American journal of infection control
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Am J Infect Control · Oct 2013
Microbiology and prognostic factors of hospital- and community-acquired aspiration pneumonia in respiratory intensive care unit.
Incidence of aspiration pneumonia in hospital-acquired pneumonia and community-acquired pneumonia is high; however, many features of this disease remain imprecise. Our objective was to characterize the microbial etiology and their antibiotic resistance and to determine the prognostic factors in aspiration pneumonia among patients admitted to a respiratory intensive care unit (RICU). ⋯ The predominant pathogenic bacteria of aspiration pneumonia in patients admitted to an RICU were antibiotic-resistant bacteria, and effective initial supportive management secured better prognosis.
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Am J Infect Control · Oct 2013
Case ReportsBacillus cereus and severe intestinal infections in preterm neonates: Putative role of pooled breast milk.
Bacillus cereus is an environmental pathogen whose spores resist the usual cleaning procedure applied by the food industry and hospitals. We reported a cluster of severe intestinal infections due to B cereus in 2 very low birth weight neonates from a neonatal intensive care unit. ⋯ Careful monitoring of conditions during collection, conservation, and administration of PBM should be implemented in high-risk populations such as premature neonates.
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Am J Infect Control · Oct 2013
Sociocognitive determinants of observed and self-reported compliance to hand hygiene guidelines in child day care centers.
Although hand hygiene (HH) has proven to be an effective measure to prevent infections, HH compliance is generally low. We assessed sociocognitive determinants of caregivers' HH behavior in child day care centers (DCCs) to develop an effective HH intervention. ⋯ When developing HH interventions for caregivers in DCCs, improving guideline knowledge should be considered as this was associated with both observed and self-reported HH compliance. Furthermore, increasing guideline awareness, perceived importance, and perceived behavioral control can contribute to better HH, as well as making HH a habitual behavior.
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Am J Infect Control · Oct 2013
Cleaning assessment of disinfectant cleaning wipes on an external surface of a medical device contaminated with artificial blood or Streptococcus pneumoniae.
Improperly cleaned, disinfected, or sterilized reusable medical devices are a critical cause of health care-associated infections. More effective studies are required to address the improvement of cleaning and disinfection instructions, as well as selection of cleaning and disinfecting agents, for surfaces of reusable devices and equipment. ⋯ The active ingredient, wipe design, and wipe wetness are important factors to consider when selecting a disinfectant cleaning wipe. Additionally, achieving conditions that effectively clean, disinfect, and/or inactivate surface bacterial contamination is critical to preventing the spread of health care-associated infections.
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Am J Infect Control · Oct 2013
Impact of a multidimensional infection control approach on catheter-associated urinary tract infection rates in adult intensive care units in 10 cities of Turkey: International Nosocomial Infection Control Consortium findings (INICC).
We evaluate the effectiveness of a multidimensional infection control approach for the reduction of catheter-associated urinary tract infections (CAUTIs) in 13 intensive care units (ICUs) in 10 hospital members of the International Nosocomial Infection Control Consortium (INICC) from 10 cities of Turkey. ⋯ Our multidimensional approach was associated with a significant reduction in the rates of CAUTI in Turkey.