{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T15:27:19Z","timestamp":1771428439989,"version":"3.50.1"},"reference-count":28,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,12,25]],"date-time":"2025-12-25T00:00:00Z","timestamp":1766620800000},"content-version":"vor","delay-in-days":24,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000897","name":"Cystic Fibrosis Foundation","doi-asserted-by":"publisher","award":["MUHLEB19A0"],"award-info":[{"award-number":["MUHLEB19A0"]}],"id":[{"id":"10.13039\/100000897","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chronic lung infections are a hallmark of cystic fibrosis (CF), and the pathogens involved can be transmitted among people with CF (pwCF). The 2013 update of the CF Foundation (CFF) infection prevention and control (IP&amp;C) recommendations emphasized education and monitoring adherence to IP&amp;C practices. Our study aims to assess staff knowledge in outpatient CF clinics, to assess potential barriers to implementation of the 2013 IP&amp;C recommendations, and to identify practice changes resulting from the COVID\u201019 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this multicenter study, electronic surveys were developed and sent to 10 pediatric and 10 adult CF centers between May 2022 and November 2022. Local CF center directors distributed the survey to their outpatient clinical care teams, and responses were anonymous.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The 174 respondents represented seven different healthcare professions, including respondents from all study sites. Most (72.4%, 126\/174) were aware of written CF IP&amp;C policies, but only 50.8% (64\/126) knew if the policy specified cleaning roles. Knowledge of the recommended disinfection frequency for specific patient care equipment and high touch surfaces varied strongly by profession (lowest for physicians, highest for certified nursing assistants\/medical assistants). Most (77.1%, 215\/279) of the responses indicated adherence to recommendations for performing spirometry, with 25.9% (33\/127) of respondents reporting no changes in practice during the COVID\u201019 pandemic. Respondents perceived an increased adherence to use of personal protective equipment and hand hygiene by staff and pwCF since the pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>While overall awareness of IP&amp;C policies has improved since the 2013 updates, knowledge on specifics should be improved.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ppul.71439","type":"journal-article","created":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T06:26:46Z","timestamp":1766730406000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Provider Knowledge of 2013 Cystic Fibrosis Infection Prevention and Control Guidelines for Outpatient Care"],"prefix":"10.1002","volume":"60","author":[{"given":"Cindy L.","family":"Williams","sequence":"first","affiliation":[{"name":"Department of Pediatrics University of North Carolina School of Medicine Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Ansar","sequence":"additional","affiliation":[{"name":"Department of Pulmonology Cincinnati Children's Hospital Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juyan J.","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Columbia University Irving Medical Center New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agathe","family":"Ceppe","sequence":"additional","affiliation":[{"name":"Marsico Lung Institute University of North Carolina Chapel Hil North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John J.","family":"LiPuma","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Michigan Medical School Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Saiman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Columbia University Irving Medical Center New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6391-1598","authenticated-orcid":false,"given":"Marianne S.","family":"Muhlebach","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of North Carolina School of Medicine Chapel Hill North Carolina USA"},{"name":"Marsico Lung Institute University of North Carolina Chapel Hil North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,25]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijms24097766"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00019-18"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12866-016-0736-1"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1086\/503485"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1086\/676882"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.21528"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.20876"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2021.07.009"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prrv.2020.06.008"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prrv.2019.08.001"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0322911"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prrv.2020.06.011"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2024.102"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-019-4044-y"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2011.03735.x"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2010.03.006"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2024.04.006"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCQ.0000000000000269"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12890-020-1052-y"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2025.01.008"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.202005-569RL"},{"key":"e_1_2_9_23_1","unstructured":"Cystic Fibrosis Foundation website. \u201cCF Care Center Visits.\u201d accessed April 15 2025 https:\/\/www.cff.org\/managing-cf\/cf-care-center-visits."},{"key":"e_1_2_9_24_1","unstructured":"Cystic Fibrosis Foundation Patient Registry. 2022 Annual Data Report Bethesda Maryland 2023 Cystic Fibrosis Foundation."},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2023.10.015"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00138-18"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.2009"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2013-002315"},{"key":"e_1_2_9_29_1","unstructured":"World Health Organization website. \u201cStatement on the Fifteenth Meeting of the IHR (2005) Emergency Committee on the COVID\u201019 Pandemic.\u201d Published 05 May 2023 accessed April 15 2025 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