6,645 results match your criteria Infection Control and Hospital Epidemiology[Journal]


Hardwiring diagnostic stewardship using electronic ordering restrictions for gastrointestinal pathogen testing.

Infect Control Hosp Epidemiol 2019 Apr 23:1-6. Epub 2019 Apr 23.

Division of Infectious Diseases,University of Nebraska Medical Center,Omaha,Nebraska.

Objective: To evaluate the impact of a hard stop in the electronic health record (EHR) on inappropriate gastrointestinal pathogen panel testing (GIPP).

Design: We used a quasi-experimental study to evaluate testing before and after the implementation of an EHR alert to stop inappropriate GIPP ordering.

Setting: Midwest academic medical center. Read More

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http://dx.doi.org/10.1017/ice.2019.78DOI Listing

Increasing burden of Escherichia coli, Klebsiella pneumoniae, and Enterococcus faecium in hospital-acquired bloodstream infections (2000-2014): A national dynamic cohort study.

Infect Control Hosp Epidemiol 2019 Apr 23:1-5. Epub 2019 Apr 23.

Healthcare-Associated Infections and Antimicrobial Resistance, Public Health and Surveillance Department,Scientific Institute of Public Health,Brussels,Belgium.

The epidemiology of hospital-acquired bloodstream infections (HABSIs) based on the Belgian national surveillance program was analyzed (2000-2014). Our mixed-effects regression analysis identified increased rates of Escherichia coli, Klebsiella pneumoniae, and Enterococcus faecium. HABSI incidence and resistance patterns should be further monitored because of their impact on proper empiric antibiotic therapy. Read More

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https://www.cambridge.org/core/product/identifier/S0899823X1
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http://dx.doi.org/10.1017/ice.2019.59DOI Listing
April 2019
1 Read

Tuberculosis among healthcare personnel, United States, 2010-2016.

Infect Control Hosp Epidemiol 2019 Apr 23:1-4. Epub 2019 Apr 23.

Division of Tuberculosis Elimination,Centers for Disease Control and Prevention,Atlanta, Georgia.

We describe characteristics of US healthcare personnel (HCP) diagnosed with tuberculosis (TB). Among 64,770 adults with TB during 2010-2016, 2,460 (4%) were HCP. HCP with TB were more likely to be born outside of the United States, and less likely to have TB attributed to recent transmission, than non-HCP. Read More

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https://www.cambridge.org/core/product/identifier/S0899823X1
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http://dx.doi.org/10.1017/ice.2019.76DOI Listing
April 2019
1 Read

Integration of genomic and clinical data augments surveillance of healthcare-acquired infections.

Infect Control Hosp Epidemiol 2019 Apr 23:1-7. Epub 2019 Apr 23.

Department of Microbiology and Physiological Systems,University of Massachusetts Medical School,Worcester,Massachusetts.

Background: Determining infectious cross-transmission events in healthcare settings involves manual surveillance of case clusters by infection control personnel, followed by strain typing of clinical/environmental isolates suspected in said clusters. Recent advances in genomic sequencing and cloud computing now allow for the rapid molecular typing of infecting isolates.

Objective: To facilitate rapid recognition of transmission clusters, we aimed to assess infection control surveillance using whole-genome sequencing (WGS) of microbial pathogens to identify cross-transmission events for epidemiologic review. Read More

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http://dx.doi.org/10.1017/ice.2019.75DOI Listing

Test stewardship, frequency and fidelity: Impact on reported hospital-onset Clostridioides difficile.

Infect Control Hosp Epidemiol 2019 Apr 22:1-3. Epub 2019 Apr 22.

Healthcare Infection Prevention Program,Virginia Commonwealth University Health System,Richmond, Virginia.

We assessed the impact of an embedded electronic medical record decision-support matrix (Cerner software system) for the reduction of hospital-onset Clostridioides difficile. A critical review of 3,124 patients highlighted excessive testing frequency in an academic medical center and demonstrated the impact of decision support following a testing fidelity algorithm. Read More

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https://www.cambridge.org/core/product/identifier/S0899823X1
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http://dx.doi.org/10.1017/ice.2019.63DOI Listing
April 2019
4 Reads

Impact of biofilm production on polymyxin B susceptibility among Pseudomonas aeruginosa clinical isolates.

Infect Control Hosp Epidemiol 2019 Apr 22:1-2. Epub 2019 Apr 22.

Curso de Especialização em Microbiologia Clínica, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.

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http://dx.doi.org/10.1017/ice.2019.85DOI Listing

Effectiveness of a hydrogen peroxide foam against bleach for the disinfection of sink drains.

Infect Control Hosp Epidemiol 2019 Apr 17:1-3. Epub 2019 Apr 17.

Froedtert Memorial Lutheran Hospital,Milwaukee,Wisconsin.

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http://dx.doi.org/10.1017/ice.2019.72DOI Listing

Implementation of antimicrobial stewardship and infection prevention and control practices in long-term care facilities-Pennsylvania, 2017.

Infect Control Hosp Epidemiol 2019 Apr 15:1-4. Epub 2019 Apr 15.

Division of Infectious Diseases, Department of Medicine, Perelman School of Medicine,University of Pennsylvania,Philadelphia,Pennsylvania.

In 2017, we surveyed long-term care facilities in Pennsylvania regarding antimicrobial stewardship and infection prevention and control (IPC) practices. Among 244 responding facilities, 93% had IPC programs and 47% had antimicrobial stewardship programs. There was significant variation in practices across facilities, and a number of program implementation challenges were identified. Read More

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http://dx.doi.org/10.1017/ice.2019.80DOI Listing

Predictive characteristics of methicillin-resistant Staphylococcus aureus nares screening tests for methicillin resistance among S. aureus clinical isolates from hospitalized veterans.

Infect Control Hosp Epidemiol 2019 Apr 15:1-3. Epub 2019 Apr 15.

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

For patients with possible Staphylococcus aureus infection, providers must decide whether to treat empirically for methicillin-resistant S. aureus (MRSA). Nares MRSA colonization screening tests could inform decisions regarding empiric MRSA-active antibiotic use. Read More

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http://dx.doi.org/10.1017/ice.2019.32DOI Listing

Estimating the Attributable Disease Burden and Effects of Interhospital Patient Sharing on Clostridium difficile Infections.

Infect Control Hosp Epidemiol 2019 Apr 12:1-6. Epub 2019 Apr 12.

Department of Internal Medicine,University of Iowa,Iowa City,Iowafor the CDC MInD-Healthcare Program.

Objective: To estimate the burden of Clostridium difficile infections (CDIs) due to interfacility patient sharing at regional and hospital levels.

Design: Retrospective observational study.

Methods: We used data from the Healthcare Cost and Utilization Project California State Inpatient Database (2005-2011) to identify 26,878,498 admissions and 532,925 patient transfers. Read More

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https://www.cambridge.org/core/product/identifier/S0899823X1
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http://dx.doi.org/10.1017/ice.2019.73DOI Listing
April 2019
2 Reads

Factors affecting the geographic variability of antibiotic-resistant healthcare-associated infections in the United States using the CDC Antibiotic Resistance Patient Safety Atlas.

Infect Control Hosp Epidemiol 2019 Apr 12:1-3. Epub 2019 Apr 12.

Emory University School of Medicine,Atlanta,Georgia.

We utilized publicly available data from the Centers for Disease Control to explore possible causes of state-to-state variability in antibiotic-resistant healthcare-associated infections. Outpatient antibiotic prescribing rates of fluoroquinolones and cephalosporins explained some variability in extended-spectrum cephalosporin-resistant Escherichia coli after adjusting for differences in age and healthcare facility composition. Read More

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http://dx.doi.org/10.1017/ice.2019.64DOI Listing

Evaluation of uncomplicated acute respiratory tract infection management in veterans: A national utilization review.

Infect Control Hosp Epidemiol 2019 Apr;40(4):438-446

Center for Medication Safety (VAMedSAFE),Hines Veterans Affairs Medical Center,Chicago, Illinois.

Background: Antibiotics are overprescribed for acute respiratory tract infections (ARIs). Guidelines provide criteria to determine which patients should receive antibiotics. We assessed congruence between documentation of ARI diagnostic and treatment practices with guideline recommendations, treatment appropriateness, and outcomes. Read More

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http://dx.doi.org/10.1017/ice.2019.16DOI Listing
April 2019
1 Read

Infection prevention in the operating room anesthesia work area - CORRIGENDUM.

Authors:

Infect Control Hosp Epidemiol 2019 Apr;40(4):500

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http://dx.doi.org/10.1017/ice.2019.7DOI Listing
April 2019
4 Reads

Antibiotic-resistant bacteria on personal devices in hospital intensive care units: Molecular approaches to quantifying and describing changes in the bacterial community of personal mobile devices.

Infect Control Hosp Epidemiol 2019 Apr 11:1-4. Epub 2019 Apr 11.

Civil and Environmental Engineering Department,Duke University,Durham, North Carolina.

Bacterial community composition and presence of antibiotic resistance genes (mecA, tetK, and vanA) on personal mobile devices (PMDs) of nurses in intensive care units (ICUs) were evaluated. Antibiotic resistance genes on PMDs decreased at the end of the shift, and a several microbial genera changed. Read More

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http://dx.doi.org/10.1017/ice.2019.56DOI Listing

Real-world challenges in infection prevention: Differential implementation between stable and unstable patients may influence clinical effectiveness of interventions.

Infect Control Hosp Epidemiol 2019 Apr 11:1-2. Epub 2019 Apr 11.

University of Iowa and Iowa City VA Health Care System,Iowa City, Iowa.

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http://dx.doi.org/10.1017/ice.2019.87DOI Listing
April 2019
4 Reads

Ban the handshake in winter?

Authors:
Leonard A Mermel

Infect Control Hosp Epidemiol 2019 Apr 10:1-2. Epub 2019 Apr 10.

Department of Medicine,Warren Alpert Medical School of Brown University,Providence, Rhode Island.

Gastrointestinal and respiratory viruses are particularly common during winter months, and reducing risk of transmission is challenging. Transfer of bacteria from the hands of one person to another is dramatically reduced with a fist bump compared to a handshake. If the same is true for viruses, should we recommend this change in greeting in the winter? Read More

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http://dx.doi.org/10.1017/ice.2019.58DOI Listing

Surgical site infection risk following cesarean deliveries covered by Medicaid or private insurance.

Infect Control Hosp Epidemiol 2019 Apr 9:1-10. Epub 2019 Apr 9.

Division of Healthcare Quality Promotion,Centers for Disease Control and Prevention,Atlanta,Georgia.

Objective: To compare risk of surgical site infection (SSI) following cesarean delivery between women covered by Medicaid and private health insurance.

Study Design: Retrospective cohort.

Study Population: Cesarean deliveries covered by Medicaid or private insurance and reported to the National Healthcare Safety Network (NHSN) and state inpatient discharge databases by hospitals in California (2011-2013). Read More

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https://www.cambridge.org/core/product/identifier/S0899823X1
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http://dx.doi.org/10.1017/ice.2019.66DOI Listing
April 2019
11 Reads

Changes in vascular accesses and in incidence rates of dialysis-related bloodstream infections in Québec, Canada, 2011-2017.

Infect Control Hosp Epidemiol 2019 Apr 8:1-5. Epub 2019 Apr 8.

Department of Medical Microbiology,McGill University Health Centre,Québec,Canada.

Objective: Surveillance of dialysis-related bloodstream infections (DRBSIs) has been mandatory in Québec since April 2011. The aim of this study was to describe the epidemiology of DRBSIs in Québec.

Methods: Cohort study of prevalent patients undergoing chronic dialysis in the 36 facilities that participated without interruption in the provincial surveillance, between April 2011 and March 2017. Read More

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http://dx.doi.org/10.1017/ice.2019.65DOI Listing

Investigation of healthcare infection risks from water-related organisms: Summary of CDC consultations, 2014-2017.

Infect Control Hosp Epidemiol 2019 Apr 3:1-6. Epub 2019 Apr 3.

Division of Healthcare Quality Promotion,Centers for Disease Control and Prevention,Atlanta, Georgia.

Objective: Water exposures in healthcare settings and during healthcare delivery can place patients at risk for infection with water-related organisms and can potentially lead to outbreaks. We aimed to describe Centers for Disease Control and Prevention (CDC) consultations involving water-related organisms leading to healthcare-associated infections (HAIs).

Design: Retrospective observational study. Read More

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http://dx.doi.org/10.1017/ice.2019.60DOI Listing
April 2019
1 Read

Hospital epidemiologists' and infection preventionists' opinions regarding hospital-onset bacteremia and fungemia as a potential healthcare-associated infection metric.

Infect Control Hosp Epidemiol 2019 Apr 1:1-5. Epub 2019 Apr 1.

Division of Pediatric Infectious Diseases, Department of Pediatrics,Johns Hopkins University School of Medicine,Baltimore,Maryland.

Objective: To ascertain opinions regarding etiology and preventability of hospital-onset bacteremia and fungemia (HOB) and perspectives on HOB as a potential outcome measure reflecting quality of infection prevention and hospital care.

Design: Cross-sectional survey.

Participants: Hospital epidemiologists and infection preventionist members of the Society for Healthcare Epidemiology of America (SHEA) Research Network. Read More

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http://dx.doi.org/10.1017/ice.2019.40DOI Listing
April 2019
2 Reads

Optimizing vascular-access device decision-making in the era of midline catheters.

Infect Control Hosp Epidemiol 2019 Mar 29:1-7. Epub 2019 Mar 29.

Division of Infectious Diseases,University of Nebraska Medical Center,Omaha,Nebraska.

This narrative review addresses vascular access device choice from peripheral intravenous catheters through central venous catheters, including the evolving use of midline catheters. The review incorporates best practices, published algorithms, and complications extending beyond CLABSI and phlebitis to assist clinicians in navigating complex vascular access decisions. Read More

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https://www.cambridge.org/core/product/identifier/S0899823X1
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http://dx.doi.org/10.1017/ice.2019.49DOI Listing
March 2019
8 Reads

Threatened efficiency not autonomy: Prescriber perceptions of an established pediatric antimicrobial stewardship program.

Infect Control Hosp Epidemiol 2019 Mar 28:1-6. Epub 2019 Mar 28.

Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine,University of Pennsylvania, Philadelphia, Pennsylvania.

Background: Implementing antimicrobial stewardship programs (ASPs) can be challenging due to prescriber resistance. Although barriers to implementing new ASPs have been identified, little is known about how prescribers perceive established programs. This information is critical to promoting the sustainability of ASPs. Read More

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http://dx.doi.org/10.1017/ice.2019.47DOI Listing
March 2019
1 Read
4.175 Impact Factor

Outbreak of scabies in a neonatal intensive care unit.

Infect Control Hosp Epidemiol 2019 Mar 28:1-2. Epub 2019 Mar 28.

Pediatric Infectious Diseases, Department of Pediatrics,Emory University School of Medicine and Children's Healthcare of Atlanta,Atlanta, Georgia.

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http://dx.doi.org/10.1017/ice.2019.57DOI Listing
March 2019
3 Reads

Tracking the spread of carbapenem-resistant Enterobacteriaceae (CRE) through clinical cultures alone underestimates the spread of CRE even more than anticipated.

Infect Control Hosp Epidemiol 2019 Mar 28:1-3. Epub 2019 Mar 28.

Division of Infectious Diseases,University of California Irvine School of Medicine,Irvine, California,USA.

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http://dx.doi.org/10.1017/ice.2019.61DOI Listing

Outcomes from an inpatient beta-lactam allergy guideline across a large US health system.

Infect Control Hosp Epidemiol 2019 Mar 27:1-8. Epub 2019 Mar 27.

Harvard Medical School,Boston, Massachusetts.

Objective: To assess the safety of, and subsequent allergy documentation associated with, an antimicrobial stewardship intervention consisting of test-dose challenge procedures prompted by an electronic guideline for hospitalized patients with reported β-lactam allergies.

Design: Retrospective cohort study.

Setting: Large healthcare system consisting of 2 academic and 3 community acute-care hospitals between April 2016 and December 2017. Read More

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http://dx.doi.org/10.1017/ice.2019.50DOI Listing

Predicting probability of perirectal colonization with carbapenem-resistant Enterobacteriaceae (CRE) and other carbapenem-resistant organisms (CROs) at hospital unit admission.

Infect Control Hosp Epidemiol 2019 Mar 27:1-10. Epub 2019 Mar 27.

Department of Epidemiology,Johns Hopkins University Bloomberg School of Public Health,Baltimore, Maryland.

Background: Targeted screening for carbapenem-resistant organisms (CROs), including carbapenem-resistant Enterobacteriaceae (CRE) and carbapenemase-producing organisms (CPOs), remains limited; recent data suggest that existing policies miss many carriers.

Objective: Our objective was to measure the prevalence of CRO and CPO perirectal colonization at hospital unit admission and to use machine learning methods to predict probability of CRO and/or CPO carriage.

Methods: We performed an observational cohort study of all patients admitted to the medical intensive care unit (MICU) or solid organ transplant (SOT) unit at The Johns Hopkins Hospital between July 1, 2016 and July 1, 2017. Read More

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http://dx.doi.org/10.1017/ice.2019.42DOI Listing
March 2019
1 Read

The evolution of catheter-associated urinary tract infection (CAUTI): Is it time for more inclusive metrics?

Infect Control Hosp Epidemiol 2019 Mar 27:1-5. Epub 2019 Mar 27.

Care Excellence,Ascension Health,St Louis, Missouri.

Catheter-associated urinary tract infection (CAUTI) has long been considered a preventable healthcare-associated infection. Many federal agencies, the Centers for Medicare and Medicaid Services (CMS), and public and private healthcare organizations have implemented strategies aimed at preventing CAUTIs. To monitor progress in CAUTI prevention, the National Healthcare Safety Network (NHSN) CAUTI metric has been adopted nationally as the primary outcome measure and has been refined over the past decades. Read More

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http://dx.doi.org/10.1017/ice.2019.43DOI Listing

Practice and attitudes toward alcohol-based hand disinfection among German infection control teams.

Infect Control Hosp Epidemiol 2019 Mar 27:1-4. Epub 2019 Mar 27.

German Consulting Center for Infection Prevention and Control [Deutsches Beratungszentrum für Hygiene (BZH GmbH)],Freiburg,Germany.

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http://dx.doi.org/10.1017/ice.2019.53DOI Listing

Increased time spent on terminal cleaning of patient rooms may not improve disinfection of high-touch surfaces.

Infect Control Hosp Epidemiol 2019 Mar 25:1-2. Epub 2019 Mar 25.

Department of Medicine,Central Texas Veterans Health Care System,Temple, Texas.

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http://dx.doi.org/10.1017/ice.2019.44DOI Listing
March 2019
1 Read

Antimicrobial resistance patterns in urinary E. coli isolates after a change in a single center's guidelines for uncomplicated cystitis in ambulatory settings.

Infect Control Hosp Epidemiol 2019 Mar 21:1-3. Epub 2019 Mar 21.

University of Colorado School of Medicine,Aurora,Colorado.

Recommending nitrofurantoin to treat uncomplicated cystitis was associated with increased nitrofurantoin use from 3.53 to 4.01 prescriptions per 1,000 outpatient visits, but nitrofurantoin resistance in E. Read More

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http://dx.doi.org/10.1017/ice.2019.52DOI Listing

Transmission routes of the virus causing viral hemorrhagic fever: Extreme precautions are prudent but high-quality evidence must be gathered.

Infect Control Hosp Epidemiol 2019 Mar 21:1-2. Epub 2019 Mar 21.

Department of Virology I,National Institute of Infectious Diseases,Tokyo,Japan.

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http://dx.doi.org/10.1017/ice.2019.46DOI Listing

New SHEA expert guidance for infection prevention in the anesthesia work area needs improvement.

Authors:
Elliott S Greene

Infect Control Hosp Epidemiol 2019 Mar 21:1-2. Epub 2019 Mar 21.

Department of Anesthesiology,Albany Medical College, Albany, New York.

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http://dx.doi.org/10.1017/ice.2019.45DOI Listing

Impact of doffing errors on healthcare worker self-contamination when caring for patients on contact precautions.

Infect Control Hosp Epidemiol 2019 Mar 20:1-7. Epub 2019 Mar 20.

Department of Medicine,Rush University Medical Center,Chicago, Illinois.

Objective: We assessed the impact of personal protective equipment (PPE) doffing errors on healthcare worker (HCW) contamination with multidrug-resistant organisms (MDROs).

Design: Prospective, observational study.

Setting: The study was conducted at 4 adult ICUs at 1 tertiary-care teaching hospital. Read More

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https://www.cambridge.org/core/product/identifier/S0899823X1
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http://dx.doi.org/10.1017/ice.2019.33DOI Listing
March 2019
14 Reads

The prevalence of antiseptic tolerance genes among staphylococci and enterococci in a pediatric population.

Infect Control Hosp Epidemiol 2019 Mar;40(3):333-340

Department of Pediatrics, Section of Infectious Diseases,Baylor College of Medicine and Texas Children's Hospital,Houston, Texas.

Objective: The smr and qacA/B genes in Staphylococcus aureus confer tolerance to antiseptics and are associated with nosocomial acquisition of infection and underlying medical conditions. Such antiseptic tolerance (AT) genes have also been reported in coagulase-negative staphylococci (CoNS) and enterococci, however, few data are available regarding their prevalence. We sought to describe the frequency of AT genes among bloodstream isolates of S. Read More

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http://dx.doi.org/10.1017/ice.2019.3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425960PMC

Health and economic burden of antimicrobial-resistant infections in Australian hospitals: a population-based model.

Infect Control Hosp Epidemiol 2019 Mar;40(3):320-327

Centre for Research Excellence, Reducing Healthcare-Associated Infections, Australian Centre for Health Services Innovation,Queensland University of Technology,Queensland,Australia.

Objective: To estimate the additional health and economic burden of antimicrobial-resistant (AMR) infections in Australian hospitals.

Methods: A simulation model based on existing evidence was developed to assess the additional mortality and costs of healthcare-associated AMR Escherichia coli (E. coli), Klebsiella pneumoniae, Pseudomonas aeruginosa, Enterococcus faecium, and Staphylococcus aureus infections. Read More

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http://dx.doi.org/10.1017/ice.2019.2DOI Listing
March 2019
1 Read

Healthcare-associated bloodstream infection trends under a provincial surveillance program.

Infect Control Hosp Epidemiol 2019 Mar;40(3):307-313

Department of Epidemiology, Biostatistics and Occupational Health,McGill University,Montreal, Québec,Canada.

Objective: BACTOT, Quebec's healthcare-associated bloodstream infection (HABSI) surveillance program has been operating since 2007. In this study, we evaluated the changes in HABSI rates across 10 years of BACTOT surveillance under a Bayesian framework.

Design: A retrospective, cohort study of eligible hospitals having participated in BACTOT for at least 3 years, regardless of their entry date. Read More

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http://dx.doi.org/10.1017/ice.2018.357DOI Listing

Acupuncture-associated infections: A matter of concern in China.

Infect Control Hosp Epidemiol 2019 Mar;40(3):383-384

Hunan Key Laboratory of Viral Hepatitis and Department of Infectious Diseases, Xiangya Hospital,Central South University,Changsha, Hunan,China.

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http://dx.doi.org/10.1017/ice.2018.354DOI Listing

A diagnostic algorithm for the surveillance of deep surgical site infections after colorectal surgery.

Infect Control Hosp Epidemiol 2019 Mar 14:1-5. Epub 2019 Mar 14.

Julius Center for Health Sciences and Primary Care,University Medical Center Utrecht, University of Utrecht,Utrecht,The Netherlands.

Objective: Surveillance of surgical site infections (SSIs) is important for infection control and is usually performed through retrospective manual chart review. The aim of this study was to develop an algorithm for the surveillance of deep SSIs based on clinical variables to enhance efficiency of surveillance.

Design: Retrospective cohort study (2012-2015). Read More

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http://dx.doi.org/10.1017/ice.2019.36DOI Listing
March 2019
3 Reads

Vancomycin-resistant Enterococcus (VRE) outbreak in a neonatal intensive care unit and special care nursery at a tertiary-care hospital in Australia-A retrospective case-control study.

Infect Control Hosp Epidemiol 2019 Mar 14:1-8. Epub 2019 Mar 14.

Infectious Disease and Microbiology,Canberra Hospital and Health Services,Canberra, Australian Capital Territory,Australia.

Objective: We investigated the risk factors and origins of the first known occurrence of VRE colonization in the neonatal intensive care unit (NICU) at the Canberra Hospital.

Design: A retrospective case-control study.

Setting: A 21-bed neonatal intensive care unit (NICU) and a 15-bed special care nursey (SCN) in a tertiary-care adult and pediatric hospital in Australia. Read More

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http://dx.doi.org/10.1017/ice.2019.41DOI Listing
March 2019
2 Reads

Motion-capture system to assess intraoperative staff movements and door openings: Impact on surrogates of the infectious risk in surgery.

Infect Control Hosp Epidemiol 2019 Mar 12:1-8. Epub 2019 Mar 12.

Infection Antimicrobials Modelling Evolution (IAME),French Institute for Medical Research (INSERM),Paris,France.

Objectives: We longitudinally observed and assessed the impact of the operating room (OR) staff movements and door openings on surrogates of the exogenous infectious risk using a new technology system.

Design And Setting: This multicenter observational study included 13 ORs from 10 hospitals, performing planned cardiac and orthopedic surgery (total hip or knee replacement). Door openings during the surgical procedure were obtained from data collected by inertial sensors fixed on the doors. Read More

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https://www.cambridge.org/core/product/identifier/S0899823X1
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http://dx.doi.org/10.1017/ice.2019.35DOI Listing
March 2019
5 Reads

Risk factors for Clostridium difficile infection in pediatric inpatients: A meta-analysis and systematic review.

Infect Control Hosp Epidemiol 2019 Apr 7;40(4):420-426. Epub 2019 Mar 7.

Medicine Institute Center for Value Based Care Research,Cleveland Clinic,Cleveland, Ohio,USA.

Objective: To summarize risk factors for Clostridioides (formerly Clostridium) difficile infection (CDI) in hospitalized pediatric patients as determined by previous observational studies.

Design: Meta-analysis and systematic review.

Patients: Studies evaluating risk factors for CDI in pediatric inpatients were eligible for inclusion. Read More

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http://dx.doi.org/10.1017/ice.2019.23DOI Listing
April 2019
6 Reads

Reduction in antimicrobial use among medical intensive care unit patients during a cluster randomized crossover trial of palliative care consultation.

Infect Control Hosp Epidemiol 2019 Apr 6;40(4):491-492. Epub 2019 Mar 6.

Division of Pulmonary and Critical Care Medicine,Washington University School of Medicine,St Louis, Missouri.

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http://dx.doi.org/10.1017/ice.2019.34DOI Listing

Transmission pathways of multidrug-resistant organisms in the hospital setting: a scoping review.

Infect Control Hosp Epidemiol 2019 Apr 6;40(4):447-456. Epub 2019 Mar 6.

Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland.

Background: Prevalence of multidrug-resistant microorganisms (MDROs) continues to increase, while infection control gaps in healthcare settings facilitate their transmission between patients. In this setting, 5 distinct yet interlinked pathways are responsible for transmission. The complete transmission process is still not well understood. Read More

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http://dx.doi.org/10.1017/ice.2018.359DOI Listing
April 2019
16 Reads

Drawing blood cultures through intravascular catheters: Controversy and update.

Authors:
Leonard A Mermel

Infect Control Hosp Epidemiol 2019 Apr 6;40(4):457-459. Epub 2019 Mar 6.

Department of Medicine,Warren Alpert Medical School of Brown University,Providence, Rhode Island.

Studies published between 1999 and 2011 demonstrated increased blood culture contamination with catheter-drawn cultures compared with percutaneously-drawn cultures. Studies published between 2012 and 2015 reported that use of antiseptic barrier caps on central venous catheter hubs significantly reduces the incidence of catheter-drawn blood culture contamination. Local guidelines regarding sites for blood culture collection should reflect institution-level blood culture contamination rates for percutaneously-drawn and catheter-drawn cultures using currently available technologies that reduce contamination at both sites. Read More

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http://dx.doi.org/10.1017/ice.2019.37DOI Listing

Laboratory practices for identification and reporting of carbapenem-resistant Enterobacteriaceae in Department of Veterans Affairs facilities.

Infect Control Hosp Epidemiol 2019 Apr 4;40(4):463-466. Epub 2019 Mar 4.

Department of Veterans Affairs,Center of Innovation for Complex Chronic Healthcare,Edward Hines, Jr, VA Hospital, Hines, Illinois.

Laboratory identification of carbapenem-resistant Enterobacteriaceae (CRE) is a key step in controlling its spread. Our survey showed that most Veterans Affairs laboratories follow VA guidelines for initial CRE identification, whereas 55.0% use PCR to confirm carbapenemase production. Read More

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http://dx.doi.org/10.1017/ice.2019.24DOI Listing
April 2019
1 Read

A methodological comparison of risk scores versus decision trees for predicting drug-resistant infections: A case study using extended-spectrum beta-lactamase (ESBL) bacteremia.

Infect Control Hosp Epidemiol 2019 Apr 4;40(4):400-407. Epub 2019 Mar 4.

Division of Infectious Diseases, Department of Pediatrics,Johns Hopkins University School of Medicine,Baltimore,Maryland.

Background: Timely identification of multidrug-resistant gram-negative infections remains an epidemiological challenge. Statistical models for predicting drug resistance can offer utility where rapid diagnostics are unavailable or resource-impractical. Logistic regression-derived risk scores are common in the healthcare epidemiology literature. Read More

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https://www.cambridge.org/core/product/identifier/S0899823X1
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http://dx.doi.org/10.1017/ice.2019.17DOI Listing
April 2019
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Reducing urinary catheter use using an electronic reminder system in hospitalized patients: A randomized stepped-wedge trial.

Infect Control Hosp Epidemiol 2019 Apr 4;40(4):427-431. Epub 2019 Mar 4.

Lifestyle Research Centre,Avondale College of Higher Education,Cooranbong, New South Wales,Australia.

Objective: To determine the effectiveness and ease of use of an electronic reminder device in reducing urinary catheterization duration.

Design: A randomized controlled trial with a cross-sectional anonymous online survey and focus group.

Setting: Ten wards in an Australian hospital. Read More

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http://dx.doi.org/10.1017/ice.2019.31DOI Listing
April 2019
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Antimicrobial therapy for asymptomatic bacteriuria or candiduria in advanced cancer patients transitioning to comfort measures.

Infect Control Hosp Epidemiol 2019 Apr 1;40(4):470-472. Epub 2019 Mar 1.

Section of Infectious Diseases,Yale School of Medicine,New Haven, Connecticut.

Among 300 advanced cancer patients with potential urinary tract infection (UTI), 19 had symptomatic UTI. Among remaining patients (n = 281), 21% had asymptomatic bacteriuria or candiduria, and 14% received inappropriate therapy for 279 antimicrobial days. Bacteriuria or candiduria predicted antimicrobial therapy. Read More

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http://dx.doi.org/10.1017/ice.2019.22DOI Listing
April 2019
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High frequency of Clostridium difficile infections in Brazil: Results from a multicenter point-prevalence study.

Infect Control Hosp Epidemiol 2019 Apr 1;40(4):484-485. Epub 2019 Mar 1.

Universidade Federal de Ciências da Saúde De Porto Alegre,Porto Alegre, Rio Grande do Sul,Brazil.

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http://dx.doi.org/10.1017/ice.2019.27DOI Listing
April 2019
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