Evaluation of Infection Control Measures in Preventing the Nosocomial Transmission of Multidrug-Resistant Mycobacterium tuberculosis in a New York City Hospital

1995 ◽  
Vol 16 (3) ◽  
pp. 141-147 ◽  
Author(s):  
Leonardo A. Stroud ◽  
Jerome I. Tokars ◽  
Michael H. Grieco ◽  
Jack T. Crawford ◽  
David H. Culver ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Mycobacterium Tuberculosis ◽  
Infection Control ◽  
York City ◽  
Multidrug Resistant ◽  
Control Measures ◽  
Nosocomial Transmission ◽  
City Hospital ◽  
Infection Control Measures

Evaluation of Infection Control Measures in Preventing the Nosocomial Transmission of Multidrug-Resistant Mycobacterium tuberculosis in a New York City Hospital

1995 ◽  
Vol 16 (3) ◽  
pp. 141-147
Author(s):  
Leonardo A. Stroud ◽  
Jerome I. Tokars ◽  
Michael H. Grieco ◽  
Jack T. Crawford ◽  
David H. Culver ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Infection Control ◽  
Healthcare Workers ◽  
Multidrug Resistant ◽  
Control Measures ◽  
City Hospital ◽  
Aids Patients ◽  
Infection Control Measures ◽  
Mdr Tb

AbstractObjective:To evaluate the efficacy of Centers for Disease Control and Prevention (CDC)-recommended infection control measures implemented in response to an outbreak of multidrug-resistant (MDR) tuberculosis (TB).Design:Retrospective cohort studies of acquired immunodeficiency syndrome (AIDS) patients and healthcare workers. The study period (January 1989 through September 1992) was divided into period I, before changes in infection control; period II, after aggressive use of administrative controls (eg, rapid placement of TB patients or suspected TB patients in single-patient rooms); and period III, while engineering changes were made (eg, improving ventilation in TB isolation rooms).Setting:A New York City hospital that was the site of one of the first reported outbreaks of MDR-TB among AIDS patients in the United States.Participants:All AIDS patients admitted during periods I and II. Healthcare workers on nine inpatient units with TB patients and six without TB patients.Results:The epidemic (38 patients) waned during period II and only one MDR-TB patient presented during period III. The MDR-TB attack rate among AIDS patients hospitalized on the same ward on the same days as an infectious MDR-TB patient was 8.8% (19 of 216) during period I, decreasing to 2.6% (5 of 193; P= 0.01) during period II. In a small group of healthcare workers with tuberculin skin test data, conversions during periods II through III were higher on wards with than without TB patients (5 of 29 versus 0 of 15; P= 0.15), although the difference was not statistically significant.Conclusions:Transmission of MDR-TB among AIDS patients decreased markedly after enforcement of readily implementable administrative measures, ending the outbreak. However, tuberculin skin-test conversions among healthcare workers may not have been prevented by these measures. CDC guidelines for prevention of nosocomial transmission of TB should be implemented fully at all US hospitals.

Novel Influenza A (H1N1) Outbreak On Board a US Navy Vessel

2009 ◽  
Vol 3 (S2) ◽  
pp. S117-S120 ◽  
Author(s):  
Curt E. Dill ◽  
Michael A. Favata
Keyword(s):  
New York ◽  
New York City ◽  
Infection Control ◽  
York City ◽  
Influenza A ◽  
Control Measures ◽  
Service Personnel ◽  
Infection Control Measures ◽  
Influenza A H1n1 ◽  
Novel Influenza A

ABSTRACTBackground and Methods: Fleet Week New York 2009 was the latest installment of an annual celebration to honor US service personnel. It takes place during Memorial Day and this year’s celebration coincided with the peak of novel influenza A (H1N1) virus (S-OIV) activity in New York City. Four service members from the USS Iwo Jima and USS Roosevelt contracted influenza while in New York City and were hospitalized in the Department of Veterans Affairs (VA)-New York Harbor Healthcare System to minimize the risk of widespread outbreak on board the naval vessels. No additional cases were identified on the USS Roosevelt. However, 135 service personnel on the USS Iwo Jima contracted influenza.Results: Shipwide infection control measures including strict isolation and active case finding were instituted immediately with affected crew members and medical staff receiving oseltamivir. The new case rates remained high for 14 days, but the USS Iwo Jima was able to continue deployment. The secondary infectivity rate was 12.0%. The absolute end of the outbreak correlated with arrival at home port and the ability to move patients off board.Conclusions: This outbreak not only reinforces the risk for rapid spread of novel strains of influenza A in confined populations but also demonstrates useful strategies to mitigate the severity of an outbreak, including isolation, infection control measures, and off board sick leave when feasible. (Disaster Med Public Health Preparedness. 2009;3(Suppl 2):S117–S120)

Healthcare personnel experiences implementing carbapenem-resistant Enterobacterales infection control measures at a ventilator-capable skilled nursing facility—A qualitative analysis

2021 ◽  
pp. 1-7
Author(s):  
Katharina R. Rynkiewich ◽  
Jinal Makhija ◽  
Mary Carl M. Froilan ◽  
Ellen C. Benson ◽  
Alice Han ◽  
...  
Keyword(s):  
Infection Control ◽  
Multidrug Resistant ◽  
Control Measures ◽  
Healthcare Personnel ◽  
Skilled Nursing ◽  
Infection Control Measures ◽  
Carbapenem Resistant ◽  
Resident Care ◽  
Semistructured Interviews ◽  
Self Protection

Abstract Objective: Ventilator-capable skilled nursing facilities (vSNFs) are critical to the epidemiology and control of antibiotic-resistant organisms. During an infection prevention intervention to control carbapenem-resistant Enterobacterales (CRE), we conducted a qualitative study to characterize vSNF healthcare personnel beliefs and experiences regarding infection control measures. Design: A qualitative study involving semistructured interviews. Setting: One vSNF in the Chicago, Illinois, metropolitan region. Participants: The study included 17 healthcare personnel representing management, nursing, and nursing assistants. Methods: We used face-to-face, semistructured interviews to measure healthcare personnel experiences with infection control measures at the midpoint of a 2-year quality improvement project. Results: Healthcare personnel characterized their facility as a home-like environment, yet they recognized that it is a setting where germs were ‘invisible’ and potentially ‘threatening.’ Healthcare personnel described elaborate self-protection measures to avoid acquisition or transfer of germs to their own household. Healthcare personnel were motivated to implement infection control measures to protect residents, but many identified structural barriers such as understaffing and time constraints, and some reported persistent preference for soap and water. Conclusions: Healthcare personnel in vSNFs, from management to frontline staff, understood germ theory and the significance of multidrug-resistant organism transmission. However, their ability to implement infection control measures was hampered by resource limitations and mixed beliefs regarding the effectiveness of infection control measures. Self-protection from acquiring multidrug-resistant organisms was a strong motivator for healthcare personnel both outside and inside the workplace, and it could explain variation in adherence to infection control measures such as a higher hand hygiene adherence after resident care than before resident care.

The New York City Hospital Story

1966 ◽  
Vol 66 (7) ◽  
pp. 1526 ◽  
Author(s):  
Edith P. Lewis
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
City Hospital

scholarly journals Increased Detection of Rickettsialpox in a New York City Hospital Following the Anthrax Outbreak of 2001

2003 ◽  
Vol 139 (12) ◽  
Author(s):  
Tamara Koss ◽  
Eric L. Carter ◽  
Marc E. Grossman ◽  
David N. Silvers ◽  
Asher D. Rabinowitz ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
City Hospital

Hispanic race is a risk factor for COVID-19 during pregnancy: data from an urban New York City hospital

2022 ◽  
pp. 1-4
Author(s):  
Deena Elkafrawi ◽  
Giovanni Sisti ◽  
Felipe Mercado ◽  
Brian Rodriguez ◽  
Julie Joseph ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Risk Factor ◽  
York City ◽  
City Hospital
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