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Low training rates, inadequate supplies, documentation and tracking challenges, patient refusal, and burnout contributed to suboptimal adherence. Prioritizing education is essential but alone is insufficient for successful protocol adoption.<\/jats:p>","DOI":"10.1017\/ice.2022.234","type":"journal-article","created":{"date-parts":[[2022,9,26]],"date-time":"2022-09-26T09:17:00Z","timestamp":1664183820000},"page":"1167-1170","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Identifying barriers to compliance with a universal inpatient protocol for <i>Staphylococcus aureus<\/i> nasal decolonization with povidone-iodine"],"prefix":"10.1017","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6807-5100","authenticated-orcid":false,"given":"Rebecca A.","family":"Stern","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bryan D.","family":"Harris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"DeVault","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1681-4933","authenticated-orcid":false,"given":"Thomas R.","family":"Talbot","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2022,9,26]]},"reference":[{"key":"S0899823X22002343_ref3","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1016\/S1473-3099(05)70295-4","article-title":"The role of nasal carriage in Staphylococcus aureus infections","volume":"5","author":"Wertheim","year":"2005","journal-title":"Lancet Infect Dis"},{"key":"S0899823X22002343_ref4","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1056\/NEJM200101043440102","article-title":"Nasal carriage as a source of Staphylococcus aureus bacteremia","volume":"344","author":"von Eiff","year":"2001","journal-title":"N Engl J Med"},{"key":"S0899823X22002343_ref9","doi-asserted-by":"crossref","first-page":"e0242217","DOI":"10.1371\/journal.pone.0242217","article-title":"Nasal povidone-iodine implementation for preventing surgical site infections: perspectives of surgical nurses","volume":"15","author":"Hammond","year":"2020","journal-title":"PLoS One"},{"key":"S0899823X22002343_ref10","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofab466.004"},{"key":"S0899823X22002343_ref5","unstructured":"5. Strategies to prevent hospital-onset Staphylococcus aureus bloodstream infections in acute-care facilities. Centers for Disease Control and Prevention website. https:\/\/www.cdc.gov\/hai\/prevent\/staph-prevention-strategies.html. Published December 2019. Accessed December 9, 2021."},{"key":"S0899823X22002343_ref6","doi-asserted-by":"crossref","first-page":"e00682","DOI":"10.1128\/AAC.00682-20","article-title":"Povidone iodine: properties, mechanisms of action, and role in infection control and Staphylococcus aureus decolonization","volume":"64","author":"Lepelletier","year":"2020","journal-title":"Antimicrob Agents Chemother"},{"key":"S0899823X22002343_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2019.09.014"},{"key":"S0899823X22002343_ref2","first-page":"2112","article-title":"Methicillin-susceptible and methicillin-resistant Staphylococcus aureus bacteremia: nationwide estimates of 30-day readmission, in-hospital mortality, length of stay, and cost in the United States","volume":"69","author":"Inagaki","year":"2019","journal-title":"Clin Infect Dis"},{"key":"S0899823X22002343_ref1","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2019.296"},{"key":"S0899823X22002343_ref8","doi-asserted-by":"crossref","first-page":"2255","DOI":"10.1056\/NEJMoa1207290","article-title":"Targeted versus universal decolonization to prevent ICU infection","volume":"368","author":"Huang","year":"2013","journal-title":"N Engl J Med"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X22002343","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T08:08:24Z","timestamp":1690358904000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X22002343\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,26]]},"references-count":10,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["S0899823X22002343"],"URL":"https:\/\/doi.org\/10.1017\/ice.2022.234","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,26]]},"assertion":[{"value":"\u00a9 The Author(s), 2022. 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