Surveillance of Nosocomial Infections in a Bulgarian Neonatal Intensive Care Unit

Rangelova, Vanya; Raycheva, Ralitsa; Kevorkyan, Аni; Krasteva, Maya; Dermendzhiev, Tihomir

doi:10.3897/folmed.62.e50437

Cited by 8 publications

(13 citation statements)

References 33 publications

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Section: Introductionmentioning

confidence: 99%

“…The study of Rangelova et al. ( 2020 ) collected data only from NICU's which underrepresent the other paediatric patients. However, the relatively large sample size makes the results more generalizable.…”

Section: Introductionmentioning

confidence: 99%

“…Regarding the nosocomial infections, a study found that 48 out of 507 inpatients at neonatal intensive care units (NICU) developed at least one nosocomial infections (Rangelova et al, 2020). The study of Rangelova et al (2020) collected data only from NICU's which underrepresent the other paediatric patients. However, the relatively large sample size makes the results more generalizable.…”

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The relationships between paediatric nurses' social support, job satisfaction and patient adverse events

et al. 2021

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Adverse events are those avoidable outcomes that result from wrong healthcare services, not from the disease itself ( Van den Bos et al., 2011). Adverse events are common in all healthcare systems and are considered an important aspect of patient safety. Only in the United States, around 440,000 people died in 2013 because of avoidable adverse events (Schwendimann et al., 2018). In 2008, the adverse events' estimated cost was approximately 17 billion dollars in the United States (Van den Bos et al., 2011).The causes of the adverse events are numerous and interrelated with job satisfaction and support the nurses receive. For instance, work-related stress was associated with more adverse events (Karimi et al., 2018). On the other hand, recognition of nurses, which is considered a type of support, was associated with higher job satisfaction (Al Maqbali, 2015).A Jordanian study found that the most common types of nurseperceived patient adverse events are medication errors, nosocomial infections, pressure ulcers and patient falls (Hayajneh et al., 2010). In the same study, researchers estimated the adverse events occurred

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The relationships between paediatric nurses' social support, job satisfaction and patient adverse events

et al. 2021

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“…VAP is proven to be the leading NI in the NICU, not only in our prospective study, but in the retrospective period from 2012 to 2016 as well [ 33 ]. This infection proves to be the most problematic for the studied setting and the reasons for that might be complex.…”

Section: Discussionmentioning

confidence: 95%

Cost Analysis for Patients with Ventilator-Associated Pneumonia in the Neonatal Intensive Care Unit

2022

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The concept of improving the quality and safety of healthcare is well known. However, a follow-up question is often asked about whether these improvements are cost-effective. The prevalence of nosocomial infections (NIs) in the neonatal intensive care unit (NICU) is approximately 30% in developing countries. Ventilator-associated pneumonia (VAP) is the second most common NI in the NICU. Reducing the incidence of NIs can offer patients better and safer treatment and at the same time can provide cost savings for hospitals and payers. The aim of the study is to assess the direct costs of VAP in the NICU. This is a prospective study, conducted between January 2017 and June 2018 in the NICU of University Hospital “St. George” Plovdiv, Bulgaria. During this period, 107 neonates were ventilated for more than 48 h and included in the study. The costs for the hospital stay are based on the records from the Accounting Database of the setting. The differences directly attributable to VAP are presented both as an absolute value and percentage, based on the difference between the values of the analyzed variables. There are no statistically significant differences between patients with and without VAP in terms of age, sex, APGAR score, time of admission after birth and survival. We confirmed differences between the median birth weight (U = 924, p = 0.045) and average gestational age (t = 2.14, p = 0.035) of the patients in the two study groups. The median length of stay (patient-days) for patients with VAP is 32 days, compared to 18 days for non-VAP patients (U = 1752, p < 0.001). The attributive hospital stay due to VAP is 14 days. The median hospital costs for patients with VAP are estimated at €3675.77, compared to the lower expenses of €2327.78 for non-VAP patients (U = 1791.5, p < 0.001). The median cost for antibiotic therapy for patients with VAP is €432.79, compared to €351.61 for patients without VAP (U = 1556, p = 0.024). Our analysis confirms the results of other studies that the increased length of hospital stays due to VAP results in an increase in hospital costs. VAP is particularly associated with prematurity, low birth weight and prolonged mechanical ventilation.

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“…The most common infections are ventilator-associated pneumonia and bloodstream infections. 4 In developing countries the incidence rate of HAIs ranges from 6 to 9%. 5,6 The incidence of HAI was reported 4.9% to 16.4% in Turkey.…”

Section: Introductionmentioning

confidence: 99%

Hand hygiene compliance of health care workers in a neonatal intensive care unit: a prospective observation study

et al. 2021

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Background: We aimed to determine hand hygiene (HH) compliance of the healthcare workers (HCW’s) and evaluate if there is an epidemiological relation between the microorganisms isolated from the hands of HCWs and patients clinical materials in the neonatal intensive care unit (NICU).Methods: HH compliance was observed in two unannounced phases in March and in August within the scope of 5 indications determined by WHO. Between two phases personnel was trained to improve HH by educational sessions and introduction of Semmelweis system hand in scan (HIS, Sysmex) in the unit. A total of 22 nurses, 11 physicians and 5 staff was working in the NICU. Hand samples taken from HCW by glove juice method were inoculated quantitatively in culture plates and colonies were identified by MALDI-TOF MS. Epidemiological relation between clinical isolates and hand samples was investigated with arbitrary primed PCR.Results: Although overall compliance remained only 50%, a significant increase in compliance was detected in August prior to aseptic procedures and after contact with patients and body fluids. Alcohol scrub was preferred as 60.4% in March and 75.2% in August. HH efficacy reached to 72% by implementing HIS. During this period, 10.7% of 607 patient’s samples revealed clinically significant growth. Potential pathogens were isolated in 5.2% of 144 hand samples, but any epidemiological correlation with patient isolates was detected.Conclusions: HH compliance observations should be done at regular intervals and current technology could be utilized in trainings to overcome hospital related infections.

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Surveillance of Nosocomial Infections in a Bulgarian Neonatal Intensive Care Unit

Cited by 8 publications

References 33 publications

The relationships between paediatric nurses' social support, job satisfaction and patient adverse events

The relationships between paediatric nurses' social support, job satisfaction and patient adverse events

Cost Analysis for Patients with Ventilator-Associated Pneumonia in the Neonatal Intensive Care Unit

Hand hygiene compliance of health care workers in a neonatal intensive care unit: a prospective observation study

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