Showing papers in "Journal of Hospital Infection in 2001"

TL;DR: Bioengineering of hybrid implant materials in order to achieve optimal performance and to prevent inflammatory reactions and interface cellular disorganization is a field undergoing rapid development and hybrid materials that slowly deliver antimicrobial drugs may reduce implant infections in the future.

TL;DR: Estimates of the burden of hospital-acquired infections occurring in adult patients admitted to similar specialties at NHS hospitals in England were derived from the results of this study.

TL;DR: SSI was a significant predictor of mortality, independently of NNIS risk index and other survival predictors, and required re-operation more frequently than did superficial incisional SSI.

TL;DR: Multifaceted approaches which combine education with written material, reminders and continued feedback of performance can have an important effect on handwashing compliance and rates of hospital-acquired infection.

TL;DR: The introduction to these guidelines describes a robust and validated guideline development model that can be used by others to develop future guidelines.

TL;DR: Thorough and continuous attention to ward hygiene and removal of dust was needed, to terminate a prolonged outbreak of MRSA infection on a general surgical ward, in addition to standard infection control measures.

TL;DR: In this article, the authors reviewed barriers to appropriate hand hygiene and described the results of the first successful experience of sustained hand hygiene promotion and its effectiveness on hospital-acquired infection and reported that alcohol-based hand-rub may be superior to traditional handwashing as it requires less time, acts faster, irritates hands less often, and recently proved significantly to contribute to sustained improvement in compliance associated with decreased infection rates.

TL;DR: It is shown that in a non-epidemic setting, there is a significant relationship between environmental fungal contamination in haematology wards and the incidence of INA, and the importance of environmental surveillance and strict application of preventive measures is underline.

TL;DR: Microbiological sampling of nurses' uniforms was undertaken using a Casella slit sampler and staphylococcus aureus, Clostridium difficile and vancomycin-resistant enterococci were detected both before and after a span of duty.

TL;DR: Because MRSA is transmitted primarily on the hands of healthcare workers, greater emphasis should be given to improving hand hygiene practices among health personnel and vancomycin remains a drug of choice.

TL;DR: This programme empowers patients with responsibility for their care, provides infection control staff with a continuing means for providing handwashing education without additional staff and can save costs for a hospital.

TL;DR: The outbreak was controlled after staff were required to use an alcoholic handrub after washing hands, and toiletting of babies was done with sterile water instead of tap-water, and chlorination of the water-tanks and changing the sink-taps resolves the outbreak.

TL;DR: In this paper, a cross-sectional matched control study was designed to investigate the impact of hospitalization and MRSA isolation on the psychological functioning of older adults undergoing rehabilitation, and the results suggest that, amongst older adult inpatients, isolation has a negative impact on mood in addition to that resulting from hospitalization.

TL;DR: Antibiotic resistance across all species and drugs was, with some exceptions, highest in southern European countries and Russia, and lowest in Scandinavia, and more effective strategies are needed to control the selection and spread of resistant organisms.

TL;DR: It is concluded that while non-critical surfaces are uncommonly associated with transmission of infections to patients, one should clean and disinfect surfaces on a regularly scheduled basis.

TL;DR: The extent of variation in definition of surgical wound infection used in clinical practice is highlighted, and the need for validation of both content and organization of a surveillance system is highlighted.

TL;DR: Overall charges and charges per day were similar for neonates with proven and suspected HAI, and central vascular catheter utilization was the only factor significantly associated with HAI.

TL;DR: This prospective cohort study on CABSI in a NICU identified five risk factors of which two can be used for risk-stratified incidence density description (birthweight and time of catheter insertion).

TL;DR: In this article, a multi-drug resistant Acinetobacter baumannii outbreak was reported in the intensive care burns unit with spread of infection to other patients, both within the unit and elsewhere in the hospital.

TL;DR: This review examines the usefulness, feasibility and cost-effectiveness of control programmes in acute-care hospitals where eradication of MRSA has either failed or has never been attempted; hence, the pathogen has become endemic.

TL;DR: The non-aqueous use of ethanol or propanols offers various advantages over washing hands with either unmedicated or medicated soap in both hygienic and surgical hand disinfection.

TL;DR: This study indicates that certain manipulations and disconnections of the central venous catheter, which necessitates disinfection of the catheter hub, increase the risk of CABSI, while other procedures, e.g. heparinization and exit site antisepsis, protect againstCABSI in neonates.

TL;DR: This cohort study identifies MRSA colonized CU patients in an acute care setting as a high-risk population for MRSA bacteraemia.

TL;DR: It is shown that filamentous fungi are present in the hospital water and to a lesser extent on water-related surfaces and the recovery of filamentous fungus in water samples taken at the intake reservoir suggests that the source of contamination is located outside the hospital.

TL;DR: The findings highlight the need for improved approaches to hospital environmental hygiene, and call into question current UK guidelines that recommend detergent-based cleaning to remove environmental C. difficile.

TL;DR: A survey of two acute district general hospitals (A and B) was undertaken to investigate the extent of methicillin-resistant Staphylococcus aureus (MRSA) contamination of ward-based computer terminals as mentioned in this paper.

TL;DR: It is shown that ESBL-KP bacteraemia occurring in an epidemic ICU setting is mainly catheter-related, and high rates of resistance to beta-lactam/beta- lactamase inhibitors observed in ESBLKP isolates, as well as variable activity of aminoglycosides, restricts the empirical use of these antibiotics.

TL;DR: The local contamination of non-touch fittings is a result of the low amount of water that flows through the outlet, the low water pressure and the column of water, which is 'still-standing' and has a temperature of about 35 degrees C, thus providing nearly ideal growth conditions for P. aeruginosa.

TL;DR: The study clearly demonstrated the potential cost savings to be highlighted by this type of audit and indicated that the cost of surgical wound infection is three-fold: cost to the hospital, the community services and the patient.