LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 10 of total 38

Search options

  1. Book ; Thesis: Hämodynamische Effekte von Vibrationstraining und sein Einfluss auf Flüssigkeitshaushalt und volumenregulation während eine r14tägigen 6° Kopftieflage

    Otchwemah, Robin Kobina

    2008  

    Author's details vorgelegt von Robin Kobina Otchwemah
    Language German
    Size 116 S. : Ill., graph. Darst.
    Publishing country Germany
    Document type Book ; Thesis
    Thesis / German Habilitation thesis Köln, Univ., Diss., 2008
    HBZ-ID HT015698579
    Database Catalogue ZB MED Medicine, Health

    More links

    Kategorien

  2. Article ; Online: Measures for Reducing Nosocomial Infections in a Tertiary Care Hospital-an Interventional Study With Before-and-After Comparison.

    Neuwirth, Meike M / Marche, Benedikt / Hoffmann, Jan / Defosse, Jerome / Mattner, Frauke / Otchwemah, Robin

    Deutsches Arzteblatt international

    2023  Volume 120, Issue 31-32, Page(s) 536–537

    MeSH term(s) Humans ; Cross Infection/prevention & control ; Tertiary Care Centers
    Language English
    Publishing date 2023-10-05
    Publishing country Germany
    Document type Letter
    ZDB-ID 2406159-1
    ISSN 1866-0452 ; 1866-0452
    ISSN (online) 1866-0452
    ISSN 1866-0452
    DOI 10.3238/arztebl.m2023.0086
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  3. Article ; Online: Adherence to personal protective equipment use among healthcare workers caring for confirmed COVID-19 and alleged non-COVID-19 patients.

    Neuwirth, Meike M / Mattner, Frauke / Otchwemah, Robin

    Antimicrobial resistance and infection control

    2020  Volume 9, Issue 1, Page(s) 199

    Abstract: Adherence observations of health care workers (HCW) revealed deficiencies in the use of recommended personal protective equipment (PPE) among HCW caring in COVID-19 and non-COVID-19 wards during the first period of the SARS-CoV-2 pandemic in a university ...

    Abstract Adherence observations of health care workers (HCW) revealed deficiencies in the use of recommended personal protective equipment (PPE) among HCW caring in COVID-19 and non-COVID-19 wards during the first period of the SARS-CoV-2 pandemic in a university hospital in Germany. The adherence to wearing surgical face or FFP2-masks and disinfecting hands prior to donning and after doffing the PPE was significantly higher in COVID-19 wards However, there was no total adherence of 100% in COVID-19 wards.
    MeSH term(s) COVID-19/prevention & control ; Female ; Hand Hygiene ; Health Personnel ; Humans ; Infectious Disease Transmission, Patient-to-Professional/prevention & control ; Male ; Personal Protective Equipment ; Prospective Studies ; SARS-CoV-2
    Language English
    Publishing date 2020-12-10
    Publishing country England
    Document type Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 2666706-X
    ISSN 2047-2994 ; 2047-2994
    ISSN (online) 2047-2994
    ISSN 2047-2994
    DOI 10.1186/s13756-020-00864-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  4. Article ; Online: Standardized aseptic dressing change procedure: Optimizations and adherence in a prospective pre- and postintervention cohort study.

    Neuwirth, Meike M / Herbrandt, Swetlana / Mattner, Frauke / Otchwemah, Robin

    Infection control and hospital epidemiology

    2021  Volume 43, Issue 6, Page(s) 736–741

    Abstract: Background: The "HygArzt" project investigated the effectiveness of hygiene measures introduced by an infection prevention link physician (PLP).: Objective: To investigate whether the introduction of a standardized aseptic dressing change concept ( ... ...

    Abstract Background: The "HygArzt" project investigated the effectiveness of hygiene measures introduced by an infection prevention link physician (PLP).
    Objective: To investigate whether the introduction of a standardized aseptic dressing change concept (ADCC) by a PLP can increase hand hygiene adherence and adherence to specific process steps during an aseptic dressing change (ADC) in a trauma surgery and orthopedic department.
    Methods: We defined 4 required hand disinfection indications: (1) before the preparation of ADC equipment, (2) immediately before the ADC, (3) before the clean phase, and (4) after the ADC. A process analysis of the preintervention phase (331 ADCs) was used to develop a standardized ADCC. The ADCC was introduced and iteratively adopted during the intervention phase. The effect was evaluated during the postintervention phase (374 ADCs).
    Results: Hand hygiene adherence was significantly increased by the introduction of the ADCC for all indications: (1) before the preparation of the ADC equipment (from 34% before to 85% after,
    Conclusions: A PLP sufficiently implemented a standardized concept for aseptic dressing change during an iterative improvement process, which resulted in a significant improvement in hand hygiene and adherence to other specific ADCC process steps.
    MeSH term(s) Bandages ; Cohort Studies ; Cross Infection/prevention & control ; Guideline Adherence ; Hand Disinfection/methods ; Hand Hygiene ; Humans ; Infection Control ; Prospective Studies
    Language English
    Publishing date 2021-05-24
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 639378-0
    ISSN 1559-6834 ; 0195-9417 ; 0899-823X
    ISSN (online) 1559-6834
    ISSN 0195-9417 ; 0899-823X
    DOI 10.1017/ice.2021.200
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  5. Conference proceedings: Transfer eines Infektionspräventionskonzeptes zur Senkung von nosokomialen Infektionen auf weitere Krankenhäuser

    Neuwirth, Meike / Otchwemah, Robin / Mattner, Frauke

    2021  , Page(s) 21dkvf403

    Event/congress 20. Deutscher Kongress für Versorgungsforschung (DKVF); sine loco [digital]; Deutsches Netzwerk Versorgungsforschung; 2021
    Keywords Medizin, Gesundheit
    Publishing date 2021-09-27
    Publisher German Medical Science GMS Publishing House; Düsseldorf
    Document type Conference proceedings
    DOI 10.3205/21dkvf403
    Database German Medical Science

    More links

    Kategorien

  6. Article ; Online: Correction to: Implementation methods of infection prevention measures in orthopedics and traumatology - a systematic review.

    Marche, Benedikt / Neuwirth, Meike / Kugler, Christiane / Bouillon, Bertil / Mattner, Frauke / Otchwemah, Robin

    European journal of trauma and emergency surgery : official publication of the European Trauma Society

    2021  Volume 47, Issue 4, Page(s) 1015

    Language English
    Publishing date 2021-02-24
    Publishing country Germany
    Document type Published Erratum
    ZDB-ID 2275480-5
    ISSN 1863-9941 ; 1863-9933
    ISSN (online) 1863-9941
    ISSN 1863-9933
    DOI 10.1007/s00068-021-01610-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  7. Article ; Online: Einsatz von Community-Masken in der Bevölkerung: Praxis und Anwendungsfehler während der COVID-19 Pandemie in Deutschland.

    Otchwemah, Robin / Duman, Deniz / Neuwirth, Martin / Teves, Stefanie / Mattner, Frauke / Neuwirth, Meike Maria

    Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))

    2020  Volume 82, Issue 11, Page(s) 821–828

    Title translation Use of Face Coverings in Public Settings: Practice and Application Errors during the COVID-19 Pandemic in Germany.
    MeSH term(s) Betacoronavirus ; COVID-19 ; Communicable Disease Control/instrumentation ; Coronavirus Infections/prevention & control ; Germany/epidemiology ; Humans ; Masks ; Pandemics/prevention & control ; Pneumonia, Viral/prevention & control ; SARS-CoV-2
    Keywords covid19
    Language German
    Publishing date 2020-11-13
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1101426-x
    ISSN 1439-4421 ; 0941-3790 ; 0949-7013
    ISSN (online) 1439-4421
    ISSN 0941-3790 ; 0949-7013
    DOI 10.1055/a-1276-1010
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  8. Article ; Online: Investigating a possible link between antiseptic treatment and the increased occurrence of daptomycin-resistant Staphylococcus aureus.

    Wendel, Andreas F / Otchwemah, Robin / Layer-Nicolaou, Franziska / Mattner, Frauke / Tellez-Castillo, Carlos J / Skov, Robert / Oberländer, Henrik / Werner, Guido / Strommenger, Birgit

    Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases

    2023  Volume 29, Issue 10, Page(s) 1334.e1–1334.e6

    Abstract: Objectives: Because of a steady increase in the detection of daptomycin-resistant (DAP-R) Staphylococcus aureus at three medical centres in Cologne, Germany, molecular surveillance was established from June 2016 to June 2018 to investigate the causes of ...

    Abstract Objectives: Because of a steady increase in the detection of daptomycin-resistant (DAP-R) Staphylococcus aureus at three medical centres in Cologne, Germany, molecular surveillance was established from June 2016 to June 2018 to investigate the causes of the emergence and spread of respective isolates. Seventy-five S. aureus isolates, both DAP-R and DAP-susceptible, were collected from 42 patients for further analysis.
    Methods: Broth microdilution was used to determine the MICs for DAP and polyhexamethylene biguanide/polyhexanide (PHMB). To investigate the effect of PHMB on the development of DAP resistance, we performed selection experiments with PHMB. All isolates studied were subjected to whole-genome sequencing. Epidemiological, clinical, microbiological and molecular data were analysed comparatively.
    Results: Acquisition of DAP resistance was mainly observed in patients with acute and chronic wounds (40/42, 96.2%) treated with antiseptic (32/42, 76.2%) rather than systemic antibiotic therapy using DAP or vancomycin (7/42, 16.7%). DAP-R S. aureus had a diverse genetic background; however, within individual patients, isolates were closely related. At least three potential transmission events were detected. Most DAP-R isolates had concomitant elevated MICs for PHMB (50/54, 92.6%), and in vitro selection experiments confirmed that PHMB treatment is capable of generating DAP resistance. DAP resistance could be linked to 12 different polymorphisms in the mprF gene in the majority of clinical isolates (52/54, 96.3%) as well as in all in vitro selected strains.
    Discussion: DAP resistance in S. aureus can occur independently of prior antibiotic therapy and can be selected by PHMB. Therefore, wound treatment with PHMB may trigger individual resistance development associated with gain-of-function mutations in the mprF gene.
    MeSH term(s) Humans ; Daptomycin/pharmacology ; Daptomycin/therapeutic use ; Staphylococcus aureus/genetics ; Methicillin-Resistant Staphylococcus aureus ; Anti-Infective Agents, Local/pharmacology ; Anti-Infective Agents, Local/therapeutic use ; Polymorphism, Single Nucleotide ; Anti-Bacterial Agents/pharmacology ; Anti-Bacterial Agents/therapeutic use ; Staphylococcal Infections/drug therapy ; Staphylococcal Infections/epidemiology ; Staphylococcal Infections/microbiology ; Microbial Sensitivity Tests ; Bacterial Proteins/genetics
    Chemical Substances Daptomycin (NWQ5N31VKK) ; Anti-Infective Agents, Local ; Anti-Bacterial Agents ; Bacterial Proteins
    Language English
    Publishing date 2023-06-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 1328418-6
    ISSN 1469-0691 ; 1470-9465 ; 1198-743X
    ISSN (online) 1469-0691
    ISSN 1470-9465 ; 1198-743X
    DOI 10.1016/j.cmi.2023.06.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  9. Conference proceedings: Adhärenz und Indikationsgerechte Nutzung persönlicher Schutzausrüstung von medizinischem Personal während der COVID-19-Pandemie

    Neuwirth, Meike / Galante, Regine / Kirchler, Andreas / Mattner, Frauke / Otchwemah, Robin

    2020  , Page(s) 20dkvf035

    Event/congress 19. Deutscher Kongress für Versorgungsforschung (DKVF); sine loco [digital]; Deutsches Netzwerk Versorgungsforschung; 2020
    Keywords Medizin, Gesundheit
    Publishing date 2020-09-25
    Publisher German Medical Science GMS Publishing House; Düsseldorf
    Document type Conference proceedings
    DOI 10.3205/20dkvf035
    Database German Medical Science

    More links

    Kategorien

  10. Article ; Online: Implementation methods of infection prevention measures in orthopedics and traumatology - a systematic review.

    Marche, Benedikt / Neuwirth, Meike / Kugler, Christiane / Bouillon, Bertil / Mattner, Frauke / Otchwemah, Robin

    European journal of trauma and emergency surgery : official publication of the European Trauma Society

    2020  Volume 47, Issue 4, Page(s) 1003–1013

    Abstract: Background: Prevention of hospital-acquired infections, in the clinical field of orthopedics and traumatology especially surgical site infections, is one of the major concerns of patients and physicians alike. Many studies have been conducted proving ... ...

    Abstract Background: Prevention of hospital-acquired infections, in the clinical field of orthopedics and traumatology especially surgical site infections, is one of the major concerns of patients and physicians alike. Many studies have been conducted proving effective infection prevention measures. The clinical setting, however, requires strategies to transform this knowledge into practice.
    Question/purpose: As part of the HYGArzt-Project ("Proof Of Effectivity And Efficiency Of Implementation Of Infection Prevention (IP) Measures By The Physician Responsible For Infection Prevention Matters In Traumatology/Orthopedics"), the objective of this study was to identify effective implementation strategies for IP (infection prevention) measures in orthopedics and trauma surgery.
    Methods: The systematic review was conducted following PRISMA guidelines. A review protocol was drafted prior to the literature search (not registered). Literature search was performed in MEDLINE, SCOPUS and COCHRANE between January 01, 1950 and June 01, 2019. We searched for all papers dealing with infection and infection control measures in orthopedics and traumatology, which were then scanned for implementation contents. All study designs were considered eligible. Exclusion criteria were language other than English or German and insufficient reporting of implementation methods. Analyzed outcome parameters were study design, patient cohort, infection prevention measure, implementation methods, involved personnel, reported outcome of the studies and study period.
    Results: The literature search resulted in 8414 citations. 13 records were eligible for analysis (all published between 2001 and 2019). Studies were primarily prospective cohort studies featuring various designs and including single IP measures to multi-measure IP bundles. Described methods of implementation were heterogeneous. Main outcome parameters were increase of adherence (iA) to infection prevention (IP) measures or decrease in surgical site infection rate (dSSI%). Positive results were reported in 11 out of 13 studies. Successful implementation methods were building of a multidisciplinary team (considered in 8 out of 11 successful studies [concerning dSSI% in 5 studies, concerning iA in five studies]), standardization of guidelines (considered in 10/11 successful studies [concerning dSSI% in 5 studies, concerning iA in seven studies]), printed or electronic information material (for patient and/or staff; considered in 9/11 successful studies [concerning dSSI% 4/4, concerning iA 5/5]), audits and regular meetings, personal training and other interactive measures as well as regular feedback (considered in 7/11 successful studies each). Personnel most frequently involved were physicians (of those, most frequently surgeons) and nursing professions.
    Conclusion: Although evidence was scarce and quality-inconsistent, we found that adhering to a set of implementation methods focusing on interdisciplinary and interactive /interpersonal work might be an advisable strategy when planning IP improvement interventions in orthopedics and traumatology.
    MeSH term(s) Cross Infection/prevention & control ; Humans ; Infection Control ; Orthopedics ; Prospective Studies ; Traumatology
    Language English
    Publishing date 2020-09-10
    Publishing country Germany
    Document type Journal Article ; Review ; Systematic Review
    ZDB-ID 2275480-5
    ISSN 1863-9941 ; 1863-9933
    ISSN (online) 1863-9941
    ISSN 1863-9933
    DOI 10.1007/s00068-020-01477-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

To top