scholarly journals Investigation of healthcare infection risks from water-related organisms: Summary of CDC consultations, 2014—2017

2019 ◽  
Vol 40 (6) ◽  
pp. 621-626 ◽  
Author(s):  
Kiran M. Perkins ◽  
Sujan C. Reddy ◽  
Ryan Fagan ◽  
Matthew J. Arduino ◽  
Joseph F. Perz
Keyword(s):  
Medical Devices ◽  
Healthcare Delivery ◽  
Healthcare Facilities ◽  
Exposure Pathways ◽  
Water Exposure ◽  
Healthcare Settings ◽  
Water Splash ◽  
Control And Prevention ◽  
Patients At Risk ◽  
Healthcare Associated

AbstractObjective:Water exposures in healthcare settings and during healthcare delivery can place patients at risk for infection with water-related organisms and can potentially lead to outbreaks. We aimed to describe Centers for Disease Control and Prevention (CDC) consultations involving water-related organisms leading to healthcare-associated infections (HAIs).Design:Retrospective observational study.Methods:We reviewed internal CDC records from January 1, 2014, through December 31, 2017, using water-related terms and organisms, excluding Legionella, to identify consultations that involved potential or confirmed transmission of water-related organisms in healthcare. We determined plausible exposure pathways and routes of transmission when possible.Results:Of 620 consultations during the study period, we identified 134 consultations (21.6%), with 1,380 patients, that involved the investigation of potential water-related HAIs or infection control lapses with the potential for water-related HAIs. Nontuberculous mycobacteria were involved in the greatest number of investigations (n = 40, 29.9%). Most frequently, investigations involved medical products (n = 48, 35.8%), and most of these products were medical devices (n = 40, 83.3%). We identified a variety of plausible water-exposure pathways, including medication preparation near water splash zones and water contamination at the manufacturing sites of medications and medical devices.Conclusions:Water-related investigations represent a substantial proportion of CDC HAI consultations and likely represent only a fraction of all water-related HAI investigations and outbreaks occurring in US healthcare facilities. Water-related HAI investigations should consider all potential pathways of water exposure. Finally, healthcare facilities should develop and implement water management programs to limit the growth and spread of water-related organisms.

Healthcare Settings

2019 ◽  
pp. 341-362 ◽  
Author(s):  
Bryan E. Christensen ◽  
Ryan P. Fagan
Keyword(s):  
Urinary Tract ◽  
Respiratory Tract ◽  
Medical Devices ◽  
Disease Transmission ◽  
Healthcare Setting ◽  
Healthcare Settings ◽  
Outbreak Investigations ◽  
Mode Of Transmission ◽  
Healthcare Associated ◽  
General Community

Healthcare-associated infections (e.g., bloodstream, respiratory tract, urinary tract, or surgical site) can be common in patients. Patients receiving acute and chronic healthcare across various settings, such as hospitals, dialysis clinics, and nursing homes, tend to have comorbidities that make them more susceptible to infection than their counterparts in the general community. Also, some pathogens may be more likely to cause infection in healthcare settings because of the unique exposures that patients can experience, such as invasive procedures or indwelling medical devices. Similar to community outbreak investigations, the primary purpose of an investigation in a healthcare setting is to determine the source of the outbreak, define mode of transmission, disrupt disease transmission, and prevent further transmission.

scholarly journals Can ventilation in healthcare facilities prevention of infection COVID-19?

2021 ◽  
Vol 2 (1) ◽  
pp. 96-102
Author(s):  
Abdolmajid Fadaei ◽  
Keyword(s):  
Pubmed Central ◽  
Healthcare Facilities ◽  
Prevention Of Infection ◽  
Beneficial Effects ◽  
Healthcare Settings ◽  
Global Pandemic ◽  
Effective Ventilation ◽  
Human Viruses ◽  
Air Conditioning Systems ◽  
Healthcare Associated

Currently, (2019-2020) COVID-19 global pandemic is caused by a member of the Coronaviridae group. Some human viruses are spread from human to human by way of droplets or aerosols, but fewer viruses are persistently airborne in transmission, and the healthcare-associated epidemic of airborne viral infection are restricted to very few surrogates. The prevention of air pollutants (i.e., biological, particles, chemicals, and smoke) at the resource has the highest efficiency to keep safe air. In addition, it is one of the most efficient tools (i.e. the second one) for preventing inside air pollution through ventilation. To our aim was to perform a rapid literature review to answer the following question: does ventilation in healthcare facilities prevention of infection COVID-19? We systematically searched Embase, PubMed/MEDLINE, Scopus, PubMed Central (PMC), Google Scholar databases as well as medRxiv by using the following key-words: ‘COVID-19’, ‘healthcare settings’, ‘prevention’, ‘ventilation’, ‘Hospital, ‘Infection’, and ‘Air changes per hour. A total of 26 eligible articles were identified. The literature denotes that temperature, relative humidity, and ventilation and air conditioning systems have beneficial effects to prevent COVID-19 infection. Thus, based on recommendations of CDC, WHO, and other studies effective ventilation is the most important transmission of respiratory disease control strategy, specially COVID-19.

scholarly journals Effectiveness of autoclaving in sterilizing reusable medical devices in healthcare facilities

2019 ◽  
Vol 13 (10) ◽  
pp. 858-864 ◽  
Author(s):  
Gopal Panta ◽  
Ann K Richardson ◽  
Ian C Shaw
Keyword(s):  
Developing Countries ◽  
Medical Devices ◽  
Cost Effective ◽  
Biological Indicators ◽  
Healthcare Associated Infections ◽  
Steam Sterilization ◽  
Healthcare Facilities ◽  
Clinical Procedures ◽  
Cost Effective Method ◽  
Healthcare Associated

Medical devices are sterilized before being used for invasive clinical procedures such as surgery, to prevent pathogen transfer. Failure to sterilize medical devices properly presents a risk of healthcare-associated infections. Studies and reports have indicated that inadequately sterilized medical devices are one of the causes of a higher rate of healthcare-associated infections in developing countries. Steam sterilization (autoclaving) is the most widely used method for sterilization and is considered the most robust and cost-effective method for sterilization of medical devices. The effectiveness of steam sterilization can be measured using biological indicators. A literature search was undertaken to understand the effectiveness of autoclaving in sterilizing reusable medical devices in healthcare facilities across the globe. Studies using biological indicators for measuring the effectiveness of autoclaving were obtained. Failures of steam sterilization practices were identified and discussed as a means of identifying factors that might be associated with the ineffectiveness of steam sterilization practices between different countries. The number of studies measuring the effectiveness of steam sterilization is small, and few evaluate the effectiveness of steam sterilization specifically in developing countries. There are fewer studies on higher level healthcare facilities than dental facilities. More evidence about the effectiveness of autoclaving in healthcare facilities is needed to draw firm conclusions, but the data suggest that there are inadequacies in autoclave procedures and operator education.

scholarly journals Foundations of the Severe Acute Respiratory Syndrome Preparedness and Response Plan for Healthcare Facilities

2004 ◽  
Vol 25 (12) ◽  
pp. 1020-1025 ◽  
Author(s):  
Arjun Srinivasan ◽  
Lawrence C. McDonald ◽  
Daniel Jernigan ◽  
Rita Helfand ◽  
Kathleen Ginsheimer ◽  
...  
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Healthcare Facility ◽  
Lessons Learned ◽  
Healthcare Facilities ◽  
Airborne Infection ◽  
Healthcare Settings ◽  
Control And Prevention ◽  
Response Plan ◽  
Healthcare Administrators ◽  
Staffing Needs

AbstractObjective:To help facilities prepare for potential future cases of severe acute respiratory syndrome (SARS).Design and Participants:The Centers for Disease Control and Prevention (CDC), assisted by members of professional societies representing public health, healthcare workers, and healthcare administrators, developed guidance to help facilities both prepare for and respond to cases of SARS.Interventions:The recommendations in the CDC document were based on some of the important lessons learned in healthcare settings around the world during the SARS outbreak of 2003, including that (1) a SARS outbreak requires a coordinated and dynamic response by multiple groups; (2) unrecognized cases of SARS-associated coronavirus are a significant source of transmission; (3) restricting access to the healthcare facility can minimize transmission; (4) airborne infection isolation is recommended, but facilities and equipment may not be available; and (5) staffing needs and support will pose a significant challenge.Conclusions:Healthcare facilities were at the center of the SARS outbreak of 2003 and played a key role in controlling the epidemic. Recommendations in the CDC's SARS preparedness and response guidance for healthcare facilities will help facilities prepare for possible future outbreaks of SARS.

scholarly journals Detection of Possible Medical Product-Related Infection or Pathogen Transmission—United States, 2015–2019

2020 ◽  
Vol 41 (S1) ◽  
pp. s30-s31
Author(s):  
Isaac Benowitz ◽  
Joseph Perz ◽  
Julia Marders
Keyword(s):  
Public Health ◽  
Infection Control ◽  
Medical Devices ◽  
Medical Product ◽  
Pathogen Transmission ◽  
Healthcare Associated Infections ◽  
Healthcare Facilities ◽  
Biological Products ◽  
Medical Products ◽  
Healthcare Associated

Background: Medications, medical devices, biological products, and other medical products can cause healthcare-associated infections related to contamination in production or transportation (intrinsic contamination) or contamination at the point of use (extrinsic contamination). Rapid identification of contaminated medical products can lead to actions to decrease further patient harm. We sought to describe events that prompted public health investigations of contaminated medical products in healthcare facilities. Methods: We reviewed records of CDC consultations with health departments and healthcare facilities from January 2015 through August 2019 to identify public health investigations in which medical products were identified as a likely source of patient infection or pathogen transmission to at least 1 patient. We collected data on products, contamination type, pathogens, route of patient exposure, healthcare setting where exposure occurred, and resulting actions. Results: There were 34 investigations involving medications (n = 15, 44%), medical devices (n = 12, 35%), biological products (n = 3, 9%), and other medical products (n = 4, 12%). Intrinsic contamination was suspected in 15 investigations (44%), with 13 (87%) based on isolation of a pathogen from unopened products and 2 (13%) based on isolation of similar pathogens from patients in contact with a medical product at multiple facilities. Extrinsic contamination was suspected in 19 investigations (56%) based on evidence of pathogen transmission at a single healthcare facility and concurrent infection control gaps at that facility supporting a mechanism of contamination. The most common pathogens prompting investigation were nontuberculous mycobacteria (n = 9, 26%), Burkholderia spp (n = 7, 21%), Klebsiella spp (n = 3, 9%), Serratia spp (n = 2, 6%), and other environmental and commensal organisms. Patients were most commonly exposed in hospitals (n = 19, 56%) and outpatient settings (n = 9, 26%). The most common patient exposures that resulted in transmission of the pathogen were infusions and injections (n = 15, 44%), diagnostic and therapeutic procedures (n = 9, 26%), and surgery (n = 5, 15%). Patient were notified and offered testing in at least 6 investigations (18%) . Interventions included product removal, healthcare provider alerts, patient notification and testing, modification of injection safety practices and other general infection control practices, correction of improper storage and handling, and changes in product design, manufacturing processes, or instructions for use. Conclusions: Public health investigations identified intrinsic and extrinsic contamination of medications, devices, and other products as a cause of healthcare-associated infections. Healthcare facilities should consider contaminated products in investigations of healthcare-associated infections, take steps to identify local infection control concerns, and alert public health authorities to events that could suggest widespread contamination.Funding: NoneDisclosures: None

COVID-19: The Importance of Adequate Personal Protective Equipment in Healthcare Medical Staff

2020 ◽  
Author(s):  
Anne Weissenstein
Keyword(s):  
Health Care ◽  
Personal Protective Equipment ◽  
Health Care Services ◽  
Infection Prevention And Control ◽  
Protective Equipment ◽  
Emotional Resilience ◽  
Healthcare Facilities ◽  
Care Services ◽  
Healthcare Settings ◽  
And Control

We present an update on infection prevention and control for COVID-19 in healthcare settings. This update focuses on measures to be applied in settings with increasing community transmission, growing demand for concern about COVID-19 patients, and subsequent staffing issues in the event of shortages of personal protective equipment for healthcare facilities worldwide. The comfort and emotional resilience of health care workers are key components in maintaining essential health care services during the COVID-19 virus (coronavirus) outbreak.

scholarly journals Compliance with Standard Precautions and Its Relationship with Views on Infection Control and Prevention Policy among Healthcare Workers during COVID-19 Pandemic

2021 ◽  
Vol 18 (7) ◽  
pp. 3420
Author(s):  
Eliza Lai-Yi Wong ◽  
Kin-Fai Ho ◽  
Dong Dong ◽  
Annie Wai-Ling Cheung ◽  
Peter Sen-Yung Yau ◽  
...  
Keyword(s):  
High Risk ◽  
Infection Control ◽  
High Risk Group ◽  
Infection Prevention And Control ◽  
Prevention Policy ◽  
Standard Precautions ◽  
Healthcare Settings ◽  
Control And Prevention ◽  
And Control ◽  
Infection Control And Prevention

Background: Standard precautions prevent the spread of infections in healthcare settings. Incompliance with infection control guidelines of healthcare workers (HCWs) may increase their risk of exposure to infectious disease, especially under pandemics. The purpose of this study was to assess the level of compliance with the infection prevention and control practices among HCWs in different healthcare settings and its relationship with their views on workplace infection control measures during the COVID-19 pandemic. Methods: Nurses in Hong Kong were invited to respond to a cross-sectional online survey, in which their views on workplace infection and prevention policy, compliance with standard precautions and self-reported health during pandemics were collected. Results: The respondents were dissatisfied with workplace infection and prevention policy in terms of comprehensiveness (62%), clarity (64%), timeliness (63%), and transparency (60%). For the protective behavior, the respondents did not fully comply with the standard precautions when they were involved in medical care. Their compliance was relatively low when having proper patient handling (54%) and performing invasive procedures (46%). A multivariate analysis model proved that the level of compliance of the standard precautions was positively associated with the satisfaction on infection control and prevention policy among high risk group (0.020; 95% CI: 0.005–0.036), while older respondents had higher level of compliance among the inpatient and outpatient groups (coefficient range: 0.065–0.076). The higher level of compliance was also significantly associated with working in designated team and having chronic condition of the respondents among high-risk and inpatient groups. Conclusions: Standard precautions are the most important elements to reduce cross-transmission among HCWs and patients while the satisfaction on infection control and prevention policy would increase the compliance among the high-risk group. An overall suboptimal compliance and poor views on the infection prevention and control guidelines is a warning signal to healthcare system especially during pandemics.

scholarly journals “Just So You Know, It Has Been Hard”: Food Retailers’ Perspectives of Implementing a Food and Nutrition Policy in Public Healthcare Settings

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 2053
Author(s):  
Kristy Karying. Law ◽  
Claire Elizabeth. Pulker ◽  
Janelle Diann. Healy ◽  
Christina Mary. Pollard
Keyword(s):  
Nutrition Policy ◽  
Public Healthcare ◽  
Healthcare Facilities ◽  
Voluntary Standards ◽  
Policy Success ◽  
Healthcare Settings ◽  
Food Retailers ◽  
Food And Nutrition ◽  
The Cost ◽  
Public Health Practitioners

Mandated policies to improve food environments in public settings are an important strategy for governments. Most Australian governments have mandated policies or voluntary standards for healthy food procurement in healthcare facilities, however, implementation and compliance are poor. A better understanding of the support required to successfully implement such policies is needed. This research explored food retailers’ experiences in implementing a mandated food and nutrition policy (the Policy) in healthcare settings to identify barriers, enablers, and impacts of compliance. Three 90-min workshops facilitated by two public health practitioners were undertaken with 12 food retailers responsible for operating 44 outlets across four hospitals in Perth, Western Australia. Workshop discussions were transcribed non-verbatim and inductive thematic content was analyzed. Three main themes were identified: (1) food retailers had come to accept their role in implementing the Policy; (2) the Policy made it difficult for food retailers to operate successfully, and; (3) food retailers needed help and support to implement the Policy. Findings indicate the cost of implementation is borne by food retailers. Communications campaigns, centralized databases of classified products, reporting frameworks, recognition of achievements, and dedicated technical expertise would support achieving policy compliance. Feasibility assessments prior to policy implementation are recommended for policy success.

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