Showing papers on "Nosocomial infection control published in 2013"
Amrita Institute of Medical Sciences and Research Centre1, Chartered Institute of Management Accountants2, American University of Beirut3, Ondokuz Mayıs University4, The Catholic University of America5, Lithuanian University of Health Sciences6, Pontifical Xavierian University7, Boston Children's Hospital8, Monash University9
TL;DR: SSI rates were significantly higher for most SPs in INICC hospitals compared with CDC-NHSN data, including the rates of SSI after hip prosthesis, and others.
Abstract: results. We gathered data from of 7,523 SSIs associated with 260,973 SPs. SSI rates were significantly higher for most SPs in INICC hospitals compared with CDC-NSHN data, including the rates of SSI after hip prosthesis (2.6% vs 1.3%; relative risk [RR], 2.06 [95% confidence interval (CI), 1.8‐2.4]; ), coronary bypass with chest and donor incision (4.5% vs 2.9%; RR, 1.52 [95% CI, 1.4‐1.6]; P ! .001 ); abdominal hysterectomy (2.7% vs 1.6%; RR, 1.66 [95% CI, 1.4‐2.0]; ); exploratory abdominal surgery (4.1% vs 2.0%; P ! .001 P ! .001 RR, 2.05 [95% CI, 1.6‐2.6]; ); ventricular shunt, 12.9% vs 5.6% (RR, 2.3 [95% CI, 1.9‐2.6]; ), and others. P ! .001 P ! .001 conclusions. SSI rates were higher for most SPs in INICC hospitals compared with CDC-NSHN data.
111 citations
TL;DR: Implementing the six components of the INICC approach simultaneously was associated with a significant reduction in the CLABSI rate in India, which remained stable during 36 months of follow-up.
75 citations
TL;DR: Adherence to hand hygiene increased by 48% with the INICC approach and specific programs directed to improve hand hygiene for variables found to be predictors of poor hand hygiene compliance should be implemented.
Abstract: Objective. To assess the feasibility and effectiveness of the International Nosocomial Infection Control Consortium (INICC) multidimensional hand hygiene approach in 19 limited-resource countries and to analyze predictors of poor hand hygiene compliance.Design. An observational, prospective, cohort, interventional, before-and-after study from April 1999 through December 2011. The study was divided into 2 periods: a 3-month baseline period and a 7-year follow-up period.Setting. Ninety-nine intensive care unit (ICU) members of the INICC in Argentina, Brazil, China, Colombia, Costa Rica, Cuba, El Salvador, Greece, India, Lebanon, Lithuania, Macedonia, Mexico, Pakistan, Panama, Peru, Philippines, Poland, and Turkey.Participants. Healthcare workers at 99 ICU members of the INICC.Methods. A multidimensional hand hygiene approach was used, including (1) administrative support, (2) supplies availability, (3) education and training, (4) reminders in the workplace, (5) process surveillance, and (6) performance feed...
71 citations
TL;DR: Implementation of a multidimensional infection control approach was associated with a significant reduction in CLABSI rates in NICUs, and the incidence rate ratio (IRR) for each follow-up time period compared with the 3-month baseline.
Abstract: Objective. To analyze the impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional infection control approach to reduce central line–associated bloodstream infection (CLABSI) rates.Setting. Four neonatal intensive care units (NICUs) of INICC member hospitals from El Salvador, Mexico, Philippines, and Tunisia.Patients. A total of 2,241 patients hospitalized in 4 NICUs for 40,045 bed-days.Methods. We conducted a before-after prospective surveillance study. During Phase 1 we performed active surveillance, and during phase 2 the INICC multidimensional infection control approach was implemented, including the following practices: (1) central line care bundle, (2) education, (3) outcome surveillance, (4) process surveillance, (5) feedback of CLABSI rates, and (6) performance feedback of infection control practices. We compared CLABSI rates obtained during the 2 phases. We calculated crude stratified rates, and, using random-effects Poisson regression to allow for clustering b...
66 citations
TL;DR: The implementation of multidimensional infection control approach was associated with a significant reduction in the CLAB rates in adult ICUs of Turkey, and thus should be widely implemented.
Abstract: Background
Central line-associated bloodstream infections (CLABs) have long been associated with excess lengths of stay, increased hospital costs and mortality attributable to them. Different studies from developed countries have shown that practice bundles reduce the incidence of CLAB in intensive care units. However, the impact of the bundle strategy has not been systematically analyzed in the adult intensive care unit (ICU) setting in developing countries, such as Turkey. The aim of this study is to analyze the impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional infection control approach to reduce the rates of CLAB in 13 ICUs of 13 INICC member hospitals from 8 cities of Turkey.
61 citations
TL;DR: The authors' multidimensional approach was associated with a significant reduction in the rates of CAUTI in Turkey, which was significantly decreased by 47% in phase 2.
55 citations
TL;DR: The INICC multidimensional approach was associated with a significant reduction in the VAP rate in these adult ICUs of Turkey.
Abstract: Purpose
To evaluate the impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional approach on the reduction of ventilator-associated pneumonia (VAP) in adult patients hospitalized in 11 intensive care units (ICUs), from 10 hospitals, members of the INICC, in 10 cities of Turkey.
47 citations
TL;DR: The effect of the International Nosocomial Infection Control Consortium's (INICC) multidimensional approach for the reduction of ventilator-associated pneumonia (VAP) in adult patients hospitalized in 21 intensive-care units (ICUs) in 10 Indian cities is reported on.
Abstract: SUMMARY We report on the effect of the International Nosocomial Infection Control Consortium’s (INICC) multidimensional approach for the reduction of ventilator-associated pneumonia (VAP) in adult patients hospitalized in 21 intensive-care units (ICUs), from 14 hospitals in 10 Indian cities. A quasi-experimental study was conducted, which was divided into baseline and intervention periods. During baseline, prospective surveillance of VAP was performed applying the Centers for Disease Control and Prevention/National Healthcare Safety Network definitions and INICC methods. During intervention, our approach in each ICU included a bundle of interventions, education, outcome and process surveillance, and feedback of VAP rates and performance. Crude stratified rates were calculated, and by using random-effects Poisson regression to allow for clustering by ICU, the incidence rate ratio for each time period compared with the 3-month baseline was determined. The VAP rate was 17·43/1000 mechanical ventilator days during baseline, and 10·81 for intervention, showing a 38% VAP rate reduction (relative risk 0·62, 95% confidence interval 0·5–0·78, P=0·0001).
45 citations
TL;DR: The authors' multidimensional approach for the reduction of catheter-associated urinary tract infection in an adult intensive care unit of a hospital member of the International Nosocomial Infection Control Consortium in Lebanon was associated with a significant reduction in the CAUTI rate.
34 citations
TL;DR: Effective nosocomial infection control strategies and the judicious use of antibiotics will be required to prevent further spread of this resistance mechanism.
Abstract: This study reports on the emergence of cfr-harbouring coagulase-negative staphylococci (CoNS) among patients who received linezolid therapy in two hospitals in Hangzhou, China. The mechanisms of resistance and transmission were analysed for these resistant isolates. Eight Staphylococcus capitis isolates, one Staphylococcus epidermidis isolate and one Staphylococcus hominis isolate, obtained from patients who had received linezolid therapy in two hospitals in Hangzhou, China, were confirmed as linezolid resistant, with MICs ranging from 8 to >256 mg l(-1). The linezolid usage data of the ten patients before isolation of the linezolid-resistant CoNS were collected. PFGE analysis showed that the eight S. capitis isolates from the two hospitals belonged to the same clone. Nine of the linezolid-resistant CoNS isolates carried the cfr gene, which was located on plasmids of a similar size. A 5.3 kb fragment containing the cfr gene, revealing 99 % identity to the sequence of the cfr-harbouring plasmid pSS-01 reported previously, was determined by PCR mapping for all cfr-positive isolates, and the cfr gene was flanked by two copies of IS256-like elements. Thus, these results document the emergence of linezolid-resistant CoNS isolates carrying the cfr gene in Hangzhou, China. Effective nosocomial infection control strategies and the judicious use of antibiotics will be required to prevent further spread of this resistance mechanism.
33 citations
TL;DR: A new score is proposed that incorporates fracture classification, American Society of Anesthesiologists classification, and body mass index as predictors of infection in orthopedic fracture surgery.
Abstract: Background Current infection risk scores are not designed to predict the likelihood of surgical site infection after orthopedic fracture surgery. We hypothesized that the National Nosocomial Infections Surveillance (NNIS) System and the Study on the Efficacy of Nosocomial Infection Control (SENIC) scores are not predictive of infection after orthopedic fracture surgery and that risk factors for infection can be identified and a new score created (Emerg Infect Dis. 2003;9:196-203). Methods We conducted a secondary analysis of data from a trial involving internal fixation of 235 tibial plateau, pilon, and calcaneus fractures treated between 2007 and 2010 at a Level I trauma center. The predictive value of the NNIS System and SENIC scores was evaluated based on areas under the receiver operating characteristic (ROC) curve. Bivariate and multiple logistic regression analyses were used to build an improved prediction model, creating the Risk of Infection in Orthopedic Trauma Surgery (RIOTS) score. The predictive value of the RIOTS score was evaluated via the ROC curve. Results NNIS System and SENIC scores were not predictive of surgical site infection after orthopedic fracture surgery. In our final regression model, the relative odds of infection among patients with AO [Arbeitsgemeinschaft fur Osteosynthesefragen] type C3 or Sanders type 4 fractures compared with fractures of lower classification was 5.40. American Society of Anesthesiologists class 3 or higher and body mass index less than 30 were also predictive of infection, with odds ratios of 2.87 and 3.49, respectively. The area under the ROC curve for the RIOTS score was 0.75, significantly higher than the areas for the NNIS System and SENIC scores. Conclusion The NNIS System and SENIC scores were not useful in predicting the risk of infection after fixation of fractures. We propose a new score that incorporates fracture classification, American Society of Anesthesiologists classification, and body mass index as predictors of infection. Level of evidence Prognostic study, level II.
TL;DR: In this paper, the impact of multidimensional infection control approach on the reduction of catheter-associated urinary tract infection (CAUTI) rates in adult intensive care units (AICUs) in two hospitals in the Philippines that are members of the International Nosocomial Infection Control Consortium was assessed.
TL;DR: The implementation of the INICC multidimensional approach for VAP was associated with a significant reduction in the VAP rate in the participating AICU of Cuba.
01 Jan 2013
TL;DR: The authors' multidimensional approach was associated with a significant reduction in the CAUTI rates in the ICU setting of a limited-resource country.
Abstract: Summary 16 Objectives: To assess the impact of a multidimensional infection control approach on the reduction of catheter-associated urinary tract infection (CAUTI) rates in adult intensive care units (AICUs) in two hospitals in the Philippines that are members of the International Nosocomial Infection Control Consortium. 17 18 19 20 Materials and methods: This was a before—after prospective active surveillance study to determine the rates of CAUTI in 3183 patients hospitalized in 4 ICUS over 14,426 bed-days. The study was divided into baseline and intervention periods. During baseline, surveillance was performed using the definitions of the US Centers for Disease Control and Prevention and the National Healthcare Safety Network (CDC/NHSN). During intervention, we implemented a multidimensional approach that included: (1) a bundle of infection control interventions, 21 22 23 24 25 26 27
TL;DR: The high oxacillin resistance rates found in this study and clonal dissemination in different wards highlight the importance of good practices in nosocomial infection control and of the rational use of antibiotic therapy in order to prevent the dissemination of these clones.
TL;DR: In comparison with the results conducted in 2003 targeting five governmental hospitals, a steady improvement was observed, but further improvements are needed in terms of the provision of high quality medical care.
Abstract: The purpose of this study was to investigate the actual conditions of nosocomial infection control in Kathmandu City, Nepal as a basis for the possible contribution to its improvement. The survey was conducted at 17 hospitals and the methods included a questionnaire, site visits and interviews. Nine hospitals had manuals on nosocomial infection control, and seven had an infection control committee (ICC). The number of hospitals that met the required amount of personal protective equipment preparation was as follows: gowns (13), gloves (13), surgical masks (12). Six hospitals had carried out in-service training over the past one year, but seven hospitals responded that no staff had been trained. Eight hospitals were conducting surveillance based on the results of bacteriological testing. The major problems included inadequate management of ICC, insufficient training opportunities for hospital staff, and lack of essential equipment. Moreover, increasing bacterial resistance to antibiotics was recognized as a growing issue. In comparison with the results conducted in 2003 targeting five governmental hospitals, a steady improvement was observed, but further improvements are needed in terms of the provision of high quality medical care. Particularly, dissemination of appropriate manuals, enhancement of basic techniques, and strengthening of the infection control system should be given priority.
13 Apr 2013
TL;DR: There was a statistically significant relationship between knowledge, attitudes and skills in nosocomial infection control and there was no statisticallysignificant relationship between education and training in Nosocomial infections control.
Abstract: Background: Nosocomial infection is an important health care problem worldwide. Nosocomial infections in the hospital at about 9% (variation 3- 21%) or over 1.4 million patients admitted to hospi-tals around the world. Nosocomial infections pose some problems, namely an increase in morbid-ity and mortality, the addition of day care, the increasing cost of care and dissatisfaction with both pa-tients and their families. Nosocomial infection control efforts are very complex and involves a variety of targets including hospital personnel, patients, medical equipment, treatment rooms, and the envi-ronment. The purpose of this study was to mengetahuai performance of nosocomial infection con-trol nurse in PKU Muhammadiyah Hospital in Bantul, Yogyakarta. Methods: This study was a type of observational analytic study using quantitative cross- sectional survey design. The sample size was of the study was 50 nurses. The sampling technique used Sampling Random sampling techniques with systematic sampling. Data was taken using a ques-tionnaire. Results: Based on the results of the bivariate test there were three variables that were statistically significant, namely knowledge (p value = 0.000 and RP = 7.115), attitude (p value = 0.000 and RP = 6.519) and skills (p value = 0.000 and RP = 6.519). Non- significant variables: education (p value = 0.486 and RP = 0.542) and training (p value = 0.670 and RP = 1.432). Conclusion: There was a statistically significant relationship between knowledge, attitudes and skills in nosocomial infection control and there was no statistically significant relationship between education and training in nosocomial infection control. Key words: nosocomial infection control, nurse performance, cross sectional.
TL;DR: The study indicated a high degree of genetic relatedness between nasal and clinical MRSA isolates and the molecular typing of MRSA is critical for controlling the nosocomial transmission of this pathogen in ICU setting and defining a Nosocomial infection control policy.
TL;DR: The levels of awareness and performance for prevention of nosocomial infection was significantly higher in senior RTs (p), and the relationship between the levels ofawareness, performance and empowerment and nosocomials infection control was found to be weak.
Abstract: The aim of this study was to investigate the peculiarity of awareness, performance and empowerment of RTs and to find out the relationship between the levels of awareness, performance and empowerment and nosocomial infection control. A total of 84 RTs, which were working at C University Hospital in Gwangju city, were participated in this survey study. A final questionnaire consisted of total 80 items including the general characteristics(10), nosocomial infection(10), awareness level(24), performance level of the prevention of nosocomial infection(24) and empowerment scale(12). The levels of awareness and performance for prevention of nosocomial infection was significantly higher in senior RTs (p
Journal Article•
TL;DR: The analysis of the influence of particular factors on SSI revealed that the greatest impact was exerted by surgery duration longer than 2 hours, and in particular types of cancer.
Abstract: Czestośc wystepowania zakazen miejsca operowanego ( ZMO) w oddzialach chirurgicznych wynosi 2,6% - 38% w/g NNISS ( National Nosocomial Infections Surveillance System ) i zalezy od wielu czynnikow . Mozna je podzielic nastepująco: 1. czynniki ryzyka związane z pacjentem 2. czynniki ryzyka związane ze środowiskiem 3. czynniki ryzyka związane z procedurą chirurgiczną Celem pracy jest przedstawienie wplywu czynnikow ryzyka na czestośc wystepowania zakazen miejsca operowanego u chorych na nowotwory sklasyfikowane w/g SENIC (indeks ryzyka wystąpienia zakazenia miejsca operowanego) w Oddziale Chirurgii Onkologicznej Centrum Onkologii Ziemi Lubelskiej (COZL) w Lublinie oraz określenie czestości wystepowania ZMO u chorych operowanych w oddziale w latach 2011-2012 ogolem a takze w poszczegolnych typach nowotworow. Material badawczy stanowila dokumentacja medyczna 3813 pacjentow leczonych w Oddziale Chirurgii Onkologicznej COZL w latach 2011 i 2012 z wykorzystaniem indeksu SENIC. Na podstawie analizy wplywu poszczegolnych czynnikow na zakazenie ustalono, ze najwiekszy wplyw mial czas operacji powyzej 2 godzin. Surgical Site Infection(SSI) incidence in surgical departments amounts to 2,6% - 38% according to NNISS ( National Nosocomial Infections Surveillance System ) and depends on a number of factors . These factors can be divided into the following: 1. patient-associated risk factors 2. environment-associated risk factors 3. risk factors associated with surgical procedure The aim of the study is to present the effects of surgical site infection risk factors in neoplastic patients according to SENIC (Study of the Efficacy of Nosocomial Infection Control) in the Surgical Department of St. John’s Cancer Centre Lublin, Poland, as well as to determine SSI incidence in the patients operated on in the department in 2011/2012 in total, and in particular types of cancer. The study material included the medical documentation of 3813 patients treated in the Oncologic Surgery Department of St. John’s Cancer Centre Lublin, Poland in the years 2011 and 2012 using SENIC index. The analysis of the influence of particular factors on SSI revealed that the greatest impact was exerted by surgery duration longer than 2 hours.
TL;DR: The basic data is provided to provide the basic data to raise the efficient practices that can reduce the Infection Prevention and Exposure by understanding the awareness, Performance degree of the Administrative Standard Guideline of Nosocomial Infection Control for Emergency Medical Technician students who are exposed to hospital infections while conducting clinical practice.
Abstract: This study was to provide the basic data to raise the efficient practices that can reduce the Infection Prevention and Exposure by understanding the awareness, Performance degree of the Administrative Standard Guideline of Nosocomial Infection Control for Emergency Medical Technician students who are exposed to hospital infections while conducting clinical practice. After the study, the performance degree was lower than the awareness of the Performance degree of the Administrative Standard Guideline of Nosocomial Infection Control. And awareness and performance degree are have significant positive correlation, significant differences statistically(r
TL;DR: The NNIS index had a better ability than the SENIC index for discriminating and predicting risk of SSI in gastrointestinal surgery and was confirmed to have good explanatory and predictive power for the detection of SSIs in univariate analysis.
Abstract: Background: One of the major complications after surgery is surgical site infection (SSI). The development of SSI is major cause of morbidity and mortality in surgical patients. Two indices of intrinsic infection risk have been proposed to predict SSI and to control for baseline differences among patients, allowing appropriate comparisons of infection rates: the Study of the Efficacy of Nosocomial Infection Control Index (SENIC) and National Nosocomial Infection Control Surveillance (NNIS) index. This would allow appropriate interhospital comparisons and a better use of infection rates as indicators of health care quality. Materials and methods: A prospective study conducted in the departments of Microbiology in collaboration with Surgical Gastroenterology. Total 816 patients were included in the study during April 2003 to Dec 2004. Epi info software is used for analysis. Results: 113 (13.9%) patients developed SSI. Both the indices have good explanatory and predictive power for the detection of SSIs in univariate analysis. To delineate whether the SENIC index added explanatory information to the NNIS index (or vice versa), we regressed each variable on the other. Logistic regression analysis confirmed the stratified analysis: residual of the NNIS index added discriminating ability to the SENIC index, whereas residuals of the SENIC index did not improve the predictive power of the NNIS index. Conclusions: The NNIS index had a better ability than the SENIC index for discriminating and predicting risk of SSI in gastrointestinal surgery.
02 Jul 2013
TL;DR: The articles revision evidenced that the permanent education with the critical-reflexive pedagogy utilization favors the transformation of the being as professional in the environment in health, stimulating it to reflect and modify its actuation in the assistance to the patient, with the aim at disrupt the chain of nosocomial infection transmission.
Abstract: Despite the knowledge on the nosocomial infection control and, mainly, on the prevention and control of general measures related to health assistance, a low adhesion of the nursing professionals to the preventive measures is frequently verified. This study was realized in 2012 and has as objectives: to understand the non-adhesion of the nursing professionals to the infection control and prevention measures; to identify the scientific works that discuss the reasons and, analyze the reasons of the nursing compliance to adhesion to the infection prevention and control measures. The methodology utilized was the integrative revision, with qualitative approach. The categorization occurred through the theoretical Alfred Schutz. Sixteen articles from the databases of the Biblioteca Virtual em Saude had been selected. The articles revision evidenced that the permanent education with the critical-reflexive pedagogy utilization favors the transformation of the being as professional in the environment in health, stimulating it to reflect and modify its actuation in the assistance to the patient, with the aim at disrupt the chain of nosocomial infection transmission.
Journal Article•
TL;DR: This purpose of this study was to identify factors influencing performance about respiratory system nosocomial infection control among ICU nurses.
Abstract: This purpose of this study was to identify factors influencing performance about respiratory system nosocomial infection control among ICU nurses. The research was a cross-sectional, descriptive design using questionnaires. The participant were 133 nurses working in the ICU of 7 general hospitals. S...
01 Jul 2013
TL;DR: To understand the non-adhesion of the nursing professionals to the infection control and prevention measures; to identify the scientific works that discuss the reasons and, analyze the reasons of the Nursing compliance to adhesion to the infections prevention and control measures.
Abstract: Despite the knowledge on the nosocomial infection control and, mainly, on the prevention and control of general measures related to health assistance, a low adhesion of the nursing professionals to the preventive measures is frequently verified. This study was realized in 2012 and has as objectives: to understand the non-adhesion of the nursing professionals to the infection control and prevention measures; to identify the scientific works that discuss the reasons and, analyze the reasons of the nursing compliance to adhesion to the infection prevention and control measures. The methodology utilized was the integrative revision, with qualitative approach. The categorization occurred through the theoretical Alfred Schutz. Sixteen articles from the databases of the Biblioteca Virtual em Saude had been selected. The articles revision evidenced that the permanent education with
Journal Article•
TL;DR: Assessing physical structure of Neonatal Intensive Care Unit from the perspective of nosocomial infection control suggested lack of compliance with recommended standards in all the studied sections about air conditioning, features of NICU section levels, sink, neonates care space, isolated room and the features of contaminated instruments storage space, which are indicators of infection control.
Abstract: the NICU’s physical structure can improve infection control processes or interfere it. The aim of the present study is assessing physical environment of neonatal intensive care unit from the perspective of nosocomial infection control indicators. Methods: This study is a descriptive cross sectional study in 2011with statistical population of 11 neonatal intensive care units and research environment of all includes 10 public hospitals of Tehran Medical Sciences University. The study tools had been taken from the7andlatest report of the “Recommended standards for the NICU design” proposed by consensus committee. The researchers completed check list by observation method and analyzed data by using descriptive statistic and spss software of version 14. Results: The findings of this study suggested that there have been observed lack of compliance with all the recommended standards in all the studied sections about air conditioning, features of NICU section levels, sink, neonates care space, isolated room and the features of contaminated instruments storage space, which are indicators of infection control. Conclusion: According to the existence conditions of the physical environment of NICU, it has been suggested to observe recommended standards of designing NICU in constructions that are building or are being renovated for providing suitable implementation in order to activate infection control programs. Please cite this paper as: Nayeblouie E, A Farahani M, Khalesi N, Aghahosseini F, Darabi M. Assessing physical structure of Neonatal Intensive Care Unit from the perspective of nosocomial infection control. Iran J Crit Care Nurs 2013;5(4):228–237.
TL;DR: The investigation of a case of symptomatic acute hepatitis B (HBV) infection in an immunosuppressed 87-year-old patient who had received a blood transfusion five months previously is described and the continued need for vigilance for HBV reactivation in Immunosuppression patients who may present to a range of clinicians is highlighted.
Journal Article•
TL;DR: All the two-A or three-A above hospitals have set up the nosocomial infections departments, the total number of which,however, is insufficient, and the matching proportion of the full-time staff is unreasonable.
Abstract: OBJECTIVE To understand the current status of the nosocomial infection control departments and the full-time staff of two-A or two-A above medical institutions in Gansu province.METHODS By means of the onsite investigation combined with the questionnaire survey,a total of 133 full-time staff in 48 hospitals of Gansu province were investigated.RESULTS The 48 hospitals investigated included 7three-A hospitals and 41two-A hospitals,among which there were 6 three-A hospital and 14 two-A hospitals where the independent nosocomial infection control departments were set up.Of the 133 full-time nosocomial infections control staff,there were 96 female and 37 male;the staff aged between 40 and 50 years old accounted for 57.9%;the staff majoring in the nursing accounted for 46.6%;the staff with the undergraduate academic level accounted for 32.3%;the staff with intermediate professional title accounted for 50.4%;the staff who have engaged the nosocomial infections control for less than 5years accounted for 55.6%.CONCLUSIONAll the two-A or two-A above hospitals have set up the nosocomial infections departments,the total number of which,however,is insufficient,and the matching proportion of the full-time staff is unreasonable.
Journal Article•
TL;DR: The application of Nosocomial infection control checklist for critically ill patients can effec-tively improve the quality of nosocomial infections control in ICU.
Abstract: Objective To design a nosocomial infection control quality improvement checklist in ICU,in order to improve the quality of nursing and ensure the patients' safety.Methods A new ICU nosocomial infection control quality improvement checklist was designed and applied in the quality control of critically ill patients from April to June 2012.Results After application of the checklist,the percentages of patients with central venous catheters,tracheal intubation and urinary catheters were significantly decreased(P0.01 or P0.05).The rates of ventilator associated pneumonia and catheter-related blood stream infection were significantly decreased(P0.05).There was no significant difference in the rate of catheter-associated urinary tract infection(P0.05).Conclusion The application of nosocomial infection control checklist for critically ill patients can effec-tively improve the quality of nosocomial infection control in ICU.
Patent•
04 Sep 2013
TL;DR: In this article, the utility model discloses an electric suction apparatus which comprises an electric SUction apparatus host and a waste liquid collecting bag, and a garbage can is further placed on the tray.
Abstract: The utility model discloses an electric suction apparatus which comprises an electric suction apparatus host and a waste liquid collecting bag. A tray is arranged on the electric suction apparatus host. A suction connecting tube and a negative pressure connecting tube are connected to the waste liquid collecting bag, the other end of the suction connecting tube is used for sucking waste liquid of patients, the other end of the negative pressure connecting tube is connected with the electric suction apparatus host, the waste liquid collecting bag is a disposable waste liquid collecting bag, the waste liquid collecting bag is arranged in a hard supporting vessel, and the hard supporting vessel is placed on the tray of the electric suction apparatus host. A garbage can is further placed on the tray. The disposable waste liquid collecting bag is adopted in the electric suction apparatus, the waste liquid collecting bag does not need to be poured and disinfected, when waste liquid is collected to set height (or when a patient conducts replacement), the waste liquid collecting bag is directly treated as medical waste, the operation is simple, the labor intensity of medical personnel is lightened, nosocomial infection control is benefited, the occupational exposure risks of medical personnel are effectively lowered, and the electric suction apparatus is reliable and practical.