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American Journal of Infection Control

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https://www.readbyqxmd.com/read/29150194/booster-influenza-vaccination-confers-additional-immune-responses-in-an-elderly-rural-community-dwelling-population
#1
Masahide Matsushita, Seisho Takeuchi, Naoko Kumagai, Masaaki Morio, Chise Matsushita, Kazumi Arise, Toshihide Awatani
This study aimed to examine the effects of a booster vaccination in elderly people using 2 doses of trivalent inactivated influenza vaccine during the 2012-2013 influenza epidemic. Seroprotection rates against the A(H1N1)pdm09 strain in younger elderly people (aged 61-75 years) and the A(H3N2) and B strains in both younger elderly people (aged 61-75 years) as well as very elderly people (aged 76-102 years) did not decrease at 22 weeks after vaccination. This approach confers long-lasting antibody responses and may be useful in clinical practice...
November 14, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29132696/development-and-validation-of-an-automated-ventilator-associated-event-electronic-surveillance-system-a-report-of-a-successful-implementation
#2
Courtney Hebert, Jennifer Flaherty, Justin Smyer, Jing Ding, Julie E Mangino
BACKGROUND: Surveillance is an important tool for infection control; however, this task can often be time-consuming and take away from infection prevention activities. With the increasing availability of comprehensive electronic health records, there is an opportunity to automate these surveillance activities. The objective of this article is to describe the implementation of an electronic algorithm for ventilator-associated events (VAEs) at a large academic medical center METHODS: This article reports on a 6-month manual validation of a dashboard for VAEs...
November 10, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29132695/thai-clinicians-attitudes-toward-antimicrobial-stewardship-programs
#3
Nantanit Sutthiruk, Julie Considine, Ana Hutchinson, Andrea Driscoll, Kumthorn Malathum, Mari Botti
BACKGROUND: Effective hospital-wide antimicrobial stewardship (AMS) programs need multidisciplinary engagement; however, clinicians' attitudes have not been investigated in Thailand where AMS is in early development. The aim of this study was to explore Thai clinicians' (doctors, nurses, and pharmacists) perceptions and attitudes toward AMS. METHODS: A paper-based survey was distributed in a 1,000-bed university hospital in Bangkok, Thailand, between November 9, 2015, and December 21, 2015...
November 10, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29129272/incidence-and-risk-factors-for-infection-in-spine-surgery-a-prospective-multicenter-study-of-1764-instrumented-spinal-procedures
#4
Wenfei Gu, Laiyong Tu, Zhiquan Liang, Zhenbin Wang, Kahaer Aikenmu, Ge Chu, Enfeng Zhang, Jiang Zhao
BACKGROUND: Surgical site infection (SSI) is a common complication in spinal surgery, imposing a high burden on patients and society. However, information about its characteristics and related risk factors is limited. We designed this prospective, multicenter study to address this issue. METHODS: From January 2015 through February 2016, a total of 1764 patients who had spinal trauma or degenerative spinal diseases were treated with instrumented surgeries and followed up for 1 year with complete data...
November 9, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29129271/comparison-of-keyboard-colonization-before-and-after-use-in-an-inpatient-setting-and-the-effect-of-keyboard-covers
#5
Anirudha Das, Jennifer Conti, Jennifer Hanrahan, David C Kaelber
Computer keyboards may contribute to patient infections. We cultured new keyboards, with/without keyboard covers, before placing them in adult inpatient rooms and recultured after 6 months. Nonpathogenic bacteria were present initially but potentially pathogenic bacteria were cultured only after use. Coagulase negative Staphylococcus colonization increased after use (P < .001). Keyboards with a cover had more potentially pathogenic bacteria (22% vs 16%), which although not significant statistically (P = ...
November 9, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29126751/shift-to-community-onset-clostridium-difficile-infection-in-the-national-veterans-health-administration-2003-2014
#6
Kelly R Reveles, Mary Jo V Pugh, Kenneth A Lawson, Eric M Mortensen, Jim M Koeller, Jacqueline R Argamany, Christopher R Frei
BACKGROUND: Clostridium difficile infection (CDI) occurs frequently in inpatient settings; however, community-onset cases have been reported more frequently in recent years. This study evaluated hospital-onset and community-onset CDI in the national Veterans Health Administration (VHA) population over a 12-year period. METHODS: This was a retrospective cohort study of all adult VHA beneficiaries with CDI between October 1, 2002, and September 30, 2014. Data were obtained from the Veterans Affairs Informatics and Computing Infrastructure...
November 7, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29122393/how-do-professional-relationships-influence-surgical-antibiotic-prophylaxis-decision-making-a-qualitative-study
#7
Jennifer K Broom, Alex F Broom, Emma R Kirby, Jeffrey J Post
BACKGROUND: Surgical antibiotic prophylaxis (SAP) is a critical area to optimize to reduce the escalation of antimicrobial resistance. This article explores the ways by which interpersonal relationships influence SAP decision making. METHODS: Twenty surgeons and anesthetists participated in in-depth semistructured interviews on SAP prescribing. Results were analyzed using the framework approach. RESULTS: Analysis revealed 3 ways by which interpersonal relationships influence SAP: relationship dynamics between the surgeon and the anesthetist determine appropriateness of SAP, particularly operative risk ownership; perceived hierarchies within, and between, surgical and anesthetist specialties influence antibiotic prescribing decisions; and surgical distance from the antimicrobial stewardship team, which influences use of antimicrobial stewardship principles...
November 7, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29122392/differences-in-psychosocial-determinants-of-hand-hygiene-between-health-care-professional-groups-insights-from-a-mixed-methods-analysis
#8
Muhamad Alif Bin Ibrahim, Chengzi Chow, Bee Fong Poh, Brenda Ang, Angela Chow
BACKGROUND: Good hand hygiene (HH) prevents health care-associated infections. We compared psychosocial and organizational factors associated with HH compliance and perceived need for improvement among physicians, nurses, and allied health professionals (AHPs). METHODS: We conducted a mixed-methods study in a 1,600-bed adult tertiary-care hospital in Singapore. Seven focus group discussions were conducted and data were analyzed using thematic analysis. The subsequent cross-sectional survey involved 1,064 staff members...
November 6, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29108663/a-needs-assessment-of-infection-control-training-for-american-red-cross-personnel-working-in-shelters
#9
Jocelyn J Herstein, Janice Springer, Jono Anzalone, Sharon Medcalf, John J Lowe
This pilot needs assessment aimed to identify gaps in infection prevention and control (IPC) training of American Red Cross shelter staff through an electronic survey of IPC background, knowledge, and perceived training needs. Respondents (n = 471) noted a greater need for training in several IPC areas, although no significant differences were found in IPC knowledge between those who had recently deployed to a shelter (n = 70) and trained personnel who had never deployed (n = 178).
November 3, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29108662/hospital-length-of-stay-and-cost-burden-of-hiv-tuberculosis-and-hiv-tuberculosis-coinfection-among-pregnant-women-in-the-united-states
#10
Adeola Falana, Vanessa Akpojiyovwi, Esther Sey, Andika Akpaffiong, Olive Agumbah, Samara Chienye, Jamie Banks, Erin Jones, Kiara K Spooner, Jason L Salemi, Omonike A Olaleye, Sherri D Onyiego, Hamisu M Salihu
BACKGROUND: We sought to determine hospital length of stay (LOS) and cost burden associated with hospital admissions among pregnant women with HIV monoinfection, tuberculosis (TB) monoinfection, or HIV-TB coinfection in the United States. METHODS: Analysis covered the period from 2002-2014 using data from the Nationwide Inpatient Sample. Relevant ICD-9-CM codes were used to determine HIV and TB status. Costs associated with hospitalization were calculated and adjusted to 2010 dollars using the medical care component of the Consumer Price Index...
November 3, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29103637/deployment-of-a-touchless-ultraviolet-light-robot-for-terminal-room-disinfection-the-importance-of-audit-and-feedback
#11
Michele Fleming, Amie Patrick, Mark Gryskevicz, Nadia Masroor, Lisa Hassmer, Kevin Shimp, Kaila Cooper, Michelle Doll, Michael Stevens, Gonzalo Bearman
Touchless ultraviolet disinfection (UVD) devices effectively reduce the bioburden of epidemiologically relevant pathogens, including Clostridium difficile. During a 25-month implementation period, UVD devices were deployed facilitywide for the terminal disinfection of rooms that housed a patient who tested positive for C difficile. The deployment was performed with structured education, audit and feedback, and resulted in a multidisciplinary practice change that maximized the UVD capture rate from 20% to 100%...
November 3, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29103636/knowledge-and-practices-of-isolation-precautions-among-nurses-in-jordan
#12
Mohammad Suliman, Sami Aloush, Maen Aljezawi, Mohammed AlBashtawy
BACKGROUND: Implementation of isolation precautions from the Centers for Disease Control and Prevention (CDC) has been justified through research and clinical evidence. However, nurses' understanding and compliance with these precautions is still unknown. The aim of this study was to assess nurses' knowledge and practices in relation to isolation precautions in Jordan. METHODS: A cross-sectional, descriptive design was used. The study took place in 8 hospitals in Jordan...
November 3, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29103635/socioeconomic-differences-in-self-and-family-awareness-of-viral-hepatitis-status-among-carriers-of-hepatitis-b-or-c-in-rural-korea
#13
Hye-Ran Ahn, Sung-Bum Cho, Ik Joo Chung, Sun-Seog Kweon
BACKGROUND: Hepatitis is the most important cause of hepatocellular carcinoma in Korea. This study evaluated the socioeconomic differences in self- and family awareness of hepatitis status among hepatitis B and C carriers and their cohabitants in rural Korea. METHODS: In total, 5,017 randomly selected rural residents participated in a seroepidemiologic and questionnaire survey. We found 326 hepatitis B surface antigen carriers or hepatitis C antibody carriers and 310 family members cohabiting with members of this group...
November 3, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29103639/surveillance-guided-selective-digestive-decontamination-of-carbapenem-resistant-enterobacteriaceae-in-the-intensive-care-unit-a-cost-effectiveness-analysis
#14
Joyce H S You, Hong-Kiu Li, Margaret Ip
BACKGROUND: Clinical findings have shown effectiveness and safety of selective digestive decontamination (SDD) for eradication of carbapenem-resistant Enterobacteriaceae (CRE) in high-risk carriers. We aimed to evaluate the cost-effectiveness of SDD guided by CRE surveillance in the intensive care unit (ICU). METHODS: Outcomes of surveillance-guided SDD (test-guided SDD) and no screening (control) in the ICU were compared by Markov model simulations. Model outcomes were CRE infection and mortality rates, direct costs, and quality-adjusted life year (QALY) loss...
November 2, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29102425/leadership-rounds-to-reduce-health-care-associated-infections
#15
Mary Jo Knobloch, Betty Chewning, Jackson Musuuza, Susan Rees, Christopher Green, Erin Patterson, Nasia Safdar
BACKGROUND: Evidence-based guidelines exist to reduce health care-associated infections (HAIs). Leadership rounds are one tool leaders can use to ensure compliance with guidelines, but have not been studied specifically for the reduction of HAIs. This study examines HAI leadership rounds at one facility. METHODS: We explored unit-based HAI leadership rounds led by 2 hospital leaders at a large academic hospital. Leadership rounds were observed on 19 units, recorded, and coded to identify themes...
November 2, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29102426/risk-factors-for-infection-with-multidrug-resistant-organisms-in-haryana-india
#16
Shilpa Kalluru, Shoshannah Eggers, Anna Barker, Daniel Shirley, Ajay K Sethi, Sharmila Sengupta, Kajal Yeptho, Nasia Safdar
BACKGROUND: The objective of this study was to investigate risk factors for multidrug-resistant organism (MDRO) infection within patients from a tertiary care hospital in Northern India. This case-control study examined MDRO infection risk factors, including diet, health history, and medical device use. We administered a diet questionnaire to collect data on usual diet and collected data on other risk factors from chart review. All participants were inpatients identified through hospital microbiology reports...
November 1, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29110900/evaluation-of-novel-chemical-additive-that-colorizes-chlorine-based-disinfectants-to-improve-visualization-of-surface-coverage
#17
LETTER
Aishat Mustapha, Jennifer L Cadnum, Heba Alhmidi, Curtis J Donskey
No abstract text is available yet for this article.
October 27, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29102051/improving-knowledge-and-compliance-with-infection-control-standard-precautions-among-undergraduate-nursing-students-in-jordan
#18
Zeinab M Hassan
INTRODUCTION: The recent emergence and reemergence of infectious diseases have made the knowledge and practice of standard infection control precautions in developing countries more important than ever. However, schools of nursing in Jordan do not have a prescribed curriculum in Standard Precautions. PURPOSE: To test the effectiveness of using of an online education module and a learning contract on knowledge and compliance with infection control Standard Precautions among undergraduate nursing students in Jordan...
October 25, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29102050/response-to-dixon-et%C3%A2-al-foam-soap-is-not-as-effective-as-liquid-soap-in-eliminating-hand-microbial-flora
#19
LETTER
John D Hines, Paul Alper
No abstract text is available yet for this article.
October 25, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29103638/collaborative-efforts-collective-impact
#20
Linda R Greene, Sara Cosgrove
No abstract text is available yet for this article.
October 24, 2017: American Journal of Infection Control
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