Infection Control & Hospital Epidemiology: Volume 35 -

Patients' Hand Hygiene at Home Predicts Their Hand Hygiene Practices in the Hospital
Anna Barker, Ajay Sethi, Emily Shulkin, Rachell Caniza, Sara Zerbel, Nasia Safdar
Published online by Cambridge University Press:

10 May 2016, pp. 585-588
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We examine factors associated with hand hygiene practices of hospital patients. Hygiene in the hospital decreased compared to that at home, and home practices were strongly associated with hospital practices. Understanding and leveraging the intrinsic value some patients associate with hand hygiene may be important for improving overall hospital hygiene and decreasing healthcare-associated infections.

A Socio-Technical, Probabilistic Risk Assessment Model for Surgical Site Infections in Ambulatory Surgery Centers
Ebru K. Bish, Hadi El-Amine, Laura A. Steighner, Anthony D. Slonim
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10 May 2016, pp. S133-S141
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Background.
To understand how structural and process elements may affect the risk for surgical site infections (SSIs) in the ambulatory surgery center (ASC) environment, the researchers employed a tool known as socio-technical probabilistic risk assessment (ST-PRA). ST-PRA is particularly helpful for estimating risks in outcomes that are very rare, such as the risk of SSI in ASCs.
Objective.
Study objectives were to (1) identify the risk factors associated with SSIs resulting from procedures performed at ASCs and (2) design an intervention to mitigate the likelihood of SSIs for the most common risk factors that were identified by the ST-PRA for a particular surgical procedure.
Methods.
ST-PRA was used to study the SSI risk in the ASC setting. Both quantitative and qualitative data sources were utilized, and sensitivity analysis was performed to ensure the robustness of the results.
Results.
The event entitled “fail to protect the patient effectively” accounted for 51.9% of SSIs in the ambulatory care setting. Critical components of this event included several failure risk points related to skin preparation, antibiotic administration, staff training, proper response to glove punctures during surgery, and adherence to surgical preparation rules related to the wearing of jewelry, watches, and artificial nails. Assuming a 75% reduction in noncompliance on any combination of 2 of these 5 components, the risk for an SSI decreased from 0.0044 to between 0.0027 and 0.0035.
Conclusion.
An intervention that targeted the 5 major components of the major risk point was proposed, and its implications were discussed.

A Case of Munchausen Syndrome or Central Line–Associated Bloodstream Infection? Or Both?
Kenneth M. Zangwill, Cristina Marin, Hailong Vu
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10 May 2016, pp. 1550-1551
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Challenges in the Management of Infections due to Carbapenem-Resistant Enterobacteriaceae
Dimitri M. Drekonja, Susan E. Beekmann, Sean Elliott, Deepa Mukundan, Hari Polenakovik, Marnie E. Rosenthal, Pranita D. Tamma, Philip M. Polgreen, Scott J. Weissman
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10 May 2016, pp. 437-439
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Carbapenem-resistant Enterobacteriaceae (CRE) infections are increasing and are associated with considerable morbidity and mortality. Members of the Emerging Infections Network treating CRE encountered difficulties in obtaining laboratory results and struggled with limited treatment options. In addition, many treated patients experienced an alarming degree of drug toxicity from CRE therapies.

Converting Incidence and Prevalence Data: An Update to the Rule
Carina King, Paul Aylin, Alison Holmes
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10 May 2016, pp. 1432-1433
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Reduction in Clostridium difficile Infections among Neurosurgical Patients Associated with Discontinuation of Antimicrobial Prophylaxis for the Duration of External Ventricular Drain Placement
Timothy H. Dellit, Jeannie D. Chan, Charlotte Fulton, Ronald F. Pergamit, Elizabeth A. McNamara, Louis J. Kim, Richard G. Ellenbogen, John B. Lynch
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10 May 2016, pp. 589-590
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Identification of Clostridium difficile Ribotype 027 for the First Time in Mainland China
Pu Wang, Youlian Zhou, Zhongqiu Wang, Shan Xie, Ye Chen, Bo Jiang, Ting Zhang, Minyi Lin, Runhua Li, Jiasheng Tan
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10 May 2016, pp. 95-98
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Impact of Physicians’ Mindfulness Attitudes toward Prevention of Catheter-Associated Urinary Tract Infection
Anucha Apisarnthanarak, Pansachee Damronglerd, Atibordee Meesing, Sasinuj Rutjanawech, Thana Khawcharoenporn
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10 May 2016, pp. 1198-1200
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July Effect: Impact of the Academic Year-End Changeover on the Incidence of Healthcare-Associated Infections
Lauren M. DiBiase, David J. Weber, Emily E. Sickbert-Bennett, Clark Denniston, William A. Rutala
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10 May 2016, pp. 321-322
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Letter to the Editor regarding “Healthcare Personnel Attire in Non-Operating-Room Settings” by Bearman et al
Marisha Burden, Connie Price, Richard K. Albert
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10 May 2016, pp. 743-744
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The Importance of the Central Sterile Supply Department in Infection Prevention and Control
Debabrata Basu, Sanjay Bhattacharya, Aseem Mahajan, Venkata Raman Ramanan, Mammen Chandy
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10 May 2016, pp. 1312-1314
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Erratum
Sanjay Bhattacharya
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10 May 2016, p. 1552
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ICE volume 35 issue S3 Cover and Front matter
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10 May 2016, pp. f1-f4
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The Effectiveness of Routine Daily Chlorhexidine Gluconate Bathing in Reducing Klebsiella pneumoniae Carbapenemase–Producing Enterobacteriaceae Skin Burden among Long-Term Acute Care Hospital Patients
Michael Y. Lin, Karen Lolans, Donald W. Blom, Rosie D. Lyles, Shayna Weiner, Kavya B. Poluru, Nicholas Moore, David W. Hines, Robert A. Weinstein, Mary K. Hayden, Centers for Disease Control and Prevention Epicenter Program
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10 May 2016, pp. 440-442
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We evaluated the effectiveness of daily chlorhexidine gluconate (CHG) bathing in decreasing skin carriage of Klebsiella pneumoniae carbapenemase–producing Enterobacteriaceae (KPC) among long-term acute care hospital patients. CHG bathing reduced KPC skin colonization, particularly when CHG skin concentrations greater than or equal to 128 μg/mL were achieved.

Infection Prevention Control Bundle of Multidrug-Resistant Acinetobacter baumannii and Methicillin-Resistant Staphylococcus aureus: Which One Is More Important?
Anucha Apisarnthanarak, Linda M. Mundy
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10 May 2016, pp. 207-208
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Pseudo-Outbreak of Phaeoacremonium parasiticum from a Hospital Ice Dispenser
Molly Blake, John M. Embil, Elly Trepman, Heather Adam, Renelle Myers, Pam Mutcher
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10 May 2016, pp. 1063-1065
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In 31 patients, Phaeoacremonium parasiticum was recovered from bronchoscopy specimens (biopsies and aspirates). The pseudo-outbreak was caused by contaminated ice used to control hemorrhage during bronchoscopy and was associated with deficiencies in equipment cleaning. The bronchoscopy technique was modified, the ice dispenser was disinfected, bronchoscope reprocessing was improved, and there were no recurrences.
Infect Control Hosp Epidemiol 2014;35(8):1063–1065

Survey of Infection Prevention Informatics Use and Practitioner Satisfaction in US Hospitals
Part of:
- SHEA Research Network Collection
Max Masnick, Daniel J. Morgan, Marc-Oliver Wright, Michael Y. Lin, Lisa Pineles, Anthony D. Harris, SHEA Research Network
Published online by Cambridge University Press:

10 May 2016, pp. 891-893
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We surveyed hospital epidemiologists and infection preventionists on their usage of and satisfaction with infection prevention–specific software supplementing their institution’s electronic medical record. Respondents with supplemental software were more satisfied with their software’s infection prevention and antimicrobial stewardship capabilities than those without. Infection preventionists were more satisfied than hospital epidemiologists.
Infect Control Hosp Epidemiol 2014;35(7):891–893

Point Prevalence of Klebsiella pneumoniae Carbapenemase–Producing Enterobacteriaceae in Maryland
J. Kristie Johnson, Lucy E. Wilson, LiCheng Zhao, Katherine Richards, Kerri A. Thom, Anthony D. Harris, Maryland Multidrug-Resistant Organism Prevention Collaborative
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10 May 2016, pp. 443-445
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Redefining the National Healthcare Safety Network’s Definition of Catheter-Associated Urinary Tract Infections: The Hazard of Including Candida Species
Darcy Wooten, Jenifer Ramsey, Loren G. Miller
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10 May 2016, pp. 1433-1434
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Increase in Chlorhexidine Minimal Inhibitory Concentration of Acinetobacter baumannii Clinical Isolates after Implementation of Advanced Source Control
Anucha Apisarnthanarak, Li Yang Hsu, Tze-Peng Lim, Linda M. Mundy
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10 May 2016, pp. 98-99
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Volume 35 - 01 September 2014

Concise Communication

Original Article

Letter to the Editor

Letter

Concise Communication

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Research Briefs

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Letter to the Editor