No abstract

No abstract

BackgroundOn January 7, 2019, we observed an outbreak of healthcare-associated infection (HAI) caused by Carbapenem-resistant Acinetobacter baumannii (CRAB) in the neurosurgical intensive care unit (NSICU). A follow-up epidemiological investigation was conducted, and an emergency response was initiated. We aimed to study the clonal transmission of CRAB and its possible source.MethodsA matched case-control (1:2) study was performed to identify the possible predisposing factors. A multifaceted intervention was implemented to control the outbreak. We collected environmental samples from patients’ rooms and living area of the staff. CRAB isolates were tested for genetic relatedness by Pulsed-Field Gel Electrophoresis (PFGE).ResultsEnvironmental sampling showed that a faucet aerator was contaminated with A. baumannii. Molecular typing revealed the only outbreak strain, which was isolated from tracheal aspirate cultures of the first case of community-acquired infection and 3 cases of HAI. In environmental samples, the outbreak strain was found only in the faucet aerator of the dining room. This CRAB outbreak was discovered in time, and further progress of this outbreak was prevented through a pre-set emergency response procedure.ConclusionsThe faucet aerator acted as a reservoir for bacteria in the outbreak, and contamination of the faucet aerator might have occurred from splashes originating from handwashing by the healthcare workers (HCWs). In high-risk areas, such as NSICU, the faucet aerators should not be used during an outbreak or they should be regularly cleaned and disinfected. The start-up criteria for the emergency response played a key role in controlling the CRAB outbreak, and its settings should be discussed more widely.

Aims: This study explores the current occupational well-being status of male nurses in Chengdu, China, and identifies the concomitant protective and risk factors. Design:This study has a cross-sectional survey design.Methods: From 13 July to 21 July 2019, a cross-sectional survey involving 209 male nurses in 7 tertiary hospitals in Chengdu, China, was conducted using a general information questionnaire, the Mindfulness Attention Awareness Scale, the Acceptance and Action Questionnaire-II, the Professional Identity Scale and the Nurses' Occupational Well-being Scale. Results:The score of male nurses' occupational well-being was 78.7 ± 14.2. The higher the mindfulness and professional identity (p = .002, p < .001, respectively), the higher the occupational well-being of male nurses. The lower the experiential avoidance, the higher the occupational well-being (p = .001). The highest occupational wellbeing was found among male nurses who had less than 5-years' working experience. Conclusions:The results suggest that male nurses' occupational well-being was at a moderate level. Mindfulness and professional identity were the protective factors of male nurses' occupational well-being, and experiential avoidance was the risk factor.Nursing managers should ascertain male nurses' current occupational well-being and the influencing factors and formulate effective improvement strategies. Male nurse courses on enhancing mindfulness and professional identity and reducing experiential avoidance should be explored, with a focus on helping nurses improve their professional well-being and, in turn, prospectively reducing the turnover rate.