Journal of Infection Prevention最新文献

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Factors associated with better alcohol hand rub in 2020. Results from the French national audit “Pulpe’friction” 2020年酒精洗手效果更好的相关因素。法国国家审计“纸浆摩擦”结果

Q4 INFECTIOUS DISEASES

Journal of Infection Prevention

Pub Date : 2023-10-22 DOI: 10.1177/17571774231208305

Mathilde Ranger, Catherine Dumartin, Raymond Nasso, Muriel Péfau, Pierre Parneix, Anne-Gaëlle Venier

Background The application of alcohol-based hand rub on hands (ABHR) can prevent the transmission of microorganisms. But, in some situations the practices remain perfectible. Aim The aim of this study was to assess the self-reported ABHR practices of healthcare workers (HCWs) and to identify the factors associated with better ABHR compliance. Methods A cross-sectional study was conducted using the French national “Pulpe'friction” audit, from 1st January 2020 to 31st December 2020, in healthcare facilities and social welfare facilities in France. Data were analyzed using descriptive statistics and multivariate logistic regression models. Results Of the 6769 HCWs, the average ABHR compliance was 75% “before patient contact,” 95% “before an invasive technique,” 86% “after patient contact,” and 79% “after contact with patient surroundings.” The main reported barriers were the availability, the discomfort and the harmfulness of the product. The factors significantly associated with a better compliance were the individual importance given to hand hygiene (HH); working in a healthcare facility, except in the situation “before an invasive technique”; medical profession “after patient contact”; paramedical profession “after contact with patient surroundings.” Discussion These results call for national actions to fight the most reported barriers and raise awareness on the importance of HH, especially before touching the patient.

背景使用含酒精的免洗洗手液(ABHR)可以防止微生物的传播。但是，在某些情况下，这些做法仍然是可以完善的。目的本研究的目的是评估卫生保健工作者(HCWs)自我报告的ABHR实践，并确定与更好的ABHR依从性相关的因素。方法采用法国国家“纸浆摩擦”审计，于2020年1月1日至2020年12月31日在法国的医疗保健设施和社会福利设施进行横断面研究。数据分析采用描述性统计和多元逻辑回归模型。结果6769名卫生保健工作者的平均ABHR依从性为“接触患者前”75%，“侵入性技术前”95%，“接触患者后”86%，“接触患者环境后”79%。报告的主要障碍是产品的可获得性、不适和有害。与更好的依从性显著相关的因素是手部卫生的个人重要性(HH);在医疗机构工作，但“侵入性技术实施前”的情况除外;医疗专业“在病人接触后”;医护人员在与病人接触后这些结果呼吁各国采取行动，消除报告最多的障碍，并提高对HH重要性的认识，特别是在接触患者之前。

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引用次数: 0

Investigating hepatitis C screening among people receiving opioid agonist treatment: A retrospective audit study 调查丙型肝炎筛查人群接受阿片类激动剂治疗:回顾性审计研究

Q4 INFECTIOUS DISEASES

Journal of Infection Prevention

Pub Date : 2023-10-16 DOI: 10.1177/17571774231208317

Frank Cordaro, Siyu Qian, Barbara Sinclair

Background Estimates of the prevalence of hepatitis C virus (HCV) amongst people who inject drugs are in the range of 50%. Opioid Agonist Treatment (OAT) clinics have a large proportion of people who inject drugs. These clinics, therefore, present an excellent opportunity to identify and treat patients with HCV. Despite this, it remains unclear as to how well these clinics screen patients for HCV. Aim This study aims to quantify the rate of HCV screening of patients that enrolled into treatment at an OAT clinic attached to a large teaching hospital in NSW. Methods A retrospective audit of the electronic medical record of patients commencing OAT at the clinic was performed to determine the rate of HCV screening. Findings During the audit period, there were 99 episodes of care that involved the commencement of OAT at the clinic, for patients who had a history of injecting drugs. Successful screening for HCV occurred in 56% (55/99) of these episodes. Of those screened, 26% were ribonucleic acid positive. Analysis of demographics did not reveal a statistically significant difference between those that were screened and those that were not. Discussion This study revealed a suboptimal rate of HCV screening at the OAT clinic. To improve the screening rate, the clinic could consider providing dried blood spot testing at the initial nurse assessment or having a clinician capable of venepuncture at the clinic.

背景:估计注射吸毒者中丙型肝炎病毒(HCV)的流行率为50%。阿片类激动剂治疗(OAT)诊所有很大比例的人注射毒品。因此，这些诊所提供了识别和治疗丙型肝炎患者的绝佳机会。尽管如此，目前尚不清楚这些诊所对HCV患者的筛查效果如何。目的本研究旨在量化在新南威尔士州一家大型教学医院附属的OAT诊所接受治疗的患者的HCV筛查率。方法回顾性审查门诊开始进行OAT的患者的电子病历，以确定HCV筛查率。在审计期间，该诊所有99例有注射毒品史的患者进行了OAT治疗。成功筛查HCV的发生率为56%(55/99)。在这些筛查中，26%的人核糖核酸呈阳性。人口统计学分析并没有显示在那些被筛选者和那些没有被筛选者之间有统计学上的显著差异。本研究揭示了OAT诊所HCV筛查的次优率。为提高筛查率，诊所可考虑在初始护士评估时提供干血斑点检测，或在诊所配备一名能够进行静脉穿刺的临床医生。

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引用次数: 0

Discontinuation of contact precautions in patients with hospital-acquired MRSA and VRE infections during the COVID-19 pandemic: A multi-center experience COVID-19大流行期间医院获得性MRSA和VRE感染患者停止接触预防措施:一项多中心经验

Q4 INFECTIOUS DISEASES

Journal of Infection Prevention

Pub Date : 2023-10-16 DOI: 10.1177/17571774231208312

Gillean Kelly, Marisa Hudson, Bridget Apple, Debora Bundage, Bradley Lembcke, Todd Lasco, Mayar Al Mohajer

Variations in the literature support the benefit of contact precautions for methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE) infections in the hospital setting. During personal protective equipment shortages throughout the COVID-19 pandemic, contact precautions were discontinued for MRSA and VRE-infected patients. Rates of hospital-acquired MRSA and VRE infections were compared before and after this intervention, along with hand hygiene proportions. Contact precaution discontinuation did not lead to an increase in hospital-acquired MRSA or VRE infections.

文献的差异支持在医院环境中对耐甲氧西林金黄色葡萄球菌(MRSA)和耐万古霉素肠球菌(VRE)感染进行接触预防的益处。在2019冠状病毒病大流行期间，在个人防护装备短缺期间，停止了对MRSA和vre感染患者的接触预防措施。比较干预前后医院获得性MRSA和VRE感染率，以及手卫生比例。停止接触预防并未导致医院获得性MRSA或VRE感染的增加。

引用次数: 0

The relationship between the perceived risk of infection at the workplace and quality of work life (QoWL): Healthcare workers’ perspectives 工作场所感知感染风险与工作生活质量(QoWL)之间的关系:卫生保健工作者的观点

Q4 INFECTIOUS DISEASES

Journal of Infection Prevention

Pub Date : 2023-10-13 DOI: 10.1177/17571774231207769

Main Naser Alolayyan, Mohammad Alyahya, Salam Momani

Background One of today’s most significant organizational priorities, including healthcare organizations, is to improve the quality of work-life (QoWL), which leads to offering high-quality services to patients. Aim The study aimed to explore the effect of the perceived risk of infection and its impact on the quality of work-life (QoWL) on HCWs during the COVID-19 pandemic. Methods A cross-sectional survey was conducted on 484 healthcare workers. Respondents were recruited using convenience sampling methods. Results : The study findings revealed a better QoWL with a decreased perceived risk of COVID-19 infection. Conclusion Increasing the quality of work life will be reflected in adherence to health protocols, which creates a work environment capable of dealing with challenges, including the risk of infection such as COVID-19.

当今最重要的组织优先事项之一，包括医疗保健组织，是提高工作生活质量(QoWL)，从而为患者提供高质量的服务。目的探讨新冠肺炎大流行期间医护人员感知感染风险及其对工作生活质量的影响。方法对484名医护人员进行横断面调查。调查对象采用方便抽样方法。结果:研究结果显示，QoWL更好，感染COVID-19的感知风险降低。提高工作生活质量将体现在遵守健康协议上，这将创造一个能够应对挑战的工作环境，包括COVID-19等感染风险。

引用次数: 0

Competency assessment tools for infection preventionists: A scoping review 感染预防学家的能力评估工具:范围审查

Q4 INFECTIOUS DISEASES

Journal of Infection Prevention

Pub Date : 2023-09-25 DOI: 10.1177/17571774231203388

Adriana M da Silva Felix, Erica G Pereira, Maria Clara Padoveze

Background Infection prevention competencies are critical for successful job performance, career progression and robust performance of infection prevention and control programs. Aim/objective Identify competency assessment tools available to infection preventionists and describe their characteristics, validation processes and reliability. Methods A scoping review was conducted on five databases and grey literature from 1999 to 2022. A descriptive synthesis approach was undertaken to analyse the data. Finding/results Seven tools that meet the inclusion criteria were identified. Of those, one tool was reviewed twice. All tools were developed in the United Kingdom, Canada, China and the United States, and were published between 2009 and 2022. All tools use a rating scale; and the most used method to assess competencies was self-assessment. Levels of competency were cited by five tools. Two tools provided information on validation methods and reliability tests for internal consistency. Discussion Few competency assessment tools are available in the literature, and there is a lack of information on their development process. A global effort to develop an assessment tool that allows comparison across countries and cultures can be a step forward to propel infection preventionists’ careers and enhance the efficacy of Infection Prevention and Control Programs.

背景:感染预防能力对于成功的工作表现、职业发展和感染预防和控制项目的稳健绩效至关重要。目的/目的确定感染预防学家可用的能力评估工具，并描述其特征、验证过程和可靠性。方法对1999 ~ 2022年的5个数据库和灰色文献进行范围综述。采用了描述性综合方法来分析数据。发现/结果确定了七个符合纳入标准的工具。其中一个工具被审查了两次。所有工具都是在英国、加拿大、中国和美国开发的，并在2009年至2022年间发布。所有工具都使用评分量表;最常用的能力评估方法是自我评估。能力水平被五个工具引用。两个工具提供了关于内部一致性的验证方法和可靠性测试的信息。在文献中很少有能力评估工具可用，并且缺乏关于其开发过程的信息。在全球范围内努力开发一种评估工具，使其能够在不同国家和文化之间进行比较，这是向前迈出的一步，可以推动感染预防学家的职业发展，提高感染预防和控制规划的效力。

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引用次数: 0

Survey of disinfection of gloved hands in Germany in 2016 and 2022: Change of attitude but persistent problems with glove use 2016年和2022年德国戴手套手消毒情况调查:态度改变但戴手套问题持续存在

Q4 INFECTIOUS DISEASES

Journal of Infection Prevention

Pub Date : 2023-09-19 DOI: 10.1177/17571774231203389

Sebastian Schulz-Stübner, Katharina Nopper

引用次数: 0

Maintaining a healthy cleaning workforce in healthcare settings 在医疗保健机构中保持一支健康的清洁队伍

Q4 INFECTIOUS DISEASES

Journal of Infection Prevention

Pub Date : 2023-09-19 DOI: 10.1177/17571774231203385

Amy Gyte

引用次数: 0

Diary. 记事簿

IF 0.9 Q4 INFECTIOUS DISEASES

Journal of Infection Prevention

Pub Date : 2023-09-01 Epub Date: 2023-09-18 DOI: 10.1177/17571774231202189

引用次数: 0

Wearing masks to prevent one epidemic may mask another. 戴口罩预防一种流行病可能会掩盖另一种流行病。

IF 0.9 Q4 INFECTIOUS DISEASES

Journal of Infection Prevention

Pub Date : 2023-09-01 Epub Date: 2023-07-22 DOI: 10.1177/17571774231191335

Lucija Svetina, Andro Košec

Background: With attempts at lifting most COVID-19 pandemic-related restrictions, other common respiratory viruses have caused more health concern than in earlier seasons in pediatric populations.

Objective: To explore the role of non-pharmaceutical interventions (NPIs) in a rebound in other respiratory viral pathogens, especially in light of general vaccination fatigue, COVID-19 boosters, and operational challenges in the healthcare system.

Methods: A research-based commentary supported with recent literature review.

Findings: Pandemic-related lockdowns in Europe, Australia, and New Zealand have created a significant population of susceptible young children without preexisting immunity due to lack of exposure during the colder months. Relying on NPIs for a prolonged period due to low vaccination rates may lead to increased respiratory infection susceptibility, especially among young children less than 5 years old. The key public health question is whether NPIs should be implemented in the long run and what are the long-term implications on the dynamics of endemic infections and population immunity.

Discussion: Prevention cannot be the only cure for any infectious disease, and long-term impact of NPIs depends on the dynamics of population susceptibility. The SARS-CoV-2 pandemic has reinforced the importance of vaccination and the knowledge on vaccine use combined with NPIs will be of great value in controlling other known and unknown respiratory pathogens. Combining NPIs and vaccination is paramount in disease control, and the discussion on how to prevent collateral damage to sensitive populations while relaxing NPI-related measures should also merit attention.

背景：在试图解除大多数新冠肺炎流行病相关限制的情况下，其他常见呼吸道病毒在儿科人群中引起了比前几个季节更多的健康问题。目的：探讨非药物干预（NPI）在其他呼吸道病毒病原体反弹中的作用，特别是考虑到普遍的疫苗接种疲劳、新冠肺炎加强针和医疗系统的操作挑战。方法：以研究为基础的评论，辅以最近的文献综述。研究结果：欧洲、澳大利亚和新西兰的疫情相关封锁造成了大量易感幼儿，由于在寒冷的月份缺乏接触，他们没有预先存在的免疫力。由于疫苗接种率低，长期依赖NPI可能会导致呼吸道感染易感性增加，尤其是在5岁以下的幼儿中。关键的公共卫生问题是，从长远来看，NPI是否应该实施，以及对地方病感染动态和人群免疫力的长期影响是什么。讨论：预防不可能是治疗任何传染病的唯一方法，NPI的长期影响取决于人群易感性的动态。严重急性呼吸系统综合征冠状病毒2型疫情加强了疫苗接种的重要性，疫苗使用知识与NPI相结合将对控制其他已知和未知的呼吸道病原体具有重要价值。将NPI和疫苗接种相结合在疾病控制中至关重要，关于如何在放松NPI相关措施的同时防止对敏感人群的附带损害的讨论也值得关注。

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引用次数: 0

The evaluation of Candida-related central line-related bloodstream infections in pediatric cancer patients: A pre- and post-intervention study. 癌症患儿Candida相关中心线相关血流感染的评价：干预前后的研究。

IF 0.9 Q4 INFECTIOUS DISEASES

Journal of Infection Prevention

Pub Date : 2023-09-01 Epub Date: 2023-08-26 DOI: 10.1177/17571774231191334

İlker Devrim, Miray Yılmaz Celebi, Nurgul Karakaya, Sahika Sahinkaya, Sultan Okur Acar, Ela Cem, Bengü Demirağ, Yeliz Oruc, Aybuke Akaslan Kara, Yesim Oymak, Tuba Hilkay Karapınar, Nuri Bayram

Aim/objections: The purpose of this study was to assess the efficacy of a central line maintenance bundle in preventing catheter-related (implanted venous access devices, port) Candida bloodstream infections.

Methods: The study encompassed two distinct time periods, namely, pre-bundle and bundle. The number of catheter-related bloodstream infections (CRBSI) episodes per catheter days for each timeframe was determined.

Findings/results: Upon implementation of the central line bundle, the rate of CRBSI reduced significantly from 4.27 per 1000 central line days in the pre-bundle period to 1.0 per 1000 central line days in the bundle period (p < .001).

Discussion: Using a central line bundle to avoid CRBSIs in pediatric cancer patients with ports led to a significant decrease in Candida species-related CRBSIs.

目的/反对意见：本研究的目的是评估中心线维持束在预防导管相关（植入静脉通路装置、端口）念珠菌血流感染方面的疗效。方法：研究包括两个不同的时间段，即束前和束。确定每个时间段内每导管天的导管相关血流感染（CRBSI）发作次数。研究结果/结果：在实施中心线束后，CRBSI的发生率从束前时期的4.27/1000中心线天显著降低到束期的1.0/1000中心线天（p<.001）。

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