Evidence map›Paper›PMID 31952502›Full record

ArticleBMC pulmonary medicine2020

Current infection control practices used in Australian and New Zealand cystic fibrosis centers.

Rebecca Elizabeth Stockwell, Michelle ELizabeth Wood, Emma Ballard, Vanessa Moore, Claire Elizabeth Wainwright, Scott Cameron Bell

Open access · goldAbstract read
In one paragraph

Article in BMC pulmonary medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Rebecca Elizabeth StockwellLung Bacteria Group, QIMR Berghofer Medical Research Institute, 300 Herston Road, Herston, QLD, 4006, Australia.ORCID https://orcid.org/0000-0002-0142-7458
Michelle ELizabeth WoodLung Bacteria Group, QIMR Berghofer Medical Research Institute, 300 Herston Road, Herston, QLD, 4006, Australia.ORCID https://orcid.org/0000-0001-9026-7080
Emma BallardStatistical Support Group, QIMR Berghofer Medical Research Institute, 300 Herston Road, Brisbane, QLD, 4006, Australia.ORCID https://orcid.org/0000-0002-9430-2485
Vanessa MooreAdult Cystic Fibrosis Center, The Prince Charles Hospital, 627 Rode Road, Chermside, QLD, 4032, Australia.ORCID https://orcid.org/0000-0001-6869-9012
Claire Elizabeth WainwrightFaculty of Medicine, The University of Queensland, Herston, QLD, 4006, Australia.ORCID https://orcid.org/0000-0001-8389-3809
Scott Cameron BellLung Bacteria Group, QIMR Berghofer Medical Research Institute, 300 Herston Road, Herston, QLD, 4006, Australia. scott.bell@health.qld.gov.au.ORCID https://orcid.org/0000-0001-8651-7139
The University of Queensland · AUPrince Charles Hospital · AUQIMR Berghofer Medical Research Institute · AU

Funding

Advance Queensland PhD Scholarship - StockwellCystic Fibrosis Foundation Therapeutics BELL14AODepartment of Health, Queensland 50007Department of Health, Queensland HRF WainwrightThe Prince Charles Hospital Foundation PhD scholarship - Stockwell
6 · The paper itself

Abstract

backgroundThe 2013 update of the Infection Prevention and Control (IP&C) Guideline outlined recommendations to prevent the spread of CF respiratory pathogens. We aimed to investigate the current infection control practices used in Australian and New Zealand (NZ) CF centers.

methodsTwo online surveys were distributed to Australian and NZ CF centers regarding the uptake of selected IP&C recommendations. One survey was distributed to all the Medical Directors and Lead CF Nurses and the second survey was distributed to all the Lead CF Physiotherapists.

resultsThe response rate was 60% (60/100) for medical/nursing and 58% (14/24) for physiotherapy. Over 90% (55/60) of CF centers followed CF-specific infection control guidelines and consistent infection control practices were seen in most CF centers; 76% (41/54) had implemented segregation strategies for ambulatory care and no CF centers housed people with CF in shared inpatient accommodation. However, the application of contact precautions (wearing gloves and apron/gown) by healthcare professionals when reviewing a CF person was variable between CF center respondents but was most often used when seeing CF persons with MRSA infection in both ambulatory care and hospital admission (20/50, 40% and 42/45, 93% of CF centers, respectively). Mask wearing by people with CF was implemented into 61% (36/59) of centers. Hospital rooms were cleaned daily in 79% (37/47) of CF centers and the ambulatory care consult rooms were always cleaned between consults (49/49, 100%) and at the end of the clinic session (51/51, 100%); however the staff member tasked with cleaning changed with 37% (18/49) of CF centers responding that CF multidisciplinary team (MDT) members cleaned between patients whereas at the end of the clinic session, only 12% (6/51) of the CF MDT cleaned the consult room.

conclusionsOverall, Australian and NZ CF centers have adopted many recommendations from the IP&C. Although, the application of contact precautions was inconsistent and had overall a low level of adoption in CF centers. In ~ 25% of centers, mixed waiting areas occurred in the ambulatory care. Given the variability of responses, additional work is required to achieve greater consistency between centers.

Indexed as

Ambulatory CareDisinfectionHospitalizationPersonal Protective EquipmentAustraliaCystic FibrosisGuideline AdherenceHumansInfection ControlMasksMethicillin-Resistant Staphylococcus aureusNew ZealandNurse AdministratorsOrganizational PolicyPatient IsolationPatients' RoomsCleaningContact precautionsCross-infectionCystic fibrosisInfection controlMasksSurvey

Identifiers

PMID31952502
PMCPMC6969421
OpenAlexW3005004703

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.