A5024989069- Infection Control in Healthcare
- Antibiotic Use and Resistance
- Child Nutrition and Water Access
- Antimicrobial Resistance in Staphylococcus
- Global Maternal and Child Health
- Surgical site infection prevention
- Infection Control and Ventilation
- Urinary Tract Infections Management
- Fecal contamination and water quality
- Global Health and Surgery
- Patient Satisfaction in Healthcare
- Orthopedic Infections and Treatments
- Medical Device Sterilization and Disinfection
- Diverse Scientific Research Studies
- Digital Imaging in Medicine
- Empathy and Medical Education
- Medication Adherence and Compliance
- History of Medical Practice
- Zoonotic diseases and public health
- Surgical Sutures and Adhesives
- Veterinary Practice and Education Studies
- Environmental and Cultural Studies in Latin America and Beyond
- Historical Psychiatry and Medical Practices
- Health Education and Validation
- Diverse Scientific and Engineering Research
Virginia Commonwealth University
2008-2018
University Health System
2014-2018
Biology of Infection
2018
Engineering Associates (United States)
2016-2018
Virginia Commonwealth University Medical Center
2010-2017
Children's Hospital of Richmond at VCU
2014
Society for Healthcare Epidemiology of America
2010
Results of previous single-center, observational studies suggest that daily bathing patients with chlorhexidine may prevent hospital-acquired bloodstream infections and the acquisition multidrug-resistant organisms (MDROs).
OBJECTIVETo investigate the impact of discontinuing contact precautions among patients infected or colonized with methicillin-resistant Staphylococcus aureus (MRSA) vancomycin-resistant Enterococcus (VRE) on rates healthcare-associated infection (HAI).Single-center, quasi-experimental study conducted between 2011 and 2016.METHODSWe employed an interrupted time series design to evaluate 7 horizontal prevention interventions across intensive care units (ICUs) hospital wards at 865-bed urban,...
The impact of antimicrobial scrubs on healthcare worker (HCW) bacterial burden is unknown. Objective. To determine the effectiveness hand and apparel burden.Prospective, crossover trial.Thirty HCWs randomized to study versus control in an intensive care unit.Weekly microbiology samples were obtained from scrub abdominal area, cargo pocket, hands. Mean log colony-forming unit (CFU) counts calculated. Compliance with hygiene practices was measured. Apparel mean CFU compared.Adherence measures...
Healthcare workers routinely self-contaminate even when using personal protective equipment. Observations of donning/ doffing practices on inpatient units along with surveys were used to assess the need for a equipment training program. In contrast low perceived risk, observed behaviors demonstrate significant technique deficits. Infect Control Hosp Epidemiol 2017;38:226-229.
Objective. To compare the efficacy of universal gloving with emollient-impregnated gloves standard contact precautions for control multidrug-resistant organisms (MDROs) and to measure effect on healthcare workers' (HCWs') hand skin health. Design. Prospective before-after trial. Setting. An 18-bed surgical intensive care unit. Methods. During phase 1 (September 2007 through March 2008) were used. 2 (March 2008 September was used, no precautions. Patients screened vancomycin-resistant...
Objective. The aim of this study is to describe and compare access barriers health services in three proximal yet topographically distinct communities northern Honduras served by the nonprofit organization Outreach Medical Brigada Relief Effort (HOMBRE). Methods. Study personnel employed a 25-item questionnaire Spanish at point care during HOMBRE clinics Coyoles, Lomitas, La Hicaca (N = 220). We responses between sites, using Chi-squared Fisher Exact tests. Results. Respondents Lomitas...
Background: The American College of Surgeons (ACS) Statement on Sharps Safety recommends the use double gloving (DG), hands-free zone (HFZ), and blunt-tip suture needles (BTSN) in operating room to decrease needlestick injuries. Despite this endorsement, compliance is low. This survey determined perceptions, attitudes, barriers with these guidelines. Methods: A using a voluntary convenience sample surgical staff members which queries related understanding ACS recommendations were posed....
Honduras has a high prevalence of Trypanosomacruzi infection. The purpose this study was to assess the knowledge and attitudes Chagas disease in 17 geographically proximal rural Honduran communities. These communities are under same local health ministry served by yearly medical relief efforts. La Hicaca (LH), although impoverished, is wealthier than surrounding villages (SV).A 15-item, interviewer-administered, convenience sample questionnaire employed on adult patients attending brigade...
Because cervical cancer is the leading cause of mortality in Honduras, this study assessed knowledge, attitudes and barriers to screening services by Papanicolaou smear (pap smear) for women rural, remote Honduras served Virginia Commonwealth University's Global Health Disparities Program (GH2DP).Two interviewers administered an institutional review board approved, 20 question survey convenience sample methodology adult female patients visiting GH2DP clinics June 2014. A total 146 surveys...
Only 79% of individuals living in rural Honduras use improved water sources. Inadequate drinking quality is related to diarrheal illness, which contributes 18.6 episodes diarrhea per child year children under five years age. The purpose this study was examine and compare access sanitation, as well self-reported disease incidence among three proximal communities the Department Yoro area Honduras.An 11-item language-specific, interviewer-administered, anonymous questionnaire administered 263...
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Objective . The aim of this study was to identify household-specific factors associated with respiratory symptoms and the perceived impact indoor air pollution (IAP) as a health issue. Methods An IRB-approved, voluntary, anonymous 23-item survey conducted in Spanish at medical outreach clinic June 2012 homes respondents<mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML" id="M1"><mml:mrow><mml:mfenced...
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Water purification in the rural Honduras is a focus of nonprofit organization Outreach Medical Brigade Relief Effort (HOMBRE). We assessed water filter use and tested microbiologic clinical efficacy. A 22-item questionnaire sources, obtainment/storage, purification, incidence gastrointestinal disease. Samples from home clay-based filters La Hicaca were obtained paired with surveys same home. counted bacterial colonies four classifications each sample. Sixty-five completed. Forty-five (69%)...
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