American journal of infection control
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Am J Infect Control · Aug 2010
Evaluation of interventions to reduce catheter-associated bloodstream infection: continuous tailored education versus one basic lecture.
This study evaluated the impact of 2 models of educational intervention on rates of central venous catheter-associated bloodstream infections (CVC-BSIs). ⋯ Personal customized, continuous intervention seems to develop a "culture of prevention" and is more effective than single intervention, leading to a sustained reduction of infection rates.
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Am J Infect Control · Aug 2010
Influenza vaccination and sick leave practices and perceptions reported by health care workers in ambulatory care settings.
We examined annual influenza vaccination and sick leave practices and perceptions among 627 health care workers (HCWs) in ambulatory care settings in King County, Washington using a self-report questionnaire. Most medical practitioners (85%), but fewer other HCWs (nurses, nurse's aides, allied health professionals, administrative; 55%-64%) reported receiving an annual influenza vaccination; only 31% of HCWs reported routinely taking sick leave for influenza-like illness.
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Am J Infect Control · Aug 2010
Health-associated infections in a pediatric nephrology unit in China.
Health care-associated infection (HAI) in children is associated with morbidity and mortality, prolonged hospital stay, and increased health care costs. We report the prevalence of HAIs in children admitted to the pediatric nephrology unit of a large tertiary care pediatric hospital in China between 2000 and 2008. ⋯ The incidence of HAI in a pediatric nephrology ward decreased over an 8-year period, associated with a surveillance program and education directed at hand hygiene and appropriate antibiotic use. Despite a strict visitor policy, respiratory tract infection was the most common HAI seen.
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Am J Infect Control · Aug 2010
A multimodal approach to central venous catheter hub care can decrease catheter-related bloodstream infection.
This study was conducted to investigate decreases in catheter-related bloodstream infections (CRBSIs) through an evidence-based multimodal intervention. ⋯ This study demonstrates significant decreases in CRBSI rate for all catheter types and birth weight categories associated with the multimodal intervention. Audiovisual education is an effective tool for practice change. Reeducation and compliance monitoring should be part of all nosocomial infection prevention strategies, resulting in significant savings in health care costs.
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Am J Infect Control · Aug 2010
Impact of a program to prevent central line-associated bloodstream infection in the zero tolerance era.
Central line-associated bloodstream infection (CLABSI) is one of the most important health care-associated infections in the critical care setting. ⋯ These results suggest that reducing CLABSI rates in an ICU setting is a complex process that involves multiple performance measures and interventions that can also be applied to SDU settings.