5,442 results match your criteria American Journal of Infection Control[Journal]


Pitfalls and Unexpected Benefits of an Electronic Hand Hygiene Monitoring System.

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

Division of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, MA. Electronic address:

Background: No single strategy is more effective than proper hand hygiene (HH) in reducing the spread of nosocomial infections. Unfortunately, health care worker compliance with HH is imperfect. We sought to improve HH compliance using an electronic hand hygiene monitoring system (EHHMS) in 2 units to collect unbiased data and provide feedback. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.03.011DOI Listing

International responses to the 2015 APIC MegaSurvey.

Am J Infect Control 2019 Apr 16. Epub 2019 Apr 16.

Thomas Jefferson University, Jefferson College of Nursing, Philadelphia, PA.

The prevention of health care-associated infections is an international concern. Infection preventionists across the world play a key role in assessing, planning, implementing, and evaluating infection control policies. In 2015, the APIC launched the MegaSurvey to establish the state of the infection preventionist workforce. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01966553193018
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http://dx.doi.org/10.1016/j.ajic.2019.03.021DOI Listing
April 2019
1 Read

Predictors of mortality in patients infected with carbapenem-resistant Acinetobacter baumannii: A systematic review and meta-analysis.

Am J Infect Control 2019 Apr 16. Epub 2019 Apr 16.

Department of Respiratory Medicine, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, China. Electronic address:

Background: Carbapenem-resistant Acinetobacter baumannii (CRAB) tops the list of threats to human health. Studies exploring predictors of mortality in patients with CRAB infection produced conflicting results.

Methods: A systematic search of the PubMed, Embase, and the Cochrane Library databases was performed from inception to June 2018 to identify studies reporting mortality predictors in patients infected with CRAB. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.03.003DOI Listing
April 2019
3 Reads

Prevalence of health care-associated infections and antimicrobial resistance of the responsible pathogens in Ukraine: Results of a multicenter study (2014-2016).

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

Department of Anatomy, Topographical Anatomy, and Operative Surgery, Private Higher Educational Establishment "Kyiv Medical University," Kyiv, Ukraine.

Background: The aim of this study was to obtain the first national estimates of the current prevalence and incidence and death of health care-associated infections (HAIs) of all types in acute care hospitals in Ukraine.

Methods: Prospective surveillance was conducted from January 2014 to December 2016 in 17 hospitals. Surveillance case definitions were derived from the Centers for Disease Control and Prevention's National Healthcare Safety Network HAI case definitions. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.03.007DOI Listing

Implementation of strategies to liberate patients from mechanical ventilation in a tertiary-level medical center.

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

Research Group of Surgery, Anesthesiology and Intensive Care, Medical Research Center Oulu, Oulu, Finland; Division of Intensive Care, Department of Anesthesiology, Oulu University Hospital, Oulu, Finland.

Background: Considerable discrepancies have been observed in the implementation of strategies to liberate patients from mechanical ventilation. The aim of this study was to describe critical care nurses' knowledge of and self-reported and documented adherence to lung-protective ventilation, daily sedation interruption, and daily assessment of readiness to extubate and evaluate how these practices differ between patients with and without ventilator-associated pneumonia and between survivors and nonsurvivors.

Methods: The survey was conducted in a tertiary-level hospital in Finland from October 2014 to June 2015. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.03.010DOI Listing
April 2019
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Comparative effectiveness of rapid-cycle ultraviolet decontamination to chemical decontamination on high-touch communication devices.

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

Tripler Army Medical Center, Honolulu, HI. Electronic address:

Background: This quantitative, comparative-descriptive study of inpatient units in a large military medical center was designed to compare the effectiveness of compact ultraviolet (UV-C) decontamination to standard chemical decontamination in reducing the microbial burden on Vocera (San Jose, CA) communication devices and to characterize changes in staff cleaning practices following UV-C device implementation.

Methods: Aerobic and anaerobic swabs were used to collect microbial samples from Vocera devices (n = 60) before and after chemical decontamination (first sampling) and before and after UV decontamination (second sampling). Cleaning behaviors were assessed by observation and oral inquiry during the baseline sampling and surveyed 8 weeks after UV-C device implementation. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.02.022DOI Listing

Incidence and costs of ventilator-associated pneumonia in the adult intensive care unit of a tertiary referral hospital in Mexico.

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

Unidad de Investigación en Microbiología y Toxicología, Hospital Juárez de México.

Background: Ventilator-associated pneumonia (VAP) is defined as pneumonia that occurs after 48 hours of endotracheal intubation and initiation of mechanical ventilation. The aim of this work was to use a micro-costing method to calculate the costs generated in 2017 for the care of patients with VAP at the Hospital Juárez de México.

Methods: We performed a cross-sectional, retrospective, analytical, and observational study of the databases of the registry of health care-associated infections (HAIs) in 2017, in addition to a micro-costing study. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.02.031DOI Listing
April 2019
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Impact of infectious exposures and outbreaks on nurse and infection preventionist workload.

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

Columbia University, School of Nursing, New York, NY.

Background: Staff nurse and infection preventionist (IP) workload increases in response to exposures and outbreaks. Understanding the time burden associated with responding to specific pathogens may improve resource allocation. The purpose of this study was to evaluate workload increases reported by nurses and IPs in response to common exposures and outbreaks. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01966553193007
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http://dx.doi.org/10.1016/j.ajic.2019.02.007DOI Listing
April 2019
2 Reads

Acquisition of respiratory and gastrointestinal pathogens among health care workers during the 2015 Hajj season.

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

Aix Marseille Univ, Institut de Recherche pour le Développement (IRD), Assistance Publique-Hôpitaux de Marseille, Microbes Vecteurs Infections Tropicales et Méditerranéennes (VITROME), Institut Hospitalo-Universitaire-Méditerranée Infection, Marseille, France.

Background: Data on the risk of transmission of infection to health care workers (HCWs) serving ill pilgrims during the Hajj is scarce.

Methods: Two cohorts of HCWs, the first serving Hajj pilgrims in Mecca and the second serving patients in Al-Ahsa, were investigated for respiratory and gastrointestinal symptoms and pathogen carriage using multiplex polymerase chain reaction before and after the 2015 Hajj.

Results: A total of 211 HCWs were enrolled of whom 92 were exposed to pilgrims (Mecca cohort), whereas 119 were not exposed (Al-Ahsa cohort). Read More

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http://dx.doi.org/10.1016/j.ajic.2019.02.033DOI Listing

Effect of surgical safety checklist on colorectal surgical site infection rates in 2 countries: Brazil and Canada.

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

Nursing School, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.

Background: The effectiveness of the surgical safety checklist (SSC) in countries with different socioeconomic backgrounds is uncertain. To evaluate the effect of the SSC in 2 different socioeconomic settings, we compared surgical site infection (SSI) rates before and after its implementation in colorectal procedures.

Methods: An epidemiological retrospective study was conducted in the university hospitals in Ottawa, Canada, and Belo Horizonte, Brazil. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.03.002DOI Listing

Multidrug-resistant Pseudomonas aeruginosa and mortality inmechanically ventilated ICU patients.

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

Assistance Publique - Hôpitaux de Marseille, Hôpital Nord, Réanimation des Détresses Respiratoires et des Infections Sévères, Marseille, France; Aix-Marseille Université, School of Medicine - La Timone Medical Campus, CEReSS - Health Service Research and Quality of Life Center, Marseille, France.

Background: The link between bacterial resistance and prognosis remains controversial. Predominant pathogen causing ventilator-associated pneumonia (VAP) is Pseudomonas aeruginosa (Pa), which has increasingly become multidrug resistant (MDR). The aim of this study was to evaluate the relationship between MDR VAP Pa episodes and 30-day mortality. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.02.030DOI Listing
April 2019
3 Reads

Endoscope reprocessing: Comparison of drying effectiveness and microbial levels with an automated drying and storage cabinet with forced filtered air and a standard storage cabinet.

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

Vatche and Tamar Manoukian Division of Digestive Diseases, David Geffen School of Medicine at UCLA, Los Angeles, CA. Electronic address:

Background: Automated drying may help prevent endoscopically transmitted infections. We aimed to assess the efficacy of an automated drying and storage cabinet compared to a standard storage cabinet in achieving endoscope dryness postreprocessing and in reducing the risk of microbial growth.

Methods: Drying times of bronchoscopes, colonoscopes, and duodenoscopes using 2 drying platforms (an automated drying and storage cabinet vs a standard storage cabinet) were measured using cobalt chloride paper. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01966553193010
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http://dx.doi.org/10.1016/j.ajic.2019.02.016DOI Listing
April 2019
1 Read

Chlorhexidine disinfectant can reduce the risk of central venous catheter infection compared with povidone: a meta-analysis.

Am J Infect Control 2019 Apr 1. Epub 2019 Apr 1.

Department of Emergency Medicine, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China. Electronic address:

Objective: Assess the efficacy of chlorhexidine with povidone solutions as a skin disinfectant for central venous catheter (CVC) care.

Background: Central venous catheters are widely used for critically ill patients. Catheter maintenance can easily lead to a catheter-related bloodstream infection (CRBSI), which is the manifestation of a bloodstream infection (BSI) in a patient who carries a catheter or removes the catheter within 48hours. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.02.024DOI Listing
April 2019
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A demonstration project on the impact of safety culture on infection control practices in hemodialysis.

Am J Infect Control 2019 Apr 1. Epub 2019 Apr 1.

Mohawk Valley Health System, Utica, NY.

Background: Infections among hemodialysis patients continues to be major causes of morbidity and mortality despite advances in the science of infection prevention. Many infections are potentially preventable, yet research suggests that evidence-based interventions are not uniformly practiced in dialysis settings. The purpose of the project was to reduce the risk of infection among hemodialysis patients in an outpatient dialysis clinic in upstate New York through the development of an enhanced patient safety culture. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.02.026DOI Listing
April 2019
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Reducing blood culture contamination in an intensive care unit through weekly reports and feedback.

Am J Infect Control 2019 Apr;47(4):477-478

Intensive Care Unit, Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

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http://dx.doi.org/10.1016/j.ajic.2019.01.013DOI Listing
April 2019
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The role of the infection preventionist in a transformed healthcare system: Meeting healthcare needs in the 21 century.

Am J Infect Control 2019 Apr;47(4):352-357

College of Nursing, Thomas Jefferson University, Philadelphia, PA.

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http://dx.doi.org/10.1016/j.ajic.2019.02.003DOI Listing
April 2019
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Getting the most out of your APIC membership.

Authors:

Am J Infect Control 2019 Apr;47(4):351

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http://dx.doi.org/10.1016/j.ajic.2019.02.025DOI Listing

Risk factors for Staphylococcus aureus colonization in a presurgical orthopedic population.

Am J Infect Control 2019 Mar 26. Epub 2019 Mar 26.

Research Department, New England Baptist Hospital, Boston, MA; Tufts University School of Medicine, Boston, MA; Division of Rheumatology, Tufts Medical Center, Boston, MA.

Background: Preoperative colonization with Staphylococcus aureus (SA) increases risk of surgical site infection. Screening for SA followed by skin and nasal decolonization can help to reduce the risk of postoperative infections. Risk factors for colonization are, however, not completely understood. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.02.008DOI Listing
March 2019
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Physicians' attitude and knowledge regarding antibiotic use and resistance in ambulatory settings.

Am J Infect Control 2019 Mar 26. Epub 2019 Mar 26.

Division of Infectious Diseases, Wayne State University and Detroit Medical Center, Detroit, MI.

Background: The aim of this survey was to assess the attitudes of physicians toward antibiotic prescribing and explore their knowledge about antimicrobial resistance (AMR) in ambulatory care settings.

Methods: We conducted a cross-sectional survey that was administered to physicians who work primarily in ambulatory care settings in the United States. The survey was self-administered, voluntary, and anonymous, and was delivered through electronic mail and online forums using a 35-item questionnaire. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.02.009DOI Listing

Entering infection prevention with a master of public health.

Am J Infect Control 2019 Mar 26. Epub 2019 Mar 26.

Department of Infection Prevention, UT Physicians, Houston, TX. Electronic address:

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http://dx.doi.org/10.1016/j.ajic.2019.02.023DOI Listing

Widespread clinical use of simethicone, insoluble lubricants, and tissue glue during endoscopy: A call to action for infection preventionists.

Am J Infect Control 2019 Mar 26. Epub 2019 Mar 26.

Ofstead & Associates, Inc, Saint Paul, MN.

Background: Current methods for reprocessing flexible endoscopes do not consistently eliminate organic soil. The off-label use of simethicone as a defoaming agent may contribute to reprocessing failures, and endoscope manufacturers have cautioned against its use.

Methods: We sought evidence of simethicone use by interviewing hospital personnel, conducting audits, inspecting endoscopes, and conducting tests. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.02.012DOI Listing

Antipseudomonal monotherapy or combination therapy for older adults with community-onset pneumonia and multidrug-resistant risk factors: a retrospective cohort study.

Am J Infect Control 2019 Mar 20. Epub 2019 Mar 20.

Pharmacotherapy Division, College of Pharmacy, The University of Texas at Austin, Austin, TX; Pharmacotherapy Education and Research Center, Long School of Medicine, The University of Texas Health San Antonio, San Antonio, TX; South Texas Veterans Health Care System, San Antonio, TX. Electronic address:

Background: Infectious Diseases Society of America guidelines recommend empiric antipseudomonal combination therapy when Pseudomonas is suspected. However, combination antipseudomonal therapy is controversial. This study compares all-cause 30-day mortality in older patients who received antipseudomonal monotherapy (PMT) or antipseudomonal combination therapy (PCT) for the treatment of community-onset pneumonia. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.02.018DOI Listing

Assessing the Feasibility of a Focused Multivector Ultraviolet System Between Surgery Cases with a Parallel Protocol for Enhanced Disinfection Capabilities.

Am J Infect Control 2019 Mar 20. Epub 2019 Mar 20.

Clinical and Research Programs, PurpleSun, New York, NY.

A focused multivector ultraviolet (FMUV) light system was used in a parallel process with manual chemical disinfection during operating room (OR) turnovers to assess the impact on cleaning time. The average time to disinfect an OR using only chemical wipes and mops was 19.0 minutes (n = 68); for the FMUV process, the average time was 18. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.02.017DOI Listing

Seasonal differences in central line-associated bloodstream infection incidence rates in a Central European setting: Results from prospective surveillance.

Am J Infect Control 2019 Mar 20. Epub 2019 Mar 20.

Division of Infectious Diseases and Hospital Epidemiology and University of Zurich, University Hospital Zurich, Zurich, Switzerland.

Using prospectively collected surveillance data at a tertiary care hospital in Central Europe, we investigated seasonal differences in central line-associated bloodstream infection incidence. Central line-associated bloodstream infection incidence rates were highest during the third quarter over an observation period of 24 months. Investigating influence of meteorological parameters identified a significant correlation with precipitation (r = 0. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.02.011DOI Listing

Survival of Staphylococcus aureus on therapeutic ultrasound heads.

Am J Infect Control 2019 Mar 20. Epub 2019 Mar 20.

Biology, Geology, and Environmental Science Department, University of Tennessee at Chattanooga, Chattanooga, TN.

Therapeutic ultrasound (US) is commonly used in the rehabilitation of soft tissue injuries including wounds. US heads and coupling gel come into direct contact with patient skin, increasing the risk for health care-associated infections owing to cross contamination. In this study, nearly 80% of Staphylococcus aureus placed on US heads in gel survived for 1 hour, with survival of 3 days possible in other types of organic matter. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.02.019DOI Listing

Clinical practice guidelines for creating an acute care hospital-based antimicrobial stewardship program: A systematic review.

Am J Infect Control 2019 Mar 20. Epub 2019 Mar 20.

Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada; O'Brien Institute for Public Health, University of Calgary, Calgary, Alberta, Canada; Canadian Agency for Drugs and Technologies in Health, Ontario, Canada.

Background: Antimicrobial stewardship programs (ASPs) are dedicated to improving antimicrobial use. Although clinical practice guidelines (CPGs) are available for the development of ASPs, it is unclear what the quality of these guidelines are. We therefore systematically reviewed published CPGs for the development of acute care hospital-based ASPs. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.02.010DOI Listing

Understanding drivers of influenza-like illness presenteeism within training programs: A survey of trainees and their program directors.

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

Department of Medicine, Division of Infectious Diseases, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY.

Background: Working with influenza-like illness (ILI) is pervasive throughout health care. We assessed knowledge, attitudes, and practices regarding ILI presenteeism of both postgraduate trainees and program leaders.

Methods: This survey study was conducted at the Montefiore Medical Center, Albert Einstein College of Medicine, a large academic center in the Bronx, New York. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.02.004DOI Listing
March 2019
1 Read

Assessment of current methicillin-resistant Staphylococcus aureus screening protocols and outcomes at an academic medical center.

Am J Infect Control 2019 Mar 16. Epub 2019 Mar 16.

Department of Infection Prevention and Control, University of Florida Health Shands Hospital, Gainesville, FL.

Background: Methicillin-resistant Staphylococcus aureus (MRSA) is responsible for many hospital-associated infections. Both MRSA-colonized and MRSA-infected patients must be isolated on contact precautions per the Centers for Disease Control and Prevention guidelines. This study evaluates the current practice for removing MRSA-colonized patients from contact precautions and proposes a new protocol to decrease inconsistencies with screening methodologies. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.02.006DOI Listing

Simplifying Disinfectant Choices to Improve Safety in Contact Precaution Rooms.

Am J Infect Control 2019 Mar 16. Epub 2019 Mar 16.

Department of Rehabilitation Medicine, University of Washington, Seattle, WA.

Both quaternary ammonium and bleach-based cleaning products are effective in reducing the transmission of methicillin-resistant Staphylococcus aureus and vancomycin-resistant Enterococcus in hospitals, but bleach-based compounds demonstrate better control of Clostridium difficile infections. Our pilot study demonstrates the potential to reduce C. difficile transmission in an acute care hospital by eliminating the need for providers to choose the appropriate cleaning product from isolation precaution carts. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.02.015DOI Listing
March 2019
2 Reads

Characteristics associated with hepatitis A vaccination initiation and completion among adults traveling to a country of high or intermediate endemicity.

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

Department of Infectious Disease Control, Kunshan Centers for Disease Control and Prevention, Kunshan, China.

Background: Hepatitis A (HepA) vaccine is recommended for adults traveling to a country of high or intermediate endemicity.

Methods: The data from the 2016 and 2017 National Health Interview Survey were pooled in this analysis, and the weighted logistic regression model was adopted.

Results: Characteristics independently associated with HepA vaccination initiation (≥1 dose) (in descending order by odds ratio) include age, receipt of pneumococcal and influenza vaccine, education, sexual orientation, region, number of physician visits in the past 12 months, physical activity, marital status, computer use, ratio of family income to the poverty threshold, Hispanic ethnicity, and class of worker. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.02.002DOI Listing
March 2019
2 Reads
2.206 Impact Factor

Characteristics associated with hepatitis B vaccination initiation and completion among adults traveling to a country of high or intermediate endemicity.

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

Department of Infectious Disease Control, Kunshan Centers for Disease Control and Prevention, Kunshan, Jiangsu Province, People's Republic of China.

Background: The hepatitis B (HepB) vaccine is recommended for adults traveling to a country of high or intermediate endemicity.

Methods: Data from the 2016 and 2017 National Health Interview Surveys were pooled.

Results: The weighted prevalence of HepB vaccination initiation (≥1 dose) was 37. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.02.014DOI Listing
March 2019
2.206 Impact Factor

The impact of chlorhexidine gluconate on the skin microbiota of children and adults: A pilot study.

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

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

We examined the effect of chlorhexidine gluconate (CHG) bathing on the skin microbiota of adult and pediatric patients. We observed no differences in pediatric patients; however, multiple genera of bacteria were observed to be significantly less abundant in the adults bathing with CHG. Further research is needed to determine the long-term impact of CHG use on the skin microbiota. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.01.024DOI Listing

A neglected outbreak in a long-term care facility: Scabies.

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

First Division of Infectious Diseases, Cotugno Hospital, Napoli, Italy.

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http://dx.doi.org/10.1016/j.ajic.2019.01.025DOI Listing

In situ evaluation of a persistent disinfectant provides continuous decontamination within the clinical environment.

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

Department of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC.

Microbial bioburden associated with the built environment can impact the rate of health care-associated infection acquisition; higher bioburden results in a greater incidence of health care-associated infections. Two disinfectants registered by the US Environmental Protection Agency and a trial disinfectant were evaluated for their ability to limit the establishment of bioburden subsequent to application under in situ conditions on patient bed rails within a medical intensive care unit. Bioburden samples were collected immediately prior to disinfection and at 1, 6, and 24 hours after application. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.02.013DOI Listing

Antibiotic stewardship targets in the outpatient setting.

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

Department of Pharmacy, Veterans Affairs Western New York Healthcare System, Buffalo, NY. Electronic address:

Background: Outpatient prescriptions comprise 60% of antibiotic use. This study prospectively identified inappropriate antibiotic use enabling a focused approach to outpatient antimicrobial stewardship.

Methods: Outpatients at the Veterans Affairs Western New York Healthcare System were identified via an electronic antibiotic alert from June 2017 to September 2017. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.01.027DOI Listing
March 2019
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Optimizing treatment of respiratory tract infections in nursing homes: Nurse-initiated polymerase chain reaction testing.

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

National Centre for Antimicrobial Stewardship, Peter Doherty Institute for Infections and Immunity, Melbourne, Victoria, Australia; Department of Medicine, School of Clinical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia; Monash Infectious Diseases and Infection Control and Epidemiology, Monash Health, Clayton, Victoria, Australia. Electronic address:

Background: Diagnostic testing using polymerase chain reaction (PCR) is infrequently initiated for diagnosis of respiratory tract infections (RTIs) in nursing homes. The objectives of this study were to determine the feasibility of implementing nurse-initiated PCR testing of respiratory specimens in nursing home settings and to compare antibiotic prescribing prior to and during the implementation.

Methods: This was a pragmatic, historically controlled study in 3 nursing homes (181 total beds) in Melbourne, Australia. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01966553193006
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http://dx.doi.org/10.1016/j.ajic.2019.02.001DOI Listing
March 2019
3 Reads

Determining the organic matter burden of exercise-tracking devices using adenosine triphosphate surveillance.

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

Acute Care Pediatric Nurse Practitioner Program, University of Virginia, School of Nursing, Charlottesville, VA; PNSO Nursing Research Program; Complex Care Developmental Pediatrics, University of Virginia Heath System University Hospital, Charlottesville, VA.

The aim of this project is to determine the amount of organic matter burden focused on exercise-tracking devices worn by heath care professionals in the clinical setting. It was completed by using adenosine triphosphate surveillance, which measures the residual organic matter that remains on a device. Because all but 1 of the devices sampled were considered contaminated, health care professionals should be aware of the potential risk associated with wearing exercise-tracking devices in the clinical setting. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.01.021DOI Listing

Reduction of hospital-acquired infections in the neonatal intensive care unit: A long-term commitment.

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

Department of Neonatology, Ziv Medical Center, Tsfat, Israel; Azrieli Faculty of Medicine, Bar-Ilan University, Ramat Gan, Israel.

We instituted quality improvement program. We compare the infection rate before (2011-2012) and after (2013-2015). Central line associated blood stream infection episodes decreased from 15. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.01.001DOI Listing

The expansion of National Healthcare Safety Network enrollment and reporting in nursing homes: Lessons learned from a national qualitative study.

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

The RAND Corporation, Santa Monica, CA.

Background: This study explored nursing home (NH) personnel perceptions of the National Healthcare Safety Network (NHSN).

Methods: NHs were purposively sampled based on NHSN enrollment and reporting status, and other facility characteristics. We recruited NH personnel knowledgeable about the facility's decision-making processes and infection prevention program. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.02.005DOI Listing

Impact of syndrome-specific antimicrobial stewardship interventions on use of and resistance to fluoroquinolones: An interrupted time series analysis.

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

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

Background: Fluoroquinolones are often prescribed unnecessarily and are an important risk factor for infection with fluoroquinolone-resistant gram-negative bacilli and Clostridioides difficile.

Methods: We conducted a quasi-experimental study to determine the impact of sequential syndrome-specific stewardship interventions on use of and resistance to fluoroquinolones in a tertiary care hospital. An initial 2-year intervention focused on reducing treatment of asymptomatic bacteriuria and ensuring concordance of urinary tract infection treatment with guidelines. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.01.026DOI Listing

Dissemination and implementation science for infection prevention: A primer.

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

School of Nursing, Columbia University, New York, NY; Ann May Center for Nursing and Allied Health, Hackensack Meridian Health, Neptune, NJ.

Dissemination and implementation science (D&I) is a rapidly growing area of investigation. Although many evidence-based guidelines for infection prevention are available, not all are systematically implemented into clinical practice. This evidence-to-practice gap has been linked to poor health outcomes. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01966553193006
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http://dx.doi.org/10.1016/j.ajic.2019.01.023DOI Listing
March 2019
3 Reads

Bacterial contamination of medical providers' white coats and surgical scrubs: A systematic review.

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

Department of Medicine, Baylor College of Medicine, Houston, TX; Medical Care Line (Infectious Disease Section), Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX; Department of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX.

Background: Horizontal transmission of bacteria, especially multidrug-resistant organisms (MDROs), remains an important concern in hospitals worldwide. Some studies have implicated provider attire in the transmission of organisms within hospitals, whereas others have suggested that evidence supporting this notion is limited.

Methods: PubMed was searched for publications between 1990 and 2018 to identify studies of bacterial contamination of, or dissemination of, bacteria from physician, nursing, or trainee attire, with a specific focus on white coats and surgical scrubs. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.01.012DOI Listing

Colonization by fecal extended-spectrum β-lactamase-producing Enterobacteriaceae and surgical site infections in patients with cancer undergoing gastrointestinal and gynecologic surgery.

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

Department of Infectious Diseases, Instituto Nacional de Cancerología, Mexico City, Mexico. Electronic address:

Background: Cancer patients are at increased risk of infection. Fecal carriage of extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-PE) may increase this risk. There are few studies on the prevalence of ESBL-PE colonization and surgical site infections (SSIs). Read More

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http://dx.doi.org/10.1016/j.ajic.2019.01.020DOI Listing
March 2019
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Hand hygiene and needleless connector decontamination for peripheral intravenous catheter care-time and motion observational study.

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

Alliance for Vascular Access Teaching & Research Group, Menzies Health Institute Queensland, Griffith University, Brisbane, Australia.

Good hand hygiene and "scrub the hub" practices are important to prevent bloodstream infections. This observational study (n = 108) found high compliance with "scrubbing the hub," although scrub time was shorter than the recommended duration (average 6.1 seconds). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01966553193006
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http://dx.doi.org/10.1016/j.ajic.2019.01.022DOI Listing
March 2019
4 Reads

Modified glove use for contact precautions: Health care workers' perceptions and acceptance.

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

School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW, Australia. Electronic address:

Background: Patients colonized or infected with methicillin-resistant Staphylococcus aureus and or vancomycin-resistant Enterococcus are placed under contact precautions. Contact precautions require patients to be placed in single rooms and their health care workers (HCWs) to wear gowns, aprons and gloves on entry and doffing on exit. Glove use is widely accepted to be associated with poor hand hygiene compliance. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.01.009DOI Listing

Interprofessional perceptions and emotional impact of multidrug-resistant organisms: A qualitative study.

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

Department of Neuropediatrics and Muscle Disorders, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.

Background: Hospital-acquired infections caused by multidrug-resistant organisms (MDROs) are a threat to patient safety and hospital economy. Training in hygiene precautions is known to limit MDRO spread and patient morbidity. As infection prevention is a collaborative task, we developed an interprofessional educational intervention, including a reflective unit about MDRO. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.01.019DOI Listing
March 2019
2 Reads

Environmental conditions and health care-associated infections in wards for noncritical patients.

Am J Infect Control 2019 Feb 28. Epub 2019 Feb 28.

Department of Tropical Diseases São Paulo State University Botucatu Medical School Botucatu, São Paulo State, Brazil.

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http://dx.doi.org/10.1016/j.ajic.2019.01.003DOI Listing
February 2019

Methods for microbial needleless connector decontamination: A systematic review and meta-analysis.

Am J Infect Control 2019 Feb 27. Epub 2019 Feb 27.

School of Nursing and Midwifery, Griffith University, Brisbane, QLD, Australia; Nursing and Midwifery Research Centre, Royal Brisbane & Women's Hospital, Brisbane, QLD, Australia; Alliance for Vascular Access Teaching and Research, Menzies Health Institute Queensland, Griffith University, Brisbane, QLD, Australia.

Background: The objective of this review was to compare the effectiveness of connector decontamination with 70% alcohol wipes, alcoholic chlorhexidine gluconate wipes, or alcohol impregnated caps to prevent catheter-associated bloodstream infection (CABSI).

Methods: A systematic search was conducted in CINAHL, Cochrane Central Register of Controlled Trials, Medline, and PubMed. The primary outcome was CABSI, with randomized and observational studies included. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.01.002DOI Listing
February 2019
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Attributable mortality from extensively drug-resistant gram-negative infections using propensity-matched tracer antibiotic algorithms.

Am J Infect Control 2019 Feb 27. Epub 2019 Feb 27.

Critical Care Medicine Department, Clinical Center-National Institutes of Health, Bethesda, MD.

Background: Tracer antibiotic algorithms using administrative data were investigated to estimate mortality attributable to extensively drug-resistant gram-negative infections (GNIs).

Methods: Among adult inpatients coded for GNIs, colistin cases and 2 comparator cohorts (non-carbapenem β-lactams or carbapenems) treated for ≥4 consecutive days, or died while receiving the antibiotic, were separately propensity score-matched (1:2). Attributable mortality was the in-hospital mortality difference among propensity-matched groups. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.01.010DOI Listing
February 2019
3 Reads

Three Days of Real-World IPC Solutions and Innovation.

Authors:

Am J Infect Control 2019 Mar;47(3):229

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http://dx.doi.org/10.1016/j.ajic.2019.01.011DOI Listing