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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 2 2015

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Table of Contents 
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Surgical site infection in orthopaedic surgery: an audit of peri-operative practice at a tertiary centre 
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Peter Tao, Caroline Marshall and Andrew Bucknill
pp. 39-45

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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Improving the central venous access devices maintenance process to reduce associated infections in paediatrics: evaluation of a practical, multi-faceted quality-improvement initiative 
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Tricia Kleidon, Abby Illing, Gerry Fogarty, Rachel Edwards, Jane Tomlinson and Amanda Ullman
pp. 46-53

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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Success in the South Pacific: a case study of successful diffusion of an infection prevention and control program 
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Peta-Anne Zimmerman, Heather Yeatman, Michael Jones and Helen Murdoch
pp. 54-61

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.

   |        Open Access Article

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Does our bundle stack up! Innovative nurse-led changes for preventing catheter-associated urinary tract infection (CAUTI) 
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Michelle Giles, Wendy Watts, Anthony O’Brien, Sandy Berenger, Michelle Paul, Karen McNeil and Kamana Bantawa
pp. 62-71

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.

   |        Open Access Article

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The emergence of community-acquired Clostridium difficile in an Australian hospital 
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Teresa M. Wozniak, George Rubin and C. Raina MacIntyre
pp. 72-77

This research suggests an emergence of C. difficile infection in the community, which had previously been considered a low-risk population. The aim of this work was to describe the epidemiology of C. difficile by linking laboratory-confirmed cases with inpatient hospitalisation and medical record reviews. These data suggest that infection with C. difficile demands greater attention, in particular in the community setting.


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Infection prevention and control lessons learned from the management of the first suspected Ebola virus disease case admitted to a New Zealand hospital 
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Ruth Barratt
pp. 78-80

This report describes the infection prevention and control involvement in the care of the first suspected Ebola virus disease (EVD) case to be admitted to a New Zealand hospital. Prior planning and detailed preparations enabled a smooth admission process and ongoing patient treatment. Prepared infection prevention and control procedures ensured the public and healthcare workers were not put at risk of acquiring EVD. Further refinement of personal protective equipment is required.

   |        Open Access Article

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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.

    HI15008  Accepted 18 May 2015
    Trends in Publication Scholarship in Healthcare Infection: a twelve-year analysis
    Ramon Shaban, Brett Mitchell


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 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

3. 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

4. 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

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
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

8. 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

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 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

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
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

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

Geethanie Fernando, Peter Collignon and Wendy Beckingham

17. 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

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
Knowledge, attitudes and perceptions regarding antibiotic use and self-medication: a cross-sectional study among Australian Chinese migrants

Jie Hu and Zhiqiang Wang

20. 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

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Volume 20 (2)

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