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American Journal of Infection Control

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https://www.readbyqxmd.com/read/29329922/a-multistate-investigation-of-health-care-associated-burkholderia-cepacia-complex-infections-related-to-liquid-docusate-sodium-contamination-january-october-2016
#1
Janet Glowicz, Matthew Crist, Carolyn Gould, Heather Moulton-Meissner, Judith Noble-Wang, Tom J B de Man, K Allison Perry, Zachary Miller, William C Yang, Stephen Langille, Jessica Ross, Bobbiejean Garcia, Janice Kim, Erin Epson, Stephanie Black, Massimo Pacilli, John J LiPuma, Ryan Fagan
BACKGROUND: Outbreaks of health care-associated infections (HAIs) caused by Burkholderia cepacia complex (Bcc) have been associated with medical devices and water-based products. Water is the most common raw ingredient in nonsterile liquid drugs, and the significance of organisms recovered from microbiologic testing during manufacturing is assessed using a risk-based approach. This incident demonstrates that lapses in manufacturing practices and quality control of nonsterile liquid drugs can have serious unintended consequences...
January 9, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29329921/assessment-of-test-methods-for-evaluating-effectiveness-of-cleaning-flexible-endoscopes
#2
Rebecca E Washburn, Jennifer J Pietsch
BACKGROUND: Strict adherence to each step of reprocessing is imperative to removing potentially infectious agents. Multiple methods for verifying proper reprocessing exist; however, each presents challenges and limitations, and best practice within the industry has not been established. Our goal was to evaluate endoscope cleaning verification tests with particular interest in the evaluation of the manual cleaning step. The results of the cleaning verification tests were compared with microbial culturing to see if a positive cleaning verification test would be predictive of microbial growth...
January 9, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29329920/comments-on-decreased-mortality-in-patients-prescribed-vancomycin-after-implementation-of-an-antimicrobial-stewardship-program
#3
LETTER
Saeid Safiri, Erfan Ayubi
No abstract text is available yet for this article.
January 9, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29329919/comments-on-risk-factors-for-health-care-associated-infections-from-better-knowledge-to-better-prevention
#4
LETTER
Saeid Safiri, Erfan Ayubi
No abstract text is available yet for this article.
January 9, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29329918/trends-in-incidence-of-long-term-care-facility-onset-clostridium-difficile-infections-in-10-us-geographic-locations-during-2011-2015
#5
Alice Y Guh, Yi Mu, James Baggs, Lisa G Winston, Wendy Bamberg, Carol Lyons, Monica M Farley, Lucy E Wilson, Stacy M Holzbauer, Erin C Phipps, Zintars G Beldavs, Marion A Kainer, Maria Karlsson, Dale N Gerding, Ghinwa Dumyati
During 2011-2015, the adjusted long-term-care facility onset Clostridium difficile infection incidence rate in persons aged ≥65 years decreased annually by 17.45% (95% confidence interval, 14.53%-20.43%) across 10 US sites. A concomitant decline in inpatient fluoroquinolone use and the C difficile epidemic strain NAP1/027 among persons aged ≥65 years may have contributed to the decrease in long-term-care facility-onset C difficile infection incidence rate.
January 9, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29329917/comments-on-incidence-and-risk-factors-for-infection-in-spine-surgery-a-prospective-multicenter-study-of-1-764-instrumented-spine-procedures
#6
LETTER
Saeid Safiri, Erfan Ayubi
No abstract text is available yet for this article.
January 9, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29329916/impact-of-the-international-nosocomial-infection-control-consortium-s-multidimensional-approach-on-rates-of-ventilator-associated-pneumonia-in-14-intensive-care-units-in-11-hospitals-of-5-cities-within-argentina
#7
Victor Daniel Rosenthal, Javier Desse, Diego Marcelo Maurizi, Gustavo Jorge Chaparro, Pablo Wenceslao Orellano, Viviana Chediack, Rafael Cabrera, Daniel Golschmid, Cristina Graciela Silva, Julio Cesar Vimercati, Juan Pablo Stagnaro, Ivanna Perez, María Laura Spadaro, Adriana Miriam Montanini, Dina Pedersen, Teresa Laura Paniccia, Ana María Ríos Aguilera, Raul Cermesoni, Juan Ignacio Mele, Ernesto Alda, Analía Edith Paldoro, Agustín Román Ortta, Bettina Cooke, María Cecilia García, Mora Nair Obed, Cecilia Verónica Domínguez, Pablo Alejandro Saúl, María Cecilia Rodríguez Del Valle, Alberto Claudio Bianchi, Gustavo Alvarez, Ricardo Pérez, Carolina Oyola
BACKGROUND: To analyze the impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional approach (IMA) on ventilator-associated pneumonia (VAP) rates in 11 hospitals within 5 cities of Argentina from January 2014-April 2017. METHODS: A multicenter, prospective, before-after surveillance study was conducted through the use of International Nosocomial Infection Control Consortium Surveillance Online System. During baseline, we performed outcome surveillance of VAP applying the definitions of the Centers for Disease Control andPrevention's National Healthcare Safety Network...
January 9, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29329915/observed-variation-in-n95-respirator-use-by-nurses-demonstrating-isolation-care
#8
Elizabeth L Beam, Elizabeth L Hotchkiss, Shawn G Gibbs, Angela L Hewlett, Peter C Iwen, Suzanne L Nuss, Philip W Smith
Video review and scoring was used to evaluate the behaviors of nurses wearing N95 filtering face piece respirators while providing isolation care in a simulated patient care environment. This study yielded a detailed description of behaviors related to N95 respirator use in a health care setting. Developing a more robust and systematic behavior analysis tool for use in demonstration, simulation, and clinical care would allow for improved respiratory protection of health care workers.
January 9, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29326004/health-care-associated-infections-in-iran-a-national-update-for-the-year-2015
#9
Babak Eshrati, Hossein Masoumi Asl, Shirin Afhami, Zahra Pezeshki, Arash Seifi
BACKGROUND: A national surveillance system for health care-associated infections (HAIs) in Iran is relatively new, and an update on incidence and mortality rates can aid clinicians and stakeholders in development of new guidelines and imperative modifications to be made. METHODS: Data were extracted from the national HAIs surveillance software for more than 7 million hospitalizations during 2015. Data regarding age, gender, deaths, ward of admission, and microbiologic findings were collected and analyzed...
January 9, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29326003/the-efficacy-of-infection-prevention-and-control-committees-in-lesotho-a-qualitative-study
#10
Eltony Mugomeri
BACKGROUND: The implementation of the core components of infection prevention and control (IPC) recommended by the World Health Organization faces severe challenges, particularly in developing countries. Given that hospital IPC committees in these countries are the key implementers of IPC, there is a need to evaluate their effectiveness. This study qualitatively evaluated the effectiveness of IPC committees in the southern African country of Lesotho with the aim of identifying themes for policy discourse on improving IPC practice in the country...
January 9, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29307752/a-2-year-comparative-study-of-mold-and-bacterial-counts-in-air-samples-from-neutral-and-positive-pressure-rooms-in-2-tertiary-care-hospitals
#11
Laura Ryan, Niall O'Mara, Sana Tansey, Tom Slattery, Belinda Hanahoe, Akke Vellinga, Maeve Doyle, Martin Cormican
Immunocompromised patients are at risk of invasive fungal infection. These high-risk patients are nursed in protective isolation to reduce the risk of nosocomial aspergillosis while in hospital-ideally in a positive pressure single room with high-efficiency particulate air filtration. However, neutral pressure rooms are a potential alternative, especially for patients requiring both protective and source isolation. This study examined mold and bacterial concentrations in air samples from positive and neutral pressure rooms to assess whether neutral pressure rooms offer a similar environment to that of positive pressure rooms in terms of mold concentrations in the air...
January 4, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29307751/a-systematic-approach-to-quantifying-infection-prevention-staffing-and-coverage-needs
#12
Rebecca Bartles, Angela Dickson, Oluwatomiwa Babade
BACKGROUND: This article describes a large nonprofit health care system's approach at quantifying the actual number of infection preventionist (IP) and relative support staff required to build and sustain effective infection prevention programs. METHODS: A list of all physical locations within the organization requiring infection prevention coverage were identified via survey, including department-level detail for 34 hospitals, 583 ambulatory sites, and 26 in-home and long-term care programs across 5 states...
January 4, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29307750/methicillin-resistant-staphylococcus-aureus-has-greater-risk-of-transmission-in-the-operating-room-than-methicillin-sensitive-s-aureus
#13
Randy W Loftus, Franklin Dexter, Alysha D M Robinson
BACKGROUND: Methicillin-resistant Staphylococcus aureus (MRSA) is a pathogenic S aureus strain characteristic associated with increased patient morbidity and mortality. The health care system needs to understand MRSA transmissibility in all settings to improve basic preventive measures to generate sustained reductions in invasive MRSA infections. Our primary aim was to compare intraoperative transmissibility of MRSA versus methicillin-sensitive S aureus (MSSA) isolates. METHODS: S aureus isolates (N = 173) collected from 274 randomly selected operating room environments (first and second case of the day in each operating room, a case pair) at 3 hospitals underwent systematic-phenotypic and genomic processing to identify clonally related transmission events...
January 4, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29306490/virtual-zika-transmission-after-the-first-u-s-case-who-said-what-and-how-it-spread-on-twitter
#14
Santosh Vijaykumar, Glen Nowak, Itai Himelboim, Yan Jin
BACKGROUND: This paper goes beyond detecting specific themes within Zika-related chatter on Twitter, to identify the key actors who influence the diffusive process through which some themes become more amplified than others. METHODS: We collected all Zika-related tweets during the 3 months immediately after the first U.S. case of Zika. After the tweets were categorized into 12 themes, a cross-section were grouped into weekly datasets, to capture 12 amplifier/user groups, and analyzed by 4 amplification modes: mentions, retweets, talkers, and Twitter-wide amplifiers...
January 4, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29306489/efficacy-of-manual-cleaning-and-an-ultraviolet-c-room-decontamination-device-in-reducing-health-care-associated-pathogens-on-hospital-floors
#15
Aishat Mustapha, Heba Alhmidi, Jennifer L Cadnum, Annette L Jencson, Curtis J Donskey
Recent studies suggest that floors may be an underappreciated source for transmission of health care-associated pathogens. However, there are limited data on the effectiveness of current cleaning and disinfection methods in reducing floor contamination. We demonstrated that manual postdischarge cleaning by environmental services personnel significantly reduced floor contamination, and an automated ultraviolet C room disinfection device was effective as an adjunct to manual cleaning.
January 4, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29305281/impact-of-real-time-notification-of-clostridium-difficile-test-results-and-early-initiation-of-effective-antimicrobial-therapy
#16
Christian B Polen, William R Judd, Patrick D Ratliff, Gregory S King
BACKGROUND: Clostridium difficile is a prominent nosocomial pathogen and is the most common causative organism of health care-associated diarrhea. To our knowledge, no studies have investigated the impact of real-time notification of culture results with rapid antimicrobial stewardship program (ASP) intervention in the setting of C difficile infection (CDI). The purpose of this study was to assess the impact of real-time notification of detection of toxigenic C difficile by DNA amplification results in patients with confirmed CDI...
January 3, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29305280/challenges-for-environmental-hygiene-practices-in-australian-paramedic-led-health-care-a-brief-report
#17
Nigel Barr, Mark Holmes, Anne Roiko, Peter Dunn, Bill Lord
This study explored the self-reported behaviors and perceptions of Australian paramedics in relation to their environmental hygiene practices. A national online survey was conducted with Paramedics Australasia members (N = 417). Participants reported working in ambulances often contaminated with body fluids. Widespread noncompliance with routine and deep cleaning of ambulances, and misunderstandings about environmental hygiene practices were apparent. Improvements to environmental hygiene practices of Australian paramedics are recommended to avoid pathogen transmission and ensure patient safety...
January 3, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29305279/neonatal-colonization-of-group-b-streptococcus-in-china-prevalence-antimicrobial-resistance-serotypes-and-molecular-characterization
#18
Dan Guo, Xuelian Cao, Shunming Li, Qianting Ou, Dongxin Lin, Zhenjiang Yao, Sidong Chen, Chuan'an Wu, Guoming Wen, Xiaohua Ye
BACKGROUND: Group B Streptococcus (GBS) remains a leading cause of neonatal mortality and morbidity. This study aimed to determine the prevalence, antimicrobial susceptibility, serotypes, and molecular characterization of GBS colonized in neonates. METHODS: A cross-sectional study was conducted using a multistage sampling method. Swabs for GBS identification were taken from infants' ear, oral cavity, and umbilicus immediately after birth. All GBS isolates were tested for antimicrobial susceptibility, resistance genes, serotyping, multilocus sequence typing, and virulence genes...
January 3, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29305285/national-healthcare-safety-network-laboratory-identified-clostridium-difficile-event-reporting-a-need-for-diagnostic-stewardship
#19
Clare Rock, Zoi Pana, Surbhi Leekha, Polly Trexler, Jennifer Andonian, Avinash Gadala, Karen C Carroll, Lisa L Maragakis
We describe the proportion of health care facility-onset Clostridium difficile infection (HO-CDI) National Healthcare Safety Network laboratory-identified events at our facility that were deemed nontrue HO-CDIs. Reasons included testing in a patient without significant diarrhea or with recent laxative use, or delayed testing. Standardized infection ratios using only true HO-CDI in the numerator were improved compared with publically reported standardized infection ratios. A prioritization matrix identifies which clinical services could benefit most from directed diagnostic stewardship interventions...
January 2, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29305284/evaluation-of-hospital-grade-disinfectants-on-viral-deposition-on-surfaces-after-toilet-flushing
#20
Hannah P Sassi, Kelly A Reynolds, Ian L Pepper, Charles P Gerba
BACKGROUND: Past studies have shown that infectious aerosols created during toilet flushing result in surface contamination of the restroom. The goals of this study were to quantify viral contamination of surfaces in restrooms after flushing and the impact of disinfectants added to the toilet bowl prior to flushing on reducing surface contamination. METHODS: The degree of contamination of surfaces in the restroom was assessed with and without the addition of coliphage MS2 to the toilet bowl before flushing...
January 2, 2018: American Journal of Infection Control
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