Enteral Hyperalimentation as a Source of Nosocomial Infection J. THURN, K. CROSSLEY, A. GERDTS, M. MAKI, J. JOHNSON Section of Infectious Diseases, Department of Medicine, and Infection Control Department, St. Paul-Ramsey Medical Center, St. Paul, and University of Minnesota Medical School, Minneapolis, Minnesota

1990 ◽  
Vol 5 (5) ◽  
pp. 218-218
Author(s):  
Toni Havala
Keyword(s):  
Nosocomial Infection ◽  
Infectious Diseases ◽  
Infection Control ◽  
Medical School ◽  
Medical Center ◽  
University Of Minnesota ◽  
Enteral Hyperalimentation ◽  
Control Department

A Five-Year Study of Needlestick Injuries: Significant Reduction Associated With Communication, Education, and Convenient Placement of Sharps Containers

1992 ◽  
Vol 13 (5) ◽  
pp. 265-271 ◽  
Author(s):  
Donna J. Haiduven ◽  
Tammy M. DeMaio ◽  
David A. Stevens
Keyword(s):  
Infection Control ◽  
Patient Care ◽  
Healthcare Workers ◽  
Medical Center ◽  
Educational Programs ◽  
Needlestick Injuries ◽  
San Jose ◽  
Communication Education ◽  
Santa Clara Valley ◽  
Control Department

AbstractObjective:To decrease the numbers of needlesticks among healthcare workers.Design:All reported needlestick injuries at Santa Clara Valley Medical Center, San Jose, California, were reviewed, analyzed, and tabulated by the infection control department yearly from 1986 to 1990.Setting:A 588-bed county teaching hospital in San Jose, California, affiliated with Stanford University.Participants:All employees of Santa Clara Valley Medical Center who reported needlestick injuries on injury report forms.Interventions:From April to December 1987, more needle disposal containers were added to as many patient care areas and as close to the area of use as possible. Results of 1986, 1988, 1989, and 1990 analyses were communicated yearly to all personnel, extensive educational programs were conducted in 1987 and 1988, and educational efforts continued in 1989 and 1990.Results:In 1986, there were 259 needlestick injuries at our institution, 22% (32) from recapping. After needle disposal containers were added to all patient care areas, needlestick injuries for 1988 totalled 143, a 45% decrease in the total needlestick injuries and a 53% decrease in recapping injuries. Communication of results to all areas of the hospital and educational activities were started in 1987 and continued through the next 3 years. In 1989, there were 135 needlestick injuries, a decrease of 6% from 1988; recapping injuries decreased 40% from 1988. In 1990, there were 104 needlestick injuries, a 23% decrease since 1989, and a 33% decrease in recapping injuries. The total number of needlestick injuries from 1986 to 1990 decreased by 60%, and those injuries from recapping decreased by 81% to 89%.Conclusions:We have continued to monitor needlestick injuries, communicate findings to all personnel, and include needlestick prevention in educational programs. We contend that more convenient placement of needle disposal containers, communication of tidings, and education do decrease needlestick injuries in healthcare workers.

Healthcare Epidemiology Practicum Rotation for Postgraduate Physician Trainees in Medicine–Infectious Diseases

2013 ◽  
Vol 34 (10) ◽  
pp. 1114-1116
Author(s):  
Pranavi Sreeramoju ◽  
Maria Eva Fernandez-Rojas
Keyword(s):  
Infectious Diseases ◽  
Infection Control ◽  
Medical Center ◽  
Common Trunk ◽  
University Hospitals ◽  
Hospital System ◽  
University Of Texas ◽  
Core Rotation ◽  
The University ◽  
Healthcare Epidemiology

Practicum education in healthcare epidemiology and infection control (HEIC) for postgraduate physician trainees in infectious diseases is necessary to prepare them to be future participants and leaders in patient safety. Voss et al suggested that training in HEIC should be offered as a “common trunk” for physicians being trained in clinical microbiology or infectious diseases. A 1-month rotation has been recommended previously. A survey by Joiner et al indicated that only 50% of infectious diseases fellows found the infection control training adequate. The objective of this article is to report our 2-year experience with a 1-month practicum rotation we designed and implemented at our institution.The setting is the Adult Infectious Diseases fellowship program at the University of Texas Southwestern Medical Center (UTSW), Dallas, Texas. The fellows have clinical rotations at the Parkland Health and Hospital System, UTSW University hospitals, North Texas Veterans Affairs Health Care System, and Children's Medical Center Dallas. The 2-year program recruits 7 fellows every 2 years. The 1-month core rotation was established in July 2011 and is ongoing. Fellows who completed the rotation during the period July 2011 to April 2013 are included in this study.

scholarly journals Infection Control During Gastrointestinal Endoscopy

2007 ◽  
Vol 21 (1) ◽  
pp. 13-15 ◽  
Author(s):  
Douglas B Nelson ◽  
Paul C Adams
Keyword(s):  
Infection Control ◽  
Gastrointestinal Endoscopy ◽  
Medical Center ◽  
Lead Author ◽  
University Of Minnesota ◽  
Staff Physician ◽  
The Subject ◽  
The University ◽  
Society Guideline

Dr Douglas Nelson is a staff physician in the department of gastroenterology at the Minneapolis VA Medical Center (Minnesota, USA) and a Professor of Medicine at the University of Minnesota (USA). He has written numerous articles on the subject of infection control during gastrointestinal endoscopy, and was the lead author of the "Multi-society guideline for reprocessing flexible gastrointestinal endoscopes" (1).

Prevalence of Nosocomial Infection and Antibiotic Use at a University Medical Center in Malaysia

2005 ◽  
Vol 26 (1) ◽  
pp. 100-104 ◽  
Author(s):  
Andrew J. Hughes ◽  
Norliza Ariffin ◽  
Tan Lien Huat ◽  
Habibah Abdul Molok ◽  
Salbiah Hashim ◽  
...  
Keyword(s):  
Nosocomial Infection ◽  
Infection Control ◽  
Medical Center ◽  
Tertiary Care ◽  
Bloodstream Infections ◽  
Antibiotic Use ◽  
Developed Countries ◽  
High Rate ◽  
Antibiotic Prescribing ◽  
Tract Infections

AbstractBackground and Objective:Most reports of nosocomial infection (NI) prevalence have come from developed countries with established infection control programs. In developing countries, infection control is often not as well established due to lack of staff and resources. We exMnined the rate of N1 in our institution.Methods:A point-prevalence study of N1 and antibiotic prescribing was conducted. On July 16 and 17, 2001, all inpatients were surveyed for N1, risk factors, pathogens isolated, and antibiotics prescribed and their indication. NIs were diagnosed according to CDC criteria. Cost of antibiotic acquisition was calculated by treatment indication.Setting:Tertiary-care referral center in Malaysia.Patients:All inpatients during the time of the study.Results:Five hundred thirty-eight patients were surveyed. Seventy-five had 103 NIs for a prevalence of 13.9%. The most common NIs were urinary tract infections (12.29-6), pneumonia (21.4%), laboratory-confirmed bloodstream infections (12.2%), deep surgical wound infections (11.2%), and clinical sepsis (22.4%).Pseudomonas aeruginosa, MRSA, and MSSA were the most common pathogens. Two hundred thirty-seven patients were taking 347 courses of antibiotics, for an overall prevalence of antibiotic use of 44%. N1 treatment accounted for 36% of antibiotic courses prescribed but 47% of antibiotic cost. Cost of antibiotic acquisition for N1 treatment was estimated to be approximately 2 million per year (Malaysian dollars).Conclusion:Whereas the rate of N1 is relatively high at our center compared with rates from previous reports, antibiotic use is among the highest reported in any study of this kind. Further research into this high rate of antibiotic use is urgently required.

An Evaluation of Autopsy Review as a Technique for Infection Control: A Procedure of Questionable Value

1983 ◽  
Vol 4 (1) ◽  
pp. 29-30 ◽  
Author(s):  
Kent Crossley ◽  
Janice Johnson ◽  
Rebecca Mudge ◽  
Laura Crossley
Keyword(s):  
Nosocomial Infection ◽  
Infection Control ◽  
Medical Center ◽  
Control Program ◽  
Joint Commission ◽  
Hospital Infection ◽  
Infection Control Program ◽  
Hospital Infection Control ◽  
The Joint Commission

AbstractReview of necropsy reports for evidence of undiagnosed antemortem infection is included by the Joint Commission on Accreditation of Hospitals as an element of an effective hospital infection control program. We reviewed records of 155 patients autopsied at St. Paul-Ramsey Medical Center between January 1, 1980 and March 31, 1981. In 13 patients (8%), there was a discrepancy between documentation of infection during the patient's hospitalization and at autopsy. However, in none of these cases was this information useful in our infection control program. We doubt the effectiveness of necropsy review as a tool for nosocomial infection control.

scholarly journals 202. Implementation of an Outpatient Parenteral Antimicrobial Therapy (OPAT) Collaborative for Patients with Staphylococcus aureus or Gram-Negative Bacilli Bacteremia Requiring Home Infusion: The PANTHIR Program

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S105-S105
Author(s):  
Jennifer K Ross ◽  
Kimberly D Boeser ◽  
Dana Simonson ◽  
Malia Hain ◽  
Kristi Killelea ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Infectious Diseases ◽  
Antimicrobial Therapy ◽  
Medical Center ◽  
Academic Medical Center ◽  
Prolonged Treatment ◽  
High Morbidity ◽  
University Of Minnesota ◽  
Gram Negative ◽  
Home Infusion

Abstract Background Staphylococcus aureus (SA) and Gram-negative bacilli (GNB) bacteremia often require prolonged treatment courses due to high morbidity and mortality risk. Outpatient parenteral antibiotic therapy (OPAT) has emerged as a preferred delivery method. Few data have been published regarding the follow-up and adverse event rates among OPAT patients. We describe outcomes in patients with SA or GNB bacteremia transitioning from an academic medical center to home infusion, prompting the implementation of the Parenteral ANtimicrobial therapy Transitions to Home Infusion Review (PANTHIR) program. Methods A retrospective chart review of adult patients with SA or GNB bacteremia at the University of Minnesota Medical Center requiring home infusion represent a 26-month period. Baseline outcomes, including 30-day hospital readmissions and adverse drug events (ADEs), were calculated. The PANTHIR program was launched as an interdisciplinary collaborative with an infectious diseases (ID) provider, pharmacists, and home infusion specialists. Core program elements include inpatient identification, ID pharmacist review, care plan documentation and communication, and OPAT program measures. Results The retrospective cohort included 69 patients. 23.2% experienced a hospitalization within 30 days of discharge and 26.1% experienced an ADE (Table 1). The mean duration of therapy was 22 days. No patient received aminoglycosides and one required vancomycin. A primary goal was to improve the continuity of care for potentially life-threatening bacteremia during the vulnerable inpatient to outpatient transition. Electronic health record functionality allowed for creation of an OPAT navigator for infectious diseases (ID) pharmacist transition plan documentation, electronic communication with designated provider and home infusion pharmacist, and retrieval of focal data points for ongoing program evaluation. 28 patients have been enrolled in the PANTHIR program with outcomes data collection underway. Table 1. Retrospective data among University of Minnesota Medical Center patients hospitalized with SA or GNB bacteremia requiring home infusion on discharge. Conclusion Hospital readmission rates and ADEs are frequent among patients with SA or GNB bacteremia requiring OPAT via home infusion. An ID pharmacist-directed program in collaboration with an ID provider is feasible for OPAT transitions and may serve as a roadmap for other institutions. Disclosures Dana Simonson, PharmD, BCPS, Janssen (Advisor or Review Panel member, Other Financial or Material Support, Webinar Series Speaker Fall 2019)

scholarly journals 494. COVID-19 Outbreak: A Tale of Two Psych Units

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S313-S314
Author(s):  
Marilou Corpuz ◽  
Ruchika Jain ◽  
Gregory Weston ◽  
Priya Nori ◽  
Priya Nori ◽  
...  
Keyword(s):  
Infection Control ◽  
Medical Center ◽  
Early Period ◽  
Index Patient ◽  
Structural Aspect ◽  
Practice Change ◽  
Mitigation Strategies ◽  
Inpatient Psychiatry ◽  
Control And Prevention ◽  
Infection Control And Prevention

Abstract Background COVID infections in inpatient psychiatry units present unique challenges during the pandemic, including behavioral characteristics of the patients, structural aspect of the unit, type of therapy for the patients. We present COVID outbreaks in psychiatry units in two hospitals in our medical center in Bronx, NY, and describe our mitigation strategies. Methods Hosp A: In the early period of the pandemic in NY, 2 patients in the inpatient psychiatry unit tested positive for SARS-CoV-2 PCR. The unit was temporarily closed to new admissions. Hosp B: On 4/1, one of the patients in a 22 bed Psych unit, admitted since 3/10/20, developed fever, cough and tested positive for COVID-19 PCR. Two of her close contacts tested positive for SARS-COV-2 PCR. Results Hospital A: In total, 5 of the 29 patients (17.2%) in the unit were SARS-CoV-2 positive, all of whom were asymptomatic. Hospital B: Testing of the remaining patients showed positive PCR in 10/14. PCR tests of healthcare workers (HCW) were positive in 13/46. Except for the index patient, all the patients were asymptomatic but 32/46 HCW reported symptoms. One negative patient subsequently turned positive. Infection control and prevention strategies instituted in both hospitals were the same with subtle differences due to dissimilar burden of infection and structure of the units. Table 1 shows the timing of the outbreak and the rapid institution of preventive measures in each of the hospitals. There was still difficulty with patients regarding adherence. Some of the patients refused to stay in isolation and would roam. Compliance with masking and hand hygiene was problematic. Communication was of paramount importance. Multiple meetings were held between the Psychiatry staff, Infection Control and Prevention team, executive leadership of the hospital. Environmental Services and Engineering were also involved. Communications with the NY State Department of Health occurred frequently. Conclusion Strategies for management of COVID-19 patients in inpatient psychiatric units depends on the density of infected patients in the hospital and in the community. The implementation of practice change may need to be rapidly adjusted depending on the situation and available resources. Contingency plans should be formulated early on. Disclosures Gregory Weston, MD MSCR, Allergan (Grant/Research Support)

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