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A Dramowski, A Whitelaw, M F Cotton
BACKGROUND: In most African countries the prevalence and effects of paediatric healthcare-associated infection (HCAI) and human immunodeficiency virus (HIV) infection are unknown. AIM: To investigate the burden, spectrum, risk factors, and impact of paediatric HCAI by prospective clinical surveillance at a South African referral hospital. METHODS: Continuous prospective clinical and laboratory HCAI surveillance using Centers for Disease Control and Prevention (CDC)/National Healthcare Safety Network (NHSN) definitions was conducted at Tygerberg Children's Hospital, South Africa, from May 1(st) to October 31(st) in 2014 and 2015...
September 1, 2016: Journal of Hospital Infection
Gabriele Messina, Mattia Fattorini, Nicola Nante, Daniele Rosadini, Andrea Serafini, Marco Tani, Gabriele Cevenini
Today it is well demonstrated that stethoscopes can be as contaminated as hands, which are a recognized source of Health-Care Associated Infections (HCAIs). Ultraviolet C (UVC) light has proven disinfection capacity and the innovative UVC technology of Light Emitting Diode (LED) shows several potential benefits. To verify whether the use of UVC LEDs is effective and reliable in stethoscope membrane disinfection after prolonged use, a pre-post intervention study was conducted. A total of 1668 five-minute cycles were performed on two UVC LEDs to simulate their use; thereafter, their disinfection capacity was tested on stethoscope membranes used on a previously auscultated volunteer...
2016: International Journal of Environmental Research and Public Health
Mark Wilcox
Mark Wilcox speaks to Georgia Patey, Commissioning Editor: Professor Mark Wilcox is a Consultant Microbiologist and Head of Microbiology at the Leeds Teaching Hospitals (Leeds, UK), the Professor of Medical Microbiology at the University of Leeds (Leeds, UK), and is the Lead on Clostridium difficile and the Head of the UK C. difficile Reference Laboratory for Public Health England (PHE). He was the Director of Infection Prevention (4 years), Infection Control Doctor (8 years) and Clinical Director of Pathology (6 years) at the Leeds Teaching Hospitals...
August 2016: Future Microbiology
Elizabeth A Davies, Victoria H Coupland, Steve Dixon, Kefah Mokbel, Ruth H Jack
BACKGROUND: Data from providers of private cancer care are not yet formally included in English cancer registration data. This study aimed to test the exchange of breast cancer data from one Hospital Corporation of America International (HCAI) hospital in London with the cancer registration system and assess the suitability of these data for comparative analyses of case mix and adjusted survival. METHODS: Data on 199 London women receiving 'only HCAI care', 278 women receiving 'some HCAI care' (HCAI and other services), and 31,234 other London women diagnosed between 2005 and 2011 could be identified and compared...
2016: BMC Cancer
Devika D Misal, Saleel V Maulingkar, Sushma Bhonsle
Antibiotics to treat healthcare-associated infections (HCAIs) contribute to a substantial proportion of drug expenditure in intensive care units (ICUs). Our study aimed to determine the common HCAIs in our hospital ICU, to assess the antibiotics prescribed and the mean antibiotic cost per HCAI. All adult patients, admitted to the ICU over a 1-year period, were included in the study. HCAIs were determined according to CDC definition. The incidence of HCAIs in the ICU was 16%. Ventilator associated pneumonia (50%) was the most common HCAI, followed by urinary tract infection (35...
June 15, 2016: Tropical Doctor
Sim Sansam, Eiko Yamamoto, Sok Srun, Yin Sinath, Mey Moniborin, Kheang Bun Sim, Joshua A Reyer, Yoshitoku Yoshida, Nobuyuki Hamajima
Health care-associated infection (HCAI) is the most frequent adverse event for hospitalized patients. Hand hygiene is a simple and effective solution to protect patients from HCAI. This study aimed to introduce hand hygiene to health care workers based on the World Health Organization guideline for reducing HCAI in Cambodia and to assess their behavioral patterns on hand hygiene. All health care workers at Kampong Cham provincial hospital had lectures and practice on hand hygiene in January 2012. The surveys for hand hygiene compliance (HHC) were performed after 6 months, 1 year and 2 years, respectively...
May 2016: Nagoya Journal of Medical Science
A R Araujo da Silva, W Zingg, A Dramowski, J A Bielicki, M Sharland
International infection prevention and control (IPC) guidelines provide standardized recommendations for healthcare-associated infection (HCAI) prevention in adults, but often lack specific information about neonates and children. We reviewed ten international IPC/HCAI guidelines to identify paediatric-specific recommendations for HCAI prevention. Hand hygiene, bloodstream infection, ventilator-associated pneumonia, environmental control and outbreak management were frequently reported with recommendations applicable to children and newborns, but documents on catheter-associated urinary tract infection and surgical site infection were lacking...
October 2016: Journal of Hospital Infection
J A Srigley, C D Furness, M Gardam
Nosocomial pathogens may be acquired by patients via their own unclean hands, but there has been relatively little emphasis on patient hand hygiene as a tool for preventing healthcare-associated infections (HCAIs). The aim of this systematic review was to determine the efficacy of patient hand hygiene interventions in reducing HCAIs and improving patient hand hygiene rates compared to usual care. Electronic databases and grey literature were searched to August 2014. Experimental and quasi-experimental studies were included if they evaluated a patient hand hygiene intervention conducted in an acute or chronic healthcare facility and included HCAI incidence and/or patient hand hygiene rates as an outcome...
September 2016: Journal of Hospital Infection
Petra Gastmeier, Michael Behnke
PURPOSE OF REVIEW: Traditional surveillance of healthcare associated infections (HCAI) is time consuming and error-prone. We have analysed literature of the past year to look at new developments in this field. It is divided into three parts: new algorithms for electronic surveillance, the use of administrative data for surveillance of HCAI, and the definition of new endpoints of surveillance, in accordance with an automatic surveillance approach. RECENT FINDINGS: Most studies investigating electronic surveillance of HCAI have concentrated on bloodstream infection or surgical site infection...
August 2016: Current Opinion in Infectious Diseases
Avinandan Saha, Stefan Louis Botha, Paul Weaving, Giovanni Satta
BACKGROUND: Peracetic acid sporicidal wipes have been shown to be an effective disinfectant, but in controlled test environments. Their high cost may restrict use. AIMS: This pilot study investigated the efficacy and compared the costs of routine universal use of peracetic acid sporicidal wipes versus sporicidal quaternary ammonium compound and alcohol wipes in the disinfection of a hospital environment. METHODS: The routine universal use of peracetic acid wipes (Clinell Sporicidal; GAMA Healthcare Ltd, London, UK) was allocated to a study ward, whereas the control ward continued with the use of quaternary ammonium compound wipes (Tuffie 5; Vernacare, Bolton, UK) and alcohol wipes (PDI Sani-Cloth 70; PDI, Flint, UK)...
May 26, 2016: American Journal of Infection Control
Markus Dettenkofer, Hilary Humphreys, Henri Saenz, Jean Carlet, Håkan Hanberger, Christian Ruef, Andreas Widmer, Martin Wolkewitz, Barry Cookson
PURPOSE: Prevention and control of healthcare-associated infection (HCAI) are important within and beyond Europe. However, it is unclear which areas are considered important by HCAI prevention and control professionals. This study assesses the priorities in the prevention and control of HCAI as judged by experts in the field. METHODS: A survey was conducted by the European Society of Clinical Microbiology and Infectious Diseases focussing on seven topics using SurveyMonkey(®)...
May 25, 2016: Infection
J Y Liu, Y H Wu, M Cai, C L Zhou
BACKGROUND: Point-prevalence studies can identify priorities for infection control. AIM: In May 2014, the Beijing Nosocomial Infection Control and Quality Improvement Centre organized a point-prevalence survey in 124 acute care hospitals in Beijing province. By analysing the survey results and factors affecting the point prevalence of healthcare-associated infections (HCAIs) in secondary and tertiary acute care hospitals in a certain area of China, this study provides evidence and reference to monitor HCAIs in a wide variety of hospitals...
July 2016: Journal of Hospital Infection
F M Roche, S Donlon, K Burns
BACKGROUND: Healthcare-associated infections (HCAIs) and use of antimicrobials are prevalent in long-term care facilities (LTCFs), but few data are available on the burden of these issues in intellectual disability (ID) LTCFs. AIM: To assess the prevalence of HCAIs and use of antimicrobials in Irish ID-LTCFs to plan future HCAI prevention programmes. METHODS: A national point prevalence survey was conducted in Irish ID-LTCFs in May 2013 using a European protocol...
August 2016: Journal of Hospital Infection
Mark Cole
The financial and human costs of healthcare-associated infections have prompted many local and national policies/guidelines aimed at controlling or preventing infection. However, the language used in the discourse of this are of practice tends to lack objectivity and may make unachievable demands of staff. This article explores how such language can negatively affect staff behaviour and drive poor practice underground.
March 2, 2016: Nursing Times
Godfrey Kathryn
No abstract text is available yet for this article.
March 2, 2016: Nursing Times
Suzanne Callander
Suzanne Callander reports on the North Tees and Hartlepool NHS Foundation Trust's installation of the UK's first Steris VaproQuip fully enclosed decontamination room system, which has enabled considerably quicker, simultaneous decontamination of equipment such as drips stands, computers, and keyboards within a single space. The system's purchase is just one element of a committed and considerably broader Trust drive to reduce healthcare-associated infections (HCAls), and particularly to reduce cases of C. difficile...
February 2016: Health Estate
Andrés Zúniga, Jaime Mañalich, Rosario Cortés
Healthcare-associated infections (HCAI) are a problem worldwide. In our country, the estimated incidence of HCAI is 70,000 per year. This results in an increase in the average length of hospital stay by 10 days per patient, an estimated annual cost of US $ 70 million and an overstay of 700 thousand bed days a year. For over 30 years stethoscopes have been considered as potential HCAI vectors, since pathogens like methicillin-resistant Staphylococcus aureus and vancomycin-resistant Enterococcus strains adhere and colonize them...
February 2016: Revista Chilena de Infectología: órgano Oficial de la Sociedad Chilena de Infectología
A Daryapeyma, U Hammar, C M Wahlgren
OBJECTIVE/BACKGROUND: This register based study aimed to investigate the rate and pattern of healthcare associated infections (HCAI) in patients treated for lower extremity arterial disease, using antibiotic prescription as a surrogate for post-operative HCAI. METHODS: A retrospective analysis of prospectively registered data on all patients treated with primary elective, open or endovascular, surgery for lower extremity arterial disease in Sweden between 2005 and 2010, was carried out...
May 2016: European Journal of Vascular and Endovascular Surgery
Sachin C Deorukhkar, Santosh Saini
Health care associated infections (HCAIs) add incrementally to the morbidity, mortality, and cost expected of the patient's underlying diseases alone. Approximately, about half all cases of HCAIs are associated with medical devices. As Candida medical device-associated infection is highly drug resistant and can lead to serious life-threatening complications, there is a need of continuous surveillance of these infections to initiate preventive and corrective measures. The present study was conducted at a rural tertiary care hospital of India with an aim to evaluate the rate of medical device-associated Candida infections...
2016: Interdisciplinary Perspectives on Infectious Diseases
Garba Iliyasu, Farouq Muhammad Dayyab, Zaiyad Garba Habib, Abdulwasiu Bolaji Tiamiyu, Salisu Abubakar, Mohammad Sani Mijinyawa, Abdulrazaq Garba Habib
BACKGROUND: Healthcare acquired infections (HCAIs) otherwise call nosocomial infection is associated with increased morbidity and mortality among hospitalized patients and predisposes healthcare workers (HCWs) to an increased risk of infections. The study explores the knowledge and practices of infection control among HCW in a tertiary referral center in North-Western Nigeria. MATERIALS AND METHODS: This is a cross-sectional study. A self-administered structured questionnaire was distributed to the study group (of doctors and nurses)...
January 2016: Annals of African Medicine
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