Gotowe bibliografie tematyczne / Nosocomial infection

Gotowa bibliografia na temat „Nosocomial infection”

Autor: Grafiati
Data publikacji: 4 czerwca 2021
Data aktualizacji: 20 lutego 2023

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Artykuły w czasopismach na temat "Nosocomial infection"

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Breathnach, Aodhán S. "Nosocomial infections and infection control". Medicine 41, nr 11 (listopad 2013): 649–53. http://dx.doi.org/10.1016/j.mpmed.2013.08.010.

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Jenkins, David R. "Nosocomial infections and infection control". Medicine 45, nr 10 (październik 2017): 629–33. http://dx.doi.org/10.1016/j.mpmed.2017.07.005.

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Kollef, Marin H., Antoni Torres, Andrew F. Shorr, Ignacio Martin-Loeches i Scott T. Micek. "Nosocomial Infection". Critical Care Medicine 49, nr 2 (14.01.2021): 169–87. http://dx.doi.org/10.1097/ccm.0000000000004783.

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Farhat, Calil K. "Nosocomial infection". Jornal de Pediatria 76, nr 4 (15.07.2000): 259–60211. http://dx.doi.org/10.2223/jped.2.

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Leaper, D. "Nosocomial infection". British Journal of Surgery 91, nr 5 (26.04.2004): 526–27. http://dx.doi.org/10.1002/bjs.4632.

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Hughes, James M. "Nosocomial Infection Surveillance in the United States: Historical Perspective". Infection Control 8, nr 11 (listopad 1987): 450–53. http://dx.doi.org/10.1017/s0195941700069769.

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AbstractDuring the past 30 years, many important strides have been made in the prevention of nosocomial infections in the United States. Infection control programs have been established in hospitals throughout the country. Techniques for surveillance of nosocomial infections have been developed and utilized extensively. Results of the Study on the Efficacy of Nosocomial Infection Control (SENIC Project) and the experience with surveillance of surgical wound infections have documented the fact that surveillance is an integral component of an effective nosocomial infection control program. In recent years, a number of approaches to nosocomial infection surveillance have been proposed as alternatives to comprehensive or hospital-wide surveillance. In 1986, four surveillance components were introduced in the National Nosocomial Infections Surveillance (NNIS) system to provide participating institutions the option to tailor their surveillance program to their local needs and priorities while continuing to provide information to the national database on nosocomial infections. Infection control practitioners currently face a challenge to develop more meaningful nosocomial infection rates to permit identification of new infection control priorities for their institution and to assess progress toward specific prevention objectives.
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Ford-Jones, E. L., C. M. Mindorff, E. Pollock, R. Milner, D. Bohn, J. Edmonds, G. Barker i R. Gold. "Evaluation of a New Method of Detection of Nosocomial Infection in the Pediatric Intensive Care Unit: The Infection Control Sentinel Sheet System". Infection Control & Hospital Epidemiology 10, nr 11 (listopad 1989): 515–20. http://dx.doi.org/10.1086/645938.

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AbstractTo improve the efficiency of nosocomial infection detection, a highly structured system combining initial reporting by the bedside night nurse of symptoms possibly related to infection with follow-up by the infection control nurse (ICN) was developed: The Infection Control Sentinel Sheet System (ICSSS).Between July 1, 1987 and February 28, 1988, a prospective comparison of results obtained through ICSSS and daily bedside observation/chart review by a full-time trained intensivist was undertaken in the pediatric intensive care unit (PICU). Ratios of nosocomial infections and nosocomially-infected patients were 15.8 and 7.0 respectively among 685 admissions; included are seven infections identified only through the ICSSS so that the “gold standard” became an amalgamation of the two systems. The sensitivity for detection of nosocomially-infected patients by bedside observation/chart review and ICSSS was 100% and 87% respectively. The sensitivity for detection of standard infections (blood, wound and urine) was 88% and 85% respectively. The sensitivity for detection of nosocomial infections at all sites was 94% and 72% respectively. Missed infections were minor (e.g., drain, skin, eye), required physician diagnosis (e.g., pneumonia), were not requested on the sentinel sheet (SS) (e.g., otitis media), related to follow-up of deceased patients or were minor misclassifications or failures to associate with device (e.g., central-line related). Daily PICU surveillance by the ICN required only 20 minutes a day. The ICSSS appears highly promising and has many unmeasured benefits.
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Birnbaum, David. "Nosocomial Infection Surveillance Programs". Infection Control 8, nr 11 (listopad 1987): 474–79. http://dx.doi.org/10.1017/s0195941700069800.

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Over 20 years ago, Philip Brachman advised us that “… the surveillance of all institutionally associated infections is important in order to minimize the risk of infection to all patients entering the institution and to members of the community.” Seven years later, in 1970, other staff members at the Centers for Disease Control (CDC) offered us more specific surveillance objectives:A. To determine the frequency and kinds of endemic nosocomial infections, in order to identify deviations from the baseline so that infection control personnel can:1. Determine where studies are needed.2. Ascertain where control measures (long-term and emergency) need to be established and how effective new control measures are.3. Establish policy.B. To provide the patient and personnel (and in some instances the community) with all possible protection from infections of nosocomial origin.C. To meet the requirements of the Joint Commission on Accreditation and the medical-legal guidelines of “accepted standards of patient care.”D. To provide the medical and nursing staff with meaningful data on the level of nosocomial infection in their work areas.If each single nosocomial infection represented sufficient deviation from the baseline occurrence, then analysis of surveillance data would be quite straightforward. However, that is not the case. A 1976 project report for the National Center for Health Statistics identified various “sentinel health events” whose occurrence should trigger “… scientific search for remediable underlying causes.”
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Kaye, Keith S., John J. Engemann, Evelyn M. Fulmer, Connie C. Clark, Edwin M. Noga i Daniel J. Sexton. "Favorable Impact of an Infection Control Network on Nosocomial Infection Rates in Community Hospitals". Infection Control & Hospital Epidemiology 27, nr 3 (marzec 2006): 228–32. http://dx.doi.org/10.1086/500371.

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Objective.To describe an infection control network (the Duke Infection Control Outreach Network [DICON]) and its impact on nosocomial infection rates in community hospitals.Design.Prospective cohort study of rates of nosocomial infections and exposures of employees to bloodborne pathogens in hospitals during the first 3 years of their affiliation with DICON. Attributable cost and mortality estimates were obtained from published studies.Setting.Twelve community hospitals in North Carolina and Virginia.Results.During the first 3 years of hospital affiliation with DICON, annual rates of nosocomial bloodstream infections at study hospitals decreased by 23% (P = .009). Annual rates of nosocomial infection and colonization due to methicillin-resistant Staphylococcus aureus decreased by 22% (P = .002), and rates of ventilator-associated pneumonia decreased by 40% (P = .001). Rates of exposure of employees to bloodborne pathogens decreased by 18% (P = .003).Conclusions.The establishment of an infection control network within a group of community hospitals was associated with substantial decreases in nosocomial infection rates. Standard surveillance methods, frequent data analysis and feedback, and interventions based on guidelines and protocols from the Centers for Disease Control and Prevention were the principal strategies used to achieve these reductions. In addition to lessening the adverse clinical outcomes due to nosocomial infections, these reductions substantially decreased the economic burden of infection: the decline in nosocomial bloodstream infections and ventilator-associated pneumonia alone yielded potential savings of $578,307 to $2,195,954 per year at the study hospitals.
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Gaynes, Robert P., Jonathan R. Edwards, William R. Jarvis, David H. Culver, James S. Tolson i William J. Martone. "Nosocomial Infections Among Neonates in High-risk Nurseries in the United States". Pediatrics 98, nr 3 (1.09.1996): 357–61. http://dx.doi.org/10.1542/peds.98.3.357.

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Background. Nosocomial infections result in considerable morbidity and mortality among neonates in high-risk nurseries (HRNs). Purpose. To examine the epidemiology of nosocomial infections among neonates in level III HRNs. Methods. Data were collected from 99 hospitals with HRNs participating in the National Nosocomial Infections Surveillance system, which uses standard surveillance protocols and nosocomial infection site definitions. The data included information on maternal acquisition of and risk factors for infection, such as device exposure, birth weight category (≤1000, 1001 through 1500, 1501 through 2500, and >2500 g), mortality, and the relationship of the nosocomial infection to death. Results. From October 1986 through September 1994, these hospitals submitted data on 13 179 nosocomial infections. The bloodstream was the most frequent site of nosocomial infection in all birth weight groups. Nosocomial pneumonia was the second most common infection site, followed by the gastrointestinal and eye, ear, nose, and throat sites. The most common nosocomial pathogens among all neonates were coagulase-negative staphylococci, Staphylococcus aureus, enterococci, Enterobacter sp, and Escherichia coli. Group B streptococci were associated with 46% of bloodstream infections that were maternally acquired; coagulase-negative staphylococci were associated with 58% of bloodstream infections that were not maternally acquired, most of which (88%) were associated with umbilical or central intravenous catheters. Conclusions. Bloodstream infections, the most frequent nosocomial infections in all birth weight groups, should be a major focus of surveillance and prevention efforts in HRNs. For bloodstream infections, stratification of surveillance data by maternal acquisition will help focus prevention efforts for group B streptococci outside the HRN. Within the nursery, bloodstream infection surveillance should focus on umbilical or central intravenous catheter use, a major risk factor for infection.
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Rozprawy doktorskie na temat "Nosocomial infection"

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Gagné, Stéphanie. "Étude des mécanismes de virulence du pathogène nosocomial Acinetobacter baumannii". Thesis, Lyon, 2018. http://www.theses.fr/2018LYSE1045/document.

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Acinetobacter baumannii est un pathogène nosocomial qui induit principalement des infections du système respiratoire ou urinaire, et des septicémies chez les patients immunodéprimés. L'émergence de souches multi résistantes aux antibiotiques et l'augmentation de nombreuses d'infections par A. baumannii fait de ce pathogène un enjeu majeur de santé publique. De plus aujourd'hui émerge des souches hypervirulentes. Nous nous sommes intéressés à différentes souches afin de caractériser le phénotype hypervirulent de ces souches. L'étude du système de sécrétion de type VI montre la complexité des mécanismes de virulence d'A. baumannii et sa régulation dépendante des souches. Dans un second temps l'étude des souches cliniques hypervirulentes et nous avons mis en évidence deux nouveaux potentiels mécanismes de virulence : une phase de réplication intracellulaire et une limitation de la réponse immunitaire. Ces mécanismes peuvent expliquer la virulence accrue de ces souches chez l'homme. L'étude nous montre également qu'A. baumannii est un pathogène complexe et qu'on son étude à l'heure actuelle nécessité l'emploi de souche représentative des souches infectant les patients
A. baumannii is an hospital acquired pathogen which causes mainly ventilator associated infection, urinary tract infection and bacteraemia. Last years Multi Drug Resistant strains increase and nosocomial infection cause by A. baumannii also which led him as a serious health care problem. We compare different strains in propose to find phenotype that can explain hypervirulent strain emergence. We studied type six secretion and showed that the complexity of A. baumannii virulence mechanism. Indeed type six secretion system regulation is strain dependant. Secondary we study hypervirulent strain and showed that intracellular stage exists and there is intracellular replication. Also hypervirulent strain induces less immune response. Those two mechanisms can explain A. baumannii hypervirulent phenotype
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Voirin, Nicolas. "Analyse et modélisation de la transmission de la grippe nosocomiale". Thesis, Lyon 1, 2009. http://www.theses.fr/2009LYO10151.

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Les conséquences des épidémies de grippe nosocomiale (GN) pour les patients en termes de morbidité et mortalité sont importantes. Cependant, la présentation clinique des cas, la fréquence de l’infection, le risque d’infection parmi les patients, la transmission et les mesures de contrôle les plus adaptées restent mal connues. Une analyse originale de la littérature nous a permis de synthétiser les connaissances sur la GN. Puis sur la base d’une étude prospective menée pendant 3 saisons de grippe de 2004 à 2007, nous avons présenté une description clinique des cas de grippe observés à l’hôpital Edouard Herriot de Lyon. Nous avons ensuite développé un modèle statistique d’analyse du risque de GN chez les patients et nous avons appliqué ce modèle sur des données concernant plus de 21500 patients. Les facteurs influençant la transmission ont été étudiés par simulation de la diffusion du virus grippal dans une unité de soin à l’aide d’un modèle biomathématique. Nous montrons qu’il était difficile d’identifier les cas de grippe dans l’hôpital sans réalisation systématique d’un test de dépistage. Le risque pour le patient de présenter un syndrome grippal était 2 fois plus important à l’hôpital que dans la communauté. De plus ce risque était 5 à 35 fois plus élevé lorsqu’un patient était exposé à un autre patient ou à un soignant contagieux au cours de son séjour. La transmission de patient à patient semblait une voie de transmission importante. La démarche de ce travail pourrait être adaptée et l’outil statistique étendu à l’étude de la dynamique et du contrôle des infections nosocomiales
The consequences of outbreaks of nosocomial influenza (NI) for patients in terms of morbidity and mortality are an issue of concerned. However, clinical presentation of cases, frequency of infection, risk of infection among patients, transmission and the most adapted control measures remain poorly understood. An original analysis of the literature allowed synthesizing the knowledge on NI. Then on the basis of a prospective study conducted during 3 influenza seasons from 2004 to 2007, we report a description of clinical cases of NI observed at the Edouard Herriot hospital in Lyon. Then, we developed a statistical model to analyze the risk of NI among patients and we apply this model on data from over 21,500 patients. Factors influencing the transmission were studied by simulating the spread of influenza virus in a hospital unit using a mathematical model. We show that identifying cases of influenza in the hospital without a systematic virological screening is difficult. The risk for the patient to present influenza like illness was 2 times higher in hospital than in the community. Furthermore, the risk was 5 to 35 times higher when a patient was exposed to other contagious patients or health care workers during his hospitalization. Transmission from patient to patient seemed to be a major route of transmission. The approach used in this work could be adapted and the statistical tools could be extended to study of the dynamics and control of nosocomial infections
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Hammond, Janet Margaret Justine. "Nosocomial infections in intensive care". Master's thesis, University of Cape Town, 1993. http://hdl.handle.net/11427/26477.

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The objectives of this thesis are : 1) To provide a review of the literature on the significance, pathogenesis, diagnosis and management of secondary infections in the Intensive Care Unit. 2) To present the findings of a study of the technique of selective parenteral and enteral antisepsis regimen (SPEAR) in the patient population of the Respiratory ICU at Groote Schuur Hospital, aimed at reducing the incidence of secondary infection and, further to evaluate the study in terms of the effect of SPEAR on the incidence of secondary infection and its influence on the mortality due to secondary infection. 3) To present the findings of the effect of SPEAR on patient bacterial colonisation in the ICU, and to evaluate its longterm influence on the microbial flora of the ICU.
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Cheng, Chi-chung Vincent, i 鄭智聰. "Proactive infection control measures". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48540596.

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Infection control is an often neglected clinical subject in Hong Kong until the outbreak of severe acute respiratory syndrome (SARS) in 2003. A total of eight healthcare workers, including four medical doctors, succumbed as a result of nosocomial acquisition of SARS-coronavirus (SARS-CoV) at the time. Since then, the importance of infection control practice was much better appreciated by the frontline healthcare workers, as it can be a matter of life-or-death. My thesis summarized our research on the proactive infection control measures to prevent nosocomial transmission of respiratory and gastrointestinal viruses, to control emerging and endemic antibiotic-resistant bacteria, and on the management of unprecedented infection outbreaks in the hospital. Promotion of hand hygiene is the cornerstone of proactive infection control measures. By adopting the concept and practice of directly-observed hand hygiene, we demonstrated successful control of outbreaks and prevention for both respiratory and gastroenteritis viruses. Introduction of electronic devices for continuous monitoring of hand hygiene compliance in high risk clinical areas provides an opportunity for immediate feedback and timely education to frontline staffs. The global dissemination of multiple drug resistant organisms (MDROs) such as methicillin-resistant Staphylococcus aureus (MRSA), community-associated MRSA (CA-MRSA), vancomycin-resistant enterococcus (VRE), hypervirulent clone of Clostridium difficile, extended-spectrum beta-lactamase (ESBL) producing organisms, and the recently described carbapenem-resistant enterobacteriaceae (CRE), pose a great challenge to the infection control professionals. In Hong Kong, MRSA has been endemic for more than two decades. Although we proved that the appropriate use of single room isolation and hand hygiene can significantly reduce the incidence of nosocomial MRSA in the adult intensive care unit, the isolation facilities remain limited in the general medical and surgical units. Innovations are much in need to manage this old and persistent problem. Therefore, we demonstrated that use of antibiotics, in particular beta-lactams and fluoroquinolones, could increase the risk of environmental contamination by increasing microbial density of MRSA in the anterior nares by 2-3 log10 in as little as 1 week. We also found that some MRSA strains such as spa types t1081 and t037 were more transmissible. Based on these findings, we prioritized our isolation facilities for those patients who are heavily colonized or infected with highly transmissible spa-type t1081, especially when they are receiving antibiotic therapy. Along with our enhancement of hand hygiene practices and antibiotic stewardship program, the incidence of MRSA bacteremia per 1000-patient-days was the lowest among the seven hospital clusters in Hong Kong. We believe that our experience in the control of the MRSA can be extended to contain the spread of CA-MRSA and other MDROs. Besides the prevailing infectious diseases with high endemicity, we have to be vigilant against other potential outbreaks due to uncommon micro-organisms such as the polymicrobial outbreak in patients undergoing intermittent peritoneal dialysis caused by hospital renovation, the unprecedented outbreak of intestinal mucormycosis caused by Rhizopus microsporous among the patients with hematological malignancy, and the nosocomial outbreak of legionellosis in our locality. Extensive outbreak investigations were performed, which demonstrated that environmental factors were also important in causing nosocomial outbreaks.
published_or_final_version
Microbiology
Master
Doctor of Medicine
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Khanafer, Nagham. "Épidémiologie des infections à Clostridium difficile chez les patients hospitalisés dans un centre hospitalo-universitaire". Thesis, Lyon 1, 2013. http://www.theses.fr/2013LYO10136/document.

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Clostridium difficile est responsable de 15 à 25% des cas de diarrhées post-antibiotiques (ATB) et de plus de 95% des cas de colite pseudomembraneuse. Depuis 2003 et suite à l'émergence du clone 027, les ICD sont devenues plus fréquentes et plus sévères. Compte tenu des conséquences, il a été décidé d'explorer en détail et prospectivement cette maladie au Groupement Hospitalier Edouard Herriot L'inclusion des patients a débuté fin février 2011 et devrait s'arrêter fin février 2014. Dans une méta-analyse, nous avons montré que l'ICD communautaire est associée à l'exposition aux mêmes ATB qu'une ICD nosocomiale. Une analyse de la littérature, en utilisant la grille ORION comme outil, nous a permis de synthétiser les connaissances sur la prévention et le contrôle d'ICD en milieu hospitalier. Par la suite sur la base d'une étude rétrospective, le sexe, la CRP et l'exposition aux fluoroquinolones ont été identifiés comme associés à une ICD sévère chez les patients hospitalisés en réanimation. Entre 2011 et 2013, 430 patients ont été inclus dans notre cohorte. L'analyse des données de la prise en charge thérapeutique de 118 cas d'ICD a montré un niveau insuffisant de la connaissance des recommandations actuelles concernant le traitement de cette infection. L'analyse pronostique a montré un taux de mortalité de 19,5% dans les 30 jours qui suivent le diagnostic. L'ICD était indiquée comme une cause principale ou contributive de décès dans quinze cas (65,7% des décédés). Les analyses multivariées ont montré que les facteurs associés au décès sont différents entre les patients avec une ICD et les patients présentant une diarrhée non liée au Clostridium difficile
Clostridium difficile is responsible for almost all cases of pseudomembranous colitis and for 15%-25% of cases of post-antibiotic (ATB) diarrhea. Since 2003 and the emergence of 027 strain, CDI epidemiology is changing, with evidence of rising incidence and severity. In response to the alarming situation we decided to conduct a prospective study at Eduard Herriot Hospital to explore in details this infection. Patient’s inclusion has started in February 2011 and will end in February 2014. In a meta-analysis we found that the risk profiles for antimicrobial classes as risk factors for community-acquired CDI are similar to those described for nosocomial CDI. We used the ORION statement (Outbreak Reports and Intervention Studies Of Nosocomial infection) to synthesize knowledge of interventions to reduce and to control CDI in hospitals. Then in a retrospective study, we found that male gender, rising serum C-reactive protein level, and previous exposure to fluoroquinolones were independently associated with severe CDI in ICU. Between 2011 and 2013, 430 patients were included in our prospective cohort study. Data analysis of 118 cases of CDI showed an inefficient knowledge of current recommendations of CDI treatment. The crude mortality rate within 30 days after CDI diagnosis was 19.5%, with 15 deaths (65.7% of deceased patients) related to CDI. In a multivariate cox regression model, gender, serum albumin, antidiarrheal medications, cephalosporins, peritonitis and septic shock were independently associated with mortality in CDI patients. When diarrhea was not related to C. difficile, mortality was rather associated with cancer and high WBC level
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Stuart, Rhonda Lee 1963. "Nosocomial tuberculous infection : assessing the risk among health care workers". Monash University, Dept. of Epidemiology and Preventive Medicine, 2000. http://arrow.monash.edu.au/hdl/1959.1/9004.

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Hlady, Christopher Scott. "Nosocomial infection modeling and simulation using fine-grained healthcare data". Diss., University of Iowa, 2011. https://ir.uiowa.edu/etd/4856.

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Simulation has long been used in healthcare settings to study a range of problems, such as determining ideal staffing levels, allocating patient beds, and assisting with medical decision making. Some of this work naturally focuses on the spread of infection within hospitals, where the importance of hospitals as loci and amplifiers of infection was demonstrated during the 2002-2003 SARS outbreak. Increasingly, fine-grained healthcare data is being collected (e.g., patient care data stored in electronic medical record systems, and healthcare worker data from sources including nurse locator badges), presenting an opportunity to develop models that can drive more realistic simulations. We seek to build a realistic hospital simulator that can be used to answer a wide variety of questions about infection prevention, the allocation and placement of expensive resources, and issues surrounding patient care. Our simulation framework requires three primary inputs: architectural, healthcare worker, and patient data. We used data from the University of Iowa Hospitals and Clinics to build our virtual hospital. We manually constructed a weighted, directed, 19,000 node graph-theoretic representation of the facility based on printed architectural drawings. Using timestamped location information from electronic medical record system logins and algorithms inspired by prior work on location-aware search, each healthcare worker is modeled by one or more “centers” of activity. Centers are determined using a maximum likelihood approach to fit a location and appropriate decay parameters that best describe the observed data. Finally, we developed compartmental patient models of varying granularity, with each compartment representing some subset of patient care areas within the hospital. Transition probabilities and patient length of stay were fit using three years of patient data. In designing our simulator, we were able to minimize assumptions about how healthcare workers and patients move, avoiding the “random mixing” assumption common to many infectious disease simulators. We translated techniques from location-aware search into the hospital environment, developed data structures for use in efficiently processing millions of location data points in tens of thousands of rooms for thousands of healthcare workers, improved the performance of the algorithm for identifying optimal single-center healthcare worker models, and introduced heuristics for training multi-center models. We validated our models by comparing the properties of simulated data to known quantities, and testing against expert expectations. To the best of our knowledge, this is the first agent-level hospital-wide simulator based on fine-grained location and interaction data for healthcare workers and patients.
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Asante, Michael. "Numerical modeling of nosocomial infection in a multi-bed ward environment". Thesis, University of Warwick, 2012. http://wrap.warwick.ac.uk/50260/.

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A review on nosocomial infection has shown that there are various compelling evidence to suggest that the role of the airborne route to infection in a multi-bed environment cannot be ignored. Expiratory activities such as coughing, sneezes, talking and patient-centric activities such as bed-making has been shown in literature to generate significant quantity of infectious quanta that may become airborne and pose an infection threat to vulnerable patients. In this study, an airborne infection route of MRSA in the health care environment has been investigated using both the large-eddy simulation (LES) technique and an infection modeling. From analyzing flow field regimes in both a single room (typically found in isolation wards) and multi-bed ward environments, it was observed that the supply air delivered into the ventilated space produces pockets of recirculation areas near the walls and midway of the room in the wake of the advancing ventilation outlet bound flows, after impinging on internal surfaces such as beds. These recirculation areas have been identified as hot spots for possible airborne infection. Furthermore, the results suggests that the further the outlet vent is away from the inlet vent, the more likely will be the generation of recirculation regions, which directly translate to poor ventilation spots and that the use of curtains within the vicinity of the aerosol generating activities increases the number of recirculation areas. The overall airflow analysis suggest that any engineering solution designed to limit or remove the recirculation regions from the flow regime will be an effective way of fighting cross infections within the hospital ward environment, and as such ventilation schemes that are optimally designed to achieve this should be encouraged and investigated. This study has also predicted the possibility of a secondary infection in a multiward environment using various modeling approaches. The results obtained indicated that the posture of an infected person involved in the release of pathogens in relation to cohorts can have a profound effect on infection rates within the ward environment. The study of the coughing episode with the patient lying on the side generated a unit secondary infection, whilst the same simulated episode with an adjacent curtain in position failed to generate a secondary infection within the exposure period. The activity of bed making was also found to generate a secondary infection over the duration of the simulation, suggesting that bed-making can be a potential source of infection. The particle concentration decay curves examined in this work equally suggest that patients are at their most vulnerable state at the initial stages of coughing/sneezes, and talking episodes where the infecting patient assumes a directly facing posture to the susceptible.
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Dray, Sandrine. "Prévention des infections acquises en réanimation". Thesis, Aix-Marseille, 2019. http://theses.univ-amu.fr.lama.univ-amu.fr/191220_DRAY_424hxvw233y909lp868mkhqej_TH.pdf.

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En réanimation,le taux de patients présentant une infection nosocomiale atteint les 15%.Parmi les méthodes de prévention, la lutte contre le portage de germes au niveau cutané et la prévention de la transmission croisée par le lavage des mains du personnel sont des méthodes efficaces.La désinfection de la peau à la Chlorhexidine est une stratégie d’intérêt croissant pour les patients en réanimation.Cette stratégie nécessite encore des essais explorant la sécurité,le rapport coût-efficacité et l'impact de l'utilisation systématique de lingettes.La compliance à l’hygiène des mains (HH) reste une limite à la prévention des infections.Nous avons réalisé une étude pédagogique par simulation et l'utilisation des cabinets UV améliore la technique et la conformité aux opportunités en HH.Concernant la prévention des infections pulmonaires, la colonisation bactérienne trachéobronchique précède souvent l’apparition de la pneumopathie acquises sous ventilation mécanique (PAV),et il a été postulé que les microbes présents dans les sécrétions trachéales quelques jours avant la PAV pourraient être identiques à ceux retrouvés dans les voies respiratoires inférieures.La réalisation d’aspirations trachéales (ETA) régulières serait une méthode préventive.Nous avons réalisé une mise au point des études publiées pour déterminer les forces et les faiblesses de la gestion des antibiotiques sur la base des cultures de surveillance ETA dans la PAV.Ainsi,l’ETA pourrait être systématiquement réalisée pour prédire de manière fiable les micro-organismes de la PVA.Cependant, nous ne pouvons recommander le recours généralisé à la surveillance de routine de la flore trachéobronchique
In intensive care, the rate of patients with a nosocomial infection reaches 15%.Prevention is a central element in reducing their incidence. Among the methods of prevention, the fight against the carriage of germs at the cutaneous level and the prevention of cross-transmission by the washing of the hands of the personnel are effective methods.Disinfection of the skin with Chlorhexidine is one of the strategie of increasing interest for patients in intensive care.This strategy still requires trials exploring safety, cost-effectiveness and the impact of routine use of wipes.Compliance with hand hygien(HH)remains a limit to infection prevention.We carried out an educational study by simulation in HH and the use of UV cabinets improves technique and compliance with HH opportunities.Concerning the prevention of pulmonary infections, the tracheobronchial bacterial colonization often precedes the occurrence of VAP,and it has been postulated that the microbes present in the tracheal secretions a few days before VAP might be the same as those retrieved in the lower respiratory tract.The realization of regular tracheal aspirations(ETA)would be a preventive method.We have realized this review in the aim to provide an updated overview of the literature available in the field and to attempt to determine the strengths and weaknesses of antibiotic stewardship based on ETA surveillance cultures in VAP.ETA could be routinely performed to reliably predict the microorganisms of VAP.However we can't recommandthe widespread use of routine surveillance of tracheobronchial flora
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Rashleigh-Rolls, Rebecca M. "Hospital acquired infections : outbreaks and infection control interventions, a national descriptive survey". Thesis, Queensland University of Technology, 2016. https://eprints.qut.edu.au/101494/1/Rebecca_Rashleigh-Rolls_Thesis.pdf.

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This study investigated hospital-acquired infection (HAI) across Australian public hospitals from January 2005 - December 2011. Specifically, outbreaks of HAI and infection control interventions (aimed at reducing HAI rates) were investigated. Outbreaks of HAI, with the most frequent pathogens being Norovirus and Vancomycin-resistant Enterococcus, occurred in the majority of hospitals. Further, a wide variety of infection control interventions were applied during the time-frame yet there was no standardised implementation approach. Rates of HAI appeared to be affected by the implementation of particular infection control interventions, either by reducing or increasing mean infection rates.
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Książki na temat "Nosocomial infection"

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1940-, Wenzel Richard P., red. Prevention and control of nosocomial infections. Wyd. 2. Baltimore: Williams & Wilkins, 1993.

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Group, Hospital Infection Working. Hospital infection control. London: Department of Health and Social Security, 1988.

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Improving patient care by reducing the risk of hospital acquired infection: A progress report ; report, together with formal minutes, oral and written evidence. London: Stationery Office, 2005.

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Spencer, Anna. Lessons from the pioneers: Reporting healthcare-associated infections. Denver, Colorado: National Conference of State Legislatures, 2010.

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Cross infections: Types, causes and prevention. New York: Nova Biomedical Books, 2009.

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Dong, Jin. Cross infections: Types, causes and prevention. New York: Nova Biomedical Books, 2009.

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Hospital-acquired infection: Causes and control. London: Whurr, 2003.

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B, Wilcox Julia, red. Hospital-acquired infections. New York: Nova Science, 2009.

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Bennett, Gail. Infection control manual for hospitals. Wyd. 2. Marblehead, MA: HCPro, 2006.

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E, Bergogne-Bérézin, Joly-Guillou M. L i Towner K. J, red. Acinetobacter: Microbiology, epidemiology, infections, management. Boca Raton: CRC Press, 1996.

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Części książek na temat "Nosocomial infection"

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Davies, Eryl. "Nosocomial Infection". W The Final FFICM Structured Oral Examination Study Guide, 371–73. Boca Raton: CRC Press, 2022. http://dx.doi.org/10.1201/9781003243694-128.

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Gooch, Jan W. "Nosocomial Infection". W Encyclopedic Dictionary of Polymers, 910. New York, NY: Springer New York, 2011. http://dx.doi.org/10.1007/978-1-4419-6247-8_14345.

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Boag, Amanda K., i Katherine Jayne Howie. "Minimizing Nosocomial Infection". W Advanced Monitoring and Procedures for Small Animal Emergency and Critical Care, 693–707. Chichester, UK: John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118997246.ch54.

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Imondi, Chris, Arundhati Shastri, Tom Shott, Jayanth Siddappa i Tugrul U. Daim. "Technology Assessment: Nosocomial Infection Solutions". W Innovation, Technology, and Knowledge Management, 271–95. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-68987-6_8.

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Zhang, Hairui, Yancheng Feng, Yonghong Ma i Ke Men. "The Application of Nosocomial Infection Monitoring System in the Management of Nosocomial Infection Control". W 2021 International Conference on Big Data Analytics for Cyber-Physical System in Smart City, 983–89. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-16-7466-2_109.

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Vallés, Jordi. "Nosocomial Bloodstream Infection in the ICU". W Critical Care Infectious Diseases Textbook, 535–47. Boston, MA: Springer US, 2001. http://dx.doi.org/10.1007/978-1-4615-1679-8_31.

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McGowan, John E. "Laboratory Approach to an Outbreak of Nosocomial Infection: Systems and Techniques for Investigation". W Infection Control, 21–31. Boston, MA: Springer US, 1990. http://dx.doi.org/10.1007/978-1-4684-5724-7_2.

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Alonso-Echanove, Juan, i Robert P. Gaynes. "Scope and Magnitude of Nosocomial ICU Infections". W Infection Control in the ICU Environment, 1–13. Boston, MA: Springer US, 2001. http://dx.doi.org/10.1007/978-1-4615-0781-9_1.

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Ibelings, Maaike M. S., i Hajo A. Bruining. "Scope and Magnitude of Nosocomial ICU Infections". W Infection Control in the ICU Environment, 15–31. Boston, MA: Springer US, 2001. http://dx.doi.org/10.1007/978-1-4615-0781-9_2.

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Bohanec, Marko, Miran Rems, Smiljana Slavec i Božo Urh. "PTAH: A System for Supporting Nosocomial Infection Therapy". W Intelligent Data Analysis in Medicine and Pharmacology, 99–111. Boston, MA: Springer US, 1997. http://dx.doi.org/10.1007/978-1-4615-6059-3_6.

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Streszczenia konferencji na temat "Nosocomial infection"

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"TOWARDS AN AUTOMATED NOSOCOMIAL INFECTION CASE REPORTING - Framework to Build a Computer-aided Detection of Nosocomial Infection". W International Conference on Health Informatics. SciTePress - Science and and Technology Publications, 2009. http://dx.doi.org/10.5220/0001553103170322.

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Teixeira, EG, A. Kritski, A. Ruffino-Netto, RE Steffen, A. Botelho, JR Lapa e Silva, M. Belo, RR Luiz, D. Menzies i A. Trajman. "Medical Students at Risk for Nosocomial Tuberculosis Infection." W American Thoracic Society 2009 International Conference, May 15-20, 2009 • San Diego, California. American Thoracic Society, 2009. http://dx.doi.org/10.1164/ajrccm-conference.2009.179.1_meetingabstracts.a2207.

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Botezatu, Nicolae, Adrian Alexandrescu, Simona Caraiman, Florina Ungureanu i Robert Lupu. "Sensing Architecture for a Nosocomial Infection Tracing System". W 2021 25th International Conference on System Theory, Control and Computing (ICSTCC). IEEE, 2021. http://dx.doi.org/10.1109/icstcc52150.2021.9607207.

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"Analysis of Characteristics of Nosocomial Infection in Hospitalized Patients". W 2018 International Conference on Biomedical Engineering, Machinery and Earth Science. Francis Academic Press, 2018. http://dx.doi.org/10.25236/bemes.2018.001.

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Jaramillo, Cecilia, Dolores Rexachs, Emilio Luque i Francisco Epelde. "ABMS simulator of propagation of nosocomial infection in emergency departments". W 2015 Winter Simulation Conference (WSC). IEEE, 2015. http://dx.doi.org/10.1109/wsc.2015.7408438.

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Uzoka, Faith-Michael, Mugisha Gift, Kingsley Attai, Boluwaji A. Akinnuwesi, Samali V. Mlay, Peter Zeh, Arnold Kiirya i in. "Tackling Occupational and Nosocomial Infection using Vitex-Medical Assistant Tool". W 2022 IST-Africa Conference (IST-Africa). IEEE, 2022. http://dx.doi.org/10.23919/ist-africa56635.2022.9845540.

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Morris, C., L. Sorrell i A. Mora. "Raoultella Planticola: A Rare but Growing Cause of Nosocomial Infection". W American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a3713.

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Morales Lara, MJ, R. Tamayo Bermejo i A. Luna Higuera. "4CPS-039 Nosocomial infection by multiresistant pathogens in kidney transplant patients". W 25th EAHP Congress, 25th–27th March 2020, Gothenburg, Sweden. British Medical Journal Publishing Group, 2020. http://dx.doi.org/10.1136/ejhpharm-2020-eahpconf.140.

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Rahi, M. S., K. Amoah, K. Gunasekaran, R. Kapil i J. S. Kwon. "Elizabethkingia Meningoseptica sepsis Associated with COVID-19 Infection: An Emerging Nosocomial Pathogen". W American Thoracic Society 2021 International Conference, May 14-19, 2021 - San Diego, CA. American Thoracic Society, 2021. http://dx.doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a2455.

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"A WEB-BASED SYSTEM TO REDUCE THE NOSOCOMIAL INFECTION IMPACT IN HEALTCARE UNITS". W 4th International Conference on Web Information Systems and Technologies. SciTePress - Science and and Technology Publications, 2008. http://dx.doi.org/10.5220/0001522602640268.

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