The Influence of the Composition of the Nursing Staff on Primary Bloodstream Infection Rates in a Surgical Intensive Care Unit

Robert, Jérôme; Fridkin, Scott K.; Blumberg, Henry M.; Anderson, Bruce M.; White, Nancy; Ray, Susan M.; Chan, Jinlene; Jarvis, William R.

doi:10.1086/501690

Cited by 198 publications

(103 citation statements)

References 42 publications

(22 reference statements)

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“…Category IA B. Assess knowledge of and adherence to guidelines periodically for all persons who insert and manage intravascular catheters [39,43,46,182,188]. Category IA C. Ensure appropriate nursing staff levels in ICUs to minimize the incidence of CRBSIs [48,189,190].…”

Section: Recommendations For Placement Of Intravascular Catheters In mentioning

confidence: 99%

Guidelines for the prevention of intravascular catheter-related infections

O’Grady¹,

Alexander²,

Dellinger³

et al. 2002

American Journal of Infection Control

636

843

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These guidelines have been developed for practitioners who insert catheters and for persons responsible for surveillance and control of infections in hospital, outpatient, and home health-care settings. This report was prepared by a working group comprising members from professional organizations representing the disciplines of critical care medicine, infectious diseases, health-care infection control, surgery, anesthesiology, interventional radiology, pulmonary medicine, pediatric medicine, and nursing. The These guidelines are intended to provide evidencebased recommendations for preventing catheter-related infections. Major areas of emphasis include 1) educating and training health-care providers who insert and maintain catheters; 2) using maximal sterile barrier precautions during central venous catheter insertion; 3) using a 2% chlorhexidine preparation for skin antisepsis; 4) avoiding routine replacement of central venous catheters as a strategy to prevent infection; and 5) using antiseptic/antibiotic impregnated short-term central venous catheters if the rate of infection is high despite adherence to other strategies (i.e., education and training, maximal sterile barrier precautions, and 2% chlorhexidine for skin antisepsis). These guidelines also identify performance indicators that can be used locally by health-care institutions or organizations to monitor their success in implementing these evidence-based recommendations.

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Section: Recommendations For Placement Of Intravascular Catheters In mentioning

confidence: 99%

Guidelines for the prevention of intravascular catheter-related infections

O’Grady¹,

Alexander²,

Dellinger³

et al. 2002

American Journal of Infection Control

636

843

View full text Add to dashboard Cite

show abstract

“…lower regular-nurse-to-patient and higher pool-nurse-to-patient ratios) was an independent risk factor for infection. 186 In another study in ICU, higher staff level was indeed independently associated with a > 30% infection risk reduction and the estimate was made that, if the nurse-to patient ratio was maintained > 2.2, 26.7% of all infections could be avoided. 187 Overcrowding and understaffing are commonly observed in health-care settings and have been associated throughout the world, particularly in developing countries where limited personnel and facility resources contribute to the perpetuation of this problem.…”

mentioning

confidence: 99%

“…187 Overcrowding and understaffing are commonly observed in health-care settings and have been associated throughout the world, particularly in developing countries where limited personnel and facility resources contribute to the perpetuation of this problem. [183][184][185][186][188][189][190] Overcrowding and understaffing were documented in the largest nosocomial outbreak attributable to Salmonella spp. ever reported 191 ; in this outbreak in Brazil, there was a clear relationship between understaffing and the quality of health care, including hand hygiene.…”

mentioning

confidence: 99%

Hand Hygiene

Longtin¹,

Sax²,

Allegranzi³

et al. 2011

N Engl J Med

108

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“…In addition, risks of acquisition of pneumonia or blood stream infections tend to increase as ICU nurse-patient ratios fall or as pool nurses substitute for regular staff. 20 Fourth, HAI will increase if health care providers fail to apply well-accepted infection control measures. For example, the reuse of needles and syringes has, not surprisingly, led to recurrent outbreaks of hepatitis.…”

mentioning

confidence: 99%

Control of Health Care-associated Infections (HAI): Winning Both the Battles and the War

Ehrenkranz¹,

Macintyre²,

Hebert

et al. 2010

J GEN INTERN MED

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At present, the United States (US) experiences its greatest life expectancy due mainly to improvements in mortality from cardiovascular diseases, which include coronary heart disease and stroke. These, in turn, are due largely to decreases in cigarette smoking as well as earlier and more aggressive diagnoses and treatments. These advances in health care delivery are, not surprisingly, accompanied by increasing numbers of complicating health care-associated infections (HAI). HAIs are a major and increasing cause of morbidity and mortality in the US as well as around the world. To win both the battles and the war against HAI requires a multidisciplinary approach to the vigorous implementation and maintenance of proper infection control procedures. This should include continuous surveillance and reinforcement of guidelines to enhance evidence-based practices to prevent and control HAI. It will also be necessary to implement a new paradigm of early and formal education of future health care providers into the biology of infection as well as the principles of infection control in the classroom and subsequently, with translation into their clinical training. Finally, there must also be the incorporation and expansion of continuing medical education for established health care providers about prevention and control of HAI.

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The Influence of the Composition of the Nursing Staff on Primary Bloodstream Infection Rates in a Surgical Intensive Care Unit

Cited by 198 publications

References 42 publications

Guidelines for the prevention of intravascular catheter-related infections

Guidelines for the prevention of intravascular catheter-related infections

Hand Hygiene

Control of Health Care-associated Infections (HAI): Winning Both the Battles and the War

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