Acinetobacter infections prevalence and frequency of the antibiotics resistance: comparative study of intensive care units versus other hospital units

In early March 2020, Italy became the epicenter of the Coronavirus Disease 2019 (COVID-19) pandemic in Europe. A different organization of hospital units was required to take care of patients affected by acute respiratory failure caused by COVID-19. This study aimed to evaluate the prevalence of burnout in two sub-intensive care units (SICUs) of the COVID-19 hub center of the Lombardia region in Milan (Italy). All nurses and healthcare assistants working in the SICUs during June 2020 were included in the study. Burnout was assessed via the Maslach Burnout Inventory questionnaire. One hundred and five (84%) SICU staff participated in the study. The prevalence of high burnout for nurses and healthcare assistants was 61.9% for emotional exhaustion, 47.6% for depersonalization and 34.3% for personal accomplishment. Depersonalization was significantly more frequent in younger nurses (p = 0.009). Nurses were 4.5 times more likely to have burnout than healthcare assistants. Burnout was a common condition among healthcare workers operating in SICUs during the pandemic. Urgent actions are needed, especially for nurses, as well as preventive strategies for future pandemic scenarios.

Download Full-text

Medicine and Aviation: A Review of the Comparison

Methods of Information in Medicine ◽

10.1055/s-0038-1634242 ◽

2003 ◽

Vol 42 (04) ◽

pp. 433-436 ◽

Cited By ~ 15

Author(s):

R. Randell

Keyword(s):

Health Care ◽

Intensive Care ◽

Comparative Study ◽

Intensive Care Units ◽

Medical Error ◽

Medical Technology ◽

Research Literature ◽

Ethnographic Study ◽

The Subject

Summary Objective: This paper aims to understand the nature of medical error in highly technological environments and argues that a comparison with aviation can blur its real understanding. Methods: This study is a comparative study between the notion of error in health care and aviation based on the author’s own ethnographic study in intensive care units and findings from the research literature on errors in aviation. Results and Conclusions: Failures in the use of medical technology are common. In attempts to understand the area of medical error, much attention has focused on how we can learn from aviation. This paper argues that such a comparison is not always useful, on the basis that (i) the type of work and technology is very different in the two domains; (ii) different issues are involved in training and procurement; and (iii) attitudes to error vary between the domains. Therefore, it is necessary to look closely at the subject of medical error and resolve those questions left unanswered by the lessons of aviation.

Download Full-text

Enteral nutrition therapy in intensive care units: a comparative study between prescribed and administered diet

Critical Care ◽

10.1186/cc5874 ◽

2007 ◽

Vol 11 (Suppl 3) ◽

pp. P87

Author(s):

KG Padilha ◽

MJA Poltronieri

Keyword(s):

Intensive Care ◽

Enteral Nutrition ◽

Comparative Study ◽

Intensive Care Units ◽

Nutrition Therapy

Download Full-text

Clinical evolution of adult, elderly and very elderly patients admitted in Intensive Care Units

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692011000600010 ◽

2011 ◽

Vol 19 (6) ◽

pp. 1344-1351 ◽

Cited By ~ 3

Author(s):

Verônica Cunha Rodrigues de Oliveira ◽

Lilia de Souza Nogueira ◽

Rafaela Andolhe ◽

Katia Grillo Padilha ◽

Regina Marcia Cardoso de Sousa

Keyword(s):

Intensive Care ◽

Mortality Rate ◽

Elderly Patients ◽

Comparative Study ◽

Clinical Outcomes ◽

Intensive Care Units ◽

The Elderly ◽

Simplified Acute Physiology Score ◽

Adult Patients ◽

Very Elderly

This study compared clinical outcomes among adult, elderly and very elderly patients admitted to Intensive Care Units (ICUs) located in São Paulo, Brazil. This retrospective, longitudinal and comparative study included 279 adult (≥18 and <60 years), 216 elderly (≥60 and <80 years) and 105 very elderly (≥80 years) patients. Adult patients differed from other groups regarding the unit to which they were referred and severity, according to the Simplified Acute Physiology Score II. Adults were most frequently sent to hospitalization wards; elderly and very elderly patients who survived hospitalization in critical units showed sharper improvement before discharge. There were differences in relation to mortality between adult and elderly patients, with a higher rate in the elderly group; however, the mortality rate of very elderly and adult patients was similar. In general, the results indicated that older age was not associated with undesirable outcomes in ICUs.

Download Full-text