Pp234 Epidemiology of Diarrhoea in the Intensive Care Unit (Icu): A 3.5 Month Retrospective Study

Thibault, Ronan; Graf, S.; Delieuvin, N.; Heidegger, C.-P.; Pichard, C.

doi:10.1016/s1744-1161(10)70309-4

Cited by 1 publication

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“…Among patients who did not receive any treatment, there was no significant difference between the two groups in terms of: duration of the diarrheal episodes (3 [2][3][4][5] vs. 2 [1-4] days, p = .18), exposure to anti-infectious therapy (5/7 (71%) vs. 7/10 (70%), p > .99) or prokinetics (1/7 (14%) vs. 1/10 (10%), p > .99), enteral feeding (5/7 (71%) vs. 6/10 (60%), p > .99), and C difficile toxin screening (1/7 (14%) vs. 2/10 (20%), p > .99).…”

Section: T a B L Ementioning

confidence: 98%

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Reducing diarrhoea in an adult surgical intensive care unit: A quality improvement study

Occhiali,

Rodrigues,

Prieur

et al. 2023

Nursing in Critical Care

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BackgroundAlthough diarrhoea is a real source of morbidity for critically ill patients, this issue has been little studied, making it difficult to understand its mechanisms and management.AimsWe conducted a quality improvement study in an adult surgical intensive care unit before/after the implementation of a specific protocol to firstly improve diarrhoea management for patient benefit and secondly to understand the impact on caregivers.Study designThe first part of this before/after study consisted in assessing the proportion of patients receiving an anti‐diarrheal treatment before (phase I)/after (phase II) the implementation of the protocol. The second part of the study was to survey the caregivers on this topic.ResultsSixty four adults were included (33 in phase I; 31 in phase II) with 280 diarrheal episodes (129 in phase I; 151 in phase II). The proportion of patients who received at least one anti‐diarrheal treatment was similar between the two phases (79% (26/33) vs. 68% (21/31), p = .40). Diarrhoea incidence was also similar (9% (33 patients/368 admissions) vs. 11% (31 patients/275 admissions), p = .35). The delay to initiate at least one treatment was significantly shorter in phase II (2 days [1–7] vs. 0 day [0–2]; p < .001). The patients' rehabilitation was no longer impacted by the occurrence of a diarrheal episode in phase II (39% (13/33) vs. 0% (0/31), p < .001). Eighty team members completed the surveys in phase I and 70 in phase II. Caregivers perceived diarrhoea like a burden and its economic impact remained high.ConclusionsThe implementation of a protocol for the management of ICU diarrhoea did not increase the proportion of patients treated, but it did significantly improve the delay to initiate a treatment. The patients' rehabilitation was no longer affected by diarrhoea.Relevance to clinical practiceThe use of specific anti‐diarrhoea guidelines may help to reduce the burden of diarrhoea in an ICU.

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Section: T a B L Ementioning

confidence: 98%

“…[2] The incidence of ICU diarrhoea varies highly in the literature, ranging from 10% to 70%. [3,4] This variability reflects the interplay of the multiple mechanisms involved. Moreover, the impact of ICU diarrhoea on morbidity and mortality is controversial.…”

Section: Introduction and Background 1| Rationalementioning

confidence: 99%