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American Journal of Infection Control

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https://www.readbyqxmd.com/read/29784445/hand-hygiene-adherence-in-relation-to-influenza-season-during-6-consecutive-years
#1
Rosamaria Fulchini, Philipp Kohler, Christian R Kahlert, Werner C Albrich, Rolf Kuhn, Matthias Hoffmann, Matthias Schlegel
Hand hygiene (HH) is the single most important measure in reducing the burden of healthcare-acquired infections. Based on 12,740 HH opportunities observed during 6 consecutive years at our tertiary care center, HH adherence among healthcare workers (HCWs) was significantly better during influenza season compared to non-influenza periods, after controlling for important covariables (odds ratio = 1.17, 95% confidence interval 1.05-1.30). This finding suggests that HH awareness is increased during influenza periods, which could have implications for HCW education...
May 18, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29784444/enacting-high-reliability-principles-while-caring-for-people-with-ebola-virus-disease
#2
Bonnie Mowinski Jennings, Katherine A Yeager, Nancye R Feistritzer, Mary M Gullatte, Kristy K Martyn
BACKGROUND: Fear surrounds Ebola Virus Disease (EVD) because it is highly infectious. Yet members of the Serious Communicable Diseases Unit (SCDU) at Emory University Hospital (EUH) had to overcome that fear when caring for patients with EVD. PURPOSE: The analysis reported here illustrates how the members of EUH's SCDU tacitly enacted high reliability (HR) principles while caring for patients with EVD. METHODS: A qualitative study was conducted to describe the experience of members of the EUH SCDU who worked with EVD patients in 2014...
May 18, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29784443/exploring-the-why-and-how-questions-associated-with-adoption-of-evidence-based-practices-to-reduce-health-care-associated-infections
#3
Joan N Hebden
No abstract text is available yet for this article.
May 18, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29784442/evaluation-of-adenosine-triphosphate-test-for-cleaning-assessment-of-gastroscopes-and-the-effect-on-workload-in-a-busy-endoscopy-center
#4
Cristiane Schmitt, Amanda Luiz Pires Maciel, Icaro Boszczowski, Thaís Pereira da Silva, Eliane Aparecida Job Neves, Giulio Fabio Rossini, Camila Rizek, Silvia Figueiredo Costa, Rogério Ferreira Lourenço, Michelle J Alfa
OBJECTIVE: Using adenosine triphosphate (ATP) tests to assess manual cleaning of gastroscopes and to determine the associated workload in a busy endoscopy unit. METHODS: Patient-used gastroscopes were sampled before and after cleaning to assess ATP levels, bioburden, and protein. Samples were collected by flushing 20 mL of sterile water through the biopsy port to the distal end. Time spent for reprocessing and performing the ATP test was recorded. RESULTS: Twenty-four samples were collected from 10 gastroscopes...
May 18, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29784441/effect-of-methicillin-resistant-staphylococcus-aureus-in-japan
#5
Hironori Uematsu, Kazuto Yamashita, Seiko Mizuno, Susumu Kunisawa, Keigo Shibayama, Yuichi Imanaka
BACKGROUND: Methicillin-resistant Staphylococcus aureus (MRSA) is the most common antimicrobial-resistant organism identified in Japanese health care facilities. This study analyzed the clinical and economic burdens attributable to methicillin resistance in S aureus in Japanese hospitals. METHODS: We retrospectively investigated data from 14,905 inpatients of 57 hospitals combined with data from nosocomial infection surveillance and administrative claim databases...
May 18, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29779691/do-wifi-based-hand-hygiene-dispenser-systems-increase-hand-hygiene-compliance
#6
Simone Scheithauer, Johannes Bickenbach, Hans Heisel, Patrick Fehling, Gernot Marx, Sebastian Lemmen
Innovative methods to ensure better compliance in hand hygiene are urgently needed. The aim of this study was to determine if WiFi-based hand hygiene dispenser-driven self-assessment systems (Wireless Fidelity, WiFi-dispenser) can support the work of infection control teams. Our results suggest that the continuous monitoring of dispenser usage can be a valuable addition to infection prevention and control programs, when used in a bundle in combination with conventional hand hygiene training.
May 17, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29779690/use-patterns-and-frequency-of-hand-hygiene-in-healthcare-facilities-analysis-of-electronic-surveillance-data
#7
Jessica Albright, Bruce White, Daniel Pedersen, Pete Carlson, Lisa Yost, Cheryl Littau
BACKGROUND: Healthcare workers perform hand hygiene much more frequently than workers in other fields. As a result, healthcare workers have a higher exposure to topical antiseptic products. METHODS: Five tertiary care facilities were equipped with an electronic hand hygiene compliance monitoring system. Alcohol-based handrub (ABHR) and handwash use was recorded on a worker-specific basis for 6 months. Total hand hygiene product use and total hours worked were calculated for each worker to determine use frequency...
May 17, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29779689/prevalence-of-infections-and-antimicrobial-prescribing-in-australian-aged-care-facilities-evaluation-of-modifiable-and-nonmodifiable-determinants
#8
Bennett Noleen, Nabeel Imam, Rodney James, Caroline Chen, Ann Bull, Karin Thursky, Kirsty Buising, Leon Worth
BACKGROUND: Infections in aged care residents are associated with poor outcomes, and inappropriate antimicrobial prescribing contributes to adverse events, such as the emergence of antimicrobial resistance. The objective of this study was to identify resident- and facility-level factors associated with infection and antimicrobial prescribing in Australian aged care residents. METHODS: Using data captured by a national point-prevalence survey (the Aged Care National Antimicrobial Prescribing Survey), risk and protective factors were determined by multivariate Poisson regression...
May 17, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29779688/how-to-better-monitor-and-clean-irregular-surfaces-in-operating-rooms-insights-gained-by-using-both-atp-luminescence-and-rodac-assays
#9
Olivia Ellis, Hilary Godwin, Maren David, Dan J Morse, Romney Humphries, Daniel Z Uslan
BACKGROUND: A major limitation to developing evidence-based approaches to infection prevention is the paucity of real-time, quantitative methods for monitoring the cleanliness of environmental surfaces in clinical settings. One solution that has been proposed is adenosine triphosphate (ATP) bioluminescence assays, but this method does not provide information about the source of the ATP. MATERIALS/METHODS: To address this gap, we conducted a study in which ATP bioluminescence was coupled with traditional RODAC sampling and matrix-assisted laser desorption/ionization-time-of-flight mass spectrometry to assess which organisms were viable and present...
May 17, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29779687/lack-of-improvement-in-antimicrobial-prescribing-after-a-diagnosis-of-clostridium-difficile-and-impact-on-recurrence
#10
Richard L Watson, Christopher J Graber
BACKGROUND: Antimicrobial use is one of the largest modifiable risk factors for development of Clostridium difficile infection (CDI). We sought to determine if a recent diagnosis of CDI affected the appropriateness of subsequent antimicrobial prescribing. METHODS: This study is a retrospective electronic chart review of the Greater Los Angeles Veterans Administration. Medication administration records were reviewed for all patients with new CDI from 2015-2016 to determine the appropriateness (drug choice, duration, and dosage) of all non-CDI antimicrobials prescribed within 90 days pre- and post-initial CDI (iCDI) positive testing...
May 17, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29778437/state-level-adoption-of-national-guidelines-for-norovirus-outbreaks-in-health-care-settings
#11
Carl J Grafe, Catherine J Staes, Kensaku Kawamoto, Matthew H Samore, R Scott Evans
BACKGROUND: Clinical decision support (CDS) systems can help investigators use best practices when responding to outbreaks, but variation in guidelines between jurisdictions can make such systems hard to develop and implement. This study aimed to identify (1) the extent to which state-level guidelines adhere to national recommendations for norovirus outbreak response in health care settings and (2) the impact of variation between states on outbreak outcomes. METHODS: State guidelines were obtained from Internet searches and direct contact with state public health officials in early 2016...
May 16, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29778436/enhanced-central-venous-catheter-bundle-for-pediatric-parenteral-dependent-intestinal-failure
#12
Jennifer A Ormsby, Bola Bukoye, Debra Lajoie, Herminia Shermont, Lisa Martin, Kierrah Leger, Judy Mahoney, Gail Potter-Bynoe, Jane Carpenter, Al Ozonoff, Grace M Lee
BACKGROUND: Central line-associated bloodstream infections (CLABSIs) cause substantial morbidity and increase antimicrobial use and length of stay among hospitalized children in the United States. CLABSI occurs more frequently among high-risk pediatric patients, such as those with intestinal failure (IF) who are parenteral nutrition (PN) dependent. Following an increase in CLABSI rates, a quality improvement (QI) initiative was implemented. METHODS: Using QI methodology, an enhanced central venous catheter (CVC) maintenance bundle was developed and implemented on 2 units for pediatric PN-dependent patients with IF...
May 16, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29778435/hand-hygiene-compliance-rates-fact-or-fiction
#13
Mary-Louise McLaws, Yen Lee Angela Kwok
BACKGROUND: The mandatory national hand hygiene program requires Australian public hospitals to use direct human auditing to establish compliance rates. To establish the magnitude of the Hawthorne effect, we compared direct human audit rates with concurrent automated surveillance rates. METHODS: A large tertiary Australian teaching hospital previously trialed automated surveillance while simultaneously performing mandatory human audits for 20 minutes daily on a medical and a surgical ward...
May 16, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29778434/implementation-of-multimodal-infection-control-and-hand-hygiene-strategies-in-acute-care-hospitals-in-greece-a-cross-sectional-benchmarking-survey
#14
Evangelos I Kritsotakis, Eirini Astrinaki, Argyri Messaritaki, Achilleas Gikas
BACKGROUND: In this first attempt to suggest achievable standards for improvement in hospital infection prevention and control (IPC) in Greece, we assessed main IPC structure and process indicators emphasizing hand hygiene. METHODS: Acute-care hospitals across the country participated in a cross-sectional survey by completing the World Health Organization Hand Hygiene Self-assessment Framework (HHSAF) and by providing hospital-level IPC indicators. RESULTS: Seventeen hospitals completed the survey, comprising 14% of the country's public hospitals...
May 16, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29778433/response-to-dr-horwitz-infection-control-iv-moving-forward-infection-practitioners-scope-of-practice
#15
LETTER
Kathleen A Gase
No abstract text is available yet for this article.
May 16, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29778432/the-effect-of-exposure-to-sub-inhibitory-concentrations-of-hypochlorite-and-quaternary-ammonium-compounds-on-antimicrobial-susceptibility-of-pseudomonas-aeruginosa
#16
Aya Mahmoud Nasr, Marwa Salah Mostafa, Heba Hamed Arnaout, Amal Ali Ali Elshimy
BACKGROUND: Pseudomonas is a group of medically important species that inhabit a wide range of niches, including hospital environments. Controversies have emerged about the possible link between improper use of disinfectants and the emergence of antibiotic resistance in bacteria. The aim of this study was to assess the effect of exposure of antibiotic-susceptible Pseudomonas isolates to sub-inhibitory concentrations of 2 disinfectants-didecyldimonium chloride and sodium hypochlorite-on their antibiotic susceptibility patterns...
May 16, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29778431/microbiologic-assessment-of-flexible-gastrointestinal-endoscope-reprocessing-using-a-pump-assisted-sampling-technique-an-investigation-involving-all-endoscopy-units-in-tianjin-china
#17
Xue-Yue Ji, Pei-Yong Ning, Wei Zhang, Dong-Jing Yang, He Liu, Jun Liu, Jia Song, Chun-Nan Fei
BACKGROUND: Microbiologic surveillance of flexible gastrointestinal endoscopes is recommended in several guidelines as the primary means of identifying reprocessing failures. This study aimed to evaluate the contamination level and prevalence of bacteria of post-reprocessing endoscopes and to access whether using a pump-assisted sampling method (PASM) improves the sensitivity of culture. METHODS: All 59 endoscopy units in Tianjin, China, were investigated. The PASM and the conventional flushing sampling method (CFSM) were used to compare the results of the microbial culture...
May 16, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29778430/does-periurethral-cleaning-with-water-prior-to-indwelling-urinary-catheterization-increase-the-risk-of-urinary-tract-infections-a-systematic-review-and-meta-analysis
#18
REVIEW
Kun Huang, Jihong Liang, Ting Mo, Yanli Zhou, Yanping Ying
OBJECTIVE: To determine whether periurethral cleaning with water before indwelling urinary catheterization increases the risk of urinary tract infections (UTIs) compared with studies using anti-infective agents. METHODS: A literature search via MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials through October 2017 and a manual search of references for additional relevant studies. Trials studying clean intermittent catheterization were excluded...
May 16, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29759642/covering-the-instrument-table-decreases-bacterial-bioburden-an-evaluation-of-environmental-quality-indicators
#19
Troy A Markel, Thomas Gormley, Damon Greeley, John Ostojic, Jennifer Wagner
BACKGROUND: Covering the instrument table during surgery may decrease contamination. We hypothesized that (1) covering the instrument table in an operating room (OR) during static periods of nonuse and dynamic periods of active use would dramatically decrease the bacterial bioburden on the table, and (2) the use of sterile plastic table covers would be equivalent to sterile impervious paper covers in reducing the bioburden in a dynamic environment. METHODS: Bacterial contamination of the instrument table was evaluated by settle plates in static and dynamic ORs...
May 11, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29759641/impact-of-antimicrobial-wipes-compared-with-hypochlorite-solution-on-environmental-surface-contamination-in-a-health-care-setting-a-double-crossover-study
#20
Harsha Siani, Rebecca Wesgate, Jean-Yves Maillard
OBJECTIVE: Antimicrobial wipes are increasingly used in health care settings. This study evaluates, in a clinical setting, the efficacy of sporicidal wipes versus a cloth soaked in a 1,000 ppm chlorine solution. INTERVENTION: A double-crossover study was performed on 2 different surgical and cardiovascular wards in a 1,000-bed teaching hospital over 29 weeks. The intervention period that consisted of surface decontamination with the preimpregnated wipe or cloth soaked in chlorine followed a 5-week baseline assessment of microbial bioburden on surfaces...
May 11, 2018: American Journal of Infection Control
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