A5017266022- Infection Control in Healthcare
- Antimicrobial Resistance in Staphylococcus
- Infection Control and Ventilation
- Clostridium difficile and Clostridium perfringens research
- COVID-19 epidemiological studies
- Medical Device Sterilization and Disinfection
- Geriatric Care and Nursing Homes
- SARS-CoV-2 and COVID-19 Research
- COVID-19 and Mental Health
- SARS-CoV-2 detection and testing
- Vaccine Coverage and Hesitancy
- COVID-19 and healthcare impacts
- COVID-19 diagnosis using AI
- Burn Injury Management and Outcomes
- Dental Research and COVID-19
- Rabies epidemiology and control
- Community Health and Development
VA Salt Lake City Healthcare System
2018-2024
University of Utah
2018-2024
Environmental contamination is an important source of hospital multidrug-resistant organism (MDRO) transmission. Factors such as patient MDRO contact precautions (CP) status, proximity to surfaces, and unit type likely influence bacterial bioburden levels on room surfaces. Identifying factors associated with environmental in rooms shared surfaces could help identify transmission routes.Surfaces were sampled from CP non-CP rooms, nursing stations, mobile equipment acute care, intensive...
<h3>Importance</h3> The effectiveness and importance of contact precautions for endemic pathogens has long been debated, their use broad implications infection control other pathogens. <h3>Objective</h3> To estimate the association between transmission methicillin-resistant<i>Staphylococcus aureus</i>(MRSA) across US Department Veterans Affairs (VA) hospitals. <h3>Design, Setting, Participants</h3> This retrospective cohort study used mathematical models applied to data from a...
Contact precautions for endemic methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE) are under increasing scrutiny, in part due to limited clinical trial evidence.
Abstract Objective: Determine the effectiveness of a personal protective equipment (PPE)-free zone intervention on healthcare personnel (HCP) entry hand hygiene (HH) and PPE donning compliance in rooms patients contact precautions. Design: Quasi-experimental, multicenter intervention, before-and-after study with concurrent controls. Setting: All patient precautions 16 units (5 medical-surgical, 6 intensive care, 5 specialty care units) at 3 acute-care facilities (2 academic medical centers,...
Abstract Background CDC provides guidelines for using contact precautions (CP) when caring patients with antibiotic-resistant bacteria or Clostridium difficile. However, HCP frequently report discomfort, difficulty of use, and interrupted workflow CP. Modifying CP to balance these issues requires testing assess benefits maintenance safe practices. A promising approach a “PPE Free Zone” strategy within rooms in has not been well-studied. Methods The PPE Zone comprised 3–6 foot area inside...
Abstract Background In 2007, the Department of Veterans Affairs (VA) implemented methicillin-resistant Staphylococcus aureus (MRSA) Prevention Initiative nationally in acute care facilities (ACFs). The initiative included universal nasal surveillance for MRSA colonization and implementation contact precautions (CP) identified carriers duration their stay. Despite subsequent declines infection rates VA, debate on CP efficacy continues, due to limited inconclusive direct evidence. This study...
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Background: Certain nursing home (NH) resident care tasks have a higher risk for multidrug-resistant organisms (MDRO) transfer to healthcare personnel (HCP), which can result in transmission residents if HCPs fail perform recommended infection prevention practices. However, data on HCP-resident interactions are limited and do not account intrafacility practice variation. Understanding differences interactions, by HCP role unit, is important informing MDRO strategies NHs. Methods: In 2019, we...
Abstract Background Dental practitioners and students of dentistry are potentially at increased risk COVID-19 infection due to frequent usage aerosol-generating procedures. To mitigate patients providers, the University Utah School Dentistry began regular surveillance PCR testing its patient-facing faculty, staff, in May 2020. Methods Surveillance occurred every other week for non-vaccinated individuals continued through February 2022. After 2021, fully vaccinated were tested monthly...