Research Topics
| David J WeberSummaryAffiliation: University of North Carolina Country: USA Publications
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Publications
Self-disinfecting surfaces: Review of current methodologies and future prospectsDavid J Weber
Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC Department of Hospital Epidemiology, UNC Health Care, Chapel Hill, NC Electronic address
Am J Infect Control 41:S31-5. 2013..These methods are under active investigation but to date have not been assessed for their ability to reduce health care-associated infections...
Role of the environment in the transmission of Clostridium difficile in health care facilitiesDavid J Weber
Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC Department of Hospital Epidemiology, UNC Health Care, Chapel Hill, NC Electronic address
Am J Infect Control 41:S105-10. 2013....
Assessing the risk of disease transmission to patients when there is a failure to follow recommended disinfection and sterilization guidelinesDavid J Weber
Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC Department of Hospital Epidemiology, UNC Health Care, Chapel Hill, NC Electronic address
Am J Infect Control 41:S67-71. 2013..This paper describes a protocol that can guide an institution in managing potential disinfection and sterilization failures...
New antibiotic agents: problems and prospectsDavid J Weber
University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599 7030, USA
Surg Infect (Larchmt) 6:S-97-107. 2005..Management of these infections has become more challenging due to rising rates of multi-drug-resistant organisms and few new antibiotic options...
Assessment of a mandatory tetanus, diphtheria, and pertussis vaccination requirement on vaccine uptake over timeDavid J Weber
Department of Medicine, University of North Carolina Health Care, University of North Carolina, Chapel Hill, North Carolina, USA
Infect Control Hosp Epidemiol 33:81-3. 2012..Implementation for newly hired employees quickly resulted in complete compliance, but achieving adherence among current workers required setting a termination date for noncompliance...
Microbiology of ventilator-associated pneumonia compared with that of hospital-acquired pneumoniaDavid J Weber
Department of Hospital Epidemiology, University of North Carolina Health Care System, University of North Carolina School of Medicine, Chapel Hill, NC, 27599, USA
Infect Control Hosp Epidemiol 28:825-31. 2007..This evaluation assessed whether the currently recommended empirical therapy is appropriate for both ventilator-associated pneumonia (VAP) and HAP by evaluating the infecting flora...
Central line-associated bloodstream infections: prevention and managementDavid J Weber
Division of Infectious Diseases, University of North Carolina School of Medicine, 2163 Bioinformatics, 130 Mason Farm Road, Chapel Hill, NC 27599 7030, USA
Infect Dis Clin North Am 25:77-102. 2011....
Efficacy of selected hand hygiene agents used to remove Bacillus atrophaeus (a surrogate of Bacillus anthracis) from contaminated handsDavid J Weber
Division of Infectious Diseases, Department of Medicine, University of North Carolina at Chapel Hill CB 7030, 130 Mason Farm Rd, Chapel Hill, NC 27599 7030, USA
JAMA 289:1274-7. 2003..However, only limited data are available on the susceptibility of B anthracis to antiseptics...
Preventing healthcare-associated Aspergillus infections: review of recent CDC/HICPAC recommendationsDavid J Weber
Division of Infectious Diseases, UNC School of Medicine, Chapel Hill, NC 27599 7030, USA
Med Mycol 47:S199-209. 2009....
Immunization of immunocompromised personsDavid J Weber
Adult Infectious Disease Division, University of North Carolina School of Medicine, CB 7030, Bioinformatics Building, 130 Mason Farm Road, Chapel Hill, NC 27599 7030, USA
Immunol Allergy Clin North Am 23:605-34, v-vi. 2003..This article reviews the benefits of and risks for immunization in immunocompromised persons and provides recommendations for the use of specific vaccines...
Outbreaks associated with contaminated antiseptics and disinfectantsDavid J Weber
Department of Hospital Epidemiology, University of North Carolina Health Care System, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7030, USA
Antimicrob Agents Chemother 51:4217-24. 2007
Comparison of hospitalwide surveillance and targeted intensive care unit surveillance of healthcare-associated infectionsDavid J Weber
Department of Hospital Epidemiology, University of North Carolina Health Care System, University of North Carolina School of Medicine, Chapel Hill, NC 27599 7030, USA
Infect Control Hosp Epidemiol 28:1361-6. 2007..In addition, we assessed whether the infection rates in step-down units more resemble those in wards or ICUs...
Risks and prevention of nosocomial transmission of rare zoonotic diseasesD J Weber
Division of Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7030, USA
Clin Infect Dis 32:446-56. 2001..Adherence to recommended isolation precautions will allow for proper patient care while protecting the health care workers who provide care to patients with known or suspected zoonotic infections capable of nosocomial transmission...
Control of healthcare-associated Staphylococcus aureus: Survey of practices in North Carolina hospitalsDavid J Weber
University of North Carolina, Department of Hospital Epidemiology, Chapel Hill, USA
Infect Control Hosp Epidemiol 30:909-11. 2009..We report here the results of a survey of 70 hospitals in North Carolina with regard to current management issues surrounding methicillin-resistant S. aureus...
Lessons learned from a norovirus outbreak in a locked pediatric inpatient psychiatric unitDavid J Weber
Department of Hospital Epidemiology, University of North Carolina Health Care System, USA
Infect Control Hosp Epidemiol 26:841-3. 2005..Factors contributing to the outbreak included environmental contamination, close staff-patient contact including sharing meals, and inability to confine the index patient with the use of contact precautions...
Compliance with isolation precautions at a university hospitalDavid J Weber
Department of Hospital Epidemiology, University of North Carolina Health Care System, Chapel Hill, NC 27599, USA
Infect Control Hosp Epidemiol 28:358-61. 2007..5% (13 observations); contact isolation, 73.3% (165 observations); and protective isolation, 73.6% (72 observations). As with hand hygiene, there is suboptimal compliance with recommended isolation precautions...
Role of hospital surfaces in the transmission of emerging health care-associated pathogens: norovirus, Clostridium difficile, and Acinetobacter speciesDavid J Weber
Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
Am J Infect Control 38:S25-33. 2010..Current hand hygiene guidelines and recommendations for surface cleaning/disinfection should be followed in managing outbreaks because of these emerging pathogens...
Nontuberculous mycobacteria. II: nested-cohort study of impact on cystic fibrosis lung diseaseKenneth N Olivier
The Cystic Fibrosis Pulmonary Research and Treatment Center, The Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
Am J Respir Crit Care Med 167:835-40. 2003..Patients with CF and multiple positive NTM cultures, characteristic HRCT findings, and progression of HRCT changes should be monitored closely and considered for antimycobacterial therapy...
Comparative efficacy of hand hygiene agents in the reduction of bacteria and virusesEmily E Sickbert-Bennett
Department of Hospital Epidemiology, University of North Carolina Health Care System, North Carolina, USA
Am J Infect Control 33:67-77. 2005..Health care-associated infections most commonly result from person-to-person transmission via the hands of health care workers...
Relative frequency of health care-associated pathogens by infection site at a university hospital from 1980 to 2008Jahyun Kang
University of North Carolina School of Nursing, Chapel Hill, NC 27599, USA
Am J Infect Control 40:416-20. 2012..We describe the relative frequency of health care-associated pathogens by infection site over 29 years using hospital-wide surveillance data from a large academic hospital...
Room decontamination with UV radiationWilliam A Rutala
Hospital Epidemiology, University of North Carolina Health Care, and the Division of Infectious Diseases, University of North Carolina School of Medicine, Chapel Hill, NC 27599 7030, USA
Infect Control Hosp Epidemiol 31:1025-9. 2010..To determine the effectiveness of a UV-C-emitting device to eliminate clinically important nosocomial pathogens in a contaminated hospital room...
Bacterial contamination of keyboards: efficacy and functional impact of disinfectantsWilliam A Rutala
Department of Hospital Epidemiology, University of North Carolina Health Care System, 130 Mason Farm Road, Chapel Hill, NC 27599, USA
Infect Control Hosp Epidemiol 27:372-7. 2006..This study was performed to determine the degree of microbial contamination, the efficacy of different disinfectants, and the cosmetic and functional effects of the disinfectants on the computer keyboards...
The effects of test variables on the efficacy of hand hygiene agentsEmily E Sickbert-Bennett
Department of Hospital Epidemiology, University of North Carolina Healthcare System, Chapel Hill, NC 27514, USA
Am J Infect Control 32:69-83. 2004..in vitro suspension test)...
Patient-care practices associated with an increased prevalence of hepatitis C virus infection among chronic hemodialysis patientsGayle Shimokura
Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill, North Carolina, USA
Infect Control Hosp Epidemiol 32:415-24. 2011..To identify patient-care practices related to an increased prevalence of hepatitis C virus (HCV) infection among chronic hemodialysis patients...
Completeness of communicable disease reporting, North Carolina, USA, 1995-1997 and 2000-2006Emily E Sickbert-Bennett
Hospital Epidemiology, University of North Carolina Health Care System, Chapel Hill, North Carolina 27514, USA
Emerg Infect Dis 17:23-9. 2011..Disease-specific reporting completeness proportions ranged from 0% to 82%, but were generally low even for diseases with great public health importance and opportunity for interventions...
Prospective study of etiologic agents of acute gastroenteritis outbreaks in child care centersWhitney H Lyman
Department of Environmental Sciences and Engineering, University of North Carolina, Chapel Hill, NC, USA
J Pediatr 154:253-7. 2009..To investigate the etiology of outbreaks of acute gastroenteritis (AGE) in children attending childcare centers (CCCs) in North Carolina between October 2005 and March 2007...
A quantitative approach to defining "high-touch" surfaces in hospitalsKirk Huslage
Department of Hospital Epidemiology, UNC Health Care, University of North Carolina, Chapel Hill, North Carolina 27514, USA
Infect Control Hosp Epidemiol 31:850-3. 2010..Five surfaces were defined as high-touch surfaces: the bed rails, the bed surface, the supply cart, the over-bed table, and the intravenous pump...
Lessons learned: protection of healthcare workers from infectious disease risksDavid J Weber
Department of Medicine, University of North Carolina at Chapel Hill, NC, USA
Crit Care Med 38:S306-14. 2010..To summarize current concepts on preventing occupationally acquired infections in healthcare workers...
Disinfection of a probe used in ultrasound-guided prostate biopsyWilliam A Rutala
Department of Hospital Epidemiology, University of North Carolina Health Care System, Chapel Hill, NC, USA
Infect Control Hosp Epidemiol 28:916-9. 2007..Transrectal ultrasound (TRUS)-guided prostate biopsies are among the most common outpatient diagnostic procedures in urology clinics and carry the risk of introducing pathogens that may lead to infection...
Efficacy of improved hydrogen peroxide against important healthcare-associated pathogensWilliam A Rutala
Hospital Epidemiology, University of North Carolina Health Care, Chapel Hill, North Carolina, USA
Infect Control Hosp Epidemiol 33:1159-61. 2012..Improved HP is significantly superior to standard HP at the same concentration and can be used for disinfection of environmental surfaces or noncritical patient care items...
How to assess risk of disease transmission to patients when there is a failure to follow recommended disinfection and sterilization guidelinesWilliam A Rutala
Department of Hospital Epidemiology, University of North Carolina at Chapel Hill, NC 27599, USA
Infect Control Hosp Epidemiol 28:146-55. 2007..Disinfection and sterilization are critical components of infection control. Unfortunately, breaches of disinfection and sterilization guidelines are not uncommon...
Efficacy of hospital germicides against adenovirus 8, a common cause of epidemic keratoconjunctivitis in health care facilitiesWilliam A Rutala
Department of Hospital Epidemiology, University of North Carolina Health Care System, Chapel Hill, NC 27514, USA
Antimicrob Agents Chemother 50:1419-24. 2006....
Use of germicides in the home and the healthcare setting: is there a relationship between germicide use and antibiotic resistance?David J Weber
Division of Infectious Disease, University of North Carolina School of Medicine, hapel Hill, NC 27599 7030, USA
Infect Control Hosp Epidemiol 27:1107-19. 2006..The spread of antibiotic-resistant pathogens represents an increasing threat in healthcare facilities. Concern has been expressed that the use of surface disinfectants and antiseptics may select for antibiotic-resistant pathogens...
The benefits of surface disinfectionWilliam A Rutala
University of North Carolina Health Care System, Chapel Hill, USA
Am J Infect Control 32:226-31. 2004
Microbiologic evaluation of microfiber mops for surface disinfectionWilliam A Rutala
Department of Hospital Epidemiology, University of North Carolina School of Medicine, Chapel Hill, NC 27599 7030, USA
Am J Infect Control 35:569-73. 2007..Recently, health care facilities have started to use a microfiber mopping technique rather than a conventional, cotton string mop to clean floors...
Prevalence and risk factor analysis for methicillin-resistant Staphylococcus aureus nasal colonization in children attending child care centersMelissa B Miller
UNC School of Medicine, Department of Pathology and Laboratory Medicine, Campus Box 7525, Chapel Hill, NC 27599, USA
J Clin Microbiol 49:1041-7. 2011..The low frequency of colonization observed highlights the need for a large multicenter study to determine risk factors for MRSA colonization and subsequent infection in this highly susceptible population...
Sterilization, high-level disinfection, and environmental cleaningWilliam A Rutala
Department of Hospital Epidemiology, University of North Carolina Health Care, Chapel Hill, 101 Manning Drive, NC 27514, USA
Infect Dis Clin North Am 25:45-76. 2011..In addition, current issues and practices associated with environmental cleaning are reviewed...
Disinfection and sterilization in health care facilities: what clinicians need to knowWilliam A Rutala
Hospital Epidemiology, University of North Carolina Health Care System, Chapel Hill, NC 27599 7030, USA
Clin Infect Dis 39:702-9. 2004..Adherence to these recommendations should improve disinfection and sterilization practices in health care facilities, thereby reducing infections associated with contaminated patient-care items...
Pseudomonas aeruginosa-related postoperative endophthalmitis linked to a contaminated phacoemulsifierKaren K Hoffmann
University of North Carolina at Chapel Hill, Campus Box 7030, Burnett-Womack, Room 547, Chapel Hill, NC 27599-7030, USA
Arch Ophthalmol 120:90-3. 2002
Syndromic surveillance for emerging infections in office practice using billing dataPhilip D Sloane
Department of Family Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
Ann Fam Med 4:351-8. 2006..We wanted to evaluate the feasibility of conducting syndromic surveillance in a primary care office using billing data...
Factors associated with personal protection equipment use and hand hygiene among hemodialysis staffGayle Shimokura
Department of Epidemiology, UNC School of Public Health, Chapel Hill, NC, USA
Am J Infect Control 34:100-7. 2006..In this study, we investigated factors associated with performing these practices as recommended...
Decontamination of targeted pathogens from patient rooms using an automated ultraviolet-C-emitting deviceDeverick J Anderson
Division of Infectious Diseases, Department of Medicine, Duke University Medical Center, Durham, North Carolina
Infect Control Hosp Epidemiol 34:466-71. 2013..Reductions similarly occurred in direct and indirect line of sight. Conclusions. Our data confirm that automated UV-C-emitting devices can decrease the bioburden of important pathogens in real-world settings such as hospital rooms...
The use of live attenuated influenza vaccine (LAIV) in healthcare personnel (HCP): guidance from the Society for Healthcare Epidemiology of America (SHEA)Thomas R Talbot
Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA
Infect Control Hosp Epidemiol 33:981-3. 2012..This document provides guidance from the Society for Healthcare Epidemiology of America regarding use of LAIV in HCP and the infection control precautions that are recommended with its use in this population...
Disinfection of an infrared coagulation device used to treat hemorrhoidsWilliam A Rutala
Department of Hospital Epidemiology, University of North Carolina Health Care System, Chapel Hill, NC 27599 7030, USA
Am J Infect Control 40:78-9. 2012..We developed and validated a method for disinfecting an infrared coagulation device that cannot be immersed in disinfectant solution...
Nontuberculous mycobacteria. I: multicenter prevalence study in cystic fibrosisKenneth N Olivier
The Cystic Fibrosis Pulmonary Research and Treatment Center, The Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
Am J Respir Crit Care Med 167:828-34. 2003..Older age was the most significant predictor for isolation of NTM. The clinical significance of NTM in CF is incompletely defined, but patients with these organisms should be monitored with repeat cultures...
Effects of air temperature and relative humidity on coronavirus survival on surfacesLisa M Casanova
Department of Environmental Sciences and Engineering, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA
Appl Environ Microbiol 76:2712-7. 2010..TGEV and MHV could serve as conservative surrogates for modeling exposure, the risk of transmission, and control measures for pathogenic enveloped viruses, such as SARS-CoV and influenza virus, on health care surfaces...
Utility of International Classification of Diseases, Ninth Revision, Clinical Modification codes for communicable disease surveillanceEmily E Sickbert-Bennett
Department of Hospital Epidemiology, University of North Carolina Health Care, Chapel Hill, North Carolina 27514, USA
Am J Epidemiol 172:1299-305. 2010..6% (95% uncertainty interval: 15.6, 46.5)...
Rotavirus prevalence in the primary care setting in Nicaragua after universal infant rotavirus immunizationSylvia Becker-Dreps
Department of Family Medicine, University of North Carolina School of Medicine, Chapel Hill, 27599 7599, USA
Am J Trop Med Hyg 85:957-60. 2011..In conclusion, rotavirus was an uncommon cause of childhood diarrhea in this primary care setting after implementation of a rotavirus immunization program...
Impact of an oil-based lubricant on the effectiveness of the sterilization processes William A Rutala
Department of Hospital Epidemiology, University of North Carolina Health Care System, Chapel Hill, North Carolina 27599 7030, USA
Infect Control Hosp Epidemiol 29:69-72. 2008....
Severe postvaccinia encephalitis with acute disseminated encephalomyelitis: recovery with early intravenous immunoglobulin, high-dose steroids, and vaccinia immunoglobulinCornelius N Van Dam
Department of Internal Medicine Infectious Diseases, University of North Carolina Area Health Education Centers Program, Moses Cone Hospital, Greensboro, NC 27401 1020, USA
Clin Infect Dis 48:e47-9. 2009..Both affected patients responded dramatically with early intervention of intravenous immunoglobulin. Our patient, who also received concurrent vaccinia immunoglobulin and corticosteroids, demonstrated full recovery...
Breakthrough pneumococcal bacteremia in patients being treated with azithromycin and clarithromycinM A Kelley
Division of Infectious Diseases, University of North Carolina School of Medicine, Chapel Hill, NC 27599 7030, USA
Clin Infect Dis 31:1008-11. 2000..Among pneumococci, low-level resistance to macrolides can lead to clinical failure, and resistance to macrolides should be considered during the selection of empiric therapy for patients with presumed pneumococcal infections...
Reprocessing endoscopes: United States perspectiveW A Rutala
Hospital Epidemiology, University of North Carolina Health Care System, Chapel Hill, NC 27514, USA
J Hosp Infect 56:S27-39. 2004....
New disinfection and sterilization methodsW A Rutala
University of North Carolina UNC Health Care System and UNC School of Medicine, Chapel Hill, North Carolina, USA
Emerg Infect Dis 7:348-53. 2001....
Comparison and temporal trends of three groups with cryptococcosis: HIV-infected, solid organ transplant, and HIV-negative/non-transplantEmily W Bratton
Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America
PLoS ONE 7:e43582. 2012..However, direct comparisons of management, severity and outcomes of these groups have not been conducted...
Cost-effectiveness analysis of active surveillance screening for methicillin-resistant Staphylococcus aureus in an academic hospital settingJahyun Kang
School of Nursing, University of North Carolina, Chapel Hill, North Carolina 27599, USA
Infect Control Hosp Epidemiol 33:477-86. 2012....
Influenza vaccine effectiveness in patients on hemodialysis: an analysis of a natural experimentLeah J McGrath
Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599 7435, USA
Arch Intern Med 172:548-54. 2012..Observational studies of vaccine effectiveness (VE) are challenging because vaccinated subjects may be healthier than unvaccinated subjects...
Influenza vaccination of healthcare workers and vaccine allocation for healthcare workers during vaccine shortagesThomas R Talbot
Department of Medicine, Vanderbilt University School of Medicine, A 2200 Medical Center North, 1161 21st Avenue South, Nashville, TN 37232, USA
Infect Control Hosp Epidemiol 26:882-90. 2005..These recommendations apply to all types of healthcare facilities, including acute care hospitals, long-term-care facilities, and ambulatory care settings...
Heterotypic humoral and cellular immune responses following Norwalk virus infectionLisa C Lindesmith
Department of Epidemiology, University of North Carolina, Chapel Hill, North Carolina 27599, USA
J Virol 84:1800-15. 2010..1-1968-challenged individuals and highlight a potential complication in the design of efficacious norovirus vaccines...
Registration of disinfectants based on relative microbicidal activityWilliam A Rutala
Division of Infectious Disease, University of North Carolina (UNC) School of Medicine, Department of Hospital Epidemiology, MPH, CB #7030 Bioinformatics Building, 130 Mason Farm Road, Chapel Hill, NC 27599-7030, USA
Infect Control Hosp Epidemiol 25:333-41. 2004
Virus transfer from personal protective equipment to healthcare employees' skin and clothingLisa Casanova
University of North Carolina Chapel Hill, Chapel Hill, North Carolina 27599, USA
Emerg Infect Dis 14:1291-3. 2008..Following this protocol often resulted in virus transfer to hands and clothing. An altered protocol or other measures are needed to prevent healthcare worker contamination...
Managing the risk of nosocomial transmission of prion diseasesDavid J Weber
Division of Infectious Diseases, University of North Carolina (UNC) School of Medicine, Chapel Hill, USA
Curr Opin Infect Dis 15:421-5. 2002..g. surgical instruments) and semicritical devices contaminated with high-risk tissue (i.e. brain, spinal cord, eye) from high-risk patients (e.g. with known or suspected Creutzfeldt-Jakob disease) require special treatment...
Hand-washing and diapering equipment reduces disease among children in out-of-home child care centersJonathan B Kotch
Department of Maternal and Child Health, School of Public Health, University of North Carolina, Chapel Hill, NC, USA
Pediatrics 120:e29-36. 2007....
Virulence associated with outbreak-related strains of Burkholderia cepacia complex among a cohort of patients with bacteremiaChristopher W Woods
Department of Medicine, Duke University Medical Center, Durham, North Carolina, USA
Clin Infect Dis 38:1243-50. 2004..5; 95% confidence interval, 1.20-25.02). B. cenocepacia is an emerging nosocomial pathogen. Certain strains are associated with an enhanced capacity for interpatient spread and poor outcome...
Survival of surrogate coronaviruses in waterLisa Casanova
Department of Environmental Sciences and Engineering, University of North Carolina, Chapel Hill, NC 27599, USA
Water Res 43:1893-8. 2009..Coronaviruses can remain infectious for long periods in water and pasteurized settled sewage, suggesting contaminated water is a potential vehicle for human exposure if aerosols are generated...
Comparative evaluation of the sporicidal activity of new low-temperature sterilization technologies: ethylene oxide, 2 plasma sterilization systems, and liquid peracetic acidW A Rutala
Division of Infectious Diseases, University of North Carolina, Chapel Hill 27599 7030, USA
Am J Infect Control 26:393-8. 1998..The Steris System 1 is limited by diffusion of the chemical sterilant into the interior of the lumen test unit...
Rapid Hospital Room Decontamination Using Ultraviolet (UV) Light with a Nanostructured UV-Reflective Wall CoatingWilliam A Rutala
Hospital Epidemiology, University of North Carolina Health Care, Chapel Hill, North Carolina
Infect Control Hosp Epidemiol 34:527-9. 2013....
Efficacy of Different Cleaning and Disinfection Methods against Clostridium difficile Spores: Importance of Physical Removal versus Sporicidal InactivationWilliam A Rutala
Division of Infectious Diseases, University of North Carolina School of Medicine, University of North Carolina, Chapel Hill, North Carolina
Infect Control Hosp Epidemiol 33:1255-8. 2012..Wiping with sporicidal agents eliminated more than 3.90 log(10) C. difficile spores (physical removal and/or inactivation). Spraying with a sporicide eliminated more than 3.44 log(10) C. difficile spores but would not remove debris...
Overwhelming disseminated herpes simplex virus type 2 infection in a patient with severe burn injury: case report and literature reviewAmanda Peppercorn
Department of Medicine, University of North Carolina, Chapel Hill, NC 27599 7215, USA
J Burn Care Res 31:492-8. 2010..To our knowledge, this is the first report of disseminated visceral HSV-2 infection in a burn patient in the medical literature...
Using hospital antibiogram data to assess regional pneumococcal resistance to antibioticsCheryl R Stein
The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
Emerg Infect Dis 9:211-6. 2003..Aggregating antibiogram data is a feasible and timely method of monitoring regional susceptibility patterns and may also prove beneficial in measuring the effects of interventions to decrease antimicrobial resistance...
Community influenza activity and risk of acute influenza-like illness episodes among healthy unvaccinated pregnant and postpartum womenLisa Lindsay
Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill, NC, USA
Am J Epidemiol 163:838-48. 2006..Findings estimate that 20-43 pregnant/postpartum women would need to be vaccinated with an 80% effective vaccine to prevent one influenza-like illness episode...
Uses of inorganic hypochlorite (bleach) in health-care facilitiesW A Rutala
Division of Infectious Diseases, University of North Carolina School of Medicine, USA
Clin Microbiol Rev 10:597-610. 1997..Despite the increasing availability of other disinfectants, hypochlorites continue to find wide use in hospitals...
Surface disinfection: should we do it?W A Rutala
Division of Infectious Diseases, University of North Carolina Health Care System, UNC School of Medicine, Chapel Hill 27514, USA
J Hosp Infect 48:S64-8. 2001..It concludes that while non-critical surfaces are uncommonly associated with transmission of infections to patients, one should clean and disinfect surfaces on a regularly scheduled basis...
Economic and microbiologic evaluation of single-dose vial extension for hazardous drugsErinn C Rowe
University of North Carolina UNC Health Care, Chapel Hill, NC, USA
J Oncol Pract 8:e45-9. 2012..A study was conducted to evaluate the cost of discarding vials after 6 hours and to further test sterility of vials beyond this time point, subsequently defined as the beyond-use date (BUD)...
Assessment by meta-analysis of PCR for diagnosis of smear-negative pulmonary tuberculosisOlga L Sarmiento
Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA
J Clin Microbiol 41:3233-40. 2003....
High-level human herpesvirus-6 viremia associated with onset of Stevens-Johnson syndrome: report of two casesAmanda F Peppercorn
Department of Medicine, University of North Carolina, School of Medicine, Chapel Hill, USA
J Burn Care Res 31:365-8. 2010....
A comparison of height and weight velocity as a part of the composite endpoint in pediatric HIVDaniel K Benjamin
Duke Clinical Research Institute and the Department of Pediatrics, Duke University, Durham, North Carolina, USA
AIDS 17:2331-6. 2003..Changes in WAZ were not associated with laboratory outcomes relevant to pediatric HIV infection. Height velocity should be considered as a component of a composite clinical endpoint in future PACTG trials...
A review of single-use and reusable gowns and drapes in health careW A Rutala
University of North Carolina, School of Medicine, and the Department of Hospital Epidemiology, Chapel Hill 28599-7030, USA
Infect Control Hosp Epidemiol 22:248-57. 2001....
Clinical effectiveness of low-temperature sterilization technologiesW A Rutala
University of North Carolina School of Medicine, the Department of Hospital Epidemiology, UNC Hospitals, Chapel Hill 27599 7030, USA
Infect Control Hosp Epidemiol 19:798-804. 1998....
The emerging nosocomial pathogens Cryptosporidium, Escherichia coli O157:H7, Helicobacter pylori, and hepatitis C: epidemiology, environmental survival, efficacy of disinfection, and control measuresD J Weber
Department of Medicine, University of North Carolina at Chapel Hill, 27599-7030, USA
Infect Control Hosp Epidemiol 22:306-15. 2001....
Levels of microbial contamination on surgical instrumentsW A Rutala
Division of Infectious Diseases, University of North Carolina School of Medicine, Chapel Hill, USA
Am J Infect Control 26:143-5. 1998..This suggests that new low-temperature sterilization technologies are likely to be highly effective in preventing cross-transmission of infection via nonlumen medical instruments...
Creutzfeldt-Jakob disease: recommendations for disinfection and sterilizationW A Rutala
Division of Infectious Diseases, University of North Carolina (UNC) School of Medicine and the Department of Hospital Epidemiology, UNC Health Care System, Chapel Hill, NC 27599-7030, USA
Clin Infect Dis 32:1348-56. 2001..g., surgical instruments) and semicritical devices contaminated with high-risk tissue (i.e., brain, spinal cord, and eye tissue) from high-risk patients--those with known or suspected infection with CJD--require special treatment...
Treatment of tick-borne diseasesBrian J Donovan
Infectious Diseases Pharmacotherapy, Department of Pharmacy, University of North Carolina Hospitals, Chapel Hill, NC, USA
Ann Pharmacother 36:1590-7. 2002..Doxycycline is the preferred agent because of decreased frequency of administration and adverse effects...
Faucet aerators: A source of patient colonization with Stenotrophomonas maltophiliaD J Weber
Division of Infectious Diseases, University of North Carolina School of Medicine, Chapel Hill 27599 7030, USA
Am J Infect Control 27:59-63. 1999..If additional clusters of infected or colonized patients are linked to contaminated aerators, consideration should be given to routine disinfection or removal of the aerators...
Relative frequency of nosocomial pathogens at a university hospital during the decade 1980 to 1989D J Weber
Department of Medicine, University of North Carolina, Chapel Hill 27599 7030
Am J Infect Control 20:192-7. 1992..CONCLUSIONS: We conclude that Candida and other yeasts are being isolated increasingly as causative agents of nosocomial infection...
Recognition and management of anthraxDavid J Weber
N Engl J Med 346:943-5; author reply 943-5. 2002
CryptosporidiosisDavid J Weber
N Engl J Med 347:1287. 2002
Effects of long-term storage on sterility of medical suppliesWilliam A Rutala
Am J Infect Control 34:248. 2006
The benefits of surface disinfectionWilliam A Rutala
Am J Infect Control 33:434-5. 2005
Multidrug-resistant Enterococcus faecium in a patient with burnsSherene S Min
Clin Infect Dis 36:1210-1. 2003
Semipermeable dressing used to cover smallpox vaccination sites as a cause of skin damageElaine Crittenton
Infect Control Hosp Epidemiol 25:96. 2004
