Handwashing and glove use in a long-term-care facility.

Abstract:

OBJECTIVES:To determine glove use and handwashing practices, the factors associated with infection control practices, and the frequency of potential microbial transmission in a long-term-care facility (LTCF). DESIGN:Observational study of 230 staff-resident interactions in an LTCF. We recorded resident characteristics, type of activity, staff credentials, and movements of the staff member's hands, then used the LTCF's guidelines to judge appropriateness of glove use and handwashing. SETTING:255-bed, university-based LTCF in Baltimore, Maryland. PARTICIPANTS:A systematic sample of staff-resident interactions. RESULTS:Gloves were worn in 139 (82%) of 170 interactions when indicated, but changed appropriately in only 1 (16%) of 132. Hands were washed when needed before an interaction in 27%, during an interaction in 0%, and after an interaction in 63%. Gloves were less likely to be used when caring for residents with gastrostomy tubes compared with other residents (relative risk, 0.85; 95% confidence interval, 0.73-0.98). Guidelines were followed more frequently during wound care than during other activities. Microbial transmission potentially could have occurred in 158 (82%) of 193 evaluable interactions. CONCLUSIONS:We documented marked deficiencies in glove and handwashing, demonstrated the possible impact of these deficiencies, and identified factors associated with inadequate handwashing and glove use. This information can be used in future educational and research efforts to improve infection control practices.

authors

Thompson BL,Dwyer DM,Ussery XT,Denman S,Vacek P,Schwartz B

doi

10.1086/647562

subject

Has Abstract

pub_date

1997-02-01 00:00:00

pages

97-103

issue

2

eissn

0899-823X

issn

1559-6834

journal_volume

18

pub_type

杂志文章
  • Impact of a Central Line Infection Prevention Bundle in Newborn Infants.

    abstract::OBJECTIVE To compare central line use and central line-associated bloodstream infection in newborn infants before and after the introduction of a central line infection prevention bundle in order to determine the effectiveness of the bundle and to identify areas for further improvement. DESIGN Retrospective cohort ana...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2016.127

    authors: McMullan R,Gordon A

    更新日期:2016-09-01 00:00:00

  • Widespread environmental contamination associated with patients with diarrhea and methicillin-resistant Staphylococcus aureus colonization of the gastrointestinal tract.

    abstract:OBJECTIVE:Patients colonized with methicillin-resistant Staphylococcus aureus (MRSA) may contaminate their immediate environment with this organism. However, the extent to which gastrointestinal colonization with MRSA affects environmental contamination is not known. We investigated the frequency of environmental conta...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/520737

    authors: Boyce JM,Havill NL,Otter JA,Adams NM

    更新日期:2007-10-01 00:00:00

  • Epidemiologic study of nosocomial urinary tract infections in Saudi military hospitals.

    abstract::A case-control study of patients with and without confirmed UTI was performed to identify risk factors for nosocomial UTI. Duration of hospitalization, unit of admission, history of diabetes mellitus or debilitating diseases, and duration and number of urinary catheters were independently associated with increased ris...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/502336

    authors: Al-Helali NS,Al-Asmary SM,Abdel-Fattah MM,Al-Jabban TM,Al-Bamri AL

    更新日期:2004-11-01 00:00:00

  • Malassezia furfur skin colonization in infancy.

    abstract::Malassezia furfur, a lipophilic yeast, has become recognized as a cause of sepsis in infants receiving parenteral fat emulsions via indwelling deep venous catheters. Colonization of infants' skin may be a prerequisite to colonization of the intravascular catheter and subsequent infection with M furfur. Three hundred n...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/645819

    authors: Bell LM,Alpert G,Slight PH,Campos JM

    更新日期:1988-04-01 00:00:00

  • Differences in hand hygiene behavior related to the contamination risk of healthcare activities in different groups of healthcare workers.

    abstract:BACKGROUND:The Fulkerson scale lists 15 typical clinical activities ranked according to their risk of hand contamination. OBJECTIVE:To investigate how often healthcare workers (HCWs) apply antiseptic handrubs after each of the specified activities ranked in the Fulkerson scale. DESIGN:Observational study. SETTING:Un...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/502378

    authors: Wendt C,Knautz D,von Baum H

    更新日期:2004-03-01 00:00:00

  • Improvement of intraoperative antibiotic prophylaxis in prolonged cardiac surgery by automated alerts in the operating room.

    abstract:OBJECTIVE:To assess the impact of an automated intraoperative alert to redose prophylactic antibiotics in prolonged cardiac operations. DESIGN:Randomized, controlled, evaluator-blinded trial. SETTING:University-affiliated hospital. PATIENTS:Patients undergoing cardiac surgery that lasted more than 4 hours after the ...

    journal_title:Infection control and hospital epidemiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1086/502109

    authors: Zanetti G,Flanagan HL Jr,Cohn LH,Giardina R,Platt R

    更新日期:2003-01-01 00:00:00

  • Clostridium difficile Exposures, Colonization, and the Microbiome: Implications for Prevention.

    abstract::New studies have been published regarding the epidemiology of Clostridium difficile in topics such as asymptomatic C. difficile colonization, community-associated C. difficile infection, environmental contamination outside healthcare settings, animal colonization, and the interactions between C. difficile and the gut ...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章,评审

    doi:10.1017/ice.2018.36

    authors: Revolinski SL,Munoz-Price LS

    更新日期:2018-05-01 00:00:00

  • Impact of postdischarge surveillance on surgical site infection rates for several surgical procedures: results from the nosocomial surveillance network in The Netherlands.

    abstract:OBJECTIVE:To compare the number of surgical site infections (SSIs) registered after hospital discharge with respect to various surgical procedures and to identify the procedures for which postdischarge surveillance (PDS) is most important. DESIGN:Prospective SSI surveillance with voluntary PDS. Recommended methods for...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/506403

    authors: Manniën J,Wille JC,Snoeren RL,van den Hof S

    更新日期:2006-08-01 00:00:00

  • Proteeae groin skin carriage in ambulatory geriatric outpatients.

    abstract::Aerobic gram-negative bacillus (AGNB) groin skin carriage was prospectively studied in ambulatory geriatric outpatients: 42 from three nursing homes and 44 from private homes. Initially, 12 (28.6%) Proteeae carriers were in the former group and 3 (6.8%) were in the latter (P = 0.01). At one year, 6 of 7 surviving nurs...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/645990

    authors: Ehrenkranz NJ,Eckert DG,Alfonso BC,Moskowitz LB

    更新日期:1989-04-01 00:00:00

  • Evaluation of International Classification of Diseases, Ninth Revision, Clinical Modification Codes for reporting methicillin-resistant Staphylococcus aureus infections at a hospital in Illinois.

    abstract:BACKGROUND:States, including Illinois, have passed legislation mandating the use of International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes for reporting healthcare-associated infections, such as methicillin-resistant Staphylococcus aureus (MRSA). OBJECTIVE:To evaluate the sens...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/651665

    authors: Schaefer MK,Ellingson K,Conover C,Genisca AE,Currie D,Esposito T,Panttila L,Ruestow P,Martin K,Cronin D,Costello M,Sokalski S,Fridkin S,Srinivasan A

    更新日期:2010-05-01 00:00:00

  • What's the score?

    abstract::If you have calculated a confidence interval for an infection rate and found the interval extending into meaningless negative numbers, chances are the error is due to use of approximation formulae. Many of us unknowingly were taught to use the Wald approximation, which does not always approximate the exact binomial di...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/501701

    authors: Birnbaum D

    更新日期:2000-01-01 00:00:00

  • Expanding roles of healthcare epidemiology and infection control in spite of limited resources and compensation.

    abstract:OBJECTIVE:Data on the resources and staff compensation of hospital epidemiology and infection control (HEIC) departments are limited and do not reflect current roles and responsibilities, including the public reporting of healthcare-associated infections. This study aimed to obtain information to assist HEIC profession...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/650199

    authors: Wright SB,Ostrowsky B,Fishman N,Deloney VM,Mermel L,Perl TM

    更新日期:2010-02-01 00:00:00

  • Monsel's solution: a potential vector for nosocomial infection?

    abstract::Monsel's solution is a common topically applied hemostatic agent used in minor dermatologic and gynecologic surgery. Clinically, because it is often stored for long periods and dispensed from a common source for multiple patients, Monsel's solution is a potential vector for transmission of infection. However, microbio...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/502180

    authors: Rupp ME,Medcalf SJ,Fey PD,Handke LD,Marion ND

    更新日期:2003-02-01 00:00:00

  • Changes in the molecular epidemiological characteristics of methicillin-resistant Staphylococcus aureus in a neonatal intensive care unit.

    abstract:OBJECTIVE:To determine whether the molecular epidemiological characteristics of methicillin-resistant Staphylococcus aureus (MRSA) had changed in a level III neonatal intensive care unit (NICU). DESIGN:Retrospective review of medical records. SETTING:Level III NICU of a university-affiliated children's hospital in Ne...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/652526

    authors: Carey AJ,Della-Latta P,Huard R,Wu F,Graham PL 3rd,Carp D,Saiman L

    更新日期:2010-06-01 00:00:00

  • Epidemiology of nosocomial outbreaks: 14-year experience at a tertiary-care center.

    abstract::Twelve nosocomial outbreaks over 14 years at a tertiary-care center in Mexico are described. Overall mortality was 25.8%, one half due to pneumonia. The most common organism was Pseudomonas aeruginosa. Incidence was three outbreaks per 10,000 discharges; outbreak-related infections comprised 1.56% of all nosocomial in...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/501800

    authors: Ostrosky-Zeichner L,Baez-Martinez R,Rangel-Frausto MS,Ponce-de-León S

    更新日期:2000-08-01 00:00:00

  • Trends in Clostridium difficile infection among peripartum women.

    abstract::With use of the Nationwide Inpatient Sample, we conducted a study to determine whether rates of Clostridium difficile infection for delivery-associated hospitalizations are increasing. From 1998 to 2006, the number and incidence of C. difficile infection among peripartum women increased significantly. These increases ...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/652454

    authors: Kuntz JL,Yang M,Cavanaugh J,Saftlas AF,Polgreen PM

    更新日期:2010-05-01 00:00:00

  • Changes in antimicrobial utilization during the coronavirus disease 2019 (COVID-19) pandemic after implementation of a multispecialty clinical guidance team.

    abstract:OBJECTIVE:Evaluate changes in antimicrobial use during COVID-19 and after implementation of a multispecialty COVID-19 clinical guidance team compared to pre-COVID-19 antimicrobial use. DESIGN:Retrospective observational study. SETTING:Tertiary-care academic medical center. PARTICIPANTS:Internal medicine and medical ...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2020.1291

    authors: Staub MB,Beaulieu RM,Graves J,Nelson GE

    更新日期:2020-10-26 00:00:00

  • A large outbreak of hepatitis B virus infections associated with frequent injections at a physician's office.

    abstract:OBJECTIVES:To determine whether hepatitis B virus (HBV) transmission occurred among patients visiting a physician's office and to evaluate potential transmission mechanisms. DESIGN:Serologic survey, retrospective cohort study, and observation of infection control practices. SETTING:Private medical office. PATIENTS:T...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/502612

    authors: Samandari T,Malakmadze N,Balter S,Perz JF,Khristova M,Swetnam L,Bornschlegel K,Phillips MS,Poshni IA,Nautiyal P,Nainan OV,Bell BP,Williams IT

    更新日期:2005-09-01 00:00:00

  • Risk factors for epidemic Xanthomonas maltophilia infection/colonization in intensive care unit patients.

    abstract:OBJECTIVE:To determine risk factors for and modes of transmission of Xanthomonas maltophilia infection/colonization. DESIGN:Surveillance and cohort study. SETTING:A 470-bed tertiary trauma-referral community hospital. PATIENTS:From January 1, 1988 to March 17, 1989, 106 intensive care unit patients developed X malto...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/646510

    authors: Villarino ME,Stevens LE,Schable B,Mayers G,Miller JM,Burke JP,Jarvis WR

    更新日期:1992-04-01 00:00:00

  • Primary cytomegalovirus infection in pediatric nurses: a meta-analysis.

    abstract::A meta-analysis of six controlled studies was performed to evaluate the risk of cytomegalovirus (CMV) infection among pediatric nurses. The pooled risk ratio for CMV infection in pediatric nurses using cumulative incidence data was statistically significant (risk ratio [RR] 2.7; 95% confidence interval [CI] 1.33 - 5.5...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/645758

    authors: Flowers RH 3rd,Torner JC,Farr BM

    更新日期:1988-11-01 00:00:00

  • Risk factors for fecal colonization with multiple distinct strains of Escherichia coli among long-term care facility residents.

    abstract::Of 49 long-term care facility residents, 21 (43%) were colonized with 2 or more distinct strains of Escherichia coli. There were no significant risk factors for colonization with multiple strains of E. coli. These results suggest that future efforts to efficiently identify the diversity of colonizing strains will be c...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/597234

    authors: Lautenbach E,Tolomeo P,Black N,Maslow JN

    更新日期:2009-05-01 00:00:00

  • Reintroduction of influenza A to a nursing building.

    abstract::We report an outbreak of influenza A from a four-building veterans' facility in King, Wisconsin. Influenza was isolated in 154 of 721 residents over a 121-day period. Building A had 2 cases, no isolates for 40 days, followed by 27 cases. Building B had 25 cases, no isolates for 75 days, followed by 4 cases. Building C...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/501715

    authors: Drinka PJ,Gravenstein S,Krause P,Nest L,Dissing M,Shult P

    更新日期:2000-11-01 00:00:00

  • Age limit does not replace serologic testing for determination of immune status for measles.

    abstract::Adults more than 40 years old are not necessarily immune to measles. A measles outbreak that involved healthcare workers occurred after contact with a 44-year-old patient. Results of a hospital-wide program of mass screening revealed that 117 (4.5%) of 2,600 individuals tested seronegative for measles; 31 (26.1%) of t...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/519928

    authors: Uckay I,Hugonnet S,Kaiser L,Sax H,Pittet D

    更新日期:2007-09-01 00:00:00

  • Absence of association between use of ertapenem and change in antipseudomonal carbapenem susceptibility rates in 25 hospitals.

    abstract:OBJECTIVE:Ertapenem exposure has been reported to select for cross-resistance to other carbapenems in Pseudomonas aeruginosa in vitro. Single-center investigations report conflicting results. We evaluated ertapenem use and antipseudomonal carbapenem susceptibility for 6 years spanning the time of ertapenem adoption at ...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章,多中心研究

    doi:10.1086/652154

    authors: Eagye KJ,Nicolau DP

    更新日期:2010-05-01 00:00:00

  • The COVID-19 infection control arms race.

    abstract::US hospitals are engaged in an infection control arms race. Hospitals, specialties, and professional groups are spurring one another on to adopt progressively more aggressive measures in response to COVID-19 that often exceed federal and international standards. Examples include universal masking of providers and pati...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2020.211

    authors: Rhee C,Baker MA,Klompas M

    更新日期:2020-11-01 00:00:00

  • Epidemiological analysis defining concurrent outbreaks of Serratia marcescens and methicillin-resistant Staphylococcus aureus in a neonatal intensive-care unit.

    abstract:OBJECTIVE:To describe the epidemiology, interventions, and molecular typing methods used during the investigation and control of concurrent outbreaks of Serratia marcescens and methicillin-resistant Staphylococcus aureus (MRSA) infections in a neonatal intensive-care unit (NICU). SETTING:A 206-bed women's and infants'...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:

    authors: Campbell JR,Zaccaria E,Mason EO Jr,Baker CJ

    更新日期:1998-12-01 00:00:00

  • Reduction in tuberculin skin-test conversion rate after improved adherence to tuberculosis isolation.

    abstract::The rate of purified protein derivative (PPD) conversion in workers at our hospital increased to 1.7% in 1991. After implementation of mandatory respiratory isolation of patients with community-acquired pneumonia, the rate dropped to 0.6%. This policy may protect workers in institutions where the majority of patients ...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/647675

    authors: Uyamadu N,Ahkee S,Carrico R,Tolentino A,Wojda B,Ramirez J

    更新日期:1997-08-01 00:00:00

  • Peripheral venous catheter-related Staphylococcus aureus bacteremia.

    abstract:OBJECTIVE:Better understand the incidence, risk factors, and outcomes of peripheral venous catheter (PVC)-related Staphylococcus aureus bacteremia. DESIGN:Retrospective study of PVC-related S. aureus bacteremias in adult patients from July 2005 through March 2008. A point-prevalence survey was performed January 9, 200...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/660099

    authors: Trinh TT,Chan PA,Edwards O,Hollenbeck B,Huang B,Burdick N,Jefferson JA,Mermel LA

    更新日期:2011-06-01 00:00:00

  • Effectiveness of Probiotic for Primary Prevention of Clostridium difficile Infection: A Single-Center Before-and-After Quality Improvement Intervention at a Tertiary-Care Medical Center.

    abstract::OBJECTIVETo evaluate probiotics for the primary prevention of Clostridium difficile infection (CDI) among hospital inpatients.DESIGNA before-and-after quality improvement intervention comparing 12-month baseline and intervention periods.SETTINGA 694-bed teaching hospital.INTERVENTIONWe administered a multispecies prob...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2018.76

    authors: Trick WE,Sokalski SJ,Johnson S,Bunnell KL,Levato J,Ray MJ,Weinstein RA

    更新日期:2018-07-01 00:00:00

  • Harnessing claims to improve detection of surgical site infections following hysterectomy and colorectal surgery.

    abstract::Surgical site infection (SSI) surveillance is performed using a variety of methods with unclear performance characteristics. We used claims data to identify records for review following hysterectomy and colorectal surgery. Claims-enhanced screening identified SSIs missed by routine surveillance and could be used for t...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/673975

    authors: Letourneau AR,Calderwood MS,Huang SS,Bratzler DW,Ma A,Yokoe DS

    更新日期:2013-12-01 00:00:00