L. Simpson, Kaitlin Macdonald, E. Searle, Jennifer A. Shearer, Dimitar Dimitrov, Daniel Foley, Eduardo Morales, Erica S. Shenoy, J. K. Johnson, Colleen Clay, Leo Girio-Herrera, Diane Stevens, Michael Abraham, Paul Zimand, M. Ahlman, Sheri Gimigliano, Richard Zhao, Cynthia Hildenbrand, F. Barrueto, Takaaki Kobayashi, Alexandra Trannel, Stephanie A Holley, Oluchi J. Abosi, K. Jenn, Holly Meacham, Lorinda L. Sheeler, W. Etienne, Angelique Dains, Mary E. Kukla, Emily Ward, Bradley Ford, Michael B. Edmond, M. Wellington, Daniel J. Diekema, Jorge L. Salinas, F. Borca
{"title":"ICE volume 43 issue 8 Cover and Front matter","authors":"L. Simpson, Kaitlin Macdonald, E. Searle, Jennifer A. Shearer, Dimitar Dimitrov, Daniel Foley, Eduardo Morales, Erica S. Shenoy, J. K. Johnson, Colleen Clay, Leo Girio-Herrera, Diane Stevens, Michael Abraham, Paul Zimand, M. Ahlman, Sheri Gimigliano, Richard Zhao, Cynthia Hildenbrand, F. Barrueto, Takaaki Kobayashi, Alexandra Trannel, Stephanie A Holley, Oluchi J. Abosi, K. Jenn, Holly Meacham, Lorinda L. Sheeler, W. Etienne, Angelique Dains, Mary E. Kukla, Emily Ward, Bradley Ford, Michael B. Edmond, M. Wellington, Daniel J. Diekema, Jorge L. Salinas, F. Borca","doi":"10.1017/ice.2022.199","DOIUrl":"https://doi.org/10.1017/ice.2022.199","url":null,"abstract":"","PeriodicalId":13558,"journal":{"name":"Infection Control & Hospital Epidemiology","volume":"78 1","pages":"f1 - f9"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88914840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Moehring, David J. Weber, Maryam Obaidallah, Victoria R. Williams, Matthew P. Muller, Jeff E. Powis, Jennie Johnstone, S. Hota, Kevin Katz, Michael Payne, Lucas Castellani, Mark Downing, Dominik Mertz, D. Ricciuto, S. S. Sata, Brian Griffith, Ashley Coop, Ibukun Kalu, J. Engemann, Jessica L. Seidelman, Nicholas A. Turner, Christopher R. Polage, Adeniyi J. Idigo, Matthew L. Brown, Amrita Mukherjee, Mozhdeh Bahranian, Sally A. Jolles, Andriy Batchinsky, Phyllis E. Kozarsky, Joanna L. Gaines
{"title":"ICE volume 43 issue 7 Cover and Front matter","authors":"R. Moehring, David J. Weber, Maryam Obaidallah, Victoria R. Williams, Matthew P. Muller, Jeff E. Powis, Jennie Johnstone, S. Hota, Kevin Katz, Michael Payne, Lucas Castellani, Mark Downing, Dominik Mertz, D. Ricciuto, S. S. Sata, Brian Griffith, Ashley Coop, Ibukun Kalu, J. Engemann, Jessica L. Seidelman, Nicholas A. Turner, Christopher R. Polage, Adeniyi J. Idigo, Matthew L. Brown, Amrita Mukherjee, Mozhdeh Bahranian, Sally A. Jolles, Andriy Batchinsky, Phyllis E. Kozarsky, Joanna L. Gaines","doi":"10.1017/ice.2022.179","DOIUrl":"https://doi.org/10.1017/ice.2022.179","url":null,"abstract":"","PeriodicalId":13558,"journal":{"name":"Infection Control & Hospital Epidemiology","volume":"10 1","pages":"f1 - f7"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85129987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Although we had all hoped we might not reach this pandemic point again, much of the world is seeing rising numbers of coronavirus disease 2019 (COVID-19) cases. Healthcare systems across the United States and elsewhere are strained, and the findings of Mansbridge et al1 regarding the use of FebriDx (Lumos Diagnostics, Sarasota, FL) in the emergency department (ED) to quickly separate patients infected with severe acute respiratory coronavirus virus 2 (SARS-CoV-2) from other patients provides us with a welcome tool in our hospital management of COVID-19. The SARS-CoV-2 omicron variant is ∼3.3 times more transmissible than the previous delta variant, and it has created a surge that has overwhelmed hospitals worldwide since November 2021.2,3 The United States is now recording >800,000 COVID-19 cases per day, and this is likely an underestimate given the high number of rapid tests being performed outside healthcare settings that report results.4 Although many of these cases are asymptomatic or mild and do not prompt a visit to the ED, many of them aremore severe, and do. Additionally, when the community prevalence of the disease is high, the number of people incidentally infected with severe acute respiratory coronavirus virus 2 (SARSCoV-2) that need to visit the ED for other reasons is high as well. The influx of COVID-19 patients into EDs during the current omicron surge has exacerbated the long-standing problem of ED overcrowding.5 Burnt-out healthcare workers and those who may be absent due to quarantine, isolation, or caring for a child whose school has been canceled lead to shortages of staff.6,7 This shortage frequently results in insufficient capacity to open certain areas of the ED where isolation rooms might exist. Nationwide, this situation has led to EDs to resort to using hallway spaces for patient care.8,9 Patients may wait anywhere from 2 to 6 hours before seeing a provider and continue to receive care in those spots even longer. Those who need to be admitted remain in the ED while waiting for inpatient hospital beds to become available and, in some hospitals, admitted patients are being boarded in the ED for days due to a lack of beds elsewhere. Unfortunately, the symptoms of SARS-CoV-2 are protean and not easily distinguished from other disease entities. Thus, patients with mixed infection status may be placed in stretchers near each other. Consistently wearing a mask for long periods of time while in this setting can be very challenging for patients, particularly those who are very ill. All these factors make preventing nosocomial transmission challenging, particularly in high-prevalence areas, as we are seeing throughout much of the United States. For example, in New York City at the peak of the omicron surge, 31% of patients tested for SARS-CoV-2 were positive.10 Quickly identifying and isolating patients with COVID-19 individually or in cohorts could dramatically reduce nosocomial transmission in the ED. However, we cannot rely o
{"title":"FebriDx host-response point-of-care testing improves patient triage for coronavirus disease 2019 (COVID-19) in the emergency department","authors":"M. DiLorenzo, E. Schechter-Perkins","doi":"10.1017/ice.2022.29","DOIUrl":"https://doi.org/10.1017/ice.2022.29","url":null,"abstract":"Although we had all hoped we might not reach this pandemic point again, much of the world is seeing rising numbers of coronavirus disease 2019 (COVID-19) cases. Healthcare systems across the United States and elsewhere are strained, and the findings of Mansbridge et al1 regarding the use of FebriDx (Lumos Diagnostics, Sarasota, FL) in the emergency department (ED) to quickly separate patients infected with severe acute respiratory coronavirus virus 2 (SARS-CoV-2) from other patients provides us with a welcome tool in our hospital management of COVID-19. The SARS-CoV-2 omicron variant is ∼3.3 times more transmissible than the previous delta variant, and it has created a surge that has overwhelmed hospitals worldwide since November 2021.2,3 The United States is now recording >800,000 COVID-19 cases per day, and this is likely an underestimate given the high number of rapid tests being performed outside healthcare settings that report results.4 Although many of these cases are asymptomatic or mild and do not prompt a visit to the ED, many of them aremore severe, and do. Additionally, when the community prevalence of the disease is high, the number of people incidentally infected with severe acute respiratory coronavirus virus 2 (SARSCoV-2) that need to visit the ED for other reasons is high as well. The influx of COVID-19 patients into EDs during the current omicron surge has exacerbated the long-standing problem of ED overcrowding.5 Burnt-out healthcare workers and those who may be absent due to quarantine, isolation, or caring for a child whose school has been canceled lead to shortages of staff.6,7 This shortage frequently results in insufficient capacity to open certain areas of the ED where isolation rooms might exist. Nationwide, this situation has led to EDs to resort to using hallway spaces for patient care.8,9 Patients may wait anywhere from 2 to 6 hours before seeing a provider and continue to receive care in those spots even longer. Those who need to be admitted remain in the ED while waiting for inpatient hospital beds to become available and, in some hospitals, admitted patients are being boarded in the ED for days due to a lack of beds elsewhere. Unfortunately, the symptoms of SARS-CoV-2 are protean and not easily distinguished from other disease entities. Thus, patients with mixed infection status may be placed in stretchers near each other. Consistently wearing a mask for long periods of time while in this setting can be very challenging for patients, particularly those who are very ill. All these factors make preventing nosocomial transmission challenging, particularly in high-prevalence areas, as we are seeing throughout much of the United States. For example, in New York City at the peak of the omicron surge, 31% of patients tested for SARS-CoV-2 were positive.10 Quickly identifying and isolating patients with COVID-19 individually or in cohorts could dramatically reduce nosocomial transmission in the ED. However, we cannot rely o","PeriodicalId":13558,"journal":{"name":"Infection Control & Hospital Epidemiology","volume":"45 1","pages":"1049 - 1050"},"PeriodicalIF":0.0,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76481405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Buetti, J. Marschall, Marci Drees, M. Fakih, L. Hadaway, L. Maragakis, Elizabeth A. Monsees, Shannon Novosad, Naomi P. O’Grady, M. Rupp, Joshua Wolf, D. Yokoe, L. Mermel, Valeria Fabre, S. Karaba, Joe Amoah, Matthew Robinson, George F. Jones, Kathryn Dzintars, Morgan J Katz, S. Qasba, D. Livorsi, K. S. Steffensmeier, E. Perencevich, M. Goetz
{"title":"ICE volume 43 issue 5 Cover and Front matter","authors":"N. Buetti, J. Marschall, Marci Drees, M. Fakih, L. Hadaway, L. Maragakis, Elizabeth A. Monsees, Shannon Novosad, Naomi P. O’Grady, M. Rupp, Joshua Wolf, D. Yokoe, L. Mermel, Valeria Fabre, S. Karaba, Joe Amoah, Matthew Robinson, George F. Jones, Kathryn Dzintars, Morgan J Katz, S. Qasba, D. Livorsi, K. S. Steffensmeier, E. Perencevich, M. Goetz","doi":"10.1017/ice.2022.113","DOIUrl":"https://doi.org/10.1017/ice.2022.113","url":null,"abstract":"","PeriodicalId":13558,"journal":{"name":"Infection Control & Hospital Epidemiology","volume":"11 1","pages":"f1 - f7"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84889227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Metan, Ö. Uzun, G. Telli Dizman, M. Ç. Sönmezer, A. Inkaya, G. Hazırolan, M. Akova, S. Ünal
Gökhan Metan MD12 , Ömrüm Uzun MD2 , Gülçin Telli Dizman MD12, Meliha Çağla Sönmezer MD2 , Ahmet Çağkan İnkaya MD2 , Gülşen Hazırolan MD3, Murat Akova MD2 and Serhat Ünal MD12 1Infection Control Committee Hacettepe University Hospitals, Ankara, Turkey, 2Department of Infectious Diseases and Clinical Microbiology, Hacettepe University Faculty of Medicine, Ankara, Turkey and 3Department of Medical Microbiology, Hacettepe University Faculty of Medicine, Ankara, Turkey
Gökhan Metan MD12, Ömrüm Uzun MD2, g l in Telli Dizman MD12, Meliha Çağla Sönmezer MD2, Ahmet Çağkan İnkaya MD2, g l en Hazırolan MD3, Murat Akova MD2和Serhat Ünal MD12 1土耳其安卡拉Hacettepe大学医院感染控制委员会,2土耳其安卡拉Hacettepe大学医学院传染病和临床微生物学系,土耳其安卡拉Hacettepe大学医学院医学微生物学系,土耳其安卡拉
{"title":"Is there still a room for improvement in antimicrobial use in a setting where use of broad-spectrum antibiotics require approval of an infectious diseases physician?","authors":"G. Metan, Ö. Uzun, G. Telli Dizman, M. Ç. Sönmezer, A. Inkaya, G. Hazırolan, M. Akova, S. Ünal","doi":"10.1017/ice.2022.81","DOIUrl":"https://doi.org/10.1017/ice.2022.81","url":null,"abstract":"Gökhan Metan MD12 , Ömrüm Uzun MD2 , Gülçin Telli Dizman MD12, Meliha Çağla Sönmezer MD2 , Ahmet Çağkan İnkaya MD2 , Gülşen Hazırolan MD3, Murat Akova MD2 and Serhat Ünal MD12 1Infection Control Committee Hacettepe University Hospitals, Ankara, Turkey, 2Department of Infectious Diseases and Clinical Microbiology, Hacettepe University Faculty of Medicine, Ankara, Turkey and 3Department of Medical Microbiology, Hacettepe University Faculty of Medicine, Ankara, Turkey","PeriodicalId":13558,"journal":{"name":"Infection Control & Hospital Epidemiology","volume":"68 1","pages":"802 - 804"},"PeriodicalIF":0.0,"publicationDate":"2022-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87050082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}