The first multi-centre point-prevalence survey in four Japanese university hospitals
ConclusionThis multi-centre PPS recorded detailed HCAI data and distinct antimicrobial use in Japanese university hospitals. Further surveillance is necessary to reduce HCAIs and formulate feasible plans to achieve the national action plan on antimicrobial resistance. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

Investigation of nosocomial pneumocystis infections: usefulness of longitudinal screening of epidemic and post-epidemic pneumocystis genotypes
Publication date: July 2018Source: Journal of Hospital Infection, Volume 99, Issue 3Author(s): G. Nevez, S. Le Gal, N. Noel, A. Wynckel, A. Huguenin, Y. Le Govic, L. Pougnet, M. Virmaux, D. Toubas, O. BajoletSummaryBackgroundTwenty-five patients, of whom 22 were renal transplant recipients, developed Pneumocystis jirovecii infections at the nephrology department of Reims University Hospital (France) from September 2008 to October 2009, whereas only four sporadic cases had been diagnosed in this department over the 14 previous years.AimThis outbreak was investigated by analysing patient encounters and P. jirovecii type...
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

Vancomycin-resistant enterococci isolates colonizing and infecting haematology patients: clonality, and virulence and resistance profile
ConclusionE. faecium was predominant, and infection isolates were more virulent than colonization isolates and harboured more often the gene gelE. Infections caused by VRE carrying the asa1 gene appeared to be associated with a fatal outcome. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 5, 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 5, 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 5, 2018 Category: Infectious Diseases Source Type: research

Cleaning of inpatient nebuliser devices in cystic fibrosis patients-the urgent need for universal guidelines
Publication date: Available online 2 July 2018Source: Journal of Hospital InfectionAuthor(s): Jane Bell, John E. Moore, B. Cherie Millar (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

Molecular epidemiology and antimicrobial resistance of Clostridium difficile in a national geriatric hospital in Costa Rica
ConclusionBased on the abundance of strain types observed and their resistance to antibiotics in this geriatric hospital, these results contribute to a better overall understanding of the epidemiology of CDI worldwide, and to surveillance programmes targeting geriatric populations. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

Editorial Board
Publication date: August 2018Source: Journal of Hospital Infection, Volume 99, Issue 4Author(s): (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

Routine screening for colonization by Gram-negative bacteria in neonates at intensive care units for the prediction of sepsis: systematic review and meta-analysis
ConclusionLimited evidence of very low quality exists regarding the prognostic value of neonatal screening for late-onset sepsis. Carefully planned and conducted prospective studies, including randomized trials, are needed to clarify the potential value of this measure for the prediction and prevention of late-onset sepsis. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

An evaluation of a toolkit for the early detection, management, and control of carbapenemase-producing Enterobacteriaceae: a survey of acute hospital trusts in England
ConclusionCPE prevention and control requires robust IPC measures. Successful implementation can be hindered by a complex set of factors related to their practical execution, insufficient resources and a lack of confidence in the effectiveness of the guidance. Future CPE guidance would benefit from substantive user involvement, processes for ongoing feedback, and regular guidance updates. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

Is cohorting the only solution to control carbapenemase-producing Enterobacteriaceae outbreaks? A single-centre experience
ConclusionUnderstanding ward variables associated with CPE spread can help design suitable solutions. Colonization pressure and antibiotic consumption seems to be driving in-hospital transmission, along with caregiver:patient ratio. In presence of high colonization pressure, dedicated healthcare workers for managing CPE patients should be implemented. Co-ordination between ICT and antimicrobial stewardship team is also crucial to prevent CPE spread. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

Impact of active surveillance and infection control measures on carbapenem-resistant Gram-negative bacterial colonization and infections in intensive care
ConclusionEnhanced infection control measures including enhanced hand hygiene, active surveillance combined with contact precautions, education, audits and feedback policies and interventions could reduce CRKP and CRPA in endemic areas. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

Clinical factors predicting persistent carriage of Klebsiella pneumoniae carbapenemase-producing carbapenem-resistant Enterobacteriaceae among patients with known carriage
ConclusionThe results suggest that patients with KPC-producing CRE in clinical specimens who are using carbapenem, particularly those with multiple and prolonged hospitalizations, are more likely to remain carriers after six months of initial acquisition. This information is useful for coordinating strategies for pre-emptive isolation by predicting the CRE carriage status appropriately, and ensuring active surveillance through risk factor stratification. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

Nosocomial transmission of carbapenem-resistant Klebsiella pneumoniae in an Italian university hospital: a molecular epidemiological study
ConclusionsA high incidence of KPC-Kp in patients with invasive infections was recorded at an Italian university hospital compared with the incidence measured before 2015. This study confirmed the importance of the KPC-3 carbapenemase variant, as reported by other Italian studies. High mortality and comorbidity rates appear to be associated with KPC-Kp infection. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

Resistance patterns of Enterobacteriaceae in urines are similar in symptomatic and asymptomatic patients
Publication date: August 2018Source: Journal of Hospital Infection, Volume 99, Issue 4Author(s): A. Romero Palacios, F. Al Dhufairi, C. Ellis, D. Smyth, L.M.D. Mieusement, A. McGeer, D. MertzSummaryAntibiograms of urine cultures are being used to guide empiric treatment for urinary tract infections (UTIs). However, roughly 50% of urine cultures are from patients with asymptomatic bacteriuria (ABU). It is unclear whether Enterobacteriaceae in ABU patients have similar resistance patterns as UTI patients. Hence, we aimed to compare the antimicrobial resistance patterns in patients with ABU to patients with symptomatic UTI. W...
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

Duodenoscopy: an amplifier of cross-transmission during a carbapenemase-producing Enterobacteriaceae outbreak in a gastroenterology pathway
Publication date: August 2018Source: Journal of Hospital Infection, Volume 99, Issue 4Author(s): C. Bourigault, F. Le Gallou, N. Bodet, N. Musquer, M.-E. Juvin, S. Corvec, N. Ferronnière, S. Wiesel, J. Gournay, G. Birgand, M. Le Rhun, D. LepelletierSummaryCarbapenemase-producing Klebsiella pneumoniae (OXA-48 CPE) were identified in five patients who underwent an endoscopy with the same duodenoscope in October 2015. The endoscope was the only epidemiological link between these cases. A transient contamination of the duodenoscope following a failure in the disinfection process may have been the cause of transmission. ...
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

A multi-disciplinary educational programme for the management of a carbapenem-resistant Klebsiella pneumoniae outbreak: an Italian experience
Publication date: August 2018Source: Journal of Hospital Infection, Volume 99, Issue 4Author(s): M. Fattorini, D. Rosadini, G. Messina, C. Basagni, A. Tinturini, M.F. De Marco (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

Close long-term contacts between individuals with discordant colonization status of carbapenem-resistant Enterobacteriaceae do not result in bacterial transmission
Publication date: August 2018Source: Journal of Hospital Infection, Volume 99, Issue 4Author(s): S. Borgmann, B. Rieß, Y. Pfeifer (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

First case of New Delhi metallo-β-lactamase-1 of the same pulsotype of multi-drug-resistant Klebsiella pneumoniae in Minas Gerais, Brazil
Publication date: August 2018Source: Journal of Hospital Infection, Volume 99, Issue 4Author(s): I.R. Gonçalves, P.A. Campos, M.L. Ferreira, S. Royer, L.G. Machado, B.F. Araújo, V.V.P. Almeida, D.W.F. Batistão, P.P. Gontijo-Filho, R.M. Ribas (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

Response to ‘The start of another infection prevention learning curve: reducing healthcare-associated Gram-negative bloodstream infections’
Publication date: August 2018Source: Journal of Hospital Infection, Volume 99, Issue 4Author(s): A. Joseph, V. Weston, T. Boswell (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

Reply to Joseph et al.
Publication date: August 2018Source: Journal of Hospital Infection, Volume 99, Issue 4Author(s): M.H. Wilcox (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

Community-acquired Clostridium difficile: epidemiology, ribotype, risk factors, hospital and intensive care unit outcomes, and current and emerging therapies
ConclusionCommunity-acquired CDI represents a growing public health threat and burden on healthcare systems. A multi-disciplinary approach will be required to stem the tides. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

Primary prevention of Clostridium difficile infections with a specific probiotic combining Lactobacillus acidophilus, L. casei, and L. rhamnosus strains: assessing the evidence
Publication date: August 2018Source: Journal of Hospital Infection, Volume 99, Issue 4Author(s): L.V. McFarland, N. Ship, J. Auclair, M. MilletteSummaryClostridium difficile infection (CDI) has become the leading healthcare-associated infection and cause of outbreaks around the world. Although various innovative treatments have been developed, preventive strategies using multi-faceted infection control programmes have not been successful in reducing CDI rates. The major risk factor for CDI is the disruption of the normally protective gastrointestinal microbiota, typically by antibiotic use. Supplementation with specific pr...
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

Clostridium difficile classification overestimates hospital-acquired infections
ConclusionCurrent guidelines for classifying C. difficile infections overestimate the proportion of cases acquired in hospital in all model scenarios. To reduce misclassification bias, an infection should be classified as being acquired prior to admission if symptoms begin within five days of admission. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

Examining the epidemiology and microbiology of Clostridium difficile carriage in elderly patients and residents of a healthcare facility in southern Ontario, Canada
ConclusionC. difficile colonization by ACF and LTCF residents was common, despite a low apparent incidence of CDI. The association with PPI provides further evidence of the potential importance of this widely used drug class in C. difficile colonization. Wide genetic diversity was present, highlighting the likelihood of multiple unidentified routes of C. difficile acquisition. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

Cost-effectiveness analysis of oral probiotics for the prevention of Clostridium difficile-associated diarrhoea in children and adolescents
ConclusionFrom the perspective of the medical system, oral probiotics as a preventive strategy for CDAD in hospitalized children and adolescents receiving a therapeutic course of antibiotics reduced the risk of CDAD and represents a cost-saving strategy. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

Clearance of carbapenem-resistant Enterobacteriaceae vs vancomycin-resistant enterococci carriage after faecal microbiota transplant: a prospective comparative study
ConclusionCRE and VRE clearance rates were not significantly different in this study, possibly due to the small sample size, but a trend was observed. These data should be confirmed by larger cohorts and randomized trials. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

Active surveillance for carbapenem-resistant Enterobacteriaceae, vancomycin-resistant enterococci and toxigenic Clostridium difficile among patients transferred from long-term care facilities in Korea
Publication date: August 2018Source: Journal of Hospital Infection, Volume 99, Issue 4Author(s): J-H. Hwang, J.S. Park, E. Lee, J.Y. Bae, K-H. Song, P.G. Choe, W.B. Park, J.H. Bang, E.S. Kim, S.W. Park, N.J. Kim, M. Oh, H.B. KimSummaryA 10-month active surveillance study was conducted to assess carriage of carbapenemase-producing Enterobacteriaceae (CPE), vancomycin-resistant enterococci (VRE) and toxigenic Clostridium difficile colonization among patients transferred to hospital from long-term care facilities (LTCFs). Four (1.4%) patients with carbapenem-resistant Enterobacteriaceae (none of which were CPE), 59 (21%) pati...
Source: Journal of Hospital Infection - July 5, 2018 Category: Infectious Diseases Source Type: research

Sepsis programme successes are responsible for the increase in bacteraemia detection
Conclusion Success in one area (sepsis management) conflicts with “failure” in reducing E. coli bacteraemia. We argue that targets need to be carefully considered in the light of all available information, which currently have set the NHS up to fail. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - April 13, 2018 Category: Infectious Diseases Source Type: research

Pre-operative Asymptomatic Bacteriuria: A Risk Factor For Prosthetic Joint Infection?
Conclusion The association between ASB and PJI is statistically significant, but the urine isolates did not relate to the isolates in the prosthetic joint, suggestive the relationship is unlikely causal. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - April 13, 2018 Category: Infectious Diseases Source Type: research

Rapid MALDI-TOF-based identification of Brucella melitensis from positive blood culture vials may prevent laboratory-acquired infections
Publication date: Available online 10 April 2018 Source:Journal of Hospital Infection Author(s): Sören L. Becker, Sabine Zange, Matthias Brockmeyer, Ulrich Grün, Alexander Halfmann (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - April 11, 2018 Category: Infectious Diseases Source Type: research

The optimal ethanol lock therapy regimen for treatment of biofilm-associated catheter infections: Results from an in vitro study
Publication date: Available online 10 April 2018 Source:Journal of Hospital Infection Author(s): Beatriz Alonso, María Jesús Pérez-Granda, Ana Rodríguez-Huerta, Carmen Rodríguez, Emilio Bouza, María Guembe Ethanol-based lock therapy (LT) solutions are used as an alternative to antibiotics for the conservative management of catheter-related bloodstream infection. However, no clear consensus on regimen or dose has been reached. Our objective was to find the ethanol-based lock solution containing a sufficiently low concentration of ethanol for reduction of the metabolic activity of b...
Source: Journal of Hospital Infection - April 11, 2018 Category: Infectious Diseases Source Type: research

Sustained improvement in hand hygiene compliance using a multimodal improvement program at a Swiss multisite regional hospital
Conclusions This WHO-inspired improvement programme was associated with a significant improvement in hand hygiene compliance, globally and for each professional category. The results were sustained over an 18-month period. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - April 11, 2018 Category: Infectious Diseases Source Type: research

UV-C decontamination of hand-held tablet devices in the healthcare environment using the Codonics D6000 ™ disinfection system
Publication date: Available online 9 April 2018 Source:Journal of Hospital Infection Author(s): M. Muzslay, S. Yui, S. Ali, A.P.R. Wilson Mobile phones and tablet computers may be contaminated with microorganisms and become a potential reservoir for cross-transmission of pathogens between healthcare workers and patients. There is no generally accepted guidance how to reduce contamination on mobile devices in healthcare settings. Our aim was to determine the efficacy of the Codonics D6000™ UV-C disinfection device. Daily disinfection reduced contamination on screens and on protective cases (test) significantly, but n...
Source: Journal of Hospital Infection - April 10, 2018 Category: Infectious Diseases Source Type: research

Feasibility Of A Real-Time Hand Hygiene Notification Machine Learning System In Outpatient Clinics
Conclusion Machine learning technology that enables real-time HH notification provides a promising cost-effective approach to both improving and monitoring HH, and deserves further development in outpatient settings. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - April 10, 2018 Category: Infectious Diseases Source Type: research

Is there a relationship between airborne and surface microbes in the critical care environment?
Conclusion Passive air sampling provides quantitative data analogous to that obtained from surfaces. Settle plates could serve as a proxy for routine environmental screening to determine the infection risk in ICU. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - April 10, 2018 Category: Infectious Diseases Source Type: research

Persistence of meticillin-resistant Staphylococcus aureus carriage in readmitted patients
Publication date: Available online 9 April 2018 Source:Journal of Hospital Infection Author(s): Calvin J. Chiew, Hanley J. Ho, Mar Kyaw Win, Adriana Tan, Jia Wei Lim, Brenda Ang, Angela Chow A retrospective cohort study was conducted to investigate the duration and risk factors for persistence of methicillin-resistant Staphylococcus aureus (MRSA) colonisation among known carriers who were readmitted to hospital. MRSA carriage persisted in a high proportion of known carriers even up to 2 years from their last date of discharge, and readmission screening should be performed for at least this duration. A targeted screening a...
Source: Journal of Hospital Infection - April 10, 2018 Category: Infectious Diseases Source Type: research

Paradoxical Acinetobacter associated Ventilator associated pneumonia incidences within prevention studies using respiratory tract applications of topical polymyxin: benchmarking the evidence base
Conclusions The mean AAVAP incidence within the control groups of studies of topical polymyxin is more than double the benchmark whereas these incidences within the groups of non-polymyxin studies and paradoxically, polymyxin intervention groups, are more similar to the benchmark. These incidences, which are paradoxical in the context of an apparent effect against VAP within controlled trials of topical polymyxin based interventions, force a reappraisal. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - April 10, 2018 Category: Infectious Diseases Source Type: research

Letter to the Editor concerning ‘‘Control of endemic multidrug-resistant Gram-negative bacteria after removal of sinks and implementing a new water-safe policy in an intensive care unit” by Shaw E et al. (Journal of Hospital Infection 98;2018:275-281)
Publication date: Available online 7 April 2018 Source:Journal of Hospital Infection Author(s): Ludwig Serge, A.H.O. Glele, Adrien Guilloteau, Emmanuel Delmas, Melchior De Giraud D’agay, Karine Astruc (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - April 8, 2018 Category: Infectious Diseases Source Type: research

A multidisciplinary educational programme for the management of a carbapenem-resistant Klebsiella pneumoniae outbreak: an Italian experience
Publication date: Available online 7 April 2018 Source:Journal of Hospital Infection Author(s): M. Fattorini, D. Rosadini, G. Messina, C. Basagni, A. Tinturini, M.F. De Marco (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - April 7, 2018 Category: Infectious Diseases Source Type: research

Are amine-only-containing products sporicidal?
Publication date: May 2018 Source:Journal of Hospital Infection, Volume 99, Issue 1 Author(s): J-Y. Maillard (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - April 6, 2018 Category: Infectious Diseases Source Type: research

Value of widespread use of multiplex PCR for diagnosis of viral respiratory tract infections in children
Publication date: May 2018 Source:Journal of Hospital Infection, Volume 99, Issue 1 Author(s): S. Braybrook, J. Gray (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - April 6, 2018 Category: Infectious Diseases Source Type: research

Clinical impact of delayed catheter removal for patients with central-venous-catheter-related Gram-negative bacteraemia
Conclusion CVCs should be removed early to improve clinical outcomes in patients with Gram-negative CRBSI, especially in settings where MDR isolates are prevalent. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - April 6, 2018 Category: Infectious Diseases Source Type: research

Validation of healthcare-associated infection surveillance in smaller Australian hospitals
Publication date: May 2018 Source:Journal of Hospital Infection, Volume 99, Issue 1 Author(s): A.J. Hoskins, L.J. Worth, N. Imam, S.A. Johnson, A.L. Bull, M.J. Richards, N.J. Bennett A validation study was conducted in smaller (<100 acute beds) Victorian hospitals to evaluate case detection for Staphylococcus aureus bloodstream (SAB), meticillin-resistant S. aureus (MRSA) and vancomycin-resistant enterococci (VRE) infections. Overall, 142 infections were identified in 20 hospitals. For routine surveillance of SAB events, sensitivity was 74.4% and specificity was 100.0%. For MRSA infections, sensitivity was 47....
Source: Journal of Hospital Infection - April 6, 2018 Category: Infectious Diseases Source Type: research

Real-time polymerase chain reaction detection of Lichtheimia species in bandages associated with cutaneous mucormycosis in burn patients
Conclusion Our data support the utility of Mucorales qPCR for epidemiological investigations, the potential role of these bandages in cutaneous mucormycoses in burn patients in our centre, and, consequently, the need for sterile bandages for the dressing of extensive wounds. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - April 6, 2018 Category: Infectious Diseases Source Type: research

Infections following surgical patent ductus arteriosus ligation in very-low-birthweight neonates
Conclusion The later the PDA surgery was performed, the later the infection occurred. The incidence of infection after correction of PDA among VLBW neonates was comparable with the incidence of infection among all hospitalized VLBW neonates. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - April 6, 2018 Category: Infectious Diseases Source Type: research

Intensive care unit (ICU)-acquired bacteraemia and ICU mortality and discharge: addressing time-varying confounding using appropriate methodology
Conclusion In this study, even after adjusting for the timing of acquiring bacteraemia and time-varying confounding using inverse probability weighting for marginal structural models, ICU-acquired bacteraemia was associated with a decreased daily ICU discharge risk and an increased risk of ICU mortality. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - April 6, 2018 Category: Infectious Diseases Source Type: research

Evaluation of economic burden of colonic surgical site infection at a Japanese hospital
Conclusion SSIs led to a significant increase in LOS and economic burden. Although the SSI episodes appear to be more profitable than the non-SSI episodes, the economic profit for SSI episodes was less than that for non-SSI episodes in the observation period, when opportunity costs were taken into account. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - April 6, 2018 Category: Infectious Diseases Source Type: research

Predictive factors for early- and late-onset surgical site infections in patients undergoing elective colorectal surgery. A multicentre, prospective, cohort study
Conclusion We found distinctive predictive factors for the development of SSI before and after seven days following elective colorectal surgery. These factors could help establish specific preventive measures in each group. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - April 6, 2018 Category: Infectious Diseases Source Type: research

Impact of electronic healthcare-associated infection surveillance software on infection prevention resources: a systematic review of the literature
Conclusion The results of this review demonstrate that adopting ESS yields considerable dividends in IP staff time relating to data collection and case ascertainment while maintaining high levels of sensitivity and specificity. This has the potential to enable reinvestment into other components of IP to maximize efficient use of scarce IP resources. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - April 6, 2018 Category: Infectious Diseases Source Type: research