Patient autonomy and disclosure of material information about hospital-acquired infections

Hostiuc, Sorin; Molnar, Arthur-Jozsef; Moldoveanu, Alin; Aluaș, Maria; Moldoveanu, Florica; Bocicor, Iuliana M.; Dascălu, Maria-Iuliana; Bădilă, Elisabeta; Hostiuc, Mihaela; Negoi, Ionuț

doi:10.2147/idr.s149590

Cited by 16 publications

(25 citation statements)

References 38 publications

(47 reference statements)

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“…The most of HAIs are urinary tract infections (UTIs), surgery-related infections, pneumonia, and primary sepsis [27], [28]. As previously mentioned, newborns enter to intensive care units (ICUs) are at high risk of developing nosocomial infections (NIs); due to their illness and exposure to invasive medical devices and the presence of multi-resistant microorganisms [28], [29], [30]. The nosocomial infections (NIs) in very low birth weight (VLBW) babies increase in 15% to 25% [31], [32], [30].…”

Section: Bacterial Infections In Nicumentioning

confidence: 99%

“…As previously mentioned, newborns enter to intensive care units (ICUs) are at high risk of developing nosocomial infections (NIs); due to their illness and exposure to invasive medical devices and the presence of multi-resistant microorganisms [28], [29], [30]. The nosocomial infections (NIs) in very low birth weight (VLBW) babies increase in 15% to 25% [31], [32], [30]. Other statistics have found that neonatal infections cause about 1 million deaths every year globally.…”

Section: Bacterial Infections In Nicumentioning

confidence: 99%

“…Other statistics have found that neonatal infections cause about 1 million deaths every year globally. The varies occurrence is from 5 to170 per 1000 live births, and it spread in countries with low or middle income [30]. One of the primary reasons that cause infections in different sections of ICUs is bacteria.…”

Section: Bacterial Infections In Nicumentioning

confidence: 99%

“…So, the bacteria infectio us may come from different resources (e.g., people in the hospital, healthcares' hand, on equipment or surfaces). HAIs regularly rise up as a result of the formation of biofilms at the surfaces of these medical devices [36], [30].…”

Section: The Sources and The Ways Of Transmission Of Hospital-acquirementioning

confidence: 99%

“…Consequently, they are generally at a high level of danger for having nosocomial infections (hospitalacquired infections) [4]. Whereas about 1 million neonatal death every year globally because of neonatal infections [5]. Neonates who get nosocomial infections have greater than three times danger of losing their life as compared to those who do not have infections [6].…”

Section: Introductionmentioning

confidence: 99%

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Screening and Prevention of Nosocomial Infections in Neonatal Intensive Care Unit (NICU)

2019

Adv. Environ. Biol

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One of the most causes of patient morbidity and mortality is device-associated healthcare-acquired diseases (DA-HAIs), which is capable of prolonging the length of stay in the intensive care unit (ICU) [7]. Many researches demonstrated that healthcareassociated pathogens repeatedly contaminate the patient's environment. This environment includes both porous surfaces ex: towels and nonporous, hard surfaces ex: table [8]. Whereas, these contaminated surfaces can transmit of pathogens by directly way by Abstract Infants in neonatal intensive care units (NICUs) are usually immunocompromised. So, healthcare-associated infections (HAIs), also known as, nosocomial infections, consider a severe issue for infants in neonatal intensive care units (NICUs). HAIs are described as onset more than 48 hours after hospital admission. In fact, it is responsible for the increase of mortality, morbidity and the duration of stay in the hospital. The rate of HAIs in NICU is range from 6% to 50% per admission. However, this rate rises by 3 to 20-fold in developing countries as contrasted to developed countries. Also, about 2.9 million newborns die yearly during the initial 28 days of their life. Importantly, the environment that surrounds the patients is full by equipment for organ support and monitoring e.g., ventilator, monitors, extracorporeal life support machines. Moreover, the bacteria infectious may come from different resources (e.g., people in the hospital, healthcare' hands, on equipment or surfaces). In fact, HAIs regularly rise as a result of the formation of biofilms at the surfaces of these medical devices. The most gram-positive bacteria that because HAIs are Group B Streptococci, Listeria, Staphylococcus aureus, Methicillin-resistant S. aureus (MRSA). As for gram-negative bacteria such as Escherichia coli, Enterobacter, Klebsiella, Pseudomonas, Serratia, Salmonella…etc., some of these bacteria are resistance for most of the antibiotics. World Health Organization (WHO) put many infection control techniques that may help to reduce the nosocomial infections. Therefore, this review aims to highlight and give brief information about the problem of healthcare-associated infections in NICU and the methods of environmental decontamination in hospitals.

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Section: Bacterial Infections In Nicumentioning

confidence: 99%

Section: Bacterial Infections In Nicumentioning

confidence: 99%

Section: Bacterial Infections In Nicumentioning

confidence: 99%

Section: The Sources and The Ways Of Transmission Of Hospital-acquirementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Screening and Prevention of Nosocomial Infections in Neonatal Intensive Care Unit (NICU)

2019

Adv. Environ. Biol

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Research Ethics during Pandemics: How IRBs Can Prepare

Appel

Wilets

2023

Ethics & Human Research

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The Covid‐19 pandemic has raised a range of complex challenges for the research community in the United States. This essay uses Covid‐19 as a model pandemic illness to consider two such issues that have yet to be fully explored in the ethics literature: first, whether the informed consent process should include a discussion of pandemic risks and, if so, how precisely these risks should be conveyed to potential research participants and, second, whether and under what circumstances vaccination status should be taken into consideration when enrolling subjects in non‐pandemic‐related studies during a pandemic.

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A snapshot of European neurosurgery December 2019 vs. March 2020: just before and during the Covid-19 pandemic

et al. 2020

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Background Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 or Covid-19), which began as an epidemic in China and spread globally as a pandemic, has necessitated resource management to meet emergency needs of Covid-19 patients and other emergent cases. We have conducted a survey to analyze caseload and measures to adapt indications for a perception of crisis. Methods We constructed a questionnaire to survey a snapshot of neurosurgical activity, resources, and indications during 1 week with usual activity in December 2019 and 1 week during SARS-CoV-2 pandemic in March 2020. The questionnaire was sent to 34 neurosurgical departments in Europe; 25 departments returned responses within 5 days. Results We found unexpectedly large differences in resources and indications already before the pandemic. Differences were also large in how much practice and resources changed during the pandemic. Neurosurgical beds and neuro-intensive care beds were significantly decreased from December 2019 to March 2020. The utilization of resources decreased via less demand for care of brain injuries and subarachnoid hemorrhage, postponing surgery and changed surgical indications as a method of rationing resources. Twenty departments (80%) reduced activity extensively, and the same proportion stated that they were no longer able to provide care according to legitimate medical needs. Conclusion Neurosurgical centers responded swiftly and effectively to a sudden decrease of neurosurgical capacity due to relocation of resources to pandemic care. The pandemic led to rationing of neurosurgical care in 80% of responding centers. We saw a relation between resources before the pandemic and ability to uphold neurosurgical services. The observation of extensive differences of available beds provided an opportunity to show how resources that had been restricted already under normal conditions translated to rationing of care that may not be acceptable to the public of seemingly affluent European countries.

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Patient autonomy and disclosure of material information about hospital-acquired infections

Cited by 16 publications

References 38 publications

Screening and Prevention of Nosocomial Infections in Neonatal Intensive Care Unit (NICU)

Screening and Prevention of Nosocomial Infections in Neonatal Intensive Care Unit (NICU)

Research Ethics during Pandemics: How IRBs Can Prepare

A snapshot of European neurosurgery December 2019 vs. March 2020: just before and during the Covid-19 pandemic

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