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American Journal of Infection Control

Mona Nili, Lucy Luo, Xue Feng, Jongwha Chang, Xi Tan
BACKGROUND: The study objective was to identify potential sociodemographic disparities in hepatitis C virus (HCV) infection screening among Baby Boomers in the United States. METHODS: We analyzed cross-sectional data from the 2013-2016 National Health Interview Survey. The outcome was whether a person had an HCV infection screening (yes/no). Key independent variables were race/ethnicity, geographic region, poverty level, education level, and health insurance status...
July 13, 2018: American Journal of Infection Control
Nancy M Albert, James F Bena, Charlotte Ciudad, Nowai Keleekai-Brapoh, Shannon L Morrison, Karen Rice, Ellen Slifcak, Jack C Runner
BACKGROUND: Reusable electroencephalography cup electrodes and lead wires (rEEGs-CELWs) could be a source of microorganisms capable of causing hospital-acquired infections. The purpose of this study was to investigate for bacterial species of cleaned rEEGs-CELWs. METHODS: This microbiologic evaluation involved 4 epilepsy monitoring units where rEEGs-CELWs were swabbed for bacteria using standard techniques. Analyses involved descriptive statistics and logistic regression (across sites)...
July 9, 2018: American Journal of Infection Control
Katrina Crist
No abstract text is available yet for this article.
July 6, 2018: American Journal of Infection Control
Laura Pedersen, Nadia Masroor, Kaila Cooper, Amie Patrick, Faezeh Razjouyan, Michelle Doll, Michael P Stevens, Gonzalo Bearman
We examined the barriers and perceptions of using a 1-step daily disinfectant and ultraviolet light for environmental cleaning using an anonymous Likert scale survey. Results indicated that environmental services workers believe that cleaning is important for infection prevention and that ultraviolet light and 1-step daily disinfectant cleaner are effective sporicides.
July 3, 2018: American Journal of Infection Control
Zoé Coppéré, Guillaume Voiriot, Clarisse Blayau, Aude Gibelin, Vincent Labbe, Jean Pierre Fulgencio, Muriel Fartoukh, Michel Djibré
BACKGROUND: The prevalence of multidrug-resistant organisms (MDROs) has dramatically increased. The aim of this survey was to describe and analyze the different screening and isolation policies regarding MDROs in French adult intensive care units (ICUs). MATERIALS AND METHODS: A multicenter online survey was performed among French ICUs, including 63 questions distributed into 4 parts: characteristics of the unit, MDRO screening policy, policy regarding contact precautions, and ecology of the unit...
July 3, 2018: American Journal of Infection Control
Mark O Buchanan, Shelley K Summerlin-Long, Lauren M DiBiase, Emily E Sickbert-Bennett, David J Weber
A compliance coach who audits central line maintenance and provides feedback and education to bedside nurses through timely, nonpunitive conversation is an effective addition to busy infection prevention departments. Staff nurses and nurse managers reported receiving clearly communicated and actionable information from the coach and compliance improved over time in multiple areas of central line maintenance.
July 3, 2018: American Journal of Infection Control
Dinah J Gould, Nicholas S Drey, Jane Chudleigh, Marco-Felipe King, Neil Wigglesworth, Edward Purssell
BACKGROUND: Isolating infectious patients is essential to reduce infection risk. Effectiveness depends on identifying infectious patients, transferring them to suitable accommodations, and maintaining precautions. METHODS: Online study to address identification of infectious patients, transfer, and challenges of maintaining isolation in hospitals in the United Kingdom. RESULTS: Forty-nine responses were obtained. Decision to isolate is made by infection prevention teams, clinicians, and managers...
June 26, 2018: American Journal of Infection Control
Anubhav Kanwar, Jennifer L Cadnum, Manish Thakur, Annette L Jencson, Curtis J Donskey
We examined the burden of methicillin-resistant Staphylococcus aureus (MRSA) on the clothing of MRSA carriers in a hospital and long-term care facility and assessed the potential for clothing to be a source of transmission. Of 50 MRSA carriers studied, 37 (74%) had MRSA recovered from clothing. For a subset of carriers with clothing contamination, transfer of MRSA from clothing to gloved hands and to a wheelchair occurred in 8 of 13 (62%) and 5 of 10 (50%) carriers, respectively. These findings suggest that measures to reduce clothing contamination should be investigated as a potential means to reduce MRSA transmission in healthcare settings...
June 22, 2018: American Journal of Infection Control
Jessica Hayashi
No abstract text is available yet for this article.
June 22, 2018: American Journal of Infection Control
Robert Raggi, Kenneth Archulet, Cody W Haag, Weiming Tang
BACKGROUND: Hospital-acquired infections (HAIs) are a significant contributor to adverse patient outcomes and excess cost of inpatient care. Adjunct ultraviolet-C (UV-C) disinfection may be a viable strategy for reducing HAIs. This study aimed to measure the clinical, operational, and financial impact of a UV-C terminal disinfection intervention in a community hospital setting. METHODS: Using a pre-post study design, we compared the HAI rates of 5 multidrug-resistant bacteria (Acinetobacter baumannii, Klebsiella pneumoniae, methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococcus, and Pseudomonas aeruginosa) from 6 culture sites before and after a 12-month facility-wide UV-C intervention...
June 19, 2018: American Journal of Infection Control
Susanne Wiklund, Åke Örtqvist, Anita Berlin, Christina Stamm, Kristina Broliden
BACKGROUND: The number of people who become carriers of antibiotic-resistant extended-spectrum β-lactamase (ESBL)-producing bacteria is steadily increasing. A carrier of ESBL can potentially be stressful for individuals, affecting their daily lives. METHODS: The purpose of this study was to increase the understanding of experiences and consequences of being an ESBL carrier. A modified version of the grounded theory was used to analyze 16 open interviews. RESULTS: The analysis resulted in the core category "to handle the new life situation...
June 19, 2018: American Journal of Infection Control
Lu Tang, Bijie Bie, Degui Zhi
BACKGROUND: The public increasingly uses social media not only to look for information about emerging infectious diseases (EIDs), but also to share opinions, emotions, and coping strategies. Identifying the frames used in social media discussion about EIDs will allow public health agencies to assess public opinions and sentiments. METHOD: This study examined how the public discussed measles during the measles outbreak in the United States during early 2015 that originated in Disneyland Park in Anaheim, CA, through a semantic network analysis of the content of around 1 million tweets using KH coder...
June 18, 2018: American Journal of Infection Control
Wen-Li Yuan, Yan-Jun Shen, De-Yao Deng
No abstract text is available yet for this article.
June 14, 2018: American Journal of Infection Control
Sara C Keller, Deborah Williams, Clare Rock, Shiv Deol, Polly Trexler, Sara E Cosgrove
No abstract text is available yet for this article.
June 13, 2018: American Journal of Infection Control
Randy W Loftus, Franklin Dexter, Alysha D M Robinson
BACKGROUND: Increased awareness of the epidemiology of transmission of pathogenic bacterial strain characteristics may help to improve compliance with intraoperative infection control measures. Our aim was to characterize the epidemiology of intraoperative transmission of high-risk Staphylococcus aureus sequence types (STs). METHODS: S aureus isolates collected from 3 academic medical centers underwent whole cell genome analysis, analytical profile indexing, and biofilm absorbance...
June 12, 2018: American Journal of Infection Control
Kathryn L Colborn, Michael Bronsert, Elise Amioka, Karl Hammermeister, William G Henderson, Robert Meguid
BACKGROUND: The objective of this study was to develop an algorithm for identifying surgical site infections (SSIs) using independent variables from electronic health record data and outcomes from the American College of Surgeons National Surgical Quality Improvement Program to supplement manual chart review. METHODS: We fit 3 models to data from patients undergoing operations at the University of Colorado Hospital between 2013 and 2015: a similar model reported previously in the literature, a comprehensive model with 136 possible predictors, and a combination of those...
June 12, 2018: American Journal of Infection Control
Farahnaz Ramezani, Mahnaz Khatiban, Farshid Rahimbashar, Ali Reza Soltanian
BACKGROUND: Bladder irrigation can be performed to prevent catheter-associated urinary tract infections (CAUTI), but its efficacy has been not reported in short-term indwelling urinary catheterization. This clinical trial aimed to examine the efficacy of bladder irrigation with normal saline solution in preventing CAUTI in comatose patients admitted to intensive care units. MATERIALS AND METHODS: Eligible patients were randomized to the experimental group or control group...
June 11, 2018: American Journal of Infection Control
Jennie Johnstone, Cynthia Chen, Laura Rosella, Kwaku Adomako, Michelle E Policarpio, Freda Lam, Chatura Prematunge, Gary Garber
BACKGROUND: Data are limited on risk factors for vancomycin-resistant Enterococcus (VRE) bacteremia. METHODS: All patients with a confirmed VRE bacteremia in Ontario, Canada, between January 2009 and December 2013 were linked to provincial healthcare administrative data sources and frequency matched to 3 controls based on age, sex, and aggregated diagnosis group. Associations between predictors and VRE bacteremia were estimated by generalized estimating equations and summarized using odds ratios (ORs) and corresponding 95% confidence intervals (CIs)...
June 11, 2018: American Journal of Infection Control
Suparna Bagchi, Jennifer Watkins, Daniel A Pollock, Jonathan R Edwards, Katherine Allen-Bridson
BACKGROUND: Numerous state health departments (SHDs) have validated central line-associated bloodstream infection (CLABSI) data, and results from these studies provide important insights into the accuracy of CLABSI reporting to the National Healthcare Safety Network (NHSN) and remediable shortcomings in adherence to the CLABSI definition and criteria. METHODS: State CLABSI validation results were obtained from peer-reviewed publications, reports on SHD Web sites, and via personal communications with the SHD health care-associated infections coordinator...
June 11, 2018: American Journal of Infection Control
Heather Bernard, Diana Hackbarth, Russell N Olmsted, Denise Murphy
BACKGROUND: Infection Preventionists have varying levels of educational preparation. Many have no prior experience in IP. The diversity makes design of professional development programs challenging. Recent surveys suggest that only about half of practicing IPs are board certified. There is an urgent need to employ competent IP's to drive improvement in patient outcomes. METHODS: This is a project that utilized the APIC Competency Model to create a professional development program characterizing three career stages...
June 7, 2018: American Journal of Infection Control
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