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  1. Book ; Thesis: Zur gesundheitlichen und psychosozialen Situation heroinabhängiger Krankenhauspatienten

    Bollongino, Kirsten

    eine empirische Untersuchung

    2003  

    Author's details vorgelegt von Kirsten Bollongino
    Language German
    Size VI, 48, [15] Bl., graph. Darst., 30 cm
    Publishing country Germany
    Document type Book ; Thesis
    Thesis / German Habilitation thesis Hamburg, Univ., Diss., 2003
    HBZ-ID HT014865948
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

    Shelf markLoan statusLocation
    2006 E 2011 order for loan Magazin

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  2. Article: Investigation of a Limited but Explosive COVID-19 Outbreak in a German Secondary School

    Baumgarte, Sigrid / Hartkopf, Felix / Hölzer, Martin / von Kleist, Max / Neitz, Sabine / Kriegel, Martin / Bollongino, Kirsten

    Viruses. 2022 Jan. 04, v. 14, no. 1

    2022  

    Abstract: The role of schools as a source of infection and driver in the coronavirus-pandemic has been controversial and is still not completely clarified. To prevent harm and disadvantages for children and adolescents, but also adults, detailed data on school ... ...

    Abstract The role of schools as a source of infection and driver in the coronavirus-pandemic has been controversial and is still not completely clarified. To prevent harm and disadvantages for children and adolescents, but also adults, detailed data on school outbreaks is needed, especially when talking about open schools employing evidence-based safety concepts. Here, we investigated the first significant COVID-19 school outbreak in Hamburg, Germany, after the re-opening of schools in 2020. Using clinical, laboratory, and contact data and spatial measures for epidemiological and environmental studies combined with whole-genome sequencing (WGS) analysis, we examined the causes and the course of the secondary school outbreak. The potential index case was identified by epidemiological tracking and the lessons in classrooms with presumably high virus spreading rates and further infection chains in the setting. Sequence analysis of samples detected one sample of a different virus lineage and 25 virus genomes with almost identical sequences, of which 21 showed 100% similarity. Most infections occurred in connection with two lesson units of the primary case. Likely, 31 students (12–14 years old), two staff members, and three family members were infected in the school or the typical household. Sequence analysis revealed an outbreak cluster with a single source that was epidemiologically identified as a member of the educational staff. In lesson units, two superspreading events of varying degrees with airborne transmission took place. These were influenced by several parameters including the exposure times, the use of respiratory masks while speaking and spatial or structural conditions at that time.
    Keywords COVID-19 infection ; airborne transmission ; genome ; secondary education ; sequence analysis ; viruses ; Germany
    Language English
    Dates of publication 2022-0104
    Publishing place Multidisciplinary Digital Publishing Institute
    Document type Article
    ZDB-ID 2516098-9
    ISSN 1999-4915
    ISSN 1999-4915
    DOI 10.3390/v14010087
    Database NAL-Catalogue (AGRICOLA)

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  3. Article ; Online: Investigation of a Limited but Explosive COVID-19 Outbreak in a German Secondary School.

    Baumgarte, Sigrid / Hartkopf, Felix / Hölzer, Martin / von Kleist, Max / Neitz, Sabine / Kriegel, Martin / Bollongino, Kirsten

    Viruses

    2022  Volume 14, Issue 1

    Abstract: The role of schools as a source of infection and driver in the coronavirus-pandemic has been controversial and is still not completely clarified. To prevent harm and disadvantages for children and adolescents, but also adults, detailed data on school ... ...

    Abstract The role of schools as a source of infection and driver in the coronavirus-pandemic has been controversial and is still not completely clarified. To prevent harm and disadvantages for children and adolescents, but also adults, detailed data on school outbreaks is needed, especially when talking about open schools employing evidence-based safety concepts. Here, we investigated the first significant COVID-19 school outbreak in Hamburg, Germany, after the re-opening of schools in 2020. Using clinical, laboratory, and contact data and spatial measures for epidemiological and environmental studies combined with whole-genome sequencing (WGS) analysis, we examined the causes and the course of the secondary school outbreak. The potential index case was identified by epidemiological tracking and the lessons in classrooms with presumably high virus spreading rates and further infection chains in the setting. Sequence analysis of samples detected one sample of a different virus lineage and 25 virus genomes with almost identical sequences, of which 21 showed 100% similarity. Most infections occurred in connection with two lesson units of the primary case. Likely, 31 students (12-14 years old), two staff members, and three family members were infected in the school or the typical household. Sequence analysis revealed an outbreak cluster with a single source that was epidemiologically identified as a member of the educational staff. In lesson units, two superspreading events of varying degrees with airborne transmission took place. These were influenced by several parameters including the exposure times, the use of respiratory masks while speaking and spatial or structural conditions at that time.
    MeSH term(s) COVID-19/diagnosis ; COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19/transmission ; Contact Tracing ; Disease Outbreaks/prevention & control ; Educational Personnel ; Family ; Female ; Genome, Viral/genetics ; Germany/epidemiology ; Humans ; Male ; Phylogeny ; Quarantine ; Risk Factors ; SARS-CoV-2/classification ; SARS-CoV-2/genetics ; SARS-CoV-2/isolation & purification ; Schools ; Students
    Language English
    Publishing date 2022-01-04
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2516098-9
    ISSN 1999-4915 ; 1999-4915
    ISSN (online) 1999-4915
    ISSN 1999-4915
    DOI 10.3390/v14010087
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Book ; Thesis: Zur gesundheitlichen und psychosozialen Situation heroinabhängiger Krankenhauspatienten

    Bollongino, Kirsten

    eine empirische Untersuchung

    2003  

    Author's details vorgelegt von Kirsten Bollongino
    Language German
    Size VI, 48, [18] Bl, graph. Darst
    Document type Book ; Thesis
    Thesis / German Habilitation thesis Univ., FB Medizin, Diss.--Hamburg, 2004
    Database Former special subject collection: coastal and deep sea fishing

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    Inter-library loan at ZB MED

    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

  5. Article: Multiresistant pathogens in geriatric nursing - infection control in residential facilities for geriatric nursing in Germany.

    Peters, Claudia / Schablon, Anja / Bollongino, Kirsten / Maaß, Monika / Kaß, Dietmar / Dulon, Madeleine / Diel, Roland / Nienhaus, Albert

    GMS hygiene and infection control

    2014  Volume 9, Issue 3, Page(s) Doc22

    Abstract: Background: The increase of multidrug-resistant organisms (MDROs) causes problems in geriatric nursing homes. Older people are at increased a growing risk of infection due to multimorbidity and frequent stays in hospital. A high proportion of the ... ...

    Abstract Background: The increase of multidrug-resistant organisms (MDROs) causes problems in geriatric nursing homes. Older people are at increased a growing risk of infection due to multimorbidity and frequent stays in hospital. A high proportion of the elderly require residential care in geriatric nursing facilities, where hygiene requirements in nursing homes are similar to those in hospitals. For this reason we examined how well nursing homes are prepared for MDROs and how effectively protect their infection control residents and staff.
    Methods: A cross-sectional study was performed on infection control in residential geriatric nursing facilities in Germany 2012. The questionnaire recorded important parameters of hygiene, resident and staff protection and actions in case of existing MDROs.
    Results: The response was 54% in Hamburg and 27% in the rest of Germany. Nursing homes were generally well equipped for dealing with infection control: There were standards for MDROs and regular hygiene training for staff. The facilities provided adequate protective clothing, affected residents are usually isolated and hygienic laundry processing conducted. There are deficits in the communication of information on infected residents with hospitals and general practitioners. 54% of nursing homes performed risk assessments for staff infection precaution.
    Conclusion: There is a growing interest in MDROs and infection control will be a challenge in for residential geriatric nursing facilities in the future. This issue has also drawn increasing attention. Improvements could be achieved by improving communication between different participants in the health service, together with specific measures for staff protection at work.
    Language English
    Publishing date 2014-09-30
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2717852-3
    ISSN 2196-5226
    ISSN 2196-5226
    DOI 10.3205/dgkh000242
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Multiresistant pathogens in geriatric nursing – infection control in residential facilities for geriatric nursing in Germany

    Peters, Claudia / Schablon, Anja / Bollongino, Kirsten / Maaß, Monika / Kaß, Dietmar / Dulon, Madeleine / Diel, Roland / Nienhaus, Albert

    GMS Hygiene and Infection Control, Vol 9, Iss 3, p Doc

    2014  Volume 22

    Abstract: english] Background: The increase of multidrug-resistant organisms (MDROs) causes problems in geriatric nursing homes. Older people are at increased a growing risk of infection due to multimorbidity and frequent stays in hospital. A high proportion of ... ...

    Abstract [english] Background: The increase of multidrug-resistant organisms (MDROs) causes problems in geriatric nursing homes. Older people are at increased a growing risk of infection due to multimorbidity and frequent stays in hospital. A high proportion of the elderly require residential care in geriatric nursing facilities, where hygiene requirements in nursing homes are similar to those in hospitals. For this reason we examined how well nursing homes are prepared for MDROs and how effectively protect their infection control residents and staff.Methods: A cross-sectional study was performed on infection control in residential geriatric nursing facilities in Germany 2012. The questionnaire recorded important parameters of hygiene, resident and staff protection and actions in case of existing MDROs.Results: The response was 54% in Hamburg and 27% in the rest of Germany. Nursing homes were generally well equipped for dealing with infection control: There were standards for MDROs and regular hygiene training for staff. The facilities provided adequate protective clothing, affected residents are usually isolated and hygienic laundry processing conducted. There are deficits in the communication of information on infected residents with hospitals and general practitioners. 54% of nursing homes performed risk assessments for staff infection precaution.Conclusion: There is a growing interest in MDROs and infection control will be a challenge in for residential geriatric nursing facilities in the future. This issue has also drawn increasing attention. Improvements could be achieved by improving communication between different participants in the health service, together with specific measures for staff protection at work.
    Keywords infection control ; nosocomial infections ; nursing homes ; elderly people ; infection prevention ; Medicine ; R ; Public aspects of medicine ; RA1-1270 ; Microbiology ; QR1-502
    Subject code 690
    Language German
    Publishing date 2014-09-01T00:00:00Z
    Publisher German Medical Science GMS Publishing House
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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    Inter-library loan at ZB MED

    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

  7. Article ; Online: Multiresistant pathogens in geriatric nursing – infection control in residential facilities for geriatric nursing in Germany

    Peters, Claudia / Schablon, Anja / Bollongino, Kirsten / Maaß, Monika / Kaß, Dietmar / Dulon, Madeleine / Diel, Roland / Nienhaus, Albert

    GMS Hygiene and Infection Control

    2014  Volume 9, Issue 3, Page(s) 22

    Abstract: Hintergrund: Die Zunahme multiresistenter Erreger (MRE) stellt für die Altenpflege ein großes Problem dar. Ältere Menschen haben eine höhere Infektionsgefährdung durch Multimorbidität und häufige Krankenhausaufenthalte. Ein großer Anteil älterer ... ...

    Title translation Multiresistente Erreger in der Altenpflege – Infektionsschutz in stationären Altenpflegeeinrichtungen in Deutschland
    Abstract Hintergrund: Die Zunahme multiresistenter Erreger (MRE) stellt für die Altenpflege ein großes Problem dar. Ältere Menschen haben eine höhere Infektionsgefährdung durch Multimorbidität und häufige Krankenhausaufenthalte. Ein großer Anteil älterer Menschen wird in stationären Altenpflegeeinrichtungen versorgt. Hygieneanforderungen sind ähnlich denen von Krankenhäusern. Aus diesem Grund haben wir untersucht, wie gut die Einrichtungen auf MRE vorbereitet sind und was zum Schutz der Bewohner und Mitarbeiter getan wird.
    Methodik: Eine Querschnittsuntersuchung zum Hygienemanagement in stationären Altenpflegeeinrichtungen wurde 2012 deutschlandweit durchgeführt. Der Fragebogen erfasste wesentliche Merkmale der Hygiene, Fragen zum Bewohner- und Personalschutz sowie zum Umgang mit MRE.
    Ergebnisse: Die Response in Hamburg betrug 54% und im Bundesgebiet 27%. Im Hygienemanagement sind die Einrichtungen allgemein gut aufgestellt. Standards und Vorgaben sind meist vorhanden, Hygieneschulungen werden regelmäßig durchgeführt. Zur Infektionsprävention wird immer Schutzkleidung zur Verfügung gestellt, häufig werden erkrankte Bewohner isoliert und Wäsche hygienisch aufbereitet. Probleme werden in der Kommunikation mit Krankenhäusern und Hausärzten genannt. 54% der Einrichtungen berichten über die Durchführung einer Gefährdungsbeurteilung.
    Fazit: MRE ist ein bedeutsames Thema in der stationären Altenpflege. Der Infektionsschutz wird auch in Zukunft eine große Herausforderung darstellen. Verbesserungspotential lässt sich insbesondere in der Risikokommunikation und beim Arbeitsschutz erkennen. ; Background: The increase of multidrug-resistant organisms (MDROs) causes problems in geriatric nursing homes. Older people are at increased a growing risk of infection due to multimorbidity and frequent stays in hospital. A high proportion of the elderly require residential care in geriatric nursing facilities, where hygiene requirements in nursing homes are similar to those in hospitals. For this reason we examined how well nursing homes are prepared for MDROs and how effectively protect their infection control residents and staff.
    Methods: A cross-sectional study was performed on infection control in residential geriatric nursing facilities in Germany 2012. The questionnaire recorded important parameters of hygiene, resident and staff protection and actions in case of existing MDROs.
    Results: The response was 54% in Hamburg and 27% in the rest of Germany. Nursing homes were generally well equipped for dealing with infection control: There were standards for MDROs and regular hygiene training for staff. The facilities provided adequate protective clothing, affected residents are usually isolated and hygienic laundry processing conducted. There are deficits in the communication of information on infected residents with hospitals and general practitioners. 54% of nursing homes performed risk assessments for staff infection precaution.
    Conclusion: There is a growing interest in MDROs and infection control will be a challenge in for residential geriatric nursing facilities in the future. This issue has also drawn increasing attention. Improvements could be achieved by improving communication between different participants in the health service, together with specific measures for staff protection at work.
    Keywords Medizin, Gesundheit ; infection control ; nosocomial infections ; nursing homes ; elderly people ; infection prevention ; Hygienemanagement ; Infektionsschutz ; nosokomiale Infektionen ; Altenpflegeeinrichtungen ; ältere Menschen ; Prävention
    Publishing date 2014-09-30
    Publisher German Medical Science GMS Publishing House; Düsseldorf
    Document type Article ; Online
    ZDB-ID 2717852-3
    ISSN 2196-5226 ; 2196-5226
    ISSN (online) 2196-5226
    ISSN 2196-5226
    DOI 10.3205/dgkh000242
    Database German Medical Science

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