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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003267naa a2200409 4500
001oai:DiVA.org:uu-182743
003SwePub
008121015s2012 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-1827432 URI
0247 a https://doi.org/10.1016/j.jinf.2012.06.0162 DOI
040 a (SwePub)uu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Ricard, Jean-Damien4 aut
2451 0a A European survey of nosocomial infection control and hospital-acquired pneumonia prevention practices
264 1b 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
7001 a Conti, Giorgio4 aut
7001 a Boucherie, Maud4 aut
7001 a Hormann, Christoph4 aut
7001 a Poelaert, Jan4 aut
7001 a Quintel, Michael4 aut
7001 a Rubertsson, Stenu Uppsala universitet,Anestesiologi och intensivvård4 aut0 (Swepub:uu)stenrube
7001 a Torres, Antoni4 aut
7102 a Uppsala universitetb Anestesiologi och intensivvård4 org
7730 t Journal of Infectiond : Elsevier BVg 65:4, s. 285-291q 65:4<285-291x 0163-4453x 1532-2742
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-182743
8564 8u https://doi.org/10.1016/j.jinf.2012.06.016

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