Survey of Infection Prevention and Control (IPAC) Practices among Kidney and Liver Transplant Centers
Bibliographic record
Abstract
Background. There is a perceived lack of standardized practice on IPAC strategies among abdominal (kidney and liver) transplant (tx) centers. Methods. A survey was performed of members of the American Society of Transplantation Infectious Diseases Community of Practice in 11/14 and 2/15 on IPAC policies after kidney and liver transplantation. Results. A total of 35 centers from the United States (27), Canada (2), Switzerland (2), South Korea (1), Turkey (1), India (1), and China (1) participated in this survey. 31 were liver tx centers and 35 were kidney tx centers. Only a minority use HEPA filtered rooms during hospitalizations (19.7 % at all times and 9.7 % immediate post-liver tx; 18.6 % at all times, and 8.6 % immediate post-kidney tx). Even fewer centers use positive pressure rooms (9.7% immediately post-tx and 3.2 % as clinically indicated in liver tx; 8.6% immediately post-tx and 5.7% as clinically indicated among kidney tx centers). Majority (94.3%) of centers do not have a policy beyond standard hand hygiene. One fifth of liver and kidney centers employ measures beyond standard room cleaning. Dedicated medical equipment such as stethoscope is used when caring for patients in 61.3% of liver tx and 62.5% of kidney tx centers, but only when there is a clinically indication. Only slightly over half (54.3%) do not allow live plants or flowers in tx units (54.3%). Likewise, the majority (74.3%) does not prohibit the use of personal belongings in patient rooms. However, majority does not allow animal companions (75%). Visitor age restriction, when enforced, varies from <5 years to <15 years. A third of kidney tx centers (34.3%) and liver tx centers (29%) recommend use of respiratory masks for patients leaving hospital rooms. Only 17.2% of kidney tx and 12.9% liver tx centers recommend respiratory mask use outside of the hospital; and duration of recommended mask use varied from immediately to 6 months post-tx. Conclusion. This survey highlights differences in IPAC strategies among kidney and liver tx centers. Evidence-based guidelines addressing these practices are needed in an effort to standardize the approach in the care of this vulnerable population. Disclosures. All authors: No reported disclosures.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".