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Infection Control and Hospital Epidemiology

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https://www.readbyqxmd.com/read/28414016/accidental-occupational-exposure-to-burkholderia-pseudomallei-in-south-korea-did-not-result-in-melioidosis
#1
Jae-Bum Jun, Taehoon Lee, Joseph Jeong, Jeong-Hoon Chun, Yong-Woo Shin, Jiwon Jung
No abstract text is available yet for this article.
April 17, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28414009/adenosine-triphosphate-quantification-correlates-poorly-with-microbial-contamination-of-duodenoscopes
#2
Lovisa B Olafsdottir, Sharon B Wright, Anne Smithey, Riley Heroux, Elizabeth B Hirsch, Alice Chen, Benjamin Lane, Mandeep S Sawhney, Graham M Snyder
OBJECTIVE The aim of this study was to quantify the correlation between adenosine triphosphate (ATP) measurements and bacterial cultures from duodenoscopes for evaluation of contamination following high-level disinfection. DESIGN Duodenoscopes used for any intended endoscopic retrograde cholangiopancreatography (ERCP) procedure were included. Microbiologic and ATP data were collected concomitantly and in the same manner from ERCP duodenoscopes. SETTING A high-volume endoscopy unit at a tertiary referral acute-care facility...
April 17, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28413996/from-vap-to-vae-implications-of-the-new-cdc-definitions-on-a-burn-intensive-care-unit-population
#3
Anne M Lachiewicz, David J Weber, David van Duin, Shannon S Carson, Lauren M DiBiase, Samuel W Jones, William A Rutala, Bruce A Cairns, Emily E Sickbert-Bennett
Ventilator-associated pneumonia (VAP) is a frequent complication of severe burn injury. Comparing the current ventilator-associated event-possible VAP definition to the pre-2013 VAP definition, we identified considerably fewer VAP cases in our burn ICU. The new definition does not capture many VAP cases that would have been reported using the pre-2013 definition. Infect Control Hosp Epidemiol 2017;1-3.
April 17, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28399945/a-prospective-holistic-multicenter-approach-to-tracking-and-understanding-bloodstream-infections-in-pediatric-hematology-oncology-patients
#4
Aditya H Gaur, David G Bundy, Eric J Werner, Jeffrey D Hord, Marlene R Miller, Li Tang, John P Lawlor, Amy L Billett
OBJECTIVE To assess the burden of bloodstream infections (BSIs) among pediatric hematology-oncology (PHO) inpatients, to propose a comprehensive, all-BSI tracking approach, and to discuss how such an approach helps better inform within-center and across-center differences in CLABSI rate DESIGN Prospective cohort study SETTING US multicenter, quality-improvement, BSI prevention network PARTICIPANTS PHO centers across the United States who agreed to follow a standardized central-line-maintenance care bundle and track all BSI events and central-line days every month...
April 12, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28397631/occupational-severe-fever-with-thrombocytopenia-syndrome-following-needle-stick-injury
#5
Yuxin Chen, Bei Jia, Rui Huang, Xiaomin Yan, Yali Xiong, Liu Yong, Wu Chao
No abstract text is available yet for this article.
April 11, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28397628/deadly-sins-of-antibiotic-abuse-in-china
#6
Zheng Wang, Han Zhang, Jun Han, Hao Xing, Meng-Chao Wu, Tian Yang
No abstract text is available yet for this article.
April 11, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28397624/risk-of-clostridium-difficile-infection-in-hematology-oncology-patients-colonized-with-toxigenic-c-difficile
#7
Cara M Cannon, Jackson S Musuuza, Anna K Barker, Megan Duster, Mark B Juckett, Aurora E Pop-Vicas, Nasia Safdar
The prevalence of colonization with toxigenic Clostridium difficile among patients with hematological malignancies and/or bone marrow transplant at admission to a 566-bed academic medical care center was 9.3%, and 13.3% of colonized patients developed symptomatic disease during hospitalization. This population may benefit from targeted C. difficile infection control interventions. Infect Control Hosp Epidemiol 2017;1-3.
April 11, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28397622/identifying-opportunities-to-improve-guideline-concordant-antibiotic-prescribing-in-veterans-with-acute-respiratory-infections-or-cystitis
#8
Hayley E Meyer, Brian C Lund, Brett H Heintz, Bruce Alexander, Jason A Egge, Daniel J Livorsi
We investigated the frequency and determinants of guideline-discordant antibiotic prescribing in outpatients with respiratory infections or cystitis. Antibiotic prescribing was guideline discordant in 60% of patients. The most common reason for discordance was prescribing an antibiotic when not indicated. In a multivariate analysis, physicians in training had the highest likelihood of guideline-concordant antibiotic prescribing. Infect Control Hosp Epidemiol 2017;1-5.
April 11, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28397616/analysis-of-multidrug-resistant-organism-susceptibility-to-chlorhexidine-under-usual-clinical-care
#9
Jackson S Musuuza, Ajay K Sethi, Tonya J Roberts, Nasia Safdar
Increasing use of daily chlorhexidine gluconate (CHG) bathing can potentially lead to selection for organisms with reduced susceptibility to CHG, limiting the utility of CHG. We examined reduced susceptibility to CHG of fluoroquinolone-resistant gram-negative bacilli and methicillin-resistant Staphylococcus. No evidence suggested reduced susceptibility to CHG. Infect Control Hosp Epidemiol 2017;1-3.
April 11, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28397615/modifiable-risk-factors-for-the-spread-of-klebsiella-pneumoniae-carbapenemase-producing-enterobacteriaceae-among-long-term-acute-care-hospital-patients
#10
Koh Okamoto, Michael Y Lin, Manon Haverkate, Karen Lolans, Nicholas M Moore, Shayna Weiner, Rosie D Lyles, Donald Blom, Yoona Rhee, Sarah Kemble, Louis Fogg, David W Hines, Robert A Weinstein, Mary K Hayden
OBJECTIVE To identify modifiable risk factors for acquisition of Klebsiella pneumoniae carbapenemase-producing Enterobacteriaceae (KPC) colonization among long-term acute-care hospital (LTACH) patients. DESIGN Multicenter, matched case-control study. SETTING Four LTACHs in Chicago, Illinois. PARTICIPANTS Each case patient included in this study had a KPC-negative rectal surveillance culture on admission followed by a KPC-positive surveillance culture later in the hospital stay. Each matched control patient had a KPC-negative rectal surveillance culture on admission and no KPC isolated during the hospital stay...
April 11, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28397613/know-thy-self-know-thy-enemy-a-current-survey-and-a-forecast-for-kpc-producing-klebsiella-pneumoniae-resistance-among-inpatients-in-southern-brazil
#11
Leandro Reus Rodrigues Perez
No abstract text is available yet for this article.
April 11, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28393751/reliability-of-surveillance-for-ventilator-associated-events-and-pneumonia-methodological-and-statistical-issues
#12
Siamak Sabour
No abstract text is available yet for this article.
April 10, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28376944/use-of-a-perianal-swab-compared-with-a-stool-sample-to-detect-symptomatic-clostridium-difficile-infection
#13
Marisa A Montecalvo, Emnet Sisay, Donna McKenna, Guiqing Wang, Paul Visintainer, Gary P Wormser
OBJECTIVE To evaluate the use of a perianal swab to detect CDI. METHODS A perianal swab was collected from each inpatient with a positive stool sample for C. difficile (by polymerase chain reaction [PCR] test) and was tested for C. difficile by PCR and by culture. The variables evaluated included demographics, CDI severity, bathing before perianal swab collection, hours between stool sample and perianal swab, cycle threshold (Ct) to PCR positivity, and doses of CDI treatment before stool sample and before perianal swab...
April 5, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28376943/is-there-a-correlation-between-infection-control-performance-and-other-hospital-quality-measures
#14
Lyndsay M O'Hara, Daniel J Morgan, Lisa Pineles, Shanshan Li, Carol Sulis, Jason Bowling, Marci Drees, Jesse T Jacob, Deverick J Anderson, David K Warren, Anthony D Harris
Quality measures are increasingly reported by hospitals to the Centers for Medicare and Medicaid Services (CMS), yet there may be tradeoffs in performance between infection control (IC) and other quality measures. Hospitals that performed best on IC measures did not perform well on most CMS non-IC quality measures. Infect Control Hosp Epidemiol 2017;1-4.
April 5, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28367788/gunshot-injury-paraplegics-a-population-dying-a-slow-irreversible-and-expensive-death-a-viewpoint-on-preventing-pressure-ulcers
#15
Teena Chopra, Keith Kaye, Jack Sobel
No abstract text is available yet for this article.
April 3, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28367786/is-agree-ii-a-counsel-of-perfection-a-letter-commenting-on-lytvyn-et-al
#16
Sheldon P Stone, Mark Wilcox, Peter Hawkey
No abstract text is available yet for this article.
April 3, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28366180/semiautomated-surveillance-of-deep-surgical-site-infections-after-primary-total-hip-or-knee-arthroplasty
#17
Meander E Sips, Marc J M Bonten, Maaike S M van Mourik
Manual surveillance of surgical site infections (SSIs) after total hip or knee arthroplasty is time-consuming and prone to error. Semiautomated surveillance based on routine care data extracted from electronic health records can retrospectively identify deep SSIs and substantially reduce workload while maintaining 100% sensitivity. Infect Control Hosp Epidemiol 2017;1-4.
April 3, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28366177/improved-outcomes-when-antibiotic-prescribing-guidelines-are-followed-by-healthcare-providers-a-colombian-example-to-encourage-adherence-in-hospital-settings
#18
Max Feinstein, Kevin Escandón-Vargas, Sergio Reyes, Cristhian Hernández-Gómez, Christian J Pallares, María V Villegas
No abstract text is available yet for this article.
April 3, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28343455/reducing-clostridium-difficile-in-the-inpatient-setting-a-systematic-review-of-the-adherence-to-and-effectiveness-of-c-difficile-prevention-bundles
#19
Anna K Barker, Caitlyn Ngam, Jackson S Musuuza, Valerie M Vaughn, Nasia Safdar
BACKGROUND Clostridium difficile infection (CDI) is the most common infectious cause of nosocomial diarrhea, and its prevention is an urgent public health priority. However, reduction of CDI is challenging because of its complex pathogenesis, large reservoirs of colonized patients, and the persistence of infectious spores. The literature lacks high-quality evidence for evaluating interventions, and many hospitals have implemented bundled interventions to reduce CDI with variable results. Thus, we conducted a systematic review to examine the components of CDI bundles, their implementation processes, and their impact on CDI rates...
March 27, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28330520/definitional-change-in-nhsn-cauti-was-associated-with-an-increase-in-clabsi-events-evaluation-of-a-large-health-system
#20
Mohamad G Fakih, Clariecia Groves, Angelo Bufalino, Lisa K Sturm, Ann L Hendrich
BACKGROUND The National Healthcare Safety Network (NHSN) catheter-associated urinary tract infection (CAUTI) definition was revised as of January 2015 to exclude funguria and lower bacteriuria levels. We evaluated the effect of the CAUTI definition change on NHSN-defined central-line-associated bloodstream infection (CLABSI) outcomes. METHODS We compared CAUTI and CLABSI NHSN-defined outcomes for calendar years 2014 and 2015 in the adult intensive care units (ICUs) of a single large health system. Changes in the event rates, the associated organisms, and the standardized infection ratio (SIR) were evaluated...
March 23, 2017: Infection Control and Hospital Epidemiology
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