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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 05 August 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

Good hand hygiene compliance can prevent healthcare-associated infections and when healthcare workers are aware of being observed, adherence may improve further. A prospective observational study carried out to determine the association between advertised hand hygiene auditing and compliance rates revealed an increment of 5.6% in the overall compliance rate.

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Published online 24 July 2014
A nurse-led antimicrobial stewardship intervention in two residential aged care facilities 
Rhonda L. Stuart, Elizabeth Orr, Despina Kotsanas and Elizabeth E. Gillespie

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.

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Published online 24 July 2014
Mandatory influenza vaccination of healthcare workers: is it necessary or sufficient to protect patients? 
Allen C. Cheng and Leon J. Worth

Despite recommendations, a significant proportion of hospital staff is not vaccinated against influenza and there have been calls to make this compulsory. We argue that this is poor policy – it does not automatically lead to better vaccination rates, is difficult to enforce and good vaccination rates are possible without compelling staff to be vaccinated. Further, even complete vaccination of staff may not achieve the ultimate goal of protecting patients from viral infections because the vaccine is only partially effective.

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Published online 26 June 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

This study evaluated ATP bioluminescence’s efficacy in determining microbial contamination on 17 surfaces from the healthcare environment, and in determining if the ATP measurements of Acinetobacter baumannii, Candida albicans, Escherichia coli, Enterococcus faecalis, Mycobacterium smegmatis, and methicillin-resistant Staphylococcus aureus corresponded to quantitative microbiology. A strong positive correlation was discovered for each of the six organisms.

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Published online 10 June 2014
Frequency of use and activation of safety-engineered sharps devices: a sharps container audit in five Australian capital cities 
Terry Grimmond

The incidence of sharps injuries among Australian hospital personnel is unacceptably high and little data is available as to why. This national audit of disposed sharps found only 30% were safety-engineered devices and 20% of safety devices were not activated. The findings offer some explanation as to the high incidence and give strong support for urgent change to occur, including possible legislation.

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Published online 05 June 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

Changes in infection prevention and control (IPC) practices resulting from technical innovation can have a major impact on healthcare quality. This discussion paper seeks to introduce a conceptual framework that will make it possible to understand the dynamics involved in implementing practice change. It identifies how new technology integration can translate into different responses to change and into the practices of a network of actors.

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Published online 28 May 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

An effective hospital-wide antimicrobial stewardship (AMS) program requires engagement with all healthcare professionals involved in antimicrobial use, not just prescribers. The aim of this study was to consider attitudes and perceptions among all clinical stakeholders in a large Australian private hospital. Results of the study may be of assistance in introducing AMS to the private hospital sector.

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blank image Healthcare Infection
Volume 19 Number 2 2014

 
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Table of Contents 
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Central line-associated bloodstream infection (CLABSI) rates: achieving the elusive goal of zero 
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Mary-Louise McLaws and William R. Jarvis
pp. 39-41

Zero-risk for CLABSI is achievable – but not without applying distinctively different strategies. Currently, the majority of ICU patients have a short dwell time, <9 days, and with aseptic insertion will remain infection-free for their entire ICU stay. But the minority of patients have a longer dwell time, contribute the majority of CLABSI and require more than aseptic insertion to reduce the risk of infection. Consequently, aggregating short and longer dwell times prevents us from evaluating care.

 
 

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Mandatory seasonal influenza vaccination of health care workers: a way forward to improving influenza vaccination rates 
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Roy Chean , John K. Ferguson and Rhonda L. Stuart
pp. 42-44

Annual influenza vaccination of healthcare workers is critical in preventing healthcare-associated transmission of influenza. The uptake of influenza vaccination by healthcare workers, however, remains poor despite availability of safe effective vaccines and annual, highly visible, voluntary strategies. New ideas including mandatory vaccination have now been employed successfully overseas to achieve sustained high rates of vaccination uptake. We discuss these strategies and ways to implement them.

   |        Open Access Article
 

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Knowledge and understanding of patients and health care workers about multi-resistant organisms 
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Nancy Santiano , Jennifer Caldwell , Emina Ryan , Arene Smuts and Heather-Marie Schmidt
pp. 45-52

This study explored the knowledge and understanding of patients and health care workers (HCWs) about multi-resistant organisms (MROs). The patients interviewed had a limited knowledge and understanding of MROs. Knowledge was generally inadequate among HCWs, and this was compounded by the majority of HCWs reporting that explaining a patient’s MRO status is beyond the scope of their knowledge. Policies and educational resources for infection control and prevention should give consideration to confidence-building and clear delineation of responsibility for informing patients of their MRO status.

 
  
 

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Repeated multimodal supervision programs to reduce the central line-associated bloodstream infection rates in an Indian corporate hospital 
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Namita Jaggi and Pushpa Sissodia
pp. 53-58

Central line-associated bloodstream infections (CLABSI) are associated with significant morbidity, mortality and costs. The present study highlighted the role of repeated multimodal intervention programs in keeping the CLABSI rates low. This was evidenced by the overall 86.3% reduction in CLABSI rates in the entire study period showing a sustained decline after two intervention programs (first intervention:15.3%; second intervention: 36.9%; and post intervention:74.9%).

 
  
 

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ATP bioluminescence to validate the decontamination process of gastrointestinal endoscopes 
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Geethanie Fernando , Peter Collignon and Wendy Beckingham
pp. 59-64

Gastrointestinal endoscopes become heavily contaminated and need careful and validated reprocessing. We evaluated ATP bioluminescence (relative light units) in 120 endoscopes to validate the decontamination processing. We conclude that ATP bioluminescence has the potential to play an important role. This process allows a quick testing turnaround time and for the endoscope to be classified as safe.

   |        Open Access Article
 

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Nurses’ sharps, including needlestick, injuries in public and private healthcare facilities in New South Wales, Australia 
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Maya Guest , Ashley K. Kable , May M. Boggess and Mark Friedewald
pp. 65-75

Sharps-related injuries continue to be a significant hazard for healthcare workers. This paper examines data from two state-wide studies of nurses working in public and private healthcare facilities in New South Wales. It provides evidence of significant differences in sharps related injuries between these two sectors including what are the higher risk areas of practice, issues relating to reporting of incidents, perceptions of risk, recapping and safety-engineered medical devices.

 
  
 

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Impact of a linerless, reusable, clinical wastebin system on costs, waste volumes and infection risk in an Australian acute-care hospital 
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Fiona De Sousa , Diana Martin and Terry Grimmond
pp. 76-80

Clinical waste is costly, is a potential infection risk to patients, staff and handlers, and needs careful management. This study found that a new reusable containment system enabled marked reductions in cost, risk, labour and volumes and received high praise in staff evaluations. The system enables reduced public healthcare spending, less environmental impact, greater safety and regulatory compliance.

 
  
 

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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.

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Rank Paper Details
1. Published 24 October 2013
The search for an evidence-based intervention to improve hand hygiene compliance in a residential aged care facility

Gail Abernethy and Wendy Smyth

2. Published 24 October 2013
Antibiotic resistance and prescribing in Australia: current attitudes and practice of GPs

Rachel Hardy-Holbrook, Svetlana Aristidi, Vandana Chandnani, Daisy DeWindt and Kathryn Dinh

3. Published 24 February 2014
Urinary tract infection in long-term care facilities

Lindsay E. Nicolle

4. 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

5. Published 24 October 2013
Norovirus: a challenging pathogen

Chong W. Ong

6. Published 24 February 2014
A single centre point prevalence survey to determine prevalence of indwelling urinary catheter use and nurse-sensitive indicators for the prevention of infection

Rochelle Wynne, Mithun Patel, Nicole Pascual, Marc Mendoza, Pui Ho, Doreen Qian, Denesh Thangavel, Laura Law, Matthew Richards and Louise Hobbs

7. 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

8. 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

9. 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

10. Published 24 February 2014
Healthcare associated urinary tract infections: a protocol for a national point prevalence study

Brett Mitchell, Anne Gardner, Wendy Beckingham and Oyebola Fasugba

11. Published 30 September 2013
Healthcare waste disposal: an analysis of the effect of education on improving waste disposal

Karen Hames

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

Geethanie Fernando, Peter Collignon and Wendy Beckingham

13. Published 30 September 2013
Vancomycin-resistant enterococci surveillance of intensive care patients: incidence and outcome of colonisation

Elena Iolovska, Heather Bullard, Wendy Beckingham, Peter Collignon, Imogen Mitchell and Bronwyn Avard

14. Published 24 October 2013
The use of point prevalence surveys of healthcare-associated infection to identify risk factors and facilitate infection prevention and control planning

Maura P. Smiddy and Olive M. Murphy

15. Published 24 October 2013
Natural history of rectal colonisation with extended-spectrum beta-lactamase producing Enterobacteriaceae: a retrospective review with up to 6 years of follow-up

J. T. Freeman, S. Gormack, M. N. De Almeida and S. A. Roberts

16. Published 24 October 2013
Pseudomonas aeruginosa outbreak linked to sink drainage design

Moi Lin Ling and Kue Bien How

17. Published 30 September 2013
The relationship between patient characteristics and the development of a multi-resistant healthcare-associated infection in a private South Australian hospital

L. S. Jarratt and E. R. Miller

18. Published 30 September 2013
Long-term survival outcome following Staphylococcus aureus bacteraemia

Chong W. Ong, Jan L. Roberts and Peter J. Collignon

19. Published 30 September 2013
Shelf life of sterilized packaged items stored in acute care hospital settings: factors for consideration

Prabha Lakhan, Joan Faoagali, Rosemary Steinhardt and Dolly Olesen

20. Published 24 February 2014
Renal patients with asymptomatic bacteriuria do not need to be treated: results of a pilot observational audit

Leyland Chuang, Norshima Nashi, Anantharaman Vathsala and Paul Ananth Tambyah


      
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