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Infection Control and Hospital Epidemiology

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https://www.readbyqxmd.com/read/30421690/transmission-of-staphylococcus-aureus-from-dry-surface-biofilm-dsb-via-different-types-of-gloves
#1
Shamaila Tahir, Durdana Chowdhury, Mark Legge, Honghua Hu, Greg Whiteley, Trevor Glasbey, Anand K Deva, Karen Vickery
BACKGROUND: Pathogens can survive for extended periods when incorporated into biofilm on dry hospital surfaces (ie, dry-surface biofilm, DSB). Bacteria within biofilm are protected from desiccation and have increased tolerance to cleaning agents and disinfectants. OBJECTIVE: We hypothesized that gloved hands of healthcare personnel (HCP) become contaminated with DSB bacteria and hence may transmit bacteria associated with healthcare-associated infections (HAIs)...
November 13, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/30419977/evaluation-of-environmental-cleaning-of-patient-rooms-impact-of-different-fluorescent-gel-markers
#2
Clare Rock, Anping Xie, Jennifer Andonian, Yea-Jen Hsu, Patience Osei, Sara C Keller, Ayse P Gurses, Polly Trexler, Lisa L Maragakis, Sara E Cosgrove
In this systematic evaluation of fluorescent gel markers (FGM) applied to high-touch surfaces with a metered applicator (MA) made for the purpose versus a generic cotton swab (CS), removal rates were 60.5% (476 of 787) for the MA and 64.3% (506 of 787) for the CS. MA-FGM removal interpretation was more consistent, 83% versus 50% not removed, possibly due to less varied application and more adhesive gel.
November 13, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/30417800/is-the-efficacy-of-antibiotic-prophylaxis-for-surgical-procedures-decreasing-systematic-review-and-meta-analysis-of-randomized-control-trials
#3
Sumanth Gandra, Anna Trett, Gerardo Alvarez-Uria, Joseph S Solomkin, Ramanan Laxminarayan
OBJECTIVE: Rising antibiotic resistance could reduce the effectiveness of antibiotics in preventing postoperative infections. We investigated trends in the efficacy of antibiotic prophylaxis regimens for 3 commonly performed surgical procedures-appendectomy, cesarean section, and colorectal surgery-and 1 invasive diagnostic procedure, transrectal prostate biopsy (TRPB). DESIGN: Systematic review and meta-analysis. METHODS: We searched PubMed and Cochrane databases (through October 31, 2017) for randomized control trials (RCTs) that measured the efficacy of antibiotic prophylaxis for 4 index procedures in preventing postoperative infections (surgical site infections [SSIs] following the 3 surgical procedures and a combination of urinary tract infections [UTIs] and sepsis following TRPB)...
November 12, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/30409240/clostridium-difficile-infection-increases-acute-and-chronic-morbidity-and-mortality
#4
Margaret A Olsen, Dustin Stwalley, Clarisse Demont, Erik R Dubberke
OBJECTIVE: In this study, we aimed to quantify short- and long-term outcomes of Clostridium difficile infection (CDI) in the elderly, including all-cause mortality, transfer to a facility, and hospitalizations. DESIGN: Retrospective study using 2011 Medicare claims data, including all elderly persons coded for CDI and a sample of uninfected persons. Analysis of propensity score-matched pairs and the entire population stratified by the propensity score was used to determine the risk of all-cause mortality, new transfer to a long-term care facility (LTCF), and short-term skilled nursing facility (SNF), and subsequent hospitalizations within 30, 90, and 365 days...
November 9, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/30409235/antibiotic-prescribing-upon-discharge-from-the-hospital-to-long-term-care-facilities-implications-for-antimicrobial-stewardship-requirements-in-post-acute-settings
#5
Bo R Weber, Brie N Noble, David T Bearden, Christopher J Crnich, Katherine D Ellingson, Jessina C McGregor, Jon P Furuno
OBJECTIVE: To quantify the frequency and outcomes of receiving an antibiotic prescription upon discharge from the hospital to long-term care facilities (LTCFs). DESIGN: Retrospective cohort study. SETTING: A 576-bed, academic hospital in Portland, Oregon.PatientsAdult inpatients (≥18 years of age) discharged to an LTCF between January 1, 2012, and June 30, 2016. METHODS: Our primary outcome was receiving a systemic antibiotic prescription upon discharge to an LTCF...
November 9, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/30409233/variability-in-antimicrobial-use-in-pediatric-ventilator-associated-events
#6
Manjiree V Karandikar, Susan E Coffin, Gregory P Priebe, Thomas J Sandora, Latania K Logan, Gitte Y Larsen, Philip Toltzis, James E Gray, Michael Klompas, Julia S Sammons, Marvin B Harper, Kelly Horan, Matthew Lakoma, Noelle M Cocoros, Grace M Lee
OBJECTIVE: To assess variability in antimicrobial use and associations with infection testing in pediatric ventilator-associated events (VAEs). DESIGN: Descriptive retrospective cohort with nested case-control study. SETTING: Pediatric intensive care units (PICUs), cardiac intensive care units (CICUs), and neonatal intensive care units (NICUs) in 6 US hospitals.PatientsChildren≤18 years ventilated for≥1 calendar day. METHODS: We identified patients with pediatric ventilator-associated conditions (VACs), pediatric VACs with antimicrobial use for≥4 days (AVACs), and possible ventilator-associated pneumonia (PVAP, defined as pediatric AVAC with a positive respiratory diagnostic test) according to previously proposed criteria...
November 9, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/30396374/foodborne-illness-outbreak-due-to-staphylococcus-aureus-among-hospital-staff-following-hurricane-harvey
#7
Lucila Marquez, Tjin H Koy, Cheryl R Baker, Jeanine Graf, Elaine M Whaley, Judith R Campbell
No abstract text is available yet for this article.
November 6, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/30394258/a-recipe-for-antimicrobial-stewardship-success-using-intervention-mapping-to-develop-a-program-to-reduce-antibiotic-overuse-in-long-term-care
#8
Andrea Chambers, Sam MacFarlane, Rosemary Zvonar, Gerald Evans, Julia E Moore, Bradley J Langford, Anne Augustin, Sue Cooper, Jacquelyn Quirk, Liz McCreight, Gary Garber
OBJECTIVE: To better understand barriers and facilitators that contribute to antibiotic overuse in long-term care and to use this information to inform an evidence and theory-informed program. METHODS: Information on barriers and facilitators associated with the assessment and management of urinary tract infections were identified from a mixed-methods survey and from focus groups with stakeholders working in long-term care. Each barrier or facilitator was mapped to corresponding determinants of behavior change, as described by the theoretical domains framework (TDF)...
November 5, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/30394243/surgical-site-infections-and-temperature-in-the-operating-theater-challenges-for-infection-control-in-developing-countries
#9
Dayanne Conislla Limaylla, Marina de Oliveira Silva, Marcela Cristina Machado Zanqueta, Carlos Magno Castelo Branco Fortaleza
No abstract text is available yet for this article.
November 5, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/30394238/introduction-to-machine-learning-in-digital-healthcare-epidemiology
#10
Jan A Roth, Manuel Battegay, Fabrice Juchler, Julia E Vogt, Andreas F Widmer
To exploit the full potential of big routine data in healthcare and to efficiently communicate and collaborate with information technology specialists and data analysts, healthcare epidemiologists should have some knowledge of large-scale analysis techniques, particularly about machine learning. This review focuses on the broad area of machine learning and its first applications in the emerging field of digital healthcare epidemiology.
November 5, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/30394236/further-confirmation-that-spiking-of-intravenous-bags-does-not-cause-time-dependent-microbial-contamination
#11
Scott Segal
No abstract text is available yet for this article.
November 5, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/30394232/prevalence-of-antibiotic-resistant-organisms-in-canadian-hospitals-comparison-of-point-prevalence-survey-results-from-2010-2012-and-2016
#12
Philippe Martin, Claire Nour Abou Chakra, Victoria Williams, Kathryn Bush, Myrna Dyck, Zahir Hirji, Alex Kiss, Oscar E Larios, Allison McGeer, Christine Moore, Karl Weiss, Andrew E Simor
OBJECTIVE: Point-prevalence surveys for infection or colonization with methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococcus (VRE), extended-spectrum β-lactamase (ESBL)-producing Enterobacteriaceae, carbapenem-resistant Enterobacteriaceae (CREs), and for Clostridium difficile infection (CDI) were conducted in Canadian hospitals in 2010 and 2012 to better understanding changes in the epidemiology of antimicrobial-resistant organisms (AROs), which is crucial for public health and care management...
November 5, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/30394231/impact-of-tiered-interventions-to-decrease-routine-urine-cultures-in-asymptomatic-patients-undergoing-arthroplasty
#13
Ebony C Jackson, Xia C Thai, Lou Ann Bruno-Murtha, Amanda E Barner
No abstract text is available yet for this article.
November 5, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/30376907/affected-healthcare-workers-during-outbreaks-a-report-from-the-german-consulting-center-for-infection-control-bzh-outbreak-registry
#14
Sebastian Schulz-Stübner, Marcus Reska, Reiner Schaumann
No abstract text is available yet for this article.
October 31, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/30375298/poor-clinical-outcomes-associated-with-community-onset-urinary-tract-infections-due-to-extended-spectrum-cephalosporin-resistant-enterobacteriaceae
#15
Judith A Anesi, Ebbing Lautenbach, Irving Nachamkin, Charles Garrigan, Warren B Bilker, Jacqueline Omorogbe, Lois Dankwa, Mary K Wheeler, Pam Tolomeo, Jennifer H Han
OBJECTIVE: Resistance to extended-spectrum cephalosporins (ESC) among Enterobacteriaceae (EB) is increasingly prevalent. We sought to determine the clinical outcomes associated with community-onset ESC-resistant (ESC-R) EB urinary tract infections (UTIs) in a US health system. DESIGN: Retrospective cohort study.PatientsAll patients presenting to the emergency departments (EDs) or outpatient practices with EB UTIs between 2010 and 2013 were included. Exposed patients had ESC-R EB UTIs...
October 30, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/30370879/epidemiology-of-staphylococcus-aureus-infections-in-patients-admitted-to-freestanding-pediatric-hospitals-2009-2016
#16
Alicen B Spaulding, Cary Thurm, Joshua D Courter, Ritu Banerjee, Jeffrey S Gerber, Jason G Newland, Sarah K Parker, Thomas V Brogan, Matthew P Kronman, Samir S Shah, Michael J Smith, Sameer J Patel, Brian R Lee, Adam L Hersh
We observed pediatric S. aureus hospitalizations decreased 36% from 26.3 to 16.8 infections per 1,000 admissions from 2009 to 2016, with methicillin-resistant S. aureus (MRSA) decreasing by 52% and methicillin-susceptible S. aureus decreasing by 17%, among 39 pediatric hospitals. Similar decreases were observed for days of therapy of anti-MRSA antibiotics.
October 29, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/30355376/chlorhexidine-related-ventilator-associated-events-toward-recognition-corrigendum
#17
(no author information available yet)
No abstract text is available yet for this article.
October 25, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/30348236/immediate-impact-of-healthcare-facility-onset-clostridium-difficile-laboratory-identified-events-reporting-methodology-change-on-standardized-infection-ratios
#18
Carlos E Figueroa Castro, Louis Palen, Carrie Johnson, Mary Beth Graham, David Letzer, Nathan Ledeboer, Blake Buchan, Timothy Block, Heather Seliger, Siddhartha Singh, Elizabeth Behrens, Susan Huerta, L Silvia Munoz-Price
In 2018, the Clostridium difficile LabID event methodology changed so that hospitals doing 2-step tests, nucleic acid amplification test (NAAT) plus enzyme immunofluorescence assay (EIA), had their adjustment modified to EIA-based tests, and only positive final tests (eg, EIA) were counted in the numerator. We report the immediate impact of this methodological change at 3 Milwaukee hospitals.
October 23, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/30345942/reassessing-the-need-for-active-surveillance-of-extended-spectrum-beta-lactamase-producing-enterobacteriaceae-in-the-neonatal-intensive-care-population
#19
Xiaoyan Song, Lamia Soghier, Tara Taylor Floyd, Tracie R Harris, Billie L Short, Roberta L DeBiasi
OBJECTIVE: To determine the continued need for active surveillance to prevent extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-E) transmission in a neonatal intensive care unit (NICU). DESIGN: This retrospective observational study included patients with ESBL-E colonization or infection identified during their NICU stay at our institution between 1999 and March 2018. Active surveillance was conducted between 1999 and March 2017 by testing rectal swab specimens collected upon admission and weekly thereafter...
October 22, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/30334503/the-gain-act-legislation-to-combat-antimicrobial-resistance-where-do-we-stand
#20
Maroun M Sfeir
No abstract text is available yet for this article.
October 18, 2018: Infection Control and Hospital Epidemiology
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