National Multi-Center Study To Evaluate the Baseline Handwashing Compliance in the Intensive Care Units of Three Turkish Hospitals: Differences between Genders

2004 ◽  
Vol 32 (3) ◽  
pp. E57-E58 ◽  
Author(s):  
O. Arikan Akan ◽  
Y. Cetinkaya ◽  
A. Ozgultekin ◽  
V.D. Rosenthal∗ ◽  
N. Unal ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Multi Center Study ◽  
Center Study

Assessing patient safety culture in 18 Tunisian adult intensive care units and determination of its associated factors: A multi-center study

2020 ◽  
Vol 56 ◽  
pp. 208-214 ◽  
Author(s):  
Mohamed Ayoub Tlili ◽  
Wiem Aouicha ◽  
Mohamed Ben Rejeb ◽  
Jihene Sahli ◽  
Mohamed Ben Dhiab ◽  
...  
Keyword(s):  
Patient Safety ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Safety Culture ◽  
Associated Factors ◽  
Patient Safety Culture ◽  
Multi Center Study ◽  
Center Study

scholarly journals The national rate of intensive care units-acquired infections, one-year retrospective study in Iran

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Neda Izadi ◽  
Babak Eshrati ◽  
Yadollah Mehrabi ◽  
Korosh Etemad ◽  
Seyed-Saeed Hashemi-Nazari
Keyword(s):  
Intensive Care ◽  
Tract Infection ◽  
Intensive Care Units ◽  
Bloodstream Infections ◽  
Surgical Site Infections ◽  
Increased Risk ◽  
Neonatal Icu ◽  
Mortality Causes ◽  
One Year ◽  
Multi Center Study

Abstract Background Hospital-acquired infections (HAIs) in intensive care units (ICUs) are among the avoidable morbidity and mortality causes. This study aimed at investigating the rate of ICU-acquired infections (ICU-AIs) in Iran. Methods For the purpose of this multi-center study, the rate of ICU-AIs calculated based on the data collected through Iranian nosocomial infections surveillance system and hospital information system. The data expanded based on 12 months of the year (13,632 records in terms of “hospital-ward-month”), and then, the last observation carried forward method was used to replace the missing data. Results The mean (standard deviation) age of 52,276 patients with HAIs in the ICUs was 47.37 (30.78) years. The overall rate of ICU-AIs was 96.61 per 1000 patients and 16.82 per 1000 patient-days in Iran’s hospitals. The three main HAIs in the general ICUs were ventilator-associated events (VAE), urinary tract infection (UTI), and pneumonia events & lower respiratory tract infection (PNEU & LRI) infections. The three main HAIs in the internal and surgical ICUs were VAE, UTI, and bloodstream infections/surgical site infections (BSI/SSI). The most prevalent HAIs were BSI, PNEU & LRI and eye, ear, nose, throat, or mouth (EENT) infections in the neonatal ICU and PNEU & LRI, VAE, and BSI in the PICU. Device, catheter, and ventilator-associated infections accounted for 60.96, 18.56, and 39.83% of ICU-AIs, respectively. The ventilator-associated infection rate was 26.29 per 1000 ventilator-days. Based on the Pabon Lasso model, the lowest rates of ICU-AIs (66.95 per 1000 patients and 15.19 patient-days) observed in zone III, the efficient area. Conclusions HAIs are common in the internal ICU wards. In fact, VAE and ventilator-related infections are more prevalent in Iran. HAIs in the ICUs leads to an increased risk of ICU-related mortality. Therefore, to reduce ICU-AIs, the specific and trained personnel must be responsible for the use of the devices (catheter use and ventilators), avoid over use of catheterization when possible, and remove catheters earlier.

scholarly journals Declining Intensive Care Unit Mortality of COVID-19: A Multi-Center Study

2021 ◽  
Vol 13 (3) ◽  
pp. 184-190
Author(s):  
Sohaib Roomi ◽  
Syed Omar Shah ◽  
Waqas Ullah ◽  
Shan Ul Abedin ◽  
Karyn Butler ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Unit Mortality ◽  
Multi Center Study ◽  
Center Study

scholarly journals Evaluation of Safety Procedures in Anaesthesia and Intensive Care

1993 ◽  
Vol 21 (5) ◽  
pp. 670-672 ◽  
Author(s):  
D. G. Clayton ◽  
L. Barker ◽  
W. B. Runciman
Keyword(s):  
Intensive Care ◽  
New Zealand ◽  
Teaching Hospital ◽  
Anaesthetic Machine ◽  
Zealand College ◽  
Fire Drill ◽  
Multi Center Study ◽  
Safety Procedures ◽  
Center Study

A study was conducted to determine the ability of junior anaesthetists to check the anaesthetic machine, demonstrate a knowledge of a multifunction monitor and a defibrillator, and know the hospital fire drill. The subjects were 38 junior anaesthetists working in a large multi-disciplinary teaching hospital. 45% were able to check the anaesthetic machine according to the guidelines of the Australian and New Zealand College of Anaesthetists, and 16% had a complete working knowledge of the monitor. All subjects could use the defibrillator but only 24% could adequately solve the problem of malfunction. Only one subject had a working knowledge of the fire drill; excluding knowledge of the fire drill only 3 subjects (8%) satisfactorily completed all aspects of the assessment. As a result of this study structured checking routines are being introduced into anaesthetic teaching and practice and a similar multi-center study of specialist anaesthetists is being planned.

scholarly journals Nurses' knowledge to identify early acute kidney injury

2016 ◽  
Vol 50 (3) ◽  
pp. 399-404 ◽  
Author(s):  
Roseli Aparecida Matheus do Nascimento ◽  
Murillo Santucci Cesar Assunção ◽  
João Manoel Silva Junior ◽  
Cristina Prata Amendola ◽  
Taysa Martindo de Carvalho ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Intensive Care ◽  
Early Identification ◽  
Clinical Manifestations ◽  
Kidney Injury ◽  
Prevention Measures ◽  
Treatment Results ◽  
Know How ◽  
Multi Center Study ◽  
Center Study

Abstract OBJECTIVE To evaluate the knowledgeof nurses on early identification of acute kidney injury (AKI) in intensive care, emergency and hospitalization units. METHOD A prospective multi-center study was conducted with 216 nurses, using a questionnaire with 10 questions related to AKI prevention, diagnosis, and treatment. RESULTS 57.2% of nurses were unable to identify AKI clinical manifestations, 54.6% did not have knowledge of AKI incidence in patients admitted to the ICU, 87.0% of the nurses did not know how to answer as regards the AKI mortality rate in patients admitted to the ICU, 67.1% answered incorrectly that slight increases in serum creatinine do not have an impact on mortality, 66.8% answered incorrectly to the question on AKI prevention measures, 60.4% answered correctly that loop diuretics for preventing AKI is not recommended, 77.6% answered correctly that AKI does not characterize the need for hemodialysis, and 92.5% said they had no knowledge of the Acute Kidney Injury Networkclassification. CONCLUSION Nurses do not have enough knowledge to identify early AKI, demonstrating the importance of qualification programs in this field of knowledge.

scholarly journals Bacteriological Aspects of Late Pneumonia in Ventilated Patient in Intensive Care Units: A Single Center Study in Morocco

2017 ◽  
Vol 08 (05) ◽  
Author(s):  
Frikh Mohammed ◽  
Abdelhay Lemnouer ◽  
Nabil Alem ◽  
Adil Maleb ◽  
Mostafa Elouennass
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Single Center ◽  
Single Center Study ◽  
Center Study

scholarly journals Factors Related to ICU-Acquired Infections Incidence in Iran: Analysis of National Nosocomial Infections Registry Data

2020 ◽  
Author(s):  
Neda Izadi ◽  
Babak Eshrati ◽  
Yadollah Mehrabi ◽  
Korosh Etemad ◽  
Seyed-Saeed Hashemi-Nazari
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Nosocomial Infections ◽  
Negative Binomial ◽  
High Sensitivity ◽  
Negative Binomial Regression ◽  
Factors Affecting ◽  
Surgical Icu ◽  
Multi Center Study ◽  
Hospital Acquired

Abstract Background: Patients admitted to intensive care units (ICUs) are particularly susceptible to hospital-acquired infections (HAIs) and the HAIs are higher in the ICUs than other wards of the hospital. This study aimed at investigating factors associated with ICU-acquired infections incidence in Iran. Methods: In this multi-center study, Iranian nosocomial infections surveillance (INIS) and hospital statistics and information system (AVAB) were used to collect data on patients with HAIs in 2018. The data was expanded based on 12 months of the year (13,632 records in terms of "hospital-ward-month") and then, the last observation carried forward method was used to replace the missing data. The generalized negative binomial regression with “patient-days” as an offset variable was used to identify the factors affecting ICU-acquired infections incidence.Results: The median age of patients was 57.5 (IQR=55.09) years. Of the 22.92%, 5.76%, 13.62%, 43.41%, and 14.29% of patients were in NICU, PICU, internal ICU, general ICU, and surgical ICU, respectively. Only 13.73% of hospitals were in efficient zone (zone III). Based on multivariable regression, the number of death (IRR=1.02), the number of infections due to the device (catheters and ventilators) (IRR=1.1), ward type (PICU (IRR=1.58), internal ICU (IRR=1.63), general ICU (IRR=1.53) and surgical ICU (IRR=1.47)), hospital's expertise, hospital's accreditation, bed occupancy rate indicator (IRR=1.17 for moderate conditions) were associated with an increase of ICU-acquired infections incidence. Infection due to ventilator, infection due to catheter, and the number of surgery in hospitals reduced 5%, 7%, and 1% incidence of infections, respectively. Conclusions: Based on the results, the most common ICU-acquired infections were VAE and UTI. Therefore due to the high sensitivity of intensive care units, full hygiene should be taught to the medical staff, especially the ICU wards. Ventilators and catheters should be used in special circumstances and minimum duration.

Sign in / Sign up

Export Citation Format

Share Document