American journal of infection control
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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.
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Am J Infect Control · Sep 2013
Patients' potential role in the transmission of health care-associated infections: prevalence of contamination with bacterial pathogens and patient attitudes toward hand hygiene.
Transmission of health care-associated infections (HAIs) has been primarily attributed to health care workers, and hand hygiene is considered the most important means to reduce transmission. Whereas hand hygiene research has focused on reducing health care worker hand contamination and improving hand hygiene compliance, contamination of patients' hands and their role in the transmission of HAIs remains unknown. ⋯ Pathogenic organisms can be frequently detected on hands of acute care patients. Future studies are needed to better understand the relationship between patient hand contamination and the acquisition of HAIs in addition to the role patient hand hygiene can play in reducing HAIs.
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Am J Infect Control · Sep 2013
Risk factors associated with extended-spectrum β-lactamase-producing Enterobacteriaceae carriage at admission in an infant cohort at a tertiary teaching hospital in France.
We describe risk factors associated with extended-spectrum β-lactamase-producing Enterobacteriaceae fecal carriage at admission in an infant population. 12.6% were carrying extended-spectrum β-lactamase-producing Enterobacteriaceae. Klebsiella pneumoniae, and Escherichia coli were the most frequently identified species. Prior antibiotic therapy (P = .016; odds ratio, 4.07; 95% confidence interval: 1.29-12.81) and the presence tracheostomy or gastrostomy (P = .018; odds ratio, 3.62; 95% confidence interval: 1.24-10.53) were independently associated with carriage at admission.