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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 11 February 2014
ATP bioluminescence to validate the decontamination process of gastrointestinal endoscopes 
Geethanie Fernando, Peter Collignon and Wendy Beckingham

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.

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Published online 11 February 2014
Central line-associated bloodstream infection (CLABSI) rates: achieving the elusive goal of zero 
Mary-Louise McLaws and William R. Jarvis

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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Published online 08 January 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

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.

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Published online 19 December 2013
Repeated multimodal supervision programs to reduce the central line-associated bloodstream infection rates in an Indian corporate hospital 
Namita Jaggi and Pushpa Sissodia

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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blank image Healthcare Infection
Volume 19 Number 1 2014
Urinary Tract Infection

 
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Table of Contents 
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Preventing catheter-associated urinary tract infection: a happy marriage between implementation and healthier patients 
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Sarah L. Krein and Sanjay Saint
pp. 1-3
 
 

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Urinary tract infection in long-term care facilities 
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Lindsay E. Nicolle
pp. 4-12

Urinary infection is the second most common infection occurring in long-term care facility residents. Clinical diagnostic imprecision and a high prevalence of asymptomatic bacteriuria means these infections are overdiagnosed and overtreated, leading to adverse events from excess antimicrobial use. Antimicrobial stewardship programs to improve antimicrobial use for this indication need to be developed in long-term care facilities.

   |        Open Access Article
 

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A single centre point prevalence survey to determine prevalence of indwelling urinary catheter use and nurse-sensitive indicators for the prevention of infection 
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Rochelle Wynne, Mithun Patel, Nicole Pascual, Marc Mendoza, Pui Ho, Doreen Qian, Denesh Thangavel, Laura Law, Matthew Richards and Louise Hobbs
pp. 13-19

Catheter-associated urinary tract infection (CAUTI) is the most common hospital-acquired infection. The aim of this study was to determine the prevalence of IUC use within a major metropolitan tertiary-referral teaching hospital and to explore nurse-sensitive indicators for the prevention of CAUTI in this context. The prevalence of IUC use in this tertiary teaching hospital was less than that in other centres. Nurses appear to be proficient in the management of IUC and associated drainage equipment and there is room for interdisciplinary improvement in documentation practices.

 
  
 

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Clinical characteristics and antimicrobial susceptibility pattern of hospitalised patients with community-acquired urinary tract infections at a regional hospital in Taiwan 
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Luke F. Chen, Chun-Ting Chiu, Jui-Yo Lo, Si-Yuan Tsai, Li-Chiu Weng, Deverick J. Anderson and Huan-Sheng Chen
pp. 20-25

Common uropathogens in Taiwan (such as E. coli, Klebsiella spp. and Proteus mirabilis) are now resistant to many recommended first-line antibiotics. Taiwanese treatment guidelines for urosepsis should be updated to reflect changes in epidemiology of microbiology. Clinicians and hospitals should be aware of local antibiotic resistance patterns for optimal treatment selection.

 
  
 

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Healthcare associated urinary tract infections: a protocol for a national point prevalence study 
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Brett Mitchell, Anne Gardner, Wendy Beckingham and Oyebola Fasugba
pp. 26-31

In Australia, there is no specific national strategy and surveillance system in place to address urinary tract infection surveillance. A consistent methodology for a point prevalence study on urinary tract infections is required. We propose a method for that could be used for a single hospital or national study.

   |        Open Access Article
 

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Renal patients with asymptomatic bacteriuria do not need to be treated: results of a pilot observational audit 
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Leyland Chuang, Norshima Nashi, Anantharaman Vathsala and Paul Ananth Tambyah
pp. 32-36

Inappropriate use of antibiotics for the treatment of asymptomatic bacteriuria in renal patients is common. Our study evaluated the safety and risks of adverse outcomes due to non-treatment of asymptomatic bacteriuria. This was found to be similar to that for patients who were treated. These findings suggest that it is safe not to treat asymptomatic bacteriuria in renal patients.

 
  
 

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The economics of UTI surveillance 
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Nicholas Graves
pp. 37-37
 
 

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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.

    HI14008  Accepted 11 April 2014
    Attitudes towards antimicrobial stewardship: results from a large private hospital in Australia
    Menino Cotta, Megan Robertson, Mark Tacey, Caroline Marshall, Karin Thursky, Danny Liew, Kirsty Buising
    Abstract


    HI14003  Accepted 19 March 2014
    How Can Implementing an Infection Prevention and Control (IPC) Technology Transform Health Care Practices and Outcomes for Patients?
    Randa Attieh, Marie-Pierre Gagnon, Sarah Krein
    Abstract


    HI13048  Accepted 24 February 2014
    The impact of a liner-less reusable clinical waste bin system on costs, waste volumes and infection risk in an Australian acute-care hospital
    Fiona De Sousa, Diana Martin, Terry Grimmond
    Abstract


    HI13044  Accepted 13 January 2014
    Nurses’ Sharps Including Needlestick Injuries in Public and Private Healthcare Facilities in New South Wales.
    Maya Guest, Ashley Kable, May Boggess, Mark Friedewald
    Abstract


    HI13027  Accepted 16 October 2013
    Knowledge and understanding of patients and health care workers about multi-resistant organisms
    Nancy Santiano, Jennifer Caldwell, Emina Ryan, Arene Smuts, Heather-Marie Schmidt
    Abstract




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 21 May 2013
Hand hygiene compliance: the elephant in the room

Stella Stevens, Lynn Hemmings, Craig White and Anthony Lawler

2. Published 21 May 2013
Infection control in the post-antibiotic era

Stephanie J. Dancer

3. 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

4. Published 21 May 2013
A review of bacterial biofilms and their role in device-associated infection

Karen Vickery, Honghua Hu, Anita Simone Jacombs, David Alan Bradshaw and Anand Kumar Deva

5. 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

6. Published 21 May 2013
Why is it so hard for doctors to speak up when they see an error occurring?

Claire Dendle, Andrea Paul, Carmel Scott, Elizabeth Gillespie, Despina Kotsanas and Rhonda L. Stuart

7. 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

8. Published 21 May 2013
A study of three methods for assessment of hospital environmental cleaning

Philip W. Smith, Harlan Sayles, Angela Hewlett, R. Jennifer Cavalieri, Shawn G. Gibbs and Mark E. Rupp

9. 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

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

Lindsay E. Nicolle

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

Karen Hames

12. Published 24 October 2013
Norovirus: a challenging pathogen

Chong W. Ong

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

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

14. 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

15. 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

16. 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

17. 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

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

Moi Lin Ling and Kue Bien How

19. 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

20. 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


      
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