RÉSUMÉ
Background: Central venous catheter-related bloodstream infections (CRBSIs) are associated with significant morbidity and mortality in hospitalized patients. Understanding the incidence and risk factors associated with CRBSIs is crucial for implementing effective preventive strategies. The study aimed to examine the incidence and risk factors associated with central venous CRBSIs in a tertiary care hospital setting. Methods: A prospective observational study was conducted at a tertiary care hospital to investigate the incidence and risk factors of CRBSIs. Patients aged >18 years with a central venous catheter inserted for >48 hours were included. Clinical and microbiological data were collected, and CRBSI rates were calculated. Statistical analysis was performed using SPSS V 23.0. Results: A total of 50 patients were recruited, with 11 diagnosed with CRBSIs. The incidence of CRBSIs was 8.1 per 1000 central line days and 5.7 per 1000 inpatient days, with a Device Utilization Ratio (DUR) of 0.7. Male gender and older age (>40 years) were significantly associated with CRBSIs (p<0.05). Gram-negative microorganisms were the most commonly isolated pathogens (63.63%), followed by Gram-positive organisms (27.27%) and Candida species (9.09%). Immune system status (p=0.0372) and duration of catheterization (P=0.0035) were found to have a significant association with CRBSI. Mortality was higher in patients with CRBSIs compared to those without (45.45% vs. 28.21%). Conclusions: CRBSIs remain a significant concern in tertiary care hospitals, with Gram-negative organisms being the predominant pathogens. Male gender and older age were identified as risk factors for CRBSIs. Effective infection control measures targeting high-risk populations are warranted to reduce the incidence of CRBSIs and improve patient outcomes.
RÉSUMÉ
Background: This study aims to determine the prevalence of foot posture deformities among various intensive care unit nurses using the Foot Posture Index. Nurses working in ICUs often face long hours of standing and walking, which can contribute to the development of foot-related problems. Understanding the extent of these deformities can contribute to the development of preventive measures, such as ergonomic interventions and targeted exercises, to mitigate the risk of foot-related issues. Methods: A study was conducted among 159 nurses from various Intensive Care Units. The Foot Posture Index, a validated tool for assessing foot posture was used to assess foot deviations in nurses. Results: In total159 participants were evaluated, with 6 (4%) being males and 153 (96%) being females. The mean age of the participants was (Mean=40.67) and standard deviation (SD=9.6). Prevalence percentage of foot posture deviations were found to be bilateral as demonstrated by Foot Posture Index. Out of 159 participants 43% participants had pronated foot, 14% participants had highly pronated foot, 16% participants had supinated foot, 7% had normal highly supinated foot posture and 20% participants had normal foot. Conclusions: To conclude the present study, pronated foot posture was the most common foot deviation. Moreover, when BMI was compared with the pronated foot deviation, there was a positive association between pronated foot and the nurses who were overweight.