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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 19 Number 3 2014

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Table of Contents 
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How can implementing an infection prevention and control (IPC) technology transform healthcare practices and outcomes for patients? 
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Randa Attieh , Marie-Pierre Gagnon and Sarah L. Krein
pp. 81-88

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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Attitudes towards antimicrobial stewardship: results from a large private hospital in Australia 
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Menino O. Cotta , Megan S. Robertson , Mark Tacey , Caroline Marshall , Karin A. Thursky , Danny Liew and Kirsty L. Buising
pp. 89-94

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.

   | Supplementary Material (1.9 MB)  |        Open Access Article

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Frequency of use and activation of safety-engineered sharps devices: a sharps container audit in five Australian capital cities 
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Terry Grimmond
pp. 95-100

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.

   |        Open Access Article

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Evaluation of the relationship between ATP bioluminescence assay and the presence of organisms associated with healthcare-associated infections 
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Shawn G. Gibbs , Harlan Sayles , Oleg Chaika , Angela Hewlett , Erica M. Colbert and Philip W. Smith
pp. 101-107

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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Improving hand hygiene compliance: harnessing the effect of advertised auditing 
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Siong Hui , John Ng , Nancy Santiano , Heather-Marie Schmidt , Jennifer Caldwell , Emina Ryan and Michael Maley
pp. 108-113

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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Mandatory influenza vaccination of healthcare workers: is it necessary or sufficient to protect patients? 
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Allen C. Cheng and Leon J. Worth
pp. 114-115

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 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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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.

    HI14024  Accepted 15 September 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, Sue McLellan, Surendra Karki, Allen Cheng, Leon Worth

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

Lindsay E. Nicolle

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 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

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
Healthcare waste disposal: an analysis of the effect of education on improving waste disposal

Karen Hames

14. 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

15. 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

16. 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

17. 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

18. 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

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

Moi Lin Ling and Kue Bien How

20. 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

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Volume 19 (3)

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