5,924 results match your criteria American Journal of Infection Control[Journal]


The Impact of Healthcare Provider Relationships and Communication Dynamics on Urinary Tract Infection Management and Antibiotic Utilization for Long-Term Care Facility Residents Treated in the Emergency Department: A Qualitative Study.

Am J Infect Control 2020 Jul 9. Epub 2020 Jul 9.

BerbeeWalsh Department of Emergency Medicine University of Wisconsin Madison School of Medicine and Public Health, 800 University Bay Drive, Suite 310; Madison, WI 53705, USA. Electronic address:

Background: For older adults, over diagnosis of urinary tract infections (UTI) is a primary driver of inappropriate antibiotic use. This risk is increased for patients in long term care facilities (LTCF), especially as they transition back and forth to emergency departments (ED). In this study, we aimed to understand how healthcare provider communication and relationship dynamics affect LTCF residents treated in the ED to identify barriers to antibiotic stewardship for UTIs. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.07.009DOI Listing

Utilizing Technology to Enhance Screening for Highly Infectious Diseases.

Am J Infect Control 2020 Jul 9. Epub 2020 Jul 9.

Department of Medicine, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Pl, New York, NY 10029, United States.

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http://dx.doi.org/10.1016/j.ajic.2020.07.008DOI Listing

Identification and resistance profile of bacteria isolated on stethoscopes by healthcare professionals: systematic review.

Am J Infect Control 2020 Jul 9. Epub 2020 Jul 9.

Department of Tropical Medicine, Medical Sciences Center, Federal University of Pernambuco, Recife, PE, Brazil.

Purpose: Evaluate the presence of bacteria and resistance profile in stethoscopes used by healthcare professionals and its consequences within the hospital environment.

Method: It is a systematic review, in which articles indexed in the BVS, CAPES-Periódicos, Cochrane Library, PubMed, SciELO and ScienceDirect databases were searched.

Results: Twenty-two articles were selected for this study. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.07.007DOI Listing

Operationalizing an Academic Pediatric Practice during the COVID-19 Crisis.

Am J Infect Control 2020 Jul 8. Epub 2020 Jul 8.

Einstein Medical Center Philadelphia, Philadelphia, Pennsylvania.

We report on innovating protocols at an Academic Pediatric practice during the COVID-19 (2019 novel coronavirus) crisis. Facing the challenges of limited personal protective equipment and testing capacity, we rapidly and efficiently changed processes to optimize infection control, providing safe and effective care for our vulnerable population. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.07.003DOI Listing

Monitoring environmental contamination caused by SARS-CoV-2 in a healthcare facility by using adenosine triphosphate testing.

Am J Infect Control 2020 Jul 8. Epub 2020 Jul 8.

Division of Infectious Diseases, Department of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University School of Medicine, Seoul, Republic of Korea. Electronic address:

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http://dx.doi.org/10.1016/j.ajic.2020.06.207DOI Listing

Decontamination and reuse of N95 filtering facemask respirators: a systematic review of the literature.

Am J Infect Control 2020 Jul 8. Epub 2020 Jul 8.

Scientific Direction, Clínica de Marly Jorge Cavelier Gaviria. Avenida Paseo los Zipas, Cl. 29, Chía, Colombia. Electronic address:

Introduction: As has happened in other emerging respiratory pandemics, demand for N95 filtering facemask respirators (FFRs) has far exceeded their manufacturing production and availability in the context of the SARS-CoV-2 pandemic. One of the proposed strategies for mitigating the massive demand for N95 FFRs is their reuse after a process of decontamination that allows the inactivation of any potentially infectious material on their surfaces. This article aims to summarize all of the available evidence on the different decontamination methods that might allow disposable N95 FFRs to be reused, with emphasis on decontamination from SARS-CoV-2. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.07.004DOI Listing

"Clinical Characteristics, Outcomes and Prognosticators in Adult Patients Hospitalized with COVID-19".

Am J Infect Control 2020 Jul 8. Epub 2020 Jul 8.

IU Health Physicians Inpatient Medicine, IU School of Medicine Division of General Internal Medicine and Geriatrics, Assistant Professor of Clinical Medicine, 1801 N Senate Boulevard, Noyes Pavilion E-140, Indianapolis, IN 46202. Electronic address:

Background: COVID-19 is a novel disease caused by SARS-CoV-2.

Methods: We conducted a retrospective evaluation of patients admitted with COVID-19 to one site in March 2020. Patients were stratified into three groups: survivors who did not receive mechanical ventilation (MV), survivors who received MV and those who received MV and died during hospitalization. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.07.005DOI Listing

Exploring Stress Coping Strategies of Frontline Emergency Health Workers dealing Covid-19 in Pakistan: A Qualitative Inquiry.

Am J Infect Control 2020 Jul 7. Epub 2020 Jul 7.

Department of Psychology, Kulliyyah of Islamic Revealed Knowledge and Human Sciences, International Islamic University Malaysia, Kuala Lumpur 53100, Malaysia. Electronic address:

Background: The COVID-19 outbreak has gravely impacted the physical and psychological health of people. As the outbreak is ongoing, it is crucial to equip the emergency healthcare workers (HCWs) to be medically and psychologically prepared.

Objective: To examine the psychological impact of COVID-19 on emergency HCWs and to understand how they are dealing with COVID-19 pandemic, their stress coping strategies or protective factors, and challenges while dealing with COVID-19 patients. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.214DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7340021PMC

Observations about Symptomatic and Asymptomatic infections of 494 patients with COVID-19 in Shanghai,China.

Am J Infect Control 2020 Jul 6. Epub 2020 Jul 6.

Research Unit, Shanghai Public Health Clinical Center, Fudan University, Shanghai, 201508. Electronic address:

Background: Humans are generally susceptible to SARS-CoV-2, which has caused a global pandemic of COVID-19. The screening of infected people in the population still mainly depends on clinical symptoms. However, there is limited research on the characteristics of clinical symptoms in different populations, especially in imported cases. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.221DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336908PMC

Environmental Detection of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) from Medical Equipment in Long-Term Care Facilities undergoing COVID-19 Outbreaks.

Am J Infect Control 2020 Jul 6. Epub 2020 Jul 6.

University of British Columbia, School of Population and Public Health, 2206 E Mall, Vancouver, British Columbia, V6T 1Z3, Canada; Vancouver Coastal Health, 601 W Broadway, Vancouver, British Columbia, V5Z 4C2, Canada. Electronic address:

We conducted environmental sampling at long-term care facilities to determine the extent of surface contamination with SARS-CoV-2 virus. Medical equipment used throughout the facility was determined to be contaminated. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.07.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336923PMC

Disinfection of N95 masks artificially contaminated with SARS-CoV-2 and ESKAPE bacteria using hydrogen peroxide plasma: impact on the reutilization of disposable devices.

Am J Infect Control 2020 Jul 6. Epub 2020 Jul 6.

División de Investigación, Hospital Juárez de México, Ciudad de México. Electronic address:

Introduction: One of the serious consequences of the SARS-CoV-2 pandemic is the shortage of protective equipment for health personnel. N95 masks are considered one of the essential protective equipment in the management of patients with COVID-19. The shortage of N95 masks implies potential health risks for health personnel and significant economic losses for the health institution. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.216DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336929PMC

Implementation of a Nurse-Driven Antibiotic Engagement Tool in 3 Hospitals.

Am J Infect Control 2020 Jul 6. Epub 2020 Jul 6.

Division of Infectious Diseases, Children's Mercy Hospital, Kansas City, MO, USA.

Background: Nurses are key in implementing antibiotic stewardship; however, standardized processes are lacking.

Methods: This feasibility study tested implementation of a nurse-driven antibiotic engagement tool (AET) that addressed antibiotic indication, duration, discontinuation, and intravenous to oral conversion. An investigator-developed survey measured nurse satisfaction, confidence, and understanding of antibiotic plan of care among 4 clinical units. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.07.002DOI Listing

Navigating Reflex Urine Culture Practices in Community Hospitals: Need for a Validated Approach.

Am J Infect Control 2020 Jul 4. Epub 2020 Jul 4.

Department of Medicine, Division of Infectious Diseases, Duke University School of Medicine, Durham, NC, USA; Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, NC, USA. Electronic address:

We performed a descriptive study of reflex urine culture (RUC) practices across 51 community hospitals in southeastern United States. We found that 26 unique reflexing criteria were used in 28 hospitals. Only 14% hospitals of hospitals that offered RUC restricted it to specific populations (e. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.218DOI Listing

Stopping the Routine use of Contact Precautions for Management of MRSA and VRE at Three Academic Medical Centers: An Interrupted Time Series Analysis.

Am J Infect Control 2020 Jul 4. Epub 2020 Jul 4.

Division of Infectious Diseases, Virginia Commonwealth University, Richmond, VA.

Background:  Contact precautions (CP) are a widely adopted strategy to prevent cross-transmission of organisms, commonly methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE). Some hospitals have discontinued CP for patients with MRSA or VRE; however, the impact on hospital-acquired infection rates (HAI) has not been assessed systematically.

Methods:  Retrospective multicenter interrupted time series between 2002 and 2017 at three academic hospitals. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.219DOI Listing

COVID-19 Infection: Strategies on When to Discontinue Isolation, a retrospective study.

Am J Infect Control 2020 Jul 4. Epub 2020 Jul 4.

Division of Consultative and Diagnostic Medicine, Mayo Clinic, Jacksonville, FL.

Objective: Add to available understanding of COVID-19 to help decrease further spread of SARS-CoV-2 by providing protocol providers can consider when giving patients recommendations to retest as well as length of time for self-isolation.

Methods: We retrospectively collected data from the electronic medical record of patients in the Mayo Clinic Florida's COVID Virtual Clinic. 118 patients with detectable results for the virus were followed. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.220DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7334929PMC

What is the best timing for healthcare workers infected COVID-19 to return to work?

Am J Infect Control 2020 Jul 3. Epub 2020 Jul 3.

Dongguan Nosocomial Infection Control and Quality Improvement Centre, Dongguan city, Guangdong Province, China. Electronic address:

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http://dx.doi.org/10.1016/j.ajic.2020.06.217DOI Listing

Drape to Prevent Disease Transmission During Endotracheal Intubation.

Am J Infect Control 2020 Jul 3. Epub 2020 Jul 3.

Division of Critical Care Medicine, Montefiore medical center, The Bronx, New York.

Endotracheal intubation poses high risk of transmission of SARS-CoV-2 and other respiratory pathogens. We designed and here describe a protective drape that we believe will greatly reduce this risk. Unlike the intubation box that has been described prior, it is portable, disposable, and does not restrict operator dexterity. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.212DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7333628PMC

Variability in infection surveillance methods and impact on surgical site infection rates.

Am J Infect Control 2020 Jul 2. Epub 2020 Jul 2.

Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI.

Background: The impact of variability in infection surveillance methodologies on publicly reported rates of surgical site infection (SSI) is not well defined.

Methods: We performed a cross-sectional study to assess infection preventionists' (IP) surveillance practices across acute-care US hospitals. We collected self-reported annual facility standardized infection ratios for colon surgery and abdominal hysterectomy as provided by the National Healthcare Safety Network. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.211DOI Listing

Hospital affiliated long term care facility COVID-19 containment strategy by using prevalence testing and infection control best practices.

Am J Infect Control 2020 Jul 2. Epub 2020 Jul 2.

Chief Operating Officer, Memorial Regional Hospital, Memorial Healthcare System.

In a hospital affiliated long term care facility, we found an opportunity to interrupt a potential outbreak of COVID-19 using a point prevalence testing containment strategy and applying infection prevention and control best practices. Three serial point prevalence studies were conducted on all residents and employees in fourteen day intervals and percent positive was used as marker for effective infection control efforts. A multidisciplinary strike team from acute care was used to disseminate infection control education and support to long term care partners. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.215DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332435PMC

How Common Are Indwelling Devices in Hospitalized Adults? A Contemporary Point Prevalence Study in A Tertiary Care Hospital.

Am J Infect Control 2020 Jul 1. Epub 2020 Jul 1.

The University of Michigan School of Medicine, Ann Arbor, Michigan; Division of Hospital Medicine. Department of Medicine, University of Michigan Health System. Electronic address:

Background: Healthcare associated infections (HAI) are associated with indwelling devices. Yet, data regarding prevalence of indwelling devices in non-critically ill hospitalized patients remains scant.

Methods: Adult, non-critically ill patients on general care, telemetry, and surgical floors at our quaternary care hospital were surveyed on two separate days. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.205DOI Listing

Protection Challenges of Pregnant Women against Vertical Transmission during COVID-19 Epidemic: A Narrative Review.

Am J Infect Control 2020 Jul 1. Epub 2020 Jul 1.

Dept. of Computer Science & Engineering, College of Comp. Sc. and IT, Albaha University, Saudi Arabia.

This paper presents a narrative review study of five popular data repositories focusing on challenges of pregnant women protection during the COVID-19 pandemic. The study concludes that the likelihood of a vertical transmission of COVID-19 infection from pregnant women to neonates was not observed. Nevertheless, it remains a serious risk for them during their earlier stage of pregnancy, thus, special attention from health professionals has been recommended. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.206DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7328570PMC

Resumption of Respiratory Outpatient Services in the COVID-19 era: experience from Southern Italy.

Am J Infect Control 2020 Jul 1. Epub 2020 Jul 1.

Respiratory Medicine Unit, A.O.U. "Policlinico-Vittorio Emanuele", Department of Clinical and Experimental Medicine, University of Catania, Via Santa Sofia 78, 95123, Catania, Italy. Electronic address:

COVID-19 pandemic turned the entire health-care system organization upside-down, suspending elective activities and outpatient services. In Italy, we are entering a second phase of the pandemic and several strategies has been developed to "re-open" the country, some businesses, and also health-care outpatient activities. This manuscript describes the experience of a Southern Italy Respiratory Unit for safely resuming outpatient respiratory services and preventing COVID-19 transmission. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.210DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7329653PMC

Rewarding and Recognizing Frontline Staff for Success in Infection Prevention.

Am J Infect Control 2020 Jun 29. Epub 2020 Jun 29.

The Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, OH; Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH.

Management practices help support efforts to prevent healthcare-associated infections (HAIs). Providing rewards and recognition to frontline staff is one management practice found to be in use by hospitals that are higher-performers in HAI prevention. Using data from interviews with hospital managers and frontline staff at 18 US hospitals, our study identifies how managers can use reward and recognition programs as motivational tools to sustain frontline HAI prevention efforts. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.208DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7324333PMC

Impact of air-conditioner outlet layout on the upward airflow induced by forced air warming in operating rooms.

Am J Infect Control 2020 Jun 27. Epub 2020 Jun 27.

Professor, Department of Anesthesiology and Critical Care Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. Electronic address:

Background: Previously, we found that an upward air current in the head area, induced by forced air warming (FAW), was completely counteracted by downward laminar airflow (LAF). However, this study did not include any consideration of the air-conditioner outlet layout (ACOL); hence, its impact remains unclear.

Methods: This study was performed in two operating rooms (ORs)-ISO classes 5 and 6, which are denoted as OR-5 and OR-6, respectively. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.202DOI Listing

Could the COVID-19 pandemic aggravate antimicrobial resistance?

Am J Infect Control 2020 Jun 27. Epub 2020 Jun 27.

Federal University of Grande Dourados-UFGD. Electronic address:

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http://dx.doi.org/10.1016/j.ajic.2020.06.192DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320258PMC

An agent-based modeling approach to estimate pathogen exposure risks from wheelchairs.

Am J Infect Control 2020 Jun 27. Epub 2020 Jun 27.

Department of Community, Environment & Policy, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona.

Background: Contributions of contaminated wheelchairs to nosocomial pathogen transmission are relatively unknown. Our aim was to develop a model predicting pathogen exposures for patients utilizing wheelchairs and estimate exposure reduction potential of wheelchair disinfection between rides.

Methods: An agent-based model was informed by wheelchair location data from a connected 215-bed acute care and 250-bed long-term care facility. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.204DOI Listing

Design and Evaluation of a Portable Negative Pressure Hood with HEPA Filtration to Protect Health Care Workers Treating Patients with Transmissible Respiratory Infections.

Am J Infect Control 2020 Jun 27. Epub 2020 Jun 27.

University of Minnesota, Department of Mechanical Engineering, Minneapolis, MN. Electronic address:

Background: To mitigate potential exposure of healthcare workers (HCWs) to SARS-CoV-2 via aerosol routes, we have developed a portable hood which not only creates a barrier between HCW and patient, but also utilizes negative pressure with filtration of aerosols by a HEPA filter.

Material And Methods: The hood has iris-port openings for access to the patient, and an opening large enough for a patient's head and upper torso. The top of the hood is a HEPA filter connected to a blower to apply negative pressure. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.203DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320700PMC

COVID-19 Fatalities, Latitude, Sunlight, and Vitamin D.

Am J Infect Control 2020 Jun 26. Epub 2020 Jun 26.

Pepperdine University. Electronic address:

Background: Since Vitamin D is known to be vital in regulating the immune system, and sunlight UV radiation exposure on the skin produces Vitamin D and UV intensity is highest nearest the equator, a study was done to examine the correlation between the latitude and COVID-19 fatality rates for countries.

Methods: Eighty-eight countries were selected based on their likelihood of providing reliable data. Using death rates/million for each country from the "worldometer" web site, a correlation analysis was done between death rates and a country's latitude. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.193DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319635PMC

N95 Reprocessing by Low Temperature Sterilization with 59% Vaporized Hydrogen Peroxide during the 2020 COVID-19 Pandemic.

Am J Infect Control 2020 Jun 26. Epub 2020 Jun 26.

Carilion Clinic Roanoke Memorial Hospital, Roanoke, VA; Carilion Clinic Infection Prevention, Roanoke, VA; Virginia Tech Carilion School of Medicine, Roanoke, VA. Electronic address:

Background: Response to the COVID-19 pandemic by hospital systems has been strained by severe shortages in personal protective equipment (PPE), particularly N95 respirators. Recently, the Centers for Disease Control and Prevention endorsed decontamination strategies to prolong the lifespan of single use respirators. Battelle and Duke University have validated hospital protocols to decontaminate respirators using vaporized hydrogen peroxide (VHP) at 30%-35% concentrations. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.194DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319649PMC

Containing COVID-19 outside the isolation ward: the impact of an infection control bundle on environmental contamination and transmission in a cohorted general ward.

Am J Infect Control 2020 Jun 26. Epub 2020 Jun 26.

Department of Infection Prevention and Epidemiology, Singapore General Hospital, Singapore.

Background: During an ongoing outbreak of COVID-19, unsuspected cases may be housed outside of dedicated isolation wards.

Aim: At a Singaporean tertiary hospital, individuals with clinical syndromes compatible with COVID-19 but no epidemiologic risk were placed in cohorted general wards for COVID-19 testing. To mitigate risk, an infection control bundle was implemented comprising infrastructural enhancements, improved personal-protective-equipment (PPE), and social distancing. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.188DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319619PMC

Characteristics of COVID-19 Near China's Epidemic Center.

Am J Infect Control 2020 Jun 26. Epub 2020 Jun 26.

Department of Health Service, Second Military Medical University, Shanghai 200433, China. Electronic address:

Background: This study described and analyzed the age, gender, infection sources, and timing characteristics of the 416 confirmed cases in two cities near the center of China's COVID-19 outbreak.

Methods: This study used publicly available data to examine gender, age, source of infection, date returned from Hubei, date of disease onset, date of first medical visit, date of final diagnosis, and date of recovery of COVID-19 cases.

Results: Public-use data revealed similar risks of infection by age and that the numbers of new and final diagnoses of confirmed cases first increased, peaked at about two weeks, and then gradually decreased. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.191DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319631PMC

Impact of antibiotic prescription on the resistance of Klebsiella pneumoniae at a tertiary hospital in China, 2012-2019.

Am J Infect Control 2020 Jun 26. Epub 2020 Jun 26.

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

Background: The incidence of Klebsiella pneumoniae (KP) infections is worrisome. Previous studies have shown that increased antibiotic treatment might affect the resistance profile of this organism. The objective of this study was to describe the resistance profile of KP strains and to correlate it with antibiotics consumption. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.189DOI Listing

An Evaluation of Cleaning Practices at a Teaching Hospital.

Am J Infect Control 2020 Jun 26. Epub 2020 Jun 26.

Ryerson University. Electronic address:

Background: The COVID-19 outbreak has highlighted the role of hospital-acquired infections in spreading epidemics. Adequately cleaning surfaces in patient rooms is an essential part of this fight to reduce the spread. Traditional audits, however, are insufficient. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.187DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318966PMC

Bacterial and fungal colonization of the respiratory tract in COVID-19 patients should not be neglected.

Am J Infect Control 2020 Jun 25. Epub 2020 Jun 25.

Department of Laboratory Medicine, University of Milano-Bicocca, Azienda Socio Sanitaria Territoriale di Monza ASST-Monza, Desio Hospital, via Mazzini 1, 20833, Desio (MB), Italy.

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http://dx.doi.org/10.1016/j.ajic.2020.06.185DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315146PMC

Active Surveillance for Acute Respiratory Infections among Pediatric Long-Term Care Facility Staff.

Am J Infect Control 2020 Jun 25. Epub 2020 Jun 25.

Department of Pediatrics, Columbia University Irving Medical Center, New York, NY; Department of Infection Prevention & Control, NewYork-Presbyterian Hospital, New York, NY. Electronic address:

Background: Transmission of respiratory viruses between staff and residents of pediatric long-term care facilities (pLTCFs) can occur. We assessed the feasibility of using text or email messages to perform surveillance for acute respiratory infections (ARIs) among staff.

Methods: From December 7, 2016 to May 7, 2017, 50 staff participants from two pLTCFs received weekly text or email requests to report the presence or absence of ARI symptoms. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.190DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7316056PMC

Preparing your healthcare facility for the new fungus among us: An infection preventionist's guide to Candida auris.

Am J Infect Control 2020 Jul;48(7):825-827

Department of Medicine, Division of Infectious Diseases, Weill Cornell Medicine, New York NY; Department of Infection Prevention and Control, New York-Presbyterian Hospital, New York, NY. Electronic address:

Candida auris is a multidrug-resistant yeast that has emerged in recent years as a serious global health threat. Unique challenges in identification, treatment, and cleaning and disinfection have contributed to its propensity to spread within healthcare settings. Familiarity with the organism and knowledge of appropriate methods for detection and management of infection and colonization is important for infection preventionists to prevent healthcare-associated transmission of this pathogen. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.01.021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323875PMC

A Review of Wipes Used to Disinfect Hard Surfaces in Healthcare Facilities.

Authors:
John M Boyce

Am J Infect Control 2020 Jun 19. Epub 2020 Jun 19.

J.M. Boyce Consulting, LLC, Middletown, CT 06457. Electronic address:

Background: Despite a plethora of wipes available for use in healthcare facilities, there is a paucity of articles describing wipe composition, potential interactions between wipes and disinfectants, the manner in which wipes are used, and their relative efficacy. The purpose of this article is to provide an in-depth review of wipes used for disinfection of hard surfaces in healthcare settings.

Methods: Comprehensive searches of the Pubmed database and Internet were conducted, and articles published from 1953 through September 2019 and pertinent on-line documents were reviewed. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.183DOI Listing

Molecular surveillance of methicillin-resistant Staphylococcus aureus genomes in hospital unexpectedly reveals discordance between temporal and genetic clustering.

Am J Infect Control 2020 Jun 18. Epub 2020 Jun 18.

BioInfoExperts, LLC, Thibodaux, LA, USA.

Background: The objective of this study was to Identify sources and linkages among methicillin-resistant Staphylococcus aureus infections using whole-genome sequencing (WGS).

Methods: A total of 56 samples were obtained from all patients with a confirmed MRSA infection over 6 months at University of Florida-Health Jacksonville (UFHJ). Samples were cultured and sequenced; data was analyzed on an automated cloud-based platform. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.180DOI Listing

Hand Sanitizers: A Review of Ingredients, Mechanisms of Action, Modes of Delivery, and Efficacy Against Coronaviruses.

Am J Infect Control 2020 Jun 18. Epub 2020 Jun 18.

BC Professional Firefighters' Burn & Wound Healing Research Laboratory, Department of Surgery, Division of Plastic Surgery, iCORD, Vancouver, British Columbia, Canada. Electronic address:

Background: The emergence of the novel virus, SARS-CoV-2, has posed unprecedented challenges to public health around the world. Currently, strategies to deal with COVID-19 are purely supportive and preventative, aimed at reducing transmission. An effective and simple method for reducing transmission of infections in the public or healthcare settings is hand hygiene. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.182DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301780PMC

Antimicrobial Stewardship Intervention to Reduce Unnecessary Antibiotic Doses in Neonates.

Am J Infect Control 2020 Jun 17. Epub 2020 Jun 17.

Clinical Pharmacist, Neonatal and Pediatric Pharmacy, Surrey Memorial Hospital.

The wording of the antibiotic duration orders for neonatal sepsis was changed as an antimicrobial stewardship initiative to reduce the administration of unnecessary antibiotic doses. The change in wording allowed the patient to stop receiving antibiotics after they received 48 hours of therapy if the health care team had not received notification of a positive culture. This initiative led to a decrease in the number of neonates that received extra unnecessary doses from 50% to 7. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.177DOI Listing

Issues to be considered when planning sero-epidemiological studies in regions with a low incidence of SARS-CoV-2.

Am J Infect Control 2020 Jun 17. Epub 2020 Jun 17.

Dongguan Nosocomial Infection Control and Quality Improvement Centre, Dongguan City, Guangdong Province, China.

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http://dx.doi.org/10.1016/j.ajic.2020.06.176DOI Listing

Catheter Securement Impact on PICC-related CLABSI: A University Hospital Perspective.

Am J Infect Control 2020 Jun 17. Epub 2020 Jun 17.

Global Vascular Access, LLC Scottsdale, AZ.

The use of a subcutaneous engineered securement device (SESD) for peripherally inserted central catheters (PICC) in an acute care setting was found to have a direct impact on central line associated bloodstream infection (CLABSI) rates compared to traditional adhesive engineered securement devices (AESD).

Objective: While the literature suggests the use of SESDs has had successful results for device securement, it is unknown to what extent they may impact CLABSI rates. Securement and stabilization performance among devices may be a direct risk factor for CLABSIs. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.178DOI Listing

Mind the gap: The hospital breakroom.

Am J Infect Control 2020 Jun 17. Epub 2020 Jun 17.

Division of Infectious Diseases, UT Health Medical School at Houston, Houston, TX.

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http://dx.doi.org/10.1016/j.ajic.2020.06.179DOI Listing

Meta-analysis investigating the relationship between clinical features, outcomes, and severity of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia.

Am J Infect Control 2020 Jun 12. Epub 2020 Jun 12.

Department of Pathology, Beijing Tiantan Hospital Affiliated to Capital Medical University, Fengtai District, Beijing, China. Electronic address:

Objective: We aimed to investigate the relationship between clinical characteristics, outcomes and the severity of severe acute respiratory syndrome coronavirus 2 pneumonia.

Methods: We performed a systematic review and meta-analysis using PubMed, Embase, and Cochrane Library databases to assess the clinical characteristics and outcomes of confirmed COVID-19 cases and compared severe (ICU) and nonsevere (non-ICU) groups.

Results: We included 12 cohort studies including 2,445 patients with COVID-19. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292004PMC

Epidemic characteristics of the COVID-19 outbreak in Tianjin, a well-developed city in China.

Am J Infect Control 2020 Jun 12. Epub 2020 Jun 12.

BE and Phase I Clinical Trial Center, The First Affiliated Hospital of Xiamen University, Xiamen, China. Electronic address:

Background: Coronavirus disease 2019 (COVID-19) is already a pandemic. Few studies investigated the epidemic characteristics of the COVID-19 outbreak in the well-developed cities.

Methods: Epidemiological data of 136 confirmed COVID-19 cases were collected from the dataset of COVID-19 in Tianjin. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291981PMC

Rational Perspectives on Risk and Certainty for Dentistry During the COVID-19 Pandemic.

Am J Infect Control 2020 Jun 11. Epub 2020 Jun 11.

Professor & Chair, Department Epidemiology & Health Promotion, Director, WHO Collaborating Center Quality Improvement & Evidence-based Dentistry, College of Dentistry, New York University, 433 First Avenue, New York 10010 NY, United States. Electronic address:

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http://dx.doi.org/10.1016/j.ajic.2020.06.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7290219PMC

Self-reported Impact of Respirator Use on Healthcare Worker Ability to Perform Patient Care.

Am J Infect Control 2020 Jun 10. Epub 2020 Jun 10.

The University of Maryland School of Medicine, Department of Medicine, Division of Occupational and Environmental Medicine, 11 South Paca Street, Suite 200, Baltimore, MD 21201.

In a study of 1152 healthcare workers surveyed prior to the COVID-19 pandemic, most disagreed that respiratory protective equipment use interferes with patient care but reported that it would affect respirator use compliance if it did. A patient's fear reaction variably influenced self-reported healthcare worker compliance with respirator use. Strategies to improve protective equipment design may remove potential barriers to respirator use and allow better healthcare worker-patient relationships. Read More

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http://dx.doi.org/10.1016/j.ajic.2020.06.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7286820PMC