Yıl: 2022 Cilt: 10 Sayı: 1 Sayfa Aralığı: 68 - 72 Metin Dili: İngilizce DOI: 10.14235/bas.galenos.2020.4736 İndeks Tarihi: 15-05-2023

The Effect of Long Public Holidays on Healthcare-associated Infection Rate

Öz:
Objective: Healthcare-associated infections (HAIs) are infections that cause serious mortality and morbidity. This study aimed to investigate the effect of long public holidays on HAIs rates in the intensive care units (ICUs). Methods: The study was conducted in tertiary university education and research hospital, from January 2014 to October 2015. All ICUs are monitored daily by the infection control team by the active surveillance method. In this study, LPH and normal working periods (NWT) that develop HAIs, the bacterial factors that cause HAIs, between periods mortality rates, and overall mortality rates were compared. All data were analyzed with the Epi-Info program (Atlanta, USA) and p-values of <0.05 were considered statistically significant. Results: During the study period, 3082 patients in the ICU were followed up. The HAI rate was 3.5% in NWT and 16.5% in LPH (p=0.001). The examination of bacterial distribution that causes HAIs revealed significantly higher gram-negative bacterial infections in LPH than in NWT [13.7% and 2.4%, respectively (p=0.001)]. The mortality rate examination revealed no significant difference in the overall mortality rates between study periods (p=0.769); infection-related mortality rates were significantly higher in LPH (7.3%; p=0.002). Conclusion: HAIs are affected by LPH. All employees should be motivated to prevent HAIs and should be trained for infection control measures before and after the holidays.
Anahtar Kelime:

Uzun Tatillerin Hastane Enfeksiyonları Üzerine Etkisi

Öz:
Amaç: Sağlık bakımı ilişkili enfeksiyonlar (SBİE) ciddi mortalite ve morbiditeye neden olan enfeksiyonlardır. Bu çalışmada yoğun bakım ünitelerinde (YBÜ) uzun tatil dönemlerinin (UTD) SBİE oranları üzerine etkisi araştırıldı. Yöntemler: Çalışma, Ocak 2014 ile Ekim 2015 arasında üçüncü basamak bir eğitim ve araştırma hastanesinde yapıldı. Tüm YBÜ, enfeksiyon kontrol ekibi tarafından günlük olarak aktif gözetim yöntemi ile izlenmektedir. Bu çalışmada, UTD ve normal çalışma dönemlerinde (NÇD) gelişen SBİE, SBİE’ye neden olan bakteriyel etkenler, dönemler arası mortalite oranları ve genel mortalite oranları karşılaştırıldı. Tüm veriler Epi-Info programı (CDC, Atlanta, ABD) ile analiz edildi ve p<0,05 değeri istatistiksel olarak anlamlı kabul edildi. Bulgular: Çalışma döneminde YBÜ’de 3.082 hasta takip edildi. NÇD’de SBİE oranı %3,5 ve UTD’de %16,5 idi (p=0,001). SBİE’ye neden olan bakteriyel dağılım incelendiğinde, Gram- negatif bakterileri enfeksiyonları UTD’de NÇD’ye göre anlamlı olarak yüksekti [sırasıyla; %13,7; %2,4 (p=0,001)]. Mortalite oranları incelendiğinde, çalışma periyotları arasında toplam mortalite oranları arasında anlamlı bir fark yokken (p=0,769); enfeksiyona bağlı mortalite oranları UTD’de anlamlı olarak daha yüksek saptandı (%7,3; p=0,002). Sonuç: SBİE UTD’den etkilenmektedir. Tüm çalışanlar SBİE’nin önlenmesi için motive edilmeli, tatilden önce ve sonra enfeksiyon kontrol önlemleri konusunda eğitilmelidir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
0
0
0
  • 1. Saint S. A new strategy to combat hospital ınfections. Preventing hospital ınfections. 2014;1-8.
  • 2. HSU V. Prevention of health care-associated ınfections. Am Fam Physician 2014;6:377-82.
  • 3. Magill SS, Leary O, Janelle SJ, Thompson DL, Dumyati G, Nadle J, et al. Changes prevelance oh healthcare-associated infections in U.S. Hospitals. N Engl J Med 2018;18:1732-44.
  • 4. Bol O, Altuntaş M, Kaynak MF, Koyuncu S, Biçer M, Öner G, et al. The Effect of Long Term Holidays on Emergency Services. JAMER 2019;4:13-22.
  • 5. Dagar S, Sahin S, Yılmaz Y, Durak U. Emergency Department During Long Public Holiday. Turk J Emerg Med 2014;14:165-71.
  • 6. Kosucu S, Goktas SB, Yıldız T. Hand hygiene compliance rate of health professionals. MÜSBED 2015;5:105-8.
  • 7. Snyder R. Hardwiring hand hygiene among staff members. Nurs Manage 2008;39:14.
  • 8. Mohammed MA, Sidhu KS, Rudge G, Stevens AJ. Weekend admission to hospital has a higher risk of death in the elective setting than in the emergency setting: a retrospective database study of national health service hospitals in England. BMC Health Serv Res 2012;12:87.
  • 9. Pohlman C. Issues in hiring and supervising professional staff and support personnel. In: Walfish S, Brnet JE, Zimmerman J, editors. Handbook of Private Practice: Keys to Success for Mental Health Practitioners. Oxford Universty Press; 2017.P170.
  • 10. Bearman G, Munoz-Price S, Morgan DJ, Murthy RK. Infection prevention: New perspectives and controversies. Springer. 2017;315 p.
  • 11. Guidelines Library | Infection Control | CDC (n.d.). Available at https://www.cdc.gov/infectioncontrol/guidelines/index.html. Accessed January 12, 2019.
  • 12. Shabot MM, Chassin MR, France A-C, Inurria J, Kendrick J, Schmaltz SP. Using the targeted solutions Tool® to ımprove hand hygiene compliance ıs associated with decreased healthcare-associated ınfections. Jt Comm J Qual Patient Saf. 2016;42:6-17.
  • 13. Sadeghi-Moghaddam P, Arjmandnia M, Shokrollahi M, Aghaali M. Does training improve compliance with hand hygiene and decrease infections in the neonatal intensive care unit? A prospective study. J Neonatal Perinatal Med 2015;8:221-5.
  • 14. Chhapola V, Brar R. Impact of an educational intervention on hand hygiene compliance and infection rate in a developing country neonatal intensive care unit. Int J Nurs Pract 2015;21:486-92.
  • 15. Thi Anh Thu L, Thi Hong Thoa V, Thi Van Trang D, Phuc Tien N, Thuy Van D, Thi Kim Anh L, et al. Cost-effectiveness of a hand hygiene program on healthcare-associated infections in intensive care patients at a tertiary care hospital in Vietnam. Am J Infect Control 2015;43:e939.
  • 16. Zhang S, Kong X, Lamb KV, Wu Y. High nursing workload is a main associated factor of poor hand hygiene adherence in beijing, China: An observational study. Int J Nurs Pract 2019;25:e12720.
  • 17. Smith S, Allan A, Greenlaw N, Finlay S, Isles C. Emerhency medical admission, deaths at weekends and the public holiday effect. Cohort study. Emerg Med J 2014;31:30-4.
  • 18. Cherifi S, Byl B, Deplano A, Nonhoff C, Denis O, Hallin M. Comparative epidemiology of Staphylococcus epidermidis isolates from patients with catheter-related bacteremia and from healthy volunteers. J Clin Microbiol 2013;51:1541-7.
  • 19. Messina G, Ceriale E, Lenzi D, Burgassi S, Azzolini E, Manzi P. Environmental contaminants in hospital settings and progress in disinfecting techniques. Biomed Res Int 2013;2013:429780.
  • 20. Neuraz A, Guerin C, Payet C, Polazzi S, Aubrun F, Dailler F, et al. Patient mortality is associated with staff resources and workload in the ICU: a multicenter observational study. Crit Care Med 2015;43:1587-94
  • 21. West E, Barron DN, Harrison D, Rafferty AM, Rowan K, Sanderson C. Nurse staffing, medical staffing and mortality in Intensive Care: An observational study. Int J Nurs Stud 2014;51:781-94.
  • 22. The Audit Commission: Medical Staffing (report), Acute hospital portfolio London: 8 Audit Commission; 2002.
  • 23. Jansson MM, Syrjala HP, Ala-Kokko TI. Association of nurse staffing and nursing workload with ventilator-associated pneumonia and mortality: a prospective, single-center cohort study. J Hosp Infect 2019;101:257-63.
  • 24. Brown KL, Pagel C, Pienaar A, Utley M. The Relationship Between Workload and Medical Staffing Levels in a Paediatric Cardiac Intensive Care Unit. Intensive Care Med 2011;37:326-33.
APA KARABAY O, Kaya G, Guclu E, Öğütlü A (2022). The Effect of Long Public Holidays on Healthcare-associated Infection Rate. , 68 - 72. 10.14235/bas.galenos.2020.4736
Chicago KARABAY OĞUZ,Kaya Gülsüm,Guclu Ertugrul,Öğütlü Aziz The Effect of Long Public Holidays on Healthcare-associated Infection Rate. (2022): 68 - 72. 10.14235/bas.galenos.2020.4736
MLA KARABAY OĞUZ,Kaya Gülsüm,Guclu Ertugrul,Öğütlü Aziz The Effect of Long Public Holidays on Healthcare-associated Infection Rate. , 2022, ss.68 - 72. 10.14235/bas.galenos.2020.4736
AMA KARABAY O,Kaya G,Guclu E,Öğütlü A The Effect of Long Public Holidays on Healthcare-associated Infection Rate. . 2022; 68 - 72. 10.14235/bas.galenos.2020.4736
Vancouver KARABAY O,Kaya G,Guclu E,Öğütlü A The Effect of Long Public Holidays on Healthcare-associated Infection Rate. . 2022; 68 - 72. 10.14235/bas.galenos.2020.4736
IEEE KARABAY O,Kaya G,Guclu E,Öğütlü A "The Effect of Long Public Holidays on Healthcare-associated Infection Rate." , ss.68 - 72, 2022. 10.14235/bas.galenos.2020.4736
ISNAD KARABAY, OĞUZ vd. "The Effect of Long Public Holidays on Healthcare-associated Infection Rate". (2022), 68-72. https://doi.org/10.14235/bas.galenos.2020.4736
APA KARABAY O, Kaya G, Guclu E, Öğütlü A (2022). The Effect of Long Public Holidays on Healthcare-associated Infection Rate. Bezmiâlem Science, 10(1), 68 - 72. 10.14235/bas.galenos.2020.4736
Chicago KARABAY OĞUZ,Kaya Gülsüm,Guclu Ertugrul,Öğütlü Aziz The Effect of Long Public Holidays on Healthcare-associated Infection Rate. Bezmiâlem Science 10, no.1 (2022): 68 - 72. 10.14235/bas.galenos.2020.4736
MLA KARABAY OĞUZ,Kaya Gülsüm,Guclu Ertugrul,Öğütlü Aziz The Effect of Long Public Holidays on Healthcare-associated Infection Rate. Bezmiâlem Science, vol.10, no.1, 2022, ss.68 - 72. 10.14235/bas.galenos.2020.4736
AMA KARABAY O,Kaya G,Guclu E,Öğütlü A The Effect of Long Public Holidays on Healthcare-associated Infection Rate. Bezmiâlem Science. 2022; 10(1): 68 - 72. 10.14235/bas.galenos.2020.4736
Vancouver KARABAY O,Kaya G,Guclu E,Öğütlü A The Effect of Long Public Holidays on Healthcare-associated Infection Rate. Bezmiâlem Science. 2022; 10(1): 68 - 72. 10.14235/bas.galenos.2020.4736
IEEE KARABAY O,Kaya G,Guclu E,Öğütlü A "The Effect of Long Public Holidays on Healthcare-associated Infection Rate." Bezmiâlem Science, 10, ss.68 - 72, 2022. 10.14235/bas.galenos.2020.4736
ISNAD KARABAY, OĞUZ vd. "The Effect of Long Public Holidays on Healthcare-associated Infection Rate". Bezmiâlem Science 10/1 (2022), 68-72. https://doi.org/10.14235/bas.galenos.2020.4736