Workplace Vaccination Against Measles In a Teaching Hospital of Rome
Publication date: Available online 6 December 2018Source: Journal of Hospital InfectionAuthor(s): Luca Coppeta, Antonio Pietroiusti, Luca Morucci, Anna Neri, Mariacarmela Ferraro, Andrea Magrini (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - December 6, 2018 Category: Infectious Diseases Source Type: research

Attributable Clinical and Economic Burden of Carbapenem-Nonsusceptible Gram-Negative Infections in Patients Hospitalized With Complicated Urinary Tract Infections
We examined the clinical and economic burden attributable to Gram-negative carbapenem-nonsusceptible (C-NS; resistant/intermediate) versus carbapenem-susceptible (C-S) infections in 78 United States (US) hospitals.MethodsAll nonduplicate C-NS and C-S urine source isolates were analyzed. A subset had principal diagnosis ICD-9-CM codes denoting cUTI. Collection time (
Source: Journal of Hospital Infection - December 1, 2018 Category: Infectious Diseases Source Type: research

Evaluation of the mechanical cleaning efficacy of dental handpieces
ConclusionManufacturers should optimize the cleaning device parameters, based on the Sinner circle (grouping compensatory parameters which influence the effectiveness of a cleaning process, such as pressure, temperature, time, detergent concentration), to improve cleaning efficacy and enable dental surgeons to ensure the safety. Although PIDTest© are the only tool to provide visual indications on the cleaning efficacy of washer-disinfectors dedicated to handpieces, manufacturers should continue with the development of improved and validated tools to assess cleaning efficacy. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 28, 2018 Category: Infectious Diseases Source Type: research

Are systematic drain tip or drainage fluid cultures predictive of surgical site infections?
ConclusionSystematic cultures of drain tips or drainage fluids appear not to be relevant, because their positive predictive values were low in the prediction of SSI. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 28, 2018 Category: Infectious Diseases Source Type: research

Hepatitis C virus transmission in a Dutch haemodialysis unit: detailed outbreak investigation using NS5A gene sequencing
ConclusionThis study demonstrates that detailed incident recording in combination with state-of-the-art molecular investigations such as sequencing of the NS5A region resulted in unravelling a set of two HCV transmissions that occurred at an haemodialysis unit. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 28, 2018 Category: Infectious Diseases Source Type: research

The overall bioburden by total colony count does not predict presence of pathogens with high clinical relevance in the environment of hospitals and community
ConclusionTCC poorly predicted presence of PHCR, rendering results from environmental sampling with TCC difficult to interpret. MALDI-TOF technique allows identifying large numbers of isolates at low cost from the environment. Further studies on environmental contamination should use MALDI-TOF to identify all grown pathogens for identification. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 28, 2018 Category: Infectious Diseases Source Type: research

Multi-centre study on cultural dimensions and perceived attitudes of nurses towards influenza vaccination uptake
This study explored how cultural values affected Health Belief Model (HBM) components and the influenza vaccine uptake among nurses across three Asian populations using a survey conducted in 2017 (N = 3971). The vaccination coverages were 33.5% (Brunei), 35.6% (Hong Kong) and 69.5% (Singapore). Three HBM components (perceived susceptibility, perceived benefits and cues to action) were positively associated with vaccination. A direct negative link and an indirect positive link via HBM were observed between collectivism and vaccination, whereas a negative indirect link via HBM between power distance and vaccination was obser...
Source: Journal of Hospital Infection - November 28, 2018 Category: Infectious Diseases Source Type: research

Antiseptic efficacies of waterless hand rub, chlorhexidine scrub, and povidone-iodine scrub in surgical settings: a meta-analysis of randomized controlled trials
ConclusionWHRs and CHG exhibited higher antiseptic efficacies than PI. However, additional studies with consistent outcome measurements and accurate grouping are required to obtain comprehensive results. Moreover, preference, compliance, and the cost determine the selection of hand wash products. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 28, 2018 Category: Infectious Diseases Source Type: research

Directly observed hand hygiene – from healthcare workers to patients
Publication date: Available online 27 November 2018Source: Journal of Hospital InfectionAuthor(s): Vincent C.C. Cheng, Shuk-Ching Wong, Sally C.Y. Wong, Kwok-Yung Yuen (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 27, 2018 Category: Infectious Diseases Source Type: research

Implementation of influenza point-of-care-testing and patient-cohorting during a high-incidence season: a retrospective analysis of impact on infection prevention and control and clinical outcomes
Publication date: Available online 22 November 2018Source: Journal of Hospital InfectionAuthor(s): Jonathan Youngs, Benjamin Marshall, Melissa Farragher, Laura Whitney, Stephen Glass, Cassie Pope, Timothy Planche, Peter Riley, David CarringtonSummaryBackgroundDuring high-incidence influenza seasons, a robust infection prevention and control policy is imperative to reduce nosocomial transmission of influenza.AimTo assess the impact of Emergency Department (ED) influenza point-of-care-testing (POCT) and influenza-ward patient-cohorting on infection prevention and control and clinical outcomes.MethodsInfluenza POCT was operat...
Source: Journal of Hospital Infection - November 22, 2018 Category: Infectious Diseases Source Type: research

Hospital-by-Hospital Carbapenem Use in Japan: A Nationwide Ecological Study
ConclusionsThis study determined hospital-by-hospital patterns of carbapenem use in Japan. Because a single predictive model was not appropriate for all hospitals, tailored models are needed to identify hospitals that are heavy users of carbapenem. These findings may serve as a reference to support further research on antibiotic use in healthcare and aid future policies. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 17, 2018 Category: Infectious Diseases Source Type: research

Staphylococcus aureus meningitis in adults: A comparative cohort study of infections caused by methicillin-resistant and methicillin-susceptible strains
Publication date: Available online 16 November 2018Source: Journal of Hospital InfectionAuthor(s): Vicente Pintado, Rosario Pazos, Manuel Enrique Jiménez-Mejías, Azucena Rodríguez-Guardado, Beatriz Díaz-Pollán, Carmen Cabellos, Juan Manuel García-Lechuz, Jaime Lora-Tamayo, Pere Domingo, Elena Muñez, Diego Domingo, Fernando González-Romo, José Antonio Lepe-Jiménez, Carlos Rodríguez-Lucas, Antonio Gil, Iván Pelegrín, Fernando Chaves, Virginia Pomar, Antonio Ramos, Teresa AlarcónSummaryBackgroundStaphylococcus aureus meningitis i...
Source: Journal of Hospital Infection - November 16, 2018 Category: Infectious Diseases Source Type: research

Dr SWB Newsom (1932–2018)
Publication date: Available online 16 November 2018Source: Journal of Hospital InfectionAuthor(s): Richard Newsom, David Shanson (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 16, 2018 Category: Infectious Diseases Source Type: research

Editorial Board
Publication date: December 2018Source: Journal of Hospital Infection, Volume 100, Issue 4Author(s): (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 15, 2018 Category: Infectious Diseases Source Type: research

Nosocomial ventriculitis caused by a meticillin- and linezolid-resistant clone of Staphylococcus epidermidis in neurosurgical patients
ConclusionThe high ratio of linezolid consumption in the ICU (7.72–8.10 defined daily dose/100 patient-days) could have selected this resistant clone, which has probably become endemic in the ICU where it could have colonized admitted patients. Infection control and antimicrobial stewardship interventions are essential to prevent the dissemination of this difficult-to-treat pathogen, and to preserve the therapeutic efficacy of linezolid. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 15, 2018 Category: Infectious Diseases Source Type: research

Prevention of deep sternal wound infection in cardiac surgery: a literature review
ConclusionThis study identified several measures that prevent DSWI after cardiac surgery that are not frequently applied in current practice. It is recommended that the guidelines on prevention of surgical site infection in cardiac surgery should be updated. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 15, 2018 Category: Infectious Diseases Source Type: research

Effect of chlorhexidine skin disinfection and retrosternal gentamicin sponge on post-sternotomy mediastinitis: results from a prospective controlled registry of 2340 patients
ConclusionPreoperative skin disinfection with IPA–CHG is superior to only IPA, and it should be recommended. The addition of a retrosternal gentamicin-releasing sponge further reduces the rate of mediastinitis. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 15, 2018 Category: Infectious Diseases Source Type: research

Response to Kaier et al. regarding ‘Estimating the additional costs of surgical site infections’
Publication date: December 2018Source: Journal of Hospital Infection, Volume 100, Issue 4Author(s): M. Ohno, Y. Shimada, M. Satoh, S. Hori (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 15, 2018 Category: Infectious Diseases Source Type: research

Respiratory syncytial virus burden among adults during flu season: an underestimated pathology
Publication date: December 2018Source: Journal of Hospital Infection, Volume 100, Issue 4Author(s): M. Kestler, P. Muñoz, M. Mateos, D. Adrados, E. BouzaSummaryBackgroundInformation on the role of respiratory syncytial virus (RSV) in adult patients with influenza-like syndrome is scarce.AimTo assess the clinical characteristics of RSV in adult patients with respiratory manifestations during a regular influenza season.MethodsProspective study in a tertiary Spanish hospital from December 2015 to February 2016. The study population included only adult patients with either community-acquired or hospital/healthcare-assoc...
Source: Journal of Hospital Infection - November 15, 2018 Category: Infectious Diseases Source Type: research

Outbreak reports
Publication date: December 2018Source: Journal of Hospital Infection, Volume 100, Issue 4Author(s): J. Gray (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 15, 2018 Category: Infectious Diseases Source Type: research

Outbreak of invasive group A streptococcus: investigations using agar settle plates detect perineal shedding from a healthcare worker
ConclusionThis is the first outbreak report demonstrating the use of settle plates in a GAS outbreak investigation on a medical ward, to identify the likely source of the outbreak. Based on this report we recommend that both throat and perineal sites should be sampled if HCW screening is undertaken during an outbreak of GAS. Fabric, soft furnishings should be excluded from clinical areas as well as any adjacent offices because pathogenic bacteria such as GAS may contaminate this environment. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 15, 2018 Category: Infectious Diseases Source Type: research

Recommendations for the successful control of a large outbreak of vancomycin-resistant Enterococcus faecium in a non-endemic hospital setting
ConclusionInfection control measures according to international guidelines were insufficient to expose the outbreak to its full extent and control it. Its full extent only became apparent after sustained hospital-wide screening. Successful control of this hospital-wide VRE outbreak was feasible, but required great effort. Final containment and eradication of the epidemic clones was achieved by environmental decontamination with hydrogen peroxide vapour, strict isolation precautions, a VRE quarantine ward and antimicrobial stewardship. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 15, 2018 Category: Infectious Diseases Source Type: research

Recurrent outbreaks caused by the same Salmonella enterica serovar Infantis clone in a German rehabilitation oncology clinic from 2002 to 2009
ConclusionsThis study demonstrated important details of hospital-specific epidemiological processes, and alludes to a long-term reservoir of an epidemic clone of S. enterica serovar Infantis either in a backyard flock of poultry or in an inanimate kitchen reservoir. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 15, 2018 Category: Infectious Diseases Source Type: research

Utility of MALDI-TOF mass spectrometry in an outbreak investigation of acute endophthalmitis following intravitreal injection
Publication date: December 2018Source: Journal of Hospital Infection, Volume 100, Issue 4Author(s): A. Angrup, S. Krishnamoorthi, M. Biswal, V. Gautam, P. Ray, A. Agarwal, M.R. Dogra, R. Singh, D. Katoch, V. GuptaSummaryBevacizumab, a recombinant humanized monoclonal antibody to inhibit tumour angiogenesis, is available for off-label use for treating choroidal neovascularization. Outbreaks have been reported after use of this drug, either because of contamination during manufacturing or the practice of multiple doses being administered from a single vial to different patients. In our institute we investigated one endophtha...
Source: Journal of Hospital Infection - November 15, 2018 Category: Infectious Diseases Source Type: research

Outbreak of Burkholderia cepacia bacteraemia in a tertiary care centre due to contaminated ultrasound probe gel
Publication date: December 2018Source: Journal of Hospital Infection, Volume 100, Issue 4Author(s): V.R. Yamunadevi, V. Ramasubramanian, P. Senthur Nambi, P. Samundeewari, N. Ramakrishnan (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 15, 2018 Category: Infectious Diseases Source Type: research

Reducing adult cardiac surgical site infections and the economic impact of using multidisciplinary collaboration
Publication date: December 2018Source: Journal of Hospital Infection, Volume 100, Issue 4Author(s): L. Chiwera, N. Wigglesworth, C. McCoskery, G. Lucchese, W. NewsholmeSummaryBackgroundCardiac surgical site infections (SSIs) have devastating consequences and present several challenges for patients and healthcare providers. Adult cardiac SSI surveillance commenced in 2009 at our hospitals, Guy's & St Thomas' NHS Foundation Trust, London, as a patient safety initiative amid reported increased incidence of SSIs. Before this time, infection incidence was unclear because data collection was not standardized.AimTo standardiz...
Source: Journal of Hospital Infection - November 15, 2018 Category: Infectious Diseases Source Type: research

Is malnutrition associated with orthopaedic infections? A single-centre pilot evaluation
Publication date: Available online 13 November 2018Source: Journal of Hospital InfectionAuthor(s): N. Guanziroli, D. Hannouche, I. Uçkay (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 14, 2018 Category: Infectious Diseases Source Type: research

Observation study of water outlet design from a cross infection / user perspective; time for a radical re-think?
ConclusionAlthough hand washing is a key barrier to cross infection poor selection and incorrect use of outlet undermines its effectiveness. Design and incorrect instalment further compromise the intended means of operation of elbow levers. Of equal concern is this risk mostly goes unrecognised. There is an opportunity to improve hand washing safety but it requires engagement across a broad stratum from Government Departments of Health and manufacturers down to the user. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 14, 2018 Category: Infectious Diseases Source Type: research

Instrument cleanliness and protein misfolding disorders
Publication date: Available online 10 November 2018Source: Journal of Hospital InfectionAuthor(s): R. Salmon (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 11, 2018 Category: Infectious Diseases Source Type: research

Microbial water quality management of dental unit water lines at a dental school
This study reports the microbial load of the water from DUWLs of a large dental school over time. The water quality of 231 dental chairs was tested three times over 1.5 years; 175 DUWLs at student clinics and 56 DUWLs at staff clinics. DUWLs at the staff clinics met the Dutch requirement of 100 cfu/ml. An increasing amount of DUWLs at the student clinics complied with this requirement, indicating that the local protocols were adequate, but that the compliance can be improved. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 11, 2018 Category: Infectious Diseases Source Type: research

Broad-spectrum antibiotic prescriptions are unevenly discontinued throughout the week
This study suggested that the broad-spectrum antibiotics tend to be continued over weekends or holidays and discontinued thereafter, probably due to behavioural factors beyond medical indications that need to be addressed in future antimicrobial stewardship initiatives. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 11, 2018 Category: Infectious Diseases Source Type: research

Healthcare Burden of Probable and Proven Invasive Mucormycosis: A Multicenter Cost-of-Illness Analysis of Patients Treated in Tertiary Care Hospitals between 2003 – 2016
Publication date: Available online 10 November 2018Source: Journal of Hospital InfectionAuthor(s): Sebastian M. Heimann, Maria J.G.T. Vehreschild, Oliver A. Cornely, Werner J. Heinz, Beate Grüner, Gerda Silling, Johanna Kessel, Danila Seidel, Jörg Janne VehreschildAbstractBackgroundInvasive mucormycosis (IM) is a rare invasive fungal infection with high mortality rates. However, data concerning the clinical and economic burden of IM are scarce.AimTo evaluate the direct treatment costs and additional expenditures of patients with IM.MethodsWe performed a retrospective cost-of-illness analysis of cases with IM extr...
Source: Journal of Hospital Infection - November 11, 2018 Category: Infectious Diseases Source Type: research

Surgical instruments complex design as barrier for cleaning effectiveness, favouring biofilm formation
ConclusionSoil and/or biofilms were evident on complex-design RSI following 20 cycles of contamination and reprocessing, even using the gold standard method of cleaning. Although the depth gauges could be disassembled, biological residues and biofilm accumulated in its lumen. The current design of these RSI prevents removal of all biological soil and this may have an adverse effect on patient outcome. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 11, 2018 Category: Infectious Diseases Source Type: research

Factors that impact on the burden of Escherichia coli bacteraemia: Multivariable regression analysis of 2011-2015 data from West London
ConclusionsMultidrug resistance, increased age, and comorbidities were the main drivers of adverse outcome. The overall incidence of E. coli bacteraemia and the incidence of cases that were antibiotic-resistant increased over time. The increase in bacteraemia was predominantly driven by an increase in community-onset infections, and initiatives aimed at prevention of these cases should be a major focus for attempts to reduce the quantitative burden of E. coli infection. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 6, 2018 Category: Infectious Diseases Source Type: research

In-house validation of the cobas Liat Influenza A/B & RSV assay for use with gargles, sputa and endotracheal secretions
Publication date: Available online 5 November 2018Source: Journal of Hospital InfectionAuthor(s): Emily Jane Goldstein, Rory N. Gunson (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 6, 2018 Category: Infectious Diseases Source Type: research

Reduction of Nosocomial Blood Stream infections and Nosocomial Vancomycin Resistant Enterococcus faecium on an Intensive Care Unit After Introduction of Antiseptic Octenidine-based Bathing
ConclusionThe epidemiology of emerging VRE appeared as a complex mix of admitted cases and transmissions in small clusters, challenging infection control measures. The implementation of universal octenidine-based bathing combined with a standardised washing regime led to a significant reduction of nosocomial VRE. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 6, 2018 Category: Infectious Diseases Source Type: research

Successful control of the first OXA-48 and/or NDM carbapenemase-producing Klebsiella pneumoniae outbreak in Slovenia 2014–2016
ConclusionInitial standard control measures failed to prevent the outbreak. Once the problem had been recognized, strict infection control measures and the education of healthcare workers contributed to the successful control of the outbreak. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - November 4, 2018 Category: Infectious Diseases Source Type: research

Effects of the application of Vitamin E and silicone dressings vs Conventional dressings on incisional surgical site infection in elective laparoscopic colorectal surgery: A prospective randomized clinical trial
Publication date: Available online 3 November 2018Source: Journal of Hospital InfectionAuthor(s): Jaime Ruiz-Tovar, Carolina Llavero, Mercedes Perez-Lopez, Andres Garcia-MarinAbstractIntroductionThe aim of this study was to evaluate the effect on incisional surgical site infection (SSI) of conventional wound dressing vs vitamin E-silicone dressing in patients undergoing elective colorectal laparoscopic surgery.Patients and MethodsA prospective, randomized study was performed. Patients were randomly assigned into 2 groups: those patients undergoing a vitamin E-silicone containing dressing (E-Sil) and those using a conventio...
Source: Journal of Hospital Infection - November 3, 2018 Category: Infectious Diseases Source Type: research

Control strategy for carbapenemase-producing Enterobacteriaceae in nursing homes: Perspectives inspired from three outbreaks
Publication date: Available online 30 October 2018Source: Journal of Hospital InfectionAuthor(s): C. Legeay, R. Hue, C. Berton, H. Cormier, R. Chenouard, S. Corvec, G. BirgandSummaryThree outbreaks of carbapenemase-producing Enterobacteriaceae (CPE) in three nursing homes in western France were retrospectively assessed. In all, ten cases of colonization or infection with CPE were detected upon admission in neighbouring hospitals. Antibiotic consumption or high frailty was infrequent among them. Nursing homes should be included in a regional strategy to limit CPE spread. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - October 31, 2018 Category: Infectious Diseases Source Type: research

The effect of disinfectant formulation and organic soil on the efficacy of oxidising disinfectants against biofilms
Publication date: Available online 26 October 2018Source: Journal of Hospital InfectionAuthor(s): Durdana Chowdhury, Arifur Rahman, Honghua Hu, Slade O. Jensen, Anand Kumar Deva, Karen VickerySummaryBackgroundBiofilms that develop on dry surfaces in the healthcare environment have increased tolerance to disinfectants. We compared the activity of formulated oxidizing disinfectants versus products containing only active ingredients against Staphylococcus aureus dry surface biofilm (DSB).MethodsDSB was grown in the CDC bioreactor with alternating cycles of hydration and dehydration. Disinfectant efficacy was tested before and...
Source: Journal of Hospital Infection - October 27, 2018 Category: Infectious Diseases Source Type: research

Bacterial load and pathogenic species on healthcare personnel attire (HCPA): implications of alcohol hand-rub (AHR) use, profession and time of duty
Publication date: Available online 26 October 2018Source: Journal of Hospital InfectionAuthor(s): Ambrosch A, Wahrburg K, Klawonn FSummaryBackgroundSince hand hygiene might prevent the risk of bacterial transmission from healthcare personnel attire (HCPA), the present study investigates the effect of alcoholic hand-rub (AHR) use on bacterial load and pathogenic species on HCPA.MethodsHCPA from doctors and nurses were investigated for bacterial contamination post duty. For this, samples from distinct areas of HCPA were obtained and analyzed for bacterial load and species. A standardized questionnaire was performed regarding...
Source: Journal of Hospital Infection - October 27, 2018 Category: Infectious Diseases Source Type: research

The effect of using ceiling mounted systems for imaging in hybrid operating rooms on the level of colony forming units during surgery
ConclusionsA ceiling mounted imaging system in combination with a UDF system can result in a level of CFU/m3 near the surgical wound and at the instrument tables well below the threshold value of 10 CFU/m3 during surgery. If the instrument table is not positioned directly under the UDF system, the CFU/m3 is higher. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - October 24, 2018 Category: Infectious Diseases Source Type: research

Scrubbing technique for needleless connectors to minimize contamination risk
This study aimed to investigate the appropriate scrubbing technique for needleless connectors to minimize contamination risk. To demonstrate a highly effective scrubbing technique to physically eliminate bacteria, needleless connectors were contaminated with Geobacillus stearothermophilus spores and then scrubbed. The study showed that the highest bacterial elimination rate was achieved by scrubbing an access port in a straight line with an alcohol cotton swab, applying a force that was almost equal to an arterial compression haemostasis to the access port, and repeating this procedure once using a new alcohol cotton swab....
Source: Journal of Hospital Infection - October 24, 2018 Category: Infectious Diseases Source Type: research

Editorial Board
Publication date: November 2018Source: Journal of Hospital Infection, Volume 100, Issue 3Author(s): (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - October 24, 2018 Category: Infectious Diseases Source Type: research

Participatory implementation of an antibiotic stewardship programme supported by an innovative surveillance and clinical decision-support system
ConclusionASP 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 it has been adapted to the context and specific needs of healthcare workers and hospitals. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - October 24, 2018 Category: Infectious Diseases Source Type: research

Characteristics of antimicrobial stewardship programmes in rural East Texas hospitals
Publication date: November 2018Source: Journal of Hospital Infection, Volume 100, Issue 3Author(s): J.C. Cho, R.L. Dunn, F.S. Yu, G.A. Loredo, B.J. BrazillSummaryIntroductionAntimicrobial stewardship programmes (ASPs) serve as the primary method to prevent and manage the development of antimicrobial resistance. Rural settings may lack the recommended personnel and resources needed to provide antimicrobial stewardship services.MethodsAn electronic survey was distributed via e-mail to pharmacy directors or antimicrobial stewardship programme directors of licensed hospitals within Public Health Region 4/5N of East Texas.Resul...
Source: Journal of Hospital Infection - October 24, 2018 Category: Infectious Diseases Source Type: research

World Antibiotic Awareness Week 2017 and its influence on digital information seeking on antibiotic resistance: A Google Trends study
Publication date: November 2018Source: Journal of Hospital Infection, Volume 100, Issue 3Author(s): Y. Ortiz-Martínez, C. Galindo-Regino, F. Valdes-Villegas, K. Mendoza-Borja, M.R. González-Hurtado, V. Chávez-Verbel (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - October 24, 2018 Category: Infectious Diseases Source Type: research

Assessment of appropriate carbapenem prescribing in stewardship programmes
Publication date: November 2018Source: Journal of Hospital Infection, Volume 100, Issue 3Author(s): E. Canouï, R. Gauzit, A. Bruneau, S. Alviset, C. Hays, J. Charpentier, R. Batista, S. Kernéis (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - October 24, 2018 Category: Infectious Diseases Source Type: research

Comparison of national strategies to reduce meticillin-resistant Staphylococcus aureus infections in Japan and England
ConclusionPolicy interventions need to be relevant to local epidemiological trends, while acceptable within the health system, culture, and public expectations. Cross-national learning can help inform the right mix of interventions to create sustainable and resilient systems for future infection and economic challenges. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - October 24, 2018 Category: Infectious Diseases Source Type: research

Virulence patterns of Staphylococcus aureus strains from nasopharyngeal colonization
ConclusionsColonizing strains showed a virulence profile in all age groups, which may lead to the establishment of invasive infection. Consequently, decolonization measures could be considered for selected patients depending on the risk of infection. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - October 24, 2018 Category: Infectious Diseases Source Type: research