scholarly journals Candida auris Dry Surface Biofilm (DSB) for Disinfectant Efficacy Testing

Materials ◽  
2018 ◽  
Vol 12 (1) ◽  
pp. 18 ◽  
Author(s):  
Katarzyna Ledwoch ◽  
Jean-Yves Maillard
Keyword(s):  
Hospital Staff ◽  
Post Treatment ◽  
Point Of View ◽  
Candida Auris ◽  
Healthcare Settings ◽  
Practical Evaluation ◽  
Control And Prevention ◽  
Product Effectiveness ◽  
Infection Control And Prevention

Candida auris is an emerging pathogen that needs to be controlled effectively due to its association with a high mortality rate. The presence of biofilms on dry surfaces has been shown to be widespread in healthcare settings. We produced a C. auris dry surface biofilm (DSB) on stainless steel surfaces following sequential hydration and desiccation cycles for 12 days. The ASTM2967-15 was used to measure the reduction in viability of 12 commercially wipe-based disinfectants and sodium hypochlorite (1000 ppm) against C. auris DSB. We also evaluated C. auris transferability and biofilm regrowth post-treatment. A peracetic acid (3500 ppm) product and two chlorine-based products (1000 ppm available chlorine) were successful in reducing C. auris viability and delaying DSB regrowth. However, 50% of the products tested failed to decrease C. auris viability, 58% failed to prevent its transferability, and 75% did not delay biofilm regrowth. Using three different parameters to measure product efficacy provided a practical evaluation of product effectiveness against C. auris DSB. Although log10 reduction in viability is traditionally measured, transferability is an important factor to consider from an infection control and prevention point of view as it allows for determination of whether the surface is safe to touch by patients and hospital staff post-treatment.

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 Infected surfaces as a source of transmissible material in healthcare settings dealing with COVID 19 patients

2021 ◽  
Author(s):  
Gulab Dattarao Khedkar ◽  
Pramod Bajaj ◽  
Amol Kalyankar ◽  
Rajeshree Deolalikar ◽  
Vikram Khilare ◽  
...  
Keyword(s):  
Active Surface ◽  
Human Beings ◽  
Health Crisis ◽  
Viral Shedding ◽  
Public Health Crisis ◽  
Healthcare Settings ◽  
Route Of Transmission ◽  
Control And Prevention ◽  
Infection Control And Prevention ◽  
Selection Of

The disease COVID-19 has turned out to be a tremendous slayer and has had some of the most devastating impacts on human beings ever seen in history. To overcome this major public health crisis, an understanding of the transmission of the virus underlying this disease is of paramount importance. Evidence suggests that the most common route of transmission for the SARS-CoV-2 virus is likely via direct contact in person-to-person encounter with aerosol droplets. However, the possibility of transmission via contact with fomites from surfaces is a possible route of infection as well. Environmental contamination in rooms with COVID-19 patient has been widely observed due to viral shedding from both asymptomatic and symptomatic patients. Also, in hospitals, SARS-CoV-2 is known to survive on various surfaces for extended periods of time. Because repetitive contact cycles can spread the virus from one surface to the other in healthcare settings, here we evaluated contamination on different types of surfaces commonly found in healthcare settings. Also, based on various datasets, we analyzed the importance of various surfaces in transmission modalities. Based on the findings of this study, decontamination of surfaces that frequently are in touch contact throughout all segments of the healthcare system should constitute an important part of the infection control and prevention of COVID-19. We also recommend the selection of a non-reactive disinfectant for hospital monitors, devices, ventilators and computers so that active surface disinfection can be effected without damage to the devices.

Nursing students’ perception of infection control and prevention nurses’ work – results of a survey study

2019 ◽  
Author(s):  
Dorota Jaślan ◽  
Anna Różańska ◽  
Marta Wałaszek ◽  
Anna Szczypta ◽  
Agnieszka Gniadek ◽  
...  
Keyword(s):  
Nursing Students ◽  
Infection Control ◽  
Medical Personnel ◽  
Hospital Staff ◽  
Hospital Environment ◽  
Survey Study ◽  
Key Factor ◽  
Control And Prevention ◽  
And Behavior ◽  
Infection Control And Prevention

Abstract Background The results of several studies in the area of infection control in Poland are disturbing. The situation may be shaped by many factors. But the key factor is the infection teams and especially infection control and prevention nurses (ICPNS) ability of influencing positive medical personnel attitudes and behavior in this area. Aim of the study The article presents the results of the study on nursing students’ perception of ICPNs work. Material and method The study was conducted using the author's anonymous questionnaire conducted among nursing students of three Polish universities. Results The results proved to be peculiar. About 80% respondents confirmed the ICPNs key role in ensuring patient and personnel safety, while only 31.6% declared its great authority among the hospital staff. Conclusions Obtained results indicate the necessity of thorough studies on the organization and structure of infection control in Polish hospitals, with particular emphasis of building its’ positive perception by wards staff as well as implementing education campaign on infection control in hospital environment.

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)

scholarly journals Evaluation of the Ability to Accurately Produce Angular Details by 3D Printing of Plastic Parts

Machines ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 150
Author(s):  
Andrei Marius Mihalache ◽  
Gheorghe Nagîț ◽  
Laurențiu Slătineanu ◽  
Adelina Hrițuc ◽  
Angelos Markopoulos ◽  
...  
Keyword(s):  
3D Printing ◽  
Point Of View ◽  
Vertex Angle ◽  
Function Type ◽  
Constant Height ◽  
3D Printers ◽  
3D Printed ◽  
Mathematical Processing ◽  
Plastic Parts

3D printing is a process that has become widely used in recent years, allowing the production of parts with relatively complicated shapes from metallic and non-metallic materials. In some cases, it is challenging to evaluate the ability of 3D printers to make fine details of parts. For such an assessment, the printing of samples showing intersections of surfaces with low angle values was considered. An experimental plan was designed and materialized to highlight the influence of different factors, such as the thickness of the deposited material layer, the printing speed, the cooling and filling conditions of the 3D-printed part, and the thickness of the sample. Samples using areas in the form of isosceles triangles with constant height or bases with the same length, respectively, were used. The mathematical processing of the experimental results allowed the determination of empirical mathematical models of the power-function type. It allowed the detection of both the direction of actions and the intensity of the influence exerted by the input factors. It is concluded that the strongest influence on the printer’s ability to produce fine detail, from the point of view addressed in the paper, is exerted by the vertex angle, whose reduction leads to a decrease in printing accuracy.

Determination of a Rubber-Like Material Model as an Inverse Problem

2011 ◽  
Vol 70 ◽  
pp. 225-230 ◽  
Author(s):  
Agnieszka Derewonko ◽  
Andrzej Kiczko
Keyword(s):  
Selection Process ◽  
Axial Stress ◽  
Constitutive Models ◽  
Material Model ◽  
Polyester Fabric ◽  
Point Of View ◽  
Air Cushion ◽  
Ill Conditioning ◽  
Stress States

The purpose of this paper is to describe the selection process of a rubber-like material model useful for simulation behaviour of an inflatable air cushion under multi-axial stress states. The air cushion is a part of a single segment of a pontoon bridge. The air cushion is constructed of a polyester fabric reinforced membrane such as Hypalon®. From a numerical point of view such a composite type poses a challenge since numerical ill-conditioning can occur due to stiffness differences between rubber and fabric. Due to the analysis of the large deformation dynamic response of the structure, the LS-Dyna code is used. Since LS-Dyna contains more than two-hundred constitutive models the inverse method is used to determine parameters characterizing the material on the base of results of the experimental test.

scholarly journals Candida auris and Carbapenemase-Producing Organism Prevalence in an Extended Stay Pediatric Hospital, Chicago, Illinois, 2019

2020 ◽  
Vol 41 (S1) ◽  
pp. s145-s146
Author(s):  
Kelly Walblay ◽  
Tristan McPherson ◽  
Elissa Roop ◽  
David Soglin ◽  
Ann Valley ◽  
...  
Keyword(s):  
The United States ◽  
Multidrug Resistant ◽  
Pediatric Hospital ◽  
Mechanical Ventilators ◽  
Candida Auris ◽  
Term Care ◽  
Healthcare Settings ◽  
High Acuity ◽  
Gastrostomy Tubes

Background:Candida auris and carbapenemase-producing organisms (CPO) are multidrug-resistant organisms that can colonize people for prolonged periods and can cause invasive infections and spread in healthcare settings, particularly in high-acuity long-term care facilities. Point-prevalence surveys (PPSs) conducted in long-term acute-care hospitals in the Chicago region identified median prevalence of colonization to be 31% for C. auris and 24% for CPO. Prevalence of C. auris colonization has not been described in pediatric populations in the United States, and limited data exist on CPO colonization in children outside intensive care units. The Chicago Department of Public Health (CDPH) conducted a PPS to assess C. auris and CPO colonization in a pediatric hospital serving high-acuity patients with extended lengths of stay (LOS). Methods: CDPH conducted a PPS in August 2019 in a pediatric hospital with extended LOS to screen for C. auris and CPO colonization. Medical devices (ie, gastrostomy tubes, tracheostomies, mechanical ventilators, and central venous catheters [CVC]) and LOS were documented. Screening specimens consisted of composite bilateral axillae and groin swabs for C. auris and rectal swabs for CPO testing. The Wisconsin State Laboratory of Hygiene tested all specimens. Real-time polymerase chain reaction (PCR) assays were used to detect C. auris DNA and carbapenemase genes: blaKPC, blaNDM, blaVIM, blaOXA-48, and blaIMP (Xpert Carba-R Assay, Cepheid, Sunnyvale, CA). All axillae and groin swabs were processed by PCR and culture to identify C. auris. For CPO, culture was only performed on PCR-positive specimens. Results: Of the 29 patients hospitalized, 26 (90%) had gastrostomy tubes, 24 (83%) had tracheostomies, 20 (69%) required mechanical ventilation, and 3 (10%) had CVCs. Also, 25 (86%) were screened for C. auris and CPO; 4 (14%) lacked parental consent and were not swabbed. Two rectal specimens were unsatisfactory, producing invalid CPO test results. Median LOS was 35 days (range, 1–300 days). No patients were positive for C. auris. From CPO screening, blaOXA-48 was detected in 1 patient sample, yielding a CPO prevalence of 3.4% (1 of 29). No organism was recovered from the blaOXA-48 positive specimen. Conclusions: This is the first documented screening of C. auris colonization in a pediatric hospital with extended LOS. Despite a high prevalence of C. auris and CPOs in adult healthcare settings of similar acuity in the region, C. auris was not identified and CPOs were rare at this pediatric facility. Additional evaluations in pediatric hospitals should be conducted to further understand C. auris and CPO prevalence in this population.Funding: NoneDisclosures: None

Resistance to Outflow of Cerebrospinal Fluid Determined by Bolus Injection Technique and Constant Rate Steady State Infusion in Humans

Neurosurgery ◽  
1985 ◽  
Vol 16 (3) ◽  
pp. 336-340 ◽  
Author(s):  
Michael Kosteljanetz
Keyword(s):  
Cerebrospinal Fluid ◽  
Steady State ◽  
Bolus Injection ◽  
Point Of View ◽  
Injection Technique ◽  
Communicating Hydrocephalus ◽  
Constant Rate ◽  
High Degree ◽  
Infusion Technique

Abstract Two methods for the determination of resistance to the outflow of cerebrospinal fluid, the bolus injection technique and the constant rate steady state infusion technique, were compared. Thirty-two patients with a variety of intracranial diseases (usually communicating hydrocephalus) were studied. There was a high degree of correlation between the resistance values obtained with the two methods, but values based on the bolus injection technique were systematically and statistically significantly lower than those obtained with the constant rate infusion test. From a practical point of view. both methods were found to be applicable in a clinical setting.

scholarly journals Migrants’ Quarantine and COVID-19 Pandemic in Italy: a Medico-anthropological View

2021 ◽  
Author(s):  
Silvia Di Meo ◽  
Enrico Bentivegna
Keyword(s):  
Risk Factor ◽  
Global Health ◽  
Infection Control ◽  
Social Inequalities ◽  
Patient Relationship ◽  
Prevention Measures ◽  
Cultural Aspects ◽  
Health Response ◽  
Control And Prevention ◽  
Infection Control And Prevention

AbstractThe COVID-19 pandemic represents an important risk factor for migrants’ health. Paul Farmer highlighted the risk of global health response in emergency conditions exacerbating global and social inequalities. We argue that this is the case for quarantine ships and migrants’ management during the pandemic. Every aspect of infection-control and prevention measures acquires detention characteristics in these situations. With emphasis to the evolution of the doctor-patient relationship and to the anthropological and cultural aspects that were established during the pandemic, this article aims to provide an integrated view where physicians and anthropologists collaborate to deepen the understanding of the topic.

Determination of In-plane Shear Strength of Unidirectional Composite Materials Using the Off-axis Three-point Flexure and Off-axis Tensile Tests

2010 ◽  
Vol 44 (21) ◽  
pp. 2487-2507 ◽  
Author(s):  
G. Vargas ◽  
F. Mujika
Keyword(s):  
Shear Strength ◽  
Composite Materials ◽  
Tensile Tests ◽  
Unidirectional Composite ◽  
Point Of View ◽  
Experimental Point ◽  
Plane Shear ◽  
Lift Off ◽  
Flexure Test

The aim of this work is to compare from an experimental point of view the determination of in-plane shear strength of unidirectional composite materials by means of two off-axis tests: three-point flexure and tensile. In the case of the off-axis three-point flexure test, the condition of small displacements and the condition of lift-off between the specimen and the fixture supports have been taken into account. Some considerations regarding stress and displacement fields are presented. The in-plane shear characterization has been performed on a carbon fiber reinforced unidirectional laminate with several fiber orientation angles: 10°, 20°, 30°, and 45°. Test conditions for both off-axis experimental methods, in order to ensure their applicability, are presented. Off-axis flexure test is considered more suitable than off-axis tensile test for the determination of in-plane shear strength.

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