American journal of infection control
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Am J Infect Control · Sep 2014
Evaluation of the effectiveness of improved hydrogen peroxide in the operating room.
The aim of our study was to evaluate the effectiveness of a 1-step, ready-to-use improved hydrogen peroxide (IHP) cleaner and disinfectant for between-case use in the operating room. We found high cleaning efficacy (84%-96%) and a high compliance rate with the IHP (84%). With good surface compatibility, low toxicity, rapid dwell time, ease of use, and excellent cleaning efficacy, the IHP may be considered an option for between-case cleaning and disinfection in the operating room.
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Am J Infect Control · Sep 2014
Evaluation of 2 sets of screening criteria for ventilator-associated pneumonia in a children's hospital.
We compared current Centers for Disease Control and Prevention surveillance criteria with the newer adult screening criteria (ASC) for identifying pediatric ventilator-associated pneumonia (VAP). Possible cases of VAP identified by ASC (n = 17) and cases of VAP identified by the older current surveillance criteria (n = 15) are comparable, but only 9 were identified by both. Positive end expiratory pressure was inferior to fraction of inspired oxygen in identifying ventilator-associated conditions by ASC.
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Am J Infect Control · Sep 2014
Common infection control practices in the emergency department: a literature review.
Health care-associated infections (HAIs) are a major health concern, despite being largely avoidable. The emergency department (ED) is an essential component of the health care system and subject to workflow challenges, which may hinder ED personnel adherence to guideline-based infection prevention practices. ⋯ Standardized methods and definitions of compliance monitoring are needed to compare results across settings.
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Am J Infect Control · Sep 2014
Nasal screening is useful in excluding methicillin-resistant Staphylococcus aureus in ventilator-associated pneumonia.
Methicillin-resistant Staphylococcus aureus screening performed for infection control purposes may be useful in guiding decisions regarding the use of broad-spectrum antibiotics in the intensive care unit. A cohort study of adults with ventilator-associated pneumonia (VAP) found that admission MRSA nasal swabs had a negative predictive value of 94% for later MRSA VAP.
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Am J Infect Control · Aug 2014
Multicenter StudyCompliance with prevention practices and their association with central line-associated bloodstream infections in neonatal intensive care units.
Bundles and checklists have been shown to decrease the rates of central line-associated bloodstream infections (CLABSIs), but implementation of these practices and association with CLABSI rates have not been described nationally. We describe implementation and levels of compliance with preventive practices in a sample of US neonatal intensive care units (NICUs) and assess their association with CLABSI rates. ⋯ Most of the NICUs in this national sample have instituted CLABSI prevention policies and monitor compliance, although reporting compliance ≥95% was suboptimal. Reporting ≥95% compliance with select CLABSI prevention practices was associated with lower CLABSI rates. Future studies should focus on identifying and improving compliance with effective CLABSI prevention practices in neonates.