journal
Journals Infection Control and Hospital...

Infection Control and Hospital Epidemiology

https://read.qxmd.com/read/37747086/healthcare-associated-infections-and-conditions-in-the-era-of-digital-measurement
#1
JOURNAL ARTICLE
David C Classen, Chanu Rhee, Raymund B Dantes, Andrea L Benin
As the third edition of the Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals is released with the latest recommendations for the prevention and management of healthcare-associated infections (HAIs), a new approach to reporting HAIs is just beginning to unfold. This next generation of HAI reporting will be fully electronic and based largely on existing data in electronic health record (EHR) systems and other electronic data sources. It will be a significant change in how hospitals report HAIs and how the Centers for Disease Control and Prevention (CDC) and other agencies receive this information...
September 25, 2023: Infection Control and Hospital Epidemiology
https://read.qxmd.com/read/37746809/healthcare-associated-respiratory-viral-infections-after-discontinuing-universal-masking
#2
JOURNAL ARTICLE
Zachary M Most, Bethany Phillips, Michael E Sebert
In November 2022, our pediatric hospital replaced the requirement for universal masking of all healthcare personnel and visitors in all clinical buildings with a requirement for masking only during patient encounters. Following this change, we observed an immediate, substantial, and sustained increase in healthcare-associated respiratory viral infections.
September 25, 2023: Infection Control and Hospital Epidemiology
https://read.qxmd.com/read/37746805/low-infectivity-among-asymptomatic-patients-with-a-positive-severe-acute-respiratory-coronavirus-virus-2-sars-cov-2-admission-test-at-a-tertiary-care-center-2020-2022
#3
JOURNAL ARTICLE
Ralph Tayyar, Melanie A Kiener, Jane W Liang, Gustavo Contreras, Guillermo Rodriguez-Nava, Alex N Zimmet, Caitlin A Contag, Krithika Srinivasan, Karen McIntyre, Aruna Subramanian, John Shepard, Lucy S Tompkins, Benjamin A Pinsky, Jorge L Salinas
We used a strand-specific RT-qPCR to evaluate viral replication as a surrogate for infectiousness among 242 asymptomatic inpatients with a positive severe acute respiratory coronavirus virus 2 (SARS-CoV-2) admission test. Only 21 patients (9%) had detectable SARS-CoV-2 minus-strand RNA. Because most patients were found to be noninfectious, our findings support the suspension of asymptomatic admission testing.
September 25, 2023: Infection Control and Hospital Epidemiology
https://read.qxmd.com/read/37736689/clean-hospitals-day-2023-marks-the-global-launch-of-a-self-assessment-tool
#4
JOURNAL ARTICLE
Alexandra Peters, Pierre Parneix, Didier Pittet
No abstract text is available yet for this article.
September 22, 2023: Infection Control and Hospital Epidemiology
https://read.qxmd.com/read/37728055/hand-hygiene-knowledge-and-practices-of-family-caregivers-in-inpatient-pediatrics
#5
JOURNAL ARTICLE
Stephanie Zahradnik, Anne Tsampalieros, James Okeny-Owere, Richard J Webster, Pat Bedard, Gillian Seidman, Nisha Thampi
Family caregivers are essential inpatient pediatric care partners, yet their handwashing knowledge and compliance are rarely studied. Through hand hygiene audits and self-administered questionnaires, we observed 9% compliance, significantly lower than self-reported practice. We suggest interventions to improve caregiver handwashing behaviors to decrease infection transmission risk to hospitalized children.
September 20, 2023: Infection Control and Hospital Epidemiology
https://read.qxmd.com/read/37728054/contribution-of-active-surveillance-cultures-to-the-control-of-hospital-acquired-carbapenem-resistant-acinetobacter-baumannii-in-an-endemic-hospital-setting
#6
JOURNAL ARTICLE
Debby Ben-David, Yael Cohen, Gabrielle Levi, Alona Keren-Paz, Diana Tasher, Gisele Zandman-Goddard, Orna Schwartz, Yasmin Maor
BACKGROUND: Despite the increasing rates of carbapenem-resistant Acinetobacter baumannii (CRAB) carriage among hospitalized patients in endemic settings, the role of active surveillance cultures and cohorting is still debated. We sought to determine the long-term effect of a multifaceted infection-control intervention on the incidence of CRAB in an endemic setting. METHODS: A prospective, quasi-experimental study was performed at a 670-bed, acute-care hospital. The study consisted of 4 phases...
September 20, 2023: Infection Control and Hospital Epidemiology
https://read.qxmd.com/read/37702088/assessing-past-versus-present-severe-acute-respiratory-coronavirus-virus-2-sars-cov-2-infection-a-survey-of-criteria-for-discontinuing-precautions-in-asymptomatic-patients-testing-positive-on-admission
#7
JOURNAL ARTICLE
Shruti K Gohil, Annabelle De St Maurice, Deborah S Yokoe, Stuart H Cohen, Francesca J Torriani, Jonathan D Grein, Philip A Robinson, Shannon Mabalot, Jessica Park, Paula Pedrani, Richard Platt, Susan S Huang
Infection prevention program leaders report frequent use of criteria to distinguish recently recovered coronavirus disease 2019 (COVID-19) cases from actively infectious cases when incidentally positive asymptomatic patients were identified on routine severe acute respiratory coronavirus virus 2 (SARS-CoV-2) polymerase chain reaction (PCR) testing. Guidance on appropriate interpretation of high-sensitivity molecular tests can prevent harm from unnecessary precautions that delay admission and impede medical care...
September 13, 2023: Infection Control and Hospital Epidemiology
https://read.qxmd.com/read/37702064/the-influence-of-hospital-leadership-support-on-burnout-psychological-safety-and-safety-climate-for-us-infection-preventionists-during-the-coronavirus-disease-2019-covid-19-pandemic
#8
JOURNAL ARTICLE
Heather M Gilmartin, Sanjay Saint, David Ratz, Kristin Chrouser, Karen E Fowler, M Todd Greene
OBJECTIVE: To explore infection preventionists' perceptions of hospital leadership support for infection prevention and control programs during the coronavirus disease 2019 (COVID-19) pandemic and relationships with individual perceptions of burnout, psychological safety, and safety climate. DESIGN: Cross-sectional survey, administered April through December 2021. SETTING: Random sample of non-federal acute-care hospitals in the United States...
September 13, 2023: Infection Control and Hospital Epidemiology
https://read.qxmd.com/read/37702063/active-surveillance-of-carbapenemase-producing-enterobacterales-using-genomic-sequencing-for-hospital-based-infection-control-interventions
#9
JOURNAL ARTICLE
Andie S Lee, Leanne Dolan, Frances Jenkins, Bernadette Crawford, Sebastiaan J van Hal
BACKGROUND: Whole-genome sequencing (WGS) is increasingly used to characterize hospital outbreaks of carbapenemase-producing Enterobacterales (CPE). However, access to WGS is variable and testing is often centralized, leading to delays in reporting of results. OBJECTIVE: We describe the utility of a local sequencing service to promptly respond to facility needs over an 8-year period. METHODS: The study was conducted at Royal Prince Alfred Hospital in Sydney, Australia...
September 13, 2023: Infection Control and Hospital Epidemiology
https://read.qxmd.com/read/37702044/impact-of-the-sequential-implementation-of-a-pharmacy-driven-methicillin-resistant-staphylococcus-aureus-mrsa-nasal-swab-ordering-policy-and-vancomycin-72-hour-restriction-protocol-on-standardized-antibiotic-administration-ratio-saar-data-for-antibiotics-used
#10
JOURNAL ARTICLE
Natasha N Pettit, Cynthia T Nguyen, Alison K Lew, Jennifer Pisano
OBJECTIVE: Vancomycin is often initiated in hospitalized patients; however, it may be unnecessary or continued for longer durations than needed. Oversight of all vancomycin orders may not be feasible with widespread prescribing and strategies to enlist other clinicians to serve as stewards of vancomycin use are needed. We implemented 2 sequential interventions: a protocol in which the pharmacist orders MRSA nasal swab followed by a protocol requiring approval from pharmacists to continue vancomycin for >72 hours...
September 13, 2023: Infection Control and Hospital Epidemiology
https://read.qxmd.com/read/37700540/impact-of-measurement-and-feedback-on-chlorhexidine-gluconate-bathing-among-intensive-care-unit-patients-a-multicenter-study
#11
JOURNAL ARTICLE
Yoona Rhee, Mary K Hayden, Michael Schoeny, Arthur W Baker, Meghan A Baker, Shruti Gohil, Chanu Rhee, Naasha J Talati, David K Warren, Sharon Welbel, Karen Lolans, Bardia Bahadori, Pamela B Bell, Heilen Bravo, Thelma Dangana, Christine Fukuda, Tracey Habrock Bach, Alicia Nelson, Andrew T Simms, Pam Tolomeo, Robert Wolf, Rachel Yelin, Michael Y Lin
OBJECTIVE: To assess whether measurement and feedback of chlorhexidine gluconate (CHG) skin concentrations can improve CHG bathing practice across multiple intensive care units (ICUs). DESIGN: A before-and-after quality improvement study measuring patient CHG skin concentrations during 6 point-prevalence surveys (3 surveys each during baseline and intervention periods). SETTING: The study was conducted across 7 geographically diverse ICUs with routine CHG bathing...
September 13, 2023: Infection Control and Hospital Epidemiology
https://read.qxmd.com/read/37700539/incidence-and-risk-factors-for-recurrent-clostridioides-difficile-infection-in-pediatric-at-risk-groups-in-selected-pediatric-investigators-collaborative-network-on-infections-in-canada-picnic-hospitals
#12
JOURNAL ARTICLE
Lucila Baldassarre, Caroline Quach-Thanh, Verinsa Mouajou Feujio, Fazia Tadount, Claudia Deyirmendjian, Marie-Astrid Lefebvre, Nisha Thampi, Oliver Schneider, Isabela Fabri-Karam, Shauna O'Donnell, James Okeny-Owere, N Audy, Nadia Desmarais
OBJECTIVES: Incidence and risk factors for recurrent Clostridioides difficile infection (rCDI) are well established in adults, though data are lacking in pediatrics. We aimed to determine incidence of and risk factors for rCDI in pediatrics. METHODS: This retrospective cohort study of pediatric patients was conducted at 3 tertiary-care hospitals in Canada with laboratory-confirmed CDI between April 1, 2012, and March 31, 2017. rCDI was defined as an episode of CDI occurring 8 weeks or less from diagnostic test date of the primary episode...
September 13, 2023: Infection Control and Hospital Epidemiology
https://read.qxmd.com/read/37700531/monitoring-health-disparities-in-healthcare-associated-infection-surveillance-a-society-for-healthcare-epidemiology-of-america-shea-research-network-srn-survey
#13
JOURNAL ARTICLE
Caitlin L McGrath, Latania K Logan, Valerie M Deloney, Lorry G Rubin, Karen A Ravin, Martha Muller, Allison H Bartlett, Annabelle de St Maurice, W Matthew Linam, Carolyn Caughell, Lynn Ramirez-Avila
We investigated whether and how infection prevention programs monitor for health disparities as part of healthcare-associated infection (HAI) surveillance through a survey of healthcare epidemiology leaders. Most facilities are not assessing for disparities in HAI rates. Professional society and national guidance should focus on addressing this gap.
September 13, 2023: Infection Control and Hospital Epidemiology
https://read.qxmd.com/read/37694735/analysis-of-microbiological-tests-in-patients-withholding-or-withdrawing-life-sustaining-treatment-at-the-end-stage-of-life-in-2-korean-hospitals
#14
JOURNAL ARTICLE
Sohyun Bae, Ki Tae Kwon, Soyoon Hwang, Yoonjung Kim, Hyun-Ha Chang, Shin-Woo Kim, Nan Young Lee, Yu Kyoung Kim, Je Chul Lee
OBJECTIVE: We evaluated the adequacy of microbiological tests in patients withholding or withdrawing life-sustaining treatment (WLST) at the end stage of life. SETTING: The study was conducted at 2 tertiary-care referral hospitals in Daegu, Republic of Korea. DESIGN: Retrospective cross-sectional study. METHODS: Demographic findings, clinical and epidemiological characteristics, statistics of microbiological tests, and microbial species isolated from patients within 2 weeks before death were collected in 2 tertiary-care referral hospitals from January to December 2018...
September 11, 2023: Infection Control and Hospital Epidemiology
https://read.qxmd.com/read/37694734/negative-pressure-rooms-and-aspergillus-risk-air-balance-alone-is-insufficient
#15
JOURNAL ARTICLE
Joshua K Schaffzin, Nisha Thampi, Jessica Fullerton
No abstract text is available yet for this article.
September 11, 2023: Infection Control and Hospital Epidemiology
https://read.qxmd.com/read/37675518/application-of-openai-gpt-4-for-the-retrospective-detection-of-catheter-associated-urinary-tract-infections-in-a-fictitious-and-curated-patient-data-set
#16
JOURNAL ARTICLE
Jasmin Perret, Adrian Schmid
The use of the OpenAI GPT-4 model in detecting catheter-associated urinary tract infection (CAUTI) cases in small fictitious and curated patient data sets was investigated. Final analysis of 50 patients including 11 CAUTI cases yielded sensitivity, specificity and positive and negative predictive values of 91%, 92%, 83%, and 96%, respectively.
September 7, 2023: Infection Control and Hospital Epidemiology
https://read.qxmd.com/read/37675506/validation-of-the-steris-amsco-630ls-steam-sterilizer-autoclave-for-inactivation-of-category-a-medical-waste-from-patients-with-high-consequence-infectious-diseases
#17
JOURNAL ARTICLE
Jessica A Tarabay, Jill S Morgan, Colleen S Kraft, Mary Elizabeth Sexton
Hospitals caring for patients with high-consequence pathogens may need to safely manage large volumes of category A waste. Using biological indicators to assess for successful sterilization, autoclave cycle parameters that would inactivate 4 categories of waste were identified and validated utilizing a STERIS Amsco 630LS Steam Sterilizer.
September 7, 2023: Infection Control and Hospital Epidemiology
https://read.qxmd.com/read/37675504/national-validation-of-the-centers-for-medicare-medicaid-services-strategy-for-identifying-potential-surgical-site-infections-following-colon-surgery-and-abdominal-hysterectomy
#18
JOURNAL ARTICLE
Michael S Calderwood, Ken Kleinman, Christina B Bruce, Lauren Shimelman, Rebecca E Kaganov, Richard Platt, Susan S Huang
OBJECTIVE: National validation of claims-based surveillance for surgical-site infections (SSIs) following colon surgery and abdominal hysterectomy. DESIGN: Retrospective cohort study. SETTING: US hospitals selected for data validation by Centers for Medicare & Medicaid Services (CMS). PARTICIPANTS: The study included 550 hospitals performing colon surgery and 458 hospitals performing abdominal hysterectomy in federal fiscal year 2013...
September 7, 2023: Infection Control and Hospital Epidemiology
https://read.qxmd.com/read/37665212/improving-antimicrobial-use-through-better-diagnosis-the-relationship-between-diagnostic-stewardship-and-antimicrobial-stewardship
#19
JOURNAL ARTICLE
Tsun Sheng N Ku, Mayar Al Mohajer, James A Newton, Marie H Wilson, Elizabeth Monsees, Mary K Hayden, Kevin Messacar, Jamie J Kisgen, Daniel J Diekema, Daniel J Morgan, Costi D Sifri, Valerie M Vaughn
Antimicrobial stewardship programs (ASPs) exist to optimize antibiotic use, reduce selection for antimicrobial-resistant microorganisms, and improve patient outcomes. Rapid and accurate diagnosis is essential to optimal antibiotic use. Because diagnostic testing plays a significant role in diagnosing patients, it has one of the strongest influences on clinician antibiotic prescribing behaviors. Diagnostic stewardship, consequently, has emerged to improve clinician diagnostic testing and test result interpretation...
September 4, 2023: Infection Control and Hospital Epidemiology
https://read.qxmd.com/read/37665113/viable-mpox-in-the-inanimate-environmental-and-risk-of-transmission
#20
JOURNAL ARTICLE
Leonard A Mermel
No abstract text is available yet for this article.
September 4, 2023: Infection Control and Hospital Epidemiology
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