Current Issue

Journal of Hospital Infection
March 24th
Carbapenem-Resistant Organism (CRO) colonization is a serious problem that increases the risk of infection and contributes to dissemination of antimicrobial resistance in health care associated environments. The risks of acquisition and dissemination of C…
March 24th
Contact precautions are a widely accepted strategy to reduce in-hospital transmission of methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin resistant enterococci (VRE). However, these practices may have unintended deleterious effects on pat…
March 23rd
Healthcare-associated infections (HAIs) challenge public health in developing countries such as Brazil, which harbour social inequalities and variations in the complexity of healthcare and regional development.
March 23rd
Health care-associated infections (HAI) are an important cause of patient morbidity and mortality. Although the main source of nosocomial pathogens is likely the patient's endogenous flora, an estimated 20% to 40% of HAI have been attributed to cross infe…
March 23rd
Petti1 comments on Schonning et al.,2, “a case of fatal Legionnaires’ disease (LD) acquired through a dental unit”, and postulates a typical chicken and egg dilemma where the evidence is not capable of determining whether the patient contracted Legionella…
March 23rd
Several studies implicate stethoscopes as possible vectors of nosocomial infection. One systematic review reported that 87.3% of stethoscopes are colonized with micro-organisms, including MRSA, enterococci, and gram-negative bacteria, and many isolates ar…
March 20th
In 2010-2011, a trial conducted in nursing homes showed no benefit of MRSA universal screening and decolonization over standard precautions to reduce the prevalence of MRSA carriage. Accordingly, no routine screening was performed from 2012. A 5-year foll…
March 18th
Nosocomial outbreaks of parvovirus B19 (pB19) have been reported, but they rarely occur among healthcare personnel (HCP). Susceptibility among pregnant HCP was the major concern.
March 18th
A combination of personal protective equipment (PPE) together with protocols for donning and doffing was designed to protect British and Canadian Military medical personnel in the Kerry Town Ebola Treatment Unit (ETU) in Sierra Leone. The PPE solution was…
March 18th
Conflicting results have been found regarding outcomes of intensive care unit (ICU)-acquired Enterobacteriaceae bacteraemia and the potentially modifying effect of appropriate empiric antibiotic therapy.
March 18th
Health care providers face occupational health risks through contact with patients, both directly, and indirectly via hospital waste. The occupational risk for healthcare staff in developing countries is much higher owing to factors such as illiteracy, re…
March 18th
Clostridium difficile infection (CDI) remains a formidable problem in the healthcare setting and there is much left to learn regarding the biology of this troublesome pathogen. This special section in this issue of the Journal contains a range of papers c…
March 16th
Recently, Blenkharn and Smales1 wrote a commentary on our research, which has previously demonstrated no significant difference in bactericidal effects between plain soap and antibacterial soap containing triclocarban; except in one case2. This differed f…
March 15th
The authors regret that there was an error in Table IV, last column “Total”, row 7 “Costs for two-tier IC management strategy”. Unfortunately, the number stated there is incorrect and should read as follows: 97,701.36€.
March 15th
Surfaces in the patient environment may play a role in microbial transmission if they become colonized by bacteria. Patient privacy curtains may pose a high risk because they are high contact surfaces, are infrequently cleaned, and healthcare workers are …
March 15th
The rise and spreading of multidrug-resistant (MDR) bacteria is a growing concern in intensive care units (ICUs). Amongst MDR Gram-negative bacteria, the extended-spectrum beta-lactamase (ESBL)-producers are probably the most frequent cause of hospital ou…
March 15th
The 20-site benefits of universal gloves and gowns (BUGG) randomized trial found that wearing gloves and gowns for all patient contact in the ICU reduced meticillin-resistant Staphylococcus aureus (MRSA) acquisition rates. The relative importance of glove…
March 12th
In a recent issue of this Journal, Jolivet and colleagues reported the first nosocomial outbreak of vanA-type vancomycin-resistant Enterococcus raffinosus in France.1 We would like to report a vanA-positive E. raffinosus outbreak that is not only the firs…
March 10th
The recent editorial by Leaper and Edmiston highlighted the current focus on the prevention of surgical site infection (SSI).1 The authors emphasise the importance of accurate and complete surveillance data as a key component of effective programmes aimin…
March 9th
The public health threat emanating from the emergence and spread of multidrug-resistant bacteria is well known. Each year the World Health Organization (WHO) SAVE LIVES: Clean Your Hands campaign promotes a different theme; the call to action in this year…
March 9th
Clinical manifestations of Clostridium difficile infection (CDI) range from asymptomatic colonisation through mild diarrhoea to life threatening pseudomembranous colitis. Management of patients who have potential CDI, are implemented based on clinical fin…
March 8th
Surgical site infections (SSIs) are associated with increased morbidity and mortality. Furthermore, SSIs constitute a financial burden and negatively impact on patient quality of life (QoL).
March 8th
Methicillin-resistant S. aureus (MRSA) is a common hospital- and community-acquired pathogen. New fast and inexpensive detection tools are needed for detection. Current molecular assays are based on detection of Staphylococcal Cassette Chromosome mec (SCC…
March 8th
As recently reviewed in this journal by French et al,1 there is expanding literature regarding carbapenemase-producing Enterobacteriaceae (CPE) outbreaks, control measures and their effectiveness. These papers report the number of cases (CPE infection or …
March 4th
Healthcare-associated infections caused by Klebsiella pneumoniae isolates are increasing and few effective antibiotics are currently available to treat patients. Aim: To assess the epidemiology, molecular basis, clinical features and outcomes in the acqui…
March 4th
This year many of the titles in the field of Infection Prevention and Control have joined forces to raise awareness of the upcoming Global Annual Hand Hygiene Day. Preventing healthcare-associated infections and reducing their avoidable impact on health s…
March 3rd
There is significant debate regarding the use of contact precautions (CPs) for the prevention of multidrug-resistant organisms (MDROs), and infection prevention and control (IPC) experts have expressed doubts regarding their effectiveness.1–3 Whereas the …
March 3rd
The aim of the study was to determine if mecetronium etilsulfate (MES) contributes to the overall efficacy in surgical hand disinfection using, for the first time, ideal controls. Three blinded hand rubs (45% iso-propanol, 30% n-propanol) were applied for…
February 28th
This article reports audit data from the introduction of a new single-use negative pressure wound therapy system (PICO◊) for Caesarean section (CS) patients with high body mass index (BMI) in four hospitals in the UK and Ireland. PICO was used on closed s…
February 26th
The United States Occupational Safety and Health Administration (OSHA) Bloodborne Pathogens Standard as amended by the Needlestick Safety and Prevention Act requiring the use of safety-engineered medical devices to prevent needlesticks and sharps injuries…
February 24th
Advances in nanopore technology have led to the development of a palm-sized sequencer, MinION (Oxford Nanopore Technologies [ONT], Oxford, UK)1. We report our experience of whole-genome sequencing of vancomycin-resistant Enterococcus faecium (VRE) with Mi…
February 24th
Analysis of bloodstream infections (BSIs) is valuable for their diagnosis, treatment, and prevention. However, limited data are available in Japan.
February 24th
The use of a follow-up card and phone calls appeared efficient for post-discharge surveillance of surgical site infections (SSI) in Cambodia. One hundred and sixty-one patients were given a follow-up card and asked to present it to any healthcare practiti…
February 21st
There is a lack of published studies on laundering in ambulance services. We performed bacterial culture on soiled and unsoiled uniforms and reusable mop heads artificially contaminated with Escherichia coli, Staphylococcus aureus, and Clostridium diffici…
February 18th
Norovirus outbreak management comprises isolation and cohorting of patients. In this context, exposed patients are preferably cohorted separately from symptomatic and unexposed asymptomatic patients, since they potentially develop symptoms of norovirus ga…
February 17th
Compliance with hand hygiene (HH) has often not proved satisfactory; high workload is a commonly self-reported reason. Studies comparing workload and compliance so far did not measure workload precisely and focus on certain times of day.This study aimed a…
February 16th
Healthcare-associated infections (HCAIs) are a major health threat. There are few data about HCAI and antibiotic use in the People's Republic of China in the English literature.
February 14th
Reports of KPC-producing Klebsiella pneumoniae (KPC-Kp) in Australia were previously uncommon with cases sporadically imported by travellers from higher prevalence countries.
February 14th
Staphylococcus aureus is a leading cause of healthcare-associated infections. The ability of S. aureus to attach and subsequently accumulate on the surfaces of implanted medical devices and in host tissues makes infections caused by this pathogen difficul…
February 13th
Kim and Rhee report the comparative in-vitro bactericidal effect of plain bar soap and an antiseptic-containing bar soap product.1 Gram-negative bacteria were more susceptible to both soaps than were Gram-positives. However, except for Enterococcus faecal…
February 10th
The purpose of this study was to estimate the attributable mortality of hospital-acquired bloodstream infections (HA-BSI) in Ireland.
February 10th
Influenza vaccination of healthcare workers (HCWs) is essential for patient safety, their own safety, and hospital operation. However, despite its strong recommendation, studies indicates a low rate of vaccine uptake.
February 10th
A quasi-experimental study was performed on 20 technicians working in the Faculty of Medicine, Mansoura University, Egypt. The knowledge, attitude, and practice (KAP) of laboratory technicians was measured before and two months after enrolling them in an …
February 8th
Improving hand hygiene compliance is the mainstay of an infection prevention strategy the world over and is the most well-established measure to prevent avoidable infection in healthcare settings.1–3 As mentioned by Mahida, a widely used strategy to impro…
February 8th
Stenotrophomonas maltophilia is an opportunistic multi-drug-resistant bacterium responsible for healthcare-associated infections. Strategies for in-hospital infection control and management of carriers and environmental reservoirs remain controversial.
February 8th
The Editorial Team would like to extend their warmest thanks to all the referees who have kindly given of their time and expertise in reviewing the wide variety of articles submitted to The Journal of Hospital Infection over the last year. The following r…
February 6th
Carbapenem-resistant Enterobacteriaceae (CRE) or vancomycin-resistant enterococci (VRE) carriage present a major public health challenge. Decolonization strategies are lacking. We aimed to evaluate the impact of faecal microbiota transplantation (FMT) on …
February 6th
Hand hygiene compliance at the bedside, as analysed using the continuous monitoring system, depended upon the HCW’s occupation and personal behaviour, number of HCWs, time spent in the room and (potentially) dispenser location. Meal tray distribution was …
February 3rd
Length of stay is one of the key determinants for the risk of nosocomial infections. The distribution of this at-risk time is heavily skewed and depends on discharge or death. This study applied landmark competing risk prediction models to account for a l…
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