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14 August 2020, Issue 13 - AJIC: American Journal of Infection Control 2020; AACN Advanced Critical Care, Summer 2020; New Zealand Medical Journal, 31 July 2020

Get the NZ COVID Tracer App

NZ COVID Tracer is a Ministry of Health app that allows you to create a digital diary of places you visit by scanning the official QR codes. This will help contact tracers to quickly identify and isolate anyone who may have been exposed to COVID-19 if there is a further outbreak in New Zealand.

Articles - AJIC: American Journal of Infection Control, 2020

1. Susceptibility of SARS-CoV-2 to UV Irradiation
Christiane Silke Heilingloh., Ulrich Wilhelm Aufderhorst et al.
AJIC: American Journal of Infection Control, 2020. Article in Press.

The coronavirus SARS-CoV-2 pandemic became a global health burden. We determined the susceptibility of SARS-CoV-2 to irradiation with ultraviolet light. The virus was highly susceptible to ultraviolet light. UVC irradiation represents a suitable disinfection method for SARS-CoV-2.

2. P.R.I.D.E- Preventing Respiratory Infectious Disease Exposures: An Improvement Project in a Northern Californian Emergency Room
Jennifer Cole., James Gambone & Emily Barnard
AJIC: American Journal of Infection Control, 2020. Article in Press.

This project encouraged registered nurses to quickly identify and isolate potentially infectious patients in the emergency room, to prevent exposures to airborne and droplet transmitted communicable diseases, including meningitis, tuberculosis (TB) and measles.

3. Nursing leadership and the reduction of catheter-associated urinary tract infection
Patti E. Landerfelt., Apryl Lewis., Yin Li & Jeannie P. Cimiotti
AJIC: American Journal of Infection Control, 2020. Article in Press.

The prevention of infections continues to be a challenge for many hospitals. We examined specific features of nursing leadership and found improvements in leadership were associated with a decrease in catheter-associated urinary tract infection (CAUTI). Infection prevention efforts in acute care hospitals should focus on nurse leaders and their ability to provide the support necessary to improve care delivery - support that could be instrumental in the reduction and the elimination of CAUTI.

4. Environmental detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) from medical equipment in long-term care facilities undergoing COVID-19 outbreaks
Atiba Nelson., Jennifer Kassimatis et al.
AJIC: American Journal of Infection Control, 2020. Article in Press.

Environmental sampling was conducted at long-term care facilities to determine the extent of surface contamination with severe acute respiratory syndrome coronavirus 2 virus. Medical equipment used throughout the facility was determined to be contaminated.

Articles - AACN Advanced Critical Care, Summer 2020

5.  Management and Treatment of Necrotizing Fasciitis
Blair, David & Piccicacco, Nicholas
AACN Advanced Critical Care, Summer 2020, 31(2), 118-125

Necrotizing fasciitis (NF) is a life-threatening condition characterized by infection of the subcutaneous tissue. The condition may or may not be visible on the exterior of the body. The incidence of NF varies by geographic location. In the United States, the incidence is reported to be 40 cases per 1 million person-years, which makes this diagnosis fairly infrequent.

6. Evaluation of Behavior Change Techniques in Mobile Health Apps.
Harrington, Linda
AACN Advanced Critical Care, Summer 2020, 31(2), 126-128

Use of mobile apps designed to support and reinforce health behaviors or decrease risk behaviors is expected to continue to increase, but the success rates of apps in enabling and sustaining desired health behaviors varies. Therefore, it is important for clinicians to be skilled in evaluating behaviour change techniques (BCTs) in mobile health apps.

7. Design and Implementation of an Anti--Factor Xa Heparin Monitoring Protocol.
Williams-Norwood, Tanya; Caswell, Megan; Milner, Barbara; Vescera, Joseph C.; Prymicz, Kelly; Ciszak, Amy G.; Ingle, Carol; Lacey, Christopher & Stavrou, Evi X.
AACN Advanced Critical Care, Summer 2020, 31(2), 129-137

The VA Northeast Ohio Healthcare System introduced a new nurse-driven anti–factor Xa (anti-Xa) protocol for monitoring unfractionated heparin to replace the previous activated partial thromboplastin time protocol.

8. Promoting Well-Being and Resilience in Critical Care Nursing.
Mealer, Meredith
AACN Advanced Critical Care, Summer 2020, 31(2), 139-140

It is difficult to pick up a journal or attend a professional meeting without encountering discussion about the well-being of health care clinicians working in stressful acute care environments. It is equally difficult to navigate the multiple concepts that have been developed and used to assess the distressing consequences of working with acute and critically ill patients.

9. Systems to Address Burnout and Support Well-being: Implications for Intensive Care Unit Nurses.
Hylton Rushton, Cynda & Pappas, Sharon
AACN Advanced Critical Care, Summer 2020, 31(2), 141-145

Burnout, a syndrome resulting from chronic job-related stress in the workplace, is an extensive problem among clinicians working in health care organizations. The 3 dimensions of burnout include emotional exhaustion, depersonalization, and loss of a sense of professional efficacy.

10. Moral Distress, Mattering, and Secondary Traumatic Stress in Provider Burnout: A Call for Moral Community.
Epstein, Elizabeth G.; Haizlip, Julie; Liaschenko, Joan; Zhao, David; Bennett, Rachel & Faith, Mary
AACN Advanced Critical Care, Summer 2020, 31(2), 146-157

Burnout incurs significant costs to health care organizations and professionals. Mattering, moral distress, and secondary traumatic stress are personal experiences linked to burnout and are by products of the organizations in which we work. This article conceptualizes health care organizations as moral communities--groups of people united by a common moral purpose to promote the well-being of others.

Articles – New Zealand Medical Journal, Vol 133 No 1519: 31 July 2020


11. Editorial:  Has the present government delivered the health policy that it promised before it was elected?
Frank Frizelle
New Zealand Medical Journal, Vol 133 No 1519, 31 July 2020

The health issue of today is clearly the COVID-19 pandemic and the New Zealand response. At the time of writing most New Zealanders will rightly feel proud of our response to the pandemic and the effect of this response on the ability of our health system to function as it does.

12. Falls risk factor assessment and secondary prevention in the older old
Katherine Bloomfield, Marcus Lau, Martin J Connolly
New Zealand Medical Journal, Vol 133 No 1519, 31 July 2020

Falls are common in older adults with half of community-dwelling people aged 80 years and over experiencing a fall in one year. There is associated morbidity and mortality, including risk of falls-related injury and risk of death, but also functional decline, risk of residential care admission and well recognised post-fall anxiety.

13. Atrial fibrillation in acute coronary syndrome: patient characteristics and appropriate utilisation of anti-thrombotic therapy in New Zealand (ANZACS-QI 39)
Charles Yao-Cheng Ho, Mildred Lee, Chris Nunn, Jonathon White, Andrew J Kerr, on behalf of the ANZACS-QI investigators
New Zealand Medical Journal, Vol 133 No 1519, 31 July 2020

Concomitant atrial fibrillation (AF) and acute coronary syndrome (ACS) present the difficult therapeutic dilemma of balancing bleeding, cardio-embolic and coronary thrombotic risks with appropriate combinations of antithrombotic medications. We aim to evaluate current New Zealand practice by identifying the incidence of AF in ACS; describe the population characteristics; and assess our antithrombotic management.

14. Hip abductor tendon tears—a survey of New Zealand orthopaedic surgeons
Mark F Zhu, David S Musson, Jacob T Munro
New Zealand Medical Journal, Vol 133 No 1519, 31 July 2020

Hip abductor tendon tears are a common cause of chronic hip pain and a difficult problem to manage. The aim of this survey is to establish the level of recognition by New Zealand orthopaedic surgeons and identify the challenges in treating abductor tendon repairs.

15. Appropriateness of trimethoprim as empiric treatment for cystitis in 15–55 year-old women: an audit
James E Ussher, Gary N McAuliffe, Juliet A Elvy, TRIME auditors, Arlo Upton
New Zealand Medical Journal, Vol 133 No 1519, 31 July 2020

Aim: To assess whether trimethoprim remains an appropriate empiric treatment for uncomplicated cystitis in women 15–55 years old.

16. Chronic hepatitis B infection—an unmet medical need in New Zealand 35 years after universal neonatal vaccination
Erin Horsfall, Ed Gane, Ahmad Anwar, Chris Moyes, Alex Lampen-Smith, Susan Hay, Chris Cunningham
New Zealand Medical Journal, Vol 133 No 1519, 31 July 2020

Chronic hepatitis B virus (HBV) infection is a recognised global health priority and in 2016 the World Health Organisation (WHO) adopted the first-ever global hepatitis strategy to eliminate viral hepatitis as a public health threat by 2030. New Zealand is one of the 196 Member States to adopt the WHO strategy and a draft National Hepatitis B Plan has been developed by The Hepatitis Foundation of New Zealand (HFNZ) to support a national strategic approach.


17. College of Gerontology Nursing NZNO Conference
: Monday 19th and Tuesday 20th October 2020
Venue: Harbourside Function Centre, 4 Taranaki Street, Wellington

News – National

18. Coronavirus: All New Zealand's confirmed COVID-19 cases to be put in quarantine facilities from now on
Newshub – 13 August 2020
Director-General of Health Dr Ashley Bloomfield announced the change at a press conference on Thursday, moments after revealing there are 13 new cases of coronavirus linked to an outbreak in south Auckland.

19. Covid-19 update: 13 new cases in community, one in managed isolation
Radio New Zealand – 13 August 2020
There are 13 new cases of Covid-19 in the community in Auckland today and one in managed isolation.

News – International

20. 'Concerning': Regional testing push after rise in 'mystery cases'
The Age – 13 August 2020
Victoria has recorded 278 new coronavirus cases in the past day, marking a significant decline in daily infections, but concerns are increasing about "mystery cases" emerging outside Melbourne. A further eight people were killed by the virus in the past day. It comes after six consecutive days of double-digit COVID-19 deaths

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