Due to shortages of N95 respirators during the COVID-19 pandemic, it is necessary to estimate the number of N95s required for healthcare workers (HCW) to inform manufacturing targets and resource allocation. Only one HCW (0.8%) had a positive culture. INTRODUCTION. As with mortality, risk of severe disease was independently associated with age (aOR 1.17 for each decade increase, 95% CI: 1.00-1.37), male sex (aOR 2.34, 95% CI 1.54-3.60), and cardiovascular disease (aOR 1.77, 95% CI 1.09-2.85). Self-collected saline gargle and an oral-anterior nasal swab have a similar sensitivity to a nasopharyngeal swab for the detection of SARS-CoV-2. Log In; Automatic login IP; PUBLISHERS' AREA DISCOVER ISSN SERVICES SEARCH OPEN … Healthcare Infection Control and Response is a new program being offered by SPICE. Quasi-experimental cluster-control outbreak evaluation. Nationally, the number of N95 respirators needed over the course of the pandemic ranges from 86 million (95% IPR: 37.1-200.6 million) to 1.6 billion (95% IPR: 0.7-3.6 billion) as 5-90% of the population is exposed (single-use), and 17.4 million (95% IPR: 7.3-41 million) to 312.3 million (95% IPR: 131.5-737.3 million) using each respirator for five encounters. 350 Parnassus Avenue, Suite 706 San Francisco, California 94117 ; Society for Healthcare Epidemiology of America. The Centers for Disease Control and Prevention (CDC) defines health care-associated infections (HAIs) as infections acquired while in the health care setting (e.g., inpatient hospital admission, hemodialysis unit, or same-day surgery), with a lack of evidence that the infection … Infection Control/Hospital Epidemiology (IC/HE) staff meetings: Weekly discussion of daily operations and major project work impacting both the team and the medical center. AJIC covers key topics and issues in infection control and epidemiology. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Our findings highlight the utility of routine non-invasive saliva testing for frontline healthcare workers to protect vulnerable patient populations. The SHEA journal, Infection Control & Hospital Epidemiology (ICHE), is published monthly by Cambridge University Press. Infection Control & Hospital Epidemiology publishes scientifically authoritative, clinically applicable, peer-reviewed research on control and evaluation of the transmission of pathogens in healthcare institutions and on the use of epidemiological principles and methods to evaluate and improve the delivery of care. There was no difference in mean cycle threshold between pre/asymptomatic and symptomatic individuals. 145 staff and 26 patients were exposed resulting in 24 secondary cases. An outbreak report. A total of 502 patients were included, and the majority (476/502, 95%) had clinically evaluable outcomes. Isolation of COVID-19 patients in cohorted wards or single-patient rooms? Routine bi-weekly NP testing, once every two weeks, identified an average of 90.7% (SD: 0.18) of cases during the infectious period and 19.7% (SD: 0.98) during the pre-symptomatic stage. Estimated Number of N95 Respirators Needed for Healthcare Workers in Acute Care Hospitals During the COVID-19 Coronavirus Pandemic, Infectivity of Healthcare Workers Diagnosed with SARS-CoV-2 Infection Approximately 2 weeks after Onset of Symptoms: a Cross-Sectional Study. To learn more, click on the SPARC logo bel… Department of Hospital Epidemiology and Infection Control. Infection control professionals, including physicians, nurses, and epidemiologists, rely on AJIC for peer-reviewed articles covering … ISSN 0899-823X (Print) | Infection control and hospital epidemiology. The project focuses on assessment of infection control … Infection Control and Hospital Epidemiology Description: Infection Control and Hospital Epidemiology provides original, peer-reviewed scientific articles for anyone involved with an infection control or … Email your librarian or administrator to recommend adding this journal to your organisation's collection. COVID-19 remains a serious threat for long-term care facilities, and frequent screening of employees and residents places substantial burden on those facilities. No factors for prolonged viral shedding were identified. Find out more about sending to your Kindle. Identify risk factors that could increase progression to severe disease and mortality in hospitalized SARS-CoV-2 patients in the Southeast US. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. We performed viral culture of respiratory specimens in 118 SARS-CoV-2 infected healthcare workers (HCW), approximately 2 weeks after symptom onset. You can save your searches here and later view and run them again in "My saved searches". Funding for the project is made possible by Centers for Disease Control and North Carolina Division of Public Health, Communicable Disease Branch. For an acute care hospital with 400 all-cause monthly admissions, the number of N95 respirators needed to manage COVID-19 patients admitted during a month ranges from 113 (95% IPR: 50-229) if 0.5% of admissions are COVID-19 patients to 22,101 (95% IPR: 5,904-25,881) if 100% of admissions are COVID-19 patients (assuming single use per respirator, and 10 encounters between HCWs and each COVID-19 patient per day). Major areas of research include infection Infection Control and Hospital Epidemiology provides original, peer-reviewed scientific articles for anyone involved with an infection control or epidemiology program in a hospital or healthcare facility. Infection Control and Hospital Epidemiology publishes visual abstracts online, where a figure from an article, or a unique visual image, can be included as a preview in the online table of contents and with the online abstract when published. Hand hygiene and personal protective equipment (PPE) compliance, detection of environmental SARS-COV-2 RNA, patient behavior, and SARS-CoV-2 IgG antibody prevalence were assessed. Infection control professionals, including physicians, nurses, and epidemiologists, rely … Close this message to accept cookies or find out how to manage your cookie settings. Patient noncompliance, decreased hand hygiene, and pre/asymptomatic transmission were more frequent on the outbreak ward. A 5-day saliva testing schedule had a similar case detection percentage as weekly NP testing during the infectious period, but identified about 10% more cases (mean: 42.5%; SD: 1.10) during the pre-symptomatic stage. Find out more about sending to your Kindle. Title Abbreviation: Infect Control Hosp Epidemiol Title(s): Infection control and hospital epidemiology. You are leaving Cambridge Core and will be taken to this journal's article submission site. Published online by Cambridge University Press. With schools reopening, an increasing number of custodians are applying disinfectant spray methods to decontaminate frequently touched surfaces, including school supplies, walls, desks, and chairs, to mitigate SARS-CoV-2 virus transmission between students, and teachers and students in the classroom. The Journal of Hospital Infection is the editorially independent scientific publication of the Healthcare Infection Society. Our study quantifies the number of N95 respirators needed for a given acute care hospital and nationally during the COVID-19 pandemic under varying conditions. A 5-day saliva testing schedule should be considered to help identify silent infections and prevent outbreaks in nursing homes and healthcare facilities. All issues of Infection Control & Hospital Epidemiology - Suzanne F. Bradley, MD Skip to main content Accessibility help We use cookies to distinguish you from other users and to provide you with a better … 【infection control and hospital epidemiology】citescore trend Comments from Authors * All review process metrics, such as acceptance rate and review speed, are limited to our user-submitted … The study objectives were to identify risk factors that could increase progression to hospital mortality and severe disease (defined as a composite of intensive care unit admission or requirement of mechanical ventilation) in hospitalized SARS-CoV-2 patients in the Southeast US. Environmental RNA was higher on the COVID-19 ward than on the negative control ward, (OR 19.98; 95% CI 2.63-906.38; p<0.001). In an adjusted multivariate analysis, advanced age, male sex, and cardiovascular disease increased risk of severe disease and mortality in patients with COVID-19 in the Southeast US. Epidemiology, University of Pennsylvania Philadelphia, , Pennsylvania (E.L.) ; the Departments of Safety and Infection Control, Pitt County Memorial Hospital, and the Department of Medicine, The Brody … … These alternative collection techniques are cheap and can eliminate barriers to testing, particularly in underserved populations. The Journal welcomes submissions that relate to all aspects of infection prevention and control in healthcare … Self-collected swab techniques can overcome many of the disadvantages of a nasopharyngeal swab, but require evaluation. Infectivity is resolved in nearly all HCWs approximately 2 weeks after symptom onset. 501.V2 and B.1.1.7 variants of COVID-19: a new time-bomb in the making? Infection Control and Hospital Epidemiology Published monthly by Cambridge University Press, ICHE provides original, peer-reviewed scientific articles for the professional in epidemiology or infectious prevention and control programs in hospitals and healthcare facilities. Hospital mortality was 16% (76/476), while 35% (177/502) required ICU admission, and 18% (91/502) required mechanical ventilation. The performance characteristics of each test were assessed. To send this article to your account, please select one or more formats and confirm that you agree to abide by our usage policies. Publishers own the rights to the articles in their journals. We report our successful multimodal prevention measures without frequent testing which resulted in no cases within twenty nursing home units over the first six months of the pandemic. Close this message to accept cookies or find out how to manage your cookie settings. Description: Infection Control and Hospital Epidemiology provides original, peer-reviewed scientific articles for anyone involved with an infection control or … Source: Infection Control and Hospital Epidemiology, Vol. Current COVID-19 guidelines recommend symptom-based screening and regular nasopharyngeal (NP) testing for healthcare personnel in high-risk settings. Hospital waste serves as potential source of pathogens and about 20%–25% of hospital waste is termed as hazardous. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. The adjusted sensitivity of the saline gargle was 0.90 (95% CI 0.86-0.94), the oral swab was 0.82 (95% CI 0.72-0.89) and the combined oral-anterior nasal swab was 0.87 (95% CI 0.77-0.93) as compared to a nasopharyngeal swab, which demonstrated a sensitivity of around 90% when all positive tests were the reference standard. In this research, we present a novel characterization method to evaluate disinfectant droplet size and coverage for two types of commonly used disinfectant sprayers and suggest the optimum application practice for them. You are leaving Cambridge Core and will be taken to this journal's article submission site. … Infection Control & Hospital Epidemiology - Suzanne F. Bradley, MD. Infection Control and Hospital Epidemiology. 35, No. Environmental contamination and PPE use were similar on outbreak and control wards. 7 (July 2014), pp. It provides original, peer-reviewed scientific articles for professionals in epidemiology … Then enter the ‘name’ part of your Kindle email address below. •Covers the basics of hospital epidemiology and infection prevention, types of healthcare-associated infections, details of specific pathogens (bacterial, mycobacterial, fungal, and viral), special … Compared to both control wards, the proportion staff with detectable antibodies was higher on the outbreak ward (OR 3.78; 95% CI:1.01-14.25; p=0.008). We constructed a sensitivity function based on the average infectiousness profile of symptomatic COVID-19 cases to determine the probability of being identified at the time of testing. 0/32 randomly selected staff from the control wards tested positive. All patients and staff on the outbreak ward (case cluster), and randomly selected patients and staff on COVID-19 wards (positive control cluster) and a non-COVID-19 wards (negative control cluster) underwent RT-PCR testing. We then simulated a routine testing program with different NP and saliva testing frequencies to determine case detection percentages during the infectious period, as well as the pre-symptomatic stage. Varying monthly all-cause admissions to 2,000 requires 6,645-13,404 respirators with a 60% COVID-19 admission prevalence, 10 HCW-patient encounters, and reusing N95s 5-10 times. The Journal … Email your librarian or administrator to recommend adding this journal to your organisation's collection. 753-771 Published by: The University of Chicago Press on behalf of The Society for Healthcare Epidemiology of America 4/14 (29%) staff and 7/10 (70%) patients were asymptomatic or pre-symptomatic. Donning and doffing technique for coverall personal protective equipment, is it safe? We developed a model to determine the number of N95 respirators needed for HCWs both in a single acute care hospital and the United States. To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E … Note you can select to send to either the @free.kindle.com or @kindle.com variations. Infection Control and Hospital Epidemiology Review Speed, Peer-Review Duration, Time from Submission to 1st Editorial/Reviewer Decision & Time from Submission to Acceptance/Publication To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Daily Huddle: A quick … Rhode Island Hospital infection control and hospital epidemiology research is focused on understanding the epidemiology, pathogenesis, and prevention … A subscription to ICHE … Anyone who wants to read the articles should pay by … A Cluster-Control Approach to a SARS-CoV-2 Outbreak on a Stroke Ward with Infection Control Considerations for Dementia and Vascular Units, COVID-19 and spatial control in times of pandemic. The Journal Impact 2019 of Infection Control and Hospital Epidemiology is 2.660, which is just updated in 2020. Lessons Learned in Infection Prevention for Ebola Virus Disease and the COVID-19 Pandemic—Principles Underlying Prevention, Risk Factors for Mortality and Progression to Severe COVID-19 Disease in the Southeast United States (US): A Report from the SEUS Study Group, Routine saliva testing for the identification of silent COVID-19 infections in healthcare workers, Routine Surveillance of Asymptomatic Healthcare Personnel for SARS-CoV-2: Not A Prevention Strategy, Seroprevalence of SARS-CoV-2 Antibodies by Risk of Exposure in a Community Health System, Successful Multimodal Measures Preventing COVID-19 Outbreaks Without Universal Frequent Testing within Long-Term Care Units in the Midwestern Veterans Health Care Network, URL: /core/journals/infection-control-and-hospital-epidemiology. … Find out more about sending content to . Leave this field blank . Lead by Dr. Nasia Safdar, the Infection Control Department at UWHC has been recognized for its research on intravascular device infection, isolation for prevention of infection, and studies of the epidemiology of infection in the ICU.The UWHC Infection Control Department is committed to prevention an control … Infection Control and Hospital Epidemiology is a Subscription-based (non-OA) Journal. Addressing stigma in the context of the COVID-19 outbreak: a social-ecological approach. We provide secure, cost-effective access to the UK's richest collection of digital content: giving you access to the latest data and content from leading international publishers and providers.. Find out … Infection Control and Hospital Epidemiology. During a follow-up survey from August 2017 to August 2018, we performed an observational study in patients at a tertiary-care hospital … Skip to main content. Widespread testing for SARS-CoV-2 is necessary to curb the spread of COVID-19, but is undermined when the only option is a nasopharyngeal swab. American Journal of Infection Control covers key topics and issues in infection control and epidemiology. We sought to contain a healthcare-associated SARS-CoV-2 outbreak, evaluate contributory factors, and prevent future outbreaks. Infection Control & Hospital Epidemiology, Check if you have access via personal or institutional login, URL: /core/journals/infection-control-and-hospital-epidemiology. Nosocomial infections can be controlled by practicing infection control programs, keep check on antimicrobial use and its resistance, adopting antibiotic control … Mean monthly hand hygiene compliance, based on 20,146 observations (over preceding year), was lower on the outbreak ward (p<0.006). We sought to estimate case detection percentages with various routine NP and saliva testing frequencies. Can long-term care facilities remain a COVID-19-free bubble? The median cycle threshold values for the SARS-CoV-2 E-gene for concordant and discordant saline gargle specimens were 17 and 31 (p<0.001), for the oral swabs were 17 and 28 (p<0.001) and oral-anterior nasal swabs were 18 and 31 (p=0.007). ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply. Multicenter, retrospective cohort including 502 adults hospitalized with laboratory-confirmed COVID-19 between March 1, 2020 and May 8, 2020 within one of 15 participating hospitals in 5 health systems across 5 states in the Southeast US. Infection Control & Hospital Epidemiology publishes scientifically authoritative, clinically applicable, peer-reviewed research on control and evaluation of the transmission of pathogens in healthcare institutions and on the use of epidemiological principles and methods to evaluate and improve the delivery of care. Three self-collected non-nasopharyngeal swab techniques (saline gargle, oral swab and combined oral-anterior nasal swab) were compared to a nasopharyngeal swab for SARS-CoV-2 detection at multiple COVID-19 assessment centers in Toronto, Canada. With a weekly NP testing frequency, the corresponding case detection percentages were 95.9% (SD: 0.18) and 32.9% (SD: 1.23), respectively. Infection Control & Hospital Epidemiology, Find out more about sending to your Kindle, Characterization of handheld disinfectant sprayers for effective surface decontamination to mitigate SARS-CoV-2 transmission, Detection of SARS-CoV-2 in Outpatients: A Multi-Centre Comparison of Self-Collected Saline Gargle, Oral Swab and Combined Oral-Anterior Nasal Swab to a Provider Collected Nasopharyngeal Swab, An outbreak of COVID-19 in hematology staff via airborne transmission, Medical Facemasks are Adequate for Healthcare Worker Safety at Outdoor COVID-19 Drive-Through Testing Centers. By both univariate and adjusted multivariate analysis, hospital mortality was independently associated with age (adjusted odds ratio [aOR] 2.03 for each decade increase, 95% CI 1.56-2.69), male sex (aOR 2.44, 95% CI: 1.34-4.59), and cardiovascular disease (aOR 2.16, 95% CI: 1.15-4.09). UW Hospital has one of the nation's leading infection control programs. Advantages and disadvantages to take into consideration. Infection Control and Hospital Epidemiology, publishes scientifically authoritative research on control and evaluation of the transmission of pathogens in healthcare institutions and on the use of epidemiological principles and methods to evaluate and improve the delivery of care. This function was fitted to reported data on the percent positivity of symptomatic COVID-19 patients using NP testing. The number of N95s needed decreases (22 [95% IPR: 10-43]-4,445 [95% IPR: 1,975-8,684]) if each N95 is used for five patient encounters. We also aimed to evaluate the importance of this notification for the infection control measures and antimicrobial resistance predictability. Find out more about the Kindle Personal Document Service. Staff seroconversion was more likely during a short-term outbreak than from sustained duty on a COVID-19 ward. RNA levels on the COVID-19 ward (where there were no outbreaks) and the outbreak ward were similar (OR 2.38; p=0.18). 1. In-hospital mortality risk doubled with each subsequent decade of life. The aim of the Journal is to publish high quality research and information relating to infection prevention and control that is relevant to an international audience. Author(s): Society of Hospital Epidemiologists of America. The Maryland Statewide Prevention and Reduction of Clostridioides difficile Collaborative (SPARC) is targeting C. difficileinfections (CDI) in acute care facilities in Maryland.Using expertise and resources available through the Maryland Prevention EpiCenters (University of Maryland and Johns Hopkins University) and the Maryland Department of Health, SPARC has been created to help hospitals implement customized interventions to enhance CDI prevention efforts. Infection Control and Hospital Epidemiology - インパクトファクター. Hospital Epidemiology and Infection Control, Fourth Edition C. Glen Mayhall About This Title; E-Book; Thoroughly revised and updated for its Fourth Edition, this highly acclaimed volume is the most comprehensive reference on hospital epidemiology and infection control… We use cookies to distinguish you from other users and to provide you with a better experience on our websites. To your organisation 's collection with a better experience on our websites fitted to data... 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