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Positive Deviance: A New Strategy for Improving Hand Hygiene Complianceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion. A positive deviance strategy yielded a significant improvement in hand hygiene, which was associated with a decrease in the overall incidence of HAIs. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 19, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals

Electronic Algorithmic Prediction of Central Vascular Catheter Useemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. Automated calculation of central vascular catheter use is both feasible and accurate, providing estimates statistically similar to those obtained using manual surveillance. Prediction modeling of central vascular catheter use may enable automated surveillance of bloodstream infections and enhance important prevention interventions, such as timely removal of unnecessary central lines. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 16, 2009 Category: Epidemiology Tags: article ORIGINAL ARTICLE Source Type: journals

Validating a 3‐Point Prediction Rule for Surgical Site Infection after Coronary Artery Bypass Surgeryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. The NNIS risk index predicts the risk of SSI associated with many procedures, but it has limited use in predicting the risk of SSI after CABG surgery. The new Australian Clinical Risk Index stratified patients into discrete groups associated with increased risk of SSI. Data from our study support the use of this new risk index in the US population. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 13, 2009 Category: Epidemiology Tags: article ORIGINAL ARTICLE Source Type: journals

How Soon Should Patients with Smear‐Positive Tuberculosis Be Released from Inpatient Isolation?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. Initial smear grade was the strongest predictor of time to sputum smear and culture conversion in patients with pulmonary tuberculosis and may be a useful predictor for programmatic planning and patient counseling. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 9, 2009 Category: Epidemiology Tags: article ORIGINAL ARTICLE Source Type: journals

Richard Alfred Garibaldi, MD (1942–2009) • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Infection Control and Hospital Epidemiology, Volume 30, Issue 12, Page 1135-1136, December 2009. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article Obituary Source Type: journals

Survey Study of the Knowledge, Attitudes, and Expected Behaviors of Critical Care Clinicians Regarding an Influenza Pandemic • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. ICU HCWs reported having minimal knowledge concerning the risk of and response to an influenza pandemic, even though more that one‐half of HCWs expect that a pandemic will occur in the near future. This finding in a high‐risk setting is of concern, given that lack of knowledge among HCWs may result in increased nosocomial transmission to HCWs and patients. Interventions to improve knowledge of pandemics and understanding of risks among ICU HCWs are essential. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals

Measurement of Influenza Vaccination Coverage among Healthcare Personnel in US Hospitals • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. Hospitals vary in terms of the groups of individuals included in influenza vaccination coverage measurements. Standardized measures may improve comparability of hospital‐reported vaccination rates. Measuring coverage in a manner that facilitates identification of occupational groups with low vaccination rates may inform development of targeted interventions. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals

Epidemiology and Outcomes of Hospitalizations with Complicated Skin and Skin‐Structure Infections: Implications of Healthcare‐Associated Infection Risk Factors • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. Healthcare‐associated cSSSIs are common and are likely to be caused by gram‐negative organisms. Mixed infections carry a >2‐fold greater risk of inappropriate treatment. Healthcare‐associated cSSSIs are associated with increased mortality and prolonged length of hospital stay, compared with community‐acquired cSSSIs. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals

A Successful Mandatory Influenza Vaccination Campaign Using an Innovative Electronic Tracking System • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. Implementation of a novel vaccination tracking process and a hospital policy requiring influenza vaccination or declination yielded dramatic improvement in healthcare worker vaccination rates and likely will result in increased patient safety in our hospital. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals

Annual Incidence of Latent Tuberculosis Infection among Newly Employed Nurses at a Tertiary Care University Hospital • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. The poor overall agreement between TST and QFT‐G results may have been caused by the confounding effect of bacille Calmette‐Guérin vaccination. The annual risk of TB infection among newly employed nurses was at least 3% on the basis of results of both the TST and QFT‐G test. Stricter preventive strategies against TB spread should be implemented in our hospital. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals

Identification of a Pseudo‐Outbreak of Clostridium difficile Infection (CDI) and the Effect of Repeated Testing, Sensitivity, and Specificity on Perceived Prevalence of CDI • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion. Specificity is as important as sensitivity when testing for CDI. False‐positive CDI cases can drain hospital resources and adversely affect patients. Repeated testing for C. difficile should be performed with caution. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals

Should Vascular Surgery Patients Be Screened Preoperatively for Methicillin‐Resistant Staphylococcus aureus? • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Infection Control and Hospital Epidemiology, Volume 30, Issue 12, Page 1158-1165, December 2009. Background. Methicillin‐resistant Staphylococcus aureus (MRSA) can cause severe infection in patients who are undergoing vascular surgical operations. Testing all vascular surgery patients preoperatively for MRSA and attempting to decolonize those who have positive results may be a strategy to prevent MRSA infection. The economic value of such a strategy has not yet been determined. Methods. We developed a decision‐analytic computer simulation model to determine the economic value of using such a strategy before...
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals

Antimicrobial Stewardship Programs in Pediatrics • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. The prevalence of ASPs in pediatrics is limited, and opportunities exist to improve current programs. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals

Reviewers for 2009email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Infection Control and Hospital Epidemiology, Volume 30, Issue 12, Page 1243-1244, December 2009. The editors of the journal thank the reviewers for their time and effort. The reviewers listed here have contributed at least one review in the past two years, and many have contributed considerably more. The quality of the journal depends in large part on their expertise, and their dedication and hard work are sincerely appreciated. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article Source Type: journals

Erratum: Barbosa et al (2009; 30:912‐914) • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Infection Control and Hospital Epidemiology, Volume 30, Issue 12, Page 1242, December 2009. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article Erratum Source Type: journals

Healthcare Worker Knowledge of Measurement and Documentation of Tuberculin Skin Test Reaction • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Infection Control and Hospital Epidemiology, Volume 30, Issue 12, Page 1230-1232, December 2009. A cross‐sectional survey of 210 healthcare workers at a pediatric teaching hospital was performed to assess knowledge of published guidelines for proper measurement and documentation of tuberculin skin test results. We conclude that many healthcare workers have inadequate knowledge for optimal measurement and documentation of tuberculin skin test results. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article Concise Communication Source Type: journals

Risk Factors for Mortality in Patients with Nosocomial Stenotrophomonas maltophilia Pneumonia • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. S. maltophilia pneumonia is associated with a high mortality rate and is commonly associated with concomitant polymicrobial colonization or infection. Underlying comorbidities and inadequate initial empirical antibiotic therapy substantially account for increased mortality rates. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article ORIGINAL ARTICLE Source Type: journals

Molecular Epidemiology of Invasive Aspergillosis: Lessons Learned from an Outbreak Investigation in an Australian Hematology Unit • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Infection Control and Hospital Epidemiology, Volume 30, Issue 12, Page 1223-1226, December 2009. Suspected nosocomial Aspergillus fumigatus infections in an Australian hematology unit were investigated by molecular typing of clinical and environmental isolates using polymerase chain reaction fingerprinting, CSP typing, and multilocus microsatellite typing. Only multilocus microsatellite typing revealed that all isolates were genetically distinct. The selection of an appropriate typing method is essential for effective outbreak investigations. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article CONCISE COMMUNICATION Source Type: journals

Multidrug‐Resistant Gram‐Negative Bacteria at a Long‐Term Care Facility: Assessment of Residents, Healthcare Workers, and Inanimate Surfaces • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. The prevalence of MDR gram‐negative bacteria is high among LTCF residents and exceeds that of vancomycin‐resistant enterococci and methicillin‐resistant S. aureus. Common areas in LTCFs may provide a unique opportunity for person‐to‐person transmission of MDR gram‐negative bacteria. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article ORIGINAL ARTICLE Source Type: journals

Epidemiology and Impact of Imipenem Resistance in Acinetobacter baumannii • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. Many A. baumannii isolates exhibit imipenem resistance, which is strongly associated with prior use of carbapenems. Given the high mortality rate associated with A. baumannii infection or colonization, interventions to curb further emergence of cases of IRAB infection and strategies to optimize therapy are needed. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals

Risk Factors and Clinical Impact of Klebsiella pneumoniae Carbapenemase–Producing K. pneumoniae • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. KPC‐producing K. pneumoniae is an emerging pathogen associated with significant mortality. Our findings highlight the urgent need to develop strategies for prevention and infection control. Limiting use of certain antimicrobials, specifically fluoroquinolones and cephalosporins, use may be effective strategies. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article ORIGINAL ARTICLE Source Type: journals

Surveillance for Influenza A 2009 H1N1 among Thai Healthcare Workers • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Infection Control and Hospital Epidemiology, Volume 30, Issue 12, Page 1236-1237, December 2009. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article Letter to the Editor Source Type: journals

Limitations in Using Aspiration Pneumonia as a Quality Measure • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Infection Control and Hospital Epidemiology, Volume 30, Issue 12, Page 1233-1235, December 2009. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article Research Brief Source Type: journals

Simple Interventions Fail to Produce Sustained Reduction in Unnecessary Intravascular Device Dwell Time • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Infection Control and Hospital Epidemiology, Volume 30, Issue 12, Page 1238-1239, December 2009. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article Letter to the Editor Source Type: journals

A Tertiary Care Cancer Center Experience of the 2007 Outbreak of Serratia marcescens Bloodstream Infection Due to Prefilled Syringes • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Infection Control and Hospital Epidemiology, Volume 30, Issue 12, Page 1237-1238, December 2009. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article Letters to the Editor Source Type: journals

Bloodstream Infections Due to Micrococcus spp and Intravenous Epoprostenol • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Infection Control and Hospital Epidemiology, Volume 30, Issue 12, Page 1237, December 2009. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article Letter to the Editor Source Type: journals

Comparison of Clinical Features of Pediatric Respiratory Syncytial Virus and Human Metapneumovirus Infections • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Infection Control and Hospital Epidemiology, Volume 30, Issue 12, Page 1240-1241, December 2009. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article Letter to the Editor Source Type: journals

Erratum: Fagernes and Lingaas (2009; 30:427‐432) • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Infection Control and Hospital Epidemiology, Volume 30, Issue 12, Page 1242, December 2009. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article Erratum Source Type: journals

Rationale against Preoperative Screening for HIV in Polish Hospitals: A Prevalence Study of Anti‐HIV in Contrast to Anti–Hepatitis C Virus and Hepatitis B Surface Antigen • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We describe the prevalence of anti–human immunodeficiency virus (anti‐HIV) among a sample of 1,652 surgical and gynecologic patients in Polish hospitals, contrasting it with the prevalence of hepatitis B surface antigen (HBsAg) and anti–hepatitis C virus (anti‐HCV) to assess the rationale for preoperative testing. No anti‐HIV–positive samples were found; the prevalence of anti‐HCV was 0.9%, slightly higher than the prevalence of HBsAg of 0.6%. Universal preoperative screening of hospital patients for HIV is currently not warranted according to the Centers for Disease Control and Prevention guidelines. However...
Source: Infect Control Hosp Epidemiol Latest Issue - November 4, 2009 Category: Epidemiology Tags: article Concise Communication Source Type: journals

Survey Study of the Knowledge, Attitudes, and Expected Behaviors of Critical Care Clinicians Regarding an Influenza Pandemicemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. ICU HCWs reported having minimal knowledge concerning the risk of and response to an influenza pandemic, even though more that one‐half of HCWs expect that a pandemic will occur in the near future. This finding in a high‐risk setting is of concern, given that lack of knowledge among HCWs may result in increased nosocomial transmission to HCWs and patients. Interventions to improve knowledge of pandemics and understanding of risks among ICU HCWs are essential. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - October 30, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals

Limitations in Using Aspiration Pneumonia as a Quality Measureemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Infection Control and Hospital Epidemiology, Volume 0, Issue 0, Page 000, Latest Articles. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - October 30, 2009 Category: Epidemiology Tags: article Research Brief Source Type: journals

Rationale against Preoperative Screening for HIV in Polish Hospitals: A Prevalence Study of Anti‐HIV in Contrast to Anti–Hepatitis C Virus and Hepatitis B Surface Antigenemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We describe the prevalence of anti–human immunodeficiency virus (anti‐HIV) among a sample of 1,652 surgical and gynecologic patients in Polish hospitals, contrasting it with the prevalence of hepatitis B surface antigen (HBsAg) and anti–hepatitis C virus (anti‐HCV) to assess the rationale for preoperative testing. No anti‐HIV–positive samples were found; the prevalence of anti‐HCV was 0.9%, slightly higher than the prevalence of HBsAg of 0.6%. Universal preoperative screening of hospital patients for HIV is currently not warranted according to the Centers for Disease Control and Prevention guidelines. However...
Source: Infect Control Hosp Epidemiol Latest Issue - October 28, 2009 Category: Epidemiology Tags: article Concise Communication Source Type: journals

A Successful Mandatory Influenza Vaccination Campaign Using an Innovative Electronic Tracking Systememail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. Implementation of a novel vaccination tracking process and a hospital policy requiring influenza vaccination or declination yielded dramatic improvement in healthcare worker vaccination rates and likely will result in increased patient safety in our hospital. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - October 27, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals

Healthcare Worker Knowledge of Measurement and Documentation of Tuberculin Skin Test Reactionemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Infection Control and Hospital Epidemiology, Volume 0, Issue 0, Page 000, Latest Articles. A cross‐sectional survey of 210 healthcare workers at a pediatric teaching hospital was performed to assess knowledge of published guidelines for proper measurement and documentation of tuberculin skin test results. We conclude that many healthcare workers have inadequate knowledge for optimal measurement and documentation of tuberculin skin test results. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - October 27, 2009 Category: Epidemiology Tags: article Concise Communication Source Type: journals

Epidemiology and Impact of Imipenem Resistance in Acinetobacter baumanniiemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. Many A. baumannii isolates exhibit imipenem resistance, which is strongly associated with prior use of carbapenems. Given the high mortality rate associated with A. baumannii infection or colonization, interventions to curb further emergence of cases of IRAB infection and strategies to optimize therapy are needed. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - October 27, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals

Risk Factors and Clinical Impact of Klebsiella pneumoniae Carbapenemase–Producing K. pneumoniaeemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. KPC‐producing K. pneumoniae is an emerging pathogen associated with significant mortality. Our findings highlight the urgent need to develop strategies for prevention and infection control. Limiting use of certain antimicrobials, specifically fluoroquinolones and cephalosporins, use may be effective strategies. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - October 27, 2009 Category: Epidemiology Tags: article ORIGINAL ARTICLE Source Type: journals

Measurement of Influenza Vaccination Coverage among Healthcare Personnel in US Hospitalsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. Hospitals vary in terms of the groups of individuals included in influenza vaccination coverage measurements. Standardized measures may improve comparability of hospital‐reported vaccination rates. Measuring coverage in a manner that facilitates identification of occupational groups with low vaccination rates may inform development of targeted interventions. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - October 23, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals

Annual Incidence of Latent Tuberculosis Infection among Newly Employed Nurses at a Tertiary Care University Hospitalemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. The poor overall agreement between TST and QFT‐G results may have been caused by the confounding effect of bacille Calmette‐Guérin vaccination. The annual risk of TB infection among newly employed nurses was at least 3% on the basis of results of both the TST and QFT‐G test. Stricter preventive strategies against TB spread should be implemented in our hospital. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - October 23, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals

Should Vascular Surgery Patients Be Screened Preoperatively for Methicillin‐Resistant Staphylococcus aureus?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Infection Control and Hospital Epidemiology, Volume 0, Issue 0, Page 000, Latest Articles. Background. Methicillin‐resistant Staphylococcus aureus (MRSA) can cause severe infection in patients who are undergoing vascular surgical operations. Testing all vascular surgery patients preoperatively for MRSA and attempting to decolonize those who have positive results may be a strategy to prevent MRSA infection. The economic value of such a strategy has not yet been determined. Methods. We developed a decision‐analytic computer simulation model to determine the economic value of using such a strategy before all v...
Source: Infect Control Hosp Epidemiol Latest Issue - October 23, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals

Antimicrobial Stewardship Programs in Pediatricsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. The prevalence of ASPs in pediatrics is limited, and opportunities exist to improve current programs. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - October 23, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals

Risk Factors for Mortality in Patients with Nosocomial Stenotrophomonas maltophilia Pneumoniaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. S. maltophilia pneumonia is associated with a high mortality rate and is commonly associated with concomitant polymicrobial colonization or infection. Underlying comorbidities and inadequate initial empirical antibiotic therapy substantially account for increased mortality rates. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - October 23, 2009 Category: Epidemiology Tags: article ORIGINAL ARTICLE Source Type: journals

Epidemiology and Outcomes of Hospitalizations with Complicated Skin and Skin‐Structure Infections: Implications of Healthcare‐Associated Infection Risk Factorsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. Healthcare‐associated cSSSIs are common and are likely to be caused by gram‐negative organisms. Mixed infections carry a >2‐fold greater risk of inappropriate treatment. Healthcare‐associated cSSSIs are associated with increased mortality and prolonged length of hospital stay, compared with community‐acquired cSSSIs. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - October 22, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals

Identification of a Pseudo‐Outbreak of Clostridium difficile Infection (CDI) and the Effect of Repeated Testing, Sensitivity, and Specificity on Perceived Prevalence of CDIemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion. Specificity is as important as sensitivity when testing for CDI. False‐positive CDI cases can drain hospital resources and adversely affect patients. Repeated testing for C. difficile should be performed with caution. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - October 22, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals

Molecular Epidemiology of Invasive Aspergillosis: Lessons Learned from an Outbreak Investigation in an Australian Hematology Unitemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Infection Control and Hospital Epidemiology, Volume 0, Issue 0, Page 000, Latest Articles. Suspected nosocomial Aspergillus fumigatus infections in an Australian hematology unit were investigated by molecular typing of clinical and environmental isolates using polymerase chain reaction fingerprinting, CSP typing, and multilocus microsatellite typing. Only multilocus microsatellite typing revealed that all isolates were genetically distinct. The selection of an appropriate typing method is essential for effective outbreak investigations. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - October 22, 2009 Category: Epidemiology Tags: article CONCISE COMMUNICATION Source Type: journals

Multidrug‐Resistant Gram‐Negative Bacteria at a Long‐Term Care Facility: Assessment of Residents, Healthcare Workers, and Inanimate Surfacesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. The prevalence of MDR gram‐negative bacteria is high among LTCF residents and exceeds that of vancomycin‐resistant enterococci and methicillin‐resistant S. aureus. Common areas in LTCFs may provide a unique opportunity for person‐to‐person transmission of MDR gram‐negative bacteria. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - October 16, 2009 Category: Epidemiology Tags: article ORIGINAL ARTICLE Source Type: journals

Prevention of Bloodstream Infections by Use of Daily Chlorhexidine Baths for Patients at a Long‐Term Acute Care Hospital • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion. Daily chlorhexidine baths appeared to be an effective intervention to reduce rates of CVC‐associated BSI in an LTACH. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - October 7, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals

Prospective Comparison of Tuberculin Skin Test and QuantiFERON‐TB Gold In‐Tube Assay for the Detection of Latent Tuberculosis Infection among Healthcare Workers in a Low‐Incidence Setting • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Infection Control and Hospital Epidemiology, Volume 30, Issue 11, Page 1123-1126, November 2009. We compared the results of the tuberculin skin test with the results of the QuantiFERON‐TB Gold In‐Tube (QFT‐GIT) assay among 182 low‐risk healthcare workers. Overall agreement and specificity were high, but the tests did not agree on positive results. Only 2 of 5 positive QFT‐GIT assay results could be confirmed with repeat analyses. Indeterminate results were associated with potential immunosuppression. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - October 7, 2009 Category: Epidemiology Tags: article Concise Communication Source Type: journals

Usefulness of Weekly Methicillin‐Resistant Staphylococcus aureus Screening • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Infection Control and Hospital Epidemiology, Volume 30, Issue 11, Page 1113-1115, November 2009. We evaluated the usefulness of adding weekly methicillin‐resistant Staphylococcus aureus (MRSA) screening to our established admission screening and clinical sampling in 4 acute care units of a university hospital. Our results suggest that weekly MRSA screening allows the detection of 56.1% of all cases of hospital‐acquired MRSA carriage. These cases would have remained undetected had admission screening and clinical sampling been the only types of surveillance in place. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - October 7, 2009 Category: Epidemiology Tags: article Concise Communication Source Type: journals

Use of Longitudinal Surveillance Data to Assess the Effectiveness of Infection Control in Critical Care • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Infection Control and Hospital Epidemiology, Volume 30, Issue 11, Page 1109-1112, November 2009. A simple method for quantifying nosocomial infection and colonization with multidrug‐resistant organisms is described. This method is applied to the intensive care unit of an academic medical center where longitudinal surveillance data have been used to assess the impact of infection control interventions and antibiotic use. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - October 7, 2009 Category: Epidemiology Tags: article Concise Communication Source Type: journals

Original Article: Proposed Checklist of Hospital Interventions to Decrease the Incidence of Healthcare‐Associated Clostridium difficile Infection • email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions. Our intervention was successful in reducing the incidence of CDI at our hospital. On the basis of our experience, we propose the use of a checklist of hospital interventions to decrease the incidence of healthcare‐associated CDI. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - October 7, 2009 Category: Epidemiology Tags: article Original Article Source Type: journals