scholarly journals OCCURRENCE OF NOSOCOMIAL INFECTION IN INTENSIVE CARE UNIT OF A PUBLIC HOSPITAL

2020 ◽  
Vol 6 ◽  
Author(s):  
Danielle Lopes de Alencar ◽  
Adriana Da Silva Conceição ◽  
Renata Flávia Abreu da Silva
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nosocomial Infection ◽  
Public Hospital ◽  
Univariate Analysis ◽  
Invasive Mechanical Ventilation ◽  
Related Factor ◽  
Kaplan Meier ◽  
Health Care Associated Infections ◽  
Invasive Device

Introduction: Health care-associated infections stand out in scientific investigations for being related to increased length of stay as well as to morbidity and mortality rates, of hospitalized patients, especially in intensive care units. The study aims to profile the occurrence of invasive device-associated infections in an intensive care unit of a public hospital in Rio de Janeiro. Outline: Descriptive, documentary study with data collected in 2018 through form including patients hospitalized in 2016. For univariate analysis, Kaplan–Meier estimate and Longrank test with value p <0.05% were used. Results: 181 predominantly male patients (53.59%) ≥ 60 years (37.57%). Indwelling urinary catheter was the most used device although the highest percentage of infection was with invasive mechanical ventilation. The nosocomial infection rate was 28.73% predominantly in respiratory tract (56.91%). Implications: There was an association between nosocomial infection and the use of invasive devices investigated in the study, considering that the time of use was the most related factor.

Invasive Device-Related Nosocomial Infection Surveillance in Intensive Care Unit

2012 ◽  
Vol 32 (2) ◽  
pp. 438-443 ◽  
Author(s):  
Zafer ÇUKUROVA ◽  
Bülent DURDU ◽  
Oya HERGÜNSEL ◽  
Gülay EREN ◽  
Yasemin TEKDÖŞ ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nosocomial Infection ◽  
Infection Surveillance ◽  
Invasive Device

scholarly journals Nursing Workload in Relation to Nosocomial Infection in Public Hospital Intensive Care Unit, Malaysia

2018 ◽  
Vol 11 (9) ◽  
pp. 3892 ◽  
Author(s):  
Azura Abdul Halain ◽  
Kim Lam Soh ◽  
Airini Ibrahim ◽  
Salimah Japar ◽  
Swee Leong Ong ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nosocomial Infection ◽  
Public Hospital ◽  
Nursing Workload ◽  
Hospital Intensive Care Unit

Code Blue Events in the Neonatal and Pediatric Intensive Care Units at a Tertiary Care Children's Hospital

2020 ◽  
Author(s):  
Catherine M. Groden ◽  
Erwin T. Cabacungan ◽  
Ruby Gupta
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Life Support ◽  
Univariate Analysis ◽  
Tertiary Care ◽  
Neonatal Resuscitation ◽  
Advanced Life Support ◽  
Pediatric Intensive Care ◽  
Code Blue ◽  
Neonatal Resuscitation Program

Objective The authors aim to compare all code blue events, regardless of the need for chest compressions, in the neonatal intensive care unit (NICU) versus the pediatric intensive care unit (PICU). We hypothesize that code events in the two units differ, reflecting different disease processes. Study Design This is a retrospective analysis of 107 code events using the code narrator, which is an electronic medical record of real-time code documentation, from April 2018 to March 2019. Events were divided into two groups, NICU and PICU. Neonatal resuscitation program algorithm was used for NICU events and a pediatric advanced life-support algorithm was used for PICU events. Events and outcomes were compared using univariate analysis. The Mann–Whitney test and linear regressions were done to compare the total code duration, time from the start of code to airway insertion, and time from airway insertion to end of code event. Results In the PICU, there were almost four times more code blue events per month and more likely to involve patients with seizures and no chronic condition. NICU events more often involved ventilated patients and those under 2 months of age. The median code duration for NICU events was 2.5 times shorter than for PICU events (11.5 vs. 29 minutes), even when adjusted for patient characteristics. Survival to discharge was not different in the two groups. Conclusion Our study suggests that NICU code events as compared with PICU code events are more likely to be driven by airway problems, involve patients <2 months of age, and resolve quickly once airway is taken care of. This supports the use of a ventilation-focused neonatal resuscitation program for patients in the NICU. Key Points

scholarly journals Contamination of Propofol Infusions in the Intensive Care Unit: Incidence and Clinical Significance

1998 ◽  
Vol 26 (2) ◽  
pp. 162-164 ◽  
Author(s):  
S. A. R. Webb ◽  
B. Roberts ◽  
F. X. Breheny ◽  
C. L. Golledge ◽  
P. D. Cameron ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Observational Study ◽  
Nosocomial Infection ◽  
Wound Infection ◽  
Clinical Significance ◽  
Low Grade ◽  
Clinical Infection ◽  
Icu Patients

Epidemics of bacteraemia and wound infection have been associated with the infusion of bacterially contaminated propofol administered during anaesthesia. We conducted an observational study to determine the incidence and clinical significance of administration of potentially contaminated propofol to patients in an ICU setting. One hundred patients received a total of 302 infusions of propofol. Eighteen episodes of possible contamination of propofol syringes were identified, but in all cases contamination was by a low-grade virulence pathogen. There were no episodes of clinical infection or colonization which could be attributed to the administration of contaminated propofol. During the routine use of propofol to provide sedation in ICU patients the risk of nosocomial infection secondary to contamination of propofol is extremely low.

Difficulties in assessing community-acquired infection as a risk factor for nosocomial infection at an intensive care unit

1994 ◽  
Vol 10 (1) ◽  
pp. 51-56 ◽  
Author(s):  
Aurora Bueno-Cavanillas ◽  
Miguel Delgado-Rodríguez ◽  
Pablo Lardelli-Claret ◽  
Alfredo López-Luque ◽  
Ramón Gálvez-Vargas
Keyword(s):  
Intensive Care Unit ◽  
Risk Factor ◽  
Intensive Care ◽  
Nosocomial Infection ◽  
Community Acquired Infection
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