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American Journal of Infection Control

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https://www.readbyqxmd.com/read/27919427/-lose-the-tube-a-choosing-wisely-initiative-to-reduce-catheter-associated-urinary-tract-infections-in-hospitalist-led-inpatient-units
#1
Hyung J Cho, Steve Khalil, Jashvant Poeran, Madhu Mazumdar, Nathaniel Bravo, Fran Wallach, Brian Markoff, Nathan Lee, Andrew S Dunn
We developed a multidisciplinary initiative, "Lose the Tube," focused on a Choosing Wisely recommendation to decrease catheter-associated urinary tract infection (CAUTI) rates and catheter days. Through an electronic health record catheter identification tool, daily interdisciplinary query, and clinician education, our multifaceted intervention reduced mean per-person catheter days from 3.3 to 2.9, decreased CAUTI rates from 2.85 to 0.32 per 1,000 catheter days, and reduced cost by $32,245.
December 2, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27916342/exploring-the-context-for-effective-clinical-governance-in-infection-control
#2
Kate Halton, Lisa Hall, Anne Gardner, Deborough MacBeth, Brett G Mitchell
BACKGROUND: Effective clinical governance is necessary to support improvements in infection control. Historically, the focus has been on ensuring that infection control practice and policy is based on evidence, and that there is use of surveillance and auditing for self-regulation and performance feedback. There has been less exploration of how contextual and organizational factors mediate an infection preventionists (IP's) ability to engage with evidence-based practice and enact good clinical governance...
December 2, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27916341/hospital-influenza-pandemic-stockpiling-needs-a-computer-simulation
#3
Mark N Abramovich, John C Hershey, Byron Callies, Amesh A Adalja, Pritish K Tosh, Eric S Toner
BACKGROUND: A severe influenza pandemic could overwhelm hospitals but planning guidance that accounts for the dynamic interrelationships between planning elements is lacking. We developed a methodology to calculate pandemic supply needs based on operational considerations in hospitals and then tested the methodology at Mayo Clinic in Rochester, MN. METHODS: We upgraded a previously designed computer modeling tool and input carefully researched resource data from the hospital to run 10,000 Monte Carlo simulations using various combinations of variables to determine resource needs across a spectrum of scenarios...
December 2, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27914649/nosocomial-outbreak-of-extensively-drug-resistant-pseudomonas-aeruginosa-associated-with-aromatherapy
#4
Astrid Mayr, Guido Hinterberger, Ingo H Lorenz, Peter Kreidl, Wolfgang Mutschlechner, Cornelia Lass-Flörl
An increase of extensively drug-resistant Pseudomonas aeruginosa (XDR-PA) in various clinical specimens among intensive care unit patients (n = 7) initiated an outbreak investigation consisting of patient data analyses, control of adherence to infection control guidelines, microbiologic surveys, and molecular-based studies. XDR-PA was detected in a jointly used aroma-oil nursing bottle for aromatherapy. We implemented the restriction of oil sharing among patients. Hence, the outbreak was controlled successfully...
November 30, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27889276/perceived-effectiveness-of-messages-promoting-hand-hygiene
#5
Ronald E Taylor
Eighty-six infection control specialists evaluated 24 messages promoting hand hygiene (HH). Brief, simple messages using appeals to social situations and to ego (self-efficacy) were rated as most likely to increase HH compliance.
November 24, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27889275/preconceptions-about-the-infection-process-among-prenursing-students
#6
Thomas A Dombrowsky, Linda Frye
Two hundred seven prenursing students in a large university-based nursing college participated in a study about their preconceptions concerning the infection process. Most students had a poor understanding of the distinction between bacteria and viruses and had little knowledge about the immune system or the mechanism of action of antibiotics. Instructors can use knowledge of student preconceptions to create more relevant learning experiences.
November 24, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27889274/a-tale-of-2-hiv-outbreaks-caused-by-unsafe-injections-in-cambodia-and-the-united-states-2014-2015
#7
Runa H Gokhale, Romeo R Galang, John P Pitman, John T Brooks
No abstract text is available yet for this article.
November 23, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27876163/process-control-charts-in-infection-prevention-make-it-simple-to-make-it-happen
#8
Timothy L Wiemken, Stephen P Furmanek, Ruth M Carrico, William A Mattingly, Annuradha K Persaud, Brian E Guinn, Robert R Kelley, Julio A Ramirez
BACKGROUND: Quality improvement is central to Infection Prevention and Control (IPC) programs. Challenges may occur when applying quality improvement methodologies like process control charts, often due to the limited exposure of typical IPs. Because of this, our team created an open-source database with a process control chart generator for IPC programs. The objectives of this report are to outline the development of the application and demonstrate application using simulated data. METHODS: We used Research Electronic Data Capture (REDCap Consortium, Vanderbilt University, Nashville, TN), R (R Foundation for Statistical Computing, Vienna, Austria), and R Studio Shiny (R Foundation for Statistical Computing) to create an open source data collection system with automated process control chart generation...
November 18, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27866755/evaluation-of-an-automated-room-decontamination-device-using-aerosolized-peracetic-acid
#9
Thriveen S C Mana, Brett Sitzlar, Jennifer L Cadnum, Annette L Jencson, Sreelatha Koganti, Curtis J Donskey
Because manual cleaning is often suboptimal, there is increasing interest in use of automated devices for room decontamination. We demonstrated that an ultrasonic room fogging system that generates submicron droplets of peracetic acid and hydrogen peroxide eliminated Clostridium difficile spores and vegetative pathogens from exposed carriers in hospital rooms and adjacent bathrooms.
November 18, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27856076/hospital-wide-comparison-of-health-care-associated-infection-among-8-intensive-care-units-a-retrospective-analysis-for-2010-2015
#10
DongMei Yue, Caiping Song, Bo Zhang, Zhiyong Liu, Jin Chai, Yang Luo, Hao Wu
BACKGROUND: Exploring the distribution of nosocomial pathogens among different categories of intensive care units (ICUs) is critical to improving the management of health care-associated infection (HAI). Despite both single- and multicenter studies, the nature of the variations of HAIs within various ICUs remains inadequately evaluated. METHODS: Data on HAIs at our hospital during the period January 2010-December 2015 were collected from 8 ICUs, namely, respiratory, cardiovascular, neurology, neonatal, hematology, emergency, cardiothoracic surgery, and neurosurgery ICUs, at a tertiary hospital...
November 14, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27856075/orthodontic-instruments-and-supplies-are-they-semicritical-or-critical-items
#11
LETTER
Livia Barenghi, Alberto Di Blasio
No abstract text is available yet for this article.
November 14, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27856074/our-health-care-workers-need-more-than-infection-prevention-best-practice-while-caring-for-patients-with-novel-and-highly-pathogenic-infections
#12
Mary-Louise McLaws
No abstract text is available yet for this article.
November 14, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27856073/pilot-evaluation-of-isolation-patients-perceptions-on-ability-to-identify-types-of-health-care-workers-when-wearing-isolation-gowns
#13
Mickey Roderick, Karen Gabel Speroni, Amy Stafford, Dorothy J Seibert
In a survey research study, perceptions of 50 hospitalized patients on contact isolation were evaluated regarding their ability to identify health care worker (HCW) type in isolation gowns with no hospital badge under or on the gown, in isolation gowns with the hospital badge partially visible through the gown, and in isolation gowns with a preprinted large font Registered Nurse and Nursing Technician sticker badge on the outside of the gown. Patients ranked their ability to identify HCWs when entering their hospital room as important (average ranking, 8...
November 14, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27856072/the-behind-the-scenes-activity-of-parental-decision-making-discourse-regarding-childhood-vaccination
#14
Anat Gesser-Edelsburg, Nathan Walter, Yaffa Shir-Raz, Oshrat Sassoni Bar-Lev, Shira Rosenblat
BACKGROUND: Vaccine compliance has long been a cause for concern for health authorities throughout the world. However very little effort has been made to examine parental discourse during the decision-making process. METHODS: An online survey was conducted (N = 437) to examine predictors of parents' attitudes regarding childhood vaccination. RESULTS: Hesitant parents were 4 times more likely to conduct intrafamily discussion regarding vaccination compared with provaccination parents (Exp[B] = 4...
November 14, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27856071/response-to-letter-to-the-editor-regarding-occupational-health-risks-associated-with-the-use-of-germicides-in-health-care
#15
LETTER
David J Weber, William A Rutala
No abstract text is available yet for this article.
November 14, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27856070/impact-of-removing-mucosal-barrier-injury-laboratory-confirmed-bloodstream-infections-from-central-line-associated-bloodstream-infection-rates-in-the-national-healthcare-safety-network-2014
#16
Isaac See, Minn M Soe, Lauren Epstein, Jonathan R Edwards, Shelley S Magill, Nicola D Thompson
Central line-associated bloodstream infection (CLABSI) event data reported to the National Healthcare Safety Network from 2014, the first year of required use of the mucosal barrier injury laboratory-confirmed bloodstream infection (MBI-LCBI) definition, were analyzed to assess the impact of removing MBI-LCBI events from CLABSI rates. CLABSI rates decreased significantly in some location types after removing MBI-LCBI events, and MBI-LCBI events will be removed from publicly reported CLABSI rates.
November 14, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27852447/a-polyclonal-outbreak-of-bloodstream-infections-by-enterococcus-faecium-in-patients-with-hematologic-malignancies
#17
Pamela Alatorre-Fernández, Claudia Mayoral-Terán, Consuelo Velázquez-Acosta, Cecilia Franco-Rodríguez, Karen Flores-Moreno, Miguel Ángel Cevallos, Yolanda López-Vidal, Patricia Volkow-Fernández
BACKGROUND: Enterococcus faecium causes bloodstream infection (BSI) in patients with hematologic malignancies (HMs). We studied the clinical features and outcomes of patients with HM with vancomycin-sensitive E faecium (VSE) and vancomycin-resistant E faecium (VRE) BSI and determined the genetic relatedness of isolates and circumstances associated with the upsurge of E faecium BSI. METHODS: Case-control study of patients with HM and E faecium-positive blood culture from January 2008-December 2012; cases were patients with VRE and controls were VSE isolates...
November 14, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27839752/impact-of-chlorhexidine-bathing-on-methicillin-resistant-staphylococcus-aureus-incidence-in-an-endemic-chronic-care-setting-a-randomized-controlled-trial
#18
Chingiz M Amirov, Malcolm A Binns, Latha E Jacob, Heather L Candon
We postulated that bathing with 2% chlorhexidine-impregnated antiseptic washcloths could reduce methicillin-resistant Staphylococcus aureus (MRSA) incidence among chronic care patients compared with nonantiseptic bathing. A total of 122 patients on 3 hospital units were enrolled in a 12-month, cluster-randomized, open-label, controlled trial, with 8 patients becoming MRSA positive. The 2% chlorhexidine-impregnated antiseptic washcloths reduced incidence by 71% (0.1 vs 0.44 cases per 1,000 patient days) (P = ...
November 11, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27839751/improving-the-knowledge-of-students-and-physicians-regarding-appropriate-use-of-antibiotics-for-respiratory-infections-through-an-online-educational-module
#19
Mayar Al Mohajer, Kathryn R Matthias, David E Nix
We developed an interactive online module to improve the knowledge of students and physicians regarding respiratory infections. Our study showed that the completion of this module was associated with substantial improvement in knowledge, with modest retention after 2 months.
November 11, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27838167/journal-club-commentary-on-inappropriate-urinary-catheter-reinsertion-in-hospitalized-older-patients
#20
Monika Pogorzelska-Maziarz, Laurie Conway
No abstract text is available yet for this article.
November 9, 2016: American Journal of Infection Control
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