Impact of removing sinks from an intensive care unit on isolations by gram-negative non-fermenting bacilli in patients with invasive mechanical ventilation
| Autor: | Maria Isabel Adillo-Montero, María Dolores Martín-Ríos, Gonzalo de-las-Casas-Cámara, María Carmen Muñoz-Egea, Carolina Giráldez-García |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Acinetobacter baumannii
Bacilli Veterinary medicine Time Factors medicine.medical_treatment Stenotrophomonas maltophilia Bacillus Burkholderia cepacia Rate ratio law.invention 03 medical and health sciences 0302 clinical medicine law Gram-Negative Bacteria medicine Humans In patient 030212 general & internal medicine Gram Disease Reservoirs Mechanical ventilation Chryseobacterium biology business.industry Pseudomonas putida biology.organism_classification Intensive care unit Respiration Artificial Intensive Care Units Pseudomonas aeruginosa Bathroom Equipment Equipment Contamination business Bronchoalveolar Lavage Fluid Flavobacteriaceae |
| Zdroj: | Medicina clinica. 152(7) |
| ISSN: | 1578-8989 |
| Popis: | Introduction and objective Contamination of sinks, even due to their underuse, is associated with the transmission of non-fermenting gram-negative bacilli (NFGNB) to patients in Augmented Care Units. After previous monitoring with environmental and patient samples, we now explore the impact of removing sinks from ICU cubicles on incidental isolations related to health care in bronchoaspirate samples of patients with invasive mechanical ventilation (IMV). Material and methods Quasi-experimental study, before-and-after, pre-intervention annuities April 2014–2016 and post-intervention April 2016–2017. Incidence densities per 1000 days of IMV were studied, comparing by the exact method based on the binomial distribution and estimating the incidence density ratio. Results The incidence densities per 1000 days of IMV of isolations by NFGNB in bronchoaspirate samples of the pre and post-intervention periods were 11.28 and 1.9, respectively. This implies a post-intervention incidence density 5.90 times lower than before (95% C I: 1.49–51.05, p = 0.003). Conclusions Despite of the limitations of the design, the removal of sinks showed a reduction of the isolations. |
| Databáze: | OpenAIRE |
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