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ajicjournal.bsky.social
American Journal of Infection Control
@ajicjournal.bsky.social
250 followers 81 following 120 posts
@APIC's scientific journal. AJIC is the foremost resource on infection control, epidemiology, infection diseases, quality management, disease prevention, and implementation science. https://www.ajicjournal.org
www.ajicjournal.org
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · 21h
📊 RN staffing matters.

🧼 Each additional RN hour/patient/day = 3% ↓ MRSA BSI
📈 MRSA BSI ↑ during 2020–2021, then ↓ again
🏥 Study from 1,625 hospitals across U.S.
📣 Nursing = key to infection prevention

🔗 www.ajicjournal.org/article/S019...

#MRSA #NurseWorkforce #HAI #InfectionPrevention #AJIC
Registered nurse workload and hospital-onset methicillin-resistant Staphylococcus aureus bloodstream infections
The prevention of methicillin-resistant Staphylococcus aureus (MRSA) is a national priority. Data from the American Hospital Association Survey and the Centers for Medicare & Medicaid Services show th...
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · 21h
💉 New AJIC Systematic Review—Open Access!

📊 Single-site blood culture sampling (SSS) may beat multisite:
✅ ↑ Pathogen detection
❌ ↓ Contamination risk
⚠️ >4 bottles = no added value
🧪 18K+ patients, 25K+ samples reviewed

🔗 www.ajicjournal.org/article/S019...
Single-site sampling strategy versus multisite sampling strategy in blood culture collection within the hospital setting: A systematic review
Many global infectious disease and sepsis guidelines suggest a multisite sampling (MSS) strategy of blood cultures to diagnose bloodstream infections, however, single-site sampling (SSS) may be a viab...
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · 21h
🧪 New in AJIC – Open Access!

📌 First quality index system for automated endoscope reprocessors
🔍 Key findings:
• 54.5% of issues = human error (mainly leak detector setup)
• 58-item system based on SPO model + Delphi method

📖 www.ajicjournal.org/article/S019...
Development of a quality evaluation index system for the management of automated endoscope reprocessors: Based on the structure-process-outcome model
The increasing reliance on automated endoscope reprocessors (AERs) for endoscope reprocessing has highlighted gaps in management systems. This study aimed to develop a comprehensive quality evaluation...
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · 21h
🦸‍♂️ The Hero Program is changing hand hygiene.

📈 +11.45% HH compliance in 120 days
🎯 94% compliance after 1 year
🤖 Algorithm adjusts for workload + consistency
🎁 Daily rewards = sustained engagement
📊 566,000+ HH events analyzed

🔗 www.ajicjournal.org/article/S019...
Hero Program: A data-driven reward system to improve hand hygiene
Healthcare-associated infections compromise patient outcomes and pose a burden on healthcare systems worldwide. Despite widespread awareness of the critical role of Hand Hygiene (HH) in preventing hea...
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · 21h
📊 New study finds:
🧼 +27–31% ↑ hand disinfection in patient rooms when observed
📉 –32% to –99% ↓ HD in utility rooms
🤖 Electronic monitoring quantified Hawthorne effect
🏥 Bias varied by room & unit type

🔗 www.ajicjournal.org/article/S019...

#HandHygiene #HawthorneEffect #InfectionPrevention #AJIC
Observing is influencing: How hand disinfection compliance observations affect hand disinfection rates; specifics derived from an electronic monitoring system
Monitoring hand disinfection (HD) with direct observation is considered the gold standard but is flawed by the Hawthorne effect (HE). In our project in a German university hospital, we quantified the ...
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · 21h
🚨 Digital feedback via electronic monitoring system boosts hand hygiene compliance

📈 Long-term feedback (9 months) ↑ HH adherence from 37.9% → 52.5%
👥 Group-only feedback = not enough
🙋 Individual + group = best results
⭐ Actual % > symbolic feedback (stars)

🔗 www.ajicjournal.org/article/S019...
Digital feedback to improve adherence to hand hygiene: A longitudinal study on the effects of an electronic monitoring system
This study investigated the impact of digital feedback from an electronic monitoring system (EMS) to health care workers (HCWs) at both the group and individual levels on the adherence to hand hygiene...
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · 21h
🧼 New in AJIC!

Do hand-drying products need to be sterile for surgical hand antisepsis?

👨‍⚕️ Study says: No!
✅ Clean paper towels: fewer bacteria than sterile cloth towels
💰 Major cost savings: CNY 0.20 vs. CNY 5.70–8.20
🔬 All methods met antisepsis standards

📖 www.ajicjournal.org/article/S019...
Is sterility essential for hand-drying products in surgical hand antisepsis? A controlled before-and-after study
Using sterile hand-drying products for surgical hand antisepsis incurs high economic and labor costs.
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · 21h
🦠 New in AJIC!

📍 Candida auris in NY, 2017–2022:
— No surge during COVID-19
— ↑ Black & Hispanic patients post-COVID
— ↑ Younger patients in colonization screening
— No joinpoint shift in clinical case trends

📊 Equity matters in pathogen surveillance.

🔗 www.ajicjournal.org/article/S019...
Characterization of patients with Candida (Candidozyma) auris before and during the COVID-19 pandemic in New York, 2017-2022
Candida auris causes severe, invasive infections. We characterized C. auris epidemiology in New York before and during the coronavirus disease 2019 (COVID-19) pandemic.
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · 22h
🧫 New in AJIC!

🦠 Acanthamoeba found in 58.5% of dust samples from high-risk hospital areas in Western Iran

📖 www.ajicjournal.org/article/S019...

#InfectionPrevention #Acanthamoeba #HospitalHygiene #AJIC @APIC
Environmental detection and genetic profiling of Acanthamoeba in high-risk medical facilities
Acanthamoeba parasite, one of the most common environmental protozoans, can be isolated from contact lenses, cleaning solutions, ventilation systems, dental treatment units, dialysis units, and emerge...
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · 22h
📢 New in AJIC!

📌 Strongyloides outbreak in NY intermediate care facility (Nov–Dec 2023)

➡️ 11 residents & 6 staff tested positive
➡️ Hand hygiene compliance just 4%
➡️ All cases treated—last case reported Dec 2023

🔗 Read more: www.ajicjournal.org/article/S019...

#InfectionControl #LTC #AJIC
Redirecting
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · Aug 29
Infection prevention prelicensure nursing education: Exploring graduating student and preceptor experiences - American Journal of Infection Control www.ajicjournal.org/article/S019...
Infection prevention prelicensure nursing education: Exploring graduating student and preceptor experiences
This study explores infection prevention and control (IPC) perceptions and experiences of final-semester pre-licensure nursing students and their clinical preceptors, highlighting the need for strong ...
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · Aug 29
First report of Lodderomyces elongisporus identification in intensive care unit patients in Colombia - American Journal of Infection Control www.ajicjournal.org/article/S019...
First report of Lodderomyces elongisporus identification in intensive care unit patients in Colombia
Lodderomyces elongisporus, a yeast commonly associated with environmental sources, is emerging as a human fungal pathogen. This report presents the first documented case of L.elongisporus colonization...
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · Aug 29
Opening the door to infection prevention: A survey of a-IPC certificants - American Journal of Infection Control www.ajicjournal.org/article/S019...
Opening the door to infection prevention: A survey of a-IPC certificants
The Associate-Infection Prevention and Control (a-IPC) certification was developed to provide an entry-level credential for infection preventionists and those pursuing careers in IPC. To evaluate its ...
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · Aug 29
Interventions to prevent bloodstream infections associated with central venous access devices: Priorities for an adaptive platform trial - American Journal of Infection Control www.ajicjournal.org/article/S019...
Interventions to prevent bloodstream infections associated with central venous access devices: Priorities for an adaptive platform trial
Health care-associated bloodstream infections are serious complications of central venous access devices. Numerous preventative interventions exist, but without high-level evidence. The IVCare adaptiv...
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · Aug 29
Hospital-acquired COVID-19 is associated with increased length and cost of stay in an Australian health care setting - American Journal of Infection Control www.ajicjournal.org/article/S019...
Hospital-acquired COVID-19 is associated with increased length and cost of stay in an Australian health care setting
The effect of hospital-acquired COVID-19 (HAI-COVID) on length- and cost- of hospital stay is incompletely understood. We performed a propensity-score matched, case-control study comparing inpatients ...
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · Aug 29
Development of the SMART Toolkit: An online collection of management resources for health care-associated infection prevention - American Journal of Infection Control www.ajicjournal.org/article/S019...
Development of the SMART Toolkit: An online collection of management resources for health care-associated infection prevention
We previously reported results of an in-depth study of management practices to prevent health care-associated infections. Here we describe the development of an online toolkit containing resources tha...
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · Aug 29
Safe injection, infusion, medication vial, and point-of-care testing practices in health care (2025) - American Journal of Infection Control www.ajicjournal.org/article/S019...
Safe injection, infusion, medication vial, and point-of-care testing practices in health care (2025)
This position paper provides health care professionals updated guidance with corresponding evidence and rationale to support safe injection, infusion, medication vial, and point-of-care testing practi...
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · Aug 29
Outbreak of New Delhi metallo-β-lactamase carbapenemase-producing Pseudomonas aeruginosa infections in a Southern California hospital - American Journal of Infection Control www.ajicjournal.org/article/S019...
Outbreak of New Delhi metallo-β-lactamase carbapenemase-producing Pseudomonas aeruginosa infections in a Southern California hospital
Carbapenemase-producing carbapenem-resistant Pseudomonas aeruginosa (CP-CRPA) is a major public health threat due to limited treatment options and high transmissibility. Though widespread globally, fe...
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · Aug 29
Provincial PPE Safety Coach Program evaluation in continuing care settings in Alberta - American Journal of Infection Control www.ajicjournal.org/article/S019...
Provincial PPE Safety Coach Program evaluation in continuing care settings in Alberta
Alberta Health Services (AHS) offered the Provincial Personal Protective Equipment (PPE) Safety Coach Program to continuing care homes to provide support to staff regarding the safe and appropriate us...
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · Aug 29
Preventing microbial contamination during radiological imaging: Experimental evaluation of a multiuse contrast media infusion system incorporating sequential one-way valves within a dual-safety design - American Journal of Infection Control www.ajicjournal.org/article/S019...
Preventing microbial contamination during radiological imaging: Experimental evaluation of a multiuse contrast media infusion system incorporating sequential one-way valves within a dual-safety design
Health care-associated infections are a significant cause of patient morbidity, mortality, and health care expenditure. In diagnostic imaging, multiuse contrast media infusion systems are increasingly...
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · Aug 29
Impact of empowerment of onco-hematological patients on the incidence of catheter-related bloodstream infections - American Journal of Infection Control www.ajicjournal.org/article/S019...
Impact of empowerment of onco-hematological patients on the incidence of catheter-related bloodstream infections
Patients with hematologic malignancies and hematopoietic stem cell transplant recipients (HSCT) are at high risk of central venous catheter-related bloodstream infections (CLABSI). Global actions have...
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · Aug 29
The CONSIDER study: Assessing the risk of catheter-associated bloodstream infections beyond the intensive care setting - American Journal of Infection Control www.ajicjournal.org/article/S019...
The CONSIDER study: Assessing the risk of catheter-associated bloodstream infections beyond the intensive care setting
Catheter-associated and related bloodstream infection (CABSI and CRBSI) are major causes of hospital-acquired infections. However, their incidence and risk factors in non-intensive care unit (ICU) pat...
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · Aug 29
Prevalence, antimicrobial resistance profiles, and determinants of Acinetobacter baumannii and Pseudomonas aeruginosa isolates among nosocomial infection--suspected patients in the northwestern region of Ethiopia - American Journal of Infection Control #skyID www.ajicjournal.org/article/S019...
Prevalence, antimicrobial resistance profiles, and determinants of Acinetobacter baumannii and Pseudomonas aeruginosa isolates among nosocomial infection--suspected patients in the northwestern region...
Pseudomonas aeruginosa and Acinetobacter baumannii are common causes of nosocomial infections. Furthermore, antimicrobial resistance is frequently observed in these pathogens, posing significant chall...
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · Aug 29
Implementing antimicrobial stewardship core elements in Utah nursing homes - American Journal of Infection Control #skyID www.ajicjournal.org/article/S019...
Implementing antimicrobial stewardship core elements in Utah nursing homes
In 2017, the Centers for Medicare and Medicaid Services (CMS) required all nursing homes (NHs) to implement an Antimicrobial Stewardship Program (ASP) as part of their infection prevention and control...
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ajicjournal.bsky.social
American Journal of Infection Control @ajicjournal.bsky.social · Aug 29
A priority framework for the development of a health care-associated infection surveillance program in Australian residential aged care homes: Analysis of a Delphi technique - @apic #skyID www.ajicjournal.org/article/S019...
A priority framework for the development of a health care-associated infection surveillance program in Australian residential aged care homes: Analysis of a Delphi technique
There is no agreed scope for a comprehensive national residential aged care home (RACH) health care-associated infection (HAI) surveillance program in Australia.
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