“ 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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  • op 28 februari 2019
  • door dTHIP redactie

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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  • door dTHIP redactie

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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  • door dTHIP redactie

Katheter en infuus vaak onnodig én pijnlijk

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Veel patiënten met een urinekatheter of een perifeer infuus ervaren daar ongemak of klachten van, zonder dat verpleegkundigen of artsen hiervan weten. Ook weten veel patiënten niet waarom ze überhaupt een katheter of infuus hebben. Lees gehele artikel in nursing 4 februari 2019, klik hier

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  • door dTHIP redactie

The socio-economic impact of multidrug-resistant nosocomial infections: a qualitative study

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The burden of healthcare-associated infections (HCAIs) has traditionally been measured using clinical and economic outcomes. We conducted semi-structured interviews with 18 patients or their caregivers affected by HCAI caused by multidrug-resistant organisms to better understand the human impact of HCAI. Most patients had misconceptions about HCAI and antimicrobial resistance, leading to strong negative feelings towards […]

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  • op 24 januari 2019
  • door dTHIP redactie

Bronchoscope-associated clusters of multidrug-resistant Pseudomonas aeruginosa and carbapenem-resistant Klebsiella pneumoniae

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OBJECTIVE: Recovery of multidrug-resistant (MDR) Pseudomonas aeruginosa and Klebsiella pneumoniae from a cluster of patients in the medical intensive care unit (MICU) prompted an epidemiologic investigation for a common exposure. METHODS: Clinical and microbiologic data from MICU patients were retrospectively reviewed, MICU bronchoscopes underwent culturing and borescopy, and bronchoscope reprocessing procedures were reviewed. Bronchoscope and clinical MDR […]

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Developing core elements and checklist items for global hospital antimicrobial stewardship programmes: a consensus approach

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Objectives: With increasing global interest in hospital antimicrobial stewardship (AMS) programmes, there is a strong demand for core elements of AMS to be clearly defined on the basis of principles of effectiveness and affordability. To date, efforts to identify such core elements have been limited to Europe, Australia, and North America. The aim of this study was […]

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A five-day course of oral antibiotics followed by faecal transplantation to eradicate carriage of multidrug-resistant Enterobacteriaceae: A Randomized Clinical Trial

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Objectives: Intestinal carriage with extended spectrum beta-lactamase (ESBL-E) and carbapenemase-producing Enterobacteriaceae (CPE) can persist for months. We aimed to evaluate whether oral antibiotics followed by faecal microbiota transplantation (FMT) can eradicate intestinal carriage with ESBL-E/CPE. Methods: Randomized, open-label, superiority trial in four tertiary care centres (Geneva [G], Paris [P], Utrecht [U], Tel Aviv [T]). Non-immunocompromised adult patients […]

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  • door dTHIP redactie