Journals American Journal of Infection ...

American Journal of Infection Control
Zafer Kahveci, F Selcen Kilinc-Balci, Patrick L Yorio
BACKGROUND: Fluid leakage through the glove-protective clothing interface is an area of concern for many healthcare personnel, including emergency medical service providers, who may wear coveralls to protect themselves from multiple types of hazards. There is currently no established standard test method to specifically evaluate the barrier performance of the glove-protective clothing interface region for any personal protective equipment ensemble. OBJECTIVE: This study quantifies the fluid leakage at the coverall and glove interface using single and double gloving...
March 15, 2023: American Journal of Infection Control
Aiman El-Saed, Fatmah Othman, Saud AlMohrij, Mohammed Abanmi, Elias Tannous, Majid M Alshamrani
BACKGROUND: Surveillance of healthcare-associated infections (HAIs) is a cornerstone for effective infection prevention and control (IPC) programs. The objective was to evaluate the coverage and methods of HAI surveillance in Middle Eastern and North African (MENA) countries. METHODS: A cross-sectional study targeted IPC staff working in MENA countries using the Infection Control Network electronic database of the Arab countries. The study focused on self-reported surveillance-related characteristics of IPC staff, facilities, and the IPC program...
March 15, 2023: American Journal of Infection Control
Davide Piaggio, Marianna Zarro, Silvio Pagliara, Martina Andellini, Abdulaziz Almuhini, Alessia Maccaro, Leandro Pecchia
Infection prevention and control (IPC) is essential to prevent nosocomial infections. The implementation of automation technologies can aid outbreak response. This manuscript aims at investigating the current use and role of robots and smart environments on IPC systems in nosocomial settings. The systematic literature review was performed following the PRISMA statement. Literature was searched for articles published in the period January 2016 to October 2022. Two authors determined the eligibility of the papers, with conflicting decisions being mitigated by a third...
March 14, 2023: American Journal of Infection Control
Victor Daniel Rosenthal, Zhilin Jin, Sandra Liliana Valderrama-Beltran, Sandra Milena Gualtero, Claudia Yaneth Linares, Guadalupe Aguirre-Avalos, Julio Cesar Mijangos-Méndez, Miguel Ángel Ibarra-Estrada, Luisa Fernanda Jiménez Alvarez, Lidia Patricia Reyes, Carlos Arturo Alvarez-Moreno, Maria Adelia Zuniga Chavarria, Ana Marcela Quesada Mora, Katherine Gomez, Johana Alarcon, Jose Millan Oñate, Daisy Aguilar De Moros, Elizabeth Castaño Guerra, Judith Córdoba, Alejandro Sassoe Gonzalez, Claudia Marisol Millán Castillo, Lissette Leyva Xotlanihua, Lina Alejandra Aguilar Moreno, Juan Sebastian Bravo Ojeda, Ivan Felipe Gutierrez Tobar, Mary Cruz Aleman Bocanegra, Clara Veronica Echazarreta Martínez, Belinda Mireya Flores Sánchez, Yuliana Andrea Cano Medina, Edwin Giovannny Chapeta Parada, Rafael Antonio Gonzalez Niño, Maria Isabel Villegas Mota, Mildred Montoya Malváez, Miguel Ángel Cortés Vázquez, Eduardo Alexandrino Medeiros, Dayana Fram, Daniela Vieira Escudero, Lourdes Dueñas, Nilton Yhuri Carreazo, Estuardo Salgado, Ruijie Yin
BACKGROUND: Our objective was to identify central line (CL)-associated bloodstream infections (CLABSI) rates and risk factors in Latin-America. METHODS: From 01/01/2014 to 02/10/2022, we conducted a multinational multicenter prospective cohort study in 58 ICUs of 34 hospitals in 21 cities in 8 Latin American countries (Argentina, Brazil, Colombia, Costa Rica, Dominican Republic, Ecuador, Mexico, Panama). We applied multiple logistic regression. Outcomes are shown as adjusted odds ratios (aOR)...
March 13, 2023: American Journal of Infection Control
Dr Isabella Centeleghe, Dr Philip Norville, Dr Louise Hughes, Prof Jean-Yves Maillard
BACKGROUND: Dry surface biofilms (DSB) are widespread in healthcare settings presenting a challenge to cleaning and disinfection. Klebsiella pneumoniae has been a focus of attention due to antibiotic resistance and the emergence of hypervirulent strains. Few studies have demonstrated K. pneumoniae survival on surfaces following desiccation. METHODS: DSB were formed over 12 days. Bacterial culturability and transfer were investigated following DSB incubation up to four weeks...
March 10, 2023: American Journal of Infection Control
Cori L Ofstead, Abigail G Smart, Krystina M Hopkins, Larry A Lamb, Frank E Daniels, Damien S Berg
BACKGROUND: Healthcare is shifting toward minimally invasive procedures requiring increasingly complex instruments and sophisticated processing technologies. Effective training methods are needed to ensure sterile processing professionals acquire and retain essential skills. OBJECTIVE: This study aimed to develop and evaluate a new training model that supports mastery and retention of complex key skills. METHODS: The model was pilot-tested with training focused on visual inspection of endoscopes...
March 10, 2023: American Journal of Infection Control
Gina Giannopoulos, Kaitlyn Cronin
Infection Preventionists (IPs) are expected to be well-rounded and competent in their role, necessitating a robust orientation program. Feedback from IPs identified that orientation is task-based and lacks opportunities for meaningful application to the field. This team sought to enhance onboarding through focused interventions, including standardized resources and scenario-based applications. This department has engaged in an iterative process to refine and implement a robust orientation program, resulting in improvement in the department...
March 9, 2023: American Journal of Infection Control
Daiichi Morii, Asako Miura, Masashi Komori
BACKGROUND: There is limited data to support the impact of the COVID-19 pandemic on hand hygiene compliance among hospital visitors. METHODS: We monitored hand hygiene compliance among university hospital visitors in Osaka, Japan by direct observation, from December 2019 to March 2022. During this time, we measured the amount of coverage time dedicated to COVID-19 related news on the local public television channel and the number of confirmed cases and deaths. RESULTS: Over 148 days, 111,071 visitors hand hygiene compliance was monitored...
March 9, 2023: American Journal of Infection Control
Yonit Wiener-Well, Phillip D Levin, Marc V Assous, Nurit Algur, Orit Wolfovitz Barchad, Tamar Lachish, Todd Zalut, Amos M Yinnon, Eli Ben-Chetrit
BACKGROUND: Blood culture contamination is associated with health care costs and potential patient harm. Diversion of the initial blood specimen reduces blood culture contamination. We report results of the "real-life" clinical implementation of this technique. METHODS: Following an educational campaign, use of a dedicated diversion tube was recommended prior to all blood cultures. Blood culture sets taken from adults using a diversion tube were defined as "diversion sets", those without, "non-diversion" sets...
March 9, 2023: American Journal of Infection Control
Terri Rebmann, Jill E Holdsworth, Kaeli A Lugo, Rebecca T Alvino, Ashley Gomel
INTRODUCTION: Emergence of the Delta variant in 2021 changed the pandemic landscape and led to healthcare surges across the US, despite availability of COVID-19 vaccine. Anecdotal information indicated that the infection prevention and control (IPC) field was changing during and due to the pandemic, but formal assessment was needed. METHODS: Focus groups (6) were conducted with APIC members in November and December, 2021 to elicit infection preventionists' (IP) opinions regarding how the IPC field had changed during and due to the pandemic...
March 5, 2023: American Journal of Infection Control
Zaina Al Maskari, Amal Al Tai, Hanan Al Kindi, Aisha Al Busaidi, Khalsa Al Mammari, Intisar Al Shukri, Hilal Al Hashami, Nawal Al Maskari, Badria Al Waili
INTRODUCTION: Measles is one of the most contagious of all infectious diseases, for example, up to nine out of ten susceptible people with close contact to a measles patient will develop measles. In countries where measles is rare, transmissions in healthcare facilities have been a key factor in amplifying outbreaks OBJECTIVES: describe the hospital transmission of measles among unvaccinated children in pediatric service, challenges faced and recommendations for healthcare settings by applying the Swiss cheese model...
March 2, 2023: American Journal of Infection Control
Mohamed Yassin, Adrian Clifford, Heather Dixon, Curtis J Donskey
BACKGROUND: Effective drying of the internal channels of endoscopes is essential to prevent the growth of water-borne pathogens and to assure adequate sterilization with vaporized hydrogen peroxide or ethylene oxide. The aim of this study was to evaluate the dryness of endoscopes after a routine disinfection process in an automated endoscope reprocessor. METHODS: Stripped endoscopes (SE) that allow for visual inspection of the inside channels were reprocessed per protocol in a large urban medical center, with a 3 minute or 10-minute air flush following reprocessing...
February 24, 2023: American Journal of Infection Control
Paula Aillón-García, Blanca Parga-Landa, Francisco Guillén-Grima
UNLABELLED: Hospital-acquired infections (HAIs) are a significant clinical and economic burden on health systems worldwide. Copper alloys have been certified by the US EPA as solid antimicrobial materials, but their effectiveness in reducing HAIs is not well established OBJECTIVES: This systematic review aimed to assess copper surfaces in situ efficacy in reducing healthcare's microbial burden compared to control surfaces. MATERIALS AND METHODS: A literature search was conducted using three electronic databases: Web of Science, Pubmed, and Scopus, with the keywords "copper" and "surfaces" and "antimicrobial" and "antibacterial" and "infections...
February 24, 2023: American Journal of Infection Control
Masoumeh Sarbaz, Seyyedeh Fatemeh Mousavi Baigi, Ali Darroudi, Khalil Kimiafar
BACKGROUND: This study aimed to assess occupational exposure to blood and body fluids (BBFs) and the use of protective equipment among pre-hospital emergency medical services (EMS) workers in Mashhad, Iran. METHODS: This cross-sectional questionnaire survey-based study was conducted from July 2020 to March 2021 in Mashhad. All pre-hospital EMS workers of Mashhad were invited to participate in the study using the census technique. The questionnaire was about occupational exposure to BBFs, infection control, protective measures, health program, and demographic information...
February 24, 2023: American Journal of Infection Control
Kaixin Guo, Peng Ni, Shuailei Chang, Yuefei Jin, Guangcai Duan, Rongguang Zhang
OBJECTIVE: We aimed to systematically evaluate the effectiveness of the currently available mRNA vaccines and boosters for the Omicron variant. METHODS: We searched for literature published on PubMed, Embase, Web of Science and preprint servers (medRxiv and bioRxiv) from January 1, 2020 to June 20, 2022. The pooled effect estimate was calculated by the random-effects model. RESULTS: We selected 34 eligible studies in the meta-analysis from 4336 records...
February 16, 2023: American Journal of Infection Control
Briar Deen
Respiratory infectious disease transmission decreased within the United States during the COVID-19 pandemic. Within emergency departments, use of personal protective equipment along with masking requirements for COVID-19 helped in this reduction. This report focuses on how COVID-19 precautions reduced the risk of emerging infectious diseases transmission in emergency departments, specifically with patients suspected of measles and mumps.
February 8, 2023: American Journal of Infection Control
Hideharu Hagiya, Fumio Otsuka
INTRODUCTION: Extended-spectrum beta-lactamases-producing Enterobacteriaceae (ESBL-E) is a critical antimicrobial resistance pathogen, to which we need to pay the greatest attention. This study was aimed at uncovering the present evidence for the preventive effectiveness of contact precautions for patients colonized or infected with ESBL-E. METHODS: According to the Preferred Reporting Items for Systemic Reviews and Meta-analyses (PRISMA) Extension for Scoping Reviews, we searched MEDLINE for articles with relevant keywords from the beginning of 2010 to October 18, 2022...
February 1, 2023: American Journal of Infection Control
Ari Safir, Margarita Safir, Oryan Henig, Meital Nahari, Ora Halutz, Katia Levytskyi, Michal Mizrahi, Michal Yakubovsky, Amos Adler, Ronen Ben-Ami, Eli Sprecher, Michal Dekel
We present an unusual case of mpox(monkeypox) virus transmission to a dermatology resident during examination of affected patients. Viral DNA sequencing led to the identification of the most likely contact. This case, along with a review of all published cases so far, emphasizes the possible hazard of mpox transmission to healthcare personnel, even when wearing personal protective equipment. It also emphasizes the need for maintaining high index of suspicion when examining patients with new dermatological lesions and strict compliance with the revised Centers for Disease Control and Prevention recommendations for specimen collection from such patients...
February 1, 2023: American Journal of Infection Control
Marie-Astrid Lefebvre, Ewa Rajda, Charles Frenette, France Paquet, Earl Rubin, Heidi Sleno, Michal Stachura, Wendy Tse, Marina I Salvadori
The incidence of healthcare-associated viral respiratory infections in a pediatric hospital decreased from 1.6 /1,000 patient-days in 2019 to 0.2 /1,000 patient-days in 2020 (P < 0.01), and this was maintained in 2021despite an increase in community circulation of respiratory viruses. Universal masking, stricter infection control measures, and pandemic public health interventions likely accounted for this improvement.
February 1, 2023: American Journal of Infection Control
Marina Ruhlandt, Britta Becker, Dajana Paulmann, Andreas Dotzauer, Andreas Arndt, Daniel Todt, Eike Steinmann, Jochen Steinmann, Florian Hh Brill
BACKGROUND: Adenoviruses belong to the stable non-enveloped viruses playing an important role in healthcare-associated infections mainly causing respiratory infections and epidemic keratoconjunctivitis. Hand disinfection with alcoholic preparations is therefore one of the most important measures to prevent such viral infections in hospitals and other medical settings. METHODS: The inactivation of adenovirus type 5 by ethanol, 1- and 2-propanol and two commercially available hand disinfectants was examined at different concentrations, temperatures, and pH-values...
February 1, 2023: American Journal of Infection Control
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