Background: Although several surveys of infection prevention and control (IPC) practices have been conducted in the United States, none have focused on the state of Florida, which has the fourth-largest number of cert...
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Background: Although several surveys of infection prevention and control (IPC) practices have been conducted in the United States, none have focused on the state of Florida, which has the fourth-largest number of certified nursing facilities in the country. A needs assessment survey was conducted to better understand the specific needs and practices of individuals responsible for IPC in long-term care facilities (LTCFs) in Florida. Methods: In November and December of 2022, a 90-question online survey was distributed to individuals responsible for IPC activities at 3,690 LTCFs in Florida. After omitting incomplete responses, 304 survey responses were analyzed using descriptive statistics. Results: Survey responses regarding hand hygiene, sharps safety, and staff training reflect compliance with recommended IPC practices. Staffing shortages for registered nurses, licensed practical nurses, and certified nursing assistants were high among respondents (30%), while few reported shortages of personal protective equipment (5%). Only 11% of respondents state their facility requires flu vaccines, despite the high-risk environment of LTCFs. Concerning the built environment, the results suggest infection preventionists have limited awareness of the scope of heating, ventilation, and air conditioning systems in their facilities. Conclusions: Some areas of compliance with IPC best practices were noted, but multiple opportunities for education and training on IPC best practices were identified. Published by Elsevier Inc. on behalf of Association for Professionals in infection Control and Epidemiology, Inc. This is an open access article under the CC BY license (http://***/licenses/by/4.0/).
Objectives: To determine the effect of infection-reducing strategies on postoperative complications for adult patients receiving sacroneuromodulation (SNM). Methods: A systematic search of PubMed, Web of Science, Emba...
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Objectives: To determine the effect of infection-reducing strategies on postoperative complications for adult patients receiving sacroneuromodulation (SNM). Methods: A systematic search of PubMed, Web of Science, Embase, Ovid, various EBSCOHost databases, and *** was initially performed on December 21, 2023, and updated on March 25, 2024. Studies with patients receiving SNM for any indication were included if they reported specific infection-reducing intervention(s) as well as at least one outcome(s) of interest (infection, device explant, or surgery-related complications). Abstracts and potentially relevant full-text manuscripts were double screened. The percentage of reported infections from each study was extracted and studies were categorized by interventions. Meta-analysis and meta-regression were used to characterize the impact of different interventions across studies. Time to infection and colonization results were extracted when available. The quality of studies was assessed using Grading of Recommendations Assessment, Development, and Evaluation criteria (GRADE). Results: Of 6172 abstracts screened, 16 studies met the inclusion criteria. An additional study that met inclusion criteria but was published after the search was included based on editorial recommendation. Study sizes ranged from 23 to 1930 participants, with 5679 participants across all included studies. Most studies were retrospective, and overall, the evidence was low in quality. There was a wide range of infection rates after SNM (0%-22.2%). Fifteen studies reported preoperative antibiotics (commonly cefazolin, cefoxitin, vancomycin, gentamicin). Six studies reported antibiotics administered before and up to 7 days after surgery. Eight studies reported the use of specific irrigation solution at the time of SNM placement. One study reported on the use of an antimicrobial pouch at the time of SNM. Eleven studies reported on specific skin preparation solutions (chlorhexidine (CHG)
Evolving evidence suggests that Janus Kinase Inhibitors (JAKi) may predispose to certain infections, including tuberculosis and human herpes viruses. This review aimed to compare the infection risk in patients on a sy...
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Evolving evidence suggests that Janus Kinase Inhibitors (JAKi) may predispose to certain infections, including tuberculosis and human herpes viruses. This review aimed to compare the infection risk in patients on a systemic JAKi for a dermatologic indication to a placebo. A systematic review was carried out from inception to June 2023, using the EMBASE, Medline, SCOPUS, and Cochrane Library of Registered Trials databases. Eligible studies included placebo-controlled randomized trials that investigated the incidence of infection in patients with a dermatologic indication. Primary outcomes included the most commonly reported infections pertaining to serious and opportunistic infections, upper respiratory tract infections, nasopharyngitis, herpes simplex, varicella zoster, tuberculosis, neutropenia, and lymphopenia. A meta-analysis of incidence ratios was conducted to determine odds ratios (OR), with a 95% confidence interval (CI) analysis. The meta-analysis found no increased risk of serious (OR: 0.92, 95% CI: 0.61-1.43, P = 0.74) or opportunistic infections (OR: 0.65, 95% CI: 0.32-1.31, P = 0.23). The incidence of varicella-zoster infections was significantly higher in the JAKi cohort (OR: 1.72, 95% CI: 1.08-2.72, P = 0.022). From 25 studies, there was no overall increased risk of herpes simplex infections (OR: 1.43, 95% CI: 0.93-2.23, P = 0.102) to placebo;however, a significantly higher risk in those with atopic dermatitis to alopecia areata was demonstrated (OR: 1.73, 95% CI: 1.13-2.69, P = 0.013). The results of this analysis do not suggest an increased risk of serious and opportunistic infections in those on JAKi compared to placebo. However, they support an increased risk of varicella-zoster infections and a higher risk of herpes simplex infections in those with atopic dermatitis to alopecia areata. The results of this report support these agents' short-term safety but signal that vigilance should be practiced in patients at risk for serious or recurrent herpes
The surgical repair of hernias, a prevalent condition affecting millions worldwide, has traditionally relied on polypropylene (PP) mesh due to its favorable mechanical properties and biocompatibility. However, postope...
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The surgical repair of hernias, a prevalent condition affecting millions worldwide, has traditionally relied on polypropylene (PP) mesh due to its favorable mechanical properties and biocompatibility. However, postoperative infections remain a significant complication, underscoring the need for the development of infection-resistant hernia meshes. This study provides a comprehensive analysis of current advancements and innovative strategies aimed at enhancing the infection resistance of PP mesh. It presents an overview of various research efforts focused on the integration of antimicrobial agents, surface modifications, and the development of bioactive coatings to prevent bacterial colonization and biofilm formation. Additionally, the synergistic effects of novel material designs and the role of nanotechnology in optimizing the anti-infective properties of PP mesh are explored. Recent clinical outcomes and in vitro studies are critically examined, highlighting challenges and potential future directions in the development of next-generation hernia meshes. Emphasis is placed on the importance of interdisciplinary approaches in advancing surgical materials with the ultimate goal of improving patient outcomes in hernia repair.
Background: Internal and external devices may be utilized in mandibular distraction osteogenesis (MDO) for the correction of symptomatic micrognathia in infants and children. Purpose: To compare the rate and severity ...
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Background: Internal and external devices may be utilized in mandibular distraction osteogenesis (MDO) for the correction of symptomatic micrognathia in infants and children. Purpose: To compare the rate and severity of infection between internal and external MDO devices. Study design, setting, sample: Retrospective cohort study utilizing an institutional database of patients who underwent MDO. Independent variable: Use of internal versus external MDO hardware. Main outcome variables: Rate of post-operative surgical site infections (minor and major). Covariates: Patient age, device type, laterality, infection, and treatment were documented. Analysis: Chi-Square and Fisher Exact Tests were used where appropriate for categorical variables and two-tailed T-tests were used for continuous variables. Significance was set at p < 0.05. Results: Between 2010 and 2022, 36 infants (ages 7 days-12 months) underwent bilateral MDO. Thirteen cases utilized internal hardware (n = 26 surgical sites) and 23 cases utilized external hardware (n = 46 surgical sites). Fifteen patients developed post-operative infections (41.7 %), 11 of which were minor infections and 4 were major infections. Seven patients with internal devices (53.8 %) and 8 patients with external devices (34.8 %) developed an infection (p = 0.27). Minor infections occurred in 4 patients with internal hardware (30.8 %) and 7 patients with external hardware (30.4 %;p = 1.00). Major infections occurred in 3 patients with internal hardware (23.1 %) and 1 patient with external hardware (4.3 %;p = 0.25). There were 19 surgical site infections (26.4 %), 14 of which were minor infections and 5 of which were major infections. Ten internal devices (38.6 %) and 9 external devices (19.6 %) were complicated by infection (p = 0.08). Minor infections occurred in 6 internal devices (23.1 %) and 8 external devices (17.4 %;p = 0.56). Major infections occurred in 4 internal devices (15.4 %) and 1 external device (2.2 %;p = 0.05). Conclus
While being a promising approach for the treatment of infections caused by drug-resistant, pathogenic bacteria, the clinical implementation of phage therapy still faces several challenges. One of these challenges lies...
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While being a promising approach for the treatment of infections caused by drug-resistant, pathogenic bacteria, the clinical implementation of phage therapy still faces several challenges. One of these challenges lies in the high strain-specificity of most bacteriophages, which makes it necessary to screen large phage collections against the target pathogens in order to identify suitable candidates for the formulations of personalized therapeutic phage cocktails. In this work, we evaluate the potential of quartz crystal microbalance with dissipation monitoring (QCM-D) to identify and detect phage infection and subsequent lysis of bacteria immobilized on the surfaces of the QCM-D sensors. Using lytic Escherichia coli phage T7 as a model, we show that phage infection of E. coli cells results in various unique alterations in the behaviors of the frequency (Delta f) and dissipation (Delta D) signals, which are not observed during exposure of the E. coli strain to non-infectious Bacillus subtilis phage phi29 at similar concentration. To aid future phage screening campaigns, we furthermore identify a single measurement parameter, i.e., the spread between the different overtones of Delta D, that can be used to detect phage-induced lysis. For T7 infection of E. coli, this is achieved within 4 h after inoculation, including immobilization and growth of the bacteria on the sensor surface, as well as the completed phage propagation cycle. Given the commercial availability of highly automated multichannel systems and the fact that this approach does not require any sensor modifications, QCM-D has the potential to become a valuable tool for screening medium-sized phage collections against target pathogens.
Introduction: Hybrid [F-18]FDG PET imaging is currently the method of choice for a wide variety of infectious and inflammatory disorders and was recently adopted in several clinical guidelines. A large amount of evide...
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Introduction: Hybrid [F-18]FDG PET imaging is currently the method of choice for a wide variety of infectious and inflammatory disorders and was recently adopted in several clinical guidelines. A large amount of evidence-based articles, guidelines and appropriate use criteria have been published since the first version of this guideline in 2013. Purpose: To provide updated evidence-based information to assist physicians in recommending, performing and interpreting hybrid [F-18]FDG PET examinations for infectious and inflammatory disorders in the adult population. Methods: A systematic literature search of evidence-based articles using whole-body [F-18]FDG hybrid imaging on the indications covered within this guideline was performed. All systematic reviews and meta-analyses published within the last 10 years until January 2023 were identified in PubMed/Medline or Cochrane. For each indication covered in this manuscript, diagnostic performance was provided based on meta-analyses or systematic reviews. If not available, results from prospective or retrospective studies were considered based on predefined selection criteria. Results and conclusions: Hybrid [F-18]FDG PET is extremely useful in the work-up and management of adults with infectious and inflammatory diseases, as supported by extensive and rapidly growing evidence-based literature and adoption in clinical guidelines. Practical recommendations are provided describing evidence-based indications as well as interpretation criteria and pitfalls. Monitoring treatment response is the most challenging but insufficiently studied potential application in infection and inflammation imaging.
The paper is devoted to analyzing the mechanisms of spread and prevention of epidemics, based on a discrete model that takes into account the infection spread because of contacts among infected and susceptible individ...
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The paper is devoted to analyzing the mechanisms of spread and prevention of epidemics, based on a discrete model that takes into account the infection spread because of contacts among infected and susceptible individuals, disease-induced mortality, and the factor of treatment. Pathways leading to the complete extinction, complete recovery, and nontrivial coexistence of susceptible and infected individuals are revealed by bifurcation analysis. Parametric conditions of nontrivial modes of coexistence in the form of equilibrium, discrete cycle, quasiperiodic closed invariant curve and chaos are found. An extended analysis on transformation scenarios of these regimes in dependence of the variation of the rate of the infection spread and the treatment intensity is performed. Phenomena of infection-induced chaos and its suppression by treatment are discussed.
As an autophagy receptor, SQSTM1/p62 facilitates the degradation of various cytoplasmic components, including proteins, organelles, and pathogens, by mediating interactions between polyubiquitination cargo and autopha...
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As an autophagy receptor, SQSTM1/p62 facilitates the degradation of various cytoplasmic components, including proteins, organelles, and pathogens, by mediating interactions between polyubiquitination cargo and autophagosomes. Our study observed an increase in the expression level of SQSTM1/p62 during autophagy induced by Vibrio alginolyticus (V. alginolyticus) in Penaeus vannamei (P. vannamei), contrary to expectations, which promoted an investigation into the role of SQSTM1/p62 in infectious diseases of aquatic animals. Using silencing techniques, we examined the function and regulatory mechanism of SQSTM1/p62 during V. alginolyticus infection. Silencing the Pvp62 gene in P. vannamei and infecting them with V. alginolyticus led to a significant decrease in the survival rate of P. vannamei, indicating its importance in the infection process. Furthermore, Pvp62 silencing was found to affect the lysosome function of P. vannamei. Immunofluorescence analysis showed that silences of Pvp62 inhibited co-localization of LC3 and lamp1 after infection, while over-expression of Pvp62 promoted this process, suggesting that Pvp62 was a necessary condition for autophagosomelysosome fusion after infection by V. alginolyticus. Importantly, the overexpression of Pvp62 counteracted the inhibitory effect of the autophagy inhibitor chloroquine on autophagosome-lysosome fusion in primary hemocytes of shrimp after infection, underscoring the protective role of Pvp62-mediated autophagosome-lysosome fusion pathway during V. alginolyticus infection.
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