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American Journal of Infection Control

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https://www.readbyqxmd.com/read/28739223/decreased-mortality-in-patients-prescribed-vancomycin-after-implementation-of-antimicrobial-stewardship-program
#1
Erin L Conway, John A Sellick, Amy Horey, Kristen Fodero, Michael C Ott, Michael P Krajewski, Kari A Mergenhagen
BACKGROUND: The impact of an antimicrobial stewardship program (ASP) on 30-day mortality rates was evaluated in patients prescribed vancomycin in a Veterans Affairs hospital. METHODS: A retrospective chart review of patients receiving a minimum of 48 hours of vancomycin during October 2006-July 2014. A multivariate logistic regression analysis was used to determine predictors of mortality. Interventions of the ASP consist of appropriate antibiotic selection, dosing, microbiology, and treatment duration...
July 21, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28736032/central-line-associated-bloodstream-infection-rate-elevation-attributable-to-national-healthcare-safety-network-surveillance-definition-changes-ongoing-opportunities-for-infection-prevention-or-both
#2
Andrew Corley, Maggie Cantara, Julia Gardner, Polly Trexler, Clare Rock, Lisa L Maragakis
Calendar year 2015 intensive care unit (ICU) central line-associated bloodstream infections (CLABSIs) from 1 hospital were reviewed using 2014 CLABSI surveillance definitions to assess the relative impact of definition changes and infection control practices on CLABSI rates. Increased ICU primary CLABSI rates were found to be a result of both surveillance definition changes and infection control practices.
July 20, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28732744/a-proposal-for-appropriate-countermeasures-to-infectious-diseases-in-schools
#3
LETTER
Seok-Ju Yoo
No abstract text is available yet for this article.
July 19, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28732746/methodology-minute-indirect-standardization
#4
Kathleen M McMullen
No abstract text is available yet for this article.
July 18, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28732745/letter-to-the-editor-on-antimicrobial-copper-alloys-decreased-bacteria-on-stethoscope-surfaces
#5
LETTER
Marko Predic, Stefanie Buchanan
No abstract text is available yet for this article.
July 18, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28732743/antimicrobial-stewardship-in-the-treatment-of-skin-and-soft-tissue-infections
#6
Julie A Gibbons, Hayden L Smith, Sudhir C Kumar, Katherine Johnson Duggins, Amanda M Bushman, Jayme M Danielson, William J Yost, Jonathan J Wadle
BACKGROUND: Research on treating skin and soft tissue infections (SSTI) has shown improved patient outcomes with effective pharmaceutic prescribing. Antimicrobial stewardship programs can reduce consequences of broad-spectrum antimicrobial administration in SSTI treatment. METHODS: Prospective and historic control data were collected during two 7-month periods. Intervention consisted of implementing a new SSTI evidence-based treatment algorithm and provider education, including calls and medical record notes targeted at physicians...
July 18, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28732742/what-do-visitors-know-and-how-do-they-feel-about-contact-precautions
#7
Grace Seibert, Tola Ewers, Anna K Barker, Adam Slavick, Marc-Oliver Wright, Linda Stevens, Nasia Safdar
Patients with Clostridium difficile infection (CDI) are placed in contact precautions. We surveyed 31 visitors of CDI patients to understand their compliance, knowledge, and perceptions of contact precautions. Although most visitors knew where to find the required personal protective equipment, only 42% were fully compliant with gown and gloves. Family members accounted for 90% of visitors, and roughly half of the reasons given for not gowning were related to a lack of perceived risk for family members. Nursing staff are fundamental sources of personal protective equipment (PPE) information for visitors; however, we found variation in staff communication regarding need for visitor PPE use...
July 18, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28732741/long-acting-water-stable-organosilane-agent-and-its-sustained-effect-on-reducing-microbial-load-in-an-intensive-care-unit
#8
Katie Fitton, Kimberly R Barber, Alison Karamon, Nate Zuehlke, Sara Atwell, Susan Enright
BACKGROUND: Contaminated hospital surfaces contribute significantly to the transmission of health care-associated infections. Although disinfectants reduce bioburden by up to 99%, bacterial growth can rebound within hours to precleaning levels. We tested the effectiveness of an innovative, long-acting water-stable organosilane (WSO) to achieve sustained decreases in bioburden on hard surfaces. METHODS: A 5-month prospective, randomized, double-blind controlled study was performed...
July 18, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28732740/exposure-survey-of-trends-in-occupational-practice-expo-s-t-o-p-2015-a-national-survey-of-sharps-injuries-and-mucocutaneous-blood-exposures-among-health-care-workers-in-us-hospitals
#9
T Grimmond, L Good
BACKGROUND: National blood exposure (BE) surveys are valuable to health care facilities striving to reduce percutaneous sharps injuries (SIs) or mucocutaneous (MC) exposures among their health care workers (HCWs). In the Exposure Survey of Trends in Occupational Practice (EXPO-S.T.O.P.) 2015 we surveyed hospital BE incidence among members of the Association of Occupational Health Professionals in Healthcare. METHODS: A 23-item electronic survey requested 2015 data on total SI and MC; SI in nurses, doctors, and surgery; staffed beds; teaching status; full time equivalent staff (FTE), nurse FTE, average daily census (ADC), and adjusted patient days (APD)...
July 18, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28732739/environmental-scan-of-infection-prevention-and-control-practices-for-containment-of-hospital-acquired-infectious-disease-outbreaks-in-acute-care-hospital-settings-across-canada
#10
Wrechelle Ocampo, Rose Geransar, Nancy Clayden, Jessica Jones, Jill de Grood, Mark Joffe, Geoffrey Taylor, Bayan Missaghi, Craig Pearce, William Ghali, John Conly
BACKGROUND: Ward closure is a method of controlling hospital-acquired infectious diseases outbreaks and is often coupled with other practices. However, the value and efficacy of ward closures remains uncertain. PURPOSE: To understand the current practices and perceptions with respect to ward closure for hospital-acquired infectious disease outbreaks in acute care hospital settings across Canada. METHODS: A Web-based environmental scan survey was developed by a team of infection prevention and control (IPC) experts and distributed to 235 IPC professionals at acute care sites across Canada...
July 18, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28711345/working-at-the-intersection-of-context-culture-and-technology-provider-perspectives-on-antimicrobial-stewardship-in-the-emergency-department-using-electronic-health-record-clinical-decision-support
#11
Phillip Chung, Jean Scandlyn, Peter S Dayan, Rakesh D Mistry
BACKGROUND: Antibiotic stewardship programs (ASPs) have not been fully developed for the emergency department (ED), in part the result of the barriers characteristic of this setting. Electronic health record-based clinical decision support (EHR CDS) represents a promising strategy to implement ASPs in the ED. We aimed to determine the cultural beliefs and structural barriers and facilitators to implementation of antimicrobial stewardship in the pediatric ED using EHR CDS. METHODS: Interviews and focus groups were conducted with hospital and ED leadership, attending ED physicians, nurse practitioners, physician assistants, and residents at a single health system in Colorado...
July 12, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28689979/assessing-the-functionality-of-temporary-isolation-rooms
#12
Brett G Mitchell, Anthony Williams, Zorana Wong
BACKGROUND: Challenges with limited single rooms and isolation facilities in hospitals have created an opportunity for temporary, portable isolation technology. This article describes the process used to evaluate the prototype of a new isolation room (RediRoom; CareStrategic Ltd, Brisbane, Queensland, Australia) that can be installed in existing hospital ward areas. Our aim is to assess the functionality of this new room, and in so doing, to evaluate the methods used. METHODS: We employed a mixed-methods approach involving video recording, interviews, and objective temperature and humidity measurements within a crossover interventional study...
July 6, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28689978/risk-factors-for-development-of-surgical-site-infections-among-liver-transplantation-recipients-an-integrative-literature-review
#13
REVIEW
Ramon Antônio Oliveira, Ruth Natália Teresa Turrini, Vanessa de Brito Poveda
BACKGROUND: Surgical site infection (SSI) is an important complication in the postoperative period of recipients of liver transplantation. The purpose of this integrative literature review is to summarize the knowledge available about the risk factors contributing to the development SSI among adults undergoing liver transplantation. METHODS: We reviewed the Medical Literature Analysis and Retrieval System Online/PubMed, the Cumulative Index to Nursing and Allied Health Literature, the Latin American and Caribbean Health Sciences Literature, Scopus, and Web of Science databases...
July 6, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28684128/methodologic-considerations-of-household-level-methicillin-resistant-staphylococcus-aureus-decolonization-among-persons-living-with-hiv
#14
Jason E Farley, Laura E Starbird, Jill Anderson, Nancy A Perrin, Kelly Lowensen, Tracy Ross, Karen C Carroll
BACKGROUND: People living with HIV (PLWH) have a higher prevalence of methicillin-resistant Staphylococcus aureus (MRSA) colonization and likelihood of recurrent infection than the general population. Simultaneously treating MRSA-colonized household members may improve success with MRSA decolonization strategies. This article describes a pilot trial testing household-level MRSA decolonization and documents methodologic and pragmatic challenges of this approach. METHODS: We conducted a randomized controlled trial of individual versus individual-plus-household MRSA decolonization to reduce recurrent MRSA...
July 3, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28684127/improving-central-line-maintenance-to-reduce-central-line-associated-bloodstream-infections
#15
Frank A Drews, Jonathan Z Bakdash, Jeremy R Gleed
OBJECTIVE: A human factors engineering-based intervention aimed at the modification of task behavior to increase adherence to best practices and the reduction of central line-associated bloodstream infections (CLABSI). The hypothesis was tested that a central line maintenance kit would improve adherence and reduce CLABSI compared with a standard, nonkit-based method of performing central line maintenance. DESIGN: The study design was a 29-month prospective, interventional, nonrandomized, observational, and clinical research study using a pre-post implementation assessment...
July 3, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28684126/workplace-interventions-associated-with-influenza-vaccination-coverage-among-health-care-personnel-in-ambulatory-care-settings-during-the-2013-2014-and-2014-2015-influenza-seasons
#16
Xin Yue, Carla Black, Sarah Ball, Sara Donahue, Marie A De Perio, A Scott Laney, Stacie Greby
BACKGROUND: Vaccination of health care personnel (HCP) can reduce influenza-related morbidity and mortality among HCP and their patients. This study investigated workplace policies associated with influenza vaccination among HCP who work in ambulatory care settings without influenza vaccination requirements. METHODS: Data were obtained from online surveys conducted during April 2014 and April 2015 among nonprobability samples of HCP recruited from 2 preexisting national opt-in Internet panels...
July 3, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28673681/the-association-between-self-perceived-proficiency-of-personal-protective-equipment-and-objective-performance-an-observational-study-during-a-bioterrorism-simulation-drill
#17
Itay Fogel, Osant David, Chaya H Balik, Arik Eisenkraft, Lion Poles, Omri Shental, Michael Kassirer, Tal Brosh-Nissimov
BACKGROUND: The recent Ebola virus disease outbreak emphasized the potential misuse of personal protective equipment (PPE) by health care workers (HCWs) during such an event. We aimed to compare self-perceived proficiency of PPE use and objective performance, and identify predictors of low compliance and PPE misuse. METHODS: An observational study combined with subjective questionnaires were carried out during a bioterror simulation drill. Forty-two observers evaluated performance under PPE...
June 30, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28673680/animal-assisted-interventions-a-national-survey-of-health-and-safety-policies-in-hospitals-eldercare-facilities-and-therapy-animal-organizations
#18
Deborah E Linder, Hannah C Siebens, Megan K Mueller, Debra M Gibbs, Lisa M Freeman
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. Our study objective was to survey hospitals, eldercare facilities, and therapy animal organizations on their AAI policies and procedures. METHODS: A survey of United States hospitals, eldercare facilities, and therapy animal organizations was administered to assess existing health and safety policies related to AAI programs...
June 30, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28647052/outbreaks-of-health-care-associated-influenza-like-illness-in-france-impact-of-electronic-notification
#19
Elodie Munier-Marion, Thomas Bénet, Cédric Dananché, Sophan Soing-Altach, Sylvie Maugat, Sophie Vaux, Philippe Vanhems
BACKGROUND: Mandatory notification of health care-associated (HA) infections, including influenza-like illness (ILI) outbreaks, has been implemented in France since 2001. In 2012, the system moved to online electronic notification of HA infections (e-SIN). The objectives of this study are to describe ILI outbreak notifications to Santé publique France (SPF), the French national public health agency, and to evaluate the impact of notification dematerialization. METHODS: All notifications of HA ILI outbreaks between July 2001 and June 2015 were included...
June 21, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28647051/longitudinal-nosocomial-outbreak-of-pseudomonas-fluorescens-bloodstream-infection-of-2-years-duration-in-a-coronary-care-unit
#20
Yuichiro Oba, Takahiro Nakajima, Chiyo Ogida, Miyuki Kawanami, Mamoru Fujiwara, Ikuko Matsumura
BACKGROUND: Outbreaks of bloodstream infections (BSI) of nonfermenting bacteria are a critical issue and often associated with hospital environments. We experienced a long-lasting outbreak of Pseudomonas fluorescens BSI limited to a coronary care unit (CCU). METHODS: We conducted a retrospective epidemiologic investigation and a case-control study for Pseudomonas fluorescens BSI from April 2011-July 2014. Environmental sample culture was conducted to detect the specific environmental source of transmission...
June 21, 2017: American Journal of Infection Control
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