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Showing papers in "Journal of Hospital Infection in 2000"


Journal ArticleDOI
TL;DR: The standard index of microbial air contamination (IMA) is described, which quantifies the microbial flow directly related to the contamination of surfaces coming from microbes that reach critical points by falling on to them.

316 citations


Journal ArticleDOI
TL;DR: In this article, a four-part study assessing cleanliness in up to 113 environmental surfaces in an operating theatre and a hospital ward is reported, where surfaces were assessed visually, using microbiological methods and ATP bioluminescence.

296 citations


Journal ArticleDOI
TL;DR: It is suggested that surfaces and suspensions can be considered as possible sources of contamination that may lead to hospital-acquired infections with HCoV and should be appropriately disinfected.

250 citations


Journal ArticleDOI
TL;DR: The essential components of a SSI surveillance system including surveillance methods, data collection and handling, analysis and presentation of results to clinical staff are examined.

239 citations


Journal ArticleDOI
TL;DR: In this article, a strain of Corynebacterium sp (API Coryne bioprofile; 5100304) was implanted into the nares of 17 S. aureus carriers.

195 citations


Journal ArticleDOI
TL;DR: The environmental survival patterns of the five MRSA strains showed qualitative and quantitative differences between the two outbreak and three sporadic strains, and a gradual decline was noted for all strains.

188 citations


Journal ArticleDOI
TL;DR: Stable resistance in Pseudomonas aeruginosa NCIMB 10421 was obtained by step-wise exposure to gradually increasing concentrations of chlorhexidine diacetate (CHX) by repeated exposure to a proposed "residual" (sub-MIC) concentration of CHX.

183 citations


Journal ArticleDOI
TL;DR: It is demonstrated that the white coats of medical students are more likely to be bacteriologically contaminated at points of frequent contact, such as the sleeve and pocket, and its design should be modified in order to facilitate hand washing.

180 citations


Journal ArticleDOI
TL;DR: The epidemiology of outbreaks of infection due to SRSVs is reviewed, recommendations for their management in the hospital setting are made and the basic principles which underpin these recommendations will be applicable to the management of some community-based institutional outbreaks.

148 citations


Journal ArticleDOI
TL;DR: In conclusion, despite delayed implementation, infection control measures had a substantial impact on both the reservoir of MRSA patients and the attack rate of MR SA bacteraemia.

143 citations


Journal ArticleDOI
TL;DR: In this paper, the authors investigated how viruses can be transmitted from a primary contact person to further individuals by horizontal spread by touching the same door handle and common social contacts like hand shaking.

Journal ArticleDOI
TL;DR: The findings give epidemiological support to recent molecular studies which suggest that fluoroquinolone use may increase the transmissibility of MRSA in hospitals, and can be considered as a surrogate marker for a number of manipulations which represent the main risk factors for MRSA transmission.

Journal ArticleDOI
TL;DR: It is suggested cockroaches are possible vectors of pathogenic bacteria in the hospital environment and should be considered a source of concern for nosocomial disease in neonatal units.

Journal ArticleDOI
TL;DR: This survey suggests that healthcare workers understand the importance of handwashing, but tend to overestimate their own compliance and are more attracted to interventions that make handwashing easier.

Journal ArticleDOI
TL;DR: Many of the physical and environmental parameters that influence meaningful air sampling for Aspergillus outbreaks are outlined and a simple procedure that has been tried and tested in many aspergillosis outbreaks is recommended.

Journal ArticleDOI
TL;DR: Most biocides are formulated for optimal, broad-spectrum antimicrobial activity at high concentrations for direct use on an inanimate or living surface; therefore concentration has obvious practical and clinical implications, as discussed below.

Journal ArticleDOI
M.C. Kelsey1
TL;DR: This report has gone a good way to uncovering the reasons why all good intentions have failed to prevent the preventable in the history of infection control in the UK.

Journal ArticleDOI
TL;DR: The tea tree oil combination appeared to perform better than the standard combination, although the difference was not statistically significant due to the small number of patients.

Journal ArticleDOI
TL;DR: The majority of phenotypic and genotypic techniques developed for MRSA are not sufficiently discriminatory, reproducible, stable or useful in an outbreak to be acceptable.

Journal ArticleDOI
A. Feather1, S.P. Stone, A. Wessier1, K.A. Boursicot1, C. Pratt 
TL;DR: It is suggested that compliance with handwashing be built into undergraduate and Teaching Quality assessments with, for example, 'Hygiene marks' incorporated into OSCE or observed long case checklists.

Journal ArticleDOI
TL;DR: The data indicate a hospital-acquired infection in many of the patients and underline the need for careful environmental monitoring of units in which high-risk patients are housed.

Journal ArticleDOI
TL;DR: In this paper, a number of professional and scientific bodies in the UK, the USA and Europe have published guidelines on the design and layout of ICUs and emphasize the importance of adequate isolation facilities (at least one cubicle for every six beds), sufficient space around each bed (20 m2), wash hand basins between every other bed, ventilation including positive and negative pressure ventilation for high risk patients and sufficient storage and utility space.

Journal ArticleDOI
TL;DR: A faulty contaminated bronchoscope washer-disinfector which had been purchased a year earlier but not properly maintained was the source of an outbreak of Pseudomonas aeruginosa resistant to ceftazidime and azlocillin in ITU patients who had been previously bronchoscoped.

Journal ArticleDOI
TL;DR: In this article, a randomized, prospective, double-blind multi-centre trial was conducted to compare the performance of hydrogel and silver-salts-coated urethral catheters with classical catheter for preventing hospital-acquired urinary tract infections.

Journal ArticleDOI
TL;DR: Re-enforcement of infection control practices including hand disinfection and cohort isolation seemed to be sufficient to control the outbreak of MR-E.

Journal ArticleDOI
TL;DR: Infections following invasive endoscopy are rare and are usually of endogenous origin, Nevertheless, infections do occur due to inadequate cleaning and disinfection and the use of contaminated rinse water and processing equipment.

Journal ArticleDOI
TL;DR: In this article, an outbreak due to S. marcescens infection in neonatal intensive care units (NICUs) involved two geographically distinct NICUs, one at Glasgow Royal Maternity Hospital (GRMH) and the other at the Queen Mothers Hospital (QMH).

Journal ArticleDOI
TL;DR: Male sex, age >80 years, residence in the nursing home for

Journal ArticleDOI
TL;DR: An outbreak of bacteraemia in paediatric oncology patients caused by Acinetobacter junii is reported, and it is believed that conventional aerators consisting of several wire meshes can serve as a reservoir for low levels of bacteria present in the water system.

Journal ArticleDOI
TL;DR: The importance of optimal physical barriers and air filtration to decrease airborne fungal spores in high-risk units during renovation works is highlighted and the value of patient surveillance and environmental air sampling is questionable since no relationship was found between air contamination and colonization in patients.