title

مطالعه تبعیت پرسنل بهداشتی از گایدلاین های پیشگیری از عفونت در بخش های مراقبت ویژه ایران

شمشیری, محمود and Fuh Suh, Boudouin and محمدی, نورالدین and نبی امجد, رضا (1395) مطالعه تبعیت پرسنل بهداشتی از گایدلاین های پیشگیری از عفونت در بخش های مراقبت ویژه ایران. Iranian Red Crescent Medical Journal ــ 18 (6). pp. 1-8. شاپا 2074-1804

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Title

A Survey of Adherence to Guidelines to Prevent Healthcare Associated Infections in Iranian Intensive Care Units

English Abstract

Background: Healthcare-associated infections (HAIs) are acquired by patients while receiving care. The highest incidence of HAIs has been documented in admissions to intensive care units. Adherence to evidence-based practices is the most important step for preventing HAIs. Objectives: To determine the rate of adherence to evidence-based post-insertion recommended care practices after admission into the intensive care unit for the following devices: central line catheter, indwelling urinary catheter, and mechanical ventilator. Patients and Methods: A structured observational cross-sectional research design was used. Data were collected using a checklist and a self-report questionnaire. The minimum sample size required for this study was 276 post-insertion care episodes, and 332 episodes were observed. The ANOVA test was used to identify any significant differences among the mean scores of the three devices. Results: Overall observed adherence rates were 18.3%, 59.1%, and 43.1% for central line catheters, indwelling urinary catheter, and mechanical ventilator, respectively. Of the observed episodes of device care, only in 9.4% of the episodes was regular oral care performed for patients on mechanical ventilators and only in 19.3% of the episodes were indwelling urinary catheters properly secure after insertion. More so, in none (0.0%) of the episodes was the central line catheter hub disinfected before being accessed. Conclusions: Evidence-based post-insertion recommended care practices were not consistently and uniformly implemented in the intensive care units. Establishment of a program for the surveillance of adherence to recommended guidelines is required for improving compliance by health professionals and the quality of preventive care.

Item Type:Article
زبان سند : انگلیسی
نویسنده اول :محمود شمشیری
نویسنده :Boudouin Fuh Suh
نویسنده :نورالدین محمدی
نویسنده مسئول :رضا نبی امجد
Additional Information:Impact Factor (2016) 0.676 Indexed in: ISI, Scopus, Embase, EBSCO, Ulrichs Web, CABI, Open J-Gate, Index Copernicus, ROAD, Google Scholar, ISC, SID, Barakatkns, Magiran
کلیدواژه ها (انگلیسی):Catheter-Related Infections; Ventilator-Associated Pneumonia; Evidence-Based Practice; Clinical Practice Guideline
Subjects:WC Communicable Diseases
WF Respiratory System
WY Nursing
Divisions:Faculty of Nursing & Midwifery > Department of Nursing
ID Code:9548
Deposited By: Dr Mahmood Shamshiri
Deposited On:09 Oct 1396 07:55
Last Modified:26 Jan 1397 13:43

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