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Collis B, Guo C, Lee CC, Khan SF. Critical Microbiological Clues in a Critically Ill Patient With Pneumonia. Clin Infect Dis 2024; 78:1053-1055. [PMID: 38598565 DOI: 10.1093/cid/ciad729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/12/2024] Open
Affiliation(s)
- Brennan Collis
- Department of Infectious Diseases, Alfred Health, Melbourne, Victoria, Australia
- Microbiology Unit, Department of Pathology, Alfred Health, Melbourne, Victoria, Australia
| | - Christina Guo
- Department of Infectious Diseases, Alfred Health, Melbourne, Victoria, Australia
| | - Chris C Lee
- Microbiology Unit, Department of Pathology, Alfred Health, Melbourne, Victoria, Australia
| | - Sadid F Khan
- Department of Infectious Diseases, Alfred Health, Melbourne, Victoria, Australia
- Microbiology Unit, Department of Pathology, Alfred Health, Melbourne, Victoria, Australia
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Collis B, Tacey M, McGrath C, Madigan V, Kainer M, Tramontana A, Aboltins C. P2/N95 fit testing and the risk of COVID-19 in Healthcare Workers. Infect Dis Health 2024; 29:8-14. [PMID: 37573216 DOI: 10.1016/j.idh.2023.07.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Revised: 07/23/2023] [Accepted: 07/23/2023] [Indexed: 08/14/2023]
Abstract
BACKGROUND Guidelines recommend healthcare workers (HCWs) undertake fit testing of P2/N95 respirators to mitigate the risk of infectious aerosols, however few studies have assessed whether fit testing reduces COVID-19 infection. METHODS A retrospective cohort study was conducted amongst HCWs across two tertiary health services in Melbourne, Australia during a period of low community transmission. Institution-wide quantitative fit testing and detailed questionnaires assessing COVID-19 acquisition risk factors were undertaken from September 2020. HCWs diagnosed with COVID-19 in the period prior to the fit testing program (February 1st - August 31st 2020) were matched on a 1:3 ratio to HCWs who had not been diagnosed with COVID-19. Risk factors for COVID-19 acquisition, including fit testing outcome, were compared between groups. RESULTS A total of 1571 HCWs took part in fit testing programs. Seventy-two (4.6%) were diagnosed with COVID-19 within the study period. Younger age, nursing staff, close contact with a COVID-19 case, and working longer periods in wards with COVID-19 patients, were associated with COVID-19 infection. After matching for intensity of occupational exposure to infectious aerosols, close contact was the only independent variable associated with COVID-19 infection (OR 3.50, 95% CI:1.65-7.44, p = 0.001). Adequate fit test for the respirator predominately worn before the fit testing period was not associated with COVID-19 (OR 1.08, 95% CI:0.59-1.98, p = 0.815). CONCLUSION After controlling for intensity of occupational exposure to infectious aerosols, P2/N95 respirator fit testing was not associated with reduced risk of COVID-19 infection. The utility of widespread fit testing to reduce HCW COVID-19 infections should be reconsidered.
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Affiliation(s)
- Brennan Collis
- Department of Infectious Diseases, The Northern Hospital, 185 Cooper Street, Epping, Victoria, 3076, Australia.
| | - Mark Tacey
- Department of Infectious Diseases, The Northern Hospital, 185 Cooper Street, Epping, Victoria, 3076, Australia; Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie Street, Carlton, Victoria, 3053, Australia
| | - Christian McGrath
- Department of Infectious Diseases, The Northern Hospital, 185 Cooper Street, Epping, Victoria, 3076, Australia
| | - Victoria Madigan
- Department of Infectious Diseases, The Northern Hospital, 185 Cooper Street, Epping, Victoria, 3076, Australia
| | - Marion Kainer
- Department of Infectious Diseases, Western Health, 176 Furlong Road, St. Albans, Victoria, 3021, Australia
| | - Adrian Tramontana
- Department of Infectious Diseases, Western Health, 176 Furlong Road, St. Albans, Victoria, 3021, Australia
| | - Craig Aboltins
- Department of Infectious Diseases, The Northern Hospital, 185 Cooper Street, Epping, Victoria, 3076, Australia; Northern Clinical School, The University of Melbourne, 185 Cooper Street, Epping, Victoria, 3076, Australia
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Collis B, Vogrin S, Trubiano JA, Reynolds G. Validation Study of a Clinical Predictive Model for Fluconazole Resistance in Patients With Candida Bloodstream Infection. Open Forum Infect Dis 2023; 10:ofad323. [PMID: 37496611 PMCID: PMC10368446 DOI: 10.1093/ofid/ofad323] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Accepted: 07/09/2023] [Indexed: 07/28/2023] Open
Affiliation(s)
- Brennan Collis
- Department of Infectious Diseases, Austin Health, Heidelberg, Victoria, Australia
| | - Sara Vogrin
- Department of Medicine, University of Melbourne, Parkville, Victoria, Australia
| | - Jason A Trubiano
- Department of Infectious Diseases, Austin Health, Heidelberg, Victoria, Australia
- Department of Medicine, University of Melbourne, Parkville, Victoria, Australia
- National Centre for Infections in Cancer, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia
- Department of Infectious Diseases, The Peter Doherty Institute for Infection and Immunity, University of Melbourne, Melbourne, Australia
| | - Gemma Reynolds
- Correspondence: Gemma Reynolds, BArts (Hons), MBBS (Hons), MIDI (Dist), FRACP, Department of Infectious Diseases, Austin Health, 145 Studley Road, Heidelberg, Victoria 3084, Australia ()
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Collins L, Collis B, Trajanovska M, Khanal R, Hutson JM, Teague WJ, King S. Reply to letter to the Editor. J Pediatr Surg 2018; 53:1447-1448. [PMID: 29685488 DOI: 10.1016/j.jpedsurg.2018.02.098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/12/2018] [Accepted: 02/15/2018] [Indexed: 10/17/2022]
Affiliation(s)
- Lucy Collins
- Department of Paediatric Surgery, The Royal Children's Hospital, Melbourne, Australia; Department of Paediatrics, University of Melbourne, Melbourne, Australia
| | - Brennan Collis
- Department of Paediatric Surgery, The Royal Children's Hospital, Melbourne, Australia; Department of Paediatrics, University of Melbourne, Melbourne, Australia
| | - Misel Trajanovska
- Centre for Community and Child Health, The Royal Children's Hospital, Melbourne, Australia
| | - Rija Khanal
- Department of Paediatric Surgery, The Royal Children's Hospital, Melbourne, Australia; Department of Paediatrics, University of Melbourne, Melbourne, Australia
| | - John M Hutson
- Department of Paediatrics, University of Melbourne, Melbourne, Australia; F. Douglas Stephens Surgical Research Group, Murdoch Children's Research Institute, Melbourne, Australia; Department of Urology, The Royal Children's Hospital, Melbourne, Australia
| | - Warwick J Teague
- Department of Paediatric Surgery, The Royal Children's Hospital, Melbourne, Australia; Department of Paediatrics, University of Melbourne, Melbourne, Australia; F. Douglas Stephens Surgical Research Group, Murdoch Children's Research Institute, Melbourne, Australia
| | - Sebastian King
- Department of Paediatric Surgery, The Royal Children's Hospital, Melbourne, Australia; Department of Paediatrics, University of Melbourne, Melbourne, Australia; F. Douglas Stephens Surgical Research Group, Murdoch Children's Research Institute, Melbourne, Australia; Department of Gastroenterology and Clinical Nutrition, The Royal Children's Hospital, Melbourne, Australia.
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Abstract
This paper reports on the development and evaluation of a risk screening instrument (RSI) intended for use by nursing staff on general acute psychiatric admission wards. The RSI comprised six questions concerning patient status on admission (e.g. sex, legal status, employment) and 11 items of judgement concerning the presentation of the patient (e.g. threatening behaviour, suicidality, family and social support). The interrater reliability of the RSI was calculated to be 85% overall. The predictive value of the RSI was not confirmed when tested against harmful incidents subsequent to admission. However, the mean RSI score of that group of patients involved in harmful incidents tended to be higher than that group of patients not involved in such incidents, and all such incidents were found to occur within eight days of admission. Analysis of other data collected in the course of the study revealed discrete patient groups and provided systematic insights into their characteristics, which are potentially valuable when considering the nursing skills required on acute psychiatric inpatient units. It is concluded that the RSI tested has the potential to contribute to the assessment and management of risk within the acute psychiatric inpatient setting, by augmenting and guiding clinical judgement.
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Affiliation(s)
- N Holdsworth
- University of Northumbria at Newcastle, Newcastle-upon-Tyne, Northumberland, UK
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Broome A, Collis B. A patient for behaviour modification. Nurs Times 1976; 72:580-1. [PMID: 1264787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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Mitchell DM, O’Connor MH, Sachs H, Malley K, Beadshaw TG, O’Connor, Smyth PJ, Bradshaw TG, O’Donovan DK, Murphy EL, Collis B, Bradshaw, Malley, Pakker, Jessop WJ, O’Donovan DK, Freeman ET, Collis R, Reynolds RA, Collis. Transactions of the royal academy of medicine in Ireland. Ir J Med Sci 1941. [DOI: 10.1007/bf02947111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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