Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 4 de 4
Filtrar
1.
Science ; 381(6654): 158-161, 2023 Jul 14.
Artigo em Inglês | MEDLINE | ID: mdl-37440639

RESUMO

Ongoing lawsuits could affect everyone who uses generative AI.

2.
Infect Control Hosp Epidemiol ; 44(4): 589-596, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-35706396

RESUMO

OBJECTIVE: To describe the genomic analysis and epidemiologic response related to a slow and prolonged methicillin-resistant Staphylococcus aureus (MRSA) outbreak. DESIGN: Prospective observational study. SETTING: Neonatal intensive care unit (NICU). METHODS: We conducted an epidemiologic investigation of a NICU MRSA outbreak involving serial baby and staff screening to identify opportunities for decolonization. Whole-genome sequencing was performed on MRSA isolates. RESULTS: A NICU with excellent hand hygiene compliance and longstanding minimal healthcare-associated infections experienced an MRSA outbreak involving 15 babies and 6 healthcare personnel (HCP). In total, 12 cases occurred slowly over a 1-year period (mean, 30.7 days apart) followed by 3 additional cases 7 months later. Multiple progressive infection prevention interventions were implemented, including contact precautions and cohorting of MRSA-positive babies, hand hygiene observers, enhanced environmental cleaning, screening of babies and staff, and decolonization of carriers. Only decolonization of HCP found to be persistent carriers of MRSA was successful in stopping transmission and ending the outbreak. Genomic analyses identified bidirectional transmission between babies and HCP during the outbreak. CONCLUSIONS: In comparison to fast outbreaks, outbreaks that are "slow and sustained" may be more common to units with strong existing infection prevention practices such that a series of breaches have to align to result in a case. We identified a slow outbreak that persisted among staff and babies and was only stopped by identifying and decolonizing persistent MRSA carriage among staff. A repeated decolonization regimen was successful in allowing previously persistent carriers to safely continue work duties.


Assuntos
Staphylococcus aureus Resistente à Meticilina , Infecções Estafilocócicas , Recém-Nascido , Lactente , Humanos , Staphylococcus aureus Resistente à Meticilina/genética , Resistência a Meticilina , Unidades de Terapia Intensiva Neonatal , Infecções Estafilocócicas/epidemiologia , Surtos de Doenças/prevenção & controle , Genômica , Atenção à Saúde
3.
Infect Control Hosp Epidemiol ; 35(11): 1421-4, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25333440

RESUMO

In implementing a hospital mandatory influenza vaccination policy, we developed an automated, real-time tracking and reminder system. Of 6,957 policy-covered individuals automatically identified, automated reminders left only 5 requiring counseling. This decreased Occupational Health workload in contacting noncompliant individuals and hosting vaccination events while simultaneously facilitating a 96% vaccination rate.


Assuntos
Sistemas Computacionais , Documentação/métodos , Fidelidade a Diretrizes/organização & administração , Influenza Humana/prevenção & controle , Serviços de Saúde do Trabalhador/organização & administração , Recursos Humanos em Hospital , Vacinação/normas , Correio Eletrônico , Humanos , Programas Obrigatórios , Política Organizacional , Sistemas de Alerta
4.
Infect Control Hosp Epidemiol ; 33(1): 63-70, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-22173524

RESUMO

BACKGROUND: Assessing the relative success of serial strategies for increasing healthcare personnel (HCP) influenza vaccination rates is important to guide hospital policies to increase vaccine uptake. OBJECTIVE: To evaluate serial campaigns that include a mandatory HCP vaccination policy and to describe HCP attitudes toward vaccination and reasons for declination. DESIGN: Retrospective cohort study. METHODS: We assessed the impact of serial vaccination campaigns on the proportions of HCP who received influenza vaccination during the 2006-2011 influenza seasons. In addition, declination data over these 5 seasons and a 2007 survey of HCP attitudes toward vaccination were collected. RESULTS: HCP influenza vaccination rates increased from 44.0% (2,863 of 6,510 HCP) to 62.9% (4,037 of 6,414 HCP) after institution of mobile carts, mandatory declination, and peer-to-peer vaccination efforts. Despite maximal attempts to improve accessibility and convenience, 27.2% (66 of 243) of the surveyed HCP were unwilling to wait more than 10 minutes for a free influenza vaccination, and 23.3% (55 of 236) would be indifferent if they were unable to be vaccinated. In this context, institution of a mandatory vaccination campaign requiring unvaccinated HCP to mask during the influenza season increased rates of compliance to over 90% and markedly reduced the proportion of HCP who declined vaccination as a result of preference. CONCLUSIONS: A mandatory influenza vaccination program for HCP was essential to achieving high vaccination rates, despite years of intensive vaccination campaigns focused on increasing accessibility and convenience. Mandatory vaccination policies appear to successfully capture a large portion of HCP who are not opposed to receipt of the vaccine but who have not made vaccination a priority.


Assuntos
Atitude do Pessoal de Saúde , Pessoal de Saúde , Influenza Humana/prevenção & controle , Vacinação/estatística & dados numéricos , Vacinação/tendências , Centros Médicos Acadêmicos/organização & administração , California , Humanos , Programas de Imunização , Controle de Infecções , Vacinas contra Influenza , Programas Obrigatórios , Políticas , Estudos Retrospectivos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA