- Infection Control in Healthcare
- Surgical site infection prevention
- Nosocomial Infections in ICU
- Antibiotic Use and Resistance
- Urinary Tract Infections Management
- Antimicrobial Resistance in Staphylococcus
- Infection Control and Ventilation
- Cardiac, Anesthesia and Surgical Outcomes
- Patient Satisfaction in Healthcare
- Orthopedic Infections and Treatments
- Emergency and Acute Care Studies
- COVID-19 and healthcare impacts
- Geriatric Care and Nursing Homes
- Bacterial Identification and Susceptibility Testing
- Central Venous Catheters and Hemodialysis
- Clinical practice guidelines implementation
- Food Safety and Hygiene
- Clostridium difficile and Clostridium perfringens research
- Healthcare cost, quality, practices
- Reconstructive Surgery and Microvascular Techniques
- Public Health Policies and Education
- COVID-19 and Mental Health
- Pelvic floor disorders treatments
- Medical Device Sterilization and Disinfection
- Dental Research and COVID-19
Cabrini Hospital
2019-2025
Avondale University
2017-2025
Monash University
2019-2025
Communities In Schools of Orange County
2020-2024
Alberta Health Services
2024
Georgia State University
2024
East Sussex County Council
2024
Brisbane School of Theology
2024
Hofstra University
2024
Australian Regenerative Medicine Institute
2021-2023
Objective: To report outcomes from the first 2 years of National Hand Hygiene Initiative (NHHI), a hand hygiene (HH) culture-change program implemented in all Australian hospitals to improve health care workers' HH compliance, increase use alcohol-based rub and reduce risk care-associated infections.Design setting: The was based on World Health Organization 5 Moments for program, included standardised educational materials regular audit system compliance.The NHHI January 2009.Main outcome...
Across the world, from our unique place within multi-disciplinary health teams, nurses are preparing for, working to overcome, or recovering first waves of worst pandemic humanity has seen in a century. While media, predominantly depicted providing direct patient care; we also well represented at every level response advising governments leading research, coordinating public and strategizing humanitarian responses COVID-19. Nurses comprise largest component workforce, playing key role...
Australia does not have a national healthcare associated infection (HAI) surveillance program. Only one HAI point prevalence study has been undertaken in 1984. The objective of this was to estimate the burden acute adult inpatients Australia. A cross sectional (PPS) conducted sample large care hospitals. All data were collected by two trained Research Assistants. Surveillance methodology based on European Centre for Disease Prevention and Control (ECDC) PPS Protocol with variation sampling...
Abstract Background: The Victorian Infection Control Surveillance Project (VICSP) is a multicenter collaborative surveillance project established by infection control practitioners. Five public hospitals contributed data for patients undergoing coronary artery bypass graft (CABG) surgery. Objective: To determine the aggregate and comparative interhospital surgical-site (SSI) rates CABG surgery risk factors SSI in this patient group. Method: Each institution used standardized definitions of...
Little information is available on the financial impact of surgical site infections (SSI) after major surgery. In order to calculate cost SSI following coronary artery bypass graft surgery (CABGs), a 2-year retrospective case-control study was undertaken at Alfred Hospital, university-affiliated tertiary referral centre.One hundred and eight patients with (cases) CABGs 108 without (controls) were matched for gender, age, risk index (Centers Disease Control Prevention, National Nosocomial...
Objectives: To develop a new, simple, and practical risk index for patients undergoing coronary artery bypass graft (CABG) surgery, to preoperative that is predictive of surgical-site infection (SSI), compare the new indices with National Nosocomial Infections Surveillance (NNIS) System index. Design: Potential factor data were collected prospectively analyzed by multivariate analysis. Two constructed then compared NNIS power SSI. Setting: Alfred Hospital 350-bed, university-affiliated,...
Objective. To analyze the risk factors for surgical site infection (SSI) complicating coronary artery bypass graft (CABG) surgery and to create an alternative SSI score based on results of multivariate analysis. Methods. A prospective cohort study involving inpatient laboratory-based surveillance patients who underwent CABG over a 27-month period from January 1, 2003 through March 31, 2005. Data were obtained 6 acute care hospitals in Victoria, Australia, that contributed data Victorian...
To predict the cost and health effects of routine use whole-genome sequencing (WGS) bacterial pathogens compared with those standard care.Budget impact analysis was performed over following 5 years. Data were primarily from results on clusters multidrug-resistant organisms across 27 hospitals. Model inputs derived hospitalisation data, epidemiological costing reports, included multidrug resistance rates their trends.Queensland, Australia.Hospitalised patients.WGS surveillance six common...
Abstract Objectives To assess the mental health and wellbeing of aged care workers in Australia during second third years coronavirus disease 2019 (COVID‐19) pandemic, overall by occupation group. Design, setting, participants Longitudinal cohort study (ambulance, hospitals, primary care, residential care) Victoria: May–July 2021 (survey 1), October–December 2), May–June 2022 3). Main outcome measures Proportions respondents (adjusted for age, gender, socio‐economic status) reporting...
The COVID-19 pandemic elucidated the importance of infection prevention and control (IPC) in residential aged care homes (RACHs), both on health wellbeing its residents, staff clinicians who for them. While considerable efforts have been made Australia to improve IPC during aftermath pandemic, many these resources remain reliant evidence originating from hospitals acute healthcare settings. This research aims establish core minimum components that will populate standards programs governance...
Importance The economic value of cleaning and disinfection shared medical equipment is currently unknown. Objective To evaluate whether or not better environmental would be cost-effective compared with usual care. Design, Setting, Participants This evaluation study was a within-trial cost-effectiveness analysis stepped-wedge cluster randomized clinical trial: the Cleaning Enhanced Disinfection (CLEEN) study. trial included 5002 inpatients conducted in 10 adult acute-care wards at tertiary...
There has been no consensus from previous studies of risk factors for surgical wound infections (SWI) and postoperative bacteraemia patients undergoing coronary artery bypass graft (CABG) surgery.Data on 15 potential were prospectively collected all CABG surgery during a 12-month period.Of 693 patients, 62 developed 65 SWI using the Centres Disease Control definition: 23 sternal 42 arm or leg at site conduit harvest. 19 episodes bacteraemia. Multivariate analysis revealed that: (i) diabetes,...
Healthcare associated infections are of significant burden in Australia and globally. Previous estimates have relied on single-site studies, or combinations thereof, which suggested the these is high Australia. Here, we estimate five healthcare (HAIs) Australian public hospitals using a standard international framework, compare to those observed Europe.We used data from an point prevalence survey HAIs amongst adults incidence-based approach, introduced by ECDC Burden Communicable Diseases...
The Victorian Hospital Acquired Infection Surveillance System (VICNISS) hospital-acquired infection surveillance system was established in 2002 Victoria, Australia, and collates surgical site (SSI) data from public hospitals Australia.To evaluate the association between US National Nosocomial Infections (NNIS) system's risk index SSI rates for 7 procedures.SSI performed with NNIS definitions methods procedures November September 2004. Correlations were assessed using Goodman-Kruskal gamma...
To measure the interobserver agreement, sensitivity, specificity, positive predictive value, and negative value of data submitted to a statewide surveillance system for identifying central line-associated bloodstream infection (BSI).Retrospective review hospital medical records comparing reported with gold standard according definitions BSI.Six Victorian public hospitals more than 100 beds.Reporting outcomes was undertaken by control practitioners at sites. Retrospective evaluation process...