Showing papers in "American Journal of Infection Control in 1992"

TL;DR: The definition of surgical wound infection was slightly modified and the name was changed to surgical site infection (SSI), which should be used by hospitals wishing to compare their SSI data with NNIS System data.

TL;DR: There are distinct clinical patterns of bacteremia in transplant recipients and the emergence of P. aeruginosa and Enterobacter species in the immediate postoperative period appeared to be a significant cause of morbidity and death among transplant recipients.

TL;DR: A literature review to assess the current state of the art of postdischarge surveillance for nosocomial wound infection found that infections in outpatients and in institutions using self-reporting methods are not being identified efficiently.

TL;DR: The mask that has the highest collection efficiency is not necessarily the best mask from the perspective of the filter-quality factor, which considers not only the capture efficiency but also the air resistance.

TL;DR: Goal-specific strategies to improve HH practices would probably be more effective if more were done to minimize the factors that health care workers find detrimental to HH.

TL;DR: A Surgical Wound Infection (SWI) Task Force was convened by The Society for Hospital Epidemiology of America to evaluate how SWI surveillance should be done and to identify where more information is needed.

TL;DR: Computerized regression equations to identify patients at risk of having hospital-acquired infections can help focus prevention efforts.

TL;DR: A more efficacious and cost-effective form of hand hygiene and a more prudent use of antimicrobial agents are indicated.

TL;DR: Hydrogen peroxide proved to be more efficacious than glutaraldehyde for killing or removing B. subtilis in a 10-minute contact period, with carbon dioxide and elevator channels the most difficult to disinfect consistently.

TL;DR: It is indicated that the introduction of a needleless IV system can significantly reduce the number of IV-related injuries that occur in an institution, and is economically feasible.

TL;DR: It is concluded that postdischarge surveillance is necessary for an accurate determination of rates of infectious complications after delivery by cesarean section and the need among this population reflects relatively short postpartum hospitalization and emphasis on outpatient management of postoperative complications.

TL;DR: It is concluded that universal precautions were effective in reducing the risk of occupational exposures among physicians on a medical service.

TL;DR: It is concluded that reprocessing of flexible fiberoptic endoscopes is inconsistent and potentially ineffective, and knowledge that a flexible fiber optic endoscope was used for a patient with AIDS influences practice.

TL;DR: In this article, the authors surveyed nurses in a 1000-bed university hospital to determine the following for the last working shift: the rate of cutaneous exposure to blood for different procedures, the rates of needlestick injury, and the prevalence of hand lesions.

TL;DR: It is concluded that Candida and other yeasts are being isolated increasingly as causative agents of nosocomial infection.

TL;DR: Prevalences of Clostridium difficile and multiply resistant Staphylococcus aureus were determined in nursing staff and residents of a 233-bed long-term care facility and appropriate handwashing and gloving should make a significant contribution to reducing the spread of these agents.

TL;DR: The severity of illness and the apparent transmission through direct contact between residents warrants early detection of infected lesions, recognition of invasive illness, prompt effective treatment, and surveillance for S. pyogenes infections among residents and personnel.

TL;DR: All 22 residual solutions obtained immediately after administration were contaminated at concentrations of 10(3) to 10(6) viable counts/ml, and major contaminants were glucose-nonfermenting gram-negative bacilli such as Pseudomonas aeruginosa and Acinetobacter calcoaceticus var anitratus.

TL;DR: The training program was effective in producing improvements in knowledge and implementation of recommended infection control practices in long-term care facilities and improvements were consistent across three diverse geographic areas.

TL;DR: A surveillance system for home care related infections was developed to reduce the risk of infection and improve the quality of care in patients and on the basis of the findings in the population.

TL;DR: Although traditional thought assumes that isolation gowns protect the wearer from contamination, the data show this belief may provide a false sense of security.

TL;DR: An outbreak of Norwegian scabies in a 170-bed acute care hospital was controlled through an organized plan for delivering treatment to those affected: four patients, 50 staff members, and 14 family members of staff members.

TL;DR: This study provides a method for developing and evaluating locality-specific transfusion guidelines and can be applied to other regions, including the United States, and to other diseases transmitted by blood products.

TL;DR: In this paper, the authors evaluated the response to therapy with rifampin alone or in combination with trimethoprim-sulfamethoxazole for MRSA infection.

TL;DR: Facility-associated pneumonia is an important cause of morbidity and mortality in long-term care facilities and Twenty percent of patients on high-risk units died of nosocomial pneumonia or with nosocomIAL pneumonia as a contributory factor.

TL;DR: The volume of blood transferred after needle insertion through skin for 1 second varied with the gauge of the needle and was 30-fold higher from a 20-gauge than from a 27-Gauge needle, suggesting parafilm was less effective than skin in reducing transmission of blood and viable mononuclear cells.

TL;DR: A training program was developed in Nebraska to help supply practitioners with knowledge and techniques designed specifically for the long-term care environment, and its success led to its implementation in other regions.

TL;DR: The chronology of events, from the initial discovery of the outbreak to the evolution of the hospital-wide containment program designed to protect patients and staff members, is described.

TL;DR: This is the first report that identifies shock absorbers as a possible reservoir for L. pneumophila in the plumbing system and recommends that institutions with endemic legionellosis assess the water system for possible removal of shock absorber.