexidine.

    abstract::Nasal mucosa colonization by Staphylococcus aureus is a risk factor for hospital-acquired infections. This study examined the effectiveness of a decolonization strategy on orthopedic surgeons in a teaching hospital. S aureus colonization was detected in 43.2% of the surgeons, 25% of which were methicillin-resistant S ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2019.11.003

    authors: Castro-Martínez AG,Garza-González E,Peña-Martínez V,Gonzalez-Bracamonte JS,Camacho-Ortiz A

    更新日期:2020-09-01 00:00:00

  • Characteristics of COVID-19 near China's epidemic center.

    abstract:BACKGROUND:This study described and analyzed the age, gender, infection sources, and timing characteristics of the 416 confirmed cases in two cities near the center of China's COVID-19 outbreak. METHODS:This study used publicly available data to examine gender, age, source of infection, date returned from Hubei, date ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2020.06.191

    authors: Li Y,Duan G,Xiong L

    更新日期:2020-09-01 00:00:00

  • A national task analysis of infection control practitioners, 1982. Part Two: Tasks, knowledge, and abilities for practice.

    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

    authors: Shannon R,McArthur BJ,Weinstein S,Pugliese G,Jackson MM,Lynch P,Tsinzo M,Serkey J,McGuire N

    更新日期:1984-06-01 00:00:00

  • Cleaning, resistant bacteria, and antibiotic prescribing in residential aged care facilities.

    abstract::Residents of residential aged care facilities (RACFs) are at risk of colonization and infection with multidrug-resistant bacteria, and antibiotic prescribing is often inappropriate and not based on culture-proven infection. We describe low levels of resident colonization and environmental contamination with resistant ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2015.09.034

    authors: Cowan RU,Kishan D,Walton AL,Sneath E,Cheah T,Butwilowsky J,Friedman ND

    更新日期:2016-03-01 00:00:00

  • Diagnostic testing methods for Clostridium difficile infection: A statewide survey of Ohio acute care hospitals.

    abstract::We surveyed Ohio acute care hospitals on laboratory testing used for diagnosis of Clostridium difficile infection (CDI). Of 146 hospitals surveyed, 109 (84%) used nucleic acid amplification tests (NAATs) as stand-alone diagnostic assays. Only 53 (42.4%) hospitals using NAATs had a mechanism in place to prevent repeat ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2016.09.007

    authors: Wong KK,Choi B,Fraser TG,Donskey CJ,Deshpande A

    更新日期:2017-03-01 00:00:00

  • Working with influenza-like illness: Presenteeism among US health care personnel during the 2014-2015 influenza season.

    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

    authors: Chiu S,Black CL,Yue X,Greby SM,Laney AS,Campbell AP,de Perio MA

    更新日期:2017-11-01 00:00:00

  • Efficacy of concurrent application of chlorhexidine gluconate and povidone iodine against six nosocomial pathogens.

    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

    authors: Anderson MJ,Horn ME,Lin YC,Parks PJ,Peterson ML

    更新日期:2010-12-01 00:00:00

  • Characteristics associated with hepatitis B vaccination initiation and completion among adults traveling to a country of high or intermediate endemicity.

    abstract:BACKGROUND:The hepatitis B (HepB) vaccine is recommended for adults traveling to a country of high or intermediate endemicity. METHODS:Data from the 2016 and 2017 National Health Interview Surveys were pooled. RESULTS:The weighted prevalence of HepB vaccination initiation (≥1 dose) was 37.67% in 2016 (weighted number...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2019.02.014

    authors: Tian C,Ding X,Wang H,Wang W,Luo X

    更新日期:2019-08-01 00:00:00

  • National Infection Control Program in Turkey: The healthcare associated infection rate experiences over 10 years.

    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

    authors: Gozel MG,Hekimoglu CH,Gozel EY,Batir E,McLaws ML,Mese EA

    更新日期:2020-12-25 00:00:00