Kimberly Dukes
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View article: Facilitators and barriers for the use of ultraviolet-C disinfection for patient room cleaning at VA hospitals: a qualitative analysis
Facilitators and barriers for the use of ultraviolet-C disinfection for patient room cleaning at VA hospitals: a qualitative analysis Open
To evaluate ultraviolet-C (UV-C) disinfection, we interviewed 34 personnel at 22 Veterans Affairs (VA) hospitals. Barriers included safety concerns, patient volumes, staffing, and costs. Facilitators included education and interprofessiona…
View article: Correction: Implementing intranasal povidone-iodine in the orthopedic trauma surgery setting to prevent surgical site infections: a qualitative study of healthcare provider perspectives.
Correction: Implementing intranasal povidone-iodine in the orthopedic trauma surgery setting to prevent surgical site infections: a qualitative study of healthcare provider perspectives. Open
View article: Response to Mr. Babar’s Letter to the Editor regarding “Healthcare worker attitudes on routine non-urological preoperative urine cultures: a qualitative assessment”
Response to Mr. Babar’s Letter to the Editor regarding “Healthcare worker attitudes on routine non-urological preoperative urine cultures: a qualitative assessment” Open
View article: Decisions About Suppressive Antibiotics Among Clinicians at Veterans Affairs Hospitals After Prosthetic Joint Infection
Decisions About Suppressive Antibiotics Among Clinicians at Veterans Affairs Hospitals After Prosthetic Joint Infection Open
Importance Indefinite suppressive antibiotic therapy (SAT) is sometimes prescribed after initial antibiotic treatment for prosthetic joint infection (PJI). Limited evidence on outcomes after SAT exists, and using SAT for patients at low ri…
View article: Implementing intranasal povidone-iodine in the orthopedic trauma surgery setting to prevent surgical site infections: a qualitative study of healthcare provider perspectives
Implementing intranasal povidone-iodine in the orthopedic trauma surgery setting to prevent surgical site infections: a qualitative study of healthcare provider perspectives Open
View article: P-315. Safety and Effectiveness of Nasal Povidone-Iodine Decolonization Among Patients on Hemodialysis: A Multicenter Stepped-Wedge Cluster Randomized Trial
P-315. Safety and Effectiveness of Nasal Povidone-Iodine Decolonization Among Patients on Hemodialysis: A Multicenter Stepped-Wedge Cluster Randomized Trial Open
Background The SHEA/IDSA/APIC Strategies to Prevent MRSA Transmission and Infection Practice Recommendations advised that facilities consider decolonizing patients on hemodialysis. We implemented a nasal decolonization intervention in whic…
View article: P-259. Facilitators and Barriers for the Use of Ultraviolet-C Disinfection at VA Hospitals: A Qualitative Analysis
P-259. Facilitators and Barriers for the Use of Ultraviolet-C Disinfection at VA Hospitals: A Qualitative Analysis Open
Background Ultraviolet-C (UV-C) disinfection has been increasingly used to enhance terminal room cleaning and prevent hospital pathogen transmissions. We reported that UV-C implementation in Veterans Affairs (VA) hospitals was associated w…
View article: P-248. Implementation of a National Environmental Program Services (EPS) Ultraviolet-C (UV-C) No-touch Room Disinfection Toolkit in the Veterans Health Administration
P-248. Implementation of a National Environmental Program Services (EPS) Ultraviolet-C (UV-C) No-touch Room Disinfection Toolkit in the Veterans Health Administration Open
Background Environmental disinfection reduces the risk of hospital infections. Prior evidence from the Veterans Affairs (VA) healthcare system suggests that adding UV-C systems to manual disinfection processes significantly reduced nosocom…
View article: Modifiable social and structural factors influence COVID-19 vaccine intention among frontline workers in the Midwestern USA: a community-engaged survey study
Modifiable social and structural factors influence COVID-19 vaccine intention among frontline workers in the Midwestern USA: a community-engaged survey study Open
Introduction COVID-19 vaccines have been a crucial measure in the pandemic response, yet vaccine uptake has been variable across the population. We sought to identify social and structural factors associated with COVID-19 vaccine intention…
View article: Impact of UV-C on material degradation: a scoping literature review
Impact of UV-C on material degradation: a scoping literature review Open
Background: Ultraviolet-C (UV-C) radiation has emerged as a widely adopted disinfection technology in healthcare settings due to its germicidal effectiveness. However, concerns have grown regarding the potential degradation of materials, p…
View article: Epidemiological Assessment and Inference in Race-Based Clinical Algorithms: A Narrative Review and Health Policy Analysis Focused on Living Kidney Donation
Epidemiological Assessment and Inference in Race-Based Clinical Algorithms: A Narrative Review and Health Policy Analysis Focused on Living Kidney Donation Open
Threats to scientific validity and inferential errors in the evidence base about health inequities may forestall progress toward equity. We provide recommendations for addressing such barriers using standards applied in other clinical and …
View article: Variation in veterans affairs hospitals’ UV-C surface disinfection systems guidance documents: a qualitative content analysis
Variation in veterans affairs hospitals’ UV-C surface disinfection systems guidance documents: a qualitative content analysis Open
The Department of Veterans Affairs (VA) does not have system-wide standardized policies or procedures for ultraviolet-C (UV-C) use. Qualitative researchers performed content analysis of VAV UV-C guidance documents. We observed that lack of…
View article: Healthcare worker attitudes on routine non-urological preoperative urine cultures: a qualitative assessment
Healthcare worker attitudes on routine non-urological preoperative urine cultures: a qualitative assessment Open
Objective: Many preoperative urine cultures are of low value and may even lead to patient harms. This study sought to understand practices around ordering preoperative urine cultures and prescribing antibiotic treatment. Design: Open-ended…
View article: Survey of Hemodialysis Patients’ Knowledge of Their Infection Risk and Acceptability of a Nasal Decolonization Intervention
Survey of Hemodialysis Patients’ Knowledge of Their Infection Risk and Acceptability of a Nasal Decolonization Intervention Open
Background: Patients undergoing hemodialysis are at high risk for healthcare-associated infections; they are at 100 times the risk of Staphylococcus aureus bloodstream infections (BSI) compared with U.S. adults not on hemodialysis. Prior s…
View article: Healthcare Personnel Interactions with Floors and Pathogen Transmission in Long-Term Care: A Qualitative Exploration
Healthcare Personnel Interactions with Floors and Pathogen Transmission in Long-Term Care: A Qualitative Exploration Open
Background: We know relatively little about how healthcare personnel (HCP) in long-term care facilities (LTCFs) integrate hand hygiene (HH) and personal protective equipment (PPE; e.g., gloves) use into their care processes. To address thi…
View article: Implementing nasal povidone-iodine decolonization to reduce infections in hemodialysis units: a qualitative assessment
Implementing nasal povidone-iodine decolonization to reduce infections in hemodialysis units: a qualitative assessment Open
Background: A substantial proportion of patients undergoing hemodialysis carry Staphylococcus aureus in their noses, and carriers are at increased risk of S. aureus bloodstream infections. Our pragmatic clinical trial implemented nasal pov…
View article: Epidemiological approaches to multivariable models of health inequity: A study of race, rurality, and occupation during the COVID-19 pandemic
Epidemiological approaches to multivariable models of health inequity: A study of race, rurality, and occupation during the COVID-19 pandemic Open
View article: Interfacility Referral Communication for PICU Transfer*
Interfacility Referral Communication for PICU Transfer* Open
OBJECTIVES: For patients requiring transfer to a higher level of care, excellent interfacility communication is essential. Our objective was to characterize verbal handoffs for urgent interfacility transfers of children to the PICU and com…
View article: Propensity Score-Weighted Analysis of Postoperative Infection in Patients With and Without Preoperative Urine Culture
Propensity Score-Weighted Analysis of Postoperative Infection in Patients With and Without Preoperative Urine Culture Open
Importance Although recent guidelines recommend against performance of preoperative urine culture before nongenitourinary surgery, many clinicians still order preoperative urine cultures and prescribe antibiotics for treatment of asymptoma…
View article: Diabetes care in the pandemic era in the Midwestern USA: a semi-structured interview study of the patient perspective
Diabetes care in the pandemic era in the Midwestern USA: a semi-structured interview study of the patient perspective Open
Objectives To understand patients’ experiences with diabetes care during the COVID-19 pandemic, with an emphasis on rural, medically underserved, and/or minoritised racial and ethnic groups in the Midwestern USA. Design Community-engaged, …
View article: Clinicians' interpretation of thresholds in hospital antibiograms for gram‐negative rod infections: A survey and contingent valuation study of hospitalists
Clinicians' interpretation of thresholds in hospital antibiograms for gram‐negative rod infections: A survey and contingent valuation study of hospitalists Open
Clinical guidelines suggest that hospital antibiograms are a key component when deciding empiric therapy, but little is known about how often clinicians use antibiograms and how they influence clinicians' empiric therapy decisions. We surv…
View article: Ageism scale for dental students (ASDS): A focus group review of content validity
Ageism scale for dental students (ASDS): A focus group review of content validity Open
Purpose/aim Improve content validity of the Ageism Scale for Dental Students (ASDS) and identify barriers to using the scale. Methods Thematic analysis of transcripts of three purposively sampled focus groups of 1) geriatric dentistry spec…
View article: Adaptation and validation of an antibiotic prescribing, peer comparison metric for respiratory tract diagnoses in walk-in clinics: a mixed-methods analysis
Adaptation and validation of an antibiotic prescribing, peer comparison metric for respiratory tract diagnoses in walk-in clinics: a mixed-methods analysis Open
Objective: Antibiotic overuse is common across walk-in clinics, but it is unclear which stewardship metrics are most effective for audit and feedback. In this study, we assessed the validity of a metric that captures antibiotic prescribing…
View article: ICE volume 45 issue 1 Cover and Front matter
ICE volume 45 issue 1 Cover and Front matter Open
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View article: 1243. Acceptable susceptibility thresholds reported in hospital antibiograms for Gram-negative rod infections: a survey and contingent valuation study of infectious diseases providers
1243. Acceptable susceptibility thresholds reported in hospital antibiograms for Gram-negative rod infections: a survey and contingent valuation study of infectious diseases providers Open
Background Clinical guidelines recommend an antibiogram as a key component when making empiric therapy decisions. However, little is known about how clinicians utilize antibiograms. We aimed to assess the interpretation thresholds of hospi…
View article: 1306. Lower Treatment Failure Rates in Patients with Non-Staphylococcal Prosthetic Joint Infections (PJI) Treated with Debridement and Implant Retention (DAIR) Receiving Chronic Antibiotic Suppression (CAS)
1306. Lower Treatment Failure Rates in Patients with Non-Staphylococcal Prosthetic Joint Infections (PJI) Treated with Debridement and Implant Retention (DAIR) Receiving Chronic Antibiotic Suppression (CAS) Open
Background PJI occurs in 0.5-2% of Joint Arthroplasty. Patients with acute non-Staphylococcal PJI who undergo DAIR are treated with 6 weeks of antimicrobials after which CAS may be considered. We aimed to compare the incidence of treatment…
View article: 1205. Antibiotic-prescribing for all respiratory tract diagnoses across a network of walk-in clinics: clinician-level variation and correlation with other performance metrics
1205. Antibiotic-prescribing for all respiratory tract diagnoses across a network of walk-in clinics: clinician-level variation and correlation with other performance metrics Open
Background It is unclear which stewardship metrics are most effective for audit and feedback to outpatient clinicians. In this study, we explored a metric that captures antibiotic-prescribing for all respiratory tract diagnoses to determin…
View article: Survey of resuscitation practices at emergency medical service agencies in the U.S
Survey of resuscitation practices at emergency medical service agencies in the U.S Open
View article: Cardiac Arrest Survival at Emergency Medical Service Agencies in Catchment Areas With Primarily Black and Hispanic Populations
Cardiac Arrest Survival at Emergency Medical Service Agencies in Catchment Areas With Primarily Black and Hispanic Populations Open
Importance Black and Hispanic patients are less likely to survive an out-of-hospital cardiac arrest (OHCA) than White patients. Given the central importance of emergency medical service (EMS) agencies in prehospital care, a better understa…
View article: Examining barriers to implementing a surgical-site infection bundle
Examining barriers to implementing a surgical-site infection bundle Open
Background: Surgical-site infections (SSIs) can be catastrophic. Bundles of evidence-based practices can reduce SSIs but can be difficult to implement and sustain. Objective: We sought to understand the implementation of SSI prevention bun…