scholarly journals 1211. Microbiologic Evaluation of Mobile Phones and Hands of Healthcare Professionals in Two Intensive Care Units in a Brazilian University Hospital

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S435-S435
Author(s):  
Evelyn Patricia Sanchez Espinoza ◽  
Lauro Viera Perdigão Neto ◽  
Sania Alves dos Santos ◽  
Camila Risek ◽  
Maria Renata Gomes Franco ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Mobile Phones ◽  
Bacterial Colonization ◽  
Healthcare Setting ◽  
University Hospital ◽  
High Rate ◽  
High Morbidity ◽  
Dominant Hand ◽  
Cross Sectional

Abstract Background Healthcare-associated infections (HAIs) are a worldwide concern because of their high morbidity, mortality, and associated costs. Mobile phones (MP) are an important work tool in the healthcare setting, but they can be a reservoir of nosocomial pathogens if not carefully cleaned and cause re-contamination of the healthcare professional’s (HCP) hands. We aimed to evaluate bacterial colonization of HCP’s hands and their respective MPs. Methods A cross-sectional study was performed in two Intensive Care Units (ICUs), an internal medicine and a burn unit, of a Brazilian tertiary university hospital. These units were chosen because of their different hand hygiene (HH) compliance. We assessed HH and MP handling practices by an electronic inquiry and collected samples from the dominant hand (DH) by the sterile bag technique and of MPs by moistened sterile swab. MALDI-TOF was used for bacterial identification and Dilution Agar (DA) was used to screen Gram-negative bacteria (GNB) susceptibility to carbapenems and colistin. Results Forty-seven HCPs were evaluated; of whom, 30% were medical residents, 19% nurses, 17% nurse-technicians, 17% physiotherapists, 13% cleaning staff, and 4% radiology technicians.Overall, 85% of HCPs reported use of MP at work, 26% had never cleaned it, and 34% reported optimal HH compliance practices. All of them believed that MPs can have HAIs agents. DH culture showed 94% of colonization and the most common Gram-positive bacteria (GPB) and GNB were S. epidermidis (n = 17∕44) and A. baumannii complex (n = 11∕44), respectively. MP were colonized in 89% of the cases and the most common GPB and GNB were S. epidermidis (n = 16∕42) and Pseudomonas spp (n = 9∕42), respectively. Overall, in the screening 38% of GNB were resistant to meropenem and 22% to colistin. A. baumannii was the most common meropenem (n = 4) and colistin (n = 2) resistant GNB. In the two units, 32% of HCPs had the same microorganism species isolated in the MP and in the DH (Table 1). Conclusion There was a high rate of bacterial colonization on the MP and DH of HCPs and some of these bacteria were carbapenem or colistin resistant. A policy for MP handling in the healthcare setting should be implemented in order to avoid cross-contamination between the MP and the hand of HCPs. Disclosures All authors: No reported disclosures.

scholarly journals Are mobile phones of health care workers portals of pathogenic organisms causing hospital acquired infections in intensive care units? A mini systematic review

2020 ◽  
Vol 47 (3) ◽  
pp. 207-214
Author(s):  
M. Mukhtar-Yola ◽  
B. Andrew
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Mobile Phones ◽  
Health Care Workers ◽  
Pathogenic Bacteria ◽  
Cross Sectional ◽  
Hospital Acquired Infections ◽  
Care Workers ◽  
Hospital Acquired

Background: Health care workers at the bedside of critically ill babies freely carry their mobile phones in between procedures and handling  patients. Concerns are rising as this may contribute to nosocomial infections with pathogenic bacteria. Aim: To determine if mobile phones of health care workers in Intensive care units carry potentially pathogenic bacteria leading to hospital acquired infections. Design: Systematic review.Data sources: Electronic databases (Medline via ovid, CINAHL, Web of science) and hand Searching of references and citations were done to identify studies. Screening and inclusion criteria were used to identify studies with a cross-sectional or cohort design. The search was limited to journal articles published between 2008-2015 and to English language. Quality assessment was done using the National Institute of Health tool for observational studies. Data was extracted on to excel sheets and analysed using SPSS version 22.Results: Six studies with a cohort (1) or cross-sectional design (5) involving 1, 131 health care workers were reviewed. The overall quality of the studies was fair, and a narrative synthesis was done. The colonization rate of the mobile phones ranged between 46.3 % and a 100% with 13-50% carrying potentially pathogenic multidrug resistant microorganisms. Methicillin resistant staphylococcus aureus, Vancomycine resistant enterococci, acinobacter and coagulase negative staphylococci were reported across all studies and were recognized as leading causes of morbidity and mortalityin the ICU. Conclusion: Mobile phones Of HCW are portals of potentially pathogenic microorganisms, which could result in morbidity and mortality.Although no causal relationship could be established, strong associations have been reported. Guidelines by hospital infection control committees are needed on restriction, care and routine cleaning of mobile phones as well as further research. Key words: Health care worker, Intensive care unit, Hospital Acquired Infections, mobile phones

scholarly journals Pseudomonas aeruginosa: Evaluation of Antimicrobial Resistance Patterns in Strains Isolated from Blood Culture in a University Hospital

2020 ◽  
Vol 25 (3) ◽  
pp. 308-315
Author(s):  
Ayşe Hümeyra Taşkın Kafa ◽  
Cem Çelik ◽  
Mürşit Hasbek ◽  
Mustafa Zahir Bakıcı
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Antibiotic Susceptibility ◽  
Empirical Treatment ◽  
University Hospital ◽  
High Rate ◽  
Automated System ◽  
Treatment Protocols ◽  
Susceptibility Profiles

Introduction: The aim of this study was to contribute to the establishment of appropriate empirical treatment protocols by determining antibiotic susceptibility profiles of Pseudomonas aeruginosa strains isolated from bacteremia patients in intensive care units and various clinics. Materials and Methods: Antibiotic susceptibility of a total of 111 P. aeruginosa isolates isolated from the blood of inpatients in intensive care units and other services between January 2014 and July 2018 in Cumhuriyet University, Faculty of Medicine were evaluated retrospectively. In the study, the susceptibility profiles of amikacin, piperacillin-tazobactam, ceftazidime, cefepim, gentamicin, ciprofloxacin, levofloxacin, imipenem and meropenem were investigated using the automated system of Phoenix 100 (Becton Dickinson Co., Sparks, MD, USA). The results were evaluated based on the criteria of the Clinical and Laboratory Standards Institute (CLSI) for 2014 and the European Committee on Antimicrobial Susceptibility Testing (EUCAST) from 2015 onwards. Results: One hundred and eleven P. aeruginosa were isolated from blood samples, 77 from intensive care units and 34 from various services of the hospital. P. aeruginosa strains isolated from cultures have a high rate of resistance against antimicrobial agents. The highest resistance was determined for imipenem with 20.7% and the lowest resistance was determined for amikacin with 1.8%. Piperacillintazobactam, ceftazidim, cefepim, ciprofloxacin, levofloxacin, and meropenem resistance rates were 18%, 17.1%, 17.8%, 18.9%, 13.9%, 19.8% respectively. Multidrug-resistant was found to be 10.8%. This ratio was determined as 13% in intensive care units. Conclusion: Considering the current antibiotic susceptibility profiles while determining empirical treatment protocols is rather important to prevent resistance. In addition, putting forward the bacterial resistance status periodically through this type of studies, to determine the strength of existing drugs and to guide therapy, presents valuable data. Within this context, we propose that the data of our study will contribute to the current literature

scholarly journals Occupational stress and stressors experienced by the newly practicing nurses in intensive care units

2018 ◽  
Vol 9 (3) ◽  
pp. 7
Author(s):  
Mona Abdel Wareth ◽  
Sameh Eltaybani
Keyword(s):  
Intensive Care ◽  
Occupational Stress ◽  
Intensive Care Units ◽  
Perceived Stress ◽  
Work Experience ◽  
Death And Dying ◽  
Clinical Work ◽  
University Hospital ◽  
Survey Study ◽  
Cross Sectional

Background and objective: Nurses working in critical care units face occupational stress particularly in the first six months of their practice; however, research on nurses’ perceived stress during this period is extremely limited. The aim of the study was to assess occupational stress and stressors experienced by the newly practicing nurses in intensive care units (ICUs).Methods: Design: A cross-sectional, descriptive, quantitative research design. Settings: Four ICUs in a university hospital in Alexandria governorate, Egypt. Participants: A convenient sample of 100 intern nurses who had their first clinical work experience in ICU during the internship. Method: This is a cross-sectional, descriptive, quantitative survey study conducted in four ICUs in Alexandria university hospital, Egypt. A questionnaire sheet consisting of two parts was used to collect data. Part one is the nursing stress scale and part two is the respondents’ socio-demographic and work-related data. Descriptive and bivariate statistical analyses were used to describe study variables and their associations.Results: All of the studied newly practicing nurses in ICUs experienced either moderate (43%) or high (57%) stress level. There are differences between the perceived stress reported by the studied nurses according to their characteristics (e.g., sex, marital status, having private work). These differences were not statistically significant. Death and dying, workload, and inadequate preparation are the top ranked stressors; average scores are 2.22, 2.20, and 2.13 respectively. In their first two months of experiences, nurses perceived inadequate preparation and death and dying as the highest stressors. This ranking differs among nurses with 3-4 months of experience and nurses with 5-6 months of experience.Conclusions and recommendations: Newly practicing nurses in ICUs face a significant level of stress. Death and dying, workload, and inadequate preparation are the top ranked stressors. Recommendations: Stress-management program must be initiated for new practicing nurses in ICU. Death and dying in ICU are highly needed topics to be embedded into nursing curriculum. Strategies to help graduate nurses cope must be implemented.

scholarly journals Effects of Nurse’s Work Environment and Practice on Patient’s Safety

2020 ◽  
Author(s):  
Montaha Mohammed Ibrahim ◽  
Hammad Ali Fadlalmola
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Poor Performance ◽  
University Hospital ◽  
Medical Illness ◽  
Nursing Assessment ◽  
Cross Sectional ◽  
Prime Concern ◽  
Assessment Approach ◽  
Assessment Performance

Background: When a patient with an acute medical illness is admitted to a hospital, their safety is a prime concern for healthcare professionals. Ongoing nursing assessment is a type of nursing assessment that commences at the beginning of every shift. and **is completed on every patient. This information is used to develop a plan of care. The aim of this study is to assess the application of ongoing nursing assessment approaches in intensive care units.  Methods: This cross-sectional hospital-based study included a total of 135 nurses, of which 23 (17%) were from Khartoum hospital, 62 (46%) from Alshaab hospital, 15 (11%) from Soba University Hospital, and 35 (26%) from National Center for Neurological Science. Results: The ongoing nursing assessment approaches were available in most intensive care units of the study area with the domination of ABCDE approach. Factors that can impact the thoroughness of the ongoing nursing assessment performance suggested by the studied participants were nurses' knowledge and competency, followed by insufficient time and resources to carry out the assessment. Conclusions: Most participants did not complete the assessment suggesting a poor performance. The knowledge base of the participants was not reflected in their practice with a wide difference between them. Key words: Nursing assessment approach, intensive care unit, assessment performance, Sudan

A Study of Workspace Design Characteristics Exemplified by Nurses’ Satisfaction Within Three Intensive Care Units in a University Hospital

2021 ◽  
pp. 193758672110557
Author(s):  
Bushra Obeidat ◽  
Mohammad Bani Younis ◽  
Esra’a Al-Shlool ◽  
Ahmad Alzouby
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Study Data ◽  
Layout Design ◽  
University Hospital ◽  
Critical Conditions ◽  
Cross Sectional ◽  
Design Characteristics ◽  
Nursing Station ◽  
Workspace Design

Background: The critical conditions of intensive care patients require providing them with a higher acuity of care. Thus, it is essential to focus on critical care nurses and improve their work environment in a way that maximizes productivity, collaboration, satisfaction, and leads to improved patient care. Purpose: This study aims to explore the role the workplace layout design play in determining nurses’ satisfaction in three intensive care units (ICUs) at a university hospital. Method: A prospective, cross-sectional, single-center, survey-based design was employed in this study. Data were obtained, via a standardized questionnaire, from 36 morning shift nurses. The nurses’ self-reported satisfaction scores in three different ICUs with differing overall layouts, nursing station locations, and workplace design were statistically compared. Results: The study found that ICU 1 (private rooms, single corridor, central nursing station, close to supported services) had higher nursing satisfaction levels than ICUs 2 and 3 (open wards with separate service zones), F (2,34) = 5.054, p = .012. However, overall satisfaction was higher with the ICU 2 primary workspace design, possibly due to the perceived acoustic privacy in this configuration, F (2,34)= 4.492, p = .019. The ability of the ICU layout design to enhance teamwork and minimize traffic in patients care areas was found to be an important predictor of nurses’ satisfaction. The primary workspace design capacity to minimize congestion and the presence of large numbers of providers in a confined workplace might account for variation in nurses’ satisfaction. Conclusion: Physical environment variables in the ICU design may contribute to staff workplace satisfaction scores and may help in guiding informed choices regarding the future ICU design.

scholarly journals Professional nursing practice in critical units: assessment of work environment characteristics

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Luiz Felipe Sales Maurício ◽  
Meiry Fernanda Pinto Okuno ◽  
Cássia Regina Vancini Campanharo ◽  
Maria Carolina Barbosa Teixeira Lopes ◽  
Angélica Gonçalves Silva Belasco ◽  
...  
Keyword(s):  
Intensive Care ◽  
Work Environment ◽  
Intensive Care Units ◽  
Organizational Support ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Critical Care Units ◽  
Work Index ◽  
Brazilian Culture

ABSTRACT Objective: assess the autonomy, control over environment, and organizational support of nurses' work process and the relationships between physicians and nurses in critical care units. Method: cross-sectional study conducted with 162 nurses working in the intensive care units and emergency service of a university hospital. The workers' satisfaction with their work environment was assessed using Brazilian Nursing Work Index - Revised, translated and adapted for the Brazilian culture. Results: average age was 31.6 ± 3.9 years; 80.2% were women; 68.5% Caucasians and 71.6% worked in intensive care units. The nurses considered autonomy (2.38 ± 0.64) and their relationship with physicians (2.24 ± 0.62) to be characteristics of the work environment that favored professional practice. Control over environment (2.78 ± 0.62) and organizational support (2.51 ± 0.54), however, were considered to be unfavorable. No statistically significant differences were found between the units based on the scores obtained by the professionals on the Brazilian Nursing Work Index - Revised. Conclusion: autonomy, relationship between physicians and nurses, and organizational support were considered by the units to be characteristics that favored nurses' professional practices. On the other hand, control over environment and organizational support were considered unfavorable.

scholarly journals Trend of healthcare-associated infections in a teaching hospital in Tunisia, 2014-2019

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
H Ghali ◽  
A Ben Cheikh ◽  
S Bhiri ◽  
S Khefacha Aissa ◽  
L Dhidah ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Cross Sectional Study ◽  
University Hospital ◽  
World Health ◽  
Healthcare Associated Infections ◽  
Prevalence Survey ◽  
Cross Sectional ◽  
Gram Negative ◽  
Healthcare Associated

Abstract Background National surveys on the prevalence of HAIs on a given day have regularly taken place in health facilities. During this period, actions to improve HAI prevention were implemented, including strengthened isolation measures; hand hygiene promotion using the World Health Organization multimodal strategy; and promotion of appropriate antimicrobial use. We aimed to examine trends in HAI in Sahloul Hospital over six years. Methods Annual prevalence surveys of healthcare-associated infections (HAIs) between 2014 and 2019 were conducted in the university hospital in Tunisia. It is a cross-sectional study of one-day prevalence with a single pathway. All departments were included in the survey, except emergency and hemodialysis services due to their very short length of stay. Data collection was carried out using NosoTun plug (national HAI prevalence survey). Results Over six years, prevalence of HAI ranged from 11.4% in 2014 to 9.5% in 2019. The prevalence of HAIs did not show a significant change across the six surveys. However, there were significant (P = 0.008) reductions in the prevalence of total HAIs in intensive care units, which had the highest frequencies of HAIs over those six years. In 2014, bacteriological analysis was performed in 55.8% of HAI cases. In 66.6% of cases (n = 16), isolated bacteria were gram negative bacilli, the most frequent were Pseudomonas aeroginosa. In 2019, 27 germs were identified, the most frequent were Gram Negative Bacilli (74%), mostly Escherichia coli. Conclusions This HAI prevention strategy was influential in decreasing infections among hospitalized patients in intensive care units. Challenges for the future are to minimize infection with gram-negative bacilli while limiting the emergence of antibiotic resistant organisms. Key messages Using prevalence surveys, we were able to have an insight into the most common isolates identified throughout the last six years. Repeated prevalence surveys are an effective tool for monitoring HAI frequency and contributing to the establishment of effective infection control.

scholarly journals Fatores associados à carga de trabalho de enfermagem em terapia intensiva: quais se devem considerar?

2017 ◽  
Vol 11 (12) ◽  
pp. 5305
Author(s):  
Ana Maria Laus ◽  
Mayra Gonçalves Menegueti ◽  
Maria Auxiliadora-Martins ◽  
Lucieli Dias Pedreschi Chaves ◽  
Silvia Helena Camelo
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Statistical Significance ◽  
Apache Ii ◽  
University Hospital ◽  
Nursing Workload ◽  
Apache Ii Score ◽  
Cross Sectional ◽  
Terapia Intensiva ◽  
Score Apache

RESUMOObjetivo: analisar comparativamente a carga de trabalho de Enfermagem em duas unidades de terapia intensiva. Método: estudo quantitativo, de coorte transversal, descritivo, realizado em duas UTI de um hospital universitário. A amostra foi aleatória constituindo-se de 100 pacientes. A análise foi realizada por meio da regressão multivariada, cuja variável dependente foi carga de trabalho de Enfermagem, permanecendo, no modelo final, as variáveis independentes com significância estatística menor que 0,05. Resultados: a maioria dos pacientes foi do sexo masculino (60%), com média de idade de 52,3 anos. A carga de trabalho de Enfermagem nas UTI apresentou a média do escore NAS total do conjunto de pacientes de 75,65 e escore APACHE II de 25,5. Conclusão: o tempo de permanência, o sexo e a faixa etária não apresentaram associação significativa com a carga de trabalho de Enfermagem, porém, esta se associou ao escore de gravidade (APACHE II) e à condição de saída do paciente (alta/óbito). Descritores: Carga de trabalho; Unidades de Terapia Intensiva; Enfermagem. ABSTRACT Objective: to analyze comparatively the Nursing workload in two intensive care units. Method: quantitative, cross-sectional, descriptive study performed in two ICUs of a university hospital. The sample was random and consisted of 100 patients. The analysis was performed through multivariate regression, whose dependent variable was Nursing workload, remaining, in the final model, the independent variables with statistical significance lower than 0.05. Results: the majority of the patients were male (60%), with a mean age of 52.3 years. The workload of Nursing in the ICU presented the mean of the total NAS score of the set of patients of 75.65 and APACHE II score of 25.5. Conclusion: length of stay, sex and age group did not present a significant association with the nursing workload, however, this was associated with the severity score (APACHE II) and the patient's exit status (discharge / death). Descritores: Workload; Intensive Care Units, Nursing. RESUMEN Objetivo: analizar comparativamente la carga de trabajo de Enfermería en dos unidades de terapia intensiva. Método: estudio cuantitativo, de cohorte transversal, descriptivo, realizado en dos UTI de un hospital universitario. La muestra fue aleatoria constituyéndose de 100 pacientes. El análisis fue realizado por medio de la regresión multivariada, cuya variable dependiente fue carga de trabajo de Enfermería, permaneciendo, en el modelo final, las variables independientes con significancia estadística menor que 0,05. Resultados: la mayoría de los pacientes fue la del sexo masculino (60%), con promedio de edad de 52,3 años. La carga de trabajo de Enfermería en las UTI presentó la media del score NAS total del conjunto de pacientes de 75,65 y score APACHE II de 25,5. Conclusión: el tiempo de permanencia, el sexo y el grupo de edad no presentaron asociación significativa con la carga de trabajo de Enfermería, pero, ésta se asoció al score de gravedad (APACHE II) y la condición de salida del paciente (alta / óbito). Descritores: Carga de Trabajo; Unidades de Terapia Intensiva; Enfermagem.

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