Abstract：
BACKGROUND:Multiple nosocomial outbreaks have been linked to contaminated water sources within the hospital. We report in this article a cluster of patients in a surgical intensive care unit who were colonized or infected with Stenotrophomonas maltophilia. METHODS:This study was conducted at an acute care academic hospital. Patients colonized or infected with S maltophilia were identified by prospective surveillance. Environmental isolates were obtained by culturing multiple water sources by using standard techniques. Patient and environmental isolates were examined by pulsed-field gel electrophoresis. RESULTS:Patients were colonized with 2 isolates of S maltophilia, which were found by pulsed-field gel electrophoresis to be identical to strains isolated from the faucet aerators present in sinks in the patients' rooms. Multiple different strains, as defined by pulsed-field gel electrophoresis, were isolated from patients during this outbreak. CONCLUSIONS:We believe that low level contamination of our potable water led to contamination of the faucet aerators with subsequent bacterial amplification on the aerator, which led to contamination of water after aeration. Cultures should be performed on faucet aerators when water sources are suspected as the reservoir for a nosocomial outbreak. If additional clusters of infected or colonized patients are linked to contaminated aerators, consideration should be given to routine disinfection or removal of the aerators.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Weber DJ,Rutala WA,Blanchet CN,Jordan M,Gergen MFdoi
10.1016/s0196-6553(99)70077-5subject
Has Abstractpub_date
1999-02-01 00:00:00pages
59-63issue
1eissn
0196-6553issn
1527-3296pii
S0196-6553(99)70077-5journal_volume
27pub_type
杂志文章abstract：:The predominant form of life for the majority of microorganisms in any hydrated biologic system is a cooperative community termed a "biofilm." A biofilm on an indwelling urinary catheter consists of adherent microorganisms, their extracellular products, and host components deposited on the catheter. The biofilm mode o...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2003.08.005
更新日期：2004-05-01 00:00:00
abstract：BACKGROUND:Extended-spectrum beta-lactamase (ESBL)-producing organisms, first identified in Germany in 1983, are now widely recognized as clinically relevant causes of infections in community. METHODS:Our objective was to evaluate the clinical and molecular epidemiology of community-onset, extended-spectrum beta-lacta...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2007.05.008
更新日期：2007-11-01 00:00:00
abstract：BACKGROUND:Although hand hygiene (HH) compliance has been an important issue for years, the compliance rate is still a problem in health care today. METHODS:This was an observational, prospective, before-and-after study. We measured HH knowledge and HH compliance before (baseline), directly after (poststrategy), and 6...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.09.009
更新日期：2012-10-01 00:00:00
abstract：BACKGROUND:To reach and engage hospitalists in the prevention of antimicrobial resistance, the Society of Hospital Medicine and the Centers for Disease Control and Prevention developed and conducted a quality improvement workshop based on the Centers for Disease Control and Prevention's Campaign to Prevent Antimicrobia...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2007.03.006
更新日期：2007-12-01 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：BACKGROUND:Increasing evidence indicates a strong association between occupational livestock contact and methicillin-resistant Staphylococcus aureus (MRSA) carriage. However, it remains unclear whether there are frequency-risk and duration-risk relations between occupational livestock contact and human MRSA carriage. ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.03.026
更新日期：2015-07-01 00:00:00
abstract：BACKGROUND:We aimed to determine the frequency of vancomycin-resistant enterococci (VRE) infection occurrence in previously VRE-colonized children in a pediatric intensive care unit (PICU) and to identify associated risk factors. METHODS:Infection control nurses have performed prospective surveillance of health care-a...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.11.026
更新日期：2016-05-01 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：:Systematic reviews have become a key strategy to identifying evidence-based practice guidelines in infection prevention. They are considered the highest level of evidence providing the most effective answers to practice questions. Infection preventionists need to become familiar with reading systematic reviews and lea...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.08.001
更新日期：2017-12-01 00:00:00
abstract：:Viridans group streptococci (VGS), a leading cause of bloodstream infection (BSI) in cancer patients, are thought to arise from the gastrointestinal tract. We sought to determine whether central venous catheters may serve as the source of VGS BSI, and to compare the ability of the newly proposed mucosal barrier injury...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.06.012
更新日期：2014-10-01 00:00:00
abstract：:Alcohol-based products for skin antisepsis have a long history of safety and efficacy in the United States and abroad. However, alcohol alone lacks the required antimicrobial persistence to provide for the sustained periods of skin antisepsis desired in the clinical environment. Therefore, alcohol-based products must ...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2004.07.012
更新日期：2005-02-01 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：BACKGROUND:Contaminated gloves are a major source of transmission of bacteria in the hospital and food industry. We investigated the efficacy of gloves impregnated with a combination of antiseptics consisting of brilliant green dye and chlorhexidine (Gardine). METHODS:Gardine-coated and uncoated 1-cm(2) segments of la...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2008.07.003
更新日期：2009-05-01 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: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:Surgical site infections after joint arthroplasty are devastating complications and are influenced by patient, surgical, and operating room environmental factors. METHODS:In an effort to reduce the incidence of door openings (DOs) during total joint arthroplasty cases, this prospective observational study c...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.12.019
更新日期：2018-06-01 00:00:00
abstract：BACKGROUND:Animal-assisted intervention (AAI) programs are increasing in popularity, but it is unknown to what extent therapy animal organizations that provide AAI and the hospitals and eldercare facilities they work with implement effective animal health and safety policies to ensure safety of both animals and humans....
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.04.287
更新日期：2017-08-01 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:Low-frequency ultrasonic debridement (LFUD) is a technology that uses sound waves conducted through saline mist to debride wound tissue. Whilst this technology purportedly reduces wound-healing times, the airborne mist generated is potentially problematic. Theoretically, the saline mist could carry an increa...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.04.228
更新日期：2016-12-01 00:00:00
abstract：:Using remote video auditing (RVA) and real-time feedback, we replicated health care workers hand hygiene in a second intensive care unit. During the first 4 weeks using RVA without feedback, the compliance rate was 30.42%. The rate during the 64-week postfeedback period (initial 16 and 48 weeks maintenance) with RVA a...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.12.011
更新日期：2013-10-01 00:00:00
abstract：BACKGROUND:Occupational risk for several bloodborne viruses is attributable to unsafe injection practices. To understand injection frequency and safety, we surveyed injection rates and factors influencing injection prescription in primary health care facilities and associated health clinics in Shiraz, Iran. METHODS:We...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.09.006
更新日期：2014-03-01 00:00:00
abstract：BACKGROUND:Central line-associated bloodstream infection (CLABSI) is one of the most important health care-associated infections in the critical care setting. METHODS:A quasiexperimental study involving multiple interventions to reduce the incidence of CLABSI was conducted in a medical-surgical intensive care unit (IC...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.11.012
更新日期：2010-08-01 00:00:00
abstract：:Necrotizing fasciitis is a severe polybacterial infection characterized by necrosis of the fascia and adjacent soft tissues with rapid expansion of the infection along the fascial planes. It is a rare and potentially fatal entity in the head and neck region. We present 2 patients with head and neck cancers who develop...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.01.010
更新日期：2015-04-01 00:00:00
abstract：:Human factors design interventions have been suggested to mitigate infection risk in health care. Among such solutions, many are easily identified and theoretically simple and quick to realize. These are called low-hanging fruit. We present a case of infection risk associated with syringe manipulation that could easil...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.03.002
更新日期：2014-06-01 00:00:00
abstract：BACKGROUND:Horizontal transmission of bacteria, especially multidrug-resistant organisms (MDROs), remains an important concern in hospitals worldwide. Some studies have implicated provider attire in the transmission of organisms within hospitals, whereas others have suggested that evidence supporting this notion is lim...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.01.012
更新日期：2019-08-01 00:00:00
abstract：BACKGROUND:The reasons for gloving-up for surgery are to protect the surgical field from microorganisms on the surgeon's hands and protect the surgeon from the patient's microorganisms. This study measured the concentration of bacteria passing through glove punctures under surgical conditions. METHODS:Double-layered s...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.06.013
更新日期：2010-03-01 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：:Intrahospital variations in antimicrobial profiles may be related to many factors. This study compared causative agents of nosocomial bloodstream infections between a neonatal intensive care unit (NICU) that adopted a ward-tailored antibiotic policy and adult intensive care units (ICUs). Data on organisms from blood c...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.02.032
更新日期：2012-08-01 00:00:00
abstract：:This article catalogs some of the Centers for Disease Control and Prevention's (CDC) more important information resource offerings, which make public health information accessible via computer and automated telephone systems and on electronic media (diskette and CD-ROM). We review mechanisms for (1) finding and retrie...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/s0196-6553(96)90038-3
更新日期：1996-12-01 00:00:00
abstract：BACKGROUND:The purpose of this educational project was to assess the effect of several interventions on the frequency of handwashing among elementary public school children. METHODS:Participants in this project were first-graders and fourth-graders from jurisdictions within a mid-Atlantic metropolitan area. Phase I in...
journal_title：American journal of infection control
pub_type： 临床试验,杂志文章
doi：10.1016/s0196-6553(98)80011-4
更新日期：1998-06-01 00:00:00
