Requirements for Infection Control Education and Practice Compliance Established for Physicians and Other Healthcare Workers in Minnesota

AbstractObjective:The four hospitals assessed in this study use active surveillance cultures for methicillin-resistantStaphylococcus aureus(MRSA) and contact precautions for MRSA-positive patients as part of routine infection control practices. The objective of this study was to determine whether nosocomial acquisition of MRSA decreased in these hospitals during an outbreak of severe acute respiratory syndrome (SARS) when barrier precautions were routinely used for all patients.Design:Retrospective cohort study.Setting:Three tertiary-care hospitals (a 1,100-bed hospital; a 500-bed hospital; and an 823-bed hospital) and a 430-bed community hospital, each located in Toronto, Ontario, Canada.Patients:All admitted patients were included.Results:The nosocomial rate of MRSA in all four hospitals combined during the SARS outbreak (3.7 per 10,000 patient-days) was not significantly different from that before (4.7 per 10,000 patient-days) or after (3.4 per 10,000 patient-days) the outbreak (P= .30 andP= .76, respectively). The nosocomial rate of MRSA after the outbreak was significantly lower than that before the outbreak (P= .003). Inappropriate reuse of gloves and gowns and failure to wash hands between patients on non-SARS wards were observed during the outbreak. Increased attention was paid to infection control education following the outbreak.Conclusions:Inappropriate reuse of gloves and gowns and failure to wash hands between patients may have contributed to transmission of MRSA during the SARS outbreak. Attention should be paid to training healthcare workers regarding the appropriate use of precautions as a means to protect themselves and patients.

Download Full-text

Impact of Infection Prevention and Control Education Program on Improving Knowledge, Attitude and Practices of the Healthcare Staff in Hemodialysis Unit at Egyptian Tertiary Care Facility

Asian Journal of Medicine and Health ◽

10.9734/ajmah/2019/v14i430109 ◽

2019 ◽

pp. 1-11

Author(s):

Marwa Ahmed Abdelwahab ◽

Eman Abdel Raheem Labah ◽

Laila Mahmoud Sayed ◽

Mohamed Mokhtar Elbedwey ◽

Heba Mohamed Gabr

Keyword(s):

Infection Control ◽

Education Program ◽

Prevention And Control ◽

Healthcare Workers ◽

Infection Prevention ◽

Phase Iii ◽

Infection Prevention And Control ◽

Hemodialysis Unit ◽

Control Education ◽

And Control

Objective: Infection is a leading cause of hospitalization and the second most common cause of mortality among hemodialysis (HD) patients. The aim of this study is to assess the impact of infection prevention and control education program on improving healthcare workers knowledge, attitude and practices and reducing incidence of infection in the hemodialysis unit. Methodology: All patients and healthcare workers in the unit within the study period were included. This study was conducted through 3 phases; Phase I: base line survey for assessment of infection prevention and control knowledge, attitude and practices among healthcare workers, Phase II: Intervention that included infection control standardized education program followed by post education survey. Phase III: Implementation of infection control program was done associated with assessment of blood born viruses (HCV, HBV & HIV) and monitoring patients for fever and/or local signs of inflammation at catheter exit or at skin around shunt to be subjected to blood culture. Results: Health care workers knowledge, attitude and practices of infection prevention and control before intervention were unsatisfactory followed by significant improvement reflecting the effectiveness of such interventions. Regarding incidence of infection there were three cases of blood stream infections; two of them were multidrug resistant organisms (MDROs) and no reported cases of seroconverion for HIV, HCV or HBV during study period. Conclusion: Lack of knowledge about infection prevention and control practices in hemodialysis unit could be significantly improved by standardized education program which results in reducing incidence of infections in such units.

Download Full-text

Mandatory Infection Control Education for Healthcare Workers in Florida

Infection Control and Hospital Epidemiology ◽

10.1086/646772 ◽

1993 ◽

Vol 14 (7) ◽

pp. 447-447

Author(s):

C. Glen Mayhall ◽

Murray D. Batt ◽

Edward S. Wong

Keyword(s):

Infection Control ◽

Healthcare Workers ◽

Control Education

Download Full-text

Infection Control Education Required for Healthcare Workers in New York State

Infection Control and Hospital Epidemiology ◽

10.1017/s0195941700012054 ◽

1993 ◽

Vol 14 (6) ◽

pp. 355-355

Author(s):

C. Glen May-Hall ◽

Murray D. Batt ◽

Edward S. Wong

Keyword(s):

New York ◽

Infection Control ◽

Healthcare Workers ◽

New York State ◽

York State ◽

Control Education

Download Full-text

Infection Control Education Required for Healthcare Workers in New York State

Infection Control and Hospital Epidemiology ◽

10.1017/s0899823x00091340 ◽

1993 ◽

Vol 14 (6) ◽

pp. 355-355

Author(s):

C. Glen May-Hall ◽

Murray D. Batt ◽

Edward S. Wong

Keyword(s):

New York ◽

Infection Control ◽

Healthcare Workers ◽

New York State ◽

York State ◽

Control Education

Download Full-text

Knowledge of COVID-19 infection control among healthcare workers in radiology departments in Saudi Arabia

Journal of Radiation Research and Applied Sciences ◽

10.1080/16878507.2020.1856587 ◽

2020 ◽

pp. 1-10

Author(s):

Rowa Aljondi ◽

Salem Saeed Alghamdi ◽

Ikhlas Abdelaziz ◽

Lubna Bushara ◽

Somayah Alghamdi ◽

...

Keyword(s):

Saudi Arabia ◽

Infection Control ◽

Healthcare Workers

Download Full-text

Evaluation of a home-based 7-day infection control strategy for healthcare workers following high-risk exposure to severe acute respiratory coronavirus virus 2 (SARS-CoV-2): A cohort study

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2020.1389 ◽

2020 ◽

pp. 1-4

Author(s):

Carla Benea ◽

Laura Rendon ◽

Jesse Papenburg ◽

Charles Frenette ◽

Ahmed Imacoudene ◽

...

Keyword(s):

High Risk ◽

Infection Control ◽

Control Strategy ◽

Healthcare Workers ◽

Control Strategies ◽

Risk Exposure ◽

Nasopharyngeal Swab ◽

Home Based ◽

Respiratory Coronavirus ◽

Second Wave

Abstract Objective: Evidence-based infection control strategies are needed for healthcare workers (HCWs) following high-risk exposure to severe acute respiratory coronavirus virus 2 (SARS-CoV-2). In this study, we evaluated the negative predictive value (NPV) of a home-based 7-day infection control strategy. Methods: HCWs advised by their infection control or occupational health officer to self-isolate due to a high-risk SARS-CoV-2 exposure were enrolled between May and October 2020. The strategy consisted of symptom-triggered nasopharyngeal SARS-CoV-2 RNA testing from day 0 to day 7 after exposure and standardized home-based nasopharyngeal swab and saliva testing on day 7. The NPV of this strategy was calculated for (1) clinical coronavirus disease 2019 (COVID-19) diagnosis from day 8–14 after exposure, and for (2) asymptomatic SARS-CoV-2 detected by standardized nasopharyngeal swab and saliva specimens collected at days 9, 10, and 14 after exposure. Interim results are reported in the context of a second wave threatening this essential workforce. Results: Among 30 HCWs enrolled, the mean age was 31 years (SD, ±9), and 24 (80%) were female. Moreover, 3 were diagnosed with COVID-19 by day 14 after exposure (secondary attack rate, 10.0%), and all cases were detected using the 7-day infection control strategy: the NPV for subsequent clinical COVID-19 or asymptomatic SARS-CoV-2 detection by day 14 was 100.0% (95% CI, 93.1%–100.0%). Conclusions: Among HCWs with high-risk exposure to SARS-CoV-2, a home-based 7-day infection control strategy may have a high NPV for subsequent COVID-19 and asymptomatic SARS-CoV-2 detection. Ongoing data collection and data sharing are needed to improve the precision of the estimated NPV, and here we report interim results to inform infection control strategies in light of a second wave threatening this essential workforce.

Download Full-text