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Infection Control and Hospital Epidemiology

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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
#1
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
https://www.readbyqxmd.com/read/28330518/neonatal-outbreak-of-methicillin-resistant-staphylococcus-aureus-clone-geraldine-a-bundle-of-measures-to-halt-transmission
#2
Elodie Couvé-Deacon, Fabienne Mons, Fabien Garnier, Pierre Leduc, Laure Ponthier, Marie Domelier, Anne Tristan, Marie-Cécile Ploy, Nathalie Pestourie
No abstract text is available yet for this article.
March 23, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28330512/evaluating-risk-factors-for-clostridium-difficile-infection-in-stem-cell-transplant-recipients-a-national-study
#3
Nishi N Shah, William McClellan, Christopher R Flowers, Sagar Lonial, Hannah Khoury, Edmund K Waller, Amelia Langston, Ajay K Nooka
OBJECTIVE Large-scale studies evaluating risk factors for Clostridium difficile infection (CDI), a leading cause of infectious diarrhea among patients undergoing stem cell transplantation (SCT), are lacking. We have evaluated risk factors for CDI among both autologous SCT (auto-SCT), and allogeneic SCT (allo-SCT) recipients using the National Inpatient Sample (NIS) database provided by the Healthcare Cost and Utilization Project (HCUP). METHODS We used patient data obtained from the NIS database for all adult patients admitted for auto- and allo-SCTs from January 2001 to December 2010...
March 23, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28300013/absence-of-correlation-between-vancomycin-consumption-and-minimum-inhibitory-concentration-of-methicillin-resistant-staphylococcus-aureus-isolates
#4
Cezar Vinícius Würdig Riche, Renato Cassol Ferreira da Silva, Jorge Alberto Santiago Ferreira, Cícero Armídio Gomes Dias, Diego Rodrigues Falci
No abstract text is available yet for this article.
March 16, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28294090/evaluation-of-staphylococcus-aureus-bacteremia-academic-and-community-based-management-within-the-same-health-system
#5
Sumaya Ased, Hamza Rayes, Jaspreet Dhami, Nick Amosson, Akua Fordjour, Jeff Macaraeg, Renuga Vivekanandan, Josh Wilson, Annie Cabri, Michele Davids, Jennifer Anthone, Stephen Cavalieri, Christopher J Destache
A nonrandomized, retrospective comparison of Staphylococcus aureus bacteremia between an academic hospital setting (n=53) and a community hospital setting (n=245) within a single healthcare system was performed. Despite infectious disease consultations, S. aureus bacteremia management recommendations based on Infectious Diseases Society of America (IDSA) guidelines were not followed as closely in the community hospital setting. The community hospital setting requires management standardization for patients with S...
March 15, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28294079/carbapenem-resistant-enterobacteriaceae-a-strategic-roadmap-for-infection-control
#6
N Deborah Friedman, Yehuda Carmeli, Aaron Lea Walton, Mitchell James Schwaber
The incidence of carbapenem-resistant Enterobacteriaceae (CRE) has increased worldwide with great regional variability. Infections caused by these organisms are associated with crude mortality rates of up to 70%. The spread of CRE in healthcare settings is both an important medical problem and a major global public health threat. All countries are at risk of falling victim to the emergence of CRE; therefore, a preparedness plan is required to avoid the catastrophic natural course of this epidemic. Proactive and adequate preventive measures locally, regionally, and nationally are required to contain the spread of these bacteria...
March 15, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28294078/invasiveness-index-as-a-predictor-of-surgical-site-infection-after-spinal-fusion-revision-fusion-or-laminectomy-corrigendum
#7
(no author information available yet)
No abstract text is available yet for this article.
March 15, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28294077/variability-in-antifungal-and-antiviral-use-in-hospitalized-children
#8
Jennifer L Goldman, Rachael K Ross, Brian R Lee, Jason G Newland, Adam L Hersh, Matthew P Kronman, Jeffrey S Gerber
We analyzed antifungal and antiviral prescribing among high-risk children across freestanding children's hospitals. Antifungal and antiviral days of therapy varied across hospitals. Benchmarking antifungal and antiviral use and developing antimicrobial stewardship strategies to optimize use of these high cost agents is needed. Infect Control Hosp Epidemiol 2017;1-4.
March 15, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28285605/using-clinical-scenarios-to-understand-preventability-of-clostridium-difficile-infections-by-inpatient-antibiotic-stewardship-programs
#9
Jessica Seidelman, Kristen V Dicks, Michael J Durkin, Arthur W Baker, Rebekah W Moehring, Deverick J Anderson, Daniel J Sexton, Luke F Chen, Sarah S Lewis
No abstract text is available yet for this article.
March 13, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28279231/impact-of-changes-to-the-national-healthcare-safety-network-nhsn-definition-on-catheter-associated-urinary-tract-infection-cauti-rates-in-intensive-care-units-at-an-academic-medical-center
#10
Sonali D Advani, Rachael A Lee, Mariann Schmitz, Bernard C Camins
No abstract text is available yet for this article.
March 10, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28274300/national-automated-surveillance-of-hospital-acquired-bacteremia-in-denmark-using-a-computer-algorithm
#11
Sophie Gubbels, Jens Nielsen, Marianne Voldstedlund, Brian Kristensen, Henrik C Schønheyder, Svend Ellermann-Eriksen, Jørgen H Engberg, Jens K Møller, Christian Østergaard, Kåre Mølbak
BACKGROUND In 2015, Denmark launched an automated surveillance system for hospital-acquired infections, the Hospital-Acquired Infections Database (HAIBA). OBJECTIVE To describe the algorithm used in HAIBA, to determine its concordance with point prevalence surveys (PPSs), and to present trends for hospital-acquired bacteremia SETTING Private and public hospitals in Denmark METHODS A hospital-acquired bacteremia case was defined as at least 1 positive blood culture with at least 1 pathogen (bacterium or fungus) taken between 48 hours after admission and 48 hours after discharge, using the Danish Microbiology Database and the Danish National Patient Registry...
March 9, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28270258/the-impact-of-reducing-antibiotics-on-the-transmission-of-multidrug-resistant-organisms
#12
Sean L Barnes, Clare Rock, Anthony D Harris, Sara E Cosgrove, Daniel J Morgan, Kerri A Thom
OBJECTIVE Antibiotic resistance is a major threat to public health. Resistance is largely driven by antibiotic usage, which in many cases is unnecessary and can be improved. The impact of decreasing overall antibiotic usage on resistance is unknown and difficult to assess using standard study designs. The objective of this study was to explore the potential impact of reducing antibiotic usage on the transmission of multidrug-resistant organisms (MDROs). DESIGN We used agent-based modeling to simulate interactions between patients and healthcare workers (HCWs) using model inputs informed by the literature...
March 8, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28264751/characterization-of-transformants-obtained-from-ndm-1-producing-enterobacteriaceae-in-brazil
#13
Franciéli P Rozales, Cibele M Magagnin, Juliana C Campos, Mariana Pagano, Luciana S Nunes, Lisiane R Pancotto, Jorge L M Sampaio, Alexandre P Zavascki, Afonso L Barth
No abstract text is available yet for this article.
March 7, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28264743/hand-hygiene-with-alcohol-based-hand-rub-how-long-is-long-enough
#14
Daniela Pires, Hervé Soule, Fernando Bellissimo-Rodrigues, Angèle Gayet-Ageron, Didier Pittet
BACKGROUND Hand hygiene is the core element of infection prevention and control. The optimal hand-hygiene gesture, however, remains poorly defined. OBJECTIVE We aimed to evaluate the influence of hand-rubbing duration on the reduction of bacterial counts on the hands of healthcare personnel (HCP). METHODS We performed an experimental study based on the European Norm 1500. Hand rubbing was performed for 10, 15, 20, 30, 45, or 60 seconds, according to the WHO technique using 3 mL alcohol-based hand rub. Hand contamination with E...
March 7, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28264737/a-response-to-the-validity-of-an-article-reporting-contrary-cleaning-efficacy-results-for-robotic-surgical-instruments
#15
Brian H Wallace
No abstract text is available yet for this article.
March 7, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28264736/attire-as-a-fomite-proposal-for-a-new-index-concerning-change-of-attire
#16
Richard Pougnet, Laurence Pougnet
No abstract text is available yet for this article.
March 7, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28264729/pseudo-outbreak-of-brevundimonas-diminuta-attributed-to-contamination-of-culture-medium-supplement
#17
Rachael A Lee, Stephen A Moser, Martha Long, Susan L Butler, Jennifer F Whiddon, Bernard C Camins
We report an epidemiological investigation of a cluster of Brevundimonas diminuta isolates cultured from sterile sites. Inoculation of supplement medium yielded growth of B. diminuta. Molecular typing indicated likely contamination of the lot. No B. diminuta was further isolated after replacement of the supplement with a new lot number. Infect Control Hosp Epidemiol 2017;1-4.
March 7, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28260538/intervention-to-reduce-broad-spectrum-antibiotics-and-treatment-durations-prescribed-at-the-time-of-hospital-discharge-a-novel-stewardship-approach
#18
Norihiro Yogo, Katherine Shihadeh, Heather Young, Susan L Calcaterra, Bryan C Knepper, William J Burman, Philip S Mehler, Timothy C Jenkins
OBJECTIVE For most common infections requiring hospitalization, antibiotic treatment is completed after hospital discharge. Postdischarge therapy is often unnecessarily broad spectrum and prolonged. We developed an intervention to improve antibiotic selection and shorten treatment durations. DESIGN Single center, quasi-experimental retrospective cohort study METHODS Patients prescribed oral antibiotics at hospital discharge before (July 2012-June 2013) and after (October 2014-February 2015) an intervention consisting of (1) institutional guidance for oral step-down antibiotic selection and duration of therapy and (2) pharmacy audit of discharge prescriptions with real-time prescribing recommendations to providers...
March 6, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28260535/ebola-preparedness-resources-for-acute-care-hospitals-in-the-united-states-a-cross-sectional-study-of-costs-benefits-and-challenges
#19
Michael A Smit, Kenneth A Rasinski, Barbara I Braun, Linda L Kusek, Aaron M Milstone, Daniel J Morgan, Leonard A Mermel
OBJECTIVE To assess resource allocation and costs associated with US hospitals preparing for the possible spread of the 2014-2015 Ebola virus disease (EVD) epidemic in the United States. METHODS A survey was sent to a stratified national probability sample (n=750) of US general medical/surgical hospitals selected from the American Hospital Association (AHA) list of hospitals. The survey was also sent to all children's general hospitals listed by the AHA (n=60). The survey assessed EVD preparation supply costs and overtime staff hours...
March 6, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28260534/does-second-place-count-lessons-from-a-major-discrepancy-between-carbapenem-resistant-klebsiella-pneumoniae-and-carbapenem-resistant-enterobacter-cloacae-in-a-one-year-follow-up-study
#20
Leandro Reus Rodrigues Perez
No abstract text is available yet for this article.
March 6, 2017: Infection Control and Hospital Epidemiology
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