Insertion site inflammation was associated with central-line–associated bloodstream infections at a tertiary-care center, 2015–2018

Kobayashi, Takaaki; Clore, Gosia; Kukla, Mary; Alzunitan, Mohammed; Kritzman, Jeffrey; Abosi, Oluchi; Puig-Asensio, Mireia; Marra, Alexandre R.; Diekema, Daniel J.; Edmond, Michael B.; Salinas, Jorge

doi:10.1017/ice.2020.445

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…Timely response can mitigate high-risk events. 6,7 Visual observation of central-line insertion sites is one key way to assure basic practice, but education is needed to ensure that observers are trained to detect relevant problems that should prompt an LVN/RN to take action or prompt a CNA to inform an LVN/RN to assess the line.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5] Standardized monitoring of medical devices is important for proper device care, maintenance, and prevention of infection. 6,7 Recognizing problematic elements at central-line insertion sites is an important responsibility that requires a team effort for certified nursing assistants (CNAs), licensed vocational nurses (LVNs), and registered nurses (RNs). The common sentiment among NH staff is that central-line care is not encompassed within the CNA role.…”

mentioning

confidence: 99%

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Central-line team effort: Recognizing insertion-site concerns in nursing homes

Nguyen

Singh

Saavedra

et al. 2023

Infect. Control Hosp. Epidemiol.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Central-line team effort: Recognizing insertion-site concerns in nursing homes

Nguyen

Singh

Saavedra

et al. 2023

Infect. Control Hosp. Epidemiol.

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Principles and Practice of SARS-CoV-2 Decontamination of N95 Masks with UV-C

Huber

Goldman

Epstein

et al. 2020

Preprint

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A mainstay of personal protective equipment (PPE) during the COVID-19 pandemic is the N95 filtering facepiece respirator. N95 respirators are commonly used to protect healthcare workers from respiratory pathogens, including the novel coronavirus SARS-CoV-2, and are increasingly employed by other frontline workers and the general public. Under routine circumstances, these masks are disposable, single-use items, but extended use and reuse practices have been broadly enacted to alleviate critical supply shortages during the COVID-19 pandemic. While extended-time single use presents a low risk of pathogen transfer, repeated donning and doffing of potentially contaminated masks presents increased risk of pathogen transfer. Therefore, efficient and safe decontamination methods for N95 masks are needed to reduce the risk of reuse and mitigate local supply shortages. Here we review the available literature concerning use of germicidal ultraviolet-C (UV-C) light to decontaminate N95 masks. We propose a practical method for repeated point-of-use decontamination, using commercially-available UV-C crosslinker boxes from molecular biology laboratories or a simple low-cost, custom-designed and fabricated device to expose each side of the mask to 800-1200 mJ/cm2 of UV-C. We measure the dose that penetrated to the interior of the respirators and model the potential germicidal action on SARS-CoV-2. Our experimental results, in combination with modeled data, suggest that a two-minute UV-C treatment cycle should induce a >3-log-order reduction in viral bioburden on the surface of the respirators, and a 2-log order reduction throughout the interior. The resulting exposure is 100-fold less than the dose expected to damage the masks, facilitating repeated decontamination. As such, UV-C germicidal irradiation (UVGI) is a practical strategy for small-scale point-of-use decontamination of N95s.

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The changing paradigm of an aesthetic practice during the COVID ‐19 pandemic: An expert consensus

Kandhari¹,

Kohli

Trasi

et al. 2020

Dermatologic Therapy

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Until vaccination for the SARS‐CoV‐2 becomes a reality, it appears that the infection is here to stay. With many countries lifting lockdown restrictions, aesthetic clinics have started reopening with strict standard operating procedures in place. It is pertinent that the physician today understands the infection, disinfection measures, and personal protective equipment to reduce chances of viral transmission and provide safe clinical settings for oneself, the staff and the patients. An online meeting of eight experts in the field of aesthetic dermatology was convened, which particularly focussed on PPE in detail, risk categorization of aesthetic procedures, preprocedure recommendations, and generalized and specialized SOP's for aesthetic procedures. These recommendations were aimed to bridge the gap between published guidelines and clinical practice and are by no means fully conclusive, but signify learnings over the past few months in an active clinical aesthetic practice.

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Insertion site inflammation was associated with central-line–associated bloodstream infections at a tertiary-care center, 2015–2018

Cited by 3 publications

References 7 publications

Central-line team effort: Recognizing insertion-site concerns in nursing homes

Central-line team effort: Recognizing insertion-site concerns in nursing homes

Principles and Practice of SARS-CoV-2 Decontamination of N95 Masks with UV-C

The changing paradigm of an aesthetic practice during the COVID ‐19 pandemic: An expert consensus

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