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Journal of Hospital Infection

Enjy Abdou, Matthew Westercamp, Samia Girgis, Moshira Sabry, Omar Sayyouh, Maha Talaat
No abstract text is available yet for this article.
July 5, 2018: Journal of Hospital Infection
Hayley J Wilson, Fahad Khokhar, David A Enoch, Nicholas M Brown, Jag Ahluwalia, Gordon Dougan, M Estée Török
Infections with carbapenemase-producing Enterobacteriaceae (CPE) and vancomycin-resistant enterococci (VRE) are associated with increased morbidity and mortality, but the carriage rates of CRE and VRE among hospital inpatients is unknown. We conducted a point-prevalence survey to determine CPE and VRE carriage rates in hospitalised adults. 818/960 (85.2%) adult inpatients were invited to participate in the study. 595/818 (72.7%) consented and provided specimens. Of 540 samples tested, none were positive for CPE...
June 30, 2018: Journal of Hospital Infection
Marta Zofia Wałaszek, Małgorzata Kołpa, Anna Różańska, Barbara Jagiencarz-Starzec, Zdzisław Wolak, Jadwiga Wójkowska-Mach
Effective hand hygiene (HH) among healthcare workers is one of the basic principles of preventing nosocomial infections. The aim of the study was a qualitative examination of microbial colonization of nails following HH. The results were stratified by nail length: short vs. long and the presence of a varnish coating: natural vs. varnished. The presence of potentially pathogenic microorganisms was correlated with nail length, (OR=7.1, 95%CI 1.83-27.39, p<0.001) and the presence of UV-cured nail polish (OR=7...
June 30, 2018: Journal of Hospital Infection
Molly Courtenay, Rosemary Lim, Enrique Castro-Sanchez, Rhian Deslandes, Karen Hodson, Gary Morris, Scott Reeves, Marjorie Weiss, Diane Ashiru-Oredope, Heather Bain, Adam Black, Joanne Bosanquet, Alison Cockburn, Catherine Duggan, Matthew Fitzpatrick, Rose Gallagher, Daniel Grant, Jo McEwen, Nicholas Reid, Jacqueline Sneddon, Derek Stewart, Antonella Tonna, Pip White
BACKGROUND: Healthcare professionals are involved in an array of patient and medicine related stewardship activities, for which an understanding and engagement with antimicrobial stewardship (AMS) is important. Undergraduate education provides an ideal opportunity to prepare healthcare professionals for these roles and activities. AIM: To provide United Kingdom national consensus on a common set of antimicrobial stewardship competencies appropriate for undergraduate healthcare professional education...
June 29, 2018: Journal of Hospital Infection
Randy W Loftus, Franklin Dexter, Alysha D M Robinson, Alexander R Horswill
BACKGROUND: Desiccation tolerance increases Staphylococcus aureus survival and risk of transmission.A better understanding of factors driving intraoperative transmission of S. aureus pathogens may lead to innovative improvements in intraoperative infection control. AIMS: Our primary aim was to determine whether desiccation tolerance is associated with intraoperative S. aureus transmission. METHODS: S. aureus isolates (N=173) were collected from anesthesia work area reservoirs in 274 operating room environments...
June 29, 2018: Journal of Hospital Infection
Chi Xu, Heng Guo, Qiaojie Wang, Pengfei Qu, Kerri Bell, Jiying Chen
BACKGROUND: Although a large number of studies have identified obesity as an independent risk factor for the development of periprosthetic joint infection (PJI), the synergistic impacts of obesity with other factors on PJI remains unknown. Additionally, few studies have specifically explored the risk factors of PJI within a Chinese population. AIMS: The purposes of the study were to 1) investigate the association between obesity and PJI in a Chinese population, and 2) identify synergistic impacts of obesity with other risk factors on the development of PJI...
June 29, 2018: Journal of Hospital Infection
G Nayar, E S R Darley, F Hammond, S Matthews, J Turton, R Wach
BACKGROUND: Pseudomonas aeruginosa (PA) is a Gram-negative environmental organism which can cause severe infection in immunosuppressed patients including preterm neonates. It has become common practice in recent years to screen neonates for PA colonisation. AIM: To assess the value of screening neonates for PA in 1) predicting the risk of developing severe PA infection in neonates and 2) directing infection control practice. METHODS: Between August 2012 and September 2015, babies admitted to Neonatal Intensive Care Unit (NICU) at North Bristol NHS Trust were routinely screened for PA colonisation on admission and weekly thereafter...
June 28, 2018: Journal of Hospital Infection
Durdana Chowdhary, Shamaila Tahir, Mark Legge, Honghua Hu, Tania Prvan, Khalid Johani, Greg S Whiteley, Trevor O Glasbey, Anand Kumar Deva, Karen Vickery
BACKGROUND: Dry surface biofilms (DSB) persist for extended period in hospital, may play significant role in healthcare-associated infections transmission. This study aims to determine if DSB can be transferred from hospital surfaces to healthcare worker's hands. METHOD: 12-day Staphylococcus aureus DSB was grown on polycarbonate and glass coupons in CDC bioreactor. 1.8x106 and 8.8x105 bacteria grew on polycarbonate and glass coupons respectively. Transmission was tested by lifting the coupon with forefinger and thumb of ungloved hands to a height of 30 cm then touching horse blood agar (HBA) plates 19 sequential times...
June 28, 2018: Journal of Hospital Infection
David R Woodard, Mark Buttner, Patricia Cruz, Jennifer Roeder
No abstract text is available yet for this article.
June 26, 2018: Journal of Hospital Infection
Gauri Godbole, Catherine Wloch, Pauline Harrington, Neville Q Verlander, Susan Hopkins, Alan P Johnson, Theresa Lamagni
BACKGROUND: Since the launch of the national surgical site infection (SSI) surveillance service in 1997, successive expansions of the programme provided hospitals with increasing flexibility in procedures to target through surveillance. Ensuring the programme continues to meet hospitals' needs remains essential. AIM: As a means to inform the future direction of the service, a survey of all acute NHS Trusts was undertaken to assess and understand priorities for surveillance...
June 23, 2018: Journal of Hospital Infection
Fernanda Saad Rodrigues, Fernanda Avelina Clemente de Luca, Antonio Ribeiro da Cunha, Carlos Magno Castelo Branco Fortaleza
BACKGROUND: Recent studies reported seasonality in healthcare-associated infections (HCAI). The association of this phenomenon with other risk factors for HCAI is not clear. AIM: To analyze the interplay of season, weather and usual predictors of healthcare-associated bloodstream infections caused by Gram-negative bacilli (GNB-BSI). METHODS: A case-only study was conducted in a teaching hospital in Brazil. METHODS: The study enrolled 446 subjects with GNB-BSI diagnosed from July 2012 through June 2016...
June 22, 2018: Journal of Hospital Infection
J Travers, C S Leong, S F FitzGerald
No abstract text is available yet for this article.
June 21, 2018: Journal of Hospital Infection
Yunzhou Fan, Junning Zou, Xiongjing Cao, Yanyan Wu, Fan Gao, Lijuan Xiong
BACKGROUND: Detection of healthcare-associated infection (HAI) clusters is crucial in limiting disease transmission AIM: To investigate whether data on antibiotic use can be an alternative indicator for the identification of HAI clusters caused by multidrug-resistant organisms (MDROs). METHODS: We retrospectively analysed MDRO-related HAIs and the 10 indicators of antibiotic use from four independent high-risk units at a tertiary hospital in China from January 2014 to January 2017...
June 20, 2018: Journal of Hospital Infection
M Abbas, D Pires, S Harbarth, M E A de Kraker
No abstract text is available yet for this article.
June 20, 2018: Journal of Hospital Infection
A F Talento, G Hughes, E Cottrell, C Bergin
No abstract text is available yet for this article.
June 20, 2018: Journal of Hospital Infection
Patrick Saliba, Ana Hornero, Guillermo Cuervo, Immaculada Grau, Emilio Jimenez, Damaris Berbel, Purificación Martos, Juan Manuel Verge, Cristian Tebe, Jose María Martínez-Sánchez, Evelyn Shaw, Laura Gavaldà, Jordi Carratalà, Miquel Pujol
BACKGROUND: Short-term peripheral venous catheters are a significant source of health-care acquired bloodstream infections and a preventable cause of death. AIM: To assess the effectiveness of interventions applied to reduce the incidence and mortality associated with short peripheral venous catheter-related bloodstream infections (PVCR-BSI). METHODS: The intervention included continuous PVCR-BSI surveillance, implementation of preventive measures related to catheter insertion and maintenance in accordance with evidence-based recommendations and the hospital's own data, front-line staff educational campaigns, and assessment of adherence to hospital guidelines by ward rounds...
June 18, 2018: Journal of Hospital Infection
Lihua Qi, Weihong Fan, Xian Xia, Lu Yao, Lirui Liu, Haiyan Zhao, Xiangyong Kong, Jie Liu
BACKGROUND: Candida parapsilosis is a common agew2nt of fungemia, but few outbreaks of Candida parapsilosis infection have been reported in China. AIM: This study aimed to elaborate an outbreak of nosocomial Candida parapsilosis sensu stricto fungemia in a neonatal intensive care unit (NICU) of a comprehensive hospital in China from July to October 2017. METHODS: Epidemics and characteristics of fungemia cases were investigated. Surveillance samples were collected...
June 18, 2018: Journal of Hospital Infection
N Kenters, T Gottlieb, J Hopman, S Mehtar, M L Schweizer, E Tartari, E G W Huijskens, A Voss
BACKGROUND: Antimicrobial resistance has become an urgent global health priority. Basic hygiene practices and cleaning and disinfection of the hospital environment are key in preventing pathogen cross-transmission. AIM: To our knowledge no studies have assessed the worldwide differences in cleaning and disinfection practices in healthcare facilities. The electronic survey described here was developed in order to evaluate differences in healthcare facility cleaning practices around the world...
June 18, 2018: Journal of Hospital Infection
Martina Sansone, Åsa Wiman, Maria Lind Karlberg, Maria Brytting, Lars Bohlin, Lars-Magnus Andersson, Johan Westin, Rickard Nordén
BACKGROUND/AIM: To describe a hospital outbreak of influenza B (InfB) virus infection during season 2015/2016 by combining clinical and epidemiological data with molecular methods. METHODS: Twenty patients diagnosed with InfB from a hospital outbreak during a four-week-period were included. Nasopharyngeal swabs (NPS) positive for InfB by multiplex real-time PCR were sent for lineage typing and whole genome sequencing (WGS). Medical records were retrospectively reviewed for data regarding patient characteristics, localisation, exposure and outcome and assembled into a timeline...
June 14, 2018: Journal of Hospital Infection
T S Moores, S A Khan, B D Chatterton, G Harvey, S C Lewthwaite
BACKGROUND: Infection occurs in 2-4% of arthroplasty cases, identifying potential sources of infection can help to reduce infection rates. The aim of this study was to identify the impact and potential for contamination of our hands and gowns whilst scrubbing using sterile surgical helmet systems (SSHS). METHOD: A colony-forming unit (CFU) is a pathogenic particle of 0.5 to 5 micrometres. A standard arthroplasty hood and a SSHS with and without the fan on for a 3-minute exposure to represent scrubbing time, were tested on 3 subjects and a mannequin with concurrent particle counts and culture plates...
June 13, 2018: Journal of Hospital Infection
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