Impact of infection control training for interns on PICU-acquired bloodstream infections in a middle-income country
Singapore medical journal
; : 506-512, 2015.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-276771
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>INTRODUCTION</b>The present study aimed to determine the impact of an extended infection control training programme, which was conducted for all interns posted to the Department of Paediatrics, on the incidence of paediatric intensive care unit (PICU)-acquired bloodstream infections (BSIs) in University Malaya Medical Centre, Malaysia.</p><p><b>METHODS</b>The development of nosocomial BSIs during the baseline period (1 January-31 October 2008) and intervention period (1 November-31 December 2009) was monitored. During the intervention period, all paediatric interns underwent training in hand hygiene and aseptic techniques for accessing vascular catheters.</p><p><b>RESULTS</b>A total of 25 patients had PICU-acquired BSIs during the baseline period, while 18 patients had PICU-acquired BSIs during the intervention period (i.e. infection rate of 88 per 1,000 and 41 per 1,000 admissions, respectively). The infections were related to central venous catheters (CVCs) in 22 of the 25 patients who had PICU-acquired BSIs during the baseline period and 11 of the 18 patients who had PICU-acquired BSIs during the intervention period. Thus, the incidence rates of catheter-related BSIs were 25.2 per 1,000 CVC-days and 9.3 per 1,000 CVC-days, respectively (p < 0.05). The Paediatric Risk of Standardised Mortality III score was an independent risk factor for PICU-acquired BSIs and the intervention significantly reduced this risk.</p><p><b>CONCLUSION</b>The education of medical interns on infection control, a relatively low-cost intervention, resulted in a substantial reduction in the incidence of PICU-acquired BSIs.</p>
Texto completo:
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Contexto em Saúde:
Agenda de Saúde Sustentável para as Américas
/
ODS3 - Saúde e Bem-Estar
/
ODS3 - Meta 3.2 Reduzir as mortes de recém nascidos e crianças com menos de 5 anos
Problema de saúde:
Objetivo 10: Doenças transmissíveis
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Meta 3.3: Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
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Meta 3.2: Reduzir as mortes de recém nascidos e crianças com menos de 5 anos
/
Saúde Ambiental
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pediatria
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Cateterismo Venoso Central
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Unidades de Terapia Intensiva Pediátrica
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Cateteres de Demora
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Modelos de Riscos Proporcionais
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Infecção Hospitalar
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Controle de Infecções
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Educação
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Infecções Relacionadas a Cateter
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Cateteres Venosos Centrais
Tipo de estudo:
Estudo prognóstico
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Fatores de risco
Limite:
Criança, pré-escolar
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Feminino
/
Humanos
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Lactente
/
Masculino
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Singapore medical journal
Ano de publicação:
2015
Tipo de documento:
Artigo