Infection control measures in intensive care units.: Results of the German Nosocomial Infection Surveillance System (KISS)

被引：0
|
作者：
Vonberg, RP [1 ]
Groneberg, K [1 ]
Geffers, C [1 ]
Rüden, H [1 ]
Gastmeier, R [1 ]
机构：
[1] Inst Med Mikrobiol & Krankenhaushyg, Med Hsch, D-30625 Hannover, Germany
来源：
ANAESTHESIST | 2005年 / 54卷 / 10期
关键词：
nosocomial infection; infection control measures; devices; methicillin-resistant Staphylococcus aureus (MRSA); intensive care unit;
D O I：
10.1007/s00101-005-0891-5
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Background. Aim of this study was to determine to what extent evidence-based infection control recommendations are applied in German intensive care units (ICUs). Methods. A questionnaire concerning handling of tubes, central vascular catheters (CVC), urinary tract catheters and methicillin-resistant Staphylococcus aureus (MRSA) positive patients was sent to 230 participants of the German Nosocomial Infection Surveillance System (KISS). Results. Nasal intubation is routinely performed in 9% of ICUs, all recommended measures for CVC insertion were obeyed by 43% of ICUs and one-third of ICUs conduct regular screening of urine in catheterized patients. Urinary tract catheters are replaced at defined time intervals in 37% of ICUs. MRSA positive patients are not isolated in 5% of ICUs. MRSA screening on admission is not performed for high risk patients in 16% of ICUs. Conclusions. There are still many German ICUs in which evidence-based recommendations are not implemented. Training of staff is necessary to improve quality of patient care.
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页码：975 / +
页数：7
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