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 hemodialysis unit in a tertiary care center. We also performed a retrospective review of medical charts and laboratory data of 10 patients undergoing long-term hemodialysis who experienced 11 episodes of gram-negative bacteremia between March 4 and June 28, 1993. RESULTS:All of these patients underwent dialysis by jugular venous access. Containers used to collect flush solution after priming of dialysis tubing remained unemptied for extended periods of time, and quantitative culture revealed more than 200 colony-forming units/ml gram-negative bacilli, including species isolated in blood cultures. Dialysis tubing and connector were left submerged in flush solution collection containers during priming, and the process of disinfecting tubing before patient connection had recently been discontinued. Control measures included emptying of flush containers after each use and daily decontamination. All dialysis tubing was to be disinfected before patient connection. CONCLUSION:Outbreak was due to contamination during dialysis setup. After institution of appropriate control measures, no new cases have occurred.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Humar A,Oxley C,Sample ML,Garber Gdoi
10.1016/s0196-6553(96)90023-1subject
Has Abstractpub_date
1996-10-01 00:00:00pages
359-63issue
5eissn
0196-6553issn
1527-3296pii
S0196-6553(96)90023-1journal_volume
24pub_type
杂志文章abstract：BACKGROUND:Catheter-related bloodstream infections are costly and associated with substantial morbidity and mortality. Trials suggest that central venous catheters impregnated with minocycline/rifampin, although more expensive, are clinically superior to chlorhexidine/silver sulfadiazine impregnated catheters. It remai...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2003.35
更新日期：2003-02-01 00:00:00
abstract：:This article contains guidelines for selection and design of audiovisual materials pertinent to the teaching of infection control. Clarity, rate of presentation, and color are emphasized because they may correlate directly with effective presentation and learner comprehension. The use of audiovisual programs may cut p...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(84)90066-x
更新日期：1984-02-01 00:00:00
abstract：BACKGROUND:Hospital-acquired infection, including catheter-associated urinary tract infection (CAUTI), is common. Although CAUTI is usually preventable, hospital units may struggle to reduce CAUTI rates. The CAUTI guide to patient safety (GPS) was developed to assess a unit's CAUTI prevention activities. Our aim was to...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.03.051
更新日期：2016-10-01 00:00:00
abstract：INTRODUCTION:Reverse osmosis (RO), a major advance in hemodialysis (HD) safety, effectively clears most water organisms. Delftia acidovorans is an environmental water-borne pathogen that is rarely reported to cause human infections. We report a pseudo outbreak caused by colonization of RO machines with D acidovorans wi...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.11.027
更新日期：2020-03-01 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:Surgical site infections (SSIs) following hip fracture surgeries have profound clinical and economic implications. The study aims to analyze the effect of an integrative SSI prevention care bundle on the SSI incidence among surgical hip patients. The study also aims to examine the association between SSI and...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.10.011
更新日期：2019-05-01 00:00:00
abstract：BACKGROUND:The purpose of this quality improvement project was to determine the effect of providing feedback to managers and bedside nurses on the nurses' central line-associated bloodstream infection (CLABSI) contributing factors, found on visual and documentation audits. METHODS:This nonexperimental, quality improve...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.09.020
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND:Most cases of microbial transmission to patients via contaminated endoscopes have resulted from nonadherence to reprocessing guidelines. We evaluated the occurrence, features, and implications of reprocessing lapses to gauge the nature and breadth of the problem in the context of widely available and accepte...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.04.022
更新日期：2013-12-01 00:00:00
abstract：BACKGROUND:We were alerted to increased rates of Clostridium difficile-positive tests at all 3 hospitals in our health care system by MedMined Data Mining Surveillance Service, CareFusion (San Diego, CA). In response, an intervention of terminal room cleaning with dilute bleach was instituted to decrease the amount of ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.11.003
更新日期：2010-06-01 00:00:00
abstract：BACKGROUND:Surgical site infections increase the morbidity, mortality, and costs associated with surgical care. An estimated 96.2 million surgical procedures are performed in low- and middle-income countries (LMICs) each year. This pilot study assessed the steam sterilization aspect of the surgical instrument reprocess...
journal_title：American journal of infection control
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ajic.2015.06.025
更新日期：2015-11-01 00:00:00
abstract：BACKGROUND:Nursing engagement in antibiotic stewardship programs (ASPs) remains suboptimal. The purpose of this study was to determine the knowledge, attitudes, and practices of nursing staff members regarding ASPs and identify barriers to their participation in such programs. METHODS:This cross-sectional study was co...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.09.008
更新日期：2019-03-01 00:00:00
abstract：BACKGROUND:No information is available on the financial impact of nosocomial pneumonia in Argentina. To calculate the cost of nosocomial pneumonia in intensive care units, a 5-year, matched cohort study was undertaken at 3 hospitals in Argentina. SETTING:Six adult intensive care units (ICU). METHODS:Three hundred sev...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2004.08.008
更新日期：2005-04-01 00:00:00
abstract：:We illustrate how genotyping of mycobacterial strains contributed to the discovery of an undetected outbreak of tuberculosis in a hospital ward, ruling out misleading assumptions of transmission chains. Genotyping should be taken into account in routine tests for the control of tuberculosis. ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.03.003
更新日期：2012-02-01 00:00:00
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
更新日期：2016-11-01 00:00:00
abstract：BACKGROUND:Needleless connectors (NCs) were introduced to reduce health care work needlestick injuries (NSIs). If not decontaminated prior to use, NCs can be a portal for patient blood stream infections. The optimal disinfectant, and its application duration, for NC decontamination has not been empirically established....
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.11.030
更新日期：2020-09-01 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:Antimicrobial exposure remains an important risk factor for developing Clostridium difficile infection (CDI). Efficient method to identify antibiotics associated with CDI is important for formulating strategies to curtail their use. As a prelude to a more extensive Agency for Healthcare Research and Quality-...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.05.001
更新日期：2014-10-01 00:00:00
abstract：:We describe 1,132 contacts between anesthesiologists and the operating room. Objects most commonly touched included anesthesia machines and keyboards. Only 13 hand hygiene events were witnessed during 8 hours of observations. Line insertions, bronchoscopies, or blood exposures were not followed by hand hygiene. Stopco...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.03.306
更新日期：2013-10-01 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:Carbapenem-resistant gram-negative (CRGN) infections have been increasing in recent years and associated with significant morbidity, mortality, and health care costs. The aim of this study was to evaluate the epidemiologic and clinical risk characteristics, risk factors, and outcome of CRGN infections and to...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.08.013
更新日期：2018-02-01 00:00:00
abstract：:Alcaligenes xylosoxidans is an uncommon but serious cause of nosocomial epidemics. This report describes a cluster of two patients who underwent revision of hip arthroplasties and one patient who had a lumbar puncture. Cultures obtained during all three procedures showed A. xylosoxidans with similar antibiotic sensiti...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(98)80035-7
更新日期：1998-04-01 00:00:00
abstract：BACKGROUND:Although antimicrobial stewardship programs (ASPs) are uniquely positioned to improve treatment of Clostridium difficile infection (CDI) through targeted interventions, studies to date have not rigorously evaluated the influence of ASP involvement on clinical outcomes attributed to CDI. METHODS:We performed...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.05.027
更新日期：2016-12-01 00:00:00
abstract：BACKGROUND:Isolation precautions used against multidrug-resistant (MDR) organisms are responsible for many emotional side effects. We evaluated patient's feeling after a hospitalization for an MDR infection. METHODS:We conducted a qualitative study that included 11 interviews from August 2017 to June 2018. We used phe...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.03.018
更新日期：2019-09-01 00:00:00
abstract：BACKGROUND:Reusable bedpans and urinals are frequently cleaned and decontaminated using washer-disinfectors (WDs) that may be located in the central processing department (CPD) or on the ward. The objective of this study was to determine how efficiently the WDs provided cleaning and to evaluate the ability of such WDs ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2007.04.277
更新日期：2008-02-01 00:00:00
abstract：BACKGROUND:Virucidal compounds are essential in preventing the transmission of viral infection in the health care environment. Understanding their mechanisms of action is necessary to improve their efficacy. Inactivation of viruses is less documented than that of bacteria notably because different types of virus have d...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.08.012
更新日期：2010-06-01 00:00:00
abstract：BACKGROUND:Information regarding compliance with infection control precautions in the dental settings in the Middle East is scant. OBJECTIVE:To examine the knowledge and practices in infection control among dental staff and dental nurses at a university teaching dental center. METHODS:A self-administered, confidentia...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2005.06.012
更新日期：2006-05-01 00:00:00
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
更新日期：2013-11-01 00:00:00
abstract：BACKGROUND:The purpose of this study was to compare the frequency of glove defects for nonlatex surgical gloves while surgeons performed routine surgery and to evaluate surgeons' satisfaction with nonlatex sterile gloves. METHODS:Two brands of latex gloves and 6 brands of nonlatex gloves were tested. Gloves were colle...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2003.12.005
更新日期：2004-08-01 00:00:00
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
更新日期：2014-03-01 00:00:00
abstract：:The virucidal activity of 2 hand rubs proposed by the World Health Organization was studied in a quantitative suspension test for chemical disinfectants and antiseptics in human medicine (EN 14476). These formulations are recommended if no hand rubs with declared microbiological activity are available in health care s...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.07.009
更新日期：2010-02-01 00:00:00
