American journal of infection control
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Am J Infect Control · Jun 2013
Comparative StudyHand hygiene compliance in transplant and other special patient groups: an observational study.
This study evaluates hand hygiene behavior of health care workers in a German university hospital stratified for treatment of special patient groups (eg, transplant patients). ⋯ Hand hygiene compliance is not increased in the care for transplant patients (despite their predisposition for nosocomial infections) compared with other patients. Additional studies will be necessary to further investigate these findings.
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Am J Infect Control · Jun 2013
Promoting and sustaining a hospital-wide, multifaceted hand hygiene program resulted in significant reduction in health care-associated infections.
Hand hygiene is the single most important intervention to combat infections in any health care setting. However, adherence to hand hygiene practice remains low among health care workers. ⋯ This intervention used a multitude of interventions and resulted in an institution-wide increase and sustained improvement in compliance rates.
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Am J Infect Control · Jun 2013
Clinical TrialSuccessful multifaceted intervention aimed to reduce short peripheral venous catheter-related adverse events: a quasiexperimental cohort study.
Data concerning the effectiveness of strategies implemented to reduce short peripheral vein catheter (PVC)-related adverse events are scarce. ⋯ A comprehensive multifaceted hospital approach was successful in reducing PVC-related adverse effects. Poisson exponentially weighted moving average control chart fits well as time series using Poisson data when very few events are present.
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Hand hygiene is one of the most important interventions to prevent health care-associated infections. We compared hand hygiene compliance among health care workers when patients were in contact precautions to compliance when patients were not in contact precautions. Our study failed to show differences in adherence to hand hygiene practices in the care of contact isolation versus noncontact isolation patients.
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Am J Infect Control · Jun 2013
Case ReportsEarly identification and control of carbapenemase-producing Klebsiella pneumoniae, originating from contaminated endoscopic equipment.
Klebsiella producing carbapenemase is an emerging pathogen. We report transmission of this organism by contaminated endoscopic instruments. Quick identification of source, staff education, contact precautions, and emphasis on hand and environmental hygiene led to case control and prevention of outbreak.