Health care providers' perspectives for providing quality infection control measures at the neonatal intensive care unit, Cairo University Hospital

Salem, Marwa Rashad; Youssef, Meray Rene Labib

doi:10.1016/j.ajic.2017.03.013

Cited by 13 publications

(7 citation statements)

References 17 publications

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“…Therefore, it is necessary to implement resources that allow a continuing education and that promote patient safety in healthcare environments and in the training of these workers. With this, satisfactory results regarding patient safety and risk management can be obtained in healthcare settings such as ICUs 21,27 .…”

Section: Discussionmentioning

confidence: 98%

“…Given the above, it is possible to perceive that risk management in ICUs still has gaps and failures that need maintenance in order to improve the quality of care and reduce the risks of contamination 21,25 . In this perspective, it was observed that 20% of the articles show that the best way to prevent the risk of infection is to perform hand hygiene according to the current guidelines, which is the simplest and most effective measure to reduce infections.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Condutas relativas à redução do risco desenvolvidas pelos profissionais de saúde na unidade de terapia intensiva: uma scoping review

Nóbrega

Salviano

Dantas

et al. 2021

Rev. Med. (São Paulo)

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Objetivo: Mapear e identificar as condutas relativas à redução do risco desenvolvidas pelos profissionais de saúde na unidade de terapia intensiva. Método: Scoping review segundo o JBI Institute Reviewer’s Manual. Na busca inicial foram utilizados os descritores encontrados no MeSH: health personnel, risk management e Intensive care unit, para delimitar a estratégia final de busca, composta por uma combinação de duzentas e vinte e duas palavras-chave, realizada em bases de dados científicas e cinzentas, sem limite temporal. Foram extraídas informações sobre o ano, país de origem, objetivo da publicação, condutas realizadas, condutas negligenciadas, protocolos desenvolvidos, profissionais envolvidos, aspectos do método, resultados e conclusões relacionados ao tema proposto neste artigo de scoping review. Resultados: A seleção primária foi de 10.349.624 textos que tiveram seus títulos e resumos avaliados e, de acordo com os critérios de inclusão estabelecidos, foram selecionados 94 para leitura na íntegra. Posteriormente excluímos 79 (40 não responderam ao objetivo, 38 eram indisponíveis e 1 foi escrito em francês). Assim, a seleção final foi composta por 15 artigos. Entre as principais condutas realizadas pelos profissionais de saúde, a que mais se destacou foi a higienização das mãos, no entanto, ainda é muito negligenciada nesse meio, o que gera maior risco para pacientes e profissionais das UTI’s. Além disso, a elevada carga de trabalho, falta de discussão sobre erros e falta de capacitação, são ações muito citadas que afetam diretamente a qualidade do serviço de saúde. Conclusões e implicações para a prática: É fundamental que o gerenciamento de risco no ambiente de UTI seja feito de forma prioritária, eficiente e com qualidade, a fim de evitar ou minimizar os eventos adversos, culminando, portanto, em uma assistência integral, qualificada e responsável da evolução do quadro clínico de cada paciente.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Condutas relativas à redução do risco desenvolvidas pelos profissionais de saúde na unidade de terapia intensiva: uma scoping review

Nóbrega

Salviano

Dantas

et al. 2021

Rev. Med. (São Paulo)

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“…In the literature search, infrastructure and system challenges were the most frequently occurring barriers to IPC measures within early intervention. These challenges included overcrowded wards, understaffing, lack of isolation facilities, inadequate ventilation, a lack of time to apply infection control standards, a lack of screening procedures and resource limitations such as poor access to PPE (Dramowski, Whitelaw, & Cotton, 2016 ; Gupta & Pursley, 2011 ; Olivier et al, 2018 ; Reid et al, 2011 ; Salem & Youssef, 2017 ; Triantafillou, Kopsidas, Kyriakousi, Zaoutis, & Szymczak, 2020 ; Verma et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

“…Then, two frequently reported recommendations were improved ‘supplies and infrastructure’ and ‘education and training’ for HCWs and caregivers. Salem and Youssef ( 2017 ) reported that without basic supplies and infrastructure, it is not possible for staff members to meet IPC standards or provide an acceptable level of care.…”

Section: Discussionmentioning

confidence: 99%

Challenges to infection control in early communication intervention: A scoping review

Achmat

Gerber

2022

SAJCD

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Background: Personal protective equipment (PPE) and infection prevention and control (IPC) measures are crucial to preventing the spread of coronavirus disease 2019 . This study used a scoping review to investigate the challenges that exist when speech-language therapists (SLTs) use IPC measures for providing early communication intervention (ECI).Objectives: To describe existing, recent literature on PPE and IPC measures used in early intervention through a scoping review (steps 1-5) and to consult local clinicians to investigate how SLTs who provide ECI in South Africa relate to these findings (step 6 of the scoping review).Method: A scoping review was performed which followed the PRISMA-ScR framework. Because of limited literature on PPE and IPC measures used by SLTs in providing ECI, the inclusion criteria were adjusted to include PPE and IPC measures used by healthcare workers (HCWs) who provide early intervention to the population of infants and toddlers up to 3 years old. At the time of the review, articles were not older than 10 years and were published between 2011 and 2020. The scoping review included a consultation with South African SLTs who provide ECI, including during the COVID-19 pandemic. A pilot study was conducted prior to the consultations. Seventeen clinicians were included in total. Data from both the pilot study and main consultation were transcribed and analysed in the results using thematic analysis.Results: Fourteen articles were included in the study. The scoping review of existing literature identified challenges to implementing IPC measures, namely the care and behaviour of young children, infrastructure and system challenges, poor compliance and lack of training and a lack of standard IPC protocols. Clinicians in the consultation phase confirmed these challenges and reported that IPC measures did not consider ECI populations nor the settings in which services were provided. Suggestions from the literature for improved infection control included hand hygiene, improved supplies and infrastructure and education and training. Clinicians in the consultation added practical suggestions for implementing IPC measures within ECI, which included an increase in parent-led intervention as well as cleaning and disinfection strategies. Conclusion:This study identified challenges and recommendations of SLTs who use PPE and IPC measures whilst providing ECI. Understanding these challenges can benefit ECI services and future research efforts focused on improving ECI services whilst maintaining IPC standards.

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“…Nosocomial infection is the most important and fatal complication of very low birth weight infants. Children with NICU are susceptible to nosocomial infections [10] [11]. In recent years, the treatment and prognosis of infants with birth therefore, hospitalization complications can affect the prognosis of very low birth weight infants, reduce the incidence of complications during hospitalization, and significantly improve the prognosis of very low birth weight infants.…”

Section: Discussionmentioning

confidence: 99%

Study on the Relationship between Nursing Staffing and Nosocomial Infection in Very Low Birth Weight Infants

He¹,

Huang²,

Jia³

et al. 2020

JBM

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Background: At present, there is no domestic research on the relationship between nurse staffing and hospital infection in very low birth weight infants. In this paper, we will explore the relationship between nurses of very low birth weight (VLBW) infants in neonatal intensive care unit (NICU) and nosocomial infections. Methods: The clinical data of 280 very low birth weight infants born in our hospital from January 2010 to January 2020 were collected, and the chi-square test and multiple logistic regression analysis were used to study the nursing staff of each very low birth weight infant who was admitted to the NICU The relationship between the number of infections and hospital infections. Results: On average, each nurse needs to care for 4.3 very low birth weight infants (lowest to highest: 2.50-8.42). In the univariate analysis, the higher the incidence of urinary tract infection (P < 0.05), the multivariate logistic regression analysis of neonatal nosocomial infection showed that nurse staffing was significantly related to the incidence of urinary tract infection (OR = 1.78; 95% confidence interval, 1.17-2.35, P < 0.05). However, there was no significant correlation between nurse staffing and bloodstream infection (OR = 0.91; 95% confidence interval, 0.74-1.06, P > 0.05) or Ventilator associated pneumonia (VAP) infection (OR = 1.17; 95% confidence interval, 0.94-1.47, P > 0.05). Conclusion: Our research shows that in the neonatal intensive care unit, the reasonable deployment of nursing staff is an important factor in preventing urinary tract infections in very low birth weight infants. It is important for improving the survival rate of very low birth weight infants and reducing the occurrence of sequelae.

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Health care providers' perspectives for providing quality infection control measures at the neonatal intensive care unit, Cairo University Hospital

Cited by 13 publications

References 17 publications

Condutas relativas à redução do risco desenvolvidas pelos profissionais de saúde na unidade de terapia intensiva: uma scoping review

Condutas relativas à redução do risco desenvolvidas pelos profissionais de saúde na unidade de terapia intensiva: uma scoping review

Challenges to infection control in early communication intervention: A scoping review

Study on the Relationship between Nursing Staffing and Nosocomial Infection in Very Low Birth Weight Infants

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