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Infection Control and Hospital Epidemiology

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https://www.readbyqxmd.com/read/28103958/implementation-of-infection-prevention-and-antimicrobial-stewardship-in-cardiac-electrophysiology-laboratories-results-from-the-shea-research-network
#1
Preeti Mehrotra, Kalpana Gupta, Judith Strymish, Daniel B Kramer, Anne Lambert-Kerzner, P Michael Ho, Westyn Branch-Elliman
Infection prevention in electrophysiology (EP) laboratories is poorly characterized; thus, we conducted a cross-sectional survey using the SHEA Research Network. We found limited uptake of basic interventions, such as surveillance and appropriate peri-procedural antimicrobial use. Further study is needed to identify ways to improve infection prevention in this setting.
January 20, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28069100/detection-of-piperacillin-tazobactam-resistant-pan-%C3%AE-lactam-susceptible-escherichia-coli-with-current-automated-susceptibility-test-systems
#2
Marguerite L Monogue, Linda K Tanner, Stephen M Brecher, Jaber Aslanzadeh, David P Nicolau
No abstract text is available yet for this article.
January 10, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28069094/a-practical-tool-for-surveillance-of-surgical-site-infections-a-5-year-experience-in-orthopedic-surgeries
#3
Shmuel Benenson, Allon E Moses, Matan J Cohen, Meir Brezis, Naomi Minster, Carmela Schwartz, Leonid Kandel, Meir Liebergall, Yoav Mattan
Continuous surveillance of surgical-site infection (SSI) is labor intensive. We developed a semiautomatic surveillance system partly assisted by surgeons. Most patients who developed postdischarge SSI were readmitted, which allowed us to limit postdischarge surveillance to this group. This procedure significantly reduced workload while maintaining high sensitivity and specificity for SSI diagnosis. Infect Control Hosp Epidemiol 2017;1-4.
January 10, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28069087/active-surveillance-for-influenza-reduces-but-does-not-eliminate-hospital-exposure-to-patients-with-influenza
#4
Brenda L Coleman, Wil Ng, Vinaya Mahesh, Maja McGuire, Kazi Hassan, Karen Green, Shelly McNeil, Allison J McGeer, Kevin Katz
OBJECTIVE To describe the frequency, characteristics, and exposure associated with influenza in hospitalized patients in a Toronto hospital DESIGN/METHOD Prospective data collected for consenting patients with laboratory-confirmed influenza and a retrospective review of infection control charts for roommates of cases over 3 influenza seasons RESULTS Of the 661 patients with influenza (age range: 1 week-103 years), 557 were placed on additional precautions upon admission. Of 104 with symptoms detected after admission, 57 cases were community onset and 47 were nosocomial (10 nosocomial were part of outbreaks)...
January 10, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28065183/paramyxovirus-outbreak-in-a-long-term-care-facility-the-challenges-of-implementing-infection-control-practices-in-a-congregate-setting
#5
Steven Schaeffer Spires, H Keipp Talbot, Carolyn A Pope, Thomas R Talbot
OBJECTIVE We report an outbreak of respiratory syncytial virus (RSV) and human metapneumovirus (HMPV) infections in a dementia care ward containing 2 separately locked units (A and B) to heighten awareness of these pathogens in the older adult population and highlight some of the infection prevention challenges faced during a noninfluenza respiratory viral outbreak in a congregate setting. METHODS Cases were defined by the presence of new signs or symptoms that included (1) a single oral temperature ≥ 37...
January 9, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28052790/a-randomized-trial-to-determine-the-impact-of-an-educational-patient-hand-hygiene-intervention-on-contamination-of-hospitalized-patient-s-hands-with-healthcare-associated-pathogens
#6
Venkata C K Sunkesula, Sirisha Kundrapu, Shanina Knighton, Jennifer L Cadnum, Curtis J Donskey
We conducted a non-blinded randomized trial to determine the impact of a patient hand-hygiene intervention on contamination of hospitalized patients' hands with healthcare-associated pathogens. Among patients with negative hand cultures on admission, recovery of pathogens from hands was significantly reduced in those receiving the intervention versus those receiving standard care. Infect Control Hosp Epidemiol 2016;1-3.
January 5, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28052787/cold-plasma-technology-and-reducing-surface-bacterial-counts-a-pilot-study
#7
Tânia Claro, Roisin Fay, Conor Murphy, Niall O'Connor, Stephen Daniels, Hilary Humphreys
No abstract text is available yet for this article.
January 5, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28052786/preferential-use-of-nitrofurantoin-over-fluoroquinolones-for-acute-uncomplicated-cystitis-and-outpatient-escherichia-coli-resistance-in-an-integrated-healthcare-system
#8
Rebecca L Pedela, Katherine C Shihadeh, Bryan C Knepper, Michelle K Haas, William J Burman, Timothy C Jenkins
OBJECTIVES To evaluate changes in outpatient fluoroquinolone (FQ) and nitrofurantoin (NFT) use and resistance among E. coli isolates after a change in institutional guidance to use NFT over FQs for acute uncomplicated cystitis. DESIGN Retrospective preintervention-postintervention study. SETTING Urban, integrated healthcare system. PATIENTS Adult outpatients treated for acute cystitis. METHODS We compared 2 time periods: January 2003-June 2007 when FQs were recommended as first-line therapy, and July 2007-December 2012, when NFT was recommended...
January 5, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28052785/detection-reporting-and-treatment-of-hepatitis-c-infections-among-hemodialysis-patients
#9
Melissa G Collier, Duc B Nguyen, Priti R Patel, Anne C Moorman
No abstract text is available yet for this article.
January 5, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28052784/reducing-the-rate-of-surgical-site-infections-after-breast-surgery-with-the-use-of-larger-volumes-of-4-chlorhexidine-gluconate-solution-as-preoperative-antiseptic-showering
#10
Jon Persichino, Hayley Lee, Made Sutjita, Karla Talavera, Glenn San-Agustin, Silvia Gnass
No abstract text is available yet for this article.
January 5, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28052781/inpatient-urine-cultures-are-frequently-performed-without-urinalysis-or-microscopy-findings-from-a-large-academic-medical-center
#11
Abigail L Carlson, Satish Munigala, Anthony J Russo, Kathleen M McMullen, Helen Wood, Ronald Jackups, David K Warren
OBJECTIVE To describe the frequency of urine cultures performed in inpatients without additional testing for pyuria DESIGN Retrospective cohort study SETTING A 1,250-bed academic tertiary referral center PATIENTS Hospitalized adults METHODS This study included urine cultures drawn on 4 medical and 2 surgical wards from 2009 to 2013 and in the medical and surgical intensive care units (ICUs) from 2012 to 2013. Patient and laboratory data were abstracted from the hospital's medical informatics database. We identified catheter-associated urinary tract infections (CAUTIs) in the ICUs by routine infection prevention surveillance...
January 5, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28031074/improving-the-culture-of-culturing-critical-asset-to-antimicrobial-stewardship
#12
Mohamad G Fakih, Riad Khatib
No abstract text is available yet for this article.
December 29, 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28031061/which-comorbid-conditions-should-we-be-analyzing-as-risk-factors-for-healthcare-associated-infections
#13
Anthony D Harris, Lisa Pineles, Deverick Anderson, Keith F Woeltje, William E Trick, Keith S Kaye, Deborah S Yokoe, Ann-Christine Nyquist, David P Calfee, Surbhi Leekha
OBJECTIVE To determine which comorbid conditions are considered causally related to central-line associated bloodstream infection (CLABSI) and surgical-site infection (SSI) based on expert consensus. DESIGN Using the Delphi method, we administered an iterative, 2-round survey to 9 infectious disease and infection control experts from the United States. METHODS Based on our selection of components from the Charlson and Elixhauser comorbidity indices, 35 different comorbid conditions were rated from 1 (not at all related) to 5 (strongly related) by each expert separately for CLABSI and SSI, based on perceived relatedness to the outcome...
December 29, 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28029336/unit-specific-rates-of-hand-hygiene-opportunities-in-an-acute-care-hospital
#14
Angela Han, Laurie J Conway, Christine Moore, Liz McCreight, Kelsey Ragan, Jannice So, Emily Borgundvaag, Mike Larocque, Brenda L Coleman, Allison McGeer
OBJECTIVE To explore the frequency of hand hygiene opportunities (HHOs) in multiple units of an acute-care hospital. DESIGN Prospective observational study. SETTING The adult intensive care unit (ICU), medical and surgical step-down units, medical and surgical units, and the postpartum mother-baby unit (MBU) of an academic acute-care hospital during May-August 2013, May-July 2014, and June-August 2015. PARTICIPANTS Healthcare workers (HCWs). METHODS HHOs were recorded using direct observation in 1-hour intervals following Public Health Ontario guidelines...
December 28, 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28027720/distribution-of-central-line-associated-bloodstream-infections-determined-from-washington-state-s-annual-reporting-validation-program-2009-2013
#15
Jason M Lempp, M Jeanne Cummings, David W Birnbaum
Healthcare-associated infection reporting validation is essential because this information is increasingly used in public healthcare quality assurances and care reimbursement. Washington State's validation of central line-associated bloodstream infection reporting applies credible quality sciences methods to ensure that hospital reporting accuracy is maintained. This paper details findings and costs from our experience. Infect Control Hosp Epidemiol 2016:1-4.
December 28, 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28027716/pathogen-and-procedure-trends-among-surgical-site-infections-at-a-children-s-hospital-a-20-year-experience
#16
Jon Woltmann, Joshua K Schaffzin, Matthew Washam, Beverly L Connelly
No abstract text is available yet for this article.
December 28, 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28025951/optimizing-inpatient-urine-culture-ordering-practices-using-the-electronic-medical-record-a-pilot-study
#17
Daniel Shirley, Harry Scholtz, Kurt Osterby, Jackson Musuuza, Barry Fox, Nasia Safdar
A prospective quasi-experimental before-and-after study of an electronic medical record-anchored intervention of embedded education on appropriate urine culture indications and indication selection reduced the number of urine cultures ordered for catheterized patients at an academic medical center. This intervention could be a component of CAUTI-reduction bundles. Infect Control Hosp Epidemiol 2016;1-3.
December 27, 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27995837/antiseptic-effect-of-conventional-povidone-iodine-scrub-chlorhexidine-scrub-and-waterless-hand-rub-in-a-surgical-room-a-randomized-controlled-trial
#18
Jui-Chen Tsai, Yen-Kuang Lin, Yen-Jung Huang, El-Wui Loh, Hsiao-Yun Wen, Chia-Hui Wang, Yin-Tai Tsai, Wen-Shyang Hsieh, Ka-Wai Tam
OBJECTIVE Effective perioperative hand antisepsis is crucial for the safety of patients and medical staff in surgical rooms. The antimicrobial effectiveness of different antiseptic methods, including conventional hand scrubs and waterless hand rubs, has not been well evaluated. DESIGN, SETTING, AND PARTICIPANTS A randomized controlled trial was conducted to investigate the effectiveness of the 3 antiseptic methods among surgical staff of Taipei Medical University-Shuang Ho Hospital. For each method used, a group of 80 participants was enrolled...
December 20, 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27995823/improving-compliance-with-antibiotic-stewardship-what-is-the-role-of-initial-microscopy-on-the-management-of-mechanically-ventilated-patients
#19
Leandro Reus Rodrigues Perez, Gabriel Azambuja Narvaez, Cícero Gomes Dias
No abstract text is available yet for this article.
December 20, 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27995814/a-comparison-of-administrative-data-versus-surveillance-data-for-hospital-associated-methicillin-resistant-staphylococcus-aureus-infections-in-canadian-hospitals
#20
Jessica Y Ramirez Mendoza, Nick Daneman, Mary N Elias, Joseph E Amuah, Kathryn Bush, Chantal M Couris, Kira Leeb
BACKGROUND In Canadian hospitals, clinical information is coded according to national coding standards and is routinely collected as administrative data. Administrative data may complement active surveillance programs by providing in-hospital MRSA infection data in a standardized and efficient manner, but only if infections are accurately captured. OBJECTIVE To assess the accuracy of administrative data regarding in-hospital bloodstream infections (BSIs) and all-body-site infections due to MRSA. METHODS A retrospective study of all (adult and pediatric) in-hospital MRSA infections was conducted by comparing administrative data against surveillance data from 217 acute Canadian hospitals (124 in Ontario, 93 in Alberta) over a 12-month period...
December 20, 2016: Infection Control and Hospital Epidemiology
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