2017
Norovirus and Clostridium difficile outbreaks
Fisher A, Dembry LM. Norovirus and Clostridium difficile outbreaks. Current Opinion In Infectious Diseases 2017, 30: 440-447. PMID: 28538249, DOI: 10.1097/qco.0000000000000382.Peer-Reviewed Original ResearchConceptsInfection prevention measuresHealthcare settingsInfection prevention practicesAntimicrobial stewardship initiativesInfection prevention approachClostridium difficile outbreakBaseline infection ratesRisk of transmissionPrevention measuresDifficile infectionAsymptomatic carriersGastrointestinal outbreaksDifficile outbreaksAntimicrobial stewardshipTouch disinfection systemsTesting modalitiesInfection ratePrevention practicesClostridium difficileEnvironmental disinfectionSuch outbreaksVulnerable populationsPrevention approachesStewardship initiativesNorovirus
2016
Unique perspectives, unified voice
Dembry L, Dolan S. Unique perspectives, unified voice. American Journal Of Infection Control 2016, 45: 2-3. PMID: 28065329, DOI: 10.1016/j.ajic.2016.10.016.Peer-Reviewed Original Research
2015
Neonatal Sepsis 2004-2013: The Rise and Fall of Coagulase-Negative Staphylococci
Bizzarro MJ, Shabanova V, Baltimore RS, Dembry LM, Ehrenkranz RA, Gallagher PG. Neonatal Sepsis 2004-2013: The Rise and Fall of Coagulase-Negative Staphylococci. The Journal Of Pediatrics 2015, 166: 1193-1199. PMID: 25919728, PMCID: PMC4413005, DOI: 10.1016/j.jpeds.2015.02.009.Peer-Reviewed Original ResearchConceptsEarly-onset sepsisLate-onset sepsisNeonatal intensive care unitCoagulase-negative staphylococciIntensive care unitCare unitLevel IV neonatal intensive care unitEpisodes of sepsisLow birth weightInfection prevention initiativesInfection prevention effortsPercent of casesGroup B streptococciHospital courseSepsis episodesMost infantsBirth weightCommon organismB streptococciSepsisOutcome dataAdditional surveillancePrevention effortsStudy periodInfants
2013
Universal Glove and Gown Use and Acquisition of Antibiotic-Resistant Bacteria in the ICU: A Randomized Trial
Harris AD, Pineles L, Belton B, Johnson JK, Shardell M, Loeb M, Newhouse R, Dembry L, Braun B, Perencevich EN, Hall KK, Morgan DJ, Shahryar S, Price C, Gadbaw J, Drees M, Kett D, Muñoz-Price L, Jacob J, Herwaldt L, Sulis C, Yokoe D, Maragakis L, Lissauer M, Zervos M, Warren D, Carver R, Anderson D, Calfee D, Bowling J, Safdar N. Universal Glove and Gown Use and Acquisition of Antibiotic-Resistant Bacteria in the ICU: A Randomized Trial. JAMA 2013, 310: 1571-1580. PMID: 24097234, PMCID: PMC4026208, DOI: 10.1001/jama.2013.277815.Peer-Reviewed Original ResearchMeSH KeywordsAgedCross InfectionEnterococcusFemaleGloves, ProtectiveGram-Positive Bacterial InfectionsGuideline AdherenceHand DisinfectionHumansInfection ControlIntensive Care UnitsMaleMethicillin-Resistant Staphylococcus aureusMiddle AgedPersonnel, HospitalStaphylococcal InfectionsSurgical AttireVancomycin ResistanceConceptsIntensive care unitMethicillin-resistant Staphylococcus aureusVancomycin-resistant EnterococcusIntervention ICUsSurgical intensive care unitPrimary outcomeHand hygiene complianceSecondary outcomesAdverse eventsPatient contactUniversal gloveVRE acquisitionUsual careMRSA acquisitionGown useHygiene complianceAcquisition of MRSAAntibiotic-resistant bacteriaControl intensive care unitHealth care-associated infectionsStudy periodKey secondary outcomesBaseline periodCare-associated infectionsHealth care workersDoes health care role and experience influence perception of safety culture related to preventing infections?
Braun BI, Harris AD, Richards CL, Belton BM, Dembry LM, Morton DJ, Xiao Y. Does health care role and experience influence perception of safety culture related to preventing infections? American Journal Of Infection Control 2013, 41: 638-641. PMID: 23809690, DOI: 10.1016/j.ajic.2012.09.006.Peer-Reviewed Original Research
2011
Web-Based Training Improves Knowledge about Central Line Bloodstream Infections
Comer A, Harris AD, Shardell M, Braun B, Belton BM, Wolfsthal SD, Dembry LM, Jacob JT, Price C, Sulis C, Chu ES, Xiao Y. Web-Based Training Improves Knowledge about Central Line Bloodstream Infections. Infection Control And Hospital Epidemiology 2011, 32: 1219-1222. PMID: 22080663, PMCID: PMC3331708, DOI: 10.1086/662585.Peer-Reviewed Original Research
2008
Perceptions of hand hygiene practices in China
Yuan CT, Dembry LM, Higa B, Fu M, Wang H, Bradley EH. Perceptions of hand hygiene practices in China. Journal Of Hospital Infection 2008, 71: 157-162. PMID: 19013685, PMCID: PMC7132447, DOI: 10.1016/j.jhin.2008.09.017.Peer-Reviewed Original ResearchMeSH KeywordsAttitude of Health PersonnelChinaCross InfectionHand DisinfectionHumansInfection ControlInterviews as TopicConceptsHand hygiene practicesProper hand hygiene practicesHygiene practicesInfection controlHand hygieneImportant infection control measuresHospital's infection control departmentInfection control measuresPublic health staffHealthcare-associated infectionsEffective infection controlInfection control departmentQuality of careAdequate knowledgeHealth staffHospital workersCompliance rateHospitalKey hospitalsPotential strategyHygieneControl measuresData feedback
2007
Promotion of hand hygiene techniques through use of a surveillance tool
Pashman J, Bradley EH, Wang H, Higa B, Fu M, Dembry LM. Promotion of hand hygiene techniques through use of a surveillance tool. Journal Of Hospital Infection 2007, 66: 249-254. PMID: 17544167, DOI: 10.1016/j.jhin.2007.03.018.Peer-Reviewed Original ResearchCase-control analysis of endemic Serratia marcescens bacteremia in a neonatal intensive care unit
Bizzarro MJ, Dembry LM, Baltimore RS, Gallagher PG. Case-control analysis of endemic Serratia marcescens bacteremia in a neonatal intensive care unit. Archives Of Disease In Childhood Fetal & Neonatal 2007, 92: f120. PMID: 17088342, PMCID: PMC2675455, DOI: 10.1136/adc.2006.102855.Peer-Reviewed Original ResearchMeSH KeywordsBacteremiaBirth WeightCase-Control StudiesConnecticutCross InfectionDrug Resistance, BacterialEndemic DiseasesEscherichia coliEscherichia coli InfectionsFemaleHumansInfant, NewbornIntensive Care Units, NeonatalMaleMicrobial Sensitivity TestsPrognosisRisk FactorsSerratia InfectionsSerratia marcescensConceptsNeonatal intensive care unitIntensive care unitCare unitUninfected controlsHospital Neonatal Intensive Care UnitSerratia marcescens bacteremiaMedian gestational ageCentral vascular catheterEscherichia coli bacteremiaRecords of infantsCase-control studyHigher overall mortalityE coliOnset of infectionCase-control analysisTime of infectionHigh rateAssociated meningitisHospital courseColi bacteremiaOverall mortalityGestational agePremature infantsVascular cathetersBirth weight
2004
Conjunctival Colonization of Infants Hospitalized in a Neonatal Intensive Care Unit: A Longitudinal Analysis
Raskind CH, Sabo BE, Callan DA, Farrel PA, Dembry LM, Gallagher PG. Conjunctival Colonization of Infants Hospitalized in a Neonatal Intensive Care Unit: A Longitudinal Analysis. Infection Control And Hospital Epidemiology 2004, 25: 216-220. PMID: 15061413, DOI: 10.1086/502381.Peer-Reviewed Original Research
2000
Molecular Typing Demonstrating Transmission of Gram-Negative Rods in a Neonatal Intensive Care Unit in the Absence of a Recognized Epidemic
Almuneef M, Baltimore R, Farrel P, Reagan-Cirincione P, Dembry L. Molecular Typing Demonstrating Transmission of Gram-Negative Rods in a Neonatal Intensive Care Unit in the Absence of a Recognized Epidemic. Clinical Infectious Diseases 2000, 32: 220-227. PMID: 11170911, DOI: 10.1086/318477.Peer-Reviewed Original ResearchMeSH KeywordsAnti-Bacterial AgentsBacterial Typing TechniquesCross InfectionDNA, BacterialDrug Resistance, MicrobialElectrophoresisFecesFemaleGenotypeGentamicinsGram-Negative Aerobic Rods and CocciGram-Negative Bacterial InfectionsHumansInfantInfant, NewbornIntensive Care Units, NeonatalMaleMicrobial Sensitivity TestsConceptsNeonatal intensive care unitIntensive care unitShared strainsCare unitMolecular typing techniquesRectal swab culturesColonization of infantsGentamicin-resistant strainsWeeks of ageTyping techniquesAntibiotic treatmentAntibiotic useSwab culturesGram-negative rodsGentamicin susceptibilityInfantsTotal daysOutbreak investigationIdentical strainsNegative rodsUnique strainsHigh rateContour-clamped homogeneous electric field electrophoresisAdmissionGentamicin
1999
A Decade of Prevalence Surveys in a Tertiary-Care Center: Trends in Nosocomial Infection Rates, Device Utilization, and Patient Acuity
Weinstein J, Mazon D, Pantelick E, Reagan-Cirincione P, Dembry L, Hierholzer W. A Decade of Prevalence Surveys in a Tertiary-Care Center: Trends in Nosocomial Infection Rates, Device Utilization, and Patient Acuity. Infection Control And Hospital Epidemiology 1999, 20: 543-548. PMID: 10466554, DOI: 10.1086/501675.Peer-Reviewed Original ResearchConceptsNosocomial infection ratesAcute care patientsNosocomial bloodstream infectionsPrevalence surveyNosocomial infectionsInfection rateBloodstream infectionsPotential quality improvement initiativesAbnormal laboratory indicatorsAnnual prevalence surveysInvasive device utilizationTertiary care centerAbnormal laboratory valuesSeverity of illnessAcute care bedsInfection control practitionersSurveillance System dataRate of infectionQuality improvement initiativesObstetric-gynecologic servicesCase mix indexChart reviewCare patientsFoley catheterLaboratory indicators
1998
Molecular Analysis of Glycopeptide-ResistantEnterococcus faecium Isolates Collected from Michigan Hospitals over a 6-Year Period
Thal L, Donabedian S, Robinson-Dunn B, Chow J, Dembry L, Clewell D, Alshab D, Zervos M. Molecular Analysis of Glycopeptide-ResistantEnterococcus faecium Isolates Collected from Michigan Hospitals over a 6-Year Period. Journal Of Clinical Microbiology 1998, 36: 3303-3308. PMID: 9774583, PMCID: PMC105319, DOI: 10.1128/jcm.36.11.3303-3308.1998.Peer-Reviewed Original ResearchMeSH KeywordsAnti-Bacterial AgentsBacterial Typing TechniquesChromosomes, BacterialCross InfectionDNA, BacterialDrug Resistance, MicrobialElectrophoresis, Gel, Pulsed-FieldEnterococcus faeciumGene Transfer TechniquesGenes, BacterialGram-Positive Bacterial InfectionsHumansMichiganMolecular EpidemiologyNucleic Acid HybridizationPlasmidsVancomycinConceptsExtended-care facilityPulsed-field gel electrophoresisEnterococcus faecium isolatesFaecium isolatesClonal disseminationVancomycin-resistant E. faeciumStrain typesE. faecium isolatesVancomycin-resistant E. faecium isolatesIntrahospital disseminationSpread of resistanceMichigan hospitalsMajority of isolatesPatientsHospitalClinical isolatesGentamicin resistanceVanA geneErythromycin resistanceE. faeciumVancomycin resistanceType M2VanB genesMolecular relatednessMost isolatesNosocomial Candida glabrata Colonization: an Epidemiologic Study
Vazquez J, Dembry L, Sanchez V, Vazquez M, Sobel J, Dmuchowski C, Zervos M. Nosocomial Candida glabrata Colonization: an Epidemiologic Study. Journal Of Clinical Microbiology 1998, 36: 421-426. PMID: 9466752, PMCID: PMC104553, DOI: 10.1128/jcm.36.2.421-426.1998.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedBone Marrow TransplantationCandidaCandidiasisChildChild, PreschoolCross InfectionDNA, FungalEnvironmental MicrobiologyFemaleHandHealth PersonnelHospitalizationHospitals, UniversityHumansIntensive Care UnitsMaleMiddle AgedMolecular EpidemiologyPolymorphism, Restriction Fragment LengthProspective StudiesRisk FactorsConceptsNosocomial acquisitionC. glabrataMedical intensive care unitBone marrow transplant unitPrior antimicrobial useDuration of hospitalizationIntensive care unitMarrow transplant unitSignificant risk factorsImportant nosocomial pathogenStrain typesSame strain typeCare unitTransplant unitUniversity HospitalRisk factorsEpidemiologic studiesPatientsC. glabrata strainsEnvironmental surfacesHospital personnelNosocomial pathogenAntimicrobial useIdentical strainsHospital environment
1996
Control of endemic glycopeptide-resistant enterococci.
Dembry LM, Uzokwe K, Zervos MJ. Control of endemic glycopeptide-resistant enterococci. Infection Control And Hospital Epidemiology 1996, 17: 286-92. PMID: 8727617, DOI: 10.1086/647297.Peer-Reviewed Original ResearchConceptsVancomycin-resistant EnterococcusRenal unitsEradication of carriageVRE stool colonizationCommunity teaching hospitalPatient carriageBarrier precautionsOral doxycyclineFurther patientsStool colonizationGlycopeptide-resistant enterococciCulture surveyTeaching hospitalPatientsStudy periodEnterococcus faeciumEnterococcus gallinarumCarriageRifampinDoxycyclineEnterococcusControl measuresDaysUseful measureHospitalComparison of rectal and perirectal swabs for detection of colonization with vancomycin-resistant enterococci
Weinstein JW, Tallapragada S, Farrel P, Dembry LM. Comparison of rectal and perirectal swabs for detection of colonization with vancomycin-resistant enterococci. Journal Of Clinical Microbiology 1996, 34: 210-212. PMID: 8748308, PMCID: PMC228765, DOI: 10.1128/jcm.34.1.210-212.1996.Peer-Reviewed Original Research
1994
DNA analysis in the study of the epidemiology of nosocomial candidiasis.
Dembry L, Vazquez J, Zervos M. DNA analysis in the study of the epidemiology of nosocomial candidiasis. Infection Control And Hospital Epidemiology 1994, 15: 48-53. PMID: 7907618, DOI: 10.1086/646817.Peer-Reviewed Original ResearchDNA Analysis in the Study of the Epidemiology of Nosocomial Candidiasis
Dembry L, Vazquez J, Zervos M. DNA Analysis in the Study of the Epidemiology of Nosocomial Candidiasis. Infection Control And Hospital Epidemiology 1994, 15: 48-54. DOI: 10.2307/30148385.Peer-Reviewed Original ResearchConceptsCandida infectionsCandida speciesIntensive supportive careLonger patient survivalCurrent therapeutic regimensDisseminated Candida infectionFemale genital tractSevere Candida infectionsCandida albicans fungemiaImportant nosocomial pathogenNosocomial candidiasisAggressive treatmentPostoperative patientsSupportive careCrude mortalityIntensive carePatient survivalTherapeutic regimensCancer patientsBlood culturesGenital tractGastrointestinal tractViral infectionPatientsNosocomial pathogen
1993
Nosocomial Acquisition of Candida albicans: An Epidemiologic Study
Vazquez J, Sanchez V, Dmuchowski C, Dembry L, Sobel J, Zervos M. Nosocomial Acquisition of Candida albicans: An Epidemiologic Study. The Journal Of Infectious Diseases 1993, 168: 195-201. PMID: 8515108, DOI: 10.1093/infdis/168.1.195.Peer-Reviewed Original ResearchConceptsNosocomial acquisitionMedical intensive care unitBone marrow transplant unitIntensive care unitMarrow transplant unitIndirect patient contactC. albicansPrior antibioticsCare unitProspective studyTransplant unitUniversity HospitalRisk factorsEpidemiologic studiesPatient contactPatientsEnvironmental surfacesHospital personnelCandida albicansIdentical strainsStrain typesAdmissionLength of timeRestriction enzyme analysisAlbicansNosocomial acquisition of Candida parapsilosis: An epidemiologic study
Sanchez V, Vazquez J, Barth-Jones D, Dembry L, Sobel J, Zervos M. Nosocomial acquisition of Candida parapsilosis: An epidemiologic study. The American Journal Of Medicine 1993, 94: 577-582. PMID: 8389525, DOI: 10.1016/0002-9343(93)90207-6.Peer-Reviewed Original ResearchConceptsIntensive care unitC. parapsilosisMedicine intensive care unitBone marrow transplant unitNegative initial culturesTertiary care hospitalMarrow transplant unitLittle epidemiologic informationHands of personnelImportant nosocomial pathogenStrain typesRestriction enzyme analysisCandida parapsilosisEnvironmental surfacesImmunosuppressive therapyNosocomial acquisitionAntibiotic therapyCare hospitalCare unitTransplant unitControl subjectsHand culturesNosocomial infectionsPatient strainsEpidemiologic information