Infection Control in the Intensive Care Unit

Osman, Mohamed; Askari, Reza

doi:10.1016/j.suc.2014.08.011

Cited by 23 publications

(13 citation statements)

References 188 publications

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“…We also found that patients admitted to the ICU within 24 h after hospitalisation were more likely to have nosocomial infection. Different from the general ward, indwelling catheters and devices were widely used among patients in ICU, which dispose patients to colonisation with multidrug-resistant bacteria and nosocomial infection [37,38]. Similar to studies in adult patients with nosocomial pneumonia [9,23,39], we also found that older age (> 65years) and anaemia were independently associated with nosocomial infection following influenza.…”

Section: Discussionsupporting

confidence: 83%

Risk factors for nosocomial infection among hospitalised severe influenza A(H1N1)pdm09 patients

Zhou

et al. 2018

Respiratory Medicine

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Section: Discussionsupporting

confidence: 83%

Risk factors for nosocomial infection among hospitalised severe influenza A(H1N1)pdm09 patients

Zhou

et al. 2018

Respiratory Medicine

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“…Despite being the most frequent adverse event in hospitals, the low quality of records, difficulty in obtaining reliable data and lack of standardization of terms hinder surveillance of HAI (3) . HAI acquired in intensive care units (ICU) represent almost 20% of all hospital acquired infections diagnosed among hospitalized patients, with significant morbidity and mortality rates and high costs for the health care system, patients and their families (3)(4)(5) . Because they are critically ill and require various invasive procedures, patients admitted to ICU are often affected by various types of HAI.…”

Section: Introductionmentioning

confidence: 99%

“…Because they are critically ill and require various invasive procedures, patients admitted to ICU are often affected by various types of HAI. It is estimated that about 30% of patients admitted to ICU have at least one episode of infection, especially urinary tract infection (UTI), ventilator-associated pneumonia (VAP) and bloodstream infection (BSI) (3)(4)(5) . The occurrence of these infections is associated with an aging population and the increasing complexity of patients treated in the ICU, combined with the presence, type and duration of many invasive procedures such as vesical and venous catheterization, orotracheal intubation for mechanical ventilation, and failures related to the use of antimicrobial agents (1) .…”

Section: Introductionmentioning

confidence: 99%

Carga de trabalho de enfermagem: preditor de infecção relacionada à assistência à saúde na terapia intensiva?

Nogueira

Ferretti-Rebustini

Poveda

et al. 2015

Rev. esc. enferm. USP

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RESUMO Objetivo Analisar a influência da carga de trabalho de enfermagem na ocorrência de infecção relacionada à assistência à saúde (IRAS) em pacientes na Unidade de Terapia Intensiva (UTI), segundo o tipo de tratamento. Método Estudo de coorte retrospectivo desenvolvido em nove UTI em São Paulo, Brasil, de setembro a dezembro de 2012. A carga de trabalho de enfermagem foi mensurada pelo Nursing Activities Score (NAS). Os testes T-Student, Exato de Fisher e regressões logísticas foram utilizados nas análises. Resultados A casuística foi composta por 835 pacientes (54,3±17,3 anos; 57,5% do sexo masculino), dentre os quais 12,5% adquiriram IRAS na UTI. O NAS dos pacientes admitidos para tratamento clínico foi de 71,3±10,9 e para cirúrgico, 71,6±9,2. O tempo de permanência na unidade e a gravidade foram fatores preditivos para ocorrência de IRAS em pacientes admitidos nas UTI para tratamento clínico ou cirúrgico e o sexo masculino apenas para pacientes cirúrgicos. Ao considerar as admissões independentes do tipo de tratamento, além das variáveis citadas, o índice de comorbidades também permaneceu no modelo de regressão. O NAS não foi fator preditivo de IRAS. Conclusão A carga de trabalho de enfermagem não exerceu influência na ocorrência de IRAS nos pacientes deste estudo.

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“…HAIs are a worldwide phenomenon, a public health burden, and a threat to patient safety that pervades all healthcare facilities both in developed and developing countries (2, 3). At any given time, it is estimated that over 1.4 million people worldwide suffer from HAIs (4).…”

Section: Introductionmentioning

confidence: 99%

A Survey of Adherence to Guidelines to Prevent Healthcare-Associated Infections in Iranian Intensive Care Units

Shamshiri¹,

Suh²,

Mohammadi³

et al. 2016

Iran Red Crescent Med J

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BackgroundHealthcare-associated infections (HAIs) are acquired by patients while receiving care. The highest incidence of HAIs has been documented in admissions to intensive care units. Adherence to evidence-based practices is the most important step for preventing HAIs.ObjectivesTo determine the rate of adherence to evidence-based post-insertion recommended care practices after admission into the intensive care unit for the following devices: central line catheter, indwelling urinary catheter, and mechanical ventilator.Patients and MethodsA structured observational cross-sectional research design was used. Data were collected using a checklist and a self-report questionnaire. The minimum sample size required for this study was 276 post-insertion care episodes, and 332 episodes were observed. The ANOVA test was used to identify any significant differences among the mean scores of the three devices.ResultsOverall observed adherence rates were 18.3%, 59.1%, and 43.1% for central line catheters, indwelling urinary catheter, and mechanical ventilator, respectively. Of the observed episodes of device care, only in 9.4% of the episodes was regular oral care performed for patients on mechanical ventilators and only in 19.3% of the episodes were indwelling urinary catheters properly secure after insertion. More so, in none (0.0%) of the episodes was the central line catheter hub disinfected before being accessed.ConclusionsEvidence-based post-insertion recommended care practices were not consistently and uniformly implemented in the intensive care units. Establishment of a program for the surveillance of adherence to recommended guidelines is required for improving compliance by health professionals and the quality of preventive care.

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Infection Control in the Intensive Care Unit

Cited by 23 publications

References 188 publications

Risk factors for nosocomial infection among hospitalised severe influenza A(H1N1)pdm09 patients

Risk factors for nosocomial infection among hospitalised severe influenza A(H1N1)pdm09 patients

Carga de trabalho de enfermagem: preditor de infecção relacionada à assistência à saúde na terapia intensiva?

A Survey of Adherence to Guidelines to Prevent Healthcare-Associated Infections in Iranian Intensive Care Units

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