Sökning: onr:"swepub:oai:DiVA.org:uu-182743" > A European survey o...
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000 | 03267naa a2200409 4500 | |
001 | oai:DiVA.org:uu-182743 | |
003 | SwePub | |
008 | 121015s2012 | |||||||||||000 ||eng| | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-1827432 URI |
024 | 7 | a https://doi.org/10.1016/j.jinf.2012.06.0162 DOI |
040 | a (SwePub)uu | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Ricard, Jean-Damien4 aut |
245 | 1 0 | a A European survey of nosocomial infection control and hospital-acquired pneumonia prevention practices |
264 | 1 | b Elsevier BV,c 2012 |
338 | a print2 rdacarrier | |
520 | a Objectives: We aimed to examine organizational, structural and routine infection control measures provided by European ICUs and staff practices in ventilator-associated pneumonia prevention in relation with current recommendations.Methods: European ICU staffs were invited to complete a web-based 20 closed-item questionnaire.Results: 675 nurses and 886 physicians from 13 countries answered the questionnaire. Median number of respondents per country was 118.0 (64.5-155.5). Availability and organizational aspects of infection control revealed wide variations between countries. Among them, single-patient rooms was the aspect with the lowest availability (median availability 38%), but the largest variation ranging from 15 to 84%. Self-reported median adherence rate to recommendations was 72% (34.5-83.0) with a strong correlation between nurses and physicians responses (r(2) = 0.96; p < 0.0001). Sub-glottic drainage (31%), and infrequent ventilatory-circuit change (24%) were the measures with the lowest adherence rate whereas preferential use of oral intubation (90%) and of NIV (84%) and use of HMEs (82%) were the three with the highest rate. Organization of infection control was consistently self-reported. Disparities among countries were more frequent for specific actions regarding airway management, and even moreso for controversial issues (subglottic drainage, closed-suction systems).Conclusion: This European survey shows a 72% overall adherence rate to VAP prevention measures; with strong agreements between physician and nurses but considerable differences among countries for availability and organization aspects of infection control, providing healthcare authorities with figures for future programs. | |
653 | a Infection control | |
653 | a Nosocomial infection | |
653 | a Cross contamination | |
653 | a Healthcare practices | |
653 | a Mechanical ventilation | |
653 | a Intensive care | |
700 | 1 | a Conti, Giorgio4 aut |
700 | 1 | a Boucherie, Maud4 aut |
700 | 1 | a Hormann, Christoph4 aut |
700 | 1 | a Poelaert, Jan4 aut |
700 | 1 | a Quintel, Michael4 aut |
700 | 1 | a Rubertsson, Stenu Uppsala universitet,Anestesiologi och intensivvård4 aut0 (Swepub:uu)stenrube |
700 | 1 | a Torres, Antoni4 aut |
710 | 2 | a Uppsala universitetb Anestesiologi och intensivvård4 org |
773 | 0 | t Journal of Infectiond : Elsevier BVg 65:4, s. 285-291q 65:4<285-291x 0163-4453x 1532-2742 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-182743 |
856 | 4 8 | u https://doi.org/10.1016/j.jinf.2012.06.016 |
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