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Infection Control and Hospital Epidemiology

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https://www.readbyqxmd.com/read/30001758/risk-factors-for-surgical-site-infection-after-kidney-and-pancreas-transplantation
#1
Yoichiro Natori, Salma Albahrani, Mohammed Alabdulla, James Vu, Edwin Chow, Shahid Husain, Deepali Kumar, Atul Humar, Jeffrey Schiff, Mark Cattral, Coleman Rotstein
OBJECTIVE: To evaluate the incidence of surgical site infection (SSI) in a cohort of pancreas transplant recipients and assess predisposing risk factors for SSI DESIGN: Retrospective cohort study SETTING: Single transplant center in CanadaPatientsPatients who underwent any simultaneous pancreas and kidney (SPK) or pancreas after kidney (PAK) transplant procedures between January 2000 and December 2015 METHODS: In this retrospective cohort evaluation of SPK or PAK recipients, we assessed the incidence of SSI and risk factors associated with superficial, deep, and organ/space SSI...
July 13, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29996961/experience-during-the-first-year-of-procalcitonin-implementation-a-precautionary-tale-for-smaller-facilities
#2
Jennifer L Cole
No abstract text is available yet for this article.
July 12, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29966540/challenges-in-identifying-candida-auris-in-hospital-clinical-laboratories-a-need-for-hospital-and-public-health-laboratory-collaboration-in-rapid-identification-of-an-emerging-pathogen
#3
Amanda J Durante, Meghan H Maloney, Vivian H Leung, Jafar H Razeq, David B Banach
No abstract text is available yet for this article.
July 3, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29962362/outpatient-antimicrobial-stewardship-targets-for-treatment-of-skin-and-soft-tissue-infections
#4
Preeti Jaggi, Ling Wang, Sean Gleeson, Melissa Moore-Clingenpeel, Joshua R Watson
OBJECTIVE: We sought to identify factors associated with long duration and/or non-first-line choice of treatment for pediatric skin and soft-tissue infections (SSTIs). DESIGN: Retrospective cohort study. SETTING: Ambulatory encounter claims of Medicaid-insured children lacking chronic medical conditions treated for SSTI and/or animal bite injury in Ohio in 2014. METHODS: For all diagnoses, long treatment duration was defined as treatment >7 days...
July 2, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29961441/spiking-of-intravenous-bags-does-not-cause-time-dependent-microbial-contamination-a-preliminary-report
#5
John G Brock-Utne, Sara C Smith, Niaz Banaei, Shao-Ching Chang, Diane Alejandro-Harper, Richard A Jaffe
No abstract text is available yet for this article.
July 2, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29961440/differences-in-mortality-between-infections-due-to-extended-spectrum-beta-lactamase-producing-klebsiella-pneumoniae-and-escherichia-coli
#6
Jason P Burnham, Jennie H Kwon, Margaret A Olsen, Hilary M Babcock, Marin H Kollef
No abstract text is available yet for this article.
July 2, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29961437/promoting-an-action-plan-for-devices-in-the-emergency-department-does-it-impact-catheter-duration
#7
Bernard Surial, Andrew Atkinson, Susanne Nüesch, Joerg C Schefold, Jonas Marschall
No abstract text is available yet for this article.
July 2, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29961435/cost-effectiveness-of-three-different-strategies-for-the-treatment-of-first-recurrent-clostridium-difficile-infection-diagnosed-in-a-community-setting
#8
Simon W Lam, Elizabeth A Neuner, Thomas G Fraser, David Delgado, Donald B Chalfin
OBJECTIVE: A significant portion of patients with Clostridium difficile infections (CDI) experience recurrence, and there is little consensus on its treatment. With the availability of newer agents for CDI and the added burdens of recurrent disease, a cost-effectiveness analysis may provide insight on the most efficient use of resources. DESIGN: A decision-tree analysis was created to compare the cost-effectiveness of 3 possible treatments for patients with first CDI recurrence: oral vancomycin, fidaxomicin, or bezlotoxumab plus vancomycin...
July 2, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29950192/near-patient-environmental-contamination-of-an-intensive-care-unit-with-vancomycin-resistant-enterococci-vre-and-extended-spectrum-beta-lactamase-producing-enterobacteriaceae-esbl-e-before-and-after-the-introduction-of-chlorhexidine-bathing-for-patients
#9
Hélène McDermott, Mairead Skally, James O'Rourke, Hilary Humphreys, Deirdre Fitzgerald-Hughes
No abstract text is available yet for this article.
June 28, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29950191/five-year-trends-in-adenoviral-conjunctivitis-in-employees-of-one-medical-center
#10
Irene C Kuo, Colleen Espinosa
OBJECTIVE: To describe the 5-year findings after a policy to screen for, diagnose, and isolate medical center employees with adenoviral conjunctivitis was implemented. DESIGN: Observational report with a retrospective evaluation of a current quality improvement initiative. SETTING: Johns Hopkins Medicine, Baltimore, Maryland.ParticipantsJohns Hopkins Medicine employees. METHODS: Data were retrieved from records maintained for this initiative, in which employees with suspected adenoviral conjunctivitis were evaluated in the Occupational Health Clinic and swabbed for polymerase chain reaction (PCR) testing for adenoviral conjunctivitis...
June 28, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29950189/wastewater-drains-epidemiology-and-interventions-in-23-carbapenem-resistant-organism-outbreaks
#11
Philip C Carling
For many years, patient-area wastewater drains (ie, sink and shower drains) have been considered a potential source of bacterial pathogens that can be transmitted to patients. Recently, evolving genomic epidemiology tools combined with new insights into the ecology of wastewater drain (WWD) biofilm have provided new perspectives on the clinical relevance and hospital-associated infection (HAI) transmission risks related to these fixtures. To further clarify the clinical relevance of WWD-associated pathogen transmission, reports of outbreaks attributed to WWDs were selected for review that (1) investigated the outbreak epidemiology of WWD-associated transmission of bacterial pathogens, (2) utilized advanced microbiologic methods to establish clonality of outbreak pathogens and/or resistance genes, or (3) described interventions implemented to mitigate transmission of the outbreak pathogens from WWDs...
June 28, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29950188/improved-rates-of-antimicrobial-stewardship-interventions-following-implementation-of-the-epic-antimicrobial-stewardship-module
#12
Natasha N Pettit, Zhe Han, Anish R Choksi, Angella Charnot-Katsikas, Kathleen G Beavis, Vera Tesic, Palak Bhagat, Cynthia T Nguyen, Allison H Bartlett, Jennifer Pisano
We evaluated the impact of the Epic antimicrobial stewardship module (EAM) on the number of interventions, antimicrobial usage, and clinical outcomes. Use of the EAM allowed us to significantly increase the number of ASP antimicrobial reviews and interventions while maintaining a sustained impact on antimicrobial utilization.
June 28, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29950185/centers-for-medicare-and-medicaid-services-hospital-acquired-conditions-policy-for-central-line-associated-bloodstream-infection-clabsi-and-cather-associated-urinary-tract-infection-cauti-shows-minimal-impact-on-hospital-reimbursement
#13
Michael S Calderwood, Alison Tse Kawai, Robert Jin, Grace M Lee
OBJECTIVE: In 2008, the Centers for Medicare and Medicaid Services (CMS) stopped reimbursing for hospital-acquired conditions (HACs) not present on admission (POA). We sought to understand why this policy did not impact central line-associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) trends. DESIGN: Retrospective cohort study. SETTING: Acute-care hospitals in the United States.ParticipantsFee-for-service Medicare patients discharged January 1, 2007, through December 31, 2011...
June 28, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29945685/detection-of-influenza-myocarditis-using-national-healthcare-safety-network-surveillance-definitions-accounting-for-fever-in-older-adults
#14
Rupak Datta, Elie Helou, Mollie Tucker, Blessy John, Richard A Martinello, Maricar Malinis
No abstract text is available yet for this article.
June 27, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29945684/understanding-the-effect-of-ultraviolet-light-intensity-on-disinfection-performance-through-the-use-of-ultraviolet-measurements-and-simulation
#15
Brian M Tande, Todd A Pringle, William A Rutala, Maria F Gergen, David J Weber
We measured the disinfection of MRSA and Clostridium difficile spores using an ultraviolet C (UV-C) device, and we correlated those results to measurements and computer simulations of UV-C surface intensity. The results demonstrate both large differences in UV light intensity across various surfaces and how this leads to significant differences in disinfection.
June 27, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29941061/peripheral-arterial-catheter-colonization-in-cardiac-surgical-patients
#16
Andrew T Levinson, Kimberle C Chapin, Lindsay LeBlanc, Leonard A Mermel
No abstract text is available yet for this article.
June 26, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29938628/nosocomial-impact-of-prevalent-%C3%AE-lactamases-from-the-community-enterobacteriaceae-what-to-do-when-the-resistance-doesn-t-go-your-way
#17
Leandro Reus Rodrigues Perez
No abstract text is available yet for this article.
June 25, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29932042/variability-in-determining-sepsis-time-zero-and-bundle-compliance-rates-for-the-centers-for-medicare-and-medicaid-services-sep-1-measure
#18
Chanu Rhee, Sarah R Brown, Travis M Jones, Cara O'Brien, Anupam Pande, Yasir Hamad, Amy L Bulger, Kathleen A Tobin, Anthony F Massaro, Deverick J Anderson, David K Warren, Michael Klompas
We compared sepsis "time zero" and Centers for Medicare and Medicaid Services (CMS) SEP-1 pass rates among 3 abstractors in 3 hospitals. Abstractors agreed on time zero in 29 of 80 (36%) cases. Perceived pass rates ranged from 9 of 80 cases (11%) to 19 of 80 cases (23%). Variability in time zero and perceived pass rates limits the utility of SEP-1 for measuring quality.
June 22, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29925458/implementation-of-an-institution-specific-antimicrobial-stewardship-smartphone-application
#19
Heather L Young, Katherine C Shihadeh, Alisha A Skinner, Bryan C Knepper, Jeffrey Sankoff, Jeremy Voros, Timothy C Jenkins
Smartphones are increasingly used to access clinical decision support, and many medical applications provide antimicrobial prescribing guidance. However, these applications do not account for local antibiotic resistance patterns and formularies. We implemented an institution-specific antimicrobial stewardship smartphone application and studied patterns of use over a 1-year period.
June 21, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29925454/alcohol-based-hand-rubs-must-meet-the-requirements-of-en-1500
#20
Sven Eggerstedt, Patricia Fliß, Erika Mönch, Christiane Ostermeyer
No abstract text is available yet for this article.
June 21, 2018: Infection Control and Hospital Epidemiology
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