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American Journal of Infection Control

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https://www.readbyqxmd.com/read/28647052/outbreaks-of-health-care-associated-influenza-like-illness-in-france-impact-of-electronic-notification
#1
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
#2
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
https://www.readbyqxmd.com/read/28647050/-unknown-title
#3
LETTER
James F Marx
No abstract text is available yet for this article.
June 21, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28629757/bacterial-biofilm-based-catheter-associated-urinary-tract-infections-causative-pathogens-and-antibiotic-resistance
#4
Nargis Sabir, Aamer Ikram, Gohar Zaman, Luqman Satti, Adeel Gardezi, Abeera Ahmed, Parvez Ahmed
BACKGROUND: We sought to determine the incidence of bacterial biofilm-based catheter-associated urinary tract infections, identify variables affecting biofilm formation, and identify etiologic bacterial pathogens and antibiotic-resistance patterns associated with biofilm-based catheter-associated urinary tract infections (CAUTIs) in our setup. METHODS: Patients who developed at least 2 symptoms of urinary tract infection after at least 2 days of indwelling urinary catheters were included...
June 16, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28629756/nasal-colonization-of-staphylococcus-aureus-colonal-complex-5-prevalence-influencing-factors-and-phenotypic-and-molecular-characteristics-in-pregnant-chinese-women
#5
Jialing Lin, Chuanan Wu, Qianting Ou, Dongxin Lin, Ting Zhang, Chan Bai, Haoqu Zheng, Jiaping Ye, Xiaojie Wang, Ying Li, Xiaohua Ye, Zhenjiang Yao
BACKGROUND: Colonal complex 5 (CC5) has been referred to as the most pandemic community-associated Staphylococcus aureus in most Asian countries. However, few studies have focused on CC5 isolates in pregnant women. The aim of this study was to determine the prevalence and phenotypic and molecular characteristics of S aureus and methicillin-resistant S aureus (MRSA) CC5 nasal colonization in pregnant Chinese women. METHODS: We performed a cross-sectional study between August and November 2015 in 2 hospitals in Shenzhen, China...
June 16, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28629755/using-inherent-and-elective-behavior-to-improve-hand-hygiene-monitoring-in-health-care
#6
Carolyn Dawson, Fiona Wells, Jamie Mackrill, Kate Prevc
This study established a method for collecting hand hygiene (HH) performance data based on behavioral drivers (inherent or elective) that can be used by infection preventionists (IPs) to improve practice. Further, we explored the influence that task and setting has on HH behavior. A significant effect was found between task and setting that has implications for improving the usefulness of HH measurement, with positive feedback reported regarding the new measurement method.
June 16, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28629754/improving-compliance-with-surgical-antibiotic-prophylaxis-guidelines-a-multicenter-evaluation
#7
Cristiane Schmitt, Rubia Aparecida Lacerda, Ruth Natalia Teresa Turrini, Maria Clara Padoveze
BACKGROUND: Improving surgical antibiotic prophylaxis (SAP) use is an important element in the control of antimicrobial resistance. However, compliance with SAP guidelines is unsatisfactory. This study investigated the level of compliance with SAP guidelines in neurosurgery, and institutional characteristics associated with compliance. METHODS: This study assessed surgeries in 9 Brazilian hospitals. Medical record reviews and a structured questionnaire were used to assess compliance and to describe institutional characteristics...
June 16, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28629753/active-identification-of-patients-who-are-methicillin-resistant-staphylococcus-aureus-colonized-is-not-associated-with-longer-duration-of-vancomycin-therapy
#8
Carlos Acuna-Villaorduna, Westyn Branch-Elliman, Judith Strymish, Kalpana Gupta
BACKGROUND: Excessive prescribing of vancomycin among patients admitted to inpatient wards is a challenge for antimicrobial stewardship programs, especially in the setting of expanded screening programs for methicillin-resistant Staphylococcus aureus (MRSA). Studies examining factors associated with longer duration of vancomycin use are limited. METHODS: We conducted a retrospective cohort study to assess the impact of universal MRSA admission screening on duration of vancomycin use at the VA Boston Healthcare System during the period from January 2013-November 2015...
June 16, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28625703/sterilization-of-dental-handpieces
#9
LETTER
Enrique Acosta-Gio, Helene Bednarsh, Eve Cuny, Kathy Eklund, Shannon Mills, Douglas Risk
No abstract text is available yet for this article.
June 15, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28625702/national-trends-in-the-frequency-of-bladder-catheterization-and-physician-diagnosed-catheter-associated-urinary-tract-infections-results-from-the-medicare-patient-safety-monitoring-system
#10
Mark L Metersky, Noel Eldridge, Yun Wang, Eric M Mortensen, Jennifer Meddings
BACKGROUND: It is unclear if bladder catheterization and catheter-associated urinary tract infection (CAUTI) rates have changed since the implementation of public reporting in 2011. METHODS: We analyzed data from the Medicare Patient Safety Monitoring System, a national, chart abstraction-based surveillance system, for hospitalized adults with a principal discharge diagnosis of heart failure (HF), acute myocardial infarction (AMI), or pneumonia and patients who had undergone certain major surgeries...
June 15, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28625701/one-needle-one-syringe-only-one-time-a-survey-of-physician-and-nurse-knowledge-attitudes-and-practices-around-injection-safety
#11
Rachel A Kossover-Smith, Katelyn Coutts, Kelly M Hatfield, Ronda Cochran, Hana Akselrod, Melissa K Schaefer, Joseph F Perz, Katherine Bruss
BACKGROUND: To inform development, targeting, and penetration of materials from a national injection safety campaign, an evaluation was conducted to assess provider knowledge, attitudes, and practices related to unsafe injection practices. METHODS: A panel of physicians (n = 370) and nurses (n = 320) were recruited from 8 states to complete an online survey. Questions, using 5-point Likert and Spector scales, addressed acceptability and frequency of unsafe practices (eg, reuse of a syringe on >1 patient)...
June 15, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28625699/influence-of-staff-infection-control-training-on-infection-related-quality-measures-in-us-nursing-homes
#12
Jasjit Kaur, Patricia W Stone, Jasmine L Travers, Catherine C Cohen, Carolyn T A Herzig
Health care-associated infections are a leading cause of morbidity and mortality in US nursing home residents. Ongoing training of nursing home staff is vital to the implementation of infection prevention and control processes. Our aim was to describe associations between methods, frequency, and timing of staff infection prevention and control training and infection-related quality measures. In this national survey of nursing homes, timing of staff infection prevention and control training was associated with reduced indwelling urinary catheter use...
June 15, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28625698/a-cold-hard-menace-a-contaminated-ice-machine-as-a-potential-source-for-transmission-of-carbapenem-resistant-acinetobacter-baumannii
#13
Anubhav Kanwar, T Nicholas Domitrovic, Sreelatha Koganti, Peter Fuldauer, Jennifer L Cadnum, Robert A Bonomo, Curtis J Donskey
During an investigation of potential sources of transmission of multidrug-resistant gram-negative bacilli on a spinal cord injury unit, we recovered genetically related carbapenem-resistant Acinetobacter baumannii isolates from the stool of 3 patients, the hands of a nurse, and an ice machine water outlet spout and drain. Our findings suggest that contaminated ice machines could serve as a potential reservoir for dissemination of multidrug-resistant gram-negative bacilli.
June 15, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28625697/surgical-site-infections-in-very-small-hospitals-in-inner-brazil-unveiling-a-relevant-issue-for-developing-countries
#14
LETTER
Viviane Cristina Bastos Armede, Lígia Maria Abraão, Carlos Magno Castelo Branco Fortaleza
No abstract text is available yet for this article.
June 15, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28623002/quantitative-assessment-of-interactions-between-hospitalized-patients-and-portable-medical-equipment-and-other-fomites
#15
Nuntra Suwantarat, Laura A Supple, Jennifer L Cadnum, Thriveen Sankar, Curtis J Donskey
In an observational study, we demonstrated that hospitalized patients frequently had direct or indirect interactions with medical equipment and other fomites that are shared among patients, and these items were often contaminated with health care-associated pathogens. There is a need for protocols to ensure routine cleaning of shared portable equipment.
June 13, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28623001/a-concealed-observational-study-of-infection-control-and-safe-injection-practices-in-jordanian-governmental-hospitals
#16
Omar M Al-Rawajfah, Ahmad Tubaishat
BACKGROUND: The recognized international organizations on infection prevention recommend using an observational method as the gold standard procedure for assessing health care professional's compliance with standard infection control practices. However, observational studies are rarely used in Jordanian infection control studies. This study aimed to evaluate injection practices among nurses working in Jordanian governmental hospitals. METHODS: A cross-sectional concealed observational design is used for this study...
June 13, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28602276/fungal-aerocontamination-exposure-risk-for-patients-in-3-successive-locations-of-a-pediatric-hematology-unit-department-influence-of-air-equipment-and-building-structure-on-air-quality
#17
Anne-Pauline Bellanger, Gabriel Reboux, Florent Demonmerot, Houssein Gbaguidi-Haore, Laurence Millon
BACKGROUND: Invasive fungal infections (IFIs) play an important role in the mortality of immunocompromised patients. The pediatric hematology department (PHD) at Besançon University Hospital has relocated 3 times: (1) from a building without an air filtration system (B1), (2) to a renovated building with low air pressure (B2), and (3) to a new building with high air pressure and high-efficiency particulate air filters (B3). This study aimed to investigate how these relocations influenced the fungal exposure risk for the PHD's patients...
June 8, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28602275/alcohol-fixation-of-bacteria-to-surgical-instruments-increases-cleaning-difficulty-and-may-contribute-to-sterilization-inefficacy
#18
Dayane de Melo Costa, Lillian Kelly de Oliveira Lopes, Honghua Hu, Anaclara Ferreira Veiga Tipple, Karen Vickery
BACKGROUND: Alcohol is frequently inappropriately used on surgical instruments to reduce bacterial contamination, but fixes protein to stainless steel. Here we compare the effect of air drying, prolonged soaking in water, and alcohol treatment on cleaning difficulty of contaminated forceps. METHODS: Haltsted-mosquito forceps were contaminated with only Staphylococcus aureus. Instruments were air-dried for 10 (control), 75, or 240 minutes, soaked in water, or air dried then treated with ethanol or isopropanol for 10 seconds...
June 8, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28602274/impact-of-an-electronic-sepsis-initiative-on-antibiotic-use-and-health-care-facility-onset-clostridium-difficile-infection-rates
#19
Robert Hiensch, Jashvant Poeran, Patricia Saunders-Hao, Victoria Adams, Charles A Powell, Allison Glasser, Madhu Mazumdar, Gopi Patel
BACKGROUND: Although integrated, electronic sepsis screening and treatment protocols are thought to improve patient outcomes, less is known about their unintended consequences. We aimed to determine if the introduction of a sepsis initiative coincided with increases in broad-spectrum antibiotic use and health care facility-onset (HCFO) Clostridium difficile infection (CDI) rates. METHODS: We used interrupted time series data from a large, tertiary, urban academic medical center including all adult inpatients on 4 medicine wards (June 2011-July 2014)...
June 8, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28602273/prevalence-of-clostridium-difficile-infection-in-acute-care-hospitals-long-term-care-facilities-and-outpatient-clinics-is-clostridium-difficile-infection-underdiagnosed-in-long-term-care-facility-patients
#20
Amar Krishna, Amina Pervaiz, Paul Lephart, Noor Tarabishy, Swapna Varakantam, Aditya Kotecha, Reda A Awali, Keith S Kaye, Teena Chopra
Clostridium difficile infection is a common cause of diarrhea in long-term care facility (LTCF) patients. The high prevalence of C difficile infection in LTCFs noted in our study calls for a critical need to educate LTCF staff to send diarrheal stool for C difficile testing to identify more cases and prevent transmission.
June 8, 2017: American Journal of Infection Control
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