Is it possible to feel at home in a patient room in an intensive care unit? Reflections on environmental aspects in technology‐dense environments

2019 ◽  
Vol 26 (4) ◽  
Author(s):  
Morgan Andersson ◽  
Isabell Fridh ◽  
Berit Lindahl
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Environmental Aspects ◽  
Patient Room ◽  
At Home

scholarly journals Evaluation of a Continuous Decontamination Technology in an Intensive Care Unit

2020 ◽  
Vol 41 (S1) ◽  
pp. s519-s519
Author(s):  
Tami Inman BSN ◽  
David Chansolme
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Urban Hospital ◽  
Patient Room ◽  
Colony Forming Units ◽  
Prevention Interventions ◽  
Continuous Application ◽  
Low Levels ◽  
Healthcare Associated ◽  
Cleaning And Disinfection

Background: The scientific literature increasingly indicates the need for the development of continuous disinfection to address the persistent contamination and recontamination that occurs in the patient rooms despite routine cleaning and disinfection. Methods: To determine a baseline microbial burden level on patient room surfaces in the intensive care unit (ICU) of a large urban hospital, 50 locations were swabbed for total colony-forming units (CFU) and the prevalence of methicillin-resistant Staphylococcus aureus (MRSA). Once the baseline in ICU patient rooms was established, 5 novel decontamination devices were installed in the HVAC ducts near these patient rooms. The devices provide a continuous low-level application of oxidizing molecules, predominately hydrogen peroxide. These molecules exit the duct and circulate in the patient room through normal convection, landing on all surfaces. After activation, environmental sampling was conducted every 4 weeks for 4 months. The effect from continuous low levels of oxidizing molecules on the intrinsic microbial burden and the prevalence of MRSA were analyzed. In addition to external laboratory reports, the facility tracked healthcare-associated infections (HAIs) in the unit. HAI data were averaged by month and were compared to the preactivation average in the same unit. Results: The preactivation average microbial burden found on the 50 locations were 179,000 CFU per 100 in2. The prevalence of MRSA was 71% with an average of 81 CFU per 100 in2. After activation of the devices, levels of microbial burden, prevalence of MRSA, and average monthly HAI rates were all significantly lower on average: 95% reduction in average microbial burden (8,206 CFU per 100 in2); 81% reduction in the prevalence of MRSA (13% vs 71%); 54% reduction in the average of healthcare-onset HAIs. All data were obtained from the averages of sampling data for 4 weeks during the 4-month trial period. Conclusions: The continuous application of low levels of oxidizing molecules throughout the patient rooms of an ICU demonstrated 3 outcomes: reduced overall surface microbial burden, lowered the incidence of MRSA, and significantly decreased the monthly average HAI rate. Please note, the ICU ran other infection prevention interventions at this time, including standard cleaning, as well as and their standard disinfecting techniques.Funding: This study was supported by the CASPR Group.Disclosures: None

Welcome to our intensive care unit, make yourself at home!*

2009 ◽  
Vol 37 (7) ◽  
pp. 2313-2314 ◽  
Author(s):  
Jean Carlet ◽  
Maïté Garrouste-Orgeas
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
At Home

scholarly journals ADAPTATION OF LONG-LIVED ELDERS AT HOME AFTER HOSPITALIZATION IN THE INTENSIVE CARE UNIT AND HOSPITAL DISCHARGE

2019 ◽  
Vol 28 ◽  
Author(s):  
Jessica Lane Pereira Santos ◽  
Larissa Chaves Pedreira ◽  
Juliana Bezerra do Amaral ◽  
Valdenir Almeida da Silva ◽  
Álvaro Pereira ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hospital Discharge ◽  
Critical Role ◽  
The Elderly ◽  
Support Network ◽  
Adaptation Theory ◽  
Discharge Data ◽  
Lack Of Information ◽  
At Home

ABSTRACT Objective: to identify stimuli that interfere with the adaptation of long-lived elders at home after hospitalization in the intensive care unit and hospital discharge. Method: a descriptive study with a qualitative approach, conducted with elderly individuals who were hospitalized in the intensive care unit and were already at home after hospital discharge. Data collection took place through open interviews and was performed at the intensive care unit of the hospital and at the home of the elderly. Home visits took place between December 2017 and February 2018, and were conducted in seven cities. Bardin's content analysis was used, and the discussion was based on Callista Roy's Adaptation Theory. Ethical and legal cares were strictly respected. Results: eleven long-lived elders, aged between 80 and 94 years old, took part in the study. Two categories emerged from the participants' testimonies: Stimuli that contribute to adaptive behavioral responses in the long-lived elders and Stimuli that negatively affect the adaptation of the long-lived elders. Conclusion: the main stimuli that contributed to the adaptive behavior of the long-lived elders were the return to their homes, family support and the social support network. In contrast, the stimuli that negatively affected adaptation were fear, lack of information and difficulties in continuing the care. The critical role of the health professionals in the intensive care unit and the hospital unit in preparing longevity the long-lived elders their families for hospital discharge and home return is highlighted.

scholarly journals Evaluating the Utility of UV Lamps to Mitigate the Spread of Pathogens in the ICU

2020 ◽  
Vol 10 (18) ◽  
pp. 6326
Author(s):  
Andrew Gostine ◽  
David Gostine ◽  
Jack Short ◽  
Arjun Rustagi ◽  
Jennifer Cadnum ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Uv Light ◽  
Prospective Trial ◽  
Relative Reduction ◽  
Post Inoculation ◽  
Patient Room ◽  
Dna Virus ◽  
Viral Dna ◽  
Uv Lamps

Contaminated surfaces in a hospital serve as reservoirs for pathogen spread. The aim of this study was to evaluate UV lights in preventing the spread of a DNA tracer in an intensive care unit (ICU) through sterilization of highly touched surfaces. In a prospective trial, a non-pathogenic DNA virus was inoculated onto surfaces in an ICU patient room. Investigators swabbed frequently touched surfaces in non-inoculated ICU rooms at 24, 48, and 96 h post inoculation. Culture specimens were analyzed for the presence of viral DNA via PCR. After baseline data were obtained, UV lights were deployed in a standardized fashion onto vitals monitors, ventilators, keyboards, and intravenous (IV) pumps. Inoculation and culturing were then repeated. Prior to UV implementation, the DNA tracer disseminated to 10.10% of tested surfaces in non-inoculated rooms at 48 h. Post UV light deployment, only 1.20% of surfaces tested positive for the DNA tracer after 48 h. UV decontamination significantly retarded the spread of the virus DNA, with a relative reduction of 90% at 48 h from 10.10% of surfaces pre UV to 1.20% of surfaces post UV (p < 0.0001). UV decontamination holds the potential to confer protection to patients by reducing the number of surfaces that can serve as a nidus for transfer.

Patient Room Considerations in the Intensive Care Unit

2014 ◽  
Vol 37 (1) ◽  
pp. 83-92 ◽  
Author(s):  
Jennie Evans ◽  
Evelyn Reyers
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Patient Room

Evaluation of invasive aspergillosis risk of immunocompromised patients alternatively hospitalized in hematology intensive care unit and at home

Indoor Air ◽  
2014 ◽  
Vol 24 (6) ◽  
pp. 652-661 ◽  
Author(s):  
S. Rocchi ◽  
G. Reboux ◽  
F. Larosa ◽  
E. Scherer ◽  
E. Daguindeau ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Invasive Aspergillosis ◽  
Immunocompromised Patients ◽  
At Home
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