High carriage rate of extended-spectrum beta-lactamase-producing Enterobacteriaceae among patients admitted for surgery in Tanzanian hospitals with low rate of endogenous surgical site infections
This study investigated the magnitude of EPE carriage among surgical patients at the time of admission and discharge, and linked the carried EPE genotypes to those from SSI.MethodsEPE were confirmed among isolates from rectal and wound/pus swabs using VITEK-2. PCR and sequencing were performed to detect beta-lactamase genes. Multilocus sequence typing was employed to determine the genotypes of EPE isolates.ResultsAmong 930 patients enrolled, the EPE carriage was significantly higher on discharge than admission (36.4% vs. 23.7%, P
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Impact of intensive care unit relocation and role of tap water on an outbreak of Pseudomonas aeruginosa expressing OprD-mediated resistance to imipenem
ConclusionRelocation of the ICU was associated with a marked decrease in P. aeruginosa strains resistant to imipenem. The polyclonal character of PA-OprD strains isolated from patients and the absence of tap-water-to-patient contamination highlight the complexity of the environmental impact on the endogenous colonization/infection with P. aeruginosa. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

A measles outbreak in a refugee community in Jeddah City, Saudi Arabia
Publication date: Available online 30 May 2018Source: Journal of Hospital InfectionAuthor(s): N. Al-Abdullah (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 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): Günter KampfSummaryBenzalkonium chloride (BAC) is a commonly used active agent in healthcare, e.g. in surface disinfectants, disinfectant cleaners or sometimes also in skin antiseptics. Aim of the review was to evaluate the potential of bacteria to adapt to low level BAC exposure. A maximum 4-fold MIC increase was found in most of the 57 evaluated bacterial species. A strong adaptive, mostly stable, MIC change was described in strains or isolates of Pantoea spp, Enterobacter spp., S. saprophyticus or E. coli (up to 500-fold, ...
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Healthcare-associated Infections: The Hallmark of the Middle East Respiratory Syndrome Coronavirus (MERS-CoV) With Review of the Literature
Publication date: Available online 1 June 2018Source: Journal of Hospital InfectionAuthor(s): Jaffar A. Al-Tawfiq, Paul G. AuwaerterAbstractThe Middle East Respiratory Syndrome Coronavirus (MERS-CoV) is a coronavirus capable of causing acute respiratory illness. Laboratory confirmed MERS-CoV cases may be asymptomatic, have mild disease or life-threatening infection with a high case fatality rate. There are three patterns of transmission: sporadic community cases from presumed non-human exposure, family clusters arising from contact with the infected family index case, and healthcare-acquired infections among patients and f...
Source: Journal of Hospital Infection - July 10, 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 6 months is significantly associated with infection with both ESBL and non-ESBL producing bacteria. Reducing inappropriate use of PPIs may be a novel way of reducing transmission, which might reduce antibiotic use and help control antimicrobial resistance. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

When is it safe to stop contact precautions for vancomycin-resistant Enterococcus faecium carriage?
Publication date: Available online 2 June 2018Source: Journal of Hospital InfectionAuthor(s): V. Saegeman, P. Melussi, R. Duerinckx, V. Cossey, L. Popleu, L. Van der Linden, A. Schuermans (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Diversity of carbapenemase-producing Enterobacteriaceae epidemiology in long-term acute care rehabilitation settings from an area of hyper-endemicity, and evaluation of an intervention bundle
ConclusionsA peculiar CRE epidemiology was observed in a LTACRF from Italy, with very high rates of carriage and cross-transmission in SBI patients. A simplified infection control bundle was effective at reducing CRE colonization incidence in the SBI. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Enhanced surveillance of Escherichia coli healthcare-associated bloodstream infections – how many are preventable?
Publication date: Available online 5 June 2018Source: Journal of Hospital InfectionAuthor(s): T. Boswell, N. Mahida, R. Montgomery, M. Clarke (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Evaluating serial screening cultures to detect carbapenemase-producing Enterobacteriaceae following hospital admission
ConclusionThree serial screens were not useful for the detection of CPE carriage on admission. The increase in the carriage rate of other Gram-negative bacteria may be explained by ‘unmasking’ of pre-existing carriage, or acquisition. This argues for regular screening of long-stay patients. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Prevention of deep sternal wound infection in cardiac surgery, review of literature
ConclusionWe identified several measures preventing deep sternal wound infection after cardiac surgery not frequently applied in current practices. We recommend an update of guidelines on prevention of surgical site infection in cardiac surgery. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Response to Schmidt et al: Antimicrobial Surfaces—Huge Potential, Significant Uncertainty
Publication date: Available online 8 June 2018Source: Journal of Hospital InfectionAuthor(s): M.P. Muller, C. MacDougall, M. Lim, S. Callery, W. Ciccotelli, M. Cividino, S. Hota, G. Garber, J. Johnstone, K. Katz, V. Nankoosingh (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Context-sensitive antibiotic optimization: a qualitative interviews study of a remote Australian hospital setting
ConclusionThe perceptions of healthcare professionals in this site lead to the conclusion that antimicrobial regulations and practice improvement strategies more generally are unlikely to succeed if they fail to accommodate and respect the context of care, the resource and structural constraints of the setting, and the specificities of particular populations (and subsequent clinical ‘know-how’). (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Estimating excess length of stay due to healthcare-associated infections: A systematic review and meta-analysis of statistical methodology
ConclusionsMethodologies have evolved over the last 20 years but there is still a significant body of evidence reliant upon time-fixed methods. Robust estimates are required to inform investment in cost-effective IPC interventions. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 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): Helena C. Maltezou, Xanthi Dedoukou, Alexandra Vernardaki, Panos Katerelos, Eva Kostea, Sotirios Tsiodras, Andreas Mentis, George Saroglou, Maria Thoeodoridou, Theano Georgakopoulou (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Mapping national surveillance of surgical site infections (SSIs) to national needs and priorities: an assessment of England’s surveillance landscape
This study maps national needs and priorities for SSI surveillance against current national surveillance activity.MethodsThis study analysed SSI surveillance in NHS hospitals in England covering 23 surgical procedures. Data collected were: (i) annual number of procedures, (ii) SSI rates from national reports, (iii) national reporting requirement (mandatory, voluntary, not offered), (iv) priority ranking from a survey of 84 English NHS hospitals, (v) excess length of stay and costs from the literature. The relationships between estimated SSI burden, national surveillance activity, and hospital-reported priorities were explo...
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Revisiting the winter burden of acute gastroenteritis on hospital beds in England: change in data collection supports analytical method for previously missing values
Publication date: Available online 13 June 2018Source: Journal of Hospital InfectionAuthor(s): F.G. Sandmann, M. Jit, J.V. Robotham, S.R. Deeny (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

A microbiological assessment of sterile surgical helmet systems using particle counts and culture plates: Recommendations for safe use whilst scrubbing
ConclusionsSterile gloves and gowns can be contaminated when scrubbing with the SSHS fan on. We recommend the fan remains switched off when scrubbing until the hood and gown are in place, ideally in a laminar flow environment. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Nosocomial Outbreak of Candida parapsilosis sensu stricto Fungemia in a Neonatal Intensive Care Unit in China
ConclusionsContaminated 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 10, 2018 Category: Infectious Diseases Source Type: research

Interventions to decrease short-term peripheral venous catheter-related bloodstream infections. Impact on incidence and mortality
ConclusionsSurveillance, implementation of a multimodal strategy and periodical assessment of healthcare personnel adherence to hospital guidelines led to a sustained reduction in PVCR-BSIs. This reduction had a major impact on S. aureus-BSI rates and associated mortality. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

An international survey of cleaning and disinfection practices in the healthcare environment
ConclusionsThe survey enabled assessment and recognition of widely differing global practices in approaches to environmental cleaning and disinfection. Development of guideline recommendations for cleaning and disinfection could improve practices and set minimum standards worldwide. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Response to DA 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 10, 2018 Category: Infectious Diseases Source Type: research

Use of data on antibiotic use as indicators for detecting clusters of healthcare-associated infection caused by multidrug-resistant organisms in a hospital in China, 2014 to 2017
Publication date: Available online 21 June 2018Source: Journal of Hospital InfectionAuthor(s): Yunzhou Fan, Junning Zou, Xiongjing Cao, Yanyan Wu, Fan Gao, Lijuan XiongAbstractBackgroundDetection of healthcare-associated infection (HAI) clusters is crucial in limiting disease transmissionAimTo investigate whether data on antibiotic use can be an alternative indicator for the identification of HAI clusters caused by multidrug-resistant organisms (MDROs).MethodsWe retrospectively analysed MDRO-related HAIs and the 10 indicators of antibiotic use from four independent high-risk units at a tertiary hospital in China from Janua...
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Infection prevention: Is copper the new gold?
Publication date: Available online 21 June 2018Source: Journal of Hospital InfectionAuthor(s): M. Abbas, D. Pires, S. Harbarth, M.E.A. de Kraker (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

White coats as reservoirs of pathogens: would student doctors prefer to discard them and how do they impact their confidence?
Publication date: Available online 21 June 2018Source: Journal of Hospital InfectionAuthor(s): J. Travers, C.S. Leong, S.F. FitzGerald (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Seasons, weather and predictors of healthcare-associated Gram-negative bloodstream infections: a case-only study
ConclusionWarm seasons and daily temperature impact on the etiology of GNB-BSI, even in models adjusted for usual risk factors. One possible explanation for our findings is that seasonality of healthcare-associated pathogens is intrinsic to microorganisms, and not associated with comorbidities, procedures or use of antimicrobials. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Future priorities of acute hospitals for surgical site infection surveillance in England
ConclusionWhilst the majority of hospitals’ priorities for SSI surveillance are included in the current programme, the top ranked priority, Caesarean section, is not included. Given the diversity of priority areas, maintaining a comprehensive spectrum of categories in the national programme is essential to assist hospitals in addressing local priorities. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Microbial Contamination of Privacy Curtains in the Emergency Department of a Metropolitan Hospital
Publication date: Available online 26 June 2018Source: Journal of Hospital InfectionAuthor(s): David R. Woodard, Mark Buttner, Patricia Cruz, Jennifer Roeder (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Does screening neonates in the Neonatal Intensive Care Unit for Pseudomonas aeruginosa colonisation help prevent infection?
ConclusionScreening neonates for PA did not identify babies subsequently developing PA infection. Following cessation of screening in September 2015 there was no increase in number of babies identified with PA infection. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Transfer of dry surface biofilm in healthcare environment: the role of healthcare worker’s hands as vehicles
ConclusionDSB bacteria are transferred by hands from one fomite to multiple fomites suggesting that DSB may serve as a persistent environmental source of pathogens. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Standard test method for automated airborne disinfection systems
Publication date: Available online 29 June 2018Source: Journal of Hospital InfectionAuthor(s): J. Chewins (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Effectiveness of hand hygiene and the condition of fingernails. A qualitative evaluation of nail microbial colonization following hand disinfection, a pilot study
Publication date: Available online 30 June 2018Source: Journal of Hospital InfectionAuthor(s): Marta Zofia Wałaszek, Małgorzata Kołpa, Anna Różańska, Barbara Jagiencarz-Starzec, Zdzisław Wolak, Jadwiga Wójkowska-MachAbstractEffective hand hygiene (HH) among healthcare workers is one of the basic principles of preventing nosocomial infections. The aim of the study was a qualitative examination of microbial colonization of nails following HH. The results were stratified by nail length: short vs. long and the presence of a varnish coating: natural vs. varnished. The presence of potentially pathogenic micro...
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Point prevalence survey of carbapenemase-producing Enterobacteriaceae (CPE) and vancomycin-resistant enterococci (VRE) in adult inpatients in a University teaching hospital in the United Kingdom
Publication date: Available online 30 June 2018Source: Journal of Hospital InfectionAuthor(s): Hayley J. Wilson, Fahad Khokhar, David A. Enoch, Nicholas M. Brown, Jag Ahluwalia, Gordon Dougan, M. Estée TörökSummaryInfections with carbapenemase-producing Enterobacteriaceae (CPE) and vancomycin-resistant enterococci (VRE) are associated with increased morbidity and mortality, but the carriage rates of CRE and VRE among hospital inpatients is unknown. We conducted a point-prevalence survey to determine CPE and VRE carriage rates in hospitalised adults. 818/960 (85.2%) adult inpatients were invited to particip...
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Desiccation Tolerance is Associated with Staphylococcus aureus Hyper Transmissibility, Resistance, and Infection Development in the Operating Room
ConclusionsIncreased desiccation tolerance is associated with intraoperative transmission of S. aureus ST 5 isolates that are linked to postoperative infection. Future work should determine whether attenuation of desiccation tolerant, intraoperative ST 5 strains can impact the incidence of hospital acquired infections. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

The Interaction of Obesity with Smoking and with Inflammatory Arthropathies Increases the Risk of Periprosthetic Joint Infection: A Propensity Score-Matched Study in a Chinese Han Population
ConclusionObesity is an independent risk factor for the development of PJI in the Chinese Han population. Moreover, surgeons should be aware that additional increased risk of PJI exists in obese patients who also have smoking habits or inflammatory arthritis. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Development of consensus based national antimicrobial stewardship competencies for UK undergraduate healthcare professional education
ConclusionGiven the consistently high levels of agreement reached on competency statements and their associated descriptors, this competency framework should be used to direct education for undergraduate healthcare professionals, and those working in new clinical roles to support healthcare delivery where an understanding of, and engagement with, AMS is important. Although the competencies target basic education, they can also be used for continuing education. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Persistent contamination of heater–cooler units for extracorporeal circulation cured by chlorhexidine–alcohol in water tanks
Publication date: July 2018Source: Journal of Hospital Infection, Volume 99, Issue 3Author(s): S. Romano-Bertrand, M. Evrevin, C. Dupont, J.-M. Frapier, J.-C. Sinquet, E. Bousquet, B. Albat, E. Jumas-BilakSummaryRecently, surgical site infections due to non-tuberculous mycobacteria (NTM) have been linked to heater–cooler unit contamination. The European Centre for Disease Prevention and Control and manufacturers now recommend the use of hydrogen peroxide in filtered water to fill heater–cooler unit tanks. After implementation of these measures in our hospital, heater–cooler units became heavily contaminat...
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Acinetobacter pittii isolated more frequently than Acinetobacter baumannii in blood cultures: the experience of a French hospital
This study assessed the characteristics of hospital-acquired Acinetobacter calcoaceticus–Acinetobacter baumannii complex bloodstream infections (BSI). From 2010 to 2017, A. calcoaceticus–A. baumannii complex BSI were investigated. Of 73 cases, 54.8% were associated with Acinetobacter pittii, 39.7% with Acinetobacter baumannii and 5.5% with Acinetobacter nosocomialis. Multi-drug-resistant isolates were significantly higher in A. baumannii BSI. Thirty-day mortality was no different between A. baumannii or non-baumannii A. calcoaceticus–A. baumannii complex BSI. In contrast with other studies,...
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Does saline enema during the first stage of labour reduce the incidence of Clostridium difficile colonization in neonates? A randomized controlled trial
This study was conducted at Cairo University Hospital, Egypt from January 2016 to July 2016. Asymptomatic mothers with uncomplicated vaginal delivery and their neonates without diarrhoea were included. The study group underwent saline enema, and the control group had no intervention. Stool samples were collected from neonates one week after delivery. The primary outcome was the detection of C. difficile in stool culture and direct detection of C. difficile Toxin A and Toxin B by enzyme-linked immunosorbent assay.FindingsThe two groups were comparable (P>0.05) in terms of age, gravidity, parity, body mass index...
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Septic shock due to meropenem- and colistin-resistant Cupriavidus pauculus
Publication date: July 2018Source: Journal of Hospital Infection, Volume 99, Issue 3Author(s): G. Bianco, M. Boattini, E. Audisio, R. Cavallo, C. Costa (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Editorial Board
Publication date: July 2018Source: Journal of Hospital Infection, Volume 99, Issue 3Author(s): (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Surface modifications for antimicrobial effects in the healthcare setting: a critical overview
Publication date: July 2018Source: Journal of Hospital Infection, Volume 99, Issue 3Author(s): C. Adlhart, J. Verran, N.F. Azevedo, H. Olmez, M.M. Keinänen-Toivola, I. Gouveia, L.F. Melo, F. CrijnsSummaryThe spread of infections in healthcare environments is a persistent and growing problem in most countries, aggravated by the development of microbial resistance to antibiotics and disinfectants. In addition to indwelling medical devices (e.g. implants, catheters), such infections may also result from adhesion of microbes either to external solid–water interfaces such as shower caps, taps, drains, etc., or to ext...
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Specialized cleaning associated with antimicrobial coatings for reduction of hospital-acquired infection: opinion of the COST Action Network AMiCI (CA15114)
Publication date: July 2018Source: Journal of Hospital Infection, Volume 99, Issue 3Author(s): S.S. Dunne, M. Ahonen, M. Modic, F.R.L. Crijns, M.M. Keinänen-Toivola, R. Meinke, C.W. Keevil, J. Gray, N.H. O'Connell, C.P. DunneSummaryRecognized issues with poor hand hygiene compliance among healthcare workers and reports of recontamination of previously chemically disinfected surfaces through hand contact emphasize the need for novel hygiene methods in addition to those currently available. One such approach involves antimicrobial (nano) coatings (AMCs), whereby integrated active ingredients are responsible for eliminat...
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Pre–post evaluation of effects of a titanium dioxide coating on environmental contamination of an intensive care unit: the TITANIC study
Publication date: July 2018Source: Journal of Hospital Infection, Volume 99, Issue 3Author(s): B. de Jong, A.M. Meeder, K.W.A.C. Koekkoek, M.A. Schouten, P. Westers, A.R.H. van ZantenSummaryBackgroundAmong patients admitted to European hospitals or intensive care units (ICUs), 5.7% and 19.5% will encounter healthcare-associated infections (HAIs), respectively, and antimicrobial resistance is emerging. As hospital surfaces are contaminated with potentially pathogenic bacteria, environmental cleanliness is an essential aspect to reduce HAIs.AimTo address the efficacy of a titanium dioxide coating in reducing the microbial co...
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Traffic flow and microbial air contamination in operating rooms at a major teaching hospital in Ghana
ConclusionThe study revealed high values of intraoperative airborne cfu exceeding recommended levels. Minimizing the number of door-openings and people present during surgery could be an effective strategy to reduce microbial air contamination in low- and middle-income settings. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Effect of mobile laminar airflow units on airborne bacterial contamination during neurosurgical procedures
Publication date: July 2018Source: Journal of Hospital Infection, Volume 99, Issue 3Author(s): A.-C. von Vogelsang, P. Förander, M. Arvidsson, P. LöwenhielmSummaryBackgroundSurgical site infections (SSIs) after neurosurgery are potentially life-threatening and entail great costs. SSIs may occur from airborne bacteria in the operating room, and ultraclean air is desired during infection-prone cleaning procedures. Door openings and the number of persons present in the operating room affect the air quality. Mobile laminar airflow (MLAF) units, with horizontal laminar airflow, have previously been shown to reduce air...
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Comparison of air exhausts for surgical body suits (space suits) and the potential for periprosthetic joint infection
ConclusionsSpace suit systems currently in use in joint replacement surgery differ significantly from traditional body exhaust systems; rather than removing contaminated air from the operating environment, modern systems exhaust this air into the operating room, in some cases potentially towards the sterile instrument tray and the surgical field. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Detection limit of Mycobacterium chimaera in water samples for monitoring medical device safety: insights from a pilot experimental series
ConclusionDepending on water volume and culture method, major differences exist in the detection limit of M. chimaera. In terms of sensitivity, 1000 mL water samples in MGIT media performed best. Our results have important implications for infection prevention and control strategies in mitigation of the M. chimaera outbreak and healthcare water safety in general. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Microbiological risks of reusing dummies for infants in hospital
Publication date: July 2018Source: Journal of Hospital Infection, Volume 99, Issue 3Author(s): D. Checklin, J. Gray (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research

Mobile phones and computer keyboards: unlikely reservoirs of multidrug-resistant organisms in the tertiary intensive care unit
Publication date: July 2018Source: Journal of Hospital Infection, Volume 99, Issue 3Author(s): O.C. Smibert, A.K. Aung, E. Woolnough, G.P. Carter, M.B. Schultz, B.P. Howden, T. Seemann, D. Spelman, S. McGloughlin, A.Y. PelegSummaryFew studies have used molecular epidemiological methods to study transmission links to clinical isolates in intensive care units. Ninety-four multidrug-resistant organisms (MDROs) cultured from routine specimens from intensive care unit (ICU) patients over 13 weeks were stored (11 meticillin-resistant Staphylococcus aureus (MRSA), two vancomycin-resistant enterococci and 81 Gram-negative bacteria...
Source: Journal of Hospital Infection - July 10, 2018 Category: Infectious Diseases Source Type: research