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Infection control compliance

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https://www.readbyqxmd.com/read/29770752/ventilator-bundle-compliance-and-risk-of-ventilator-associated-events
#1
Bryan D Harris, Gale A Thomas, Matthew H Greene, Steven S Spires, Thomas R Talbot
OBJECTIVEVentilator bundles encompass practices that reduce the risk of ventilator complications, including ventilator-associated pneumonia. The impact of ventilator bundles on the risk of developing ventilator-associated events (VAEs) is unknown. We sought to determine whether decreased compliance to the ventilator bundle increases the risk for VAE development.DESIGNNested case-control study.SETTINGThis study was conducted at 6 adult intensive care units at an academic tertiary-care center in Tennessee.PATIENTSIn total, 273 patients with VAEs were randomly matched in a 1:4 ratio to controls by mechanical ventilation duration and ICU type...
June 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29770649/-challenges-and-strategies-of-health-education-and-health-promotion-in-stage-of-schistosomiasis-elimination
#2
Hu Guang-Han, Xu Jing, Cao Chun-Li, Jin Jia-Ning, Lü Shan, Li Shi-Zhu, Zhou Xiao-Nong
Health education and health promotion are important measures for comprehensive control of schistosomiasis in China, which can improve the compliance rate of residents involved in schistosomiasis control activities, reduce the water contact behavior of the target population, thus avoiding or decreasing the infection of schistosome in endemic areas. In recent years, the comprehensive control of schistosomiasis in China has achieved remarkable results. China has reached the goal of transmission control and is moving toward the transmission interruption or even elimination of schistosomiasis...
April 17, 2018: Zhongguo Xue Xi Chong Bing Fang Zhi za Zhi, Chinese Journal of Schistosomiasis Control
https://www.readbyqxmd.com/read/29763777/incorporation-of-point-of-care-ultrasound-into-morning-round-is-associated-with-improvement-in-clinical-outcomes-in-critically-ill-patients-with-sepsis
#3
Zhonghua Chen, Yucai Hong, Junru Dai, Lifeng Xing
OBJECTIVES: Point-of-care ultrasound (POCUS) has been widely used in the intensive care unit (ICU). However, it is largely unknown whether the use of POCUS is associated with improved patient-important outcomes. The study aimed to investigate whether incorporation of POCUS during morning round on a routine basis was able to improve clinical outcomes in critically ill patients with sepsis. DESIGN: It was a prospective observational study. SETTING: A tertiary care emergency intensive care unit...
May 11, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29755187/using-a-computer-simulation-model-to-examine-the-impact-of-biosecurity-measures-during-a-facility-level-outbreak-of-equine-influenza
#4
Kelsey L Spence, Terri L O'Sullivan, Zvonimir Poljak, Amy L Greer
On-farm biosecurity measures are an important part of a control plan to minimize the introduction and spread of infectious diseases, such as equine influenza, in an equine facility. It can be challenging, however, to evaluate the efficacy of biosecurity measures under field conditions. We used an agent-based computer simulation model to describe the impact of: i) preventive vaccination; ii) reduced horse-to-horse contact; and iii) a combination of vaccination and reduced contact during an outbreak of equine influenza in a simulated horse facility...
April 2018: Canadian Journal of Veterinary Research, Revue Canadienne de Recherche Vétérinaire
https://www.readbyqxmd.com/read/29746479/morbidity-management-and-disability-prevention-for-lymphatic-filariasis-in-sri-lanka-current-status-and-future-prospects
#5
Nilmini Chandrasena, Ranjan Premaratna, Indeewarie E Gunaratna, Nilanthi R de Silva
BACKGROUND: Sri Lanka was acknowledged to have eliminated lymphatic filariasis (LF) as a public health problem in 2016, largely due to its success in Mass Drug Administration (MDA) to interrupt disease transmission. Analysis of the Strengths, Weaknesses, Opportunities and Threats (SWOT) of the national Morbidity Management and Disability Prevention (MMDP) program, the other pillar of the LF control program, was carried out with the objective of evaluating it and providing recommendations to optimize the use of available resources...
May 10, 2018: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/29725956/use-of-prophylactic-saccharomyces-boulardii-to-prevent-clostridium-difficile-infection-in-hospitalized-patients-a-controlled-prospective-intervention-study
#6
Jeppe West Carstensen, Mahtab Chehri, Kristian Schønning, Steen Christian Rasmussen, Jacob Anhøj, Nina Skavlan Godtfredsen, Christian Østergaard Andersen, Andreas Munk Petersen
Clostridium difficile infection (CDI) is a common complication to antibiotic use. Saccharomyces boulardii has shown effect as a prophylactic agent. We aimed to evaluate the efficacy of S. boulardii in preventing CDI in unselected hospitalized patients treated with antibiotics. We conducted a 1 year controlled prospective intervention study aiming to prescribe Sacchaflor (S. boulardii 5 × 109 , Pharmaforce ApS) twice daily to hospitalized patients treated with antibiotics. Comparable departments from three other hospitals in our region were included as controls...
May 3, 2018: European Journal of Clinical Microbiology & Infectious Diseases
https://www.readbyqxmd.com/read/29725557/clinico-microbiological-profile-of-septic-diabetic-foot-with-special-reference-to-anaerobic-infection
#7
K Sasikumar, Chellappa Vijayakumar, Sadasivan Jagdish, Dharanipragada Kadambari, Nagarajan Raj Kumar, Rakhi Biswas, Subhash Chandra Parija
Introduction Diabetic foot infections are a major cause of non-traumatic amputations. The role of anaerobes in the prognosis of these infections is particularly unclear. This study was conducted with the aim of correlating microbiological profiles with clinical outcomes in these diabetic foot ulcer patients. Methodology This prospective observational study was done in a tertiary care centre in South India. All patients admitted with diabetic foot ulcers for two years were included in the study. Tissue biopsies were collected from the ulcer for aerobic and anaerobic cultures...
March 1, 2018: Curēus
https://www.readbyqxmd.com/read/29723168/malaria-surveillance-united-states-2015
#8
Kimberly E Mace, Paul M Arguin, Kathrine R Tan
PROBLEM/CONDITION: Malaria in humans is caused by intraerythrocytic protozoa of the genus Plasmodium. These parasites are transmitted by the bite of an infective female Anopheles species mosquito. The majority of malaria infections in the United States occur among persons who have traveled to regions with ongoing malaria transmission. However, malaria is occasionally acquired by persons who have not traveled out of the country through exposure to infected blood products, congenital transmission, laboratory exposure, or local mosquitoborne transmission...
May 4, 2018: MMWR. Surveillance Summaries: Morbidity and Mortality Weekly Report. Surveillance Summaries
https://www.readbyqxmd.com/read/29719312/contrast-agents-and-observing-patient-safety-programs-in-radiology-departments-in-kermanshah-province-hospitals-in-west-of-iran
#9
Fatemhe Amiri, Mohammad Rasoul Tohidnia, Somayeh Haydarizadi, Rasool Azmoonfar
Introduction: Contrast agents play an important role in increasing the efficiency of diagnostic imaging techniques in the evaluation of vascular lesions, infections and tumors. Annually more than 70 million radiology tests performed using contrast agent materials in the world. Side effects of contrast agent can belief-threaten, so that observing safety guideline prescribed a key role in the patient's health. Aim: The aim of this study was evaluation of compliance with the instructions in the use of contrast agent materials in Kermanshah province Hospitals, West in Iran...
2018: Acta Informatica Medica: AIM
https://www.readbyqxmd.com/read/29707867/combination-of-fractional-carbon-dioxide-laser-with-narrow-band-ultraviolet-b-to-induce-repigmentation-in-stable-vitiligo-a-comparative-study
#10
Noha Nabil Doghaim, Shereen Farouk Gheida, Rania Ahmed El-Tatawy, Dareen Abdelaziz Mohammed Ali
BACKGROUND: Despite the numerous treatment modalities available for vitiligo, responses to treatment are still unsatisfactory. For this reason, new treatment modalities and approaches are needed. OBJECTIVE: To evaluate the efficacy and safety of fractional carbon dioxide (CO2 ) laser therapy followed by narrow band ultraviolet-B (NB-UVB) phototherapy on stable resistant vitiligo. SUBJECTS AND METHODS: Thirty-two patients with stable bilateral vitiligo were enrolled...
April 30, 2018: Journal of Cosmetic Dermatology
https://www.readbyqxmd.com/read/29672578/the-cost-effectiveness-of-three-methods-of-disseminating-information-to-improve-medical-male-circumcision-in-uganda
#11
Edward I Broughton, Esther Karamagi, Angella Kigonya, Anna Lawino, Lani Marquez, Sarah Smith Lunsford, Albert Twinomugisha
BACKGROUND: Uganda is working to increase voluntary medical male circumcision (VMMC) to prevent HIV infection. To support VMMC quality improvement, this study compared three methods of disseminating information to facilities on how to improve VMMC quality: M-providing a written manual; MH-providing the manual plus a handover meeting in which clinicians shared advice on implementing key changes and participated in group discussion; and MHC-manual, handover meeting, and three site visits to the facility in which a coach provided individualized guidance and mentoring on improvement...
2018: PloS One
https://www.readbyqxmd.com/read/29660815/scaling-down-a-deworming-program-among-school-age-children-after-a-thirty-year-successful-intervention-in-the-bolivian-chaco
#12
Michele Spinicci, Fabio Macchioni, David Rojo, Herlan Gamboa, Ana Liz Villagrán, Yolanda Vallejos, Marianne Strohmeyer, Mimmo Roselli, Simona Gabrielli, Gabriella Cancrini, Joaquín Monasterio, Paul Castellanos, Grover Adolfo Paredes, Sdenka Maury, Adolfo Zárate, Rodolfo Rocabado, Piero Olliaro, Antonio Montresor, Alessandro Bartoloni
OBJECTIVE: Preventive chemotherapy is the WHO-recommended control method for soil-transmitted helminthiases. In the Bolivian Chaco, 6-monthly single-dose mebendazole delivery to school-age children achieved a dramatic decrease in soil-transmitted helminthiases prevalence between 1987 and 2013. Consequently, in September 2016, preventive chemotherapy delivery was interrupted in 9 rural communities. In compliance with WHO recommendations, we intensified surveillance to monitor soil-transmitted helminthiases prevalence and detect potential changes that would require interventions...
April 16, 2018: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/29649274/present-day-monitoring-underestimates-the-risk-of-exposure-to-pathogenic-bacteria-from-cold-water-storage-tanks
#13
Aji Peter, Edwin Routledge
Water-borne bacteria, found in cold water storage tanks, are causative agents for various human infections and diseases including Legionnaires' disease. Consequently, regular microbiological monitoring of tank water is undertaken as part of the regulatory framework used to control pathogenic bacteria. A key assumption is that a small volume of water taken from under the ball valve (where there is easy access to the stored water) will be representative of the entire tank. To test the reliability of this measure, domestic water samples taken from different locations of selected tanks in London properties between November 2015 and July 2016 were analysed for TVCs, Pseudomonas and Legionella at an accredited laboratory, according to regulatory requirements...
2018: PloS One
https://www.readbyqxmd.com/read/29623705/centella-asiatica-centellicum%C3%A2-facilitates-the-regular-healing-of-surgical-scars-in-subjects-at-high-risk-of-keloids
#14
Roberto Cotellese, Shu Hu, Gianni Belcaro, Andrea Ledda, Beatrice Feragalli, Mark Dugall, Morio Hosoi, Edmondo Ippolito
BACKGROUND: Formation of scars after surgical incisions requires the proper appositions of elements contributing to the scarring process. The structural rebuilding of damaged tissues is essential in producing a linear scar. The excess of blood, foreign particles, exuberant sutures, necrotic tissue, possible infective agents, as well as the ongoing inflammatory process may produce a non-linear, sometimes painful keloidal scar. Centella asiatica (CA) extracts have been used topically since ancient times for preventing keloids (i...
April 2018: Minerva Chirurgica
https://www.readbyqxmd.com/read/29619291/mrsa-prevalence-among-patient-transport-staff-in-hamburg
#15
Anja Schablon, Olaf Kleinmüller, Albert Nienhaus, Claudia Peters
Introduction: Patient transport employees frequently come into contact with multidrug-resistant organisms (MDROs) and therefore are at a greater risk of infection than the general population. These pathogens pose a significant challenge for employees of patient transport services since they can spread over long distances through patient transfers. To date, little is known about the occupational risk of MRSA infection in patient transport settings. Methods: A cross-sectional study was conducted to investigate the prevalence of MRSA in patient transport personnel, including taxi drivers, as well as the potential risk factors for MRSA colonization...
2018: GMS Hygiene and Infection Control
https://www.readbyqxmd.com/read/29606163/the-impact-of-isolation-on-healthcare-worker-contact-and-compliance-with-infection-control-practices-in-nursing-homes
#16
Lisa Pineles, Chris Petruccelli, Eli N Perencevich, Mary-Claire Roghmann, Kalpana Gupta, Jose Cadena, Gio Baracco, Christopher D Pfeiffer, Graeme Forrest, Suzanne F Bradley, Chris Crnich, Heather Reisinger, Daniel J Morgan
OBJECTIVETo directly observe healthcare workers in a nursing home setting to measure frequency and duration of resident contact and infection prevention behavior as a factor of isolation practiceDESIGNObservational studySETTING AND PARTICIPANTSHealthcare workers in 8 VA nursing homes in Florida, Maryland, Massachusetts, Michigan, Washington, and TexasMETHODSOver a 15-month period, trained research staff without clinical responsibilities on the units observed nursing home resident room activity for 15-30-minute intervals...
April 2, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29606156/correlation-of-hand-hygiene-compliance-measured-by-direct-observation-with-estimates-obtained-from-product-usage
#17
Westyn Branch-Elliman, Graham M Snyder, Aleah D King, Linda M Baldini, Kaitlyn M Dooley, David S Yassa, Sharon B Wright
Improving compliance with hand hygiene is a cornerstone of infection prevention. However, data regarding practical methods for monitoring compliance are limited. We found that product use metrics have a moderate correlation with direct observation in ward settings and limited correlation in intensive care units.Infect Control Hosp Epidemiol 2018;1-4.
April 2, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29602529/neurosyphilis-as-a-cause-of-transverse-myelitis-in-a-teenage-girl
#18
Karen Kim Jo Yaphockun, Shannon Wai
BACKGROUND: Syphilis is a sexually transmitted infection that was nearly eradicated in 2001 but is now making a resurgence. It has a wide range of clinical manifestations depending on disease stage. Neurosyphilis is an infrequently seen infectious disease with central nervous system involvement that can occur in either early- or late-stage syphilis. The diagnosis of neurosyphilis is challenging, primarily because Treponema pallidum, the infecting organism, cannot be cultured in vitro...
March 27, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29594798/improved-quality-of-care-for-patients-infected-or-colonised-with-esbl-producing-enterobacteriaceae-in-a-french-teaching-hospital-impact-of-an-interventional-prospective-study-and-development-of-specific-tools
#19
Véronique Mondain, Florence Lieutier, Céline Pulcini, Nicolas Degand, Luce Landraud, Raymond Ruimy, Thierry Fosse, Pierre Marie Roger
The increasing incidence of ESBL-producing Enterobacteriaceae (ESBL-E) in France prompted the publication of national recommendations in 2010. Based on these, we developed a toolkit and a warning system to optimise management of ESBL-E infected or colonised patients in both community and hospital settings. The impact of this initiative on quality of care was assessed in a teaching hospital. The ESBL toolkit was developed in 2011 during multidisciplinary meetings involving a regional network of hospital, private clinic and laboratory staff in Southeastern France...
May 2018: European Journal of Clinical Microbiology & Infectious Diseases
https://www.readbyqxmd.com/read/29572392/-and-you-ll-suddenly-realise-i-ve-not-washed-my-hands-medical-students-junior-doctors-and-medical-educators-narratives-of-hygiene-behaviours
#20
Penelope Cresswell, Lynn V Monrouxe
OBJECTIVE: Compliance to hygiene behaviours has long been recognised as important in the prevention and control of healthcare associated infections, but medical doctors still display some of the lowest rates of compliance of all healthcare workers. We aim to understand compliance to hygiene behaviours by analysing medical students', junior doctors' and medical educators' narratives of these behaviours to identify their respective attitudes and beliefs around compliance and how these are learnt during training...
March 22, 2018: BMJ Open
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