Characterizations of handwashing sink activities in a single hospital medical intensive care unit

Handwashing sink drains are increasingly implicated as a potential reservoir of antibiotic-resistant bacteria in hospital outbreaks; however, usage patterns that may promote this source remain unknown. To understand behaviours in the intensive care unit (ICU) that may facilitate establishment and no...

Celý popis

Uložené v:

Podrobná bibliografia
Vydané v:	The Journal of hospital infection Ročník 100; číslo 3; s. e115 - e122
Hlavní autori:	Grabowski, M., Lobo, J.M., Gunnell, B., Enfield, K., Carpenter, R., Barnes, L., Mathers, A.J.
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	England Elsevier Ltd 01.11.2018
Predmet:	Behavioural analysis Cross Infection - epidemiology Cross Infection - prevention & control Disease Transmission, Infectious - prevention & control Environmental Microbiology Hand Disinfection Hand hygiene Hospitals Humans Infection prevention and control Intensive Care Units Pilot Projects Remote video monitoring Sink reservoir Sink-trap transmission Sink reservoir Sink-trap transmission Behavioural analysis Hand hygiene Infection prevention and control Remote video monitoring
ISSN:	0195-6701, 1532-2939, 1532-2939
On-line prístup:	Získať plný text
Tagy:	Pridať tag Žiadne tagy, Buďte prvý, kto otaguje tento záznam!

Abstract	Handwashing sink drains are increasingly implicated as a potential reservoir of antibiotic-resistant bacteria in hospital outbreaks; however, usage patterns that may promote this source remain unknown. To understand behaviours in the intensive care unit (ICU) that may facilitate establishment and nosocomial transmission of multidrug-resistant Gram negatives from a sink-trap reservoir to a patient. Motion-sensitive cameras captured anonymized activity paired with periodic in-person observations during a quality investigation from four ICU sinks (two patient rooms and two patient bathrooms) in a university hospital. We analysed 4810 sink videos from 60 days in patient rooms (3625) and adjoining bathrooms (1185). There was a false-positive rate of 38% (1837 out of 4810) in which the camera triggered but no sink interaction occurred. Of the 2973 videos with analysed behaviours there were 5614 observed behaviours which were assessed as: 37.4% medical care, 29.2% additional behaviours, 17.0% hand hygiene, 7.2% patient nutrition, 5.0% environmental care, 4.2% non-medical care. Handwashing was only 4% (224 out of 5614) of total behaviours. Sub-analysis of 2748 of the later videos further categorized 56 activities where a variety of nutrients, which could promote microbial growth, were disposed of in the sink. Several non-hand hygiene activities took place regularly in ICU handwashing sinks; these may provide a mechanism for nosocomial transmission and promotion of bacterial growth in the drain. Redesigning hospital workflow and sink usage may be necessary as it becomes apparent that sink drains may be a reservoir for transmission of multidrug-resistant bacteria.
AbstractList	Handwashing sink drains are increasingly implicated as a potential reservoir of antibiotic-resistant bacteria in hospital outbreaks; however, usage patterns that may promote this source remain unknown. To understand behaviours in the intensive care unit (ICU) that may facilitate establishment and nosocomial transmission of multidrug-resistant Gram negatives from a sink-trap reservoir to a patient. Motion-sensitive cameras captured anonymized activity paired with periodic in-person observations during a quality investigation from four ICU sinks (two patient rooms and two patient bathrooms) in a university hospital. We analysed 4810 sink videos from 60 days in patient rooms (3625) and adjoining bathrooms (1185). There was a false-positive rate of 38% (1837 out of 4810) in which the camera triggered but no sink interaction occurred. Of the 2973 videos with analysed behaviours there were 5614 observed behaviours which were assessed as: 37.4% medical care, 29.2% additional behaviours, 17.0% hand hygiene, 7.2% patient nutrition, 5.0% environmental care, 4.2% non-medical care. Handwashing was only 4% (224 out of 5614) of total behaviours. Sub-analysis of 2748 of the later videos further categorized 56 activities where a variety of nutrients, which could promote microbial growth, were disposed of in the sink. Several non-hand hygiene activities took place regularly in ICU handwashing sinks; these may provide a mechanism for nosocomial transmission and promotion of bacterial growth in the drain. Redesigning hospital workflow and sink usage may be necessary as it becomes apparent that sink drains may be a reservoir for transmission of multidrug-resistant bacteria. Handwashing sink drains are increasingly implicated as a potential reservoir of antibiotic-resistant bacteria in hospital outbreaks; however, usage patterns that may promote this source remain unknown.BACKGROUNDHandwashing sink drains are increasingly implicated as a potential reservoir of antibiotic-resistant bacteria in hospital outbreaks; however, usage patterns that may promote this source remain unknown.To understand behaviours in the intensive care unit (ICU) that may facilitate establishment and nosocomial transmission of multidrug-resistant Gram negatives from a sink-trap reservoir to a patient.AIMTo understand behaviours in the intensive care unit (ICU) that may facilitate establishment and nosocomial transmission of multidrug-resistant Gram negatives from a sink-trap reservoir to a patient.Motion-sensitive cameras captured anonymized activity paired with periodic in-person observations during a quality investigation from four ICU sinks (two patient rooms and two patient bathrooms) in a university hospital.METHODSMotion-sensitive cameras captured anonymized activity paired with periodic in-person observations during a quality investigation from four ICU sinks (two patient rooms and two patient bathrooms) in a university hospital.We analysed 4810 sink videos from 60 days in patient rooms (3625) and adjoining bathrooms (1185). There was a false-positive rate of 38% (1837 out of 4810) in which the camera triggered but no sink interaction occurred. Of the 2973 videos with analysed behaviours there were 5614 observed behaviours which were assessed as: 37.4% medical care, 29.2% additional behaviours, 17.0% hand hygiene, 7.2% patient nutrition, 5.0% environmental care, 4.2% non-medical care. Handwashing was only 4% (224 out of 5614) of total behaviours. Sub-analysis of 2748 of the later videos further categorized 56 activities where a variety of nutrients, which could promote microbial growth, were disposed of in the sink.FINDINGSWe analysed 4810 sink videos from 60 days in patient rooms (3625) and adjoining bathrooms (1185). There was a false-positive rate of 38% (1837 out of 4810) in which the camera triggered but no sink interaction occurred. Of the 2973 videos with analysed behaviours there were 5614 observed behaviours which were assessed as: 37.4% medical care, 29.2% additional behaviours, 17.0% hand hygiene, 7.2% patient nutrition, 5.0% environmental care, 4.2% non-medical care. Handwashing was only 4% (224 out of 5614) of total behaviours. Sub-analysis of 2748 of the later videos further categorized 56 activities where a variety of nutrients, which could promote microbial growth, were disposed of in the sink.Several non-hand hygiene activities took place regularly in ICU handwashing sinks; these may provide a mechanism for nosocomial transmission and promotion of bacterial growth in the drain. Redesigning hospital workflow and sink usage may be necessary as it becomes apparent that sink drains may be a reservoir for transmission of multidrug-resistant bacteria.CONCLUSIONSeveral non-hand hygiene activities took place regularly in ICU handwashing sinks; these may provide a mechanism for nosocomial transmission and promotion of bacterial growth in the drain. Redesigning hospital workflow and sink usage may be necessary as it becomes apparent that sink drains may be a reservoir for transmission of multidrug-resistant bacteria.
Author	Enfield, K. Lobo, J.M. Carpenter, R. Gunnell, B. Mathers, A.J. Grabowski, M. Barnes, L.
Author_xml	– sequence: 1 givenname: M. surname: Grabowski fullname: Grabowski, M. organization: Department of Public Health Sciences, University of Virginia, School of Medicine, Charlottesville, VA, USA – sequence: 2 givenname: J.M. surname: Lobo fullname: Lobo, J.M. organization: Department of Public Health Sciences, University of Virginia, School of Medicine, Charlottesville, VA, USA – sequence: 3 givenname: B. surname: Gunnell fullname: Gunnell, B. organization: Center for Telehealth, University of Virginia Health System, Charlottesville, VA, USA – sequence: 4 givenname: K. surname: Enfield fullname: Enfield, K. organization: Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Virginia Health System, Charlottesville, VA, USA – sequence: 5 givenname: R. surname: Carpenter fullname: Carpenter, R. organization: University of Virginia School of Nursing, Charlottesville, VA, USA – sequence: 6 givenname: L. surname: Barnes fullname: Barnes, L. organization: Department of Systems and Information Engineering, University of Virginia, Charlottesville, VA, USA – sequence: 7 givenname: A.J. surname: Mathers fullname: Mathers, A.J. email: ajm5b@virginia.edu organization: Division of Infectious Disease and International Health, Department of Medicine, University of Virginia Health System, Charlottesville, VA, USA
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/29738784$$D View this record in MEDLINE/PubMed
BookMark	eNqFkcFu1DAQQC1URLeFH-CAfOSSYDtO4iAuaAUtUiUucLZsZ9ydbdZZbO9W5etxtIVDD-U00ui9kfV8Qc7CHICQt5zVnPHuw7bebjDUgnFVM1kz0b4gK942ohJDM5yRFeNDW3U94-fkIqUtY6zs21fkXAx9o3olV8SsNyYalyHib5NxDonOnm5MGO9NKtdvacJwRwuBR8wIiWKgZlneTkA3c9pjNhPdwYiuTAwZQsIjUGci0EPA_Jq89GZK8OZxXpKfX7_8WF9XN9-vvq0_31ROtjxXnkE3NM62wlunvOWyabq-ZdJ1VoxGWm_M2CslwHLllRBq8K6Vnklux85Cc0nen-7u4_zrACnrHSYH02QCzIekBSv3BlHSFPTdI3qw5eV6H3Fn4oP-m6UA4gS4OKcUwf9DONNLe73VS3u9tNdM6tK-SOqJ5EqbpWmOBqfn1U8nFUqgI0LUySEEV6pGcFmPMz6vf3yiuwnD8iF38PA_-Q_Yu7S_
CitedBy_id	crossref_primary_10_1016_j_jhin_2020_04_037 crossref_primary_10_1016_j_ajic_2019_06_015 crossref_primary_10_1016_j_jhin_2024_06_005 crossref_primary_10_1186_s13756_023_01261_9 crossref_primary_10_1016_j_jhin_2020_08_010 crossref_primary_10_1038_s41598_020_65052_7 crossref_primary_10_1128_AEM_01715_20 crossref_primary_10_1016_j_jhin_2023_05_008 crossref_primary_10_1080_08927014_2021_1915998 crossref_primary_10_1016_j_jcrc_2021_07_023 crossref_primary_10_1016_j_jhin_2024_07_010 crossref_primary_10_1016_j_jhin_2020_03_034 crossref_primary_10_1016_j_jhin_2020_09_007 crossref_primary_10_1007_s00103_020_03118_7 crossref_primary_10_1016_j_jhin_2019_11_023 crossref_primary_10_1016_j_jwpe_2025_107655 crossref_primary_10_1016_j_jhin_2023_12_007 crossref_primary_10_1016_j_jhin_2018_12_007 crossref_primary_10_1016_j_jhin_2023_05_018 crossref_primary_10_3390_pathogens14040363 crossref_primary_10_1016_j_medcle_2020_10_024 crossref_primary_10_1016_j_jhin_2018_12_004 crossref_primary_10_1016_j_medcli_2020_10_019 crossref_primary_10_1016_j_jhin_2021_04_017 crossref_primary_10_1016_j_scitotenv_2024_175349 crossref_primary_10_1099_jmm_0_001501 crossref_primary_10_1186_s13756_024_01493_3 crossref_primary_10_1016_j_jhin_2025_04_017 crossref_primary_10_1016_j_infpip_2025_100475 crossref_primary_10_1177_17571774231152716 crossref_primary_10_1038_s44259_025_00137_9 crossref_primary_10_1016_j_jhin_2020_03_010 crossref_primary_10_1016_j_jhin_2024_05_023 crossref_primary_10_1186_s13756_024_01488_0 crossref_primary_10_1080_17435390_2024_2379809 crossref_primary_10_1017_ice_2022_304 crossref_primary_10_1016_j_jhin_2024_04_021 crossref_primary_10_1016_j_jhin_2024_08_003 crossref_primary_10_1016_j_scitotenv_2024_175194 crossref_primary_10_7759_cureus_91088 crossref_primary_10_1016_j_jhin_2025_02_002 crossref_primary_10_1089_mdr_2020_0546 crossref_primary_10_1016_j_ijnurstu_2020_103772 crossref_primary_10_1017_ice_2020_1384 crossref_primary_10_2147_IDR_S461188 crossref_primary_10_1016_j_watres_2020_115707 crossref_primary_10_1186_s13756_020_0685_1 crossref_primary_10_1016_j_jhin_2025_01_013 crossref_primary_10_1016_j_jhin_2025_07_021 crossref_primary_10_1038_s41598_024_62529_7
Cites_doi	10.1186/s13756-017-0213-0 10.1093/cid/cix132 10.1128/AAC.00464-16 10.1016/S1473-3099(07)70241-4 10.1128/AEM.70.6.3449-3456.2004 10.1016/j.ajic.2015.04.199 10.1371/journal.pone.0059015 10.1111/1469-0691.12288 10.1093/cid/ciy052 10.1016/j.jhin.2013.07.006 10.3201/eid1808.111268 10.1128/AEM.03327-16 10.1097/CCM.0b013e3182413bb2 10.1016/j.jhin.2017.02.002 10.1186/s13756-017-0267-z 10.1016/S1473-3099(11)70059-7 10.1017/ice.2017.216
ContentType	Journal Article
Copyright	2018 The Author(s) Copyright © 2018 The Author(s). Published by Elsevier Ltd.. All rights reserved.
Copyright_xml	– notice: 2018 The Author(s) – notice: Copyright © 2018 The Author(s). Published by Elsevier Ltd.. All rights reserved.
DBID	6I. AAFTH AAYXX CITATION CGR CUY CVF ECM EIF NPM 7X8
DOI	10.1016/j.jhin.2018.04.025
DatabaseName	ScienceDirect Open Access Titles Elsevier:ScienceDirect:Open Access CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic
DatabaseTitle	CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic
DatabaseTitleList	MEDLINE MEDLINE - Academic
Database_xml	– sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database
DeliveryMethod	fulltext_linktorsrc
Discipline	Public Health
EISSN	1532-2939
EndPage	e122
ExternalDocumentID	29738784 10_1016_j_jhin_2018_04_025 S0195670118302639
Genre	Journal Article
GroupedDBID	--- --K --M ..I .1- .FO .GJ .~1 0R~ 1B1 1P~ 1RT 1~. 1~5 4.4 457 4G. 53G 5GY 5RE 5VS 7-5 71M 8P~ 9JM AAAJQ AABNK AAEDT AAEDW AAIKJ AAKOC AALRI AAOAW AAQFI AAQXK AARKO AATTM AAWTL AAXKI AAXUO AAYWO ABAOU ABBQC ABFNM ABFRF ABJNI ABMAC ABMZM ABOCM ABWVN ABXDB ACDAQ ACGFO ACGFS ACIEU ACLOT ACRLP ACRPL ACVFH ADBBV ADCNI ADEZE ADGUI ADMUD ADNMO AEBSH AEFWE AEIPS AEKER AENEX AEUPX AEVXI AFJKZ AFPUW AFRHN AFTJW AFXIZ AGEKW AGHFR AGQPQ AGUBO AGYEJ AHHHB AIEXJ AIGII AIIUN AIKHN AITUG AJRQY AJUYK AKBMS AKRWK AKYEP ALMA_UNASSIGNED_HOLDINGS AMRAJ ANKPU ANZVX APXCP ARUGR ASPBG AVWKF AXJTR AZFZN BKOJK BLXMC BNPGV CAG CJTIS COF CS3 DU5 EBS EFJIC EFKBS EFLBG EJD EO8 EO9 EP2 EP3 EX3 F5P FDB FEDTE FGOYB FIRID FNPLU FYGXN G-2 G-Q GBLVA HEJ HMK HMO HVGLF HZ~ IHE J1W J5H K-O KOM L7B LUGTX M29 M41 MHUIS MO0 N9A O-L O9- OAUVE OD- OO. OZT P-8 P-9 P2P PC. Q38 R2- ROL RPZ SAE SCC SDF SDG SDP SEL SES SEW SPCBC SSH SSI SSZ T5K UHS UV1 WOW WUQ Z5R ZGI ~G- ~HD 6I. AACTN AAFTH AAIAV ABLVK ABYKQ AFCTW AFKWA AJBFU AJOXV AMFUW LCYCR RIG ZA5 9DU AAYXX CITATION CGR CUY CVF ECM EIF NPM 7X8
ID	FETCH-LOGICAL-c451t-f0e693cb52fbc8fb143367504c6b2da4bfaad7882eb18f82289fc54f041bd6be3
ISICitedReferencesCount	50
ISICitedReferencesURI	http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000448006000018&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
ISSN	0195-6701 1532-2939
IngestDate	Sat Sep 27 18:53:00 EDT 2025 Thu Apr 03 06:59:55 EDT 2025 Sat Nov 29 06:00:58 EST 2025 Tue Nov 18 22:32:04 EST 2025 Fri Feb 23 02:33:27 EST 2024 Tue Oct 14 19:34:58 EDT 2025
IsDoiOpenAccess	true
IsOpenAccess	true
IsPeerReviewed	true
IsScholarly	true
Issue	3
Keywords	Sink reservoir Sink-trap transmission Behavioural analysis Hand hygiene Infection prevention and control Remote video monitoring
Language	English
License	This is an open access article under the CC BY-NC-ND license. Copyright © 2018 The Author(s). Published by Elsevier Ltd.. All rights reserved.
LinkModel	OpenURL
MergedId	FETCHMERGED-LOGICAL-c451t-f0e693cb52fbc8fb143367504c6b2da4bfaad7882eb18f82289fc54f041bd6be3
Notes	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
OpenAccessLink	https://www.clinicalkey.com/#!/content/1-s2.0-S0195670118302639
PMID	29738784
PQID	2036792293
PQPubID	23479
ParticipantIDs	proquest_miscellaneous_2036792293 pubmed_primary_29738784 crossref_primary_10_1016_j_jhin_2018_04_025 crossref_citationtrail_10_1016_j_jhin_2018_04_025 elsevier_sciencedirect_doi_10_1016_j_jhin_2018_04_025 elsevier_clinicalkey_doi_10_1016_j_jhin_2018_04_025
PublicationCentury	2000
PublicationDate	November 2018 2018-11-00 2018-Nov 20181101
PublicationDateYYYYMMDD	2018-11-01
PublicationDate_xml	– month: 11 year: 2018 text: November 2018
PublicationDecade	2010
PublicationPlace	England
PublicationPlace_xml	– name: England
PublicationTitle	The Journal of hospital infection
PublicationTitleAlternate	J Hosp Infect
PublicationYear	2018
Publisher	Elsevier Ltd
Publisher_xml	– name: Elsevier Ltd
References	Dufour, Reynier, Boudjema, Aladro, Giorgi, Brouqui (bib16) 2017; 95 Dancer (bib22) 2008; 8 McBain, Ledder, Moore, Catrenich, Gilbert (bib12) 2004; 70 Kizny Gordon, Mathers, Cheong, Gottlieb, Kotay, Walker (bib4) 2017; 64 Grabowski, Kang, Wells, Sifri, Mathers, Lobo (bib13) 2017; 38 Centers for Medicare & Medicaid Services, Department of Health and Human Services (bib20) 2002 Sheppard, Stoesser, Wilson, Sebra, Kasarskis, Anson (bib6) 2016; 60 Vergara-López, Domínguez, Conejo, Pascual, Rodríguez-Baño (bib7) 2013; 19 Walsh, Weeks, Livermore, Toleman (bib5) 2011; 11 Hopman, Tostmann, Wertheim, Bos, Kolwijck, Akkermans (bib3) 2017; 6 Stackelroth, Sinnott, Shaban (bib17) 2015; 43 US Centers for Disease Control and Prevention (bib1) 2013 Kotay, Chai, Guilford, Barry, Mathers (bib10) 2017; 83 World Health Organization (bib2) 2014 Nettina, Msn (bib19) 2013 Tofteland, Naseer, Lislevand, Sundsfjord, Samuelsen (bib8) 2013; 8 Wolfensberger, Sax, Clack, Scotoni (bib21) 2017; 6 Thompson, Hamilton, Cadenhead, Swoboda, Schwindel, Anderson (bib15) 2012; 40 Lowe, Willey, O’Shaughnessy, Lee, Lum, Pike (bib9) 2012; 18 Mathers, Vegesana, German Mesner, Barry, Pannone, Baumann (bib14) 2018 Feb 2 Donn, Mendoza, Pritchard (bib18) 2008 Roux, Aubier, Cochard, Quentin, van der Mee-Marquet (bib11) 2013; 85 Vergara-López (10.1016/j.jhin.2018.04.025_bib7) 2013; 19 Tofteland (10.1016/j.jhin.2018.04.025_bib8) 2013; 8 Stackelroth (10.1016/j.jhin.2018.04.025_bib17) 2015; 43 World Health Organization (10.1016/j.jhin.2018.04.025_bib2) 2014 McBain (10.1016/j.jhin.2018.04.025_bib12) 2004; 70 Donn (10.1016/j.jhin.2018.04.025_bib18) 2008 Mathers (10.1016/j.jhin.2018.04.025_bib14) 2018 Walsh (10.1016/j.jhin.2018.04.025_bib5) 2011; 11 Dufour (10.1016/j.jhin.2018.04.025_bib16) 2017; 95 Centers for Medicare & Medicaid Services, Department of Health and Human Services (10.1016/j.jhin.2018.04.025_bib20) 2002 Roux (10.1016/j.jhin.2018.04.025_bib11) 2013; 85 Grabowski (10.1016/j.jhin.2018.04.025_bib13) 2017; 38 Thompson (10.1016/j.jhin.2018.04.025_bib15) 2012; 40 Nettina (10.1016/j.jhin.2018.04.025_bib19) 2013 Kotay (10.1016/j.jhin.2018.04.025_bib10) 2017; 83 Wolfensberger (10.1016/j.jhin.2018.04.025_bib21) 2017; 6 Kizny Gordon (10.1016/j.jhin.2018.04.025_bib4) 2017; 64 Lowe (10.1016/j.jhin.2018.04.025_bib9) 2012; 18 Hopman (10.1016/j.jhin.2018.04.025_bib3) 2017; 6 US Centers for Disease Control and Prevention (10.1016/j.jhin.2018.04.025_bib1) 2013 Dancer (10.1016/j.jhin.2018.04.025_bib22) 2008; 8 Sheppard (10.1016/j.jhin.2018.04.025_bib6) 2016; 60
References_xml	– volume: 11 start-page: 355 year: 2011 end-page: 362 ident: bib5 article-title: Dissemination of NDM-1 positive bacteria in the New Delhi environment and its implications for human health: an environmental point prevalence study publication-title: Lancet Infect Dis – year: 2018 Feb 2 ident: bib14 article-title: Intensive care unit wastewater interventions to prevent transmission of multi-species publication-title: Clin Infect Dis – year: 2013 ident: bib1 article-title: Antibiotic resistance threats in the United States, 2013 – volume: 19 start-page: E4908 year: 2013 ident: bib7 article-title: Wastewater drainage system as an occult reservoir in a protracted clonal outbreak due to metallo-β-lactamase-producing publication-title: Clin Microbiol Infect – volume: 18 start-page: 1242 year: 2012 end-page: 1247 ident: bib9 article-title: Outbreak of extended-spectrum beta-lactamase-producing publication-title: Emerg Infect Dis – volume: 95 start-page: 344 year: 2017 end-page: 351 ident: bib16 article-title: Evaluation of hand hygiene compliance and associated factors with a radio-frequency-identification-based real-time continuous automated monitoring system publication-title: J Hosp Infect – volume: 60 start-page: 3767 year: 2016 end-page: 3778 ident: bib6 article-title: Nested Russian doll-like genetic mobility drives rapid dissemination of the carbapenem resistance gene blaKPC publication-title: Antimicrob Agents Chemother – volume: 6 start-page: 108 year: 2017 ident: bib21 article-title: “First-person view” of pathogen transmission and hand hygiene – use of a new head-mounted video capture and coding tool publication-title: Antimicrob Resist Infect Control – year: 2014 ident: bib2 article-title: Antimicrobial resistance: a global report on surveillance – start-page: 14 year: 2008 ident: bib18 article-title: Health facilities flush estimated 250M pounds of drugs a year – year: 2002 ident: bib20 article-title: Condition of participation: nursing services. 42 CFR.482.23 – volume: 83 year: 2017 ident: bib10 article-title: Spread from the sink to the patient: in situ study using green fluorescent protein (GFP)-expressing publication-title: Appl Environ Microbiol – volume: 85 start-page: 106 year: 2013 end-page: 111 ident: bib11 article-title: Contaminated sinks in intensive care units: an underestimated source of extended-spectrum beta-lactamase-producing Enterobacteriaceae in the patient environment publication-title: J Hosp Infect – volume: 38 start-page: 1329 year: 2017 end-page: 1334 ident: bib13 article-title: Provider role in transmission of carbapenem-resistant Enterobacteriaceae publication-title: Infect Control Hosp Epidemiol – year: 2013 ident: bib19 article-title: Lippincott manual of nursing practice – volume: 6 start-page: 59 year: 2017 ident: bib3 article-title: Reduced rate of intensive care unit acquired gram-negative bacilli after removal of sinks and introduction of ‘water-free’ patient care publication-title: Antimicrob Resist Infect Control – volume: 8 year: 2013 ident: bib8 article-title: A long-term low-frequency hospital outbreak of KPC-producing publication-title: PloS One – volume: 40 start-page: 1586 year: 2012 end-page: 1600 ident: bib15 article-title: Guidelines for intensive care unit design publication-title: Crit Care Med – volume: 8 start-page: 101 year: 2008 end-page: 113 ident: bib22 article-title: Importance of the environment in methicillin-resistant publication-title: Lancet Infect Dis – volume: 64 start-page: 1435 year: 2017 end-page: 1444 ident: bib4 article-title: The hospital water environment as a reservoir for carbapenem-resistant organisms causing hospital-acquired infections – a systematic review of the literature publication-title: Clin Infect Dis – volume: 70 start-page: 3449 year: 2004 end-page: 3456 ident: bib12 article-title: Effects of quaternary-ammonium-based formulations on bacterial community dynamics and antimicrobial susceptibility publication-title: Appl Environ Microbiol – volume: 43 start-page: 913 year: 2015 end-page: 916 ident: bib17 article-title: Hesitation and error: does product placement in an emergency department influence hand hygiene performance? publication-title: Am J Infect Control – year: 2013 ident: 10.1016/j.jhin.2018.04.025_bib19 – volume: 6 start-page: 59 year: 2017 ident: 10.1016/j.jhin.2018.04.025_bib3 article-title: Reduced rate of intensive care unit acquired gram-negative bacilli after removal of sinks and introduction of ‘water-free’ patient care publication-title: Antimicrob Resist Infect Control doi: 10.1186/s13756-017-0213-0 – volume: 64 start-page: 1435 year: 2017 ident: 10.1016/j.jhin.2018.04.025_bib4 article-title: The hospital water environment as a reservoir for carbapenem-resistant organisms causing hospital-acquired infections – a systematic review of the literature publication-title: Clin Infect Dis doi: 10.1093/cid/cix132 – volume: 60 start-page: 3767 year: 2016 ident: 10.1016/j.jhin.2018.04.025_bib6 article-title: Nested Russian doll-like genetic mobility drives rapid dissemination of the carbapenem resistance gene blaKPC publication-title: Antimicrob Agents Chemother doi: 10.1128/AAC.00464-16 – start-page: 14 year: 2008 ident: 10.1016/j.jhin.2018.04.025_bib18 – volume: 8 start-page: 101 year: 2008 ident: 10.1016/j.jhin.2018.04.025_bib22 article-title: Importance of the environment in methicillin-resistant Staphylococcus aureus acquisition: the case for hospital cleaning publication-title: Lancet Infect Dis doi: 10.1016/S1473-3099(07)70241-4 – volume: 70 start-page: 3449 year: 2004 ident: 10.1016/j.jhin.2018.04.025_bib12 article-title: Effects of quaternary-ammonium-based formulations on bacterial community dynamics and antimicrobial susceptibility publication-title: Appl Environ Microbiol doi: 10.1128/AEM.70.6.3449-3456.2004 – volume: 43 start-page: 913 year: 2015 ident: 10.1016/j.jhin.2018.04.025_bib17 article-title: Hesitation and error: does product placement in an emergency department influence hand hygiene performance? publication-title: Am J Infect Control doi: 10.1016/j.ajic.2015.04.199 – volume: 8 year: 2013 ident: 10.1016/j.jhin.2018.04.025_bib8 article-title: A long-term low-frequency hospital outbreak of KPC-producing Klebsiella pneumoniae involving intergenus plasmid diffusion and a persisting environmental reservoir publication-title: PloS One doi: 10.1371/journal.pone.0059015 – year: 2002 ident: 10.1016/j.jhin.2018.04.025_bib20 – volume: 19 start-page: E4908 year: 2013 ident: 10.1016/j.jhin.2018.04.025_bib7 article-title: Wastewater drainage system as an occult reservoir in a protracted clonal outbreak due to metallo-β-lactamase-producing Klebsiella oxytoca publication-title: Clin Microbiol Infect doi: 10.1111/1469-0691.12288 – year: 2014 ident: 10.1016/j.jhin.2018.04.025_bib2 – year: 2018 ident: 10.1016/j.jhin.2018.04.025_bib14 article-title: Intensive care unit wastewater interventions to prevent transmission of multi-species Klebsiella pneumoniae carbapenemase (KPC) producing organisms publication-title: Clin Infect Dis doi: 10.1093/cid/ciy052 – volume: 85 start-page: 106 year: 2013 ident: 10.1016/j.jhin.2018.04.025_bib11 article-title: Contaminated sinks in intensive care units: an underestimated source of extended-spectrum beta-lactamase-producing Enterobacteriaceae in the patient environment publication-title: J Hosp Infect doi: 10.1016/j.jhin.2013.07.006 – year: 2013 ident: 10.1016/j.jhin.2018.04.025_bib1 – volume: 18 start-page: 1242 year: 2012 ident: 10.1016/j.jhin.2018.04.025_bib9 article-title: Outbreak of extended-spectrum beta-lactamase-producing Klebsiella oxytoca infections associated with contaminated handwashing sinks publication-title: Emerg Infect Dis doi: 10.3201/eid1808.111268 – volume: 83 year: 2017 ident: 10.1016/j.jhin.2018.04.025_bib10 article-title: Spread from the sink to the patient: in situ study using green fluorescent protein (GFP)-expressing Escherichia coli to model bacterial dispersion from hand-washing sink-trap reservoirs publication-title: Appl Environ Microbiol doi: 10.1128/AEM.03327-16 – volume: 40 start-page: 1586 year: 2012 ident: 10.1016/j.jhin.2018.04.025_bib15 article-title: Guidelines for intensive care unit design publication-title: Crit Care Med doi: 10.1097/CCM.0b013e3182413bb2 – volume: 95 start-page: 344 year: 2017 ident: 10.1016/j.jhin.2018.04.025_bib16 article-title: Evaluation of hand hygiene compliance and associated factors with a radio-frequency-identification-based real-time continuous automated monitoring system publication-title: J Hosp Infect doi: 10.1016/j.jhin.2017.02.002 – volume: 6 start-page: 108 year: 2017 ident: 10.1016/j.jhin.2018.04.025_bib21 article-title: “First-person view” of pathogen transmission and hand hygiene – use of a new head-mounted video capture and coding tool publication-title: Antimicrob Resist Infect Control doi: 10.1186/s13756-017-0267-z – volume: 11 start-page: 355 year: 2011 ident: 10.1016/j.jhin.2018.04.025_bib5 article-title: Dissemination of NDM-1 positive bacteria in the New Delhi environment and its implications for human health: an environmental point prevalence study publication-title: Lancet Infect Dis doi: 10.1016/S1473-3099(11)70059-7 – volume: 38 start-page: 1329 year: 2017 ident: 10.1016/j.jhin.2018.04.025_bib13 article-title: Provider role in transmission of carbapenem-resistant Enterobacteriaceae publication-title: Infect Control Hosp Epidemiol doi: 10.1017/ice.2017.216
SSID	ssj0009395
Score	2.4500685
Snippet	Handwashing sink drains are increasingly implicated as a potential reservoir of antibiotic-resistant bacteria in hospital outbreaks; however, usage patterns...
SourceID	proquest pubmed crossref elsevier
SourceType	Aggregation Database Index Database Enrichment Source Publisher
StartPage	e115
SubjectTerms	Behavioural analysis Cross Infection - epidemiology Cross Infection - prevention & control Disease Transmission, Infectious - prevention & control Environmental Microbiology Hand Disinfection Hand hygiene Hospitals Humans Infection prevention and control Intensive Care Units Pilot Projects Remote video monitoring Sink reservoir Sink-trap transmission
Title	Characterizations of handwashing sink activities in a single hospital medical intensive care unit
URI	https://www.clinicalkey.com/#!/content/1-s2.0-S0195670118302639 https://dx.doi.org/10.1016/j.jhin.2018.04.025 https://www.ncbi.nlm.nih.gov/pubmed/29738784 https://www.proquest.com/docview/2036792293
Volume	100
WOSCitedRecordID	wos000448006000018&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
hasFullText	1
inHoldings	1
isFullTextHit
isPrint
journalDatabaseRights	– providerCode: PRVESC databaseName: Elsevier SD Freedom Collection Journals 2021 customDbUrl: eissn: 1532-2939 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0009395 issn: 0195-6701 databaseCode: AIEXJ dateStart: 19950101 isFulltext: true titleUrlDefault: https://www.sciencedirect.com providerName: Elsevier
link	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV3JbtswECWcpIcCRdG9TtuABXozbGghRfKYBm66oEEPKeCbIEpkE8OQA28J-iX53A7FRUICp82hB8vCwCQkzfNwNHwzg9CHSEumWUKG8MlMtCoaipJXYAyztFSaU1LIptkEOznhk4n40etd-1yYzYzVNb-6Ehf_VdUgA2Wb1Nl7qDtMCgI4B6XDEdQOx39S_FEowfy7pbmZ-Pil7Zs0WMLrZ1NDY9NUUzURj8IIf83U4My1EbF77k1BDk9xbzhia7AAXX-2zSxrfNow3HO8AvSOF4C2S9ck-_so8IDm0m79jFrZ8Tpwbz4G4bgOzbS_jbqhipi7nL1O9FKYTAcn8uY3ijo4SzvGVMU209MtzCq2Gcy3jL6NP0xHU3iIhqzHm-K1CW2XOL-tf2PlC3xET3Wb5maO3MyRRySHOXbQXsKoAHu5d_hlPPnaFnROBfW9Ls0tuYQsyx28eSXbnJ5tLzWNc3P6BD12GsSHFk1PUU_Vz9AjG9LFNlPtOSpuIQvPNe4gCxtk4RZZ-LzGBbbIwh4a2CELB2RhgyxskPUC_fw0Pj36PHQdOoYlofFqqCOVibSUNNGy5FqC851mpmFAmcmkKojURVExeIkDj4Br8EW50CUlOiKxrDKp0pdot57X6jXCEZcVIxV80YRIwkzVWE6rSlS0jFSq-yj2jzAvXfl600Vllm9XXh8NwpgLW7zlzl-nXjO5T0uGhTQHmN05ioZRzmm1zuhfx733ys_BopttuqJW8_UyN9QAJhLww_volUVFuHrTaY4zTvbvdWdv0MP27_gW7a4Wa_UOPSg3q_Pl4gDtsAk_cPj-AzdfzyM
linkProvider	Elsevier
openUrl	ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Characterizations+of+handwashing+sink+activities+in+a+single+hospital+medical+intensive+care+unit&rft.jtitle=The+Journal+of+hospital+infection&rft.au=Grabowski%2C+M.&rft.au=Lobo%2C+J.M.&rft.au=Gunnell%2C+B.&rft.au=Enfield%2C+K.&rft.date=2018-11-01&rft.issn=0195-6701&rft.volume=100&rft.issue=3&rft.spage=e115&rft.epage=e122&rft_id=info:doi/10.1016%2Fj.jhin.2018.04.025&rft.externalDBID=n%2Fa&rft.externalDocID=10_1016_j_jhin_2018_04_025
thumbnail_l	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0195-6701&client=summon
thumbnail_m	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0195-6701&client=summon
thumbnail_s	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0195-6701&client=summon