5,390 results match your criteria American Journal of Infection Control[Journal]


Prevalence and risk factors of health care-associated infections in a limited resources country: A cross-sectional study.

Am J Infect Control 2019 Feb 15. Epub 2019 Feb 15.

Community Health and Epidemiology Department, Hedi Chaker University Hospital, University of Sfax, Ain Street Km 1, Sfax, Tunisia 3029.

Background: The aim of this study was to determine the prevalence of health care-associated infections (HAI) in our university hospitals (UH) and to delineate the risk factors associated with HAI.

Methods: We conducted a cross-sectional study in the 2 UH of Sfax, Tunisia on July 2017, including all patients hospitalized for at least 48 hours. It was a 1-day pass per department and a 1-week prevalence survey per UH. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.01.008DOI Listing
February 2019

Demonstrating the persistent antibacterial efficacy of a hand sanitizer containing benzalkonium chloride on human skin at 1, 2, and 4 hours after application.

Am J Infect Control 2019 Feb 15. Epub 2019 Feb 15.

EAS Consulting Group, Dallas, TX. Electronic address:

Background: Use of hand sanitizers has become a cornerstone in clinical practice for the prevention of disease transmission between practitioners and patients. Traditionally, these preparations have relied on ethanol (60%-70%) for bactericidal action.

Methods: This study was conducted to measure the persistence of antibacterial activity of 2 preparations. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.01.004DOI Listing
February 2019

High 30-day readmission rates associated with Clostridiumdifficile infection.

Am J Infect Control 2019 Feb 15. Epub 2019 Feb 15.

Division of Gastroenterology, Department of Medicine, Icahn School of Medicine at Mount Sinai, Mount Sinai Hospital, New York, NY.

Background: Clostridium difficile infection (CDI) is a leading cause of community-onset and healthcare-associated infection, with high recurrence rates, and associated high morbidity and mortality. We report national rates, leading causes, and predictors of hospital readmission for CDI.

Methods: Retrospective study of data from the 2013 Nationwide Readmissions Database of patients with a primary diagnosis of CDI and re-hospitalization within 30-days. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.01.007DOI Listing
February 2019

Urinary tract infection-related hospitalization among older adults receiving home health care.

Am J Infect Control 2019 Feb 14. Epub 2019 Feb 14.

Columbia University School of Nursing, New York, NY.

Background: Urinary tract infection (UTI)- related hospitalizations are a poor patient outcome in the rapidly growing home health care (HHC) arena that serves a predominantly elderly population. We examined the association between activities of daily living (ADL) and risk of UTI-related hospitalization among this population.

Methods: Using a retrospective cohort design, we conducted a secondary data analysis of a 5% random sample of a national HHC dataset, the Outcome and Assessment Information Set for the year 2013. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.12.012DOI Listing
February 2019

Exploring leadership within a systems approach to reduce health care-associated infections: A scoping review of one work system model.

Am J Infect Control 2019 Feb 12. Epub 2019 Feb 12.

Division of Infectious Disease, University of Wisconsin School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI; William S. Middleton Memorial Veterans Hospital, Madison, WI.

Background: Despite efforts to prevent health care-associated infections (HAIs), these infections continue to challenge health care systems. The Centers for Disease Control and Prevention emphasizes implementation of evidence-based practices. Within the complex health care environment, sustained implementation calls for work systems that harness expertise of interprofessional teams, which, in turn, calls for suitable executive, mid-level, and local leadership. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.12.017DOI Listing
February 2019

Health care worker sensitivity to chlorhexidine-based hand hygiene solutions: A cross-sectional survey.

Am J Infect Control 2019 Feb 11. Epub 2019 Feb 11.

School of Nursing and Midwifery, Deakin University, Geelong, Victoria, Australia; Centre for Quality and Patient Safety Research-Monash Health Partnership, School of Nursing and Midwifery, Deakin University, Burwood, Victoria, Australia. Electronic address:

Background: Health service hand hygiene programs have seen widespread use of chlorhexidine solutions. Reports of both immediate and delayed hypersensitivity to chlorhexidine are increasing among health care workers. This study examined the prevalence of self-reported symptoms of sensitivity to chlorhexidine solutions among health care workers. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.01.006DOI Listing
February 2019

Health care-associated infection surveillance system in Iran: Reporting and accuracy.

Am J Infect Control 2019 Feb 6. Epub 2019 Feb 6.

Department of Health in Emergency and Disaster, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Background: Valid data are a crucial aspect of infection prevention and control programs. The aim of this study was to examine the accuracy of routine reporting in the Iranian Nosocomial Infection Surveillance System in intensive care units.

Methods: A blinded retrospective review of general intensive care unit medical records was performed with a standard case-finding form. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.12.028DOI Listing
February 2019

Three years' experience of dialysis event surveillance.

Am J Infect Control 2019 Feb 5. Epub 2019 Feb 5.

Department of Infection Control and Hospital Epidemiology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.

Background: The main study aim was to track infections, evaluate performance, and identify opportunities for improved practice since infections, especially those associated with multidrug-resistant organisms, are the second most common cause of death among end-stage renal disease patients.

Methods: This study describes the establishment of baseline dialysis event surveillance at a large dialysis center. Every month, the dialysis center staff reported the total number of maintenance hemodialysis patients to the department of infection control and hospital epidemiology. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.12.011DOI Listing
February 2019

Effect of carbapenem restriction on prescribing trends for immunocompromised wards at an academic medical center.

Am J Infect Control 2019 Feb 4. Epub 2019 Feb 4.

Virginia Commonwealth University School of Medicine, Richmond, VA; Department of Internal Medicine, Division of Infectious Disease, Virginia Commonwealth University Health System, Richmond, VA. Electronic address:

The recently described proportion of carbapenem consumption metric was used to assess the effectiveness of formulary restriction for carbapenems for 2 units housing predominantly immunocompromised patients at a large academic medical center. Interrupted time series analysis revealed a significant decrease in meropenem use for hematology-oncology and bone marrow transplant units after restriction. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.12.027DOI Listing
February 2019
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Impact of colonizing organism in the respiratory tract on the incidence, duration, and time between subsequent hospitalizations among patients with cystic fibrosis.

Am J Infect Control 2019 Feb 4. Epub 2019 Feb 4.

Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY; School of Nursing, Columbia University, New York, NY.

Background: This study aimed to examine the association between colonizing respiratory tract organism and frequency, duration, and time between subsequent hospitalizations among hospitalized patients with cystic fibrosis (CF).

Methods: This retrospective cohort study of 312 CF patients from 2 New York City hospitals (2006-2016) examined the effects of colonization with Pseudomonas aeruginosa, methicillin-susceptible Staphylococcus aureus (MSSA) or methicillin-resistant S aureus (MRSA), co-colonization on incidence of hospitalization, time to next hospitalization, and total length of stay (LOS).

Results: Annual rate of subsequent hospitalizations was highest in patients with P aeruginosa: adjusted incidence rate ratios (aIRRs) were 2. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.12.021DOI Listing
February 2019

Intravenous fluid contaminated with Klebsiella oxytoca as a source of sepsis in a preterm newborn: Case report.

Am J Infect Control 2019 Feb 2. Epub 2019 Feb 2.

Department of Pediatrics and Child Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia; Maternal, Newborn, Child Health and Childhood HIV, TB and Malaria, Geneva, Switzerland.

Advances in neonatal care have led to the increasing survival of smaller and sicker infants, but nosocomial infections continue to be a serious problem, associated with increased mortality rates, immediate and long-term morbidity, prolonged hospital stay, and increased cost of care. We report a case of hospital-acquired sepsis in a preterm baby secondary to Klebsiella oxytoca, resulting from contaminated intravenous fluid. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.12.025DOI Listing
February 2019
8 Reads
2.206 Impact Factor

Hospital-associated Clostridium difficile infection and reservoirs within the hospital environment.

Am J Infect Control 2019 Feb 2. Epub 2019 Feb 2.

Department of Infection Control, University of Pittsburgh Medical Center, Pittsburgh, PA; University of Pittsburgh School of Public Health, Pittsburgh, PA. Electronic address:

Background: Clostridium difficile infection (CDI) is a leading cause of hospital-associated infections. Antibiotic stewardship, environmental disinfection, and reduction of transmission via health care workers are the major modes of CDI prevention within hospitals.

Methods: The aim of this study was to evaluate the role of the environment in the spread of CDI within hospital rooms. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.12.013DOI Listing
February 2019

The effectiveness of formulary restriction and preauthorization at an academic medical center.

Am J Infect Control 2019 Feb 2. Epub 2019 Feb 2.

Virginia Commonwealth University School of Medicine, Richmond, VA; Department of Internal Medicine, Division of Infectious Diseases, Virginia Commonwealth University Health System, Richmond, VA. Electronic address:

The impact of formulary restriction and preauthorization (FRPA) on prescribing trends was examined over a 5-year period at an academic medical center. Ordinary least squares regression was used to identify hospital units demonstrating statistically significant trends in prescription of restricted agents. Significant decreases in restricted drug use were seen on 2 of 7 medicine units subject to FRPA, whereas a significant increase was seen in 1 of 4 surgical units subject to FRPA. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.12.026DOI Listing
February 2019

Impact of routine use of a spray formulation of bleach on Clostridium difficile spore contamination in non-C difficile infection rooms.

Am J Infect Control 2019 Jan 31. Epub 2019 Jan 31.

Geriatric Research, Education, and Clinical Center, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH; Case Western Reserve University School of Medicine, Cleveland, OH. Electronic address:

The frequency of recovery of Clostridium difficile spores from surfaces after postdischarge cleaning of non-C difficile infection rooms was significantly reduced from 24%-5% after a commercial spray formulation of bleach was substituted for a quaternary ammonium disinfectant. These results suggest that routine use of a sporicidal disinfectant in all postdischarge rooms could potentially be beneficial in reducing the risk for C difficile transmission from contaminated surfaces. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.12.023DOI Listing
January 2019

The influence of observational hand hygiene auditing on consultant doctors' hand hygiene behaviors: A qualitative study.

Am J Infect Control 2019 Jan 30. Epub 2019 Jan 30.

School of Public Health, University College Cork, Cork, Ireland.

Background: Compliance with hand hygiene guidelines reduces the risk of health care-associated infection, yet doctors are less compliant than other health care workers. Use of observational hand hygiene auditing with targeted individualized feedback was implemented, with improved hand hygiene of consultant doctors; however, the factors that influenced this were not explained by previous quantitative data. The aim was to explore consultant doctors' opinions about the influence of observational hand hygiene auditing with individualized feedback on hand hygiene behavior. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.12.024DOI Listing
January 2019

A cluster of carbapenemase-producing Enterobacter cloacae complex ST171 at a tertiary care center demonstrating an ongoing regional threat.

Am J Infect Control 2019 Jan 30. Epub 2019 Jan 30.

Department of Medicine, Division of Infectious Diseases and International Medicine, University of Minnesota, Minneapolis, MN.

Background: In Minnesota and North Dakota, a clonal strain of bla-producing Enterobacter cloacae complex has been reported with increasing frequency.

Methods: Between July 2015 and February 2016, 13 carbapenem-resistant E. cloacae complex isolates were identified at our institution. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.12.016DOI Listing
January 2019

Standardizing mask use during intra-articular injections.

Am J Infect Control 2019 Feb;47(2):227-228

Department of Infection Prevention, UT Physicians, Houston, TX.

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http://dx.doi.org/10.1016/j.ajic.2018.11.019DOI Listing
February 2019

Risk of subsequent health care-associated infection among patients with a bloodstream infection present on hospital admission.

Am J Infect Control 2019 Feb;47(2):196-200

Columbia University School of Nursing, New York, NY; Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY.

Background: The risks and outcomes of acquiring a health care-associated infection (HAI) among patients with a bloodstream infection present on hospital admission (BSI-POA) have not been well described. The objective of this study was to examine the incidence of and risk factors for developing a subsequent HAI and to compare length of stay and mortality between patients with a BSI-POA who develop an HAI and those who do not.

Methods: This was a retrospective cohort study of patients aged ≥18 years discharged with a BSI-POA from 3 hospitals in New York City between 2006 and 2014. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.11.020DOI Listing
February 2019

Specialized Education for You.

Authors:

Am J Infect Control 2019 Feb;47(2):117

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http://dx.doi.org/10.1016/j.ajic.2018.12.022DOI Listing
February 2019

Laminar airflow and mixing ventilation: Which is better for operating room airflow distribution near an orthopedic surgical patient?

Am J Infect Control 2019 Jan 25. Epub 2019 Jan 25.

Operating Room of the Future, St Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.

Background: There has been little research on the performance of laminar airflow (LAF) and mixing ventilation (MV) systems regarding clean airflow distribution near a surgical patient in operating rooms (ORs). The objective of this study was to examine the performance of LAF and MV systems in ORs at St Olavs Hospital in Norway.

Methods: Experimental measurements were conducted in 2 ORs equipped with LAF and MV systems. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01966553183114
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http://dx.doi.org/10.1016/j.ajic.2018.11.023DOI Listing
January 2019
2 Reads

The work of sterile processing departments: An exploratory study using qualitative interviews and a quantitative process database.

Am J Infect Control 2019 Jan 23. Epub 2019 Jan 23.

Icahn School of Medicine at Mount Sinai, New York, NY.

Background: The sterile processing of surgical instruments and equipment is an essential part of surgical operations. Although clean instruments prevent infections, little is known about the departments that conduct this work. We sought to describe sterile processing departments (SPDs) and to identify factors impacting them. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.12.010DOI Listing
January 2019
2 Reads

Disparities in the incidence of community-acquired Clostridioides difficile infection: An area-based assessment of the role of social determinants in Bernalillo County, New Mexico.

Am J Infect Control 2019 Jan 18. Epub 2019 Jan 18.

New Mexico Emerging Infections Program, Albuquerque, NM; Office for Community Health, University of New Mexico Health Sciences Center, Albuquerque, NM.

Background: Community-associated Clostridioides difficile infections (CA-CDIs) share many risk factors with health care-associated cases, although the role of socioeconomic factors is poorly understood. This study estimates the influence of several census tract-level measures of socioeconomic status on CA-CDI incidence rates.

Methods: CA-CDI case data from the New Mexico Emerging Infections Program were analyzed using quasi-Poisson regression modeling. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.12.014DOI Listing
January 2019

Probiotic use as prophylaxis for Clostridium difficile-associated diarrhea in a community hospital.

Am J Infect Control 2019 Jan 18. Epub 2019 Jan 18.

Antimicrobial Stewardship/Pharmacy, FirstHealth of the Carolinas Moore Regional Hospital, Pinehurst, NC.

This study was a retrospective chart review from January 1, 2015 through June 30, 2017, comparing the incidence of Clostridium difficile-associated diarrhea (CDAD) in patients taking select broad spectrum antibiotics with probiotics versus without probiotics. The purpose was to determine if probiotic use was associated with a reduction in the incidence of CDAD. A total of 5,574 hospital encounters were reviewed, showing a 0. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.12.018DOI Listing
January 2019

Impact of a novel mobile high-efficiency particulate air-ultraviolet air recirculation system on the bacterial air burden during routine care.

Am J Infect Control 2019 Jan 18. Epub 2019 Jan 18.

Infection Prevention and Health System Epidemiology, Wake Forest Baptist Medical Center, Winston-Salem, NC.

Aerosol transmission of pathogens can result in the rapid spread of disease. Introduction of a mobile air recirculation system based on high-efficiency particulate air filtration, photochemical oxidation, and germicidal ultraviolet light significantly decreased the bacterial load by over 40% under routine care in an emergency department. Application of this new technology promises to reduce the aerosol pathogen burden, thereby decreasing exposure risk and providing a safer environment for patient care. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01966553183118
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http://dx.doi.org/10.1016/j.ajic.2018.12.019DOI Listing
January 2019
5 Reads

Improving infection control practices of nurse anesthetists in the anesthesia workspace.

Am J Infect Control 2019 Jan 18. Epub 2019 Jan 18.

Duke University School of Nursing, Durham, NC; Duke University Hospital, Durham, NC.

Background: Anesthesia providers commonly cross-contaminate their workspace and subsequently put patients at risk for a health care-acquired infection. The primary objective of this project was to determine if education and implementation of standardized infection control guidelines that address evidence-based best practices would improve compliance with infection control procedures in the anesthesia workspace.

Methods: Patient care-related hand hygiene of nurse anesthetists was observed in 3 areas of anesthesia practice before and 3 weeks and 3 months after staff education, placement of visual reminders, and the implementation of infection control guidelines. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01966553183115
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http://dx.doi.org/10.1016/j.ajic.2018.12.009DOI Listing
January 2019
1 Read

Controlling Legionella pneumophila in water systems at reduced hot water temperatures with copper and silver ionization.

Am J Infect Control 2019 Jan 17. Epub 2019 Jan 17.

Department of Microbiology, Virology, and Infection Prevention Control, Great Ormond Street Hospital NHS Foundation Trust, London, United Kingdom.

Background: Hospital-acquired Legionnaires' disease is associated with the presence of Legionella pneumophila in hospital water systems. In the United Kingdom, the Department of Health recommends maintaining hot water temperatures >55°C and cold water temperatures <20°C at the point of delivery to prevent proliferation of L pneumophila in water systems. In this study, we evaluated the efficacy of copper and silver ionization to control L pneumophila at deliberately reduced hot water temperatures (43°C) within a newly installed water system in a new building linked to a large health care facility in the United Kingdom. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.12.005DOI Listing
January 2019
4 Reads

Group A Streptococcus outbreak among residents and employees of two skilled nursing facilities: North Carolina, 2017.

Am J Infect Control 2019 Jan 17. Epub 2019 Jan 17.

North Carolina Department of Health and Human Services, Division of Public Health, Communicable Disease Branch, Raleigh, NC; Centers for Disease Control and Prevention, Office of Public Health Preparedness and Response, Division of State and Local Readiness, Atlanta, GA.

In this report, we summarize the results of surveillance, on-site assessments, and molecular analysis conducted as part of a group A Streptococcus outbreak investigation in 2 skilled nursing facilities. We identified cases in 24 individuals (6 deaths) and infection prevention deficiencies. Isolates from 14 individuals represented the globally emergent clade 3 emm89 strain. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.12.006DOI Listing
January 2019
1 Read

Randomized controlled trial evaluating the antimicrobial efficacy of chlorhexidine gluconate and para-chloro-meta-xylenol handwash formulations in real-world doses.

Am J Infect Control 2019 Jan 17. Epub 2019 Jan 17.

GOJO Industries, Inc, Akron, OH.

Chlorhexidine gluconate-based soaps have become the gold standard for handwashing in critical care settings and para-chloro-meta-xylenol is an effective alternative antibacterial active ingredient. This study benchmarked 2 novel foaming handwashes, compared to a bland soap for antimicrobial effectiveness using the health care personnel handwash method at realistic soap doses (0.9 mL and 2. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.10.027DOI Listing
January 2019
1 Read

Risks and benefits of using chlorhexidine gluconate in handwashing: A systematic literature review.

Am J Infect Control 2019 Jan 11. Epub 2019 Jan 11.

Department of Collective Health Nursing, School of Nursing, University of São Paulo, São Paulo, Brazil.

Background: Antimicrobial soaps containing chlorhexidine gluconate (CHG) are indicated for hand hygiene (HH) in specific situations. This study aimed to identify whether the continuous use of CHG for HH affects the reduction of healthcare-associated infections (HAI), the selection of microorganisms resistant to CHG, or hands skin damage.

Methods: Systematic review was performed using the protocol of the Joanna Briggs Institute, including clinical trials and observational comparative studies. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.11.013DOI Listing
January 2019
1 Read

Chest physiotherapy for the prevention of ventilator-associated pneumonia: A meta-analysis.

Am J Infect Control 2019 Jan 11. Epub 2019 Jan 11.

Joint Programme of Nanchang University of London, Nanchang University, Nanchang, Jiangxi, China.

Background: Ventilator-associated pneumonia (VAP) remains a frequent and severe complication in mechanically ventilated patients. We undertook a meta-analysis to evaluate the efficacy of chest physiotherapy (CPT) for the prevention of VAP.

Methods: A systematic literature search of PubMed and Embase databases were searched up until November 25, 2018 for published studies of mechanically ventilated patients comparing CPT with controls and reporting on the occurrence of VAP. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.12.015DOI Listing
January 2019
2 Reads

Consumer knowledge and attitudes toward public reporting of health care-associated infection data.

Am J Infect Control 2019 Jan 10. Epub 2019 Jan 10.

School of Nursing and Midwifery, Faculty of Health, Deakin University, Victoria, Australia; Foundational Chair in Clinical Nursing, Centre for Quality and Patient Safety Alfred Health Partnership and Director of Nursing Research, Alfred Health, Victoria, Australia.

Background: There is little information regarding consumer knowledge of health care-associated infection (HAI). Furthermore, it is unclear how meaningful publicly reported HAI data is to consumers, how they may use it, and the most appropriate format for data presentation. The purpose of this study was to explore consumer knowledge and attitudes toward HAI and public reporting. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.11.018DOI Listing
January 2019
4 Reads

Effects of disposable bath and towel bath on the transition of resident skin bacteria, water content of the stratum corneum, and relaxation.

Am J Infect Control 2019 Jan 10. Epub 2019 Jan 10.

Department of Nursing, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.

Background: Bed bath in daily nursing care is crucial for cleaning and moisturizing patients' skin. The purpose of this study was to compare the effectiveness of cleaning and level of comfort of towel and disposable baths. The 2 methods were evaluated based on measurements of the transition of resident skin bacteria, stratum corneum water content, transepidermal water loss, and perceived relaxation levels. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.12.008DOI Listing
January 2019
1 Read

Contamination of health care personnel during removal of contaminated gloves.

Am J Infect Control 2019 Jan 9. Epub 2019 Jan 9.

Geriatric Research, Education, and Clinical Center, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH; Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH. Electronic address:

In simulations of contaminated glove removal, 37% of health care personnel using their typical doffing technique contaminated their skin with a fluorescent solution. The frequency of contamination was significantly lower when the technique recommended by the Centers for Disease Control and Prevention was used versus not used (8 of 34, 24% vs 29 of 66, 44%). In simulations in which only the palm of the glove was contaminated, a modified doffing technique, to minimize the risk for contact with contaminated surfaces, reduced contamination of personnel. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01966553183114
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http://dx.doi.org/10.1016/j.ajic.2018.12.003DOI Listing
January 2019
17 Reads

Overview and comparison of Legionella regulations worldwide.

Am J Infect Control 2019 Jan 9. Epub 2019 Jan 9.

Research Group Building Physics, Construction and Climate Control, Department of Architecture and Urban Planning, Ghent University, Ghent, Belgium.

Background: Legionnaires disease occurs worldwide. Many authorities have guidelines and regulations to prevent and control Legionella in water systems. These regulations are based on often very limited field and laboratory observations and measurements. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.10.006DOI Listing
January 2019
2 Reads

Bare below the elbows in an academic medical center.

Am J Infect Control 2019 Jan 10. Epub 2019 Jan 10.

Department of Hospital Epidemiology and Infection Control, Virginia Commonwealth University Health System, Richmond, VA.

We investigated the compliance of health care personnel with a voluntary, institution-wide bare below the elbows (BBE) approach to inpatient care at an academic medical center. BBE compliance increased significantly across all provider types over a 2-year period. The overall compliance with BBE by health care personnel nearly doubled from 2016-2017, increasing significantly from 40% to 84%. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.12.007DOI Listing
January 2019
1 Read

User acceptance of reusable respirators in health care.

Am J Infect Control 2019 Jan 10. Epub 2019 Jan 10.

Department of Medicine, Division of Occupational and Environmental Medicine, The University of Maryland-Baltimore, School of Medicine, Baltimore, MD.

Background: Inclusion of reusable respirators, such as elastomeric half-face respirators (EHFRs) and powered air-purifying respirators (PAPRs), in hospital respiratory protection inventories may represent 1 solution to the problem of N95 respirator shortages experienced during pandemics. User acceptance of these devices is 1 potential barrier to implementing such a strategy in respiratory protection programs.

Methods: To assess user attitudes toward various respirators, health care workers enrolled in respiratory protection programs in a medical system using EHFRs, N95s, and PAPRs and completed an online questionnaire that addressed attitudes, beliefs, and respirator preferences under different risk scenarios. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.11.021DOI Listing
January 2019
3 Reads

Reducing blood culture contamination using an initial specimen diversion device.

Am J Infect Control 2019 Jan 10. Epub 2019 Jan 10.

Infectious Disease Unit, Shaare Zedek Medical Center, Hebrew University-Hadassah Medical School, Jerusalem, Israel.

Objectives: False positive blood cultures result from contamination, consuming laboratory resources and causing unnecessary antibiotic treatment and prolonged hospital stay. Skin disinfection reduces contamination; however, bacteria colonizing human skin are also found in tissues deep into the skin surface. A diversion device diverts the initial 1-2 mL of blood to remove any potentially contaminated skin plug. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.12.004DOI Listing
January 2019
1 Read

Influence of a visible-light continuous environmental disinfection system on microbial contamination and surgical site infections in an orthopedic operating room.

Am J Infect Control 2019 Jan 10. Epub 2019 Jan 10.

Infection Prevention Consultant, Weymouth, MA.

Background: A growing body of research has demonstrated that manual cleaning and disinfection of the operating room (OR) is suboptimal. Residual environmental contamination may pose an infection risk to the surgical wound. This study evaluates the impact of a visible-light continuous environmental disinfection (CED) system on microbial surface contamination and surgical site infections (SSI) in an OR. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.12.002DOI Listing
January 2019
1 Read

How clean is "hygienically clean": Quantitative microbial levels from samples of clean health care textiles across the United States.

Am J Infect Control 2019 Jan 9. Epub 2019 Jan 9.

Association for Linen Management, Richmond, KY.

Background: In the United States, the laundry industry has not reliably measured microbial levels on hygienically clean textiles. The aim of this study was to quantitatively measure the microbial levels found on a sample of hygienically clean textiles.

Methods: Forty-eight health care textile samples were collected from hygienically clean linen scheduled to be used on 3 different patient care units. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.11.017DOI Listing
January 2019
1 Read

Central line infections in United States hospitals: An exploration of variation in central line device days and infection rates across hospitals that serve highly complex patient populations.

Am J Infect Control 2019 Jan 9. Epub 2019 Jan 9.

Division of Health Services Management and Policy, The College of Public Health, The Ohio State University, Columbus, OH; Department of Family Medicine, College of Medicine, The Ohio State University, Columbus, OH; Center for the Advancement of Team Science, Analytics, and Systems Thinking, College of Medicine, The Ohio State University, Columbus, OH; Department of Biomedical Informatics, College of Medicine, The Ohio State University, Columbus, OH.

Our descriptive analyses show a wide distribution in rates of central line device days and central line-associated bloodstream infections for a given standardized infection ratio-the measure linked to federal payment penalties-among 215 US hospitals serving highly complex patient populations. We established that the standardized infection ratio masks hospital-level variation in device use and associated patient safety. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01966553183114
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http://dx.doi.org/10.1016/j.ajic.2018.12.001DOI Listing
January 2019
5 Reads

Successful control of a methicillin-resistant Staphylococcus aureus outbreak in a burn intensive care unit by addition of universal decolonization with intranasal mupirocin to basic infection prevention measures.

Am J Infect Control 2019 Jan 4. Epub 2019 Jan 4.

Section of Infectious Diseases, Wake Forest School of Medicine, Winston-Salem, NC.

Background: Methicillin-resistant Staphylococcus aureus (MRSA) is frequently implicated in health care-associated outbreaks in burn intensive care units, incurring substantial morbidity and mortality to these high-risk patients and excess costs to health care systems.

Methods: MRSA health care-associated infections (HAIs) were noted before and after the implementation of basic infection prevention measures and the subsequent implementation of universal decolonization with intranasal mupirocin. Pulsed-field gel electrophoresis was used to determine the relatedness of clinical isolates. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.11.016DOI Listing
January 2019
3 Reads

Current practice of infection control in Dutch primary care: Results of an online survey.

Am J Infect Control 2019 Jan 5. Epub 2019 Jan 5.

Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands; Department of Clinical Microbiology and Infectious Diseases, Canisius-Wilhelmina Hospital, Nijmegen, The Netherlands; REshape Center for Innovation, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.

Background: Good infection prevention is an important aspect of quality of medical care. The aim was to evaluate infection prevention and control (IPC) performance among Dutch general practitioners (GPs).

Methods: Based on the current national IPC guidelines for GPs, a self-administered anonymous online questionnaire was developed and sent to GPs in the Nijmegen region of the Netherlands. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.11.010DOI Listing
January 2019
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Hand hygiene before donning nonsterile gloves: Healthcareworkers' beliefs and practices.

Am J Infect Control 2019 Jan 4. Epub 2019 Jan 4.

Carver College of Medicine, University of Iowa, Iowa City, IA; Center for Comprehensive Access Delivery & Research, Iowa City VA Health Care System, Iowa City, IA.

Background: Understanding the perceptions and beliefs of health care workers (HCWs) regarding glove use and associated hand hygiene (HH) may be informative and ultimately improve practice. Research in this area is limited. This study examined the practices and beliefs of HCWs surrounding the use of nonsterile gloves and HH before gloving. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.11.015DOI Listing
January 2019
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Single-institution experience of medical students' bacterial colonization during training.

Am J Infect Control 2019 Jan 5. Epub 2019 Jan 5.

Indiana University School of Medicine, Indianapolis, IN, USA.

Background: Medical students are often potential vectors for resistant bacteria to their entourage. We therefore conducted this study to evaluate the variation of medical students' multiple drug resistant bacterial flora throughout their medical training.

Methods: We performed a cross-sectional study enrolling medical students of the 2016 academic year from the Saint-Joseph University - Faculty of Medicine, Lebanon. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.08.025DOI Listing
January 2019
7 Reads
2.206 Impact Factor

Nosocomial outbreak of influenza A H3N2 in an inpatient oncology unit related to health care workers presenting to work while ill.

Am J Infect Control 2019 Jan 5. Epub 2019 Jan 5.

Infectious Diseases Service, Walter Reed National Military Medical Center, Bethesda, MD.

Objective: To describe an outbreak of influenza A in an oncology unit, highlighting infection control methods implemented, and examining reasons health care workers (HCWs) present to work with influenza-like illness (ILI).

Methods: Confirmed cases were defined by the presence of ILI and a positive nasopharyngeal polymerase chain reaction swab for influenza A H3. Probable cases were defined as exposed HCWs with ILI who were unavailable for polymerase chain reaction testing. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01966553183106
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http://dx.doi.org/10.1016/j.ajic.2018.10.024DOI Listing
January 2019
10 Reads

A program to improve the hand hygiene compliance of Hong Kong preschoolers with an insight into their absenteeism.

Am J Infect Control 2019 Jan 4. Epub 2019 Jan 4.

Department of Health and Physical Education, The Education University of Hong Kong, New Territories, Hong Kong.

Background: Hand hygiene prevents cross-infection and is the most effective defense against contagious diseases. Preschoolers, without proper hand hygiene skills, are a vulnerable group to such diseases. The aim of this study was to evaluate whether hand hygiene compliance training of preschoolers in Hong Kong improves their hand hygiene knowledge and performance, and whether the training reduces their absenteeism resulting from influenza symptoms. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.11.014DOI Listing
January 2019
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Knowledge, attitude, practice, and clinical recommendation toward infection control and prevention standards among nurses: A systematic review.

Am J Infect Control 2019 Jan 4. Epub 2019 Jan 4.

College of Nursing, Sultan Qaboos University, Muscat, Oman.

Background: The purpose of this study was to systematically review the literature to describe nurses' knowledge and practice of and attitude toward infection control and prevention standards.

Methods: In the present systematic review, 4 electronic databases were searched from the inception of databases through March 2018. Quality of included studies was assessed using the Hoy tool. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01966553183114
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http://dx.doi.org/10.1016/j.ajic.2018.11.022DOI Listing
January 2019
12 Reads
2.206 Impact Factor

Clostridium difficile infection in pregnant and postpartum women in 2 hospitals and a review of literature.

Am J Infect Control 2019 Jan 6;47(1):e7-e14. Epub 2018 Jul 6.

Public Health England, London, UK.

Background: Healthcare-associated Clostridium difficile infection (CDI) in pregnant/postpartum women is underreported, especially outside of North America. We report a cluster of cases in 2 neighboring secondary care hospitals in South-East England. The objective of this study was to identify the epidemiology and risk factors for infection. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01966553183067
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http://dx.doi.org/10.1016/j.ajic.2018.06.001DOI Listing
January 2019
4 Reads

Cross-contamination of bacteria-colonized pierced earring holes and fingers in nurses is a potential source of health care-associated infections.

Am J Infect Control 2019 Jan 4;47(1):78-81. Epub 2018 Jul 4.

Department of Infection Control and Prevention, Toho University Faculty of Nursing, Ota-ku, Tokyo, Japan. Electronic address:

Background: In recent years, the wearing of pierced earrings for personal adornment has increased among health care workers in Japan. However, the transmission dynamics between bacteria in pierced earring holes and fingers has not been clearly shown.

Methods: Earlobes and fingers of 200 nurses (128 nurses with pierced earlobes and 72 nurses with unpierced earlobes) working at a university hospital were sampled to determine whether cross-transmission of bacteria-colonized pierced earring holes and fingers in nurse is possible. Read More

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http://dx.doi.org/10.1016/j.ajic.2018.06.006DOI Listing
January 2019
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Survey responses to policy changes-Overextended consequences.

Am J Infect Control 2019 Jan;47(1):114-115

University of Wisconsin Hospital and Clinics, Madison, WI.

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http://dx.doi.org/10.1016/j.ajic.2018.09.033DOI Listing
January 2019
1 Read