The Effect of Infection Control Nurses on the Occurrence of Pseudomonas aeruginosa Healthcare-Acquired Infection and Multidrug-Resistant Strains in Critically-Ill ChildrenReport as inadecuate




The Effect of Infection Control Nurses on the Occurrence of Pseudomonas aeruginosa Healthcare-Acquired Infection and Multidrug-Resistant Strains in Critically-Ill Children - Download this document for free, or read online. Document in PDF available to download.

Background

Healthcare-acquired Pseudomonas aeruginosa P. aeruginosa infections in the Pediatric Intensive Care Unit PICU, which have a high incidence, increase treatment costs and mortality, and seriously threaten the safety of critically ill children. It is essential to seek convenient and effective methods to control and prevent healthcare-acquired infections HAIs. This research was conducted to study the effect of infection control nurses on the occurrence of P. aeruginosa HAIs and multi-drug resistance MDR strains in PICU.

Methods

The clinical data was divided into two groups, with the age ranging from 1 month to 14 years. One group of the critically ill patientsN = 3,722 was admitted to PICU from 2007 to 2010, without the management of infection control nurses. The other group of the critically ill patients N = 3,943 was admitted to PICU from 2011 to 2013, with the management of infection control nurses. Compare the mortality, morbidity and the incidence of acquired P. aeruginosa infections to evaluate the effect of infection control nurses.

Results

After implementation of the post of infection control nurses, the patient-s overall mortality fell from 4.81% to 3.73%. Among the patients with endotracheal intubation more than 48 hours, the incidence of endotracheal intubation-related pneumonia decreased from 44.6% to 34.32%. The mortality of patients with endotracheal intubation decreased from 16.96% to 10.17%, and the morbidity of HAIs with P. aeruginosa decreased from 1.89% to 1.07%. The mutual different rate MDR dropped from 67.95% to 44.23%. There were remarkable differences in these rates between the two groups p<0.05.

Conclusion

Implementing the post of infection control nurses is associated with effectively reducing the HAI rate, especially the incidence and morbidity of P. aeruginosa HAIs, reducing PICU mortality, improving P. aeruginosa drug resistance.



Author: Wei Xu , Linxi He, Chunfeng Liu, Jian Rong, Yongyan Shi, Wenliang Song, Tao Zhang, Lijie Wang

Source: http://plos.srce.hr/



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