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Journal of Hospital Infection

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https://www.readbyqxmd.com/read/28629932/systemic-antimicrobial-prophylaxis-in-burn-patients-a-systematic-review
#1
REVIEW
Guillermo Enrique Ramos
OBJECTIVE: To review studies of systemic antibiotic prophylaxis in burn patients. METHODS: Human clinical trials during the period 1966-2016 where prophylactic systemic antibiotics were compared with placebo or no intervention were identified in electronic databases. RESULTS: Nineteen trials met the selection criteria. Early post-burn period prophylaxis was assessed in non severe burn patients (6 trials), and in severe burn patients (7 trials)...
June 16, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28625600/where-to-do-water-testing-for-pseudomonas-aeruginosa-in-a-healthcare-setting
#2
Mark I Garvey, Craig W Bradley, Elisabeth Holden, Mike Weibren
Pseudomonas aeruginosa is an important nosocomial pathogen commonly colonising hospital water supplies. HTM 04-01 addresses the risk posed by recommending water testing in augmented care areas which includes outpatient haemodialysis. We discuss how two teaching hospitals independently reviewed the risk to outpatient haemodialysis patients drawing the same conclusion. The highest number of infection episodes with P. aeruginosa was seen in critical care followed by burns and haematology with the lowest in haemodialysis...
June 15, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28624632/health-care-workers-knowledge-attitude-and-practice-relating-to-ebola-virus-disease
#3
LETTER
F Valour, Thomas Perpoint, Solveig Gerbier-Colomban, Vincent Ronin, Véronique Potinet, Jean-Baptiste Le Loch, Florence Ader, Tristan Ferry, Christian Chidiac
No abstract text is available yet for this article.
June 14, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28624631/re-in-defence-of-high-hand-hygiene-compliance-rates
#4
LETTER
Nikunj Mahida, Tim Boswell, Natalie Vaughan
No abstract text is available yet for this article.
June 14, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28610932/automatic-environmental-disinfection-with-hydrogen-peroxide-and-ion-silver-versus-manual-environmental-disinfection-with-sodium-hypochlorite-a-multicenter-randomized-before-and-after-trial
#5
D Mosci, G W Marmo, L Sciolino, C Zaccaro, R Antonellini, L Accogli, T Lazzarotto, M Mongardi, M P Landini
AIMS: 1. Compare the effectiveness of an automated disinfection system with hydrogen peroxide <8% and silver ion versus a manual method with 0.5% sodium hypochlorite solution to evaluate the reduction of microbial mesophilic contamination and Clostridium difficile (CD) presence; 2. Evaluate the organizational impact of these two technologies in terms of time required for the process. METHODS: A randomized multicenter trial performed in four public and private health facilities in the Emilia-Romagna Region, in different wards including medicine, orthopaedics, long-term care, recovery and functional rehabilitation, which were previously occupied by patients with Clostridium difficile Infection (CDI)...
June 10, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28606857/mycobacterium-chimaera-an-under-diagnosed-pathogen-in-developing-countries
#6
LETTER
Yeimer Ortiz-Martínez
No abstract text is available yet for this article.
June 9, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28602707/distribution-and-characterization-of-stenotrophomonas-maltophilia-isolates-from-environmental-and-clinical-samples-in-thailand
#7
Panida Paopradit, Kanchana Srinitiwarawong, Natnicha Ingviya, Kamonnut Singkhamanan, Varaporn Vuddhakul
BACKGROUND: Stenotrophomonas maltophilia has emerged as an important opportunistic pathogen especially in immunocompromised hosts suffering from malignancy and prolonged hospitalization. Information of this bacterium in Thailand has not been elucidated. AIMS: To investigate phenotype and genotype of environmental and clinical isolates of S. maltophilia in Songklanagarind hospital, southern Thailand. METHODS: Isolates of S. maltophilia from various environmental sources on 3 hospital wards and clinical samples from 7 wards were collected...
June 8, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28602706/reducing-the-risk-of-mouth-to-mouth-transmission-of-pathogens-via-reusable-machine-read-parking-tickets-an-observational-cohort-study
#8
Jeremy Groves, Helen Church, D Holland, Naomi Thompson
The carparks at our hospital are accessed using reusable machine read tickets. In the initial phase of our study we in observed 598 staff members entering the carpark. 21.6% of them put their parking ticket in their mouth. Using UV dye we successfully demonstrated card-to-card cross-contamination. Swabs of the ticket machine yielded commensal bacteria: coagulase negative staphylococci and a Bacillus species. After placing a poster on the ticket-reading machine highlighting this potential infection risk, a further 1366 observations resulted in a statistically significant and persistent decline in the proportion of staff putting their carpark tickets in their mouths (p<0...
June 8, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28602705/in-defence-of-high-hand-hygiene-compliance-rates
#9
LETTER
C Oliver, A Thompson, R P D Cooke
No abstract text is available yet for this article.
June 8, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28602704/contamination-of-hospital-tap-water-the-survival-and-persistence-of-pseudomonas-aeruginosa-on-conventional-and-antimicrobial-outlet-fittings
#10
Chloe Frances Hutchins, Ginny Moore, Katy-Anne Thompson, Jeremy Webb, James T Walker
BACKGROUND: Pseudomonas aeruginosa infections have been linked to contaminated hospital taps, highlighting the potential for tap outlet fittings (OF) to harbour biofilm. P. aeruginosa may be transferred to OFs via contaminated cleaning-cloths. Suggested interventions include flushing regimens and alternative OF designs. AIM: To investigate the transfer of P. aeruginosa from a contaminated cleaning-cloth to conventional and 'antimicrobial/anti-biofilm' OFs and to determine whether this contamination persists and/or leads to contamination of tap water...
June 8, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28602703/clinical-predictors-and-outcomes-of-klebsiella-pneumoniae-bacteraemia-in-a-regional-hospital-in-hong-kong
#11
M Y Man, H P Shum, Y H Chan, K C Chan, W W Yan, R A Lee, S K P Lau
BACKGROUND: Klebsiella pneumoniae (KP) infection is associated with high morbidity and mortality. Multidrug resistance, especially extended spectrum beta-lactamase (ESBL) production, in KP is endemic worldwide. Our study aimed to evaluate the clinical characteristics and outcomes of patients with KP bacteraemia in critical care and general ward settings. METHODS: Adult patients admitted to a regional hospital in Hong Kong from 1 January 2009 to 30 June 2016 (7.5 years) with KP bacteraemia were included...
June 8, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28602702/the-scottish-enhanced-staphylococcus-aureus-bacteraemia-surveillance-program-the-first-18-months-data-in-adults
#12
F Murdoch, J Danial, A K Morris, E Czarniak, J L Bishop, E Glass, L J Imrie
BACKGROUND: Staphylococcus aureus bacteraemia (SAB) is the second most common source of positive blood cultures after Escherichia coli (E. coli) reported within NHS Scotland. Laboratory surveillance has been mandatory in Scotland for SAB since 2001. AIM: To gain an understanding of the epidemiology of SAB cases and associated risk factors for healthcare and true community onset. Identifying these factors and patient populations most at risk allows focused improvement plans to be developed...
June 8, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28602668/legionella-pneumophila-in-health-care-settings-sensitivity-to-biocidal-treatments-in-mono-and-multi-species-biofilms
#13
LETTER
Patrizia Messi, Simona de Niederhäusern, Immacolata Anacarso, Ramona Iseppi, Carla Sabia, Moreno Bondi
No abstract text is available yet for this article.
June 7, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28600078/is-overcrowding-a-barrier-to-hand-hygiene-and-how-can-it-be-addressed
#14
LETTER
Toney Thomas Poovelikunnel, Fionnuala Duffy, Caoimhe Finn, Fiona McCormack, John Walsh, Hilary Humphreys
No abstract text is available yet for this article.
June 6, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28600077/national-surgical-site-infection-ssi-surveillance-response-to-jenks-et-al
#15
LETTER
Theresa Lamagni, Suzanne Elgohari, Catherine Wloch, André Charlett, Pauline Harrington, Alan P Johnson
No abstract text is available yet for this article.
June 6, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28600076/the-contribution-and-limits-of-clinical-specimens-for-the-screening-of-intestinal-multidrug-resistant-bacteria-in-view-of-laboratory-automation
#16
Geraud De Galassus Alix, Florence Cizeau, Aurélie Agathine, Cecilia Domrane, David Ducellier, Vincent Fihman, Jean-Winoc Decousser
The detection of multidrug-resistant bacteria carriers constitutes a race against time for infection preventionists. Alongside standard analysis for diagnosis purposes and rectal screening strategy, we tested a heavy-loaded selective method against 562 clinical specimens from 439 patients to detect extended-spectrum beta-lactamase-producing (ESBL) or carbapenemase-producing Enterobacteriaceae (CPE) and vancomycin-resistant enterococci (VRE). Our approach identified five more specimens positive for ESBL-producing Enterobacteriaceae than standard analysis, and 6 out of 9 known VRE/CPE carriers (three new CPE/VRE strains were also identified in this cohort)...
June 6, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28583886/risk-factors-and-clinical-outcomes-for-carbapenem-resistant-gram-negative-late-onset-sepsis-in-a-neonatal-intensive-care-unit
#17
Islam Nour, Heba Elsayed Eldegla, Nehad Nasef, Basma Shouman, Hesham Abdel-Hady, Abd Elazeez Shabaan
BACKGROUND: Gram-negative (GN), carbapenem-resistant (CR), late-onset sepsis (LOS) is a serious threat in the Neonatal Intensive Care Unit (NICU). OBJECTIVE: To assess the prevalence of CR-GN-LOS in NICU patients and to identify the risk factors and outcomes associated with its acquisition. METHODS: Neonates with carbapenem-sensitive (CS)-GN-LOS were compared with those with CR-GN-LOS in a 2-year observational study. RESULTS: A total of 158 patients had GN-LOS; 100 infants had CS-GN-LOS and 58 infants had CR-GN-LOS...
June 2, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28579472/identifying-environmental-reservoirs-of-clostridium-difficile-with-a-scent-detection-dog-preliminary-evaluation
#18
Elizabeth Bryce, Teresa Zurberg, Markus Zurberg, Salomeh Shajari, Diane Roscoe
BACKGROUND: Prompted by an article describing a dog trained to detect Clostridium difficile in patients, our institution evaluated a dog's ability to detect C. difficile scent from equipment and surfaces to assist in strategic deployment of adjunctive cleaning measures. METHODS: An expert in drug and explosives scent dog handling trained a canine to identify odours from pure cultures and/or faecal specimens positive for C. difficile. Methods used to assess explosive and drug detection dogs were adapted and included evaluation of a) odour recognition, using containers positive and negative for the scent of C...
June 1, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28579471/first-case-of-vaccine-strain-varicella-infection-as-manifestation-of-hiv-in-healthcare-worker-a-case-report-and-review-of-the-literature
#19
REVIEW
Bhagyashri D Navalkele, Oryan Henig, Marilynn Fairfax, Elaine Flanagan, Mark Upfal, Jim Russell, Sorabh Dhar, Keith Kaye, Teena Chopra
Live-attenuated varicella vaccination is safe in non-immunocompromised population and associated with rare non-serious adverse events. A healthcare worker (HCW) developed varicella infection and exposure investigation led to immunization against varicella in an exposed non-immune HCW. Subsequently, vaccine-strain induced disseminated varicella and progressive outer retinal necrosis in the exposed HCW resulted in identification of undiagnosed HIV infection. Here, we review serious adverse events from varicella vaccination and advice extreme caution prior to live vaccination of healthcare workers...
June 1, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28579470/towards-objective-hand-hygiene-technique-assessment-validation-of-the-uv-dye-based-hand-rubbing-quality-assessment-procedure
#20
Ákos Lehotsky, László Szilágyi, Száva Bánsághi, Péter Szerémy, György Wéber, Tamás Haidegger
Ultraviolet spectrum markers are widely used for hand hygiene quality assessment, although their microbiological validation has not been established. A microbiology-based assessment of the procedure was conducted. Twenty-five artificial hand models underwent initial full contamination, then disinfection with UV-dyed hand rub solution, digital imaging under UV-light, microbiological sampling and cultivation, and digital imaging of the cultivated flora was performed. Paired images of each hand model were registered by a software tool, then the UV-marked regions were compared with the pathogen-free sites pixel by pixel...
June 1, 2017: Journal of Hospital Infection
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