Comment Ten intriguing article titles from the pages of the Journal of Hospital Infection
Publication date: Available online 3 August 2018Source: Journal of Hospital InfectionAuthor(s): Jim Gray (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - August 4, 2018 Category: Infectious Diseases Source Type: research

Hospital bronchoscopy related Pseudo-outbreak Caused by a circulating mycobacterium abscessus subsp. Massiliense
This study aimed to analyze the clonality of isolates. M. abscessus subsp. massiliense isolated from 28 patients and water from one bronchoscope and four automated endoscope reprocessing machines, which presented high similarity by PFGE. This strain was not found in the water supply, and it was hypothesized that an infected patient contaminated the bronchoscope, with further false positive cultures from subsequent patients. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - August 4, 2018 Category: Infectious Diseases Source Type: research

Risk behaviours for organism transmission in daily care activities – a longitudinal observational case study
ConclusionInterventions aimed at reducing the risks of healthcare-associated infections need to focus on strategies that address: hand hygiene compliance; the handling of materials, equipment, work clothes and surfaces; as well as the effects of interruptions in care activities if they are to alter healthcare personnel’s infection prevention behaviour sufficiently. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - August 4, 2018 Category: Infectious Diseases Source Type: research

Ten recent articles from the Journal of Hospital Infection that would not have been seen in Issue 1
Publication date: Available online 1 August 2018Source: Journal of Hospital InfectionAuthor(s): James Gray (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - August 2, 2018 Category: Infectious Diseases Source Type: research

Critical points in the pathway of antibiotic prescribing in a children’s hospital: the Antibiotic Mapping of Prescribing (ABMAP) study
ConclusionsThere was a marked disparity between prescribers self-reporting of prescribing behaviour and responses to clinical scenarios. It was not clear whether training alone would change behaviours. Prescribers desired a directive mechanism to support antibiotic prescribing and stewardship. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 31, 2018 Category: Infectious Diseases Source Type: research

Tap out: reducing waterborne Pseudomonas aeruginosa transmission in an intensive care unit
ConclusionsInstallation and maintenance of tap outlets free of P. aeruginosa can substantially reduce the number of P. aeruginosa clinical isolates in an ICU. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 31, 2018 Category: Infectious Diseases Source Type: research

Global hand hygiene improvement progress: two surveys using the WHO Hand Hygiene Self-Assessment Framework
Publication date: Available online 31 July 2018Source: Journal of Hospital InfectionAuthor(s): Claire Kilpatrick, Ermira Tartari, Angèle Gayet-Ageron, Julie Storr, Sara Tomczyk, Benedetta Allegranzi, Didier PittetSummaryThe World Health Organization (WHO) has conducted two global surveys in 2011 and 2015 using the Hand Hygiene Self-Assessment Framework (HHSAF). In 2011, 2119 health facilities from 69 countries participated; in 2015, 807 from 91 countries. A total of 86 facilities submitted results for both surveys; their overall score increased significantly (p
Source: Journal of Hospital Infection - July 31, 2018 Category: Infectious Diseases Source Type: research

A systematic review of surgical site infections following day surgery: a frequentist and a Bayesian meta-analysis of prevalence
Conclusion:The meta-analysis showed a low prevalence of SSI following day surgery, whatever the surgical procedure. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 31, 2018 Category: Infectious Diseases Source Type: research

Participatory-Implementation of an antibiotic stewardship programme supported by an innovative surveillance and clinical decision-support system
ConclusionsAntibiotic stewardship programme implementation can be leveraged through a surveillance and clinical decision-support system such as HAITooL that allows antibiotic resistance monitoring and supports antibiotic prescription, once is adapted to the context and specific needs of healthcare workers and hospitals. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 31, 2018 Category: Infectious Diseases Source Type: research

Establishing Nationally Representative Central Line-Associated Bloodstream Infection (CLABSI) Surveillance Data in Paediatric Patients in Greece
ConclusionNationally representative CLABSI rates were determined for paediatric patients. These data could be used to benchmark and serve as baseline data for the design and evaluation of infection control and antimicrobial stewardship interventions. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 28, 2018 Category: Infectious Diseases Source Type: research

Proton pump inhibitor use as a risk factor for Enterobacteriaceal infection: a case–control study
ConclusionPPI exposure within the previous six months is significantly associated with infection with both ESBL- and non-ESBL-producing bacteria. Reducing inappropriate use of PPIs may be a novel way to reduce transmission, which might reduce antibiotic use and help control antimicrobial resistance. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 27, 2018 Category: Infectious Diseases Source Type: research

Measles in healthcare workers during the ongoing epidemic in Greece, 2017–2018
Publication date: Available online 11 June 2018Source: Journal of Hospital InfectionAuthor(s): H.C. Maltezou, X. Dedoukou, A. Vernardaki, P. Katerelos, E. Kostea, S. Tsiodras, A. Mentis, G. Saroglou, M. Theodoridou, T. Georgakopoulou (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 27, 2018 Category: Infectious Diseases Source Type: research

Planning to halve GNBSI: getting to grips with healthcare-associated Escherichia coli bloodstream infection sources
ConclusionsThe gastrointestinal tract and febrile neutropaenia together accounted for one third of E. coli BSI locally but were rare associations nationally. These sources need to be targeted locally to reduce an increasing trend of E. coli BSIs. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 27, 2018 Category: Infectious Diseases Source Type: research

Airborne Aspergillus fumigatus spore concentration during demolition of a building on a hospital area and patient risk determination for invasive aspergillosis including azole resistance
ConclusionsThe results of the present study suggest that with implemented preventive measures, there is no increased risk for IA including azole resistance in immunocompromised patients during outdoor demolition work. Further prospective studies are needed to confirm our findings. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 27, 2018 Category: Infectious Diseases Source Type: research

Indwelling Urethral versus Suprapubic Catheters in Nursing Home Residents: Determining the Safest Option for Long-Term Use
Publication date: Available online 26 July 2018Source: Journal of Hospital InfectionAuthor(s): Kristen E. Gibson, Sara Neill, Elizabeth Tuma, Jennifer Meddings, Lona ModySummaryBackgroundLong-term infectious complications associated with type of indwelling urinary catheter are unknown.AimTo compare catheter-associated urinary tract infection (CAUTI) rates and multidrug resistant organism (MDRO) colonization between nursing home (NH) residents with indwelling urethral and suprapubic catheters.MethodsParticipants included 418 NH residents with an indwelling device enrolled in a prospective Targeted Infection Prevention (TIP)...
Source: Journal of Hospital Infection - July 27, 2018 Category: Infectious Diseases Source Type: research

How do we define recurrence in Clostridium difficile infection?
Publication date: Available online 26 July 2018Source: Journal of Hospital InfectionAuthor(s): Craig Bradley, Harriet Burdett, Kerry Holden, Elisabeth Holden, Mark I. Garvey (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 27, 2018 Category: Infectious Diseases Source Type: research

Nosocomial outbreak of Candida parapsilosis sensu stricto fungaemia in a neonatal intensive care unit in China
ConclusionContaminated environment was associated with this outbreak. Close attention to immunocompromised patients, thorough environmental disinfection and hand hygiene should be strengthened in NICU. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 26, 2018 Category: Infectious Diseases Source Type: research

Trends in mortality following Clostridium difficile infection (CDI) in Scotland, and excess mortality and length of stay in the hospital population, 2010 to 2016: a retrospective cohort and case-control study using linked national datasets
Publication date: Available online 25 July 2018Source: Journal of Hospital InfectionAuthor(s): A-Lan Banks, Emily K. Moore, Jennifer Bishop, John E. Coia, Derek Brown, Henry Mather, Camilla WiuffAbstractBackgroundNational surveillance of Clostridium difficile infection (CDI) in Scotland enables the monitoring of trends in incidence rates but not mortality.MethodsAll CDI cases aged ≥15 in Scotland between 2010 and 2016 (including a subset of PCR-ribotypes collected from the cases over the same period), were linked to hospital admission and mortality datasets. Logistic regression was used to assess factors associated with...
Source: Journal of Hospital Infection - July 26, 2018 Category: Infectious Diseases Source Type: research

Response to Enoch et al.
Publication date: Available online 20 June 2018Source: Journal of Hospital InfectionAuthor(s): A.F. Talento, G. Hughes, E. Cottrell, C. Bergin (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 25, 2018 Category: Infectious Diseases Source Type: research

Adaptive microbial response to low-level benzalkonium chloride exposure
Publication date: Available online 31 May 2018Source: Journal of Hospital InfectionAuthor(s): G. KampfSummaryBenzalkonium chloride (BAC) is a widely used biocidal agent in health care, mainly in surface disinfectants and disinfectant cleaners. The aim of this review was to evaluate the potential of bacteria to adapt to low-level BAC exposure. A maximum four-fold increase in minimum inhibitory concentration (MIC) was found in most of the 57 bacterial species evaluated. A strong adaptive, mostly stable, change in MIC was described in strains or isolates of Pantoea spp., Enterobacter spp., Staphylococcus saprophyticus and Esc...
Source: Journal of Hospital Infection - July 21, 2018 Category: Infectious Diseases Source Type: research

Reusable endoscopic water bottles - is daily renewal really necessary?
Publication date: Available online 21 July 2018Source: Journal of Hospital InfectionAuthor(s): D. Jouck, K. Magerman, L. Bruckers, L. Waumans, A. Forier, M. Blommen, D. WalgraeveSummaryMost guidelines recommend replacing endoscopic water bottles at least daily with newly sterilized or high-level disinfected water bottles. All these recommendations, however, are mainly based on expert opinions and outbreak reports. We tested the water quality from water bottles used in a gastrointestinal endoscopy unit where water bottles were used up to five days. The results show that the reuse of water bottles for more than one day is in...
Source: Journal of Hospital Infection - July 21, 2018 Category: Infectious Diseases Source Type: research

Responding to Mycobacterium chimaera heater cooler unit contamination, International and national inter-sectoral collaboration coordinated in the state of Queensland, Australia
ConclusionsRapid international collaboration optimised the Queensland Health response to potential Mycobacterium chimaera exposure during cardiac surgery. State-wide collaboration ensured a transparent, consistent approach to contacting patients and informing the public of the potential risk. A framework for ongoing risk management, clinical awareness and laboratory diagnosis was established. No further Mycobacterium chimaera patient infection cases were identified in Queensland. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 21, 2018 Category: Infectious Diseases Source Type: research

Infection Control Bundles in Intensive Care: An International Cross-sectional survey in Low-Middle Income Countries
ConclusionLMICs need to develop their own bundles with low-cost and high level of evidence variables adapted to the limited resources, with further validation in reducing infection rates. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 21, 2018 Category: Infectious Diseases Source Type: research

In-hospital infective endocarditis following transcatheter aortic valve replacement: a cross-sectional study of the National Inpatient Sample database in the USA
Publication date: Available online 25 May 2018Source: Journal of Hospital InfectionAuthor(s): I. Yeo, L.K. Kim, S.O. Park, S.C. WongSummaryBackgroundWhile the utilization of transcatheter aortic valve replacement (TAVR) for patients with severe aortic stenosis has been increasing, in-hospital infective endocarditis (IE) following TAVR has not been well described.AimTo identify in-hospital IE following TAVR.MethodsAll patients who underwent TAVR between 2012 and 2014 were identified using the National Inpatient Sample database. Multi-variate logistic regression was performed to identify the predictors of in-hospital IE afte...
Source: Journal of Hospital Infection - July 20, 2018 Category: Infectious Diseases Source Type: research

Ten unusual sites in healthcare facilities harbouring pathogens that have been reported in the Journal of Hospital Infection
Publication date: Available online 19 July 2018Source: Journal of Hospital InfectionAuthor(s): Kathryn French (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 20, 2018 Category: Infectious Diseases Source Type: research

A survey on current knowledge, practice and beliefs related to pre-operative antimicrobial decolonization regimens for prevention of surgical site infections among Austrian surgeons
ConclusionPre-operative decolonization seems to be performed in Austrian hospitals on a routine basis. However, there is a heterogeneity of modalities how, who and by using which antimicrobial compound this measure is implemented. Since our survey also demonstrated that those, who are better informed about pre-operative decolonization are also those, who are more convinced of the usefulness of the preventive measure, future activities should not only focus on generating more comparable studies in this field, but also include targeted education. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 19, 2018 Category: Infectious Diseases Source Type: research

Searching for the best agent for antibiotic prophylaxis in patients undergoing transcatheter aortic valve implantation
Publication date: Available online 18 July 2018Source: Journal of Hospital InfectionAuthor(s): Antonio Ramos-Martinez, Marta Cobo, Elena Munez, Alejandra Restrepo, Ana Fernandez-Cruz (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 19, 2018 Category: Infectious Diseases Source Type: research

The Local Hospital Milieu and Healthcare-Associated VRE Acquisition
ConclusionVRE colonization pressure was the most important risk factor for healthcare-associated VRE acquisition, regardless of VRE importation pressure. Interventions seeking to reduce VRE acquisition should focus on minimizing transmission between patients with known VRE and the local hospital environment. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 18, 2018 Category: Infectious Diseases Source Type: research

Risk factors for early onset prosthetic valve endocarditis: a case control study
ConclusionCases had more infections, invasive procedures and surgical re-interventions in the early postoperative period, which favoured contamination of the newly implanted prosthesis. A preventive approach, with reinforcement of infection control practices, may curb the incidence of this condition. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 18, 2018 Category: Infectious Diseases Source Type: research

Fatal infection with Elisabethkingia miricola after lung transplantation
Publication date: Available online 17 July 2018Source: Journal of Hospital InfectionAuthor(s): M. Monteagudo Vela, B. Zych, D. Garcia Saez, A. Simon (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 18, 2018 Category: Infectious Diseases Source Type: research

Beware Biofilm! Dry biofilms containing bacterial pathogens on multiple healthcare surfaces; a multicentre study
ConclusionThe presence of dry biofilms harbouring bacterial pathogens is virtually universal on commonly used items in healthcare settings. The role of dry biofilms in spreading HCAIs may be underestimated. The risk may be further exacerbated by inefficient cleaning and disinfection practices for hospital surfaces. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 18, 2018 Category: Infectious Diseases Source Type: research

Verification of Cepheid Xpert Xpress FLU/RSV assay for use with gargle samples, Sputa and Endotracheal Secretions
Publication date: Available online 17 July 2018Source: Journal of Hospital InfectionAuthor(s): Susan Bennett, Alasdair MacLean, Rory Gunson (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 18, 2018 Category: Infectious Diseases Source Type: research

Efficacy of sodium hypochlorite against multidrug-resistant gram-negative bacteria
ConclusionNaOCl efficiently reduced Pseudomonas aeruginosa, Acinetobacter spp., and Klebsiella spp. particularly in the absence of organic matter. Strain- and species-specific differences in susceptibility were noticed, but in general MDR-GNB revealed no higher tolerance to NaOCl. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 18, 2018 Category: Infectious Diseases Source Type: research

Intestinal persistence of a plasmid harboring the OXA-48 carbapenemase gene after hospital discharge
Publication date: Available online 11 July 2018Source: Journal of Hospital InfectionAuthor(s): F. Lazaro-Perona, J.C. Ramos, A. Sotillo, J. Mingorance, J. García-Rodriguez, G. Ruiz-Carrascoso, J.R. Paño-Pardo, J.R. Arribas, R. Herruzo, F. ArnalichSummaryTo study intestinal colonisation by OXA-48-producing Klebsiella pneumoniae (KpO48) after hospital discharge, stool samples from twenty-two previously colonised subjects were collected. Time from discharge was 33 to 611 days, without readmissions. Eight subjects (36%) were identified as blaOXA-48 gene carriers. In all of them the hospital-acquired strain of KpO...
Source: Journal of Hospital Infection - July 11, 2018 Category: Infectious Diseases Source Type: research

Multicentre study to examine the extent of environmental contamination by potential bacterial pathogens, including antibiotic resistant bacteria, in hospital washrooms according to hand-drying method
Publication date: Available online 10 July 2018Source: Journal of Hospital InfectionAuthor(s): Best E, Parnell P, Couturier J, Barbut F, Le Bozec A, Arnoldo L, Madia A, Brusaferro S, Wilcox MHAbstractBackgroundHand hygiene is a fundamental component of infection prevention, but few studies have examined whether hand-drying method affects the risk of dissemination of potential pathogens.Materials/methodsWe performed a multicentre, internal-crossover study comparing bacterial contamination levels in washrooms with hand-drying by either paper towels (PT) or jet air dryer (JAD, Dyson). 120 sampling sessions occurred over 12 we...
Source: Journal of Hospital Infection - July 11, 2018 Category: Infectious Diseases Source Type: research

Thirteen-year Experience with Universal Staphylococcus aureus Nasal Decolonisation Prior to Cardiac Surgery: a quasi-experimental study
Publication date: Available online 5 May 2018Source: Journal of Hospital InfectionAuthor(s): Adrien Lemaignen, Laurence Armand-Lefevre, Gabriel Birgand, Guillaume Mabileau, Isabelle Lolom, Walid Ghodbane, Pierre Dilly Marie, Patrick Nataf, Jean-Christophe LucetSummaryIntroductionSternal wound infection (SWI) after cardiac surgery is a severe complication. Among preventive measures, pre-operative decolonisation of nasal carriage of Staphylococcus aureus has recently been shown to be beneficial. In this quasi-experimental study, we assessed the effect of decolonisation on the incidence of S. aureus-associated SWI during 19-y...
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Addressing the controversy of 100% hand hygiene compliance: can alcohol rub consumption data serve as a useful proxy validator?
Publication date: Available online 5 May 2018Source: Journal of Hospital InfectionAuthor(s): M.A. Borg, A. Brincat (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Do safety engineered devices reduce needlestick injuries?
ConclusionThe application of SEDs has not led to a reduction in NSIs. The majority of NSIs caused by a needle with an SED can be prevented by stimulation of safe needle disposal, proper use of SEDs, and provision of feedback to manufacturers to keep improving product design. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Real-world use of fidaxomicin in a large UK tertiary hospital: how effective is it for treating recurrent disease?
Publication date: Available online 7 May 2018Source: Journal of Hospital InfectionAuthor(s): D.A. Enoch, R. Santos, C.J. Phillips, C. Micallef, M.E. Murphy, S.H. Aliyu, D. Massey, N.M. BrownSummaryAll courses of fidaxomicin use in the study hospital were reviewed. It was used for first recurrence (six times), second recurrence (eight times) and one case of third recurrence. One patients received fidaxomicin as first-line treatment. Eight patients initially responded to therapy; of these, three patients were asymptomatic at 90 days, three patients remained asymptomatic at 30 days, and two patients had recurrences five and n...
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Invasive device-associated infections caused by Pseudomonas aeruginosa in critically ill patients: evolution over 10 years
Publication date: Available online 8 May 2018Source: Journal of Hospital InfectionAuthor(s): F. Álvarez-Lerma, P. Olaechea-Astigarraga, M. Palomar-Martínez, M. Catalan, X. Nuvials, R. Gimeno, M.P. Gracia-Arnillas, I. Seijas-Betolaza, ENVIN-HELICS Study GroupSummaryInvasive device-associated infections caused by Pseudomonas aeruginosa over 10 years (2007–2016) were assessed based on data from the ENVIN-HELICS registry (200 Spanish intensive care units). P. aeruginosa was the leading pathogen except in the last two years in which there was a slight decrease, with Escherichia coli as the leading aetio...
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Evaluating a neonatal intensive care unit MRSA surveillance programme using agent-based network modelling
ConclusionsAn effective MRSA surveillance programme needs to balance resource availability with potential for harm due to longer colonization periods and opportunity for development of invasive disease. While more frequent monitoring led to greater use of a decolonization regimen, it also reduced the likelihood of isolation rooms being available. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Unmasking leading to a healthcare worker Mycobacterium tuberculosis transmission
ConclusionExposure most likely occurred during an aerosol-generating procedure (AGP) which was done in accordance with national guidance at that time without using respiratory protection. Enhanced control measures were implemented following the outbreak. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Response to Aho Glele et al.
Publication date: Available online 11 May 2018Source: Journal of Hospital InfectionAuthor(s): E. Shaw, L. Gavalda (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Clinical and Molecular Epidemiologic Characteristics of Carbapenem-Resistant Klebsiella pneumoniae Infection/Colonization among Neonates in China
ConclusionsMost of the CR-KPN isolated from neonates produced NDM-1 and were highly homologous. Fosfomycin-containing regimens were efficient for CR-KPN infection in neonates, as well as the meropenem/panipenem-containing combination regimen. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Investigation of the efficacy of alcohol-based solutions on adenovirus serotypes 8, 19 and 37, common causes of epidemic keratoconjunctivitis, after an adenovirus outbreak in hospital
ConclusionThe alcohol-based solutions tested in this study were not found to be sufficiently effective against adenovirus serotypes. Further studies to investigate the efficiency of different alcohol-based solutions are required. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Impact of extended-spectrum β-lactamases and carbapenem-resistant Gram-negative infections on sepsis mortality at the emergency department: a cohort study
Publication date: Available online 22 May 2018Source: Journal of Hospital InfectionAuthor(s): S. Sabino, H. Monroy, C. Jara, O. Lopez, F. Ramos, D.R. Falci, M.H. Rigatto (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Assessing hand hygiene attitudes of inpatient nursing personnel in a US military hospital
This study described frequency of hand hygiene within a fixed US military facility, in participants wearing a military uniform and hospital-provided scrubs. The median frequency of hand hygiene reported in both uniforms was 10 per hour. However, two-thirds of staff indicated that the military uniform decreased their ability to perform hand hygiene. Stakeholders should re-evaluate policies requiring wear of long-sleeved military uniforms by nursing staff to facilitate hand hygiene. Non-military facilities may also consider the impact of long-sleeved garments on hand hygiene. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Effect of copper-impregnated composite bed linens and patient gowns on healthcare-associated infection rates in six hospitals
Publication date: Available online 24 May 2018Source: Journal of Hospital InfectionAuthor(s): J.P. ButlerSummaryBackgroundHospital linens and patient gowns are frequently touched and contaminated, and may contribute to endogenous, indirect-contact, and aerosol transmission of nosocomial-related pathogens. Recently Sentara Healthcare adopted biocidal copper oxide-impregnated linens across its hospitals.AimTo assess whether the replacement of the linens resulted in the reduction of healthcare-associated infection (HCAI).MethodsRates of HCAI caused by Clostridium difficile and multidrug-resistant organisms (MDROs) were compar...
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

In-hospital infective endocarditis following transcatheter aortic valve replacement: a cross sectional study of National Inpatient Sample database in the United States
Publication date: Available online 25 May 2018Source: Journal of Hospital InfectionAuthor(s): Ilhwan Yeo, Luke K. Kim, Sun O. Park, S. Chiu WongSummaryBackgroundWhile the utilization of transcatheter aortic valve replacement (TAVR) for patients with severe aortic stenosis has been increasing, in-hospital infective endocarditis (IE) following TAVR has not been well-described.AimTo identify in-hospital IE following TAVR.MethodsUsing the National Inpatient Sample database, we identified all patients who underwent TAVR between 2012 and 2014. Multivariate logistic regression was performed to identify the predictors of in-hospit...
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Frequent MRSA nasal colonization among hospitalized children and their parents in Angola and São Tomé and Príncipe
ConclusionHospitalized children and their parents are important reservoirs of MRSA. Infection control measures should focus on parents to minimize the spread of MRSA to the community. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research