1,610 results on '"healthcare associated infections"'
Search Results
2. Self-reported survey on infection prevention and control structures in healthcare facilities part of a national level healthcare associated infection surveillance network in India, 2019
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Randeep Guleria, Sonal Katyal, Bijayini Behera, Ashutosh Srivastava, Arunaloke Chakrabarti, Vimala Venkatesh, Padma Das, Vijayshri Deotale, Rajni Gaind, Sulochana Devi, Vibhor Tak, Tapan Majumdar, Chiranjay Mukhopadhyay, Swagata Tripathy, Shaista Nazir, Neeta Khandelwal, Sanjay Bhattacharya, Camilla Rodrigues, Sujata Baveja, Priscilla Rupali, Prachi Verma, Raja Ray, Bashir Ahmad Fomda, Sharad Srivastav, Vijaya Lakshmi Nag, Rajesh Malhotra, Chand Wattal, Purva Mathur, Rajni Sharma, Reema Nath, Dhanapaul Sankara, Omika Katoch, Premkumar Thangavelu, Lata Kapoor, Thirunarayan Ma, A. B. Dey, Manisha Biswal, Kanne Padmaja, Prithwis Bhattacharyya, Jyoti A. Iravane, Satyajeet Mishra, Pradeep Kumar, Sanjeev Singh, Vandana Kalwaje Eshwara, Muralidhar Varma, Tadepalli Karuna, Pallab Ray, and Kamini Walia
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Healthcare associated infections ,Quality management ,Epidemiology ,Control (management) ,World health ,Surveys and Questionnaires ,parasitic diseases ,Health care ,medicine ,Humans ,Infection control ,National level ,cardiovascular diseases ,Cross Infection ,Infection Control ,Health professionals ,business.industry ,Health Policy ,Public Health, Environmental and Occupational Health ,medicine.disease ,Cross-Sectional Studies ,Infectious Diseases ,Health Facilities ,Self Report ,Medical emergency ,business ,Delivery of Health Care - Abstract
Introduction Healthcare associated infections (HAIs) are prevalent and difficult to treat worldwide. Most HAIs can be prevented by effective implementation of Infection Prevention and Control (IPC) measures. A survey was conducted to assess the existing IPC practices across a network of Indian Hospitals using the World Health Organization designed self-assessment IPC Assessment Framework (IPCAF) tool. Methods This was a cross sectional observation study. Thirty-two tertiary care public and private facilities, part of the existing Indian HAI surveillance network was included. Data collected was analysed by a central team at All India Institute of Medical Sciences (AIIMS), New Delhi, a tertiary care hospital of India. The WHO questionnaire tool was used to understand the capacity and efforts to implement IPC practices across the network. Results The overall median score of IPCAF across the network was 620. Based on the final IPCAF score of the facilities; 13% hospitals had basic IPC practices, 28% hospitals had intermediate and 59% hospitals had advanced IPC practices. The component multimodal strategies (CC5) had the broadest range of score while the component IPC guidelines had the narrowest one. Conclusion Quality improvement training for IPC nurses and healthcare professionals are needed to be provided to health facilities.
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- 2022
3. Healthcare-associated Infections in Pediatric Patients in Neurotrauma Intensive Care Unit: A Retrospective Analysis
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Purva Mathur, Pankaj Kumar Singh, Chandrakant Prasad, Gyaninder Pal Singh, Parul Singh, and Ashish Bindra
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Pediatric ,Healthcare associated infections ,Pediatric Critical Care ,medicine.medical_specialty ,Traumatic brain injury ,business.industry ,Critical Care and Intensive Care Medicine ,medicine.disease ,Trauma ,Intensive care unit ,law.invention ,law ,Emergency medicine ,medicine ,Retrospective analysis ,Healthcare-associated infection ,business - Abstract
Background Healthcare-associated infections (HAIs) can impact the outcome following traumatic brain injury (TBI) in children. We undertook a retrospective observational study to see the incidence, risk factors, and microbiological profile for HAIs in pediatric TBI. We also studied the impact of baseline patient characteristics, HAIs on patient outcome, and antibiotic resistance of different types of bacteria. Materials and methods Data on pediatric TBI patients of age up to 12 years were collected via a computerized patient record system (CPRS) from January 2012 to December 2018. Descriptive Chi-square test and Wilcoxon signed rank test were used to characterize baseline parameters. General linear regression models were run to find an unadjusted and adjusted odds ratio (OR). Results HAIs were found in 144 (34%) out of 423 patients. The most commonly seen infections were of the respiratory tract in 73 (17.26%) subjects. The most predominant microorganism isolated was Acinetobacter baumannii in 188 (41%) samples. A. baumannii was sensitive to colistin in 91 (48.4%) patients. Male gender (OR 0.630; p-value 0.035), fall from height (OR 0.374; p-value 0.008), and higher injury severity scale (ISS) (OR 1.040; p-value 0.002) were independent risk factors for development of HAIs. Severe TBI, higher ISS and Marshall grade, and HAIs were significantly associated with poor patient outcome. Conclusion Severe TBI poses a significant risk of HAIs. The most common site was the respiratory tract, predominately infected with A. baumannii. HAIs in pediatric TBI patients resulted in poor patient outcome. How to cite this article Prasad C, Bindra A, Singh P, Singh GP, Singh PK, Mathur P. Healthcare-associated Infections in Pediatric Patients in Neurotrauma Intensive Care Unit: A Retrospective Analysis. Indian J Crit Care Med 2021;25(11):1308–1313.
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- 2021
4. Prevention of Healthcare-associated Infections in Intensive Care Unit Patients
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Clare Rock, Michael A. Mazzeffi, and Samuel M. Galvagno
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Healthcare associated infections ,Cross Infection ,medicine.medical_specialty ,Critical Care ,business.industry ,Antibiotic Prophylaxis ,Intensive care unit ,law.invention ,Intensive Care Units ,Anesthesiology and Pain Medicine ,law ,medicine ,Humans ,Hand Hygiene ,Mortality ,Intensive care medicine ,business - Abstract
Healthcare-associated infections contribute to morbidity, mortality, and increased cost in intensive care unit patients. Understanding evidence-based prevention strategies can help to optimize patient outcomes.
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- 2021
5. Incidence of healthcare-associated infections with invasive devices and surgical procedures in Nepal
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Hao Li, Xinliang Liu, P. Shah, Rony Zachariah, B. R. Maharjan, S K Madhup, Hemant Deepak Shewade, A. Abrahamyan, Swoyam Prakash Shrestha, P Koju, M. Bhattachan, and R Shrestha
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Healthcare associated infections ,medicine.medical_specialty ,genetic structures ,Amr Supplement ,business.industry ,Health Policy ,Incidence (epidemiology) ,Public Health, Environmental and Occupational Health ,Sustainable Development Goals ,virus diseases ,operational research ,Surgical procedures ,University hospital ,Hospital outcomes ,SORT IT ,Internal medicine ,Intensive care ,medicine ,surveillance ,Infection control ,infection prevention and control ,business ,health systems ,Cohort study - Abstract
Dhulikhel Hospital, Kathmandu University Hospital, Kathmandu, Nepal.1) To report the incidence of health-care-associated infections (HAIs), 2) to compare demographic, clinical characteristics and hospital outcomes in those with and without HAIs; and 3) to verify bacterial types in HAI and community-acquired infections (CAIs) among inpatients with invasive devices and/or surgical procedures.This was a cohort study using secondary data (December 2017 to April 2018).Of 1,310 inpatients, 908 (69.3%) had surgical procedures, 125 (9.5%) had invasive devices and 277 (21.1%) both. Sixty-six developed HAIs (incidence = 5/100 patient admissions, 95% CI 3.9-6.3). Individuals with HAIs had a 5.5-fold higher risk of longer hospital stays (⩾7 days) and a 6.9-fold risk of being in intensive care compared to the surgical ward. Unfavourable hospital exit outcomes were higher in those with HAIs (4.5%) than in those without (0.9%,We found relatively low incidence of HAIs, which reflects good infection prevention and control standards. This study serves as a baseline for future monitoring and action.Hôpital de Dhulikhel, Hôpital Universitaire de Katmandu, Katmandu, Népal.1) Rapporter l’incidence des infections associées aux soins (HAI), 2) comparer les caractéristiques démographiques et cliniques et les résultats hospitaliers chez les patients atteints et non atteints de HAI ; et 3) vérifier les types bactériens des HAI et des infections communautaires (CAI) parmi les patients hospitalisés avec dispositifs invasifs et/ou ayant subi une intervention chirurgicale.Étude de cohorte réalisée en utilisant des données secondaires (décembre 2017 à avril 2018).Sur 1 310 patients hospitalisés, 908 (69,3%) ont subi une intervention chirurgicale, 125 (9,5%) avaient des dispositifs invasifs et 277 (21,1%) avaient à la fois un dispositif invasif et subi une intervention chirurgicale. Au total, 66 ont contracté une HAI (incidence = 5/100 admissions de patients, IC 95% 3,9-6,3). Les patients atteints de HAI avaient un risque 5,5 fois plus élevé de séjour prolongé à l’hôpital (⩾7 jours) et un risque 6,9 fois plus élevé d’être admis en soins intensifs qu’en service de chirurgie. Les résultats défavorables à une sortie d’hôpital étaient plus fréquents chez ceux atteints de HAI (4,5%) que chez ceux non atteints de HAI (0,9%,Nous avons observé une incidence relativement faible de HAI, ce qui reflète de bons standards de contrôle et de prévention des infections. Cette étude sert de référence à de futures actions et stratégies de suivi.
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- 2021
6. EVALUATION OF INFECTION PREVENTION AND CONTROL TRAINING WORKSHOPS USING KIRKPATRICK'S MODEL
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Saba Savul, Aamer Ikram, Muhammad Amjad Khan, and Mumtaz Ali Khan
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Microbiology (medical) ,Healthcare associated infections ,medicine.medical_specialty ,Health Personnel ,Control (management) ,education ,Infectious and parasitic diseases ,RC109-216 ,Healthcare-associated infections ,Infection Prevention and Control Trainings ,Health care ,medicine ,Infection control ,Humans ,Pakistan ,Evaluation ,Pre and post ,Kirkpatrick's model ,Infection Control ,Data collection ,business.industry ,General Medicine ,Kirkpatrick model ,Infectious Diseases ,Cross-Sectional Studies ,Family medicine ,business - Abstract
Objectives To evaluate infection prevention and control (IPC) training workshops using Kirkpatrick model level 1 and 2 regarding satisfaction of trainees and improvement of their knowledge and skills. Methods A cross-sectional study was conducted on 353 healthcare workers from January 2020 to March 2020, at four hospitals in Islamabad, Pakistan. Training feedback questionnaires and pre and post tests were employed for data collection. The authors analyzed data using SPSS version 25. Results The majority (52%) of participants rated the trainings as “Excellent”, 44% rated “Good” while 2% graded “Average”. Pre and post-tests mean scores demonstrated statistically significant improvement in knowledge and skills (p Conclusion The training workshops significantly improved healthcare workers’ knowledge and skills regarding Infection Prevention and Control and earned high satisfaction scores from the trainees.
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- 2021
7. Investigations of Staphylococcal contamination on environmental surfaces of a neonatal intensive care unit of a children's hospital
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Sarah Harding, Rachel Keilman, Paige Klingborg, David Levine, Erin Reade, Henry Spratt, and Mark Rowin
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Methicillin-Resistant Staphylococcus aureus ,Healthcare associated infections ,medicine.medical_specialty ,Neonatal intensive care unit ,Epidemiology ,health care facilities, manpower, and services ,education ,medicine.disease_cause ,03 medical and health sciences ,0302 clinical medicine ,Intensive Care Units, Neonatal ,Intensive care ,medicine ,Humans ,030212 general & internal medicine ,Child ,Cross Infection ,0303 health sciences ,030306 microbiology ,business.industry ,Health Policy ,Infant, Newborn ,Public Health, Environmental and Occupational Health ,Staphylococcal Infections ,Contamination ,Methicillin-resistant Staphylococcus aureus ,Hospitals ,Infectious Diseases ,Staphylococcus aureus ,Emergency medicine ,business - Abstract
Staphylococci species are known to cause healthcare-associated infections in neonatal intensive care (NICU) unit patients. Little is known about Staphylococcal contamination of NICU environments. Swabs from 25 of 46 (54%) surfaces sampled in a NICU had viable Staphylococcal contamination, with 11% contaminated by methicillin resistant Staphylococcus aureus [MRSA]. Floors by sinks and return air ducts in the NICU were the most contaminated (67% positive), possibly serving as reservoirs for Staphylococci.
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- 2021
8. Lived Experiences of COVID-19 on Healthcare-associated Infection-Prevention Efforts
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Kazue Fujita
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Healthcare associated infections ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,business.industry ,Family medicine ,Lived experience ,medicine ,business - Published
- 2021
9. A way to safely remove medical gloves for the prevention of healthcare-associated infections
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Titkov K.V. Titkov, Marchuk N.P. Marchuk, Chuchalina L.Yu. Chuchalina, Khamatkhanova E.M. Khamatkhanova, Priputnevich T.V. Priputnevich, and Khlestova G.V. Khlestova G
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Healthcare associated infections ,medicine.medical_specialty ,business.industry ,medicine ,General Medicine ,Intensive care medicine ,business - Published
- 2021
10. Impediments to Compliance with Hand Hygiene among Medical and Dental Students in Medical and Dental College
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Nikhil Jaykumar Gandhi, Harshita Hemant Sisodiya, and Sneha Hemant Sisodiya
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Hand rub ,Healthcare associated infections ,Hand wash ,medicine.medical_specialty ,business.industry ,Hygiene ,media_common.quotation_subject ,Family medicine ,Medicine ,business ,media_common ,Compliance (psychology) - Abstract
Introduction: Hand hygiene is the first line of defense and a cost-effective method for reducing healthcare-associated infections (HCAIs) and antibiotic resistance. It is essential for healthcare professionals to have adequate knowledge regarding hand hygiene. Ensuring proper education of trainees is required as they are the healthcare providers of the future. Aim: To assess the impediments that both medical and dental trainees face in performing effective hand hygiene. Materials and Methods: The study questionnaire based on WHO’s concepts of "Five Moments for Hand Hygiene" and “Six Steps of Hand Hygiene” was sent to 225 participants from 2nd & 3rd MBBS and BDS courses. Associations between variables of interest were tested using the chi-square (χ2) test. Statistical analysis was carried out using the Statistical Package for the Social Sciences version 17. The p-value
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- 2021
11. Epidemiological features of healthcare associated infections in pediatric cardiac surgery
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B. I. Aslanov, V. N. Timchenko, N. A. Ponomarev, and A. S. Nabieva
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Healthcare associated infections ,medicine.medical_specialty ,healthcare associated infection ,business.industry ,pediatric cardiac surgery ,Infectious and parasitic diseases ,RC109-216 ,Cardiac surgery ,congenital heart defect ,Infectious Diseases ,Epidemiology ,medicine ,Intensive care medicine ,business - Abstract
4—5 congenital heart defect cases per 1000 newborns are diagnosed worldwide. Some malformations require surgical methods of correction. Various risk factors contribute to the development of healthcare associated infections (HAIs). The HAIs are one of the leading causes of the prolongation of hospitalization length both in intensive care unit and in the inpatient departments, and they also play a significant role in increasing the number of lethal outcomes. A number of risk factors play an important role in the development of HAIs: the duration of post-operative mechanical ventilation, neonatal age, low birth weight, co-morbidities, including malformations of other body systems.
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- 2021
12. The Factors Impacting Nurses Awareness on Prevention Healthcare-Associated Infections: A Systematic Review
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Diah Arruum, Nur Meity Sulistia Ayu, Dewi Gayatri, and Enie Novieastari
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Healthcare associated infections ,medicine.medical_specialty ,business.industry ,medicine ,General Medicine ,Intensive care medicine ,business - Abstract
Background: Healthcare-Associated Infections (HAIs) are significant causes of illness and mortality, and nurses are healthcare professionals with the most consistent contact with patients, therefore nurses need to possess adequate knowledge, and awareness. Aim: this study aim to analyze factors impacting nurses' awareness of the prevention of HAIs, such as their knowledge, attitude, and practice compliance. Methods: A systematic review was conducted from the sources of data collection, namely Proquest, Science Direct, Pubmed, and Google Scholar from 2011-2020, with English guidelines used to review the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Results: Data were obtained through a questionnaire survey, direct observation, and self-report from 4329 nurses with a total of 12 inclusion criteria. The result showed that a significant number of nurses do not possess an acceptable level of knowledge and practice, although nurses have a positive attitude. Hand hygiene and the other protective personal equipment need to be used by nurses and other health personal to prevent Urinary Tract Infection, respiratory, and Surgical Site Infection in the hospital. Conclusion: nurses need to possess the right knowledge, attitude, and guidelines. Standard precaution is important for patient safety management, nurses need to be adequately trained to increase awareness.
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- 2021
13. The cost-effectiveness of temporary single-patient rooms to reduce risks of healthcare-associated infection
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Nicholas Graves, Brett G Mitchell, Jonathan A. Otter, and Martin Kiernan
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Microbiology (medical) ,Healthcare associated infections ,Marginal cost ,Isolation (health care) ,Cost effectiveness ,business.industry ,Total cost ,Cost-Benefit Analysis ,General Medicine ,State Medicine ,Single patient ,Infectious Diseases ,Patients' Rooms ,Humans ,Medicine ,Infection control ,Operations management ,Prospective Studies ,Quality-Adjusted Life Years ,business ,Delivery of Health Care ,health care economics and organizations ,Patient isolation - Abstract
Summary Background The use of single rooms for patient isolation often forms part of a wider bundle to prevent certain healthcare-associated infections (HAIs) in hospitals. Demand for single rooms often exceeds what is available and the use of temporary isolation rooms may help resolve this. Changes to infection prevention practice should be supported by evidence showing that cost-effectiveness is plausible and likely. Aim To perform a cost-effectiveness evaluation of adopting temporary single rooms into UK National Health Service (NHS) hospitals. Methods The cost-effectiveness of a decision to adopt a temporary, single-patient, isolation room to the current infection prevention efforts of an NHS hospital was modelled. Primary outcomes are the expected change to total costs and life-years from an NHS perspective. Findings The mean expected incremental cost per life-year gained (LYG) is £5,829. The probability that adoption is cost-effective against a £20,000 threshold per additional LYG is 93%, and for a £13,000 threshold the probability is 87%. The conclusions are robust to scenarios for key model parameters. If a temporary single-patient isolation room reduces risks of HAI by 16.5% then an adoption decision is more likely to be cost-effective than not. Our estimate of the effectiveness reflects guidelines and reasonable assumptions and the theoretical rationale is strong. Conclusion Despite uncertainties about the effectiveness of temporary isolation rooms for reducing risks of HAI, there is some evidence that an adoption decision is likely to be cost-effective for the NHS setting. Prospective studies will be useful to reduce this source of uncertainty.
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- 2021
14. Impact of a pulsed xenon disinfection system on hospital onset Clostridioides difficile infections in 48 hospitals over a 5-year period
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Mark Stibich, Antonio Pedraza, Sarah Simmons, and Grady Wier
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Healthcare associated infections ,medicine.medical_specialty ,Xenon ,Ultraviolet Rays ,Infectious and parasitic diseases ,RC109-216 ,Pulsed xenon ultraviolet ,Clostridioides ,Intervention (counseling) ,medicine ,Humans ,Unit level ,C. difficile infection ,business.industry ,Research ,Environmental interventions ,Regression analysis ,Hospitals ,Infection rate ,Disinfection ,Infectious Diseases ,Emergency medicine ,Environmental hygiene ,business ,Count data - Abstract
Background The role of the environment in hospital acquired infections is well established. We examined the impact on the infection rate for hospital onset Clostridioides difficile (HO-CDI) of an environmental hygiene intervention in 48 hospitals over a 5 year period using a pulsed xenon ultraviolet (PX-UV) disinfection system. Methods Utilization data was collected directly from the automated PX-UV system and uploaded in real time to a database. HO-CDI data was provided by each facility. Data was analyzed at the unit level to determine compliance to disinfection protocols. Final data set included 5 years of data aggregated to the facility level, resulting in a dataset of 48 hospitals and a date range of January 2015–December 2019. Negative binomial regression was used with an offset on patient days to convert infection count data and assess HO-CDI rates vs. intervention compliance rate, total successful disinfection cycles, and total rooms disinfected. The K-Nearest Neighbor (KNN) machine learning algorithm was used to compare intervention compliance and total intervention cycles to presence of infection. Results All regression models depict a statistically significant inverse association between the intervention and HO-CDI rates. The KNN model predicts the presence of infection (or whether an infection will be present or not) with greater than 98% accuracy when considering both intervention compliance and total intervention cycles. Conclusions The findings of this study indicate a strong inverse relationship between the utilization of the pulsed xenon intervention and HO-CDI rates.
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- 2021
15. Healthcare-associated infection impact with bioaerosol treatment and COVID-19 mitigation measures
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J. Fine, B. Mathew, D. Hess, E. Simpser, Mark H. Ereth, and F. Stamatatos
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Microbiology (medical) ,Healthcare associated infections ,Breathing zone ,Coronavirus disease 2019 (COVID-19) ,Health Care-Associated Infections ,Airborne transmission ,Article ,Bioburden ,Engineering ,Disease Transmission ,Environmental health ,Humans ,Medicine ,Infection control ,Cross Infection ,Infection Control ,SARS-CoV-2 ,business.industry ,COVID-19 ,General Medicine ,Aerosolization ,Infectious Diseases ,Aerosol Transmission ,business ,Delivery of Health Care ,Bioaerosol ,Workflow patterns - Abstract
BACKGROUND: The real-world impact of breathing zone air purification and coronavirus disease 2019 (COVID-19) mitigation measures on healthcare-associated infections is not well documented. Engineering solutions to treat airborne transmission of disease may yield results in controlled test chambers or single rooms, but have not been reported on hospital-wide applications, and the impact of COVID-19 mitigation measures on healthcare-associated infection rates is unknown. AIM: To determine the impact of hospital-wide bioaerosol treatment and COVID-19 mitigation measures on clinical outcomes. METHODS: The impact of the step-wise addition of air disinfection technology and COVID-19 mitigation measures to standard multi-modal infection control on particle counts, viral and bacterial bioburden, and healthcare-associated infection rates was investigated in a 124-bed hospital (>100,000 patient-days over 30 months). FINDINGS AND CONCLUSION: The addition of air disinfection technology and COVID-19 mitigation measures reduced airborne ultrafine particles, altered hospital bioburden, and reduced healthcare-associated infections from 11.9 to 6.6 (per 1000 patient-days) and from 6.6 to 1.0 (per 1000 patient-days), respectively (P
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- 2021
16. Attitude of Patient Safety and Awareness of Standard Precautions for Healthcare Associated Infection Control in Senior Nursing Students
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Hee Mo Yang
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Healthcare associated infections ,Patient safety ,Nursing ,business.industry ,Standard precautions ,Control (management) ,Medicine ,business - Published
- 2021
17. The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: A summary of data reported to the National Healthcare Safety Network
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Jonathan R. Edwards, Lindsey M Weiner-Lastinger, Brittany Smith, Prachi R Patel, Margaret A Dudeck, Sunny Y Xu, Vaishnavi Pattabiraman, Rebecca Konnor, and Emily Wong
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Methicillin-Resistant Staphylococcus aureus ,Microbiology (medical) ,Healthcare associated infections ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,Epidemiology ,medicine.disease_cause ,Pandemic ,Health care ,medicine ,Humans ,Infection control ,Cross Infection ,SARS-CoV-2 ,business.industry ,Incidence (epidemiology) ,COVID-19 ,Pneumonia, Ventilator-Associated ,medicine.disease ,Infectious Diseases ,Staphylococcus aureus ,Catheter-Related Infections ,Bacteremia ,Emergency medicine ,business ,Delivery of Health Care - Abstract
Objectives:To determine the impact of the coronavirus disease 2019 (COVID-19) pandemic on healthcare-associated infection (HAI) incidence in US hospitals, national- and state-level standardized infection ratios (SIRs) were calculated for each quarter in 2020 and compared to those from 2019.Methods:Central–line–associated bloodstream infections (CLABSIs), catheter-associated urinary tract infections (CAUTIs), ventilator-associated events (VAEs), select surgical site infections, and Clostridioides difficile and methicillin-resistant Staphylococcus aureus (MRSA) bacteremia laboratory-identified events reported to the National Healthcare Safety Network for 2019 and 2020 by acute-care hospitals were analyzed. SIRs were calculated for each HAI and quarter by dividing the number of reported infections by the number of predicted infections, calculated using 2015 national baseline data. Percentage changes between 2019 and 2020 SIRs were calculated. Supporting analyses, such as an assessment of device utilization in 2020 compared to 2019, were also performed.Results:Significant increases in the national SIRs for CLABSI, CAUTI, VAE, and MRSA bacteremia were observed in 2020. Changes in the SIR varied by quarter and state. The largest increase was observed for CLABSI, and significant increases in VAE incidence and ventilator utilization were seen across all 4 quarters of 2020.Conclusions:This report provides a national view of the increases in HAI incidence in 2020. These data highlight the need to return to conventional infection prevention and control practices and build resiliency in these programs to withstand future pandemics.
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- 2021
18. Healthcare-associated Infections in Pediatric Cardiovascular Surgery Intensive Care Unit Between 2016-2020
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Hakan Ceyran, Ömer Faruk Şavluk, Ergin Arslanoğlu, and Mehmet Emirhan Işık
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Healthcare associated infections ,medicine.medical_specialty ,law ,business.industry ,medicine ,Intensive care medicine ,business ,Intensive care unit ,law.invention - Abstract
Introduction: Healthcare-associated infections are the most common problem in intensive care unit world- wide. Children with congenital heart diseases have many complications such as developmental problems, respiratory tract infections, endocarditis, pneumonia and after long-term hospital and intensive care stays and surgeries patients become vulnerable to healthcare-associated infections. Patients and Methods: The study presents the frequency of infection, microorganisms in patients hospital- ized at Kartal Koşuyolu High Specialization Training and Research Hospital Pediatric Cardiovascular Surgery Intensive Care Unit between 2016-2020. Results: One hundred-eight healthcare-associated infections episodes were seen in 83 of 1920 patients hos- pitalized in Pediatric Cardiovascular Surgery Intensive Care Unit between 2016-2020. Healthcare-associated infections rates varied between 4.8% and 7.77% over the years. In the 5-year period, a total of 118 micro- organisms were detected. Among all microorganisms, Candida species (n= 43, 36.4%) ranked first. Central line-associated bloodstream infections 53 (49%), ventilator-associated pneumonia 40 (37%), surgical site in- fection 8 (6.5%), catheter-associated urinary tract infection 7 (6%). Conclusion: Healthcare-associated infections requires special attention in pediatric cardiovascular intensive care units. In order to prevent, innovations such as bundle applications should be implemented as well as personnel training.
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- 2021
19. Automated surveillance in French ICUs: is it feasible? Results from a survey in French ICUs participating in a surveillance network
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Florent Wallet, Philippe Vanhems, Elisabetta Kuczewski, Solweig Gerbier-Colomban, Jean-François Timsit, Jean-Philippe Rasigade, Anaïs Machut, Alain Lepape, A. Savey, and Arnaud Friggeri
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Microbiology (medical) ,Healthcare associated infections ,medicine.medical_specialty ,health care facilities, manpower, and services ,030501 epidemiology ,03 medical and health sciences ,Antibiotic resistance ,Anti-Infective Agents ,Surveys and Questionnaires ,health services administration ,Intensive care ,Prohibitins ,Epidemiology ,medicine ,Humans ,Medical prescription ,Cross Infection ,0303 health sciences ,030306 microbiology ,business.industry ,General Medicine ,Antimicrobial ,Anti-Bacterial Agents ,Intensive Care Units ,Infectious Diseases ,Antimicrobial use ,Emergency medicine ,0305 other medical science ,business - Abstract
Summary A survey was undertaken to evaluate the level of computerization in intensive care units (ICUs) within a French network dedicated to the surveillance of healthcare-associated infections, antimicrobial use (AMU) and antimicrobial resistance (AMR) in ICUs (REA-REZO). Ninety-eight ICUs responded, and patient records were computerized in 57%, antimicrobial prescriptions were computerized in 59% and AMR epidemiology was computerized in 72%. AMU and AMR feedback was provided to the ICU itself for 77% and 65% of ICUs, respectively, and feedback was provided to the national surveillance for 79% and 65% of ICUs, respectively. This study suggests that the level of computerization in ICUs requires further improvement.
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- 2021
20. Determination of Knowledge Levels of Student Nurses Regarding Prevention of Healthcare Associated Infections
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Kerem Yildiz and Umran Dal Yilmaz
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Healthcare associated infections ,medicine.medical_specialty ,business.industry ,Family medicine ,Medicine ,business - Published
- 2021
21. Healthcare-associated Infections at a Tertiary Level Pediatric Intensive Care Unit From Turkey
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Gülhadiye Avcu and Basak Yildiz Atikan
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Healthcare associated infections ,Pediatric intensive care unit ,medicine.medical_specialty ,business.industry ,Pediatrics ,RJ1-570 ,healthcare-associated infections ,children ,medicine ,Medicine ,antimicrobial resistance ,Tertiary level ,Intensive care medicine ,business - Abstract
Aim:Healthcare-associated infections are important conditions, as they may increase morbidity and mortality, prolong hospital stay and increase costs. A higher incidence of healthcare-associated infections has been reported in developing countries, but data on its epidemiology in pediatric patients are limited. The aim of this study was to determine the rate and distribution of health care-associated infections and antimicrobial susceptibility patterns in a pediatric intensive care unit.Materials and Methods:Demographic and clinical details, microbiological findings, antibiotic susceptibility results and the outcomes of all hospitalized pediatric intensive care unit patients were collected for one year (September 2017 to September 2018). Results:The health care-associated infections rate was 5.6 per 100 admissions and the incidence density was 7.2 per 1,000 patient-days. Bloodstream infections (50%) were the most common type and Klebsiella species (40.9%) was the most common cause of health careassociated infections. All of the Klebsiella spp. were resistant strains producing extended-spectrum beta-lactamases (77.7%) and the remaining were resistant to carbapenem. Acinetobacter species and colistin resistance was not detected in any isolates.Conclusion:This study demonstrated a low prevalence of health care-associated infections but a high rate of antibiotic resistance in Klebsiella species in a pediatric intensive care unit. In addition to improved surveillance, consultation with infectious disease specialists will allow the development of interventions to reduce healthcare-associated infections, in order to regulate both empirical treatment and ongoing management, and also to provide appropriate targeted therapy.
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- 2021
22. Advancing Diagnostic Stewardship for Healthcare-Associated Infections, Antibiotic Resistance, and Sepsis
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Sarah Kabbani, L. Clifford McDonald, Clare Rock, Daniel J. Morgan, Steven Gitterman, Ebbing Lautenbach, Daniel J. Diekema, Joseph D. Lutgring, Emily J Curren, and Reynolds M Salerno
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Microbiology (medical) ,Healthcare associated infections ,Cross Infection ,medicine.medical_specialty ,business.industry ,Psychological intervention ,Drug Resistance, Microbial ,Anti-Bacterial Agents ,Antimicrobial Stewardship ,Patient safety ,Infectious Diseases ,White paper ,Antibiotic resistance ,Sepsis ,Health care ,medicine ,Humans ,Antibiotic Stewardship ,Stewardship ,Intensive care medicine ,business ,Delivery of Health Care - Abstract
Diagnostic stewardship means ordering the right tests for the right patient at the right time to inform optimal clinical care. Diagnostic stewardship is an integral part of antibiotic stewardship efforts to optimize antibiotic use and improve patient outcomes, including reductions in antibiotic resistance and treatment of sepsis. The Centers for Disease Control and Prevention’s Division of Healthcare Quality Promotion hosted a meeting on improving patient safety through diagnostic stewardship with a focus on use of the laboratory. At the meeting, emerging issues in the field of diagnostic stewardship were identified, awareness of these issues among stakeholders was raised, and strategies and interventions to address the issues were discussed—all with an emphasis on improved outcomes and patient safety. Here, we summarize the key takeaways of the meeting including needs for diagnostic stewardship implementation, promising future avenues for diagnostic stewardship implementation, and areas of needed research.
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- 2021
23. Long-term antimicrobial effectiveness of a silver-impregnated foil on high-touch hospital surfaces in patient rooms
- Author
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Sonja Kuster, Andreas F. Widmer, Reno Frei, Marc Dangel, and Sammy Jäger
- Subjects
Microbiology (medical) ,Healthcare associated infections ,Auto-disinfection ,Silver ,Enterococci ,Drug resistance ,Infectious and parasitic diseases ,RC109-216 ,Healthcare-associated infections ,Environment ,Bioburden ,Toxicology ,Patients' Rooms ,Medicine ,Surface disinfection ,Pharmacology (medical) ,In patient ,Prospective Studies ,Polyvinyl Chloride ,FOIL method ,Cross Infection ,Log reduction ,business.industry ,Research ,Public Health, Environmental and Occupational Health ,Limiting ,Antimicrobial ,Hospitals ,Disinfection ,Infectious Diseases ,Touch ,Fomites ,Equipment Contamination ,business ,Switzerland ,Silver containing foil ,Disinfectants - Abstract
Background The hospital environment has got more attention as evidence as source for bacterial transmission and subsequent hospital-acquired infection increased. Regular cleaning and disinfection have been proposed to lower the risk of infection, in particular for gram-positive bacteria. Auto-disinfecting surfaces would allow to decrease survival of pathogens, while limiting resource to achieve a safe environment in patient rooms. Methods A controlled trial to evaluate the antimicrobial effectiveness of a polyvinyl chloride foil containing an integrated silver-based agent (containing silver ions 2%) on high-touch surfaces in patient rooms. Results The overall log reduction of the mean values was 1.8 log10 CFU, the median 0.5 log10 CFU comparing bioburden of control vs antimicrobial foil (p Conclusions A foil containing an integrated silver-based agent applied to high-touch surfaces effectively results in lower recovery of important pathogens from such surfaces over a 6-month study period.
- Published
- 2021
24. Association and risk factors of healthcare-associated infection and burden of illness among chemotherapy-induced ulcerative mucositis patients
- Author
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P. S. Satheeshkumar and Minu P. Mohan
- Subjects
Healthcare associated infections ,Adult ,Mucositis ,medicine.medical_specialty ,Tailored approach ,Antineoplastic Agents ,Intermediate Care Facility ,Chemotherapy induced ,Cost of Illness ,Risk Factors ,Internal medicine ,medicine ,Humans ,Clinical significance ,General Dentistry ,Retrospective Studies ,business.industry ,Discharge disposition ,virus diseases ,Length of Stay ,medicine.disease ,Original Article ,Female ,Skilled Nursing Facility ,business ,Delivery of Health Care - Abstract
Objectives To evaluate the association and risk factors of healthcare-associated infection (HAI) and burden of illness among chemotherapy-induced ulcerative mucositis (UM) patients. Methods For this research, US National Inpatient Sample database 2017 was utilized to study UM patients. The association of healthcare-associated infection-related burden of illness among UM patients was assessed on the outcome––length of hospital stays (LOS), total charges, in-hospital mortality, and discharge disposition. Result In 2017, there were 11,350 adult (> 18 years of age) UM patients, among them there were 415 (3.5%) HAI. After adjusting for patient and clinical characteristics, UM patients with HAI were most likely to have higher total charges and longer LOS (1.91; 95% CIs: 1.51–2.41; P
- Published
- 2021
25. Linking infection control to clinical management of infections to overcome antimicrobial resistance
- Author
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E. Tacconelli
- Subjects
Microbiology (medical) ,Healthcare associated infections ,medicine.medical_specialty ,business.industry ,antibiotic stewardship ,General Medicine ,infection control ,Anti-Bacterial Agents ,Antimicrobial Stewardship ,Infectious Diseases ,Antibiotic resistance ,healthcare-associated infections ,Drug Resistance, Bacterial ,medicine ,Humans ,Antibiotic Stewardship ,Infection control ,antimicrobial resistance ,Intensive care medicine ,business - Published
- 2021
26. Changes in nursing team composition and risk of device-associated infection in intensive care units
- Author
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Wesley McKinney, Sherry Lockhart, Linda Ann Currie, Meha Srivastava, Michelle Doll, Gonzalo Bearman, Audrey Roberson, Hirsh Shah, Shirley Beavers, Michael P. Stevens, Kaila Cooper, Shelley Knowlson, and Emily Godbout
- Subjects
Healthcare associated infections ,Team composition ,Cross Infection ,Epidemiology ,business.industry ,Health Policy ,Public Health, Environmental and Occupational Health ,MEDLINE ,Staffing ,Pneumonia, Ventilator-Associated ,Intensive Care Units ,Infectious Diseases ,Nursing ,Catheter-Related Infections ,Bloodstream infection ,Intensive care ,Urinary Tract Infections ,Humans ,Infection control ,Medicine ,business ,Catheter-associated urinary tract infection - Abstract
The relationship between nursing staffing levels and healthcare-associated infections (HAIs) has been explored previously with conflicting results. This study uses daily shift records from 2 intensive care units (ICUs) to evaluate whether nuanced changes in nursing team composition impacts subsequent risk for device associated HAIs. Staffing deficiencies may be associated with periods of risk prior to central line-associated bloodstream infection in the ICU.
- Published
- 2022
27. Challenges in reducing the risk of infection when accessing vascular catheters
- Author
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Elliott S. Greene
- Subjects
Microbiology (medical) ,Healthcare associated infections ,Catheterization, Central Venous ,medicine.medical_specialty ,Vascular catheter ,030501 epidemiology ,Patient care ,law.invention ,03 medical and health sciences ,Catheters, Indwelling ,Randomized controlled trial ,law ,Acute care ,medicine ,Central Venous Catheters ,Humans ,Intensive care medicine ,Cross Infection ,0303 health sciences ,Needleless connector ,030306 microbiology ,business.industry ,Risk of infection ,Infant, Newborn ,General Medicine ,Access port ,Disinfection ,Infectious Diseases ,Catheter-Related Infections ,Equipment Contamination ,0305 other medical science ,business ,Vascular Access Devices - Abstract
Injection safety is essential to reduce the risk of healthcare-associated infections (HAIs) when accessing vascular catheters. This general review evaluates the contamination of vascular catheter access ports and associated HAIs in acute care settings, focusing on open lumen stopcocks (OLSs) and disinfectable needleless closed connectors (DNCCs). PubMed was searched from January 2000 to February 2021. OLS intraluminal surfaces are frequently contaminated during patient care, increasing the risk of HAIs, and neither an isopropyl alcohol (IPA) pad nor a port-scrub device can reduce contamination effectively. In contrast, DNCCs can be disinfected, with most studies indicating less intraluminal contamination than OLSs and some studies showing decreased HAIs. While the optimal DNCC design to reduce HAIs needs to be determined, DNCCs alone or stopcocks with a DNCC bonded to the injection port should replace routine use of OLSs, with OLSs restricted to use in sterile fields. Compliance with disinfection is essential immediately before use of a DNCC as use of a non-disinfected DNCC can have equivalent or greater risk of HAIs compared with use of an OLS. The recommendations for access port disinfection in selected national and international guidelines vary. When comparing in-vitro studies, clinical studies and published guidelines, consensus is lacking; therefore, additional studies are needed, including large randomized controlled trials. IPA caps disinfect DNCCs passively, eliminate scrubbing and provide a contamination barrier; however, their use in neonates has been questioned. Further study is needed to determine whether IPA caps are more efficacious than scrubbing with disinfectant to decrease HAIs related to use of central venous, peripheral venous and arterial catheters.
- Published
- 2021
28. Healthcare-associated infections (HAI) in maternity hospitals of Russian Federation (the state of the problem at the beginning of the XXI century)
- Author
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Marina P. Shuvalova, Elena N. Baibarina, Gennady T. Sukhikh, T. V. Priputnevich, and L A Lyubasovskaya
- Subjects
Healthcare associated infections ,0303 health sciences ,medicine.medical_specialty ,030306 microbiology ,business.industry ,media_common.quotation_subject ,Maternity hospitals ,General Medicine ,medicine.disease ,03 medical and health sciences ,Maternity care ,State (polity) ,Health care ,Epidemiology ,Medicine ,Christian ministry ,Russian federation ,Medical emergency ,business ,030304 developmental biology ,media_common - Abstract
Over the past decade, the healthcare system of the Russian Federation has undergone progressive changes in the system of maternity care, which relate to the development of infrastructure and the introduction of new organizational models. In particular, a three-level system of providing medical care to mothers and children has been created, including a network of perinatal centers for patients at high perinatal and obstetric risk. Field events of specialists of National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov of Ministry of Healthcare of Russian Federation to the medical organizations of maternity care in various regions of Russia revealed hot spots that require primary attention: acute shortage of staff for the implementation of diagnostic and therapeutic measures at the modern methodological level, as well as for ensuring epidemiological safety in the medical organizations (medical microbiologists (bacteriologists), clinical pharmacologists and epidemiologists); the lack of registration of healthcare-associated infections, which is associated with the prevailing in the country mainly punitive methods of combating hospital infections. In modern conditions of nursing preterm babies, newborns with various severe somatic and surgical pathologies, it is necessary to know the real indicators of morbidity in order to reasonably and promptly carry out therapeutic and preventive measures; the need to organize modern microbiological laboratories in the perinatal centers with the availability of fast methods (proteomic and molecular-genetic) diagnostics, allowing for microbiological monitoring in specialized departments of newborns and promptly respond to the changes in the epidemiological situation in the hospital, to prevent the development of clinically pronounced cases of healthcare-associated infections.
- Published
- 2021
29. Registration of catheter-related complications in adverse events reporting systems: a major underestimation of the real complication practice
- Author
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Bart J Laan, Suzanne E. Geerlings, Mieke H. Godfried, AII - Infectious diseases, APH - Quality of Care, Graduate School, and Infectious diseases
- Subjects
0301 basic medicine ,Advanced and Specialized Nursing ,Healthcare associated infections ,medicine.medical_specialty ,business.industry ,Health Policy ,030106 microbiology ,Public Health, Environmental and Occupational Health ,Healthcare-associated infections ,03 medical and health sciences ,Catheter ,Patient safety ,0302 clinical medicine ,Infectious Diseases ,Short Reports ,patient safety ,Medicine ,safety management ,030212 general & internal medicine ,business ,Intensive care medicine ,Adverse effect ,Complication - Abstract
Reporting and learning from preventable adverse events is crucial to improve patient safety. Although physicians should file and analyse adverse events by law in The Netherlands, it is unknown if these reporting systems are sufficiently used in clinical practice. This study is a substudy of the multicenter RICAT trial, a successful quality improvement project to reduce inappropriate use of intravenous and urinary catheters in medical wards in seven hospitals, in which we screened 5696 patients and documented 803 catheter-related complications. We also checked the adverse events reporting systems of these patients and found that only 13 (1.6%) of 803 catheter-related complications were registered. Of the infectious complications only five (10.9%) of 46 catheter-associated bloodstream infections and urinary tract infections were registered. We conclude that the reported complications were a major underestimation of the real complication practice in medical wards in The Netherlands. The RICAT trial is registered at Netherlands Trial Register, trial NL5438.
- Published
- 2021
30. The role of single-use ECG leads in reducing healthcare-associated infections
- Author
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Charlie Bloe
- Subjects
Healthcare associated infections ,medicine.medical_specialty ,Single use ,medicine.diagnostic_test ,business.industry ,Critically ill ,030204 cardiovascular system & hematology ,Cardiac surgery ,Electrocardiography ,03 medical and health sciences ,0302 clinical medicine ,Incision Site ,Emergency medicine ,medicine ,Humans ,Infection control ,cardiovascular diseases ,030212 general & internal medicine ,Ecg lead ,business ,Delivery of Health Care ,Electrodes ,General Nursing - Abstract
An electrocardiogram (ECG), the recording of the electrical activity in the heart, is the most commonly performed cardiac test. It is carried out in a variety of clinical settings in hospitals and primary care, and its use is standard practice among high-risk, critically ill patients, and those who have undergone cardiac surgery. ECG recording is classified into two main categories: monitoring and diagnostic. 12-lead ECGs, which require electrodes to be placed on the chest and each limb, are used for diagnostic purposes, whereas 3- or 5-lead ECGs are used for rhythm monitoring. Cross-infection can arise from reusing ECG cables, even if they have been cleaned. Surgical site infection is a particular risk in patients who have undergone coronary artery bypass grafting, because ECG wires are placed on the chest close to the incision site. Single-use ECG leads, such as the Kendall DL™ ECG cable and lead wire system, reduce the risk of cross-contamination between patients and free nursing time for patient care because they are discarded after use and do not have to be cleaned and disinfected for use with another patient.
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- 2021
31. Healthcare-associated Infections—Can We Do Better?
- Author
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Ioannis Kopsidas, Madeline E. Collins, and Theoklis E. Zaoutis
- Subjects
Microbiology (medical) ,Healthcare associated infections ,Cross Infection ,Infection Control ,medicine.medical_specialty ,business.industry ,MEDLINE ,Organizational Culture ,Infectious Diseases ,Evidence-Based Practice ,Epidemiological Monitoring ,Practice Guidelines as Topic ,Pediatrics, Perinatology and Child Health ,medicine ,Humans ,Child ,Intensive care medicine ,business - Published
- 2021
32. Characteristics and Clinical Implications of Carbapenemase-Producing Klebsiella pneumoniae Colonization and Infection, Italy
- Author
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Paola Brambilla, Massimo Puoti, Alessia D'Antonio, Chiara Aldieri, Stefania Piconi, Roberto Martegani, Marianna Rossi, Paolo Grossi, Evelyn Van Hauwermeiren, Floriana Gona, Sara Bigoni, Isabella Sala, Paolo Bonfanti, Cecilia Del Curto, Paola Morelli, Gianni Gattuso, Giovanni Nattino, Daniele Castelli, Alessandra Bandera, Liliane Chatenoud, Sara Giordana Rimoldi, Teresa Itri, Mario C. Raviglione, Daniela Maria Cirillo, Chiara Cerri, Andrea Gori, Rossi, M, Chatenoud, L, Gona, F, Sala, I, Nattino, G, D'Antonio, A, Castelli, D, Itri, T, Morelli, P, Bigoni, S, Aldieri, C, Martegani, R, Grossi, P, Del Curto, C, Piconi, S, Rimoldi, S, Brambilla, P, Bonfanti, P, Van Hauwermeiren, E, Puoti, M, Gattuso, G, Cerri, C, Raviglione, M, Cirillo, D, Bandera, A, and Gori, A
- Subjects
Microbiology (medical) ,Healthcare associated infections ,Characteristics and Clinical Implications of Carbapenemase-Producing Klebsiella pneumoniae Colonization and Infection, Italy ,Carbapenem resistance ,Epidemiology ,Klebsiella pneumoniae ,Infectious and parasitic diseases ,RC109-216 ,macromolecular substances ,beta-Lactamases ,Microbiology ,Antibiotic resistance ,Bacterial Proteins ,Enterobacteriaceae ,healthcare-associated infection ,CME ,polycyclic compounds ,Humans ,Medicine ,Colonization ,antimicrobial resistance ,bacteria ,CRE ,Italy ,KPC-Kp ,healthcare-associated infections ,mortality rates ,biology ,business.industry ,Research ,Carbapenemase producing ,biochemical phenomena, metabolism, and nutrition ,bacterial infections and mycoses ,biology.organism_classification ,humanities ,Anti-Bacterial Agents ,Klebsiella Infections ,Carbapenem-Resistant Enterobacteriaceae ,Infectious Diseases ,business ,Bacteria - Abstract
We found 15-day mortality rates were higher for patients with severe infections than for those with mild infections or colonization., Klebsiella pneumoniae carbapenemase–producing K. pneumoniae (KPC-Kp) has been endemic in Italy since 2013. In a multicenter cohort study, we investigated various aspects of KPC-Kp among patients, including 15-day mortality rates and delays in adequate therapy. Most (77%) KPC-Kp strains were sequence type (ST) ST512 or ST307. During 2017, KPC-Kp prevalence was 3.26 cases/1,000 hospitalized patients. Cumulative incidence of KPC-Kp acquired >48 hours after hospital admission was 0.68% but varied widely between centers. Among patients with mild infections and noninfected colonized patients, 15-day mortality rates were comparable, but rates were much higher among patients with severe infections. Delays of >4 days in receiving adequate therapy more frequently occurred among patients with mild infections than those with severe infections, and delays were less common for patients with known previous KPC-Kp colonization. Italy urgently needs a concerted surveillance system to control the spread of KPC-Kp.
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- 2021
33. The implementation of an infection control bundle within a Total Care Burns Unit
- Author
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Di Twigg, Jane Ryan, Anthony D. Keil, Joyce Hendricks, Fiona Melanie Wood, and Tania Lorena Mcwilliams
- Subjects
Male ,Healthcare associated infections ,medicine.medical_specialty ,Adolescent ,Urinary system ,Burn Units ,Critical Care and Intensive Care Medicine ,Sepsis ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Infection control ,Prospective Studies ,Child ,Intensive care medicine ,Retrospective Studies ,Infection Control ,Respiratory tract infections ,business.industry ,Infant, Newborn ,Infant ,Interrupted Time Series Analysis ,030208 emergency & critical care medicine ,Western Australia ,General Medicine ,medicine.disease ,Pneumonia ,Upper respiratory tract infection ,Child, Preschool ,Wound Infection ,Emergency Medicine ,Total care ,Female ,Surgery ,Burns ,business - Abstract
Aim To evaluate the impact of the implementation of a best practice infection prevention and control bundle on healthcare associated burn wound infections in a paediatric burns unit. Background Burn patients are vulnerable to infection. For this patient population, infection is associated with increased morbidity and mortality, thereby representing a significant challenge for burns clinicians who care for them. Methods An interrupted time series was used to compare healthcare associated burn wound infections in paediatric burn patients before and after implementation of an infection prevention and control bundle. Prospective surveillance of healthcare associated burn wound infections was conducted from 2012 to 2014. Other potential healthcare associated infection rates were also reviewed over the study period, including urinary tract infections, pneumonia, upper respiratory tract infections and sepsis. An infection prevention and control bundle developed in collaboration between the paediatric burn unit and infection control clinicians was implemented in 2013 in addition to previous standard practice. Results During the study period a total of 626 patients were admitted to the paediatric burns unit. Healthcare associated burn wound infections reduced from 34 in 2012 to 0 in 2014 following the implementation of the infection prevention and control bundle. Pneumonia and sepsis also reduced to 0 in 2013 and 2014, however one upper respiratory tract infection occurred in 2013 and urinary tract infections persisted in 2013. Conclusion The implementation of an infection prevention and control bundle was effective in reducing healthcare associated burn wound infections, pneumonia and sepsis within our paediatric burns unit. Urinary tract infections remain a challenge for future improvement.
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- 2021
34. Determining the Level of Nurses’ Compliance with the Isolation Precautions Taken for Preventing Healthcare Associated Infections
- Author
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Kevser Tanyeri, Burçin Işik, and Lutfi Kirdar Training Traumatology
- Subjects
Healthcare associated infections ,medicine.medical_specialty ,business.industry ,Isolation precautions ,Medicine ,business ,Intensive care medicine ,Compliance (psychology) - Published
- 2021
35. Infections associées aux soins en néonatalogie dans la région du grand Maghreb. Revue systématique et méta-analyse
- Author
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Samira Hassoune, S. Zoukal, Samira Nani, G. Tsoumbou-Bakana, and B. Traore
- Subjects
Gynecology ,Healthcare associated infections ,03 medical and health sciences ,medicine.medical_specialty ,Epidemiology ,business.industry ,Public Health, Environmental and Occupational Health ,Medicine ,030501 epidemiology ,0305 other medical science ,business - Abstract
Resume Position du probleme Les infections associees aux soins sont source de morbi-mortalite importante en neonatologie. L’objectif etait de decrire l’epidemiologie des infections associees aux soins en neonatologie en termes de frequence, de facteurs associes et de pronostic. Methodes La recherche a ete realisee sur les bases de donnees PubMed, Scopus et Web of Science. Ont ete incluses les etudes observationnelles chez les nouveau-nes qui ont developpe des infections survenues au-dela de 48 h apres l’hospitalisation, portant sur la prevalence ou l’incidence ou la mortalite. La mesure des effets globaux a ete calculee via le modele a effet aleatoire. Les biais de publication ont ete analyses par les funnel plot et le test d’Egger. Le logiciel de meta-analyse R Studio V1.2 a ete utilise pour l’analyse statistique. Resultats Parmi 137 articles retrouves, dix articles ont ete inclus. Ils concernaient surtout le Maroc, la Tunisie et l’Algerie. L’incidence globale etait de 10 % (IC95 % [4 %-18 %]) et la mortalite globale de 49 % (IC95 % [33 %-66 %]). L’heterogeneite etait significativement elevee entre les etudes avec des taux respectifs de 98 % et 90 %. Conclusion Il apparait necessaire de mener des etudes multicentriques ainsi que des etudes sur le systeme de surveillance, les attitudes et pratiques des agents de santes impliques dans les soins pour apprehender plus les realites de l’infection associee aux soins dans les services de la neonatologie au grand Maghreb.
- Published
- 2021
36. Unintended consequences of infection prevention and control measures during COVID-19 pandemic
- Author
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Ismawati Binte Mohamad Amin, Jing Zhang, Hui Xian Toh, Moi Lin Ling, Kamini Devi Magesparan, Kwee Yuen Tan, Yong Yang, Poh Choo Phoon, Amanda En min Wang, Edwin Philip Conceicao, Sheena Jin Min Ong, Liang En Ian Wee, Lai Chee Lee, May Kyawt Aung, Indumathi Venkatachalam, Bushra Binte Shaik Ismail, Pinhong Jin, Xiang Ying Jean Sim, Gillian Li Xin Lee, Molly Kue Bien How, Jing Yuan Tan, and Elaine Geok Ling Wee
- Subjects
Methicillin-Resistant Staphylococcus aureus ,Catheterization, Central Venous ,medicine.medical_specialty ,Epidemiology ,media_common.quotation_subject ,Psychological intervention ,MRSA ,Healthcare associated infections ,Masking (Electronic Health Record) ,03 medical and health sciences ,0302 clinical medicine ,Hygiene ,Health care ,Pandemic ,Major Article ,Humans ,Infection control ,Medicine ,Cumulative incidence ,030212 general & internal medicine ,Respiratory Tract Infections ,media_common ,Cross Infection ,Infection Control ,0303 health sciences ,Surveillance ,Respiratory tract infections ,SARS-CoV-2 ,030306 microbiology ,business.industry ,Health Policy ,Public Health, Environmental and Occupational Health ,COVID-19 ,Staphylococcal Infections ,United States ,Infectious Diseases ,Catheter-Related Infections ,Emergency medicine ,business - Abstract
Highlights • The impact of a multimodal infection control strategy originally designed for containment of COVID-19 on the rates of other hospital-acquired-infections (HAIs) was evaluated over a 7-month period across the largest healthcare system in Singapore. • During the COVID-19 pandemic, methicillin-resistant Staphylococcus aureus acquisition rates declined significantly, together with central-line-associated-bloodstream infection rates; likely due to increased compliance with standard precautions. • Enhanced infection control measures resulted in the unintended positive consequences of containing health care-associated respiratory viral infections, with a significant and sustained decline for both enveloped and nonenveloped respiratory viruses. • The ongoing COVID-19 pandemic provided the impetus to demonstrate the potential benefit of heightened infection control measures in controlling HAIs and acquisition of multidrug-resistant-organisms., Background In the current COVID-19 pandemic, aggressive Infection Prevention and Control (IPC) measures have been adopted to prevent health care-associated transmission of COVID-19. We evaluated the impact of a multimodal IPC strategy originally designed for the containment of COVID-19 on the rates of other hospital-acquired-infections (HAIs). Methodology From February-August 2020, a multimodal IPC strategy was implemented across a large health care campus in Singapore, comprising improved segregation of patients with respiratory symptoms, universal masking and heightened adherence to Standard Precautions. The following rates of HAI were compared pre- and postpandemic: health care-associated respiratory-viral-infection (HA-RVI), methicillin-resistant Staphylococcus aureus, and CP-CRE acquisition rates, health care-facility-associated C difficile infections and device-associated HAIs. Results Enhanced IPC measures introduced to contain COVID-19 had the unintended positive consequence of containing HA-RVI. The cumulative incidence of HA-RVI decreased from 9.69 cases per 10,000 patient-days to 0.83 cases per 10,000 patient-days (incidence-rate-ratio = 0.08; 95% confidence interval [CI] = 0.05-0.13, P< .05). Hospital-wide MRSA acquisition rates declined significantly during the pandemic (incidence-rate-ratio = 0.54, 95% CI = 0.46-0.64, P< .05), together with central-line-associated-bloodstream infection rates (incidence-rate-ratio = 0.24, 95% CI = 0.07-0.57, P< .05); likely due to increased compliance with Standard Precautions. Despite the disruption caused by the pandemic, there was no increase in CP-CRE acquisition, and rates of other HAIs remained stable. Conclusions Multimodal IPC strategies can be implemented at scale to successfully mitigate health care-associated transmission of RVIs. Good adherence to personal-protective-equipment and hand hygiene kept other HAI rates stable even during an ongoing pandemic where respiratory infections were prioritized for interventions.
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- 2021
37. An effective procedure for disinfection of the hands of healthcare workers based on the '7/5/2' principle for the prevention of healthcare-associated infections
- Author
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Sibiryakova G.N. Sibiryakova G, Khlestova G.V. Khlestova G, Titkov K.V. Titkov, Marchuk N.P. Marchuk, Khamatkhanova E.M. Khamatkhanova, Priputnevich T.V. Priputnevich, and Chuchalina L.Yu. Chuchalina
- Subjects
Healthcare associated infections ,business.industry ,Health care ,Medicine ,General Medicine ,Medical emergency ,business ,medicine.disease - Published
- 2021
38. Measures for the prevention of healthcare-associated infections in obstetric facilities in Russian and world practice
- Author
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Akimkin V.G. Akimkin, Human Well-Being, Moscow, Russia, Abramov Yu.E. Abramov, and Orlova O.A. Orlova
- Subjects
Healthcare associated infections ,business.industry ,medicine ,Medical emergency ,medicine.disease ,business - Published
- 2021
39. Epidemiological features of healthcare-associated infections in the Orenburg Region
- Author
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Denisyuk N.B. Denisyuk
- Subjects
Healthcare associated infections ,medicine.medical_specialty ,business.industry ,Environmental health ,Epidemiology ,medicine ,business - Published
- 2021
40. Device associated healthcare associated infections in a pediatric intensive care unit of a Tertiary Care Hospital, Pakistan
- Author
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Anwarul Haque, Zohra Qamar ud Din, Qalab Abbas, Humaira Jurair, Bushra Afroze, and Shah Ali Ahmed
- Subjects
Pediatric intensive care unit ,Healthcare associated infections ,medicine.medical_specialty ,business.industry ,Emergency medicine ,medicine ,Tertiary care hospital ,business - Abstract
Objective: To determine the frequency of Ventilator associated Pneumonia (VAP), Central Line Associated Blood Stream Infection (CLABSI) and Catheter Associated Urinary Tract infection (CAUTI) by using standardized criteria established by Center of disease control and prevention. Study Design: Cross-sectional study. Setting: PICU of Aga Khan University Hospital (AKUH). Period: (August 2015 to January 2016). Material & Methods: Data was collected on a pre-coded proforma. Data was entered and analyzed through SPSS. Results: 156 patients were enrolled. 102 (65.4%) were male. Mean age was 57.59 months. Mean length of stay was 5.6 days. Patient and Device days were 546 and 958 respectively. Device utilization ratio was 0.56. Four Device associated infections (DAI) were identified during study period with a DAI Rate of 4.17 per 1000 device days. All DAI were CLABSIs. Enterococcus was the most frequent bacterial isolate. Conclusion: DAI are highly prevalent in low resource countries, especially in intensive care areas including PICUs. In our setup, CLABSI are increasing while VAP and CAUTI are decreasing.
- Published
- 2021
41. Clinical perspectives in integrating whole-genome sequencing into the investigation of healthcare and public health outbreaks – hype or help?
- Author
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Benjamin J. Parcell, Matthew T. G. Holden, Kerry A. Pettigrew, Stephen H. Gillespie, The Wellcome Trust, University of St Andrews. Infection and Global Health Division, University of St Andrews. School of Medicine, University of St Andrews. Sir James Mackenzie Institute for Early Diagnosis, University of St Andrews. Centre for Biophotonics, University of St Andrews. Biomedical Sciences Research Complex, University of St Andrews. Global Health Implementation Group, University of St Andrews. Gillespie Group, University of St Andrews. Infection Group, and University of St Andrews. St Andrews Bioinformatics Unit
- Subjects
Microbiology (medical) ,medicine.medical_specialty ,Genotyping Techniques ,T-NDAS ,Multilocus sequence typing ,QH426 Genetics ,Healthcare-associated infections ,030501 epidemiology ,Healthcare associated infections ,Article ,Disease Outbreaks ,Multi-locus sequence typing ,03 medical and health sciences ,Patient safety ,SDG 3 - Good Health and Well-being ,Health care ,Epidemiology ,medicine ,Humans ,Infection control ,Pulsed-field gel electrophoresis ,QH426 ,Genotyping ,Whole-genome sequencing ,0303 health sciences ,Whole Genome Sequencing ,030306 microbiology ,business.industry ,Public health ,Variable number of tandem repeats ,Outbreak ,General Medicine ,Typing ,Infectious Diseases ,Scotland ,Risk analysis (engineering) ,Whole genome sequencing ,Public Health ,0305 other medical science ,business ,Delivery of Health Care ,Genome, Bacterial - Abstract
Bioinformatics and Computational Biology analyses were supported by the University of St Andrews Bioinformatics Unit which is funded by a Wellcome Trust ISSF award [grant 097831/Z/11/Z]. The SHAIPI consortium is funded by the Chief Scientist Office through the Scottish Infection Research Network (SIRN10). Outbreaks pose a significant patient safety risk as well as being costly and time consuming to investigate. The implementation of targeted infection prevention and control (IPC) measures relies on infection prevention and control teams (IPCTs) having access to rapid results that accurately detect resistance, and typing results that give clinically useful information on the relatedness of isolates. At present, determining whether transmission has occurred can be a major challenge. Conventional typing results do not always have sufficient granularity or robustness to unequivocally define strains, and sufficient epidemiological data to establish links between patients and the environment is not always available. Whole genome sequencing (WGS) has emerged as the ultimate genotyping tool, but has not yet fully crossed the divide between research method and routine clinical diagnostic microbiology technique. A clinical WGS service was officially established in 2014 as part of the Scottish Healthcare Associated Infection Prevention Institute (SHAIPI) to confirm or refute outbreaks in hospital settings from across Scotland. In this personal view we describe our experiences that we believe provide new insights into the practical application of the use of WGS to investigate healthcare and public health outbreaks. We also propose solutions to overcome barriers to implementation of this technology in a clinical environment. Publisher PDF
- Published
- 2021
42. Factors influencing Healthcare-associated Infection Control of Caregivers
- Author
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Eunhee Jang and Jeeyoung Kim
- Subjects
Healthcare associated infections ,medicine.medical_specialty ,business.industry ,Control (management) ,medicine ,Intensive care medicine ,business - Published
- 2021
43. A Spectrum of Causative Organisms of Healthcare-associated Infections in a Tertiary Care Hospital of West Bengal: An Observational Study
- Author
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Anjum Namhata, Sinjan Ghosh, Nandini Chatterjee, and Mainak Mukhopadhyay
- Subjects
Healthcare associated infections ,0303 health sciences ,medicine.medical_specialty ,030306 microbiology ,business.industry ,030208 emergency & critical care medicine ,General Medicine ,Tertiary care hospital ,03 medical and health sciences ,0302 clinical medicine ,Medicine ,Observational study ,West bengal ,business ,Intensive care medicine - Abstract
Background Nosocomial infections are the foremost reasons for morbidity and mortality among hospitalized patients. Rampant use of antibiotics in infections has led to the emergence of multiresistant bacteria worldwide. Periodical review of sensitivity profiles is of utmost importance for optimal patient benefit. Aims and objectives To explore the spectrum of organisms responsible for intensive care unit (ICU) and inpatient hospital-acquired sepsis and evaluate the pattern of antibiotic sensitivity of the organisms. Materials and methods Samples were collected from all consecutive patients getting fever and satisfying the criteria for a nosocomial infection indoor as well as ICU, irrespective of etiology. They included sputum, blood, urine, and wound swabs. All samples were sent for a routine examination as well as a culture and sensitivity test. Descriptive statistical methods were used with the help of SPSS version 21. Results The most frequent organisms for nosocomial infections in the ICU were Enterobacteriaceae (45%), Acinetobacter (13.7%), and Staphylococcus aureus (12.3%). In the general wards, the most common isolates were Enterobacteriaceae (59.9%), S. aureus (14.5%), Enterococcus (9.8%), and Pseudomonas (9.3%). There was a high percentage of extended-spectrum beta-lactamase among the Enterobacteriacae, methicillin-resistant S. aureus, and borderline oxacillin-resistant S. aureus among S. aureus and metallo-ß-lactamase among the Acinetobacter and Pseudomonas. These indicate resistance to most beta-lactams, cephalosporins, and at times to carbapenems. There was also coresistance to fluoroquinolones and aminoglycosides. Conclusion An antibiotic policy should be improvised for each healthcare facility on the basis of that point of time. How to cite this article Ghosh S, Mukhopadhyay M, Namhata A, et al. A Spectrum of Causative Organisms of Healthcare-Associated Infections in a Tertiary Care Hospital of West Bengal: An Observational Study. Bengal Physician Journal 2020;7(1):2–7.
- Published
- 2021
44. ŠKOLENÍ VŠEOBECNÝCH SESTER V KONTEXTU DEKONTAMINACE OPAKOVANĚ POUŽÍVANÝCH ZDRAVOTNICKÝCH PROSTŘEDKŮ A PLOCH
- Author
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Martin Krause and František Dolák
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Healthcare associated infections ,Medical device ,General nurse ,business.industry ,Pharmaceutical Science ,Simulation training ,Regional hospital ,Health services ,Complementary and alternative medicine ,Nursing ,Medicine ,Infection transmission ,Pharmacology (medical) ,business ,Personal protective equipment - Abstract
Background: Prevention of healthcare associated infections is still an actual issue. Decontamination is one of the most basic activities of general nurses in the provision of health services. An important role in the decontamination process is also the training of general nurses about the observance of principles related to the chemical disinfection.Aim: To find out the current state of training of general nurses in the issue of decontamination of repeatedly used medical devices and surfaces in clinical practice.Methods: The research was realized by a quantitative method using a questionnaire technique. The research was carried out in a selected regional hospital. The research group consisted of general nurses working in standard departments.Results: The research found out that respondents were trained in the last 2 years most often in the use of personal protective equipment (88.0 % of respondents), the use of cleaning and disinfecting agents (81.5 % of respondents). Furthermore, it was found out that 77.8 % of respondents always emphasize the disinfection of reusable medical devices and surfaces.Discussion: The results of the research brought interesting findings and correspond to some realized researches. Based on the results, it can be recommended to increase the effectiveness of training and implement new aspects of decontamination and prevention of infection transmission, for example, using simulation training for provision of effective feedback.Conclusion: Training of general nurses about sanitary-epidemiological measures is an important part of preventing the transmission of healthcare associated infections.
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- 2021
45. Relationship between hand hygiene behavior and Staphylococcus aureus colonization on cell phones of nurses in the intensive care unit
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Ibrahim Rahmat, Haryani Haryani, Hera Nirwati, Khudazi Aulawi, Yohana Ika Prastiwi, and Meri Afridayani
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Healthcare associated infections ,staphylococcus aureus ,medicine.medical_specialty ,Hand washing ,cell phone ,business.industry ,media_common.quotation_subject ,RT1-120 ,Nursing ,medicine.disease_cause ,Intensive care unit ,nurses ,law.invention ,healthcare-associated infections ,Hygiene ,Staphylococcus aureus ,law ,Family medicine ,hand hygiene ,medicine ,Colonization ,business ,General Nursing ,media_common - Abstract
Background: Healthcare-Associated Infections (HAIs) are infections that often occur in hospitals with Staphylococcus aureus as the primary cause. Staphylococcus aureus is usually found on nurses' hands and easily transferred by contact. Cell phones can be a convenient medium for transmitting bacteria. Accordingly, hand washing is one of the effective ways to prevent the transmission of Staphylococcus aureus. Objective: This study aimed to determine the relationship between hand hygiene behavior and the colonization of Staphylococcus aureus on cell phones of nurses in the intensive care unit of the academic hospital. Methods: This was an observational study with a cross-sectional design conducted from December 2019 to January 2020. The observations of hand hygiene behaviors were performed on 37 nurses selected using total sampling. Colonization of bacteria on each nurses' cell phone was calculated by swabbing the cell phones' surface. Colony counting was done using the total plate count method. Spearman Rank test and Mann Whitney test were used for data analysis. Results: The nurses' hand hygiene behavior was 46.06%. Staphylococcus aureus colonization was found on 18.2% of the nurses' cell phones. However, there was no significant relationship between the nurses' hand hygiene behavior and the colonization of Staphylococcus aureus on their cell phones. Conclusion: The hand hygiene behavior of nurses was still low, and there was evidence of Staphylococcus aureus colonization on their cell phones. As there was no relationship between the nurses' hand hygiene behavior with the colonization of Staphylococcus aureus on the cell phones, further research is needed to determine if there is an increase or decrease in colonization before and after regular observations.
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- 2021
46. Controlling healthcare-associated transmission of SARS-CoV-2 variant of concern 202012/01 in a large hospital network
- Author
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C. Duverger, V. Souyri, C. Monteil, S. Fournier, F. Espinasse, M.C. Gramer, M. Lepainteur, D. Seytre, J.R. Zahar, S. Nerome, C. Ciotti, I. Garrigues, M.L. Delaby, N. Fortineau, S. Ouzani, M. Kecharem, J.C. Lucet, S. Kernéis, S. Géra, G. Bendjelloul, L. Vaillant, M. Vanderbrugghe, V. Goldstein, C. Loison, S. Borde, V. Moulin, C. Leboydre, V. Derouin, A. Casetta, L. Meyer, A. Akpabie, N. Kassis-Chikhani, A. Maurand, M. Silvie, J.W. Decousser, F. Fourreau, B. Hacquin, A. Tackin, A. Lomont, N. Sabourin, R. Amarsy, S. Roulleau, Y. Boufflers, N. Idri, P. Frange, P. Baune, J. Robert, N. Osinski, C. Tamames, J. Auraix, N. Forest, E. Pierson, C. Lawrence, C. Flament, G. Rolland, P. Mariani, K. Belhacel, B. Salauze, F. Barbut, S. Jolivet, N. Audrain, I. Simon, L. Turpin, M. Rouveau, M.T. Le Cam, C. Eble, W. Zebiche, V. Simha, C. Grudzien, M. Denis, E. Le-Roux, S. Angerand, and C. Charpinet
- Subjects
Microbiology (medical) ,Healthcare associated infections ,Hospital network ,cross-transmission ,2019-20 coronavirus outbreak ,SARS-CoV-2 ,Transmission (medicine) ,business.industry ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,COVID-19 ,Outbreak ,General Medicine ,infection control ,Virology ,Hospitals ,Infectious Diseases ,healthcare-associated infections ,Healthcare associated ,outbreaks ,Humans ,Infection control ,Medicine ,business ,Letter to the Editor ,Delivery of Health Care - Published
- 2021
47. Profile of bacterial pathogens contaminating hands of healthcare workers during daily routine care of patients at a tertiary hospital in northern Nigeria
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Adebola Olayinka, S.O. Ige, O. Jimoh, H. Zubairu, O.T. Ige, and I.P. Ijei
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Gynecology ,Healthcare associated infections ,medicine.medical_specialty ,business.industry ,General Chemical Engineering ,media_common.quotation_subject ,05 social sciences ,cons ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,chemistry ,Hygiene ,medicine ,Mannitol salt agar ,030212 general & internal medicine ,Northern nigeria ,0509 other social sciences ,Coagulase ,050904 information & library sciences ,Sheep blood ,business ,Daily routine ,media_common - Abstract
Background: Healthcare associated infections (HAIs) have been recognized as a critical challenge affecting the quality of healthcare services provided. A significant proportion of these infections result from cross-contamination of microorganisms which are often acquired and spread by direct contact with patients or contaminated adjacent environmental surfaces through the hands of healthcare workers (HCWs). The objectives of this study are to profile bacterial pathogens commonly found on the hands of health care workers while routinely attending to patients in thehealthcare facility and to determine their antibiotic susceptibility pattern.Methodology: The fingers of the dominant hand of 300 HCWs at the Barau Dikko Teaching Hospital (BDTH), Kaduna, Nigeria, were imprinted on 5% Sheep blood, MacConkey, and Mannitol salt agar plates and incubated at 37°C for 24 hours. Bacteria isolates were identified by Gram staining and conventional biochemical tests. The susceptibility of isolated bacteria to selected antibiotics was determined by the modified Kirby–Bauer disk diffusion method and interpreted using the 2012 guidelines of the Clinical and Laboratory Standards Institute.Results: Bacteria were isolated from the hands of all 300 HCWs, with coagulase negative staphylococci (CONS) being the most frequent (67.0%, 201/300). Other bacteria identified were Staphylococcus aureus (23.7%, MRSA of 3%), Streptococcus pyogenes (2.7%), and Enterobacteriaceae (6%). The isolates were highly sensitive to ofloxacin 96.7% (290/300), augmentin 87.7% (263/300) and ceftriaxone 87.3% (262/300).Conclusion: This study demonstrates a high rate of contamination of hands of HCWs with potentially pathogenic bacteria, some of which were multidrug resistant. Concerted efforts should be made to implement programs dedicated to improve hand hygiene practices in the tertiary health care facility. Keywords: Hand hygiene, bacterial, pathogen, healthcare workers, healthcare associated infection French title: Profil d'agents pathogènes bactériens contaminant les mains des travailleurs de la santé lors des soins quotidiens de routine auxpatients d'un hôpital tertiaire dans le nord du Nigéria Contexte: Les infections associées aux soins de santé (IHA) ont été reconnues comme un défi critique affectant la qualité des services de santé fournis. Une proportion importante de ces infections résulte de la contamination croisée de micro-organismes qui sont souvent acquis et propagés par contact direct avec des patients ou des surfaces environnementales adjacentes contaminées par les mains des travailleurs de la santé (TS). Les objectifs de cette étude sont de dresser le profil des agents pathogènes bactériens que l'on trouve couramment dans les mains des travailleurs de la santé tout en s'occupant régulièrement des patients dans l'établissement de santé et de déterminer leur profil de sensibilité aux antibiotiques.Méthodologie: Les doigts de la main dominante de 300 travailleurs de la santé au Barau Dikko Teaching Hospital (BDTH), Kaduna, Nigéria, ont été imprimés sur des plaques de gélose au sang de mouton à 5%, MacConkey et Mannitol et incubés à 37°C pendant 24 heures. Les isolats de bactéries ont été identifiés par coloration de Gram et tests biochimiques conventionnels. La sensibilité des bactéries isolées aux antibiotiques sélectionnés a été déterminée par la méthode de diffusion sur disque modifiée de Kirby-Bauer et interprétée en utilisant les lignes directrices de 2012 du Clinical and Laboratory Standards Institute.Résultats: les bactéries ont été isolées des mains des 300 TS, les staphylocoques à coagulase négative (CONS) étant les plus fréquents (67,0%, 201/300). Les autres bactéries identifiées étaient Staphylococcus aureus (23,7%, SARM de 3%), Streptococcus pyogenes (2,7%) et Enterobacteriaceae (6%). Les isolats étaient très sensibles à l'ofloxacine 96,7% (290/300), à l'augmentationin 87,7% (263/300) et à la ceftriaxone 87,3% (262/300).Conclusion: Cette étude démontre un taux élevé de contamination des mains des travailleurs de la santé par des bactéries potentiellement pathogènes, dont certaines étaient multirésistantes. Des efforts concertés devraient être faits pour mettre en œuvre des programmes visant à améliorer les pratiques d'hygiène des mains dans les établissements de soins de santé tertiaires. Mots-clés: hygiène des mains, bactérienne, pathogène, personnel de santé, infection associée aux soins de santé
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- 2021
48. Identification of Infectious Diseases Patterns in the Combined Use of Bacteriological Diagnostics and MALDI Biotyper
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N. M. Voropaeva, N. L. Belkova, U. M. Nemchenko, E. V. Grigorova, E. A. Kungurtseva, O. A. Noskova, N. N. Chemezova, and E. D. Savilov
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Healthcare associated infections ,medicine.drug_class ,Science ,Antibiotics ,stenotrophomonas maltophilia ,medicine.disease_cause ,pseudomonas aeruginosa ,General Biochemistry, Genetics and Molecular Biology ,Microbiology ,Throat ,medicine ,Nose ,mass spectrometry ,non-fermentative microorganisms ,General Immunology and Microbiology ,biology ,Pseudomonas aeruginosa ,business.industry ,Integrated approach ,biology.organism_classification ,bacteriological diagnostic ,klebsiella pneumoniae ,Stenotrophomonas maltophilia ,medicine.anatomical_structure ,healthcare-associated infections ,Sputum ,medicine.symptom ,business - Abstract
In multidisciplinary hospitals, there are conditions conducive to the emergence of healthcare-associated infections: high concentration of people with reduced immunity in a limited area, the presence of a significant number of sources of contagion (patients and carriers), a change in the biocenosis of the mucous membranes and skin of patients and medical personnel under the influence of widespread use of antibiotics and cytostatics. The aim of the research was in the intercomparison of the standardized bacteriological algorithms and the MALDI Biotyper system in the microbiological diagnosis of pathogens as illustrated by the healthcare-associated diseases. Materials and methods . Seventy-eight patients of a multidisciplinary hospital of a regional level (Irkutsk) in 2018–2019 were examined. The age of patients ranged from 1 to 15 years. The material for the study was blood, sputum, swabs from the tracheobronchial tree, throat, nose, wound, abdominal fluid, cerebrospinal fluid, and swabs from environmental objects. Identification of the isolated cultures (78 bacterial strains) was carried out using generally accepted bacteriological methods, as well as using the MALDI Biotyper system. Results and discussions. In the structure of healthcare-associated infections, Pseudomonas aeruginosa occupied a leading position. Not all isolates of microorganisms were identified by standardized bacteriological methods. The identification of strains with characteristic manifestations of physiological and biochemical characteristics was more reliable. Identification difficulties arose in the presence of atypical properties of microorganisms when the use of MALDI Biotyper would be crucial. Conclusion . It is necessary to apply an integrated approach to conduct reliable diagnostics of pathogens. It includes standardized bacteriological methods and methods for identifying microorganisms using mass spectrometry in the subsequent stages.
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- 2021
49. The Present and Future of Infection Control Policy in Korea
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Jacob Lee
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Healthcare associated infections ,medicine.medical_specialty ,business.industry ,medicine ,Infection control ,Intensive care medicine ,business ,Infection Control Practitioners - Published
- 2020
50. Basic Bacteriology for Infection Control
- Author
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Bongyoung Kim
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Healthcare associated infections ,Antibiotic resistance ,biology ,business.industry ,Bacteriology ,Infection control ,Medicine ,biology.organism_classification ,business ,Bacteria ,Microbiology - Published
- 2020
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