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Healthcare Infection
  Official Journal of the Australasian College for Infection Prevention and Control
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Healthcare Infection is the premier journal in the field of infection prevention and control in the Asia-Pacific region. More

Editor: Brett Mitchell


blank image Healthcare Infection
Volume 20 Number 3 & 4 2015

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Table of Contents 
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Healthcare Infection: a time for change 
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Brett G. Mitchell
pp. 81-83

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2015 President’s address: new ventures in publishing 
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Belinda C. Henderson
pp. 84-84

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Trends in publication scholarship in Healthcare Infection: a 12-year analysis 
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Ramon Z. Shaban and Brett G. Mitchell
pp. 85-88

The dissemination of information, particularly new information in the form of research, is critical to all professions. This study examined the nature and content of articles published in Healthcare Infection over time, and revealed that approximately half the published manuscripts were research based. Generating and disseminating new knowledge from research is critical to the growing profession of infection prevention and control.

   |        Open Access Article

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Cross-sectional screening of healthcare workers at a regional chest clinic with an interferon gamma release assay: first report from Sri Lanka 
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Champa N. Ratnatunga , Vasanthi Thevanesam , Dhamith Nandadeva , Dushantha Madegedara and K. G. R. Athula Kumara
pp. 89-94

Healthcare workers are at high risk of getting infected with tuberculosis in countries where the disease is endemic (prevalent). Here we show that an interferon gamma release assay (IGRA) has no advantage over the cheaper tuberculin skin test (TST) in screening these workers in this setting. Although IGRAs are recommended for screening and have been shown to have many advantages over the conventional TST, this test should be used based on applicability and usefulness evaluated in a local setting.


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Evaluating environment cleanliness using two approaches: a multi-centred Australian study 
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Brett G. Mitchell , Fiona Wilson and Anne Wells
pp. 95-100

Environmental cleanliness is a key component of preventing healthcare-associated infections. A standardised method to evaluate environmental cleanliness using two approaches was developed. This paper describes the development process and the findings of the first 12 months of data following the introduction of a standardised program for evaluating environmental cleanliness within Tasmanian healthcare facilities.

   |        Open Access Article

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Characteristics of a successful hospital hand hygiene program: an Australian perspective 
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Joanne Brocket and Ramon Z. Shaban
pp. 101-107

Hand hygiene is well established as being fundamental in infection control programs for preventing and controlling HAIs. This paper will describe a successful hand hygiene program, aimed at effecting culture change, which significantly improved and maintained hand hygiene compliance from 22% to 71%, tripling the use of alcohol-based handrub.


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Time series evaluation of the 3M™ Clean-Trace™ ATP detection device to confirm swab effectiveness 
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Erica M. Colbert , Harlan Sayles , John J. Lowe , Oleg Chaika , Philip W. Smith and Shawn G. Gibbs
pp. 108-114

Healthcare-associated infections (HAIs) continue to be a global issue contributing to thousands of deaths each year. This study set out to determine the effectiveness of the swab 3M™ Clean-Trace™ ATP System over time in determining the cleanliness of surfaces, which could help lower HAIs. ATP bioluminescence is not sensitive enough to distinguish between viable organisms and organic debris remnants on sterilised equipment.


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Acute vancomycin-resistant enterococcal bacteraemia outbreak analysis in haematology patients: a case-control study 
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Ian Gassiep , Mark Armstrong , Zoe Van Havre , Sanmarie Schlebusch , Joseph McCormack and Paul Griffin
pp. 115-123

A contained vancomycin-resistant enterococcus bacteraemia outbreak case-control analysis in a haematology cohort. The aim of this analysis was to determine the aetiology of this rare and potentially fatal event, and revealed that recent ward relocation, as well as several patient factors, likely contributed. These results aid in minimising future risk of bacteraemia outbreak.

    | Supplementary Material (267 KB)

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Cultural dimensions relevant to antimicrobial stewardship: the contribution of individualism and power distance to perioperative prescribing practices in European hospitals 
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Allen C. Cheng and Leon J. Worth
pp. 124-127

There are many influences on the decision to prescribe antibiotics, including culture. We found that in European countries there was an association between some cultural characteristics and the inappropriate use of antibiotics. Societal and cultural factors should be considered when designing interventions to improve antibiotic prescribing.


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Rising fluoroquinolone resistance rates in corneal isolates: implications for the wider use of antibiotics within the community 
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Chameen Samarawickrama , Elsie Chan and Mark Daniell
pp. 128-133

Antibiotic resistance is a major concern for both clinicians and the community at large. Our study reports an increase in fluoroquinolone resistance rates from samples obtained from community-acquired cases of microbial keratitis between 2014 (6.6%) and 2000 (0%; P = 0.002). This data provides some insight into the shifting pattern of antibiotic resistance and, if replicated, would advocate for greater antibiotic stewardship within the community.


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Implementation of an antimicrobial stewardship program in an Australian metropolitan private hospital: lessons learned 
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Jeannine A. M. Loh , Jonathan D. Darby , John R. Daffy , Carolyn L. Moore , Michelle J. Battye , Yves S. Poy Lorenzo and Peter A. Stanley
pp. 134-140

Most resources to guide the implementation of antimicrobial stewardship (AMS) programs are tailored around the public hospital system and fail to take into consideration the limitations faced by private hospitals. By tailoring our AMS program to accommodate the needs and barriers at a private hospital, we have implemented several AMS initiatives, including a formulary restriction. We hope that our experiences in establishing an AMS program in a private hospital will aid others in similar situations.

   |        Open Access Article

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In-use effect of electrolysed water on transcutaneous oxygen sensors 
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Stephanie J. Dancer , Julie Mallon , Rebecca Murphy and Cliff Murch
pp. 141-144

Sensitive electrical clinical equipment cannot be easily decontaminated between patients. This study examined the effect of neutral electrolysed water for decontaminating electrical probes used for measuring transcutaneous oxygen concentrations. Electrolysed water appeared to eliminate the risk of pathogen transmission without compromising monitoring data. This product could be useful for decontaminating similar clinical equipment.


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Compliance with international guidelines on antibiotic prophylaxis for elective surgeries at a tertiary-level hospital in the Philippines 
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Maria Isabel P. Nabor , Brian S. Buckley and Marie Carmela M. Lapitan
pp. 145-151

Infections in surgical wounds can be prevented by the use of the correct dose of the correct antibiotic at the correct time before or during surgery. This research from the Philippines assessed how well surgical teams follow international guidelines on antibiotic use. The study adds to other evidence from around the world that surgical teams often do not follow guidelines and that awareness-raising initiatives within hospitals may be needed.


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Peer reviewers 2015 
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pp. 152-152

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The Most Read ranking is based on the number of downloads from the CSIRO PUBLISHING website of articles published in the previous 12 months. Usage statistics are updated daily.

Rank Paper Details
1. Published 8 December 2014
Changes in healthcare-associated infections after the introduction of a national hand hygiene initiative

Adrian G. Barnett, Katie Page, Megan Campbell, David Brain, Elizabeth Martin, Shirley Winters, Lisa Hall, David Paterson and Nicholas Graves

2. Published 25 May 2015
Does our bundle stack up! Innovative nurse-led changes for preventing catheter-associated urinary tract infection (CAUTI)

Michelle Giles, Wendy Watts, Anthony O'Brien, Sandy Berenger, Michelle Paul, Karen McNeil and Kamana Bantawa

3. Published 25 May 2015
Surgical site infection in orthopaedic surgery: an audit of peri-operative practice at a tertiary centre

Peter Tao, Caroline Marshall and Andrew Bucknill

4. Published 27 February 2015
Roles, responsibilities and scope of practice: describing the ‘state of play’ for infection control professionals in Australia and New Zealand

Lisa Hall, Kate Halton, Deborough Macbeth, Anne Gardner and Brett Mitchell

5. Published 27 February 2015
A nurse-led antimicrobial stewardship intervention in two residential aged care facilities

Rhonda L. Stuart, Elizabeth Orr, Despina Kotsanas and Elizabeth E. Gillespie

6. Published 8 December 2014
Improvements in process with a multimodal campaign to reduce urinary tract infections in hospitalised Australian patients

Deborah Rhodes, Jacqueline Kennon, Stacey Aitchison, Kerrie Watson, Linda Hornby, Gillian Land, Pauline Bass, Susan McLellan, Surendra Karki, Allen C. Cheng and Leon J. Worth

7. Published 25 May 2015
Improving the central venous access devices maintenance process to reduce associated infections in paediatrics: evaluation of a practical, multi-faceted quality-improvement initiative

Tricia Kleidon, Abby Illing, Gerry Fogarty, Rachel Edwards, Jane Tomlinson and Amanda Ullman

8. Published 8 December 2014
Clostridium difficile-associated disease: how much do we really know? A single institution study

Hedley S. Roth, Christopher T. Parker, Roger J. Wale and Satish K. Warrier

9. Published 25 May 2015
The emergence of community-acquired Clostridium difficile in an Australian hospital

Teresa M. Wozniak, George Rubin and C. Raina MacIntyre

10. Published 27 February 2015
Assessment of current antimicrobial stewardship policies and resources: a focus group project

Darren K. Pasay, Sheldon J. S. Chow, Lauren C. Bresee, Micheal Guirguis and Jeremy Slobodan

11. Published 8 December 2014
Prior room occupancy increases risk of methicillin-resistant Staphylococcus aureus acquisition

Brett G. Mitchell, Wilhelmine Digney and John K. Ferguson

12. Published 27 February 2015
Knowledge, attitudes and perceptions regarding antibiotic use and self-medication: a cross-sectional study among Australian Chinese migrants

Jie Hu and Zhiqiang Wang

13. Published 28 October 2015
Characteristics of a successful hospital hand hygiene program: an Australian perspective

Joanne Brocket and Ramon Z. Shaban

14. Published 27 February 2015
What have you heard about tattooing in prison? The clandestine role of hearing aids in the risk of bloodborne virus transmission

Huan Jian Sia and Michael Levy

15. Published 8 December 2014
Approaches to surveillance of Staphylococcus aureus bacteraemia and Clostridium difficile infection in Australian states and territories

Elizabeth Hanley and Cate Quoyle

16. Published 25 May 2015
Success in the South Pacific: a case study of successful diffusion of an infection prevention and control program

Peta-Anne Zimmerman, Heather Yeatman, Michael Jones and Helen Murdoch

17. Published 25 May 2015
Infection prevention and control lessons learned from the management of the first suspected Ebola virus disease case admitted to a New Zealand hospital

Ruth Barratt

18. Published 27 February 2015
Evaluation of adenosine triphosphate (ATP) bioluminescence assay to confirm surface disinfection of biological indicators with vaporised hydrogen peroxide (VHP)

Erica M. Colbert, Shawn G. Gibbs, Kendra K. Schmid, Robin High, John J. Lowe, Oleg Chaika and Philip W. Smith

19. Published 28 October 2015
Acute vancomycin-resistant enterococcal bacteraemia outbreak analysis in haematology patients: a case-control study

Ian Gassiep, Mark Armstrong, Zoe Van Havre, Sanmarie Schlebusch, Joseph McCormack and Paul Griffin

20. Published 28 October 2015
Time series evaluation of the 3M™ Clean-Trace™ ATP detection device to confirm swab effectiveness

Erica M. Colbert, Harlan Sayles, John J. Lowe, Oleg Chaika, Philip W. Smith and Shawn G. Gibbs

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Volume 20 (4)


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