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Healthcare Infection
http://www.acipc.org.au
  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

 
 
 

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Published online 21 April 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

Catheter-associated urinary tract infection (CAUTI) accounts for 40% of all Australian healthcare-associated infections and up to 50% of indwelling urinary catheter placements are deemed to be unnecessary. This project aimed to develop and implement a coordinated nurse-led interprofessional approach in developing a CAUTI prevention care bundle that will reduce indwelling urinary catheter use and the incidence of CAUTI.

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Published online 19 March 2015
Surgical site infection in orthopaedic surgery: an audit of peri-operative practice at a tertiary centre 
Peter Tao, Caroline Marshall and Andrew Bucknill

Surgical site infection is a dreaded complication in orthopaedic surgery. There are several evidence-based practices which have been demonstrated to decrease the incidence of surgical site infection. An audit was performed at a tertiary trauma centre to assess the compliance with these protocols.

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Published online 18 March 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

Central venous access devices (CVADs) are a necessary part of many acute and chronically ill children’s medical treatment, but they are frequently the source of life-threatening bloodstream infections. This quality-improvement initiative implemented and evaluated innovative strategies aimed to improve the management of CVAD within a tertiary paediatric facility. Within the initiative, a CVAD maintenance bundle and a dedicated CVAD trolley successfully reduced the rate of CVAD-related bloodstream infections and improved clinician compliance to evidence-based strategies.

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Published online 16 March 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

The severe acute respiratory syndrome (SARS) outbreak of 2003 had the effect of identifying a gap in infection prevention and control (IPC) practices in the Republic of Kiribati. This led to the successful adoption of a comprehensive IPC program which mirrored the process of diffusion of innovations in organisations. This process could be used as a model for implementation of IPC programs in other low and middle income countries.

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blank image Healthcare Infection
Volume 20 Number 1 2015
Infection Control in Non-hospital Settings

 
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Table of Contents 
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Infection prevention and antimicrobial stewardship: important in all settings 
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N. Deborah Friedman
pp. 1-3

In order to effectively prevent infection, and the development of resistant bacteria, infection control and antibiotic stewardship programs need to expand outside of hospitals. In prisons, infection control standards for regulated and safer tattooing practices could prevent infections, while in residential aged care a nurse-led program can result in a significant reduction in antibiotic prescribing. In order to comply with national standards, there is an ever-expanding scope of work for infection control practitioners that will require an increase in resources to successfully achieve.

 
 

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A nurse-led antimicrobial stewardship intervention in two residential aged care facilities 
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Rhonda L. Stuart, Elizabeth Orr, Despina Kotsanas and Elizabeth E. Gillespie
pp. 4-6

Antimicrobial stewardship in a residential aged care facility setting is of growing importance. In this pilot study, we found that a simple educational intervention, utilising an infection prevention nurse to drive the program, led to a significant reduction in antibiotic use in a residential aged care facility. Further research in this important area is justified.

   |        Open Access Article
 

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Assessment of current antimicrobial stewardship policies and resources: a focus group project 
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Darren K. Pasay, Sheldon J. S. Chow, Lauren C. Bresee, Micheal Guirguis and Jeremy Slobodan
pp. 7-15

Describing the methods and results of a province-wide focus group project, the report revealed the participants’ perceptions of antimicrobial stewardship and formulary policies. Participants discussed the antimicrobial resources, influences, barriers, team approach, communication and educational needs, antimicrobial utilisation concerns, and enablers. This is the first qualitative analysis to target pharmacy services staff across a large organisation.

 
  
 

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Evaluation of adenosine triphosphate (ATP) bioluminescence assay to confirm surface disinfection of biological indicators with vaporised hydrogen peroxide (VHP) 
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Erica M. Colbert, Shawn G. Gibbs, Kendra K. Schmid, Robin High, John J. Lowe, Oleg Chaika and Philip W. Smith
pp. 16-22

This study examined if ATP bioluminescence assay could be used to evaluate biological indicators to confirm decontamination following vaporised hydrogen peroxide decontamination. A reduction in microorganisms was shown for culture-based methods, but ATP bioluminescence assay did not show a reduction. The ATP bioluminescence assay is not an effective alternate to culture-based methodologies for the confirmation of VHP decontamination.

 
  
 

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Knowledge, attitudes and perceptions regarding antibiotic use and self-medication: a cross-sectional study among Australian Chinese migrants 
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Jie Hu and Zhiqiang Wang
pp. 23-28

The inappropriate use of antibiotics in the community is an important contributor towards antibiotic resistance globally. This study identified misperceptions about antibiotic use in Australian Chinese migrants which significantly increased the risk of self-medication with antibiotics. It is of public health significance that health professionals are aware of the practice of self-medication and associated attitudes and perceptions about antibiotic use in this growing population.

 
  
 

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Roles, responsibilities and scope of practice: describing the ‘state of play’ for infection control professionals in Australia and New Zealand 
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Lisa Hall, Kate Halton, Deborough Macbeth, Anne Gardner and Brett Mitchell
pp. 29-35

This study comprehensively describes the infection control professional workforce in Australia and New Zealand. It provides detail on ICP education levels, experience and highlights a diverse scope of practice. The results will help decision-makers to design and target strategies aimed at supporting infection control practice.

   |        Open Access Article
 

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What have you heard about tattooing in prison? The clandestine role of hearing aids in the risk of bloodborne virus transmission 
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Huan Jian Sia and Michael Levy
pp. 36-37

This report outlines the illicit use of hearing aid batteries as a power source for illicit prison tattooing. We advocate for the introduction of regulated tattoo parlours in prisons so as to minimise the risks of conflating important health interventions with risk activities and minimising the risks of bacterial or viral transmission.

 
  
 

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Peer reviewers 2014 
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pp. 38-38
 
 

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These articles have been peer reviewed and accepted for publication. They are still in production and have not been edited, so may differ from the final published form.

    HI15006  Accepted 21 April 2015
    Infection prevention and control lessons learned from the management of the first suspected EVD case admitted to a New Zealand hospital
    Ruth Barratt
    Abstract


    HI15003  Accepted 21 April 2015
    The emergence of community-acquired Clostridium difficile in an Australian hospital
    Teresa Wozniak, George Rubin, Raina MacIntyre
    Abstract


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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 30 May 2014
Knowledge and understanding of patients and health care workers about multi-resistant organisms

Nancy Santiano, Jennifer Caldwell, Emina Ryan, Arene Smuts and Heather-Marie Schmidt

2. Published 30 May 2014
Mandatory seasonal influenza vaccination of health care workers: a way forward to improving influenza vaccination rates

Roy Chean, John K. Ferguson and Rhonda L. Stuart

3. 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

4. Published 3 September 2014
Improving hand hygiene compliance: harnessing the effect of advertised auditing

Siong Hui, John Ng, Nancy Santiano, Heather-Marie Schmidt, Jennifer Caldwell, Emina Ryan and Michael Maley

5. Published 30 May 2014
Nurses’ sharps, including needlestick, injuries in public and private healthcare facilities in New South Wales, Australia

Maya Guest, Ashley K. Kable, May M. Boggess and Mark Friedewald

6. Published 30 May 2014
Impact of a linerless, reusable, clinical wastebin system on costs, waste volumes and infection risk in an Australian acute-care hospital

Fiona De Sousa, Diana Martin and Terry Grimmond

7. Published 3 September 2014
Attitudes towards antimicrobial stewardship: results from a large private hospital in Australia

Menino O. Cotta, Megan S. Robertson, Mark Tacey, Caroline Marshall, Karin A. Thursky, Danny Liew and Kirsty L. Buising

8. Published 3 September 2014
How can implementing an infection prevention and control (IPC) technology transform healthcare practices and outcomes for patients?

Randa Attieh, Marie-Pierre Gagnon and Sarah L. Krein

9. 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

10. Published 3 September 2014
Frequency of use and activation of safety-engineered sharps devices: a sharps container audit in five Australian capital cities

Terry Grimmond

11. Published 3 September 2014
Mandatory influenza vaccination of healthcare workers: is it necessary or sufficient to protect patients?

Allen C. Cheng and Leon J. Worth

12. 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

13. Published 30 May 2014
ATP bioluminescence to validate the decontamination process of gastrointestinal endoscopes

Geethanie Fernando, Peter Collignon and Wendy Beckingham

14. 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

15. 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

16. 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

17. Published 3 September 2014
Evaluation of the relationship between ATP bioluminescence assay and the presence of organisms associated with healthcare-associated infections

Shawn G. Gibbs, Harlan Sayles, Oleg Chaika, Angela Hewlett, Erica M. Colbert and Philip W. Smith

18. 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

19. 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

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

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


      
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