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Article ; Online: Testing residual chloramine levels in tap water across sink locations in a US academic hospital setting.

Gravagna, Katie / Thompson, Sharon C / Sickbert-Bennett, Emily / Weber, David J

Infection control and hospital epidemiology

2024 , Page(s) 1–2

Language	English
Publishing date	2024-03-20
Publishing country	United States
Document type	Journal Article
ZDB-ID	639378-0
ISSN	1559-6834 ; 0195-9417 ; 0899-823X
ISSN (online)	1559-6834
ISSN	0195-9417 ; 0899-823X
DOI	10.1017/ice.2024.34
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Emerging infectious diseases, focus on infection prevention, environmental survival and germicide susceptibility: SARS-CoV-2, Mpox, and Candida auris.

Weber, David J / Rutala, William A / Sickbert-Bennett, Emily

American journal of infection control

2023 Volume 51, Issue 11S, Page(s) A22–A34

Abstract: Background: New and emerging infectious diseases continue to represent a public health threat. Emerging infectious disease threats include pathogens increasing in range (eg, Mpox), zoonotic microbes jumping species lines to cause sustained infections in ...

Abstract	Background: New and emerging infectious diseases continue to represent a public health threat. Emerging infectious disease threats include pathogens increasing in range (eg, Mpox), zoonotic microbes jumping species lines to cause sustained infections in humans via person-to-person transmission (SARS-CoV-2) and multidrug-resistant pathogens (eg, Candida auris). Materials and methods: We searched the published English literature and reviewed the selected articles on SARS-CoV-2, Mpox, and Candida auris with a focus on environmental survival, contamination of the patient's hospital environment, susceptibility of the pathogen to antiseptics and disinfectants and infection prevention recommendations. Results: All three pathogens (ie, SARS-CoV-2, Mpox, and Candida auris) can survive on surfaces for minutes to hours and for Mpox and C auris for days. Currently available antiseptics (eg, 70%-90% alcohol hand hygiene products) are active against SARS-CoV-2, Mpox and C auris. The U.S Environmental Protection Agency provides separate lists of surface disinfectants active against SARS-CoV-2, Mpox, and C auris. Discussion: The risk of environment-to-patient transmission of SARS-CoV-2, Mpox and Candida auris, is very low, low-moderate and high, respectively. In the absence of appropriate patient isolation and use of personal protection equipment, the risk of patient-to-health care provider transmission of SARS-CoV-2, Mpox, and C auris is high, moderate and low, respectively. Conclusions: Appropriate patient isolation, use of personal protective equipment by health care personnel, hand hygiene, and surface disinfection can protect patients and health care personnel from acquiring SARS-CoV-2, Mpox, and C auris from infected patients.
MeSH term(s)	Humans ; SARS-CoV-2 ; Candida ; Candida auris ; Communicable Diseases, Emerging/epidemiology ; Communicable Diseases, Emerging/prevention & control ; Mpox (monkeypox) ; COVID-19/prevention & control ; Disinfectants ; Anti-Infective Agents, Local ; Antifungal Agents
Chemical Substances	Disinfectants ; Anti-Infective Agents, Local ; Antifungal Agents
Language	English
Publishing date	2023-05-13
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	392362-9
ISSN	1527-3296 ; 0196-6553
ISSN (online)	1527-3296
ISSN	0196-6553
DOI	10.1016/j.ajic.2023.02.006
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Article ; Online: Implementation should be a standard component of practice guidelines and guidance documents.

Schaffzin, Joshua K / Sickbert-Bennett, Emily E / Deloney, Valerie M / Weber, David J

Infection control and hospital epidemiology

2023 Volume 44, Issue 9, Page(s) 1365–1368

MeSH term(s)	Practice Guidelines as Topic
Language	English
Publishing date	2023-03-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	639378-0
ISSN	1559-6834 ; 0195-9417 ; 0899-823X
ISSN (online)	1559-6834
ISSN	0195-9417 ; 0899-823X
DOI	10.1017/ice.2022.294
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Article ; Online: The impact of minimally invasive surgical approaches on surgical-site infections.

Sweitzer, Stephanie F / Sickbert-Bennett, Emily E / Seidelman, Jessica / Anderson, Deverick J / Lim, Moe R / Weber, David J

Infection control and hospital epidemiology

2024 Volume 45, Issue 5, Page(s) 557–561

Abstract: We performed a literature review to describe the risk of surgical-site infection (SSI) in minimally invasive surgery (MIS) compared to standard open surgery. Most studies reported decreased SSI rates among patients undergoing MIS compared to open ... ...

Abstract	We performed a literature review to describe the risk of surgical-site infection (SSI) in minimally invasive surgery (MIS) compared to standard open surgery. Most studies reported decreased SSI rates among patients undergoing MIS compared to open procedures. However, many were observational studies and may have been affected by selection bias. MIS is associated with reduced risk of surgical-site infection compared to standard open surgery and should be considered when feasible.
MeSH term(s)	Humans ; Surgical Wound Infection ; Minimally Invasive Surgical Procedures/methods ; Retrospective Studies ; Treatment Outcome
Language	English
Publishing date	2024-01-03
Publishing country	United States
Document type	Review ; Journal Article
ZDB-ID	639378-0
ISSN	1559-6834 ; 0195-9417 ; 0899-823X
ISSN (online)	1559-6834
ISSN	0195-9417 ; 0899-823X
DOI	10.1017/ice.2023.277
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Article ; Online: Sustainability of a well-established hand hygiene program during the coronavirus disease 2019 (COVID-19) pandemic.

Stancill, Lisa B / Sickbert-Bennett, Emily E / DiBiase, Lauren M

Antimicrobial stewardship & healthcare epidemiology : ASHE

2022 Volume 2, Issue 1, Page(s) e34

Abstract: Overall, engagement and compliance from the crowd-sourced hand hygiene observation program, Clean-In-Clean-Out (CICO), were similar between 2019 (96.6%) and 2020 (96.7%) despite fluctuations within 2020 that reflected our hospital's coronavirus disease ... ...

Abstract	Overall, engagement and compliance from the crowd-sourced hand hygiene observation program, Clean-In-Clean-Out (CICO), were similar between 2019 (96.6%) and 2020 (96.7%) despite fluctuations within 2020 that reflected our hospital's coronavirus disease 2019 (COVID-19) experience. Shared responsibility and just-in-time reminders can allow manual hand hygiene observation models to be sustainable.
Language	English
Publishing date	2022-03-02
Publishing country	England
Document type	Journal Article
ISSN	2732-494X
ISSN (online)	2732-494X
DOI	10.1017/ash.2022.13
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Article: COVID-19 Surveillance: Not Everything That Counts Can be Counted, and not Everything That Can be Counted Counts

Sickbert-Bennett, Emily E / DiBiase, Lauren M

North Carolina medical journal

2021 Volume 82, Issue 1, Page(s) 71–74

Abstract: Infectious disease surveillance is one of the most valuable tools in monitoring the COVID-19 pandemic. Here we examine the components of an ideal surveillance system and assess the effectiveness of COVID-19 surveillance in North Carolina and around the ... ...

Abstract	Infectious disease surveillance is one of the most valuable tools in monitoring the COVID-19 pandemic. Here we examine the components of an ideal surveillance system and assess the effectiveness of COVID-19 surveillance in North Carolina and around the world.
MeSH term(s)	COVID-19 ; Humans ; North Carolina ; Pandemics ; SARS-CoV-2
Language	English
Publishing date	2021-01-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	422795-5
ISSN	0029-2559
ISSN	0029-2559
DOI	10.18043/ncm.82.1.71
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Article: Healthcare Provider N95 Respirator Contamination Worn Behind Face Shields With SARS-CoV-2 During Routine Clinical Care of Patients With COVID-19.

Graves, Amanda M / Warren, Bobby G / Barrett, Aaron / Lewis, Sarah S / Smith, Becky / Weber, David J / Sickbert-Bennett, Emily E / Anderson, Deverick J

Open forum infectious diseases

2024 Volume 11, Issue 3, Page(s) ofae040

Abstract: N95 respirator contamination with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during clinical care of patients with coronavirus disease 2019 is poorly understood. We performed a prospective observational study on healthcare provider's ( ... ...

Abstract	N95 respirator contamination with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during clinical care of patients with coronavirus disease 2019 is poorly understood. We performed a prospective observational study on healthcare provider's (HCP's) N95 respirators' and face shields' SARS-CoV-2 contamination during aerosol-generating procedures on SARS-CoV-2-positive patients housed in a COVID-19-specific unit. Medical masks worn on top of HCP's N95 respirators, and under face shields, during study aerosol-generating procedures were used as surrogates to detect contamination to avoid waste. Thirty-three HCPs were studied, and a total of 33 mask and 27 face shields were sampled. Masks were cut into 9 pieces and face shields were sampled twice, front and back, to determine locality of contamination; however, no positive samples were identified using standard polymerase chain reaction techniques with a CT value up to 40. All 9 mask piece samples were then pooled, as were face shield samples, using centrifugal concentration with polyethersulfone membranes. Once pooled and concentrated, overall, 9 (15%) samples were positive via real-time polymerase chain reaction: 5 from masks (15.2%) and 4 from face shields (14.8%).
Language	English
Publishing date	2024-02-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	2757767-3
ISSN	2328-8957
ISSN	2328-8957
DOI	10.1093/ofid/ofae040
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Article ; Online: Role of the contaminated environment in transmission of multidrug-resistant organisms in nursing homes and infection prevention.

Kanamori, Hajime / Rutala, William A / Sickbert-Bennett, Emily E / Weber, David J

American journal of infection control

2023 Volume 51, Issue 11S, Page(s) A151–A157

Abstract: Background: With aging of the population in the United States, there are more people in long-term care facilities than in hospitals. Nursing home residents have a high prevalence of colonization with multidrug-resistant organisms (MDROs). A shared ... ...

Abstract	Background: With aging of the population in the United States, there are more people in long-term care facilities than in hospitals. Nursing home residents have a high prevalence of colonization with multidrug-resistant organisms (MDROs). A shared environment with vulnerable patients can facilitate intra- and inter-facility transmission of MDROs. The aim of this paper is to examine the role of the nursing home environment in MDRO transmission and provide infection prevention strategies. Methods: We searched the published literature and reviewed selected articles on contamination, transmission, and infection associated with the nursing home environment. Results: Nursing home residents were frequently colonized with MDROs, leading to contamination of the surrounding environment with the same pathogen. Surface contamination with MDROs was common in nursing home patient rooms, and to a substantial but lesser frequency in common rooms. Shared rooms were a risk factor for MDRO transmission between patients. Conclusions: Since outbreaks and infections via the environmental contamination cause substantial burden of morbidity and mortality in the nursing home residents, it is essential for healthcare personnel to recognize the role of the nursing home environment in infection transmission and adhere to the current infection prevention guidelines for cleaning and disinfection of environmental surfaces.
MeSH term(s)	Humans ; Cross Infection/epidemiology ; Drug Resistance, Multiple, Bacterial ; Nursing Homes ; Hospitals ; Disease Outbreaks
Language	English
Publishing date	2023-10-27
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	392362-9
ISSN	1527-3296 ; 0196-6553
ISSN (online)	1527-3296
ISSN	0196-6553
DOI	10.1016/j.ajic.2023.01.003
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Article ; Online: ..úNo touch..Ñ methods for health care room disinfection: Focus on clinical trials.

Weber, David J / Rutala, William A / Anderson, Deverick J / Sickbert-Bennett, Emily E

American journal of infection control

2023 Volume 51, Issue 11S, Page(s) A134–A143

Abstract: Background: Hospital patient room surfaces are frequently contaminated with multidrug-resistant organisms. Since studies have demonstrated that inadequate terminal room disinfection commonly occurs, ..úno touch..Ñ methods of terminal room disinfection ... ...

Abstract	Background: Hospital patient room surfaces are frequently contaminated with multidrug-resistant organisms. Since studies have demonstrated that inadequate terminal room disinfection commonly occurs, ..úno touch..Ñ methods of terminal room disinfection have been developed such as ultraviolet light (UV) devices and hydrogen peroxide (HP) systems. Methods: This paper reviews published clinical trials of ..úno touch..Ñ methods and ..úself-disinfecting..Ñ surfaces. Results: Multiple papers were identified including clinical trials of UV room disinfection devices (N.ß=.ß20), HP room disinfection systems (N.ß=.ß8), handheld UV devices (N.ß=.ß1), and copper-impregnated or coated surfaces (N.ß=.ß5). Most but not all clinical trials of UV devices and HP systems for terminal disinfection demonstrated a reduction of colonization/infection in patients subsequently housed in the room. Copper-coated surfaces were the only ..úself-disinfecting..Ñ technology evaluated by clinical trials. Results of these clinical trials were mixed. Discussion: Almost all clinical trials reviewed used a ..úweak..Ñ design (eg, before-after) and failed to assess potential confounders (eg, compliance with hand hygiene and environmental cleaning). Conclusions: The evidence is strong enough to recommend the use of a ..úno-touch..Ñ method as an adjunct for outbreak control, mitigation strategy for high-consequence pathogens (eg, Candida auris or Ebola), or when there are an excessive endemic rates of multidrug-resistant organisms.
MeSH term(s)	Humans ; Disinfection/methods ; Copper ; Hospitals ; Patients' Rooms ; Hydrogen Peroxide/pharmacology ; Ultraviolet Rays ; Delivery of Health Care ; Cross Infection/prevention & control
Chemical Substances	Copper (789U1901C5) ; Hydrogen Peroxide (BBX060AN9V)
Language	English
Publishing date	2023-10-27
Publishing country	United States
Document type	Review ; Journal Article
ZDB-ID	392362-9
ISSN	1527-3296 ; 0196-6553
ISSN (online)	1527-3296
ISSN	0196-6553
DOI	10.1016/j.ajic.2023.04.003
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Article ; Online: Biofilms on medical instruments and surfaces: Do they interfere with instrument reprocessing and surface disinfection.

Weber, David J / Rutala, William A / Anderson, Deverick J / Sickbert-Bennett, Emily E

American journal of infection control

2023 Volume 51, Issue 11S, Page(s) A114–A119

Abstract: Background: Biofilms are surface-attached communities of bacteria embedded in an extracellular matrix. This matrix shields the resident cells from desiccation, chemical perturbation, invasion by other bacteria, and confers reduced susceptibility to ... ...

Abstract	Background: Biofilms are surface-attached communities of bacteria embedded in an extracellular matrix. This matrix shields the resident cells from desiccation, chemical perturbation, invasion by other bacteria, and confers reduced susceptibility to antibiotics and disinfectants. There is growing evidence that biofilms on medical instruments (especially endoscopes) and environmental surfaces interfere with cleaning and disinfection. Methods: The English literature on the impact of biofilms in medicine was reviewed with a focus on the impact of biofilms on reusable semicritical medical instruments and hospital environmental surfaces. Results: Biofilms are frequently present on hospital environmental surfaces and reusable medical equipment. Important health care...associated pathogens that readily form biofilms on environmental surfaces include Staphylococcus aureus, Pseudomonas aeruginosa, and Candida auris. Evidence has demonstrated that biofilms interfere with cleaning and disinfection. Discussion: New technologies such as ..úself-disinfecting..Ñ surfaces or continuous room disinfection systems may reduce or disrupt biofilm formation and are under study to reduce the impact of the contaminated surface environment on health care...associated infections. Conclusions: Future research is urgently needed to develop methods to reduce or eliminate biofilms from forming on implantable medical devices, reusable medical equipment, and hospital surfaces.
MeSH term(s)	Humans ; Disinfection/methods ; Disinfectants ; Pseudomonas aeruginosa ; Hospitals ; Bacteria ; Biofilms ; Cross Infection/prevention & control
Chemical Substances	Disinfectants
Language	English
Publishing date	2023-10-26
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	392362-9
ISSN	1527-3296 ; 0196-6553
ISSN (online)	1527-3296
ISSN	0196-6553
DOI	10.1016/j.ajic.2023.04.158
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