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American Journal of Infection Control
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Published on Jan 1, 2019in American Journal of Infection Control 1.97
Maura P. Smiddy2
Estimated H-index: 2
(UCC: University College Cork),
Olive M. Murphy1
Estimated H-index: 1
(Bon Secours Hospital Cork)
+ 1 AuthorsJohn Browne34
Estimated H-index: 34
(UCC: University College Cork)
Background Compliance with hand hygiene guidelines reduces the risk of health care–associated infection, yet doctors are less compliant than other health care workers. Use of observational hand hygiene auditing with targeted individualized feedback was implemented, with improved hand hygiene of consultant doctors; however, the factors that influenced this were not explained by previous quantitative data. The aim was to explore consultant doctors’ opinions about the influence of observational han...
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Published on Feb 1, 2019in American Journal of Infection Control 1.97
Vatsala R. Srinivasa (University of Pittsburgh), Rahman Hariri3
Estimated H-index: 3
(University of Pittsburgh)
+ 4 AuthorsMohamed H. Yassin6
Estimated H-index: 6
(University of Pittsburgh)
Background Clostridium difficile infection (CDI) is a leading cause of hospital-associated infections. Antibiotic stewardship, environmental disinfection, and reduction of transmission via health care workers are the major modes of CDI prevention within hospitals. Methods The aim of this study was to evaluate the role of the environment in the spread of CDI within hospital rooms. Bed tracing of positive-CDI inpatients was performed to detect the strength of association to specific rooms. Environ...
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Published on Jul 1, 2019in American Journal of Infection Control 1.97
Emily Styslinger (VCU: Virginia Commonwealth University), Huong Nguyen (MCV: VCU Medical Center)+ 10 AuthorsMichael P. Stevens11
Estimated H-index: 11
(MCV: VCU Medical Center)
A primary strategy of central line–associated bloodstream infection (CLABSI) prevention is standardized, aseptic insertion of central lines. We compared hospital-wide CLABSI rate pre- and post-implementation of a dedicated procedure team as well as central line checklist completion and patient-specific variables between the procedure team and other providers. No significant differences were found. Further CLABSI prevention should focus on central line maintenance.
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Published on Jul 1, 2019in American Journal of Infection Control 1.97
Jingjing Han (WHU: Wuhan University), Jun Wan (WHU: Wuhan University)+ 9 AuthorsLi Wang (WHU: Wuhan University)
Background Few data are available on hospital-wide incidence of central line–associated bloodstream infection (CLABSI) rates in patients with central venous catheter (CVC) in China, where many systemic obstacles holding back evidence-based guidelines implementation exist. Methods This study was conducted prospectively in 2 phases. The baseline and intervention phases were performed in a teaching hospital in China, between January 2017 and October 2018. A systematic quality improvement (SQI) and ...
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Published on Jan 1, 2019in American Journal of Infection Control 1.97
Yilen Karen Ng Wong , Heba Alhmidi5
Estimated H-index: 5
+ 3 AuthorsCurtis J. Donskey46
Estimated H-index: 46
(Case Western Reserve University)
The frequency of recovery of Clostridium difficile spores from surfaces after postdischarge cleaning of non- C difficile infection rooms was significantly reduced from 24%-5% after a commercial spray formulation of bleach was substituted for a quaternary ammonium disinfectant. These results suggest that routine use of a sporicidal disinfectant in all postdischarge rooms could potentially be beneficial in reducing the risk for C difficile transmission from contaminated surfaces.
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Published on Dec 1, 2018in American Journal of Infection Control 1.97
Blachy J. Dávila Saldaña3
Estimated H-index: 3
(GW: George Washington University),
Michael D. Keller10
Estimated H-index: 10
(GW: George Washington University)
+ 1 AuthorsXiaoyan Song5
Estimated H-index: 5
(GW: George Washington University)
Five patients, all with severe T cell dysfunction, had invasive non-tuberculous mycobacteria (NTM) infections diagnosed over a 16 month period, with four meeting Centers for Disease Control and Prevention criteria for hospital-acquired infections. Testing of the hospitals tap water confirmed the presence of NTM. NTM are naturally present in water systems and present a threat to patients with lymphopenia; steps should be taken to avoid NTM exposure when caring for this patient population.
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Published on Jan 1, 2019in American Journal of Infection Control 1.97
Katie J. Palladino (North Carolina Department of Health and Human Services), Tammra Morrison1
Estimated H-index: 1
(North Carolina Department of Health and Human Services)
+ 2 AuthorsJennifer K. MacFarquhar3
Estimated H-index: 3
(CDC: Centers for Disease Control and Prevention)
In this report, we summarize the results of surveillance, on-site assessments, and molecular analysis conducted as part of a group A Streptococcus outbreak investigation in 2 skilled nursing facilities. We identified cases in 24 individuals (6 deaths) and infection prevention deficiencies. Isolates from 14 individuals represented the globally emergent clade 3 emm89 strain. Molecular analysis suggests that the 2 outbreaks were related. Wound care practices and 1 symptomatic shared employee may ha...
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