American journal of infection control
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Am J Infect Control · Dec 2016
Central venous catheter infections in home parenteral nutrition patients: Outcomes from Sustain: American Society for Parenteral and Enteral Nutrition's National Patient Registry for Nutrition Care.
Home parenteral nutrition (HPN) is a high-cost, complex nutrition support therapy that requires the use of central venous catheters. Central line-associated bloodstream infections (CLABSIs) are among the most serious risks of this therapy. Sustain: American Society for Parenteral and Enteral Nutrition's National Patient Registry for Nutrition Care (Sustain registry) provides the most current and comprehensive data for studying CLABSI among a national cohort of HPN patients in the United States. This is the first Sustain registry report detailing longitudinal data on CLABSI among HPN patients. ⋯ Additional studies are needed to determine effective interventions that will reduce HPN-associated CLABSI.
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Am J Infect Control · Dec 2016
Combating antibiotic resistance: The role of nursing in antibiotic stewardship.
Antibiotic resistance is one of the top infectious disease threats facing the world today. The escalating resistance to antibiotics has been named by the Centers for Disease Control and Prevention as one of the top 5 threats to health in the United States and has led to the development of the National Action Plan for Combating Antibiotic-Resistant Bacteria. ⋯ For antibiotic stewardship programs to achieve optimal success they must include nursing's perspectives and the active participation of nurses and the nursing profession. Although clearly any successful efforts to address this complex problem must be comprehensive, sustained, and involve all sectors of the health care community and public, the aim of this article is to convey the immediate need for nurses and the nursing profession to actively engage in initiatives, strategies, and solutions to combat antibiotic resistance, and to recommend what stakeholders within the nursing profession might contribute to antibiotic stewardship.
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Am J Infect Control · Dec 2016
Timeline of health care-associated infections and pathogens after burn injuries.
Infections are an important cause of morbidity and mortality after burn injuries. Here, we describe the time line of infections and pathogens after burns. ⋯ We observed differences in infection type, pathogen, and antibiotic-resistant bacterium risk across time of hospitalization. These results may guide infection prevention in various stages of the postburn admission.
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Am J Infect Control · Dec 2016
Decontamination of a field laboratory dedicated to Ebola virus-infected patients.
In 2015, the French Armed Forces deployed a biosafety level 3 (BSL3) field laboratory as a part of an Ebola treatment center in Guinea. When closing the center, laboratory decontamination operations were necessary. We present the decontamination protocols applied for the BSL3 field laboratory, making the entire module ready for a future use.