Economic Aspects of Preventing Health Care–Associated Infections in the Intensive Care Unit

2012 ◽  
Vol 28 (1) ◽  
pp. 89-97 ◽  
Author(s):  
Marya D. Zilberberg ◽  
Andrew F. Shorr
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Economic Aspects ◽  
Health Care Associated Infections

scholarly journals Chlorhexidine Gluconate Bathing Program to Reduce Health Care–Associated Infections in Both Critically Ill and Non–Critically Ill Patients

2021 ◽  
Vol 41 (5) ◽  
pp. e1-e8
Author(s):  
Leigh Chapman ◽  
Lisa Hargett ◽  
Theresa Anderson ◽  
Jacqueline Galluzzo ◽  
Paul Zimand
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Critically Ill ◽  
Chlorhexidine Gluconate ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care ◽  
Telemetry Unit ◽  
Health Care Associated Infections ◽  
The Impact

Background Critical care nurses take care of patients with complicated, comorbid, and compromised conditions. These patients are at risk for health care–associated infections, which affect patients’ lives and health care systems in various ways. Objective To gauge the impact of routinely bathing patients with 4% chlorhexidine gluconate solution on the incidence of health care–associated infections in a medical-surgical intensive care unit and a postoperative telemetry unit; to outline the framework for a hospital-wide presurgical chlorhexidine gluconate bathing program and share the results. Methods A standard bathing protocol using a 4% chlorhexidine gluconate solution was developed. The protocol included time studies, training, monitoring, and surveillance of health care–associated infections. Results Consistent patient bathing with 4% chlorhexidine gluconate was associated with a 52% reduction in health care–associated infections in a medical-surgical intensive care unit. The same program in a postoperative telemetry unit yielded a 45% reduction in health care–associated infections. Conclusion A comprehensive daily 4% chlorhexidine gluconate bathing program can be implemented with standardized protocols and detailed instructions and can significantly reduce the incidence of health care–associated infections in intensive care unit and non–intensive care unit hospital settings.

scholarly journals Device associated –health care associated infections monitoring, prevention and cost assessment at intensive care unit of University Hospital in Poland (2015–2017)

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Wieslawa Duszynska ◽  
Victor Daniel Rosenthal ◽  
Aleksander Szczesny ◽  
Katarzyna Zajaczkowska ◽  
Michal Fulek ◽  
...  
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Acinetobacter Baumannii ◽  
Compliance Rate ◽  
University Teaching ◽  
University Hospital ◽  
Incidence Density ◽  
Infection Group ◽  
Health Care Associated Infections

Abstract Background Device-associated health care-associated infections (DA-HAIs) in intensive care unit (ICU) patients constitute a major therapeutic issue complicating the regular hospitalisation process and having influence on patients’ condition, length of hospitalisation, mortality and therapy cost. Methods The study involved all patients treated > 48 h at ICU of the Medical University Teaching Hospital (Poland) from 1.01.2015 to 31.12.2017. The study showed the surveillance and prevention of DA-HAIs on International Nosocomial Infection Control Consortium (INICC) Surveillance Online System (ISOS) 3 online platform according to methodology of the INICC multidimensional approach (IMA). Results During study period 252 HAIs were found in 1353 (549F/804M) patients and 14,700 patient-days of hospitalisation. The crude infections rate and incidence density of DA-HAIs was 18.69% and 17.49 ± 2.56 /1000 patient-days. Incidence density of ventilator-associated pneumonia (VAP), central line-associated bloodstream infection (CLA-BSI) and catheter-associated urinary tract infection (CA-UTI) per 1000 device-days were 12.63 ± 1.49, 1.83 ± 0.65 and 6.5 ± 1.2, respectively. VAP(137) constituted 54.4% of HAIs, whereas CA-UTI(91) 36%, CLA-BSI(24) 9.6%.The most common pathogens in VAP and CA-UTI was multidrug-resistant (MDR) Acinetobacter baumannii (57 and 31%), and methicillin-resistant Staphylococcus epidermidis (MRSE) in CLA-BSI (45%). MDR Gram negative bacteria (GNB) 159 were responsible for 63.09% of HAIs. The length of hospitalisation of patients with a single DA-HAI at ICU was 21(14–33) days, while without infections it was 6.0 (3–11) days; p = 0.0001. The mortality rates in the hospital-acquired infection group and no infection group were 26.1% vs 26.9%; p = 0.838; OR 0.9633;95% CI (0.6733–1.3782). Extra cost of therapy caused by one ICU acquired HAI was US$ 11,475/Euro 10,035. Hand hygiene standards compliance rate was 64.7%, while VAP, CLA-BSI bundles compliance ranges were 96.2–76.8 and 29–100, respectively. Conclusions DA-HAIs was diagnosed at nearly 1/5 of patients. They were more frequent than in European Centre Disease Control report (except for CLA-BSI), more frequent than the USA CDC report, yet less frequent than in limited-resource countries (except for CA-UTI). They prolonged the hospitalisation period at ICU and generated substantial additional costs of treatment with no influence on mortality. The Acinetobacter baumannii MDR infections were the most problematic therapeutic issue. DA-HAIs preventive methods compliance rate needs improvement.

Health care-associated infections in the intensive care unit of Saqr Hospital, Ras Al Khaimah, in 2013

2014 ◽  
Vol 7 (2) ◽  
pp. 267
Author(s):  
ManalMahmoud Sami ◽  
YousirM Abdulgafor ◽  
WaedYasser Al Zobi ◽  
RandM Abdulgafor ◽  
RashaA Salama ◽  
...  
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Health Care Associated Infections

scholarly journals Health-care-associated infections: Risk factors and epidemiology from an intensive care unit in Northern India

2014 ◽  
Vol 58 (1) ◽  
pp. 30 ◽  
Author(s):  
Priya Datta ◽  
Hena Rani ◽  
Rajni Chauhan ◽  
Satinder Gombar ◽  
Jagdish Chander
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Northern India ◽  
Health Care Associated Infections

scholarly journals Health care-associated infections in pre-transplant liver intensive care unit: Perspectives and challenges

2018 ◽  
Vol 11 (3) ◽  
pp. 398-404 ◽  
Author(s):  
Elham A. Hassan ◽  
Nahla M. Elsherbiny ◽  
Abeer S. Abd El-Rehim ◽  
Asmaa M.A. Soliman ◽  
Asmaa O. Ahmed
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Health Care Associated Infections

scholarly journals Prevention of nosocomial pneumonia in conditions of resuscitation and intensive care unit: literature review

2020 ◽  
Vol 37 (4) ◽  
pp. 62-70
Author(s):  
L. A. Panacheva
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Nosocomial Pneumonia ◽  
High Frequency ◽  
Medical Personnel ◽  
Epidemiological Surveillance ◽  
Review Of Literature ◽  
Health Care Associated Infections

The article presents a review of literature on the prevention of nosocomial pneumonia (NP), which has a high frequency in the resuscitation and intensive care unit, severe complications (up to 52.1 % of cases) and mortality. The following aspects are shown: risk factors for NP and multiple antimicrobial resistance; the goal and program of NP prevention aimed at reducing the likelihood of contamination and infection of patients; the need for epidemiological surveillance of health care associated infections and observance of principles of asepsis and antiseptics by medical personnel; the prevention of oropharyngeal colonization and aspiration; methods of timely verticalization of patients who suffered from acute cerebral insufficiency of any etiology; stimulating spirometry, respiratory gymnastics and chest massage.

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