scholarly journals Nosocomial Outbreak of Port-site Infection due to Atypical Mycobacteria following Laparoscopy: Suggested Infection Control Strategies

2021 ◽  
Author(s):  
Mukesh Sharma ◽  
Divya Gautam ◽  
Leimapokpam Sumitra Devi ◽  
Moumita Sardar
Keyword(s):  
Infection Control ◽  
Bacterial Culture ◽  
Control Strategies ◽  
Cross Sectional Study ◽  
Surgical Instruments ◽  
Atypical Mycobacteria ◽  
Wound Infections ◽  
Site Infection ◽  
Multiple Sources ◽  
Cross Sectional

Introduction: Atypical mycobacteria can survive in conditions that make them hard to eradicate, despite using the standard decontamination procedures and protocols. Thus, errors in sterilisation techniques for laparoscopic instruments can be responsible for outbreaks caused by such bacteria and make it a problem mainly affecting developing countries including India. Aim: To investigate the outbreak of postlaparoscopic wound infection caused by atypical mycobacteria. Materials and Methods: An institution based cross-sectional study was conducted over a two-month period from January 2020 to February 2020. A total of 14 patients presented with postlaparoscopic surgical site wound infections were evaluated with Ziehl-Neelsen (ZN) staining and pus culture on Lowenstein Jensen (LJ) medium and subsequently treated with appropriate antibiotics. For further investigation of the outbreak, environmental samples were collected and isolation rates (percentage) of atypical mycobacteria from these samples were analysed. Results: All the patients included in the study were diagnosed with postlaparoscopic surgical site wound infections caused by atypical mycobacteria. Infection control investigation of the Operation Theatres (OTs) revealed multiple sources of atypical mycobacterial contamination viz., laparoscopic surgical instruments, used disinfectant (gluteraldehyde disinfectant solution) and tap aerators. Conclusion: Negative routine bacterial culture report of samples collected from port-sites should be further investigated for other aetiology e.g., atypical mycobacteria which do not grow on routine bacterial culture. Since high indices of suspicion followed by timely and efficient management of patients with postlaparoscopic surgical site infection are of critical importance.

scholarly journals Insight into One Health Approach: Endoparasite Infections in Captive Wildlife in Bangladesh

Pathogens ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 250
Author(s):  
Tilak Chandra Nath ◽  
Keeseon S. Eom ◽  
Seongjun Choe ◽  
Shahadat Hm ◽  
Saiful Islam ◽  
...  
Keyword(s):  
One Health ◽  
Control Strategies ◽  
Limited Resource ◽  
Cross Sectional Study ◽  
Cox1 Gene ◽  
Parasite Control ◽  
Cross Sectional ◽  
Zoo Animals ◽  
Health Concept ◽  
Control Knowledge

Introduction: Endoparasites in captive wildlife might pose a threat to public health; however, very few studies have been conducted on this issue, and much remains to be learned, especially in limited-resource settings. This study aimed to investigate endoparasites of captive wildlife in Bangladesh. Perception and understanding of veterinarians regarding one health and zoonoses were also assessed. Materials and Methods: A cross-sectional study was conducted from October 2019 to August 2020. A total of 45 fecal samples from 18 different species of wild animals (i.e., 11 species of mammals: herbivores, carnivores, and omnivores, six birds, and a single reptile species) were collected randomly. Parasitological assessments were done by modified formalin ether sedimentation technique and rechecked by Sheather’s sugar floatation technique. Molecular identification of Spirometra spp. was conducted by amplifying the cytochrome c oxidase 1 (cox1) gene. Questionnaire surveys among 15 veterinarians and an in-depth interview (IDI) with a zoo officer were conducted. Results: Helminths (Spirometra sp., Capillaria sp., Ascaridia/Heterakis, opisthorchiid, strongyles, acuariid, hookworms, roundworms, and unidentified nematode larvae) and protozoa (coccidian oocyst) were identified, and the overall prevalence was 48.9% (22/45). The cox1 sequences (341 bp) of the Bangladesh-origin Spirometra species from lion showed 99.3–99.7% similarity to the reference sequences of Spirometra decipiens (GenBank No: KJ599679.1; MT122766). The majority of study participants (86.6%) agreed about the importance of endoparasite control in zoo animals, and 73.3% expressed that the one health concept should be promoted in Bangladesh. Only 6.7% of veterinarians perceived confidence in diagnosing parasitic diseases and preventing antiparasiticidal resistance. Conclusions: In the present survey, we found a considerable prevalence of endoparasites in captive wildlife. For the first time, zoonotically important S. decipiens from lion was molecularly characterized in Bangladesh. Veterinarian training is required to improve parasite control knowledge and practice. This study highlights the need for routine parasitological assessment, promotion of one health, and improvement of the implementation of current parasite control strategies in zoo animals.

MS prevalence in New Zealand, an ethnically and latitudinally diverse country

2010 ◽  
Vol 16 (12) ◽  
pp. 1422-1431 ◽  
Author(s):  
Bruce V Taylor ◽  
John F Pearson ◽  
Glynnis Clarke ◽  
Deborah F Mason ◽  
David A Abernethy ◽  
...  
Keyword(s):  
New Zealand ◽  
Environmental Factors ◽  
Latitudinal Gradient ◽  
Population Level ◽  
Cross Sectional Study ◽  
European Population ◽  
Multiple Sources ◽  
Cross Sectional ◽  
The North ◽  
Mcdonald Criteria

Background: The prevalence of multiple sclerosis (MS) is not uniform, with a latitudinal gradient of prevalence present in most studies. Understanding the drivers of this gradient may allow a better understanding of the environmental factors involved in MS pathogenesis. Method: The New Zealand national MS prevalence study (NZMSPS) is a cross-sectional study of people with definite MS (DMS) (McDonald criteria 2005) resident in New Zealand on census night, 7 March 2006, utilizing multiple sources of notification. Capture—recapture analysis (CRA) was used to estimate missing cases. Results: Of 2917 people with DMS identified, the crude prevalence was 72.4 per 100,000 population, and 73.1 per 100,000 when age-standardized to the European population. CRA estimated that 96.7% of cases were identified. A latitudinal gradient was seen with MS prevalence increasing three-fold from the North (35°S) to the South (48°S). The gradient was non-uniform; females with relapsing—remitting/secondary-progressive (RRMS/SPMS) disease have a gradient 11 times greater than males with primary-progressive MS ( p < 1 × 10-7). DMS was significantly less common among those of Māori ethnicity. Conclusions: This study confirms the presence of a robust latitudinal gradient of MS prevalence in New Zealand. This gradient is largely driven by European females with the RRMS/SPMS phenotype. These results indicate that the environmental factors that underlie the latitudinal gradient act differentially by gender, ethnicity and MS phenotype. A better understanding of these factors may allow more targeted MS therapies aimed at modifiable environmental triggers at the population level.

What Makes a Tweet Fly? Analysis of Twitter Messaging at Four Infection Control Conferences

2017 ◽  
Vol 38 (11) ◽  
pp. 1271-1276 ◽  
Author(s):  
Brett G. Mitchell ◽  
Philip L. Russo ◽  
Jonathan A. Otter ◽  
Martin A. Kiernan ◽  
Landon Aveling
Keyword(s):  
Network Analysis ◽  
Infection Control ◽  
Infection Prevention ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Infection Prevention And Control ◽  
Binary Logistic Regression Model ◽  
Cross Sectional ◽  
Activity Networks ◽  
The Uk

OBJECTIVETo examine tweeting activity, networks, and common topics mentioned on Twitter at 4 international infection control and infectious disease conferences.DESIGNA cross-sectional study.METHODSAn independent company was commissioned to undertake a Twitter ‘trawl’ each month between July 1, 2016, and November 31, 2016. The trawl identified any tweets that contained the official hashtags of the conferences for (1) the UK Infection Prevention Society, (2) IDWeek 2016, (3) the Federation of Infectious Society/Hospital Infection Society, and (4) the Australasian College for Infection Prevention and Control. Topics from each tweet were identified, and an examination of the frequency and timing of tweets was performed. A social network analysis was performed to illustrate connections between users. A multivariate binary logistic regression model was developed to explore the predictors of ‘retweets.’RESULTSIn total, 23,718 tweets were identified as using 1 of the 2 hashtags of interest. The results demonstrated that the most tweets were posted during the conferences. Network analysis demonstrated a diversity of twitter networks. A link to a web address was a significant predictor of whether a tweet would be retweeted (odds ratio [OR], 2.0; 95% confidence interval [CI], 1.9–2.1). Other significant factors predicting a retweet included tweeting on topics such as Clostridium difficile (OR, 2.0; 95% CI, 1.7–2.4) and the media (OR, 1.8; 95% CI, 1.6–2.0). Tweets that contained a picture were significantly less likely to be retweeted (OR, 0.06; 95% CI, 0.05–0.08).CONCLUSIONTwitter is a useful tool for information sharing and networking at infection control conferences.Infect Control Hosp Epidemiol 2017;38:1271–1276

scholarly journals Assessing Knowledge, Attitude, and Practices on Hospital Acquired Infections Control by Anaesthesia Practitioners in the Operating Theatres of the Tamale Teaching Hospital (TTH); Ghana

2020 ◽  
Vol 5 (06) ◽  
Author(s):  
Martin Mumuni Danaah Malick ◽  
Edem Yao Akpa ◽  
Peter Paul Bamaalabong
Keyword(s):  
Infection Control ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Face To Face ◽  
Hospital Acquired Infections ◽  
Hospital Infection Control ◽  
Operating Theatres ◽  
Control And Prevention ◽  
Healthcare Associated ◽  
Hospital Acquired

Background: Hospital Acquired Infections (HAIs) place a significant economic burden on the healthcare system. Infection control practices are important in minimizing healthcare associated infections. However, low compliance with Universal and Standard Precautions has been reported in a number of studies. The Centre for Disease Control and Prevention (CDC) developed baseline definitions for HAIs that were republished in 2004 and has defined HAIs as those that develop during hospitalization but are neither present nor incubating upon the patient’s admission to the hospital; generally, these infections occur between 48 to 72 hours after admission and within 10 days after hospital discharge. this study aimed at unveiling the level of knowledge, attitude and practices on infection prevention control in the operating theatres by anaesthesia practitioners at TTH. Materials and Methods: A cross-sectional study design was employed. A mixed-method approach was used for data collection which includes a structured questionnaire carried out via face to face interview and observation. Results: The study showed that 100% of the respondents have knowledge on hospital acquired infection control in the theatre in one way or the other whereas attitude and practices toward hospital infection control in the operating theatres are undesirable in some specific areas of infection control such as wearing of sterile gowns and goggle. As high as 80.6% and 69.4% do not wear goggle and gowns respectively whilst performing regional anaesthesia.  Conclusions:  This study demonstrated that anaesthetists at TTH have reported sub-optimal levels of compliance i.e. attitude and practices with selective infection control. The study further demonstrated that discrepancies exist between anaesthetists’ attitudes towards a guideline as well as their actual practice.

scholarly journals Content Analysis of the Free COVID-19 Telephone Consultations Available during the First Wave of the Pandemic in Japan

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1593
Author(s):  
Kyoko Yoshioka-Maeda ◽  
Yuka Sumikawa ◽  
Noriha Tanaka ◽  
Chikako Honda ◽  
Riho Iwasaki-Motegi ◽  
...  
Keyword(s):  
Public Health ◽  
Content Analysis ◽  
Infection Control ◽  
Qualitative Content Analysis ◽  
Cross Sectional Study ◽  
Control Measures ◽  
Cross Sectional ◽  
Telephone Consultation ◽  
Infection Control Measures ◽  
Consultation Services

This cross-sectional study aimed to (1) describe the unclassified contents of telephone consultation services provided by a public health center during the first wave of COVID-19 in Japan and (2) examine whether the contents required assistance from public health nurses (PHNs). We analyzed a total of 207 calls in which the purpose of the call was unclassified into pre-set categories. PHNs transcribed the exact text of the consultation conversations recorded from 25 March to 20 April 2020 in City A. Approximately half of the calls were from residents. Seven categories were extracted through a qualitative content analysis. The most common topic was infection control measures, where the presence of COVID-19 infection was assumed (n = 62); the second most common was extreme anxiety and fear of infection (n = 50). Questions about the COVID-19 response system (n = 30), discrimination and misunderstandings about COVID-19 (n = 24), and response measures for COVID-19 outbreaks within organizations (n = 18) were also included. The unclassified consultations included various topics, several of which required the expertise of a PHN. Each local government should consider sharing and task-shifting telephone consultation services among PHNs and other staff to reduce their burden and allow them to concentrate on conducting infection control more effectively.

scholarly journals Tingkat Pengetahuan Ibu Tentang Perawatan Luka Dan Kejadian Infeksi Daerah Operasi Di RSUD Banyumas

2021 ◽  
Vol 6 (2) ◽  
pp. 75
Author(s):  
Utami Purwaningsih ◽  
Kris Linggardini
Keyword(s):  
Surgical Site Infection ◽  
Wound Care ◽  
Good Health ◽  
P Value ◽  
Wound Infections ◽  
Knowledge Level ◽  
Site Infection ◽  
Chi Square ◽  
Cross Sectional ◽  
The Relationship

Surgical Site Infection is infections that occur after surgery. Control of the incidence of nosocomial infection is part of the parameters of good health services at the hospital. One in 10 mothers who give birth by cesarean has an infection. The level of patient knowledge about how to care for wounds is an important factor in decreasing the incidence of wound infection in the surgical area in SC patients. Objective: knowing the relationship between levels of knowledge of post-operative SC patients about wound care and the incidence of surgical site wound infections. Method: The design used descriptive correlative and cross sectional approach. The sample were 76 respondents. The data were collected in December 2019 by using a knowledge level questionnaire and a form of signs of infection from Morison 2004. Data analysis using chi square).  The results showed that there was a relationship between knowledge and the incidence of infection in the area of ​​operation (p value 0.001).  Keywords: nosocomial, surgical site infection (SSI), section caesarea (SC) 

scholarly journals Knowledge and practices regarding infection control among nurses in secondary level hospital

2021 ◽  
Vol 6 (4) ◽  
pp. 731-737
Author(s):  
Ringku Das ◽  
Ashees Kumar Saha ◽  
Priti Kana Barua ◽  
Jay Priya Borua ◽  
Nasima Akhter ◽  
...  
Keyword(s):  
Infection Control ◽  
Sampling Technique ◽  
Secondary Level ◽  
Cross Sectional Study ◽  
Knowledge Level ◽  
Cross Sectional ◽  
Face To Face ◽  
Control Education ◽  
Strongly Agree ◽  
Level Hospital

Infection control and standard precautions is evidence-based practices that can reduce the risk of transmission of microorganisms. Infection control education is a fundamental component of the Nursing curriculum. A cross-sectional study was conducted to assess the level of knowledge and practices regarding infection control among nurses in secondary level hospital at 250 beds Chittagong General Hospital and Fouzderhat TB Hospital, Chittagong. The study period was 1st January to 31st December 2018. Total 182 nurses were included in this study. The respondents were selected by purposive sampling technique and data were collected by face to face interview. The study was found that (78.0%) respondents had fair knowledge and (90.2%) had fair practices regarding infection control. The study also revealed that, 161 (88.5%) respondents awarded about hand washing, 179 (98.4%) respondents were concerned about waste management and 93 (51.1%) respondents agree and 85 (46.7%) respondents strongly agree about PPE use is important. Significant statistical difference was found between working experience and knowledge level. This study can be concluded that in spite of practice level regarding infection control, nurses had fair knowledge level. These finding suggest that nurse knowledge and practice regarding infection control need further improvement. Asian J. Med. Biol. Res. December 2020, 6(4): 731-737

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