scholarly journals Environmental Microbial Contamination during Cystic Fibrosis Group-Based Psychotherapy

2021 ◽  
Vol 18 (3) ◽  
pp. 1142
Author(s):  
Martina Rossitto ◽  
Paola Tabarini ◽  
Vanessa Tuccio Guarna Assanti ◽  
Enza Montemitro ◽  
Arianna Pompilio ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Infection Control ◽  
Group Psychotherapy ◽  
Environmental Contamination ◽  
Pulmonary Infections ◽  
Standard Precautions ◽  
Restricted Environment ◽  
Infection Control Guidelines ◽  
Group Sharing

Living with cystic fibrosis (CF) exposes patients to the risk of developing anxiety and depression, with therapeutic compliance reduction, hospitalization increase, and quality of life and health outcomes deterioration. As pulmonary infections represent the major cause of morbidity and mortality in patients with CF, environmental contamination due to droplet dispersion and the potential transmission from environment to such patients should be prevented. Therefore, in-person contact, including group-based psychotherapy, are strongly discouraged. Nevertheless, group sharing of disease-related experiences represents a way to recover the inner resources essential for dealing with a chronic pathology. Keeping in mind the guidelines for infection control, the aim of this study is to evaluate the risk of the dissemination of microorganisms in a restricted environment where patients with CF attend group psychotherapy sessions. Five patients, selected according to their microbiological status, attended 32 group-based psychological/psychoanalytic meetings. Before each session, they were asked to observe the infection control recommendations. Microbiological environmental monitoring (MEM) has been performed to evaluate both air and surface contamination. As reported, a strict observation of standard precautions allows one to avoid environmental contamination by pathogens of the CF respiratory tract. Although infection control guidelines discourage group-based psychological/psychoanalytic interventions, our observations report the feasibility and safety of group psychotherapy when strict precautions are taken.

Dentists' Perspectives on Infection Control in Relation to Blood-borne Viruses

2008 ◽  
Vol 14 (1) ◽  
pp. 82
Author(s):  
K. M. Jenkinson ◽  
M. Temple-Smith ◽  
J. Lavery ◽  
S. M. Gifford ◽  
M. Morgan
Keyword(s):  
Infection Control ◽  
Thematic Analysis ◽  
Poor Compliance ◽  
Dental Practice ◽  
Structured Interviews ◽  
Standard Precautions ◽  
Australian Health ◽  
Health Practitioners ◽  
Infection Control Guidelines ◽  
Purposive Sample

The prevalence of blood-borne viruses (BBV) continues to increase in Australia, as does the need for vigilant infection control. Despite this, some Australian health practitioners demonstrate poor compliance with recommended infection control practices. The aim of this study was to examine the experiences and attitudes of dentists regarding infection control, patients with BBV, occupational risk, and related matters, and identify reasons for non-compliance with infection control guidelines. A purposive sample of 25 Victorian dentists took part in semi-structured interviews between November 2003 and November 2004. Interviews were taped, transcribed and coded for thematic analysis. The majority of participants expressed compliance with standard precautions; however, many admitted to changing their routine infection control practices for patients known or assumed to have a BBV. Approximately half disclosed minor changes, such as double gloving; a small minority reported having treated people with a BBV at the end of a session. Most participants experienced apprehension about the risk of occupational exposure to BBV and admitted this as the reason for changing infection control practices. Reasons offered by participants for poor compliance included ignorance of either the effectiveness of standard precautions or BBV transmission, or confusion and frustration regarding inadequate or impractical infection control guidelines. It is suggested that infection control guidelines be specifically designed for dental practice, and that these be promoted in both undergraduate dental education and professional development.

scholarly journals Management of chronic Pseudomonas aeruginosa infection with inhaled levofloxacin in people with cystic fibrosis

2021 ◽  
Author(s):  
J Stuart Elborn ◽  
Patrick A Flume ◽  
Donald R Van Devanter ◽  
Claudio Procaccianti
Keyword(s):  
Quality Of Life ◽  
Cystic Fibrosis ◽  
Pseudomonas Aeruginosa ◽  
Lung Function ◽  
Standard Care ◽  
Bacterial Infections ◽  
Pulmonary Infections ◽  
Pseudomonas Aeruginosa Infection

People with cystic fibrosis (CF) are highly susceptible to bacterial infections of the airways. By adulthood, chronic Pseudomonas aeruginosa ( Pa) is the most prevalent infective organism and is difficult to eradicate owing to its adaptation to the CF lung microenvironment. Long-term suppressive treatment with inhaled antimicrobials is the standard care for reducing exacerbation frequency, improving quality of life and increasing measures of lung function. Levofloxacin (a fluoroquinolone antimicrobial) has been approved as an inhaled solution in Europe and Canada, for the treatment of adults with CF with chronic P. aeruginosa pulmonary infections. Here, we review the clinical principles relating to the use of inhaled antimicrobials and inhaled levofloxacin for the management of P. aeruginosa infections in patients with CF.

KHA-CARI guidelines: infection control for haemodialysis units — a summary review

2019 ◽  
Vol 15 (2) ◽  
pp. 47-52
Author(s):  
Debbie Fortnum ◽  
Wendi Bradshaw
Keyword(s):  
Infection Control ◽  
Infection Prevention ◽  
Clinical Care ◽  
Standard Precautions ◽  
Dialysis Unit ◽  
High Quality Evidence ◽  
Key Points ◽  
Quality Health ◽  
Infection Control Guidelines ◽  
Positive Results

Context The latest KHA-CARI guidelines provide recommendations on screening for and management of blood-borne viruses (BBV) and multi-resistant organisms (MRO). The Guidelines comprise almost 80 pages, and include detailed practical advice related to clinical infection prevention, management considerations, and the working party’s evidence sourcing methodologies. Objectives To outline the format and content of the guidelines, summarising key points as relevant to nursing practice within haemodialysis units. To review the key points in the guidelines in regard to standard precautions, routine and enhanced surveillance screening, management of patients with positive results for BBV and MRO, environmental and equipment use and cleaning, use of personal protective equipment, and suggestions for clinical care. To highlight how the guidelines can support a dialysis unit in meeting relevant standards in the accreditation process. Key findings The KHA-CARI guidelines governing infection control in Australian and New Zealand haemodialysis units are detailed and evidence-based, and if adopted within an appropriate clinical governance framework, provide a comprehensive approach toward unit-based infection control that supports compliance with a number of the eight Australian National Safety and Quality Health Service (NSQHS) standards. Patient-centred care and implementation impact is a key focus of the guidelines, although they highlight limitations imposed by gaps in evidential knowledge. Conclusion The KHA-CARI infection control guidelines provide a high-quality, evidence-focused and detailed review of recommendations in regard to preventing and managing BBV and MRO infections in dialysis units. They align with NSQHS accreditation standards.

scholarly journals Infection Control in Cystic Fibrosis

2004 ◽  
Vol 17 (1) ◽  
pp. 57-71 ◽  
Author(s):  
Lisa Saiman ◽  
Jane Siegel
Keyword(s):  
Health Care ◽  
Cystic Fibrosis ◽  
Respiratory Tract ◽  
Infection Control ◽  
Burkholderia Cepacia ◽  
Consensus Conference ◽  
Care Providers ◽  
Standard Precautions ◽  
Care Workers ◽  
Potential Impact

SUMMARY Over the past 20 years there has been a greater interest in infection control in cystic fibrosis (CF) as patient-to-patient transmission of pathogens has been increasingly demonstrated in this unique patient population. The CF Foundation sponsored a consensus conference to craft recommendations for infection control practices for CF care providers. This review provides a summary of the literature addressing infection control in CF. Burkholderia cepacia complex, Pseudomonas aeruginosa, and Staphylococcus aureus have all been shown to spread between patients with CF. Standard precautions, transmission-based precautions including contact and droplet precautions, appropriate hand hygiene for health care workers, patients, and their families, and care of respiratory tract equipment to prevent the transmission of infectious agents serve as the foundations of infection control and prevent the acquisition of potential pathogens by patients with CF. The respiratory secretions of all CF patients potentially harbor clinically and epidemiologically important microorganisms, even if they have not yet been detected in cultures from the respiratory tract. CF patients should be educated to contain their secretions and maintain a distance of >3 ft from other CF patients to avoid the transmission of potential pathogens, even if culture results are unavailable or negative. To prevent the acquisition of pathogens from respiratory therapy equipment used in health care settings as well as in the home, such equipment should be cleaned and disinfected. It will be critical to measure the dissemination, implementation, and potential impact of these guidelines to monitor changes in practice and reduction in infections.

Impact of age and gender on adherence to infection control guidelines and medical regimens in cystic fibrosis

2010 ◽  
Vol 46 (3) ◽  
pp. 295-301 ◽  
Author(s):  
Tracy Loye Masterson ◽  
Beth G. Wildman ◽  
Benjamin H. Newberry ◽  
Gregory J. Omlor
Keyword(s):  
Cystic Fibrosis ◽  
Infection Control ◽  
Age And Gender ◽  
Medical Regimens ◽  
And Gender ◽  
Infection Control Guidelines

scholarly journals Clinical effects of sinus surgery and adjuvant therapy in cystic fibrosis patients - can chronic lung infections be postponed?

2013 ◽  
Vol 51 (3) ◽  
pp. 222-230
Author(s):  
K. Aanaes ◽  
H.K. Johansen ◽  
M. Skov ◽  
F.F. Buchvald ◽  
T. Hjuler ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Sinus Surgery ◽  
First Year ◽  
Clinical Effects ◽  
Pulmonary Infections ◽  
Intravenous Antibiotics ◽  
Specific Igg ◽  
Lung Infections ◽  
One Year

Background: The paranasal sinuses can be a bacterial reservoir for pulmonary infections in patients with cystic fibrosis (CF) METHODOLOGY: In this prospective, non-randomised, uncontrolled, intervention cohort study, the clinical effect of sinus surgery followed by two weeks` intravenous antibiotics, 6 months` antibiotic nasal irrigations was assessed in 106 CF patients. Results: One year after sinus surgery, the prevalence of intermittently colonised patients had decreased by 38%, while the prevalence of non-colonised patients had increased by 150%. The frequency of pulmonary samples with CF pathogens was reduced after surgery. Specific IgG against P. aeruginosa decreased after six months. Additionally, the self reported symptoms of chronic rhinosinusitis and quality of life improved. Conclusion: Combined sinus surgery and postoperative systemic and topical antibiotic treatment significantly reduced the frequency of pulmonary samples positive for CF pathogens in the first year after sinus surgery.

Compliance in cystic fibrosis: An examination of infection control guidelines

2008 ◽  
Vol 43 (5) ◽  
pp. 435-442 ◽  
Author(s):  
Tracy Masterson ◽  
Beth G. Wildman ◽  
Benjamin Newberry ◽  
Gregory Omlor ◽  
Elizabeth Bryson ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Infection Control ◽  
Infection Control Guidelines

Barriers to adherence to cystic fibrosis infection control guidelines

2008 ◽  
Vol 43 (9) ◽  
pp. 900-907 ◽  
Author(s):  
Elizabeth Garber ◽  
Manisha Desai ◽  
Juyan Zhou ◽  
Luis Alba ◽  
Denise Angst ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Infection Control ◽  
Infection Control Guidelines

Reasons for Noncompliance With Infection Control Guidelines

2000 ◽  
Vol 21 (6) ◽  
pp. 411-416 ◽  
Author(s):  
Barry M. Farr
Keyword(s):  
Infection Control ◽  
Disease Control ◽  
Effective Leadership ◽  
Infection Control Team ◽  
Standard Precautions ◽  
Antibiotic Resistant ◽  
Control Team ◽  
Control And Prevention ◽  
Prevention Guidelines ◽  
Infection Control Guidelines

Concern frequently is voiced about individuals not complying with guidelines intended to prevent spread of antibiotic-resistant pathogens from patient to patient, but institutional decisions to ignore Centers for Disease Control and Prevention guidelines recommending detection and isolation of colonized patients also have contributed greatly to the increasing rate of infections due to these pathogens. This is so because colonized patients are the main reservoir for spread, and barrier precautions prevent spread much more effectively than Standard Precautions. Providing effective leadership and changing this culture of noncompliance must begin with the infection control team believing that spread is both important and preventable.

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