Uniform national denominator definitions for infection control clinical indicators: surgical site and health care associated blood stream infection

2001 ◽  
Vol 6 (2) ◽  
pp. 47-53 ◽  
Author(s):  
E. Auricht ◽  
J. Borgert ◽  
M. Butler ◽  
H. Cadwallader ◽  
P. Collignon ◽  
...  
Keyword(s):  
Health Care ◽  
Infection Control ◽  
Blood Stream Infection ◽  
Blood Stream ◽  
Clinical Indicators

scholarly journals Epidemiological analysis of Elizabethkingia meningoseptica infection cluster among mechanically ventilated pediatric intensive care patients

2018 ◽  
Vol 5 (8) ◽  
pp. 3212 ◽  
Author(s):  
Wafaa Seddik Hamza ◽  
Samar Saeed Morsi ◽  
Ebtehal Saleh Al Roomi ◽  
Vincent Olubunmi Rotimi
Keyword(s):  
Intensive Care ◽  
Infection Control ◽  
Blood Stream Infection ◽  
Pediatric Intensive Care ◽  
Blood Stream ◽  
Control Measures ◽  
Mechanically Ventilated ◽  
Infection Control Measures ◽  
Elizabethkingia Meningoseptica ◽  
Healthcare Associated

Background: Elizabethkingia meningoseptica is frequently found in hospital environments and usually associated with healthcare-associated infections (HAIs), particularly in patients in the intensive care units (ICU). The current study report an outbreak of E. meningoseptica infection/colonization in the pediatric intensive care unit, highlighted the infection control methods used to stem the spread.Methods: During a period of 7 months, May-November 2015, 4 patients were infected/ colonized by E. meningoseptica. Infection control measures were re-emphasized after each case and environmental swabs were cultured to detect possible source. Follow up for 25 months to ensure eradication of the pathogen.Results: Four patients were colonized/ infected with E. meningoseptica, their mean age 22 months. The average time patients spent in ICU between admission and isolation of E. meningoseptica was 27.5±19.2 days. All patients were mechanically ventilated. 25% E. meningoseptica isolated from blood causing healthcare associated Central Line Associated Blood Stream Infection (CLABSI) while it was isolated from endotracheal tube (ETT) secretion in 75% as healthcare associated colonization. The 4 isolates confirmed as identical using pulsed field gel electrophoresis (PFGE).Conclusions: Intensive infection control measures including healthcare workers education, emphasizing hand hygiene, comprehensive cleaning and disinfection of equipment and the environment are important to eradicate the bacterium.

Changes of Etiology in Health Care Acquired Blood Stream Infection in Pediatric Patients in a Pediatric Hematology-oncology Unit in Mexico City

2013 ◽  
Vol 41 (6) ◽  
pp. S144-S145
Author(s):  
Hilda G. Hernandez ◽  
Kyle M. Johnson ◽  
Miguela Caniza ◽  
Guadalupe Aparicio ◽  
Esperanza Lucas ◽  
...  
Keyword(s):  
Health Care ◽  
Mexico City ◽  
Pediatric Patients ◽  
Blood Stream Infection ◽  
Blood Stream ◽  
Pediatric Hematology ◽  
Oncology Unit

scholarly journals Surveilans Pasif dan Aktif Kejadian Infeksi Terkait Pelayanan Kesehatan di RSUD Provinsi NTB, 2017

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Eustachius Hagni Wardoyo ◽  
Edi Prasetyo Wibowo ◽  
I Gede Jayantika ◽  
I Gst Alit Rai Sudiadnya ◽  
Rolly Armand
Keyword(s):  
Health Care ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Blood Stream Infection ◽  
Blood Stream ◽  
Central Line ◽  
Ventilator Associated Pneumonia ◽  
Site Infection ◽  
Health Care Associated Infections

Pendahuluan: Surveilans Health-care Associated Infections (HAIs) atau kejadian infeksi terkait pelayanan kesehatan dapat dilakukan baik secara aktif maupun pasif sesuai sumber daya yang dimiliki. Penelitian ini bertujuan mengetahui insidensi dan perbandingan hasil surveilans pasif dan aktif 4 jenis HAIs di RSUD Provinsi Nusa Tenggara Barat periode Januari-Oktober 2017. Empat jenis HAIs tersebut adalah Ventilator-associated Pneumonia (VAP), Catheter-associated Urinary Tract Infection (CAUTI), Central Line-associated Blood Stream Infection (CLABSI) dan Surgical Site infection (SSI). Metode: Surveilans pasif menggunakan data sekunder dengan menelusuri rekam medis, sedangkan surveilans aktif berdasarkan laporan Tim Pencegahan dan Pengendalian Infeksi (PPI). Hasil: Tidak ada perbedaan indikator yang digunakan dalam form VAP dan CLABSI pada surveilans pasif dan aktif. Namun pada form CAUTI dan SSI tidak mencantumkan gejala infeksi dan gejala panas di lokasi infeksi pada surveilans aktif. Perbandingan hasil surveilans pasif dan aktif berturut-turut adalah VAP 24,9 dan 0 per 1.000 ventilator days, CAUTI 49 dan 12 per 1.000 catheter days, CLABSI 18 dan 9 per 1.000 central line days, serta SSI 1,9 dan 1,4%. Kesimpulan: Ada perbedaan insidensi keempat jenis HAIs pada surveilans pasif dan aktif, karena penggunaan metodologi yang berbeda.

Early Cessation of a Vancomycin-Resistant Enterococci (VRE) Outbreak in a Hematology-Oncology Department after Implementation of an Enhanced Infection Control Intervention. A Single Center Experience.

Blood ◽  
2004 ◽  
Vol 104 (11) ◽  
pp. 2209-2209
Author(s):  
Andrew J. Ullmann ◽  
Thomas Fischer ◽  
Bernd Jansen ◽  
Christoph Huber
Keyword(s):  
Infection Control ◽  
Outpatient Clinic ◽  
Blood Stream Infection ◽  
Blood Stream ◽  
Control Measures ◽  
Single Patient ◽  
Contact Precautions ◽  
Single Center Experience ◽  
Infection Control Measures ◽  
Admission Policies

Abstract Introduction: Worldwide, the incidence of nosocomial outbreaks of VRE has increased especially in high-risk patients such as hematology-oncology patients. Outbreaks reported so far, required a minimum of three months to be controlled. Such outbreaks have a serious impact on daily care and treatment of the patients and hospital economics. Patients and Methods: We describe the outcome of a VRE-outbreak in a department with 48 beds (fourteen 2-patient rooms, and 20 single-patient rooms) including allogeneic BMT. Epidemiological evaluation was initiated after two patients in the department for the first time had a blood stream infection (BSI) with VRE within one week. Two goals had to be achieved immediately: 1) Assessment of the outbreak and 2) Implementation of enhanced infection control measures. Screening of all inpatients on a weekly basis became mandatory (stool sample or rectal swab). All patients, regardless of their status, received a single-patient room and had their own assigned restroom. Therefore an additional ward had to be opened. The patients and staff were re-trained in hygiene rules and contact precautions. Positive VRE-tested patients were cohorted in one ward. In addition, spot screening was performed in the outpatient clinic. Due to a low number of restroom facilities and patient rooms, the outpatient clinic was closed for new admissions and reopened within 6 weeks at a new site with improved facilities and more patient rooms. Antibiotic usage was reviewed. Utilization of glycopeptides and cephalosporins was decreased. Pulsed-field gel electrophoresis (PFGE) was performed on all isolates. The outbreak was actively discussed in the local newspapers and television to inform the public of the situation. Results: This is the largest VRE-outbreak in a hematology-oncology department reported to date. Four-hundred-seventy-five patients were evaluated and 1246 tests were performed, resulting in a mean test frequency of 2.6 tests per patient. In this patient population, 34 VRE-colonized patients were identified, 18 within the first 4 weeks of screening. From January through April 2004, a total of 31 VRE-colonized patients were detected. Two additional VRE-BSI occurred. All patients with VRE-BSI were treated successfully with linezolid. PFGE demonstrated a dominant clone indicating a nosocomial transmission mode. After the opening of the new outpatient clinic and normalization of admission policies on the inpatient wards [the extra ward was closed and ID control measures stayed in effect] only 3 additional VRE-colonized patients were detected but PFGE demonstrated different clones. Cutting down on new admissions and actively discussing the outbreak in public was rewarded with back-to-baseline admissions after cessation of the outbreak. Conclusion: Though VRE-infections nowadays can easily be treated with linezolid, its detection indicates an infection control problem. Awareness of the development of resistant microbes especially in the immunocompromised setting requires pragmatic and stringent ID control measures to prevent or to cease early an outbreak of this magnitude.

Infection control for the Reduction of Catheter Related Blood Stream Infection (CRBSI)

2012 ◽  
Vol 03 (01) ◽  
pp. 1-6
Author(s):  
Paithoon Boonma ◽  
Sonchai Hiranniramol ◽  
Wilai Aiumpatoomsak ◽  
Poonrut Leeyatikun ◽  
Arisara Suwanarit
Keyword(s):  
Infection Control ◽  
Blood Stream Infection ◽  
Blood Stream

Stenotrophomonas maltophilia causing blood stream infection in neonates and infants: a cause for concern

2017 ◽  
Vol 48 (3) ◽  
pp. 227-229 ◽  
Author(s):  
Rinku Sah ◽  
Shraddha Siwakoti ◽  
Ratna Baral ◽  
Rupa S Rajbhandari ◽  
Basuda Khanal
Keyword(s):  
Infection Control ◽  
Stenotrophomonas Maltophilia ◽  
Blood Stream Infection ◽  
Blood Stream ◽  
Multidrug Resistant ◽  
Control Measures ◽  
Infection Control Team ◽  
Infection Control Measures ◽  
Hospital Infection Control ◽  
Neonates And Infants

Stenotrophomonas maltophilia ( S. maltophilia) is an important Gram-negative, non-fermentative, multidrug resistant (MDR) nosocomial organism. We evaluated the isolation of S. maltophilia from the seven blood culture specimens received from the Paediatric Emergency Department (PED) of BP Koirala Institute of Health Sciences (BPKIHS) over the duration of two weeks. The suspicion of a possible outbreak was raised and the hospital infection control team investigated the source and found the hand of one healthcare provider harbouring a similar organism. All six steps of hand hygiene were subsequently strictly enforced after which the same bacteria were no longer isolated. Infection control measures should be rigorously adopted for the control of such nosocomial bacteria.

scholarly journals The Impact of Health Care Restructuring on Nosocomially Acquired Blood Stream Infections

2000 ◽  
Vol 11 (1) ◽  
pp. 34-37 ◽  
Author(s):  
Geoffrey D Taylor ◽  
Margare McKenzie ◽  
Teresa Kirkland ◽  
Maureen Buchanan-Chell ◽  
Rhoda Wiens
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Blood Stream Infection ◽  
Venous Catheter ◽  
Blood Stream ◽  
Infection Rates ◽  
Blood Stream Infections ◽  
Hospital Restructuring ◽  
Hospital Bed ◽  
The Impact

OBJECTIVE: To assess the impact of the health care restructuring, which occurred in Alberta in 1995, on the occurrence of nosocomial blood stream infection and risk factors for these infections at the University of Alberta Hospital.PATIENTS AND METHODS: Changes in patient population, hospital bed numbers, admissions and hospital days for 1993 and 1994 (1993/94) were compared with those for 1996 and 1997(1996/97). Central venous catheter (CVC) use in intensive care units (ICU), days of total parenteral nutrition (TPN) and hemodialysis were compared for the two time periods. Prospectively collected data obtained by monitoring blood culture results on nosocomial blood stream infections in 1993/94 were compared with those obtained in 1996/97.RESULTS: Hospital bed number fell by 10% between 1993/94 and 1996/97. Annual admissions fell by 19% and patient days by 17%. Some services markedly increased patient days (neurosurgery 49%, nephrology 30%, orthopedic surgery 24%), and others markedly reduced patient days (obstetrics and gynecology 99%, ophthalmology 100%, adult medicine 41%, general paediatrics 38%). ICU use of CVCs increased by 41%, TPN days increased by 25% and hemodialysis runs increased by 9%. Annual nosocomial blood stream infections increased by 31% and the annual rate per 10,000 patient days increased by 60%. TPN-related blood stream infection rates and ICU CVC infection rates did not change from 1993/94 to 1996/97.CONCLUSIONS: Hospital restructuring has been associated with a 31% increase in nosocomial blood stream infection number and a 60% increase in rate. The increase has been associated with a change in patient populations and increases in risk factors for blood stream infection.

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