INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY

Comparison of cefazolin administered as a continuous or intermittent infusion for prophylaxis of surgical site infections in adult patients undergoing cardiac or neurologic surgery
Drew RH, Turner NA, Keil E and Seidelman J
In a propensity-matched cohort of adult cardiac or neurosurgical procedures ( = 1,342), infection was less frequent with continuous infusion (1.8%) versus intermittent cefazolin (2.4%), though the difference was statistically non-significant (-0.6%, 95% CI-2.3 to 1.1; = 0.57). The 0% infection rate among cardiac cases receiving continuous cefazolin infusion warrants further investigation.
Estimating the impact of patient-level risk factors and time-varying hospital unit on healthcare-associated infection using cross-classified multilevel models
Webster JL, Jurkovitz CT, Sánchez BN, Eppes S and Goldstein ND
To deconstruct the multiple levels of risk factors for infection, using multilevel models (MLMs) accounting for patient movement.
Mixed-methods assessment of barriers to prevention among frontline healthcare providers in long-term acute care hospitals
Sansom SE, King M, Froilan MC, Lucky C, Thotapalli L, Rusie L, Medernach R, Cochran R and Hayden MK
Assess knowledge, attitudes, and practices for control of among healthcare providers in long-term acute care hospitals (LTACHs).
Antibiotic prescribing during outpatient telemedicine visits among commercially insured patients and Medicare Part D beneficiaries, 2021
Sanchez GV, Bizune D, Kim C, Hicks L, Hersh AL and Kabbani S
We characterized antibiotic prescribing for outpatient telemedicine visits among a large cohort of pediatric, adult, and older adult populations during 2021. Opportunities exist for improving antibiotic prescribing in outpatient telemedicine, especially for respiratory conditions and among rural and older adult populations.
Two concurrent nationwide healthcare-associated outbreaks of Burkholderia cepacia complex linked to product contamination, UK and Ireland, 2010-2023 - ADDENDUM
Doran J, Foster C, Saunders M, Chandra NL, Turton JF, Kenna DT, Willis C, Orlek A, Smith LL, Hoffman P, Choi H, Leong G, Mirfenderesky M, Wilcox MH, Verlander NQ, Frost S, Elliott D, Weaver A, Wan Y, Hopkins S, Oliver I, Brown CS and Elston JWT
Interventions to optimize duration of antibiotic therapy and encourage oral transition for uncomplicated gram-negative blood stream infections across a health system
Olson J, Hersh A, Veillette J, Waters CD, Webb BJ, Tinker N, May S, Matheu M, Fino N, Foster R, Hutton M, Stahl E, Rhodes J, Stenehjem E, Pavia A, Patel P, Seibert A and Buckel W
Shorter antibiotic courses and transition to oral therapy for uncomplicated gram-negative bloodstream infections (GN-BSI) are evidence-supported yet remain challenging to implement. Here we report our experience with a GN-BSI antimicrobial stewardship (AS) quality improvement initiative in a large health system.
Incidence of hospital-onset bacteremia and fungemia in solid organ malignancy, hematologic malignancy, and hematopoietic cell transplant patients
Kurd-Misto S, Ross J, Bastow S, Yu K and Dadwal S
To evaluate the incidence of hospital-onset bacteremia and fungemia (HOB) among solid organ malignancy (SOM), hematologic malignancy (HM), and hematopoietic cell transplant (HCT) therapy patients at a large cancer care center.
Artificial intelligence enhances genomic surveillance in healthcare outbreak investigations
Sundermann A, Chen J, Saul M, Shutt K, Griffith M, Snyder G, Pless LL, Dubrawski A and Harrison L
Outbreak investigation and control are critical for preventing the spread of infectious diseases in healthcare settings. Traditional methods rely on manual processes, which are time-consuming and limited in scope. Whole genome sequencing (WGS) surveillance improves outbreak detection but still requires extensive manual chart reviews to identify transmission routes. Integrating artificial intelligence (AI) may enhance the efficiency and accuracy of these investigations.
outbreak investigation at a quaternary pediatric hospital following the opening of a LEED-certified critical care tower: where does water sustainability intersect with infection control?
Ankrum AL, Caceres SM, Torsell M, Epperson E, Calado Nogueira de Moura V, Gilick JJ, Strong M, Liu Q, Strand MJ, Wilsey RN, Honda JR, Gross JE and Scaggs-Huang FA
Investigate the increased incidence of positive respiratory cultures in hospitalized patients.
Reducing mediastinitis following pediatric cardiovascular surgeries: a quality improvement initiative
Naureckas Li C, Bonebrake A, Mansavage E, Moravec A, Weisert L, Uremovich I, Winlaw D and Collins C
Cardiovascular surgeries can be lifesaving, but mediastinitis following these procedures results in increased morbidity and mortality. We sought to increase the number of days between cases of mediastinitis at our institution from an average of 58 to greater than 223 days, the upper control limit of our baseline data.
Facilitators and barriers for the use of ultraviolet-C disinfection for patient room cleaning at VA hospitals: a qualitative analysis
Dukes KC, Hockett Sherlock SM, Goedken CC, Racila AM, Friberg Walhof J, Suh D, Goto M, Guerrero B, Zabarsky T and Perencevich EN
To evaluate ultraviolet-C (UV-C) disinfection, we interviewed 34 personnel at 22 Veterans Affairs (VA) hospitals. Barriers included safety concerns, patient volumes, staffing, and costs. Facilitators included education and interprofessional communication. An implementation toolkit, interprofessional collaboration, and leadership support could optimize UV-C integration into VA infection prevention.
Assessment of healthcare providers' knowledge and decision-making patterns in peripheral intravenous catheter management in acute care settings
Young HL, Valdez C, Mancini D, Gardiner S, Medero K, Angbanzan R and Jenkins TC
This anonymous survey of hospitalists and acute care nurses evaluated awareness of peripheral intravenous catheters (PIVC) presence and decision-making regarding PIVC insertion, maintenance, and removal. Nurses were most aware of PIVC presence and regarded as best to make decisions about PIVC, yet <50% of respondents felt nurses should remove PIVC without an order.
Routine genomic surveillance in a military healthcare facility detected a community-based Group A outbreak associated with grappling sports
Vargas-Cuebas GG, Stribling W, Martin MJ, Gettings S, Wells R, Sevilla M, Polaskey K, Preston L, Kwak YI, Mc Gann PT, Lebreton F and Bennett JW
An outbreak of /ST82 was detected through prospective genomic surveillance at a military treatment facility. Twenty-one of twenty-six patients had confirmed epidemiological links to grappling sports. One case resulted from household transmission. The benefits of routine surveillance extend beyond the hospital environment enabling the detection of community-driven transmission.
Real learning in a virtual world: a pilot study of the impact of virtual reality training on IPC knowledge and confidence
Jerry MS, García V, Greenfield AS, Lane SA, Lee H, Nemorin A, Searle EF, Green CV and Shenoy ES
To explore the impact of an immersive virtual reality (VR) training module on infection prevention and control (IPC) knowledge and attitudes of healthcare personnel (HCP) and to demonstrate the use of VR for performance assessment in cleaning and disinfection of portable medical equipment (PME).
Multisociety guidance for sterilization and high-level disinfection - CORRIGENDUM
Shenoy ES, Weber DJ, McMullen K, Rubin Z, Sampathkumar P, Schaffzin JK, Sickbert-Bennett E, Washer L, Yokoe DS, Calderwood AH, Chinn R, Day M, Garcia-Houchins S, Javaid W, Klacik S, Kyle E, Murthy RK, Wood A and Rutala WA
Investigation and control of an outbreak of methicillin-susceptible skin and soft tissue infections in a neonatal intensive care unit
Rivera-Valenzuela G, Senaldi L, Tiwari P, Yap V, Cannon JM, Saiman L, Calfee DP, Marino J, Marrero Rólon R, Mitchell K, Rowlinson MC, Haas W, Sankaranarayanan K, Westblade LF and Acker KP
In the neonatal intensive care unit (NICU), outbreaks caused by methicillin-susceptible (MSSA) are less commonly described than outbreaks caused by methicillin-resistant (MRSA) despite the increased burden of MSSA infections.
Summary of CDC consultations related to nontraditional therapies and settings, 2016-2023
Spicer KB, Beshearse EM, Perz JF and Perkins KM
Therapies provided in nontraditional settings or by individuals without knowledge of core principles of infection prevention and control (IPC) may place consumers at risk of adverse events. We summarize findings from our recent consultation experiences in the Division of Healthcare Quality Promotion (DHQP) at the Centers for Disease Control and Prevention (CDC) to help identify targets for prevention efforts and enhanced consumer protections.
Clinical characteristics and risk factors for infection in the hematopoietic cell transplantation population
O'Brien J, Hamilton B, Pappas MA and Deshpande A
Recipients of hematopoietic cell transplantation (HCT) are at increased risk for infection (CDI) and its recurrence, which are associated with significant morbidity. We aimed to characterize risk factors for primary and recurrent CDI in a large cohort of HCT recipients.
Evaluation of hydrogen peroxide-based foam disinfection for reducing gram-negative bacterial contamination in hospital sinks
Ahmed El-Imam I, O'Hara LM, French I, Paskiewicz G, Robinson GL, Magder LS, Kristie Johnson J and Leekha S
Hospital sink drains are recognized reservoirs for gram-negative bacteria (GNB). This study evaluates the efficacy of a sink drain disinfection strategy using hydrogen peroxide-based foam, mechanical cleaning, and drain cover replacement in reducing GNB bioburden in a neonatal intensive care unit (NICU).
Long-range air dispersal as an important source of environmental contamination in clustering: possible infection control implication
Fung WY, Cheng RY, Yau AP, Lee SY, Chan NH, Wong YS, Choi GK, Tse H, Wong SC and Lung DC
To analyze the correlation between scale of clustering and extent of environmental contamination, exploring its implications for improving infection control measures in healthcare settings.
From abstract to article: publication rates of abstracts presented at the Society for Healthcare Epidemiology of America spring conference 2018 and 2021
Rajani A, Karatela S, Modha L, Bhuptani H, Shah P, Shukla A, Amin J, Gandhi D, Chitale R, Durvasula R and Oring J
The publication rate of abstracts presented at a conference can provide some insight into its academic quality, although it is hardly the sole metric. We evaluated 351 SHEA Spring Conference abstracts; 49.9% were published. Findings demonstrate the strong academic output of SHEA conferences.