Effects of a disinfection device on colonization of sink drains and patients during a prolonged outbreak of multidrug-resistant Pseudomonas aeruginosa in an intensive care unit

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Background: Sink drains in intensive care units (ICUs) are frequently colonized with bacteria such as Pseudomonas aeruginosa. The aim was to study the influence of installing disinfecting devices on sink drains on colonization of sinks and patients in an ICU during a prolonged outbreak of multidrug-resistant P. aeruginosa. Methods: From 2010, there was a clonal outbreak of […]

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  • op 20 maart 2019
  • door dTHIP redactie

Effect of electronic real-time prompting on hand hygiene behaviors in health care workers

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Background: Poor hand hygiene by health care workers is a major cause of nosocomial infections. This research evaluated the ability of an electronic monitoring system with real-time prompting capability to change hand hygiene behaviors. Methods: Handwashing activity was measured by counting dispenser activations on a single nursing unit before, during, and after installation of the system. The […]

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Prevalence of healthcare-associated infections in Dutch nursing homes: follow-up 2010–2017

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Following the first point-prevalence study in Dutch nursing homes conducted each November from 2007 to 2009, we conducted a follow-up point-prevalence study of healthcare-associated infections (HCAIs) each November from 2010 to 2017. Similar methods and criteria were used. Resident characteristics were recorded, data collection was performed by the attending elderly care physicians via an online survey, as […]

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  • op 6 maart 2019
  • door dTHIP redactie

Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study

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Background: Austerity measures and health-system redesign to minimise hospital expenditures risk adversely affecting patient outcomes. The RN4CAST study was designed to inform decision making about nursing, one of the largest components of hospital operating expenses. We aimed to assess whether differences in patient to nurse ratios and nurses' educational qualifications in nine of the 12 RN4CAST […]

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  • door dTHIP redactie

Auditeren op basishygiëne beleidsplan

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Het Universitair Medisch Centrum (UMCG) heeft patiëntveiligheid hoog in het vaandel staan. De unit Infectiepreventie (IP), onderdeel van de Medische Microbiologie en Infectiepreventie (MMBI), levert hier een belangrijke bijdrage aan door het voorkomen en beperken van ziekenhuisinfecties bij opgenomen patiënten. Dit gebeurt mede door het adviseren van infectiepreventiemaatregelen die bij basishygiëne horen, zoals handhygiëne, isolatieverpleging […]

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  • op 28 februari 2019
  • door dTHIP redactie

“ Een ongeluk zit in een klein hoekje…. “

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Prikaccidenten vormen wereldwijd een beroepsrisico, vooral in de zorgsector. Transmissie van hepatitis B virus, hepatitis C virus en humaan immunodeficiëntie virus wordt als belangrijkste risico van een prikaccident gezien  Ze kunnen leiden tot ernstige chronische infecties. In Nederland is de werkgever verplicht tot adequate afhandeling van prikaccidenten. Hiervoor is een regelmatig onderhouden prikaccidentenprotocol noodzakelijk. GGD […]

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Infection control link nurses in acute care hospitals: a scoping review

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Background: Involving link nurses in infection prevention and control is a strategy to improve clinical practice that has been implemented in hospitals worldwide. However, little is known about the use, the range and benefits of this strategy. We aimed to identify key concepts of infection control link nurses (ICLN) and ICLN programs, to evaluate the effect […]

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  • op 17 februari 2019
  • door dTHIP redactie

The clinical significance of carbapenem-resistant Klebsiella pneumoniae rectal colonization in critically ill patients: from colonization to bloodstream infection

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Purpose . To highlight the clinical significance of carbapenem-resistant Klebsiella pneumoniae (CRKP) rectal colonization by examining the risk factors for CRKP rectal colonization and subsequent bloodstream infection (BSI) in critically ill patients. Methodology . Prospective study of CRKP rectal colonization in an intensive care unit (ICU) during a 39-month period. CRKP strains isolated from both the blood cultures and corresponding rectal […]

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Prevention of Colonization and Infection by Klebsiella pneumoniae Carbapenemase–Producing Enterobacteriaceae in Long-term Acute-Care Hospitals

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Background. Klebsiella pneumoniae carbapenemase–producing Enterobacteriaceae (hereafter “KPC”) are an increasing threat to healthcare institutions. Long-term acute-care hospitals (LTACHs) have especially high prevalence of KPC.

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  • door dTHIP redactie

Prevalence of faecal carriage of extended-spectrum β-lactamase (ESBL)- producing Escherichia coli in veterinary hospital staff and students

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Extended-spectrum β-lactamase (ESBL)-producing bacteria causing clinical infections are often also multidrug-resistant (MDR; resistance to ≥3 antimicrobial drug classes), therefore treatment options may be limited. High carriage rates of these potentially zoonotic bacteria have been found in livestock and companion animals. Therefore, people working in veterinary hospitals may be a high-risk population for carriage. This is the […]

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