Eur J Epidemiol. 2008 Jul 10; [Epub ahead of print] LinkOut
Vanhems P, Baratin D, Voirin N, Savey A, Caillat-Vallet E, Metzger MH, Lepape A.
Department of Hygiene, Epidemiology and Prevention, Edouard Herriot Hospital, Place d'Arsonval, Lyon Cedex 03, 69437, Lyon, France, philippe.vanhems@chu-lyon.fr.
Purpose To describe trends of urinary catheter-related infections (UCRIs) acquired by patients hospitalized in intensive care units (ICU) in relation with an infection control program. Materials and methods Prospective surveillance in one ICU of a university hospital in Lyon (France) between 1995 and 2004.
Results A 66% reduction of urinary catheter-related infections (UCRIs) acquired by patients hospitalized was observed between 1995 and 2004 after adjustement on age, gender, antibiotic use at admission, and duration of exposure to urinary catheter. Conclusions These results, obtained by continuous epidemiological monitoring of nosocomial infections, are encouraging with regard to the improvement of infection control measures and the evolution of medical practices. Further studies in ICUs are needed to confirm this trend.
PMID: 18618273 [PubMed - as supplied by publisher]
Tuesday, 22 July 2008
Gastrointestinal Failure Score in critically ill patients: a prospective observational study
Gastrointestinal Failure Score in critically ill patients: a prospective observational study
Author(s): Annika Reintam ; Pille Parm ; Reet Kitus ; Joel Starkopf and Hartmut Kern
ISSUE: 2008 ; VOL 12 (2008-01-03)
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Page: R90
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Author(s): Annika Reintam ; Pille Parm ; Reet Kitus ; Joel Starkopf and Hartmut Kern
ISSUE: 2008 ; VOL 12 (2008-01-03)
Access: From BioMed Central [PDF] [Abstract]
From Free Medical Journals . com (/1997 - /Embargo: 2 years)
From UK PubMed Central (/1997 - /2008)
Page: R90
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Arrhythmias in the ICU: What Do We Know ?
Arrhythmias in the ICU: What Do We Know ?
Author(s): Heinz , G .
ISSUE: 2008 ; VOL 178 ; PART 1
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Page: 1
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Incidence and Prognosis of Sustained Arrhythmias in Critically Ill Patients
Author(s): Annane , D . ; Sebille , V . ; Duboc , D . ; Le Heuzey , J . - Y . ; Sadoul , N . ; Bouvier , E . ; Bellissant E .
ISSUE: 2008 ; VOL 178 ; PART 1
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Page: 20-25
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Author(s): Heinz , G .
ISSUE: 2008 ; VOL 178 ; PART 1
Access: From Free Medical Journals . com (/1997 - /Embargo: 1 year)
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Page: 1
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Incidence and Prognosis of Sustained Arrhythmias in Critically Ill Patients
Author(s): Annane , D . ; Sebille , V . ; Duboc , D . ; Le Heuzey , J . - Y . ; Sadoul , N . ; Bouvier , E . ; Bellissant E .
ISSUE: 2008 ; VOL 178 ; PART 1
Access: From Free Medical Journals . com (/1997 - /Embargo: 1 year)
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Page: 20-25
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Reliability of the Sedation - Agitation Scale between nurses and doctors
Author(s): Ryder - Lewis , M . C . ; Nelson , K . M .
ISSUE: 2008 ; VOL 24 ; PART 4
Access: Intensive and Critical Care Nursing ( Formerly : Intensive Care Nursing )
Page: 211-217
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ISSUE: 2008 ; VOL 24 ; PART 4
Access: Intensive and Critical Care Nursing ( Formerly : Intensive Care Nursing )
Page: 211-217
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Intensive care delirium monitoring and standardised treatment : A complete survey of Dutch Intensive Care Units
Author(s): Van Eijk , M . M . ; Kesecioglu , J . ; Slooter , A . J .
ISSUE: 2008 ; VOL 24 ; PART 4
Access: Intensive and Critical Care Nursing ( Formerly : Intensive Care Nursing )
Page: 218-221
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ISSUE: 2008 ; VOL 24 ; PART 4
Access: Intensive and Critical Care Nursing ( Formerly : Intensive Care Nursing )
Page: 218-221
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Detection of Methicillin-Resistant Staphylococcus aureus and Vancomycin-Resistant Enterococci on the Gowns and Gloves of Healthcare Workers.[
Source: Infection Control & Hospital Epidemiology. 29(7):583-589, July 2008.
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Objective: To assess the rate of and the risk factors for the detection of methicillin-resistant S. aureus (MRSA) and vancomycin-resistant enterococci (VRE) on the protective gowns and gloves of healthcare workers (HCWs).Methods: We observed the interactions between HCWs and patients during routine clinical activities in a 29-bed medical intensive care unit at the University of Maryland Medical Center, an urban tertiary care academic hospital. Samples for culture were obtained from HCWs' hands prior to their entering a patient's room, from HCWs' disposable gowns and gloves after they completed patient care activities, and from HCWs' hands immediately after they removed their protective gowns and gloves.Results: Of 137 HCWs caring for patients colonized or infected with MRSA and/or VRE, 24 (17.5%; 95% confidence interval, 11.6%-24.4%) acquired the organism on their gloves, gown, or both. HCW contact with the endotracheal tube or tracheostomy site of a patient (P < .05), HCW contact with the head and/or neck of a patient (P < .05), and HCW presence in the room of a patient with a percutaneous endoscopic gastrostomy and/or jejunostomy tube (P < .05) were associated with an increased risk of acquiring these organisms.Conclusions: The gloves and gowns of HCWs frequently become contaminated with MRSA and VRE during the routine care of patients, and particularly during care of the patient's respiratory tract and any associated indwelling devices. As part of a larger infection control strategy, including high-compliance hand disinfection, they likely provide a useful barrier to transmitting antibiotic-resistant organisms among patients in an inpatient setting.
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Objective: To assess the rate of and the risk factors for the detection of methicillin-resistant S. aureus (MRSA) and vancomycin-resistant enterococci (VRE) on the protective gowns and gloves of healthcare workers (HCWs).Methods: We observed the interactions between HCWs and patients during routine clinical activities in a 29-bed medical intensive care unit at the University of Maryland Medical Center, an urban tertiary care academic hospital. Samples for culture were obtained from HCWs' hands prior to their entering a patient's room, from HCWs' disposable gowns and gloves after they completed patient care activities, and from HCWs' hands immediately after they removed their protective gowns and gloves.Results: Of 137 HCWs caring for patients colonized or infected with MRSA and/or VRE, 24 (17.5%; 95% confidence interval, 11.6%-24.4%) acquired the organism on their gloves, gown, or both. HCW contact with the endotracheal tube or tracheostomy site of a patient (P < .05), HCW contact with the head and/or neck of a patient (P < .05), and HCW presence in the room of a patient with a percutaneous endoscopic gastrostomy and/or jejunostomy tube (P < .05) were associated with an increased risk of acquiring these organisms.Conclusions: The gloves and gowns of HCWs frequently become contaminated with MRSA and VRE during the routine care of patients, and particularly during care of the patient's respiratory tract and any associated indwelling devices. As part of a larger infection control strategy, including high-compliance hand disinfection, they likely provide a useful barrier to transmitting antibiotic-resistant organisms among patients in an inpatient setting.
Risk factors for albicans and non-albicans candidemia in the intensive care unit
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Critical Care Medicine. 36(7):1993-1998, July 2008.
Chow, Jennifer K. MD, MS; Golan, Yoav MD, MS; Ruthazer, Robin MPH; Karchmer, Adolf W. MD; Carmeli, Yehuda MD, MPH; Lichtenberg, Deborah A. RN, BSN, CIC; Chawla, Varun MD, MPH; Young, Janet A. MD; Hadley, Susan MD
Abstract:
Objective: To determine risk factors for bloodstream infections (BSI) with Candida non-albicans (C-NA) species and Candida albicans (CA) among critically ill patients.
Design: Case-control study.
Setting: Adult medical and surgical intensive care units (ICUs) at two university hospitals.
Critical Care Medicine. 36(7):1993-1998, July 2008.
Chow, Jennifer K. MD, MS; Golan, Yoav MD, MS; Ruthazer, Robin MPH; Karchmer, Adolf W. MD; Carmeli, Yehuda MD, MPH; Lichtenberg, Deborah A. RN, BSN, CIC; Chawla, Varun MD, MPH; Young, Janet A. MD; Hadley, Susan MD
Abstract:
Objective: To determine risk factors for bloodstream infections (BSI) with Candida non-albicans (C-NA) species and Candida albicans (CA) among critically ill patients.
Design: Case-control study.
Setting: Adult medical and surgical intensive care units (ICUs) at two university hospitals.
Impact of an Environmental Cleaning Intervention on the Presence of Methicillin-Resistant Staphylococcus aureus and Vancomycin-Resistant Enterococci o
Goodman ER, Platt R, Bass R, Onderdonk AB, Yokoe DS, Huang SS.
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Infect Control Hosp Epidemiol. 2008 Jul;29(7):593-599. PMID: 18624666 [PubMed - as supplied by publisher]
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Infect Control Hosp Epidemiol. 2008 Jul;29(7):593-599. PMID: 18624666 [PubMed - as supplied by publisher]
Pseudomonas aeruginosa susceptible only to colistin in intensive care unit patients
Mastoraki A, Douka E, Kriaras I, Stravopodis G, Manoli H, Geroulanos S.
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.Surg Infect (Larchmt). 2008 Apr;9(2):153-60. PMID: 18426347 [PubMed - indexed for MEDLINE]
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.Surg Infect (Larchmt). 2008 Apr;9(2):153-60. PMID: 18426347 [PubMed - indexed for MEDLINE]
Inverse Correlation Between Level of Professional Education and Rate of Handwashing Compliance in a Teaching Hospital
534–538
Inverse Correlation Between Level of Professional Education and Rate of Handwashing Compliance in a Teaching Hospital
Joan M. Duggan, MD, FACP; Sandra Hensley, RN, BSN, MSEM, CIC; Sadik Khuder, PhD; Thomas J. Papadimos, MD; Lloyd Jacobs, MD
Inverse Correlation Between Level of Professional Education and Rate of Handwashing Compliance in a Teaching Hospital
Joan M. Duggan, MD, FACP; Sandra Hensley, RN, BSN, MSEM, CIC; Sadik Khuder, PhD; Thomas J. Papadimos, MD; Lloyd Jacobs, MD
Development of a Guideline for the Management of Ventilator-Associated Pneumonia Based on Local Microbiologic Findings and Impact of the Guideline on
Development of a Guideline for the Management of Ventilator-Associated Pneumonia Based on Local Microbiologic Findings and Impact of the Guideline on Antimicrobial Use Practices
Timothy H. Dellit, MD; Jeannie D. Chan, PharmD, MPH; Shawn J. Skerrett, MD; Avery B. Nathens, MD, PhD, MPH
Infection Control and Hospital Epidemiology
June 2008, Volume 29, Issue 6
Timothy H. Dellit, MD; Jeannie D. Chan, PharmD, MPH; Shawn J. Skerrett, MD; Avery B. Nathens, MD, PhD, MPH
Infection Control and Hospital Epidemiology
June 2008, Volume 29, Issue 6
Streptococcus acidominimus isolated from a multiloculated empyema in a critically ill adult man with pneumonia: Case report and review of literature
Heart & Lung: The Journal of Acute & Critical Care
July 2008, Volume 37, Issue 4
Issue in infectious disease
308–310
Streptococcus acidominimus isolated from a multiloculated empyema in a critically ill adult man with pneumonia: Case report and review of literature
Lee Baker, MD; Richard Carlson, MD, PhD
July 2008, Volume 37, Issue 4
Issue in infectious disease
308–310
Streptococcus acidominimus isolated from a multiloculated empyema in a critically ill adult man with pneumonia: Case report and review of literature
Lee Baker, MD; Richard Carlson, MD, PhD
Standardised terminology for guidelines , protocols , regimens , procedures and processes : the other side of the ``bundle'
Author(s): Myburgh , J . A .
ISSUE: 2008 ; VOL 10 ; PART 2
Access: Critical Care and Resuscitation
Page: 152-153
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ISSUE: 2008 ; VOL 10 ; PART 2
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Page: 152-153
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Independent lung ventilation in the intensive care unit : desperate measure or viable treatment option ?
Author(s): Shekar , K . ; Foot , C . L . ; Fraser , J . F .
ISSUE: 2008 ; VOL 10 ; PART 2
Access: Critical Care and Resuscitation
Page: 144-148
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ISSUE: 2008 ; VOL 10 ; PART 2
Access: Critical Care and Resuscitation
Page: 144-148
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Hypothermia on arrival in the intensive care unit after surgery
Hypothermia on arrival in the intensive care unit after surgery
Author(s): Karalapillai , D . ; Story , D .
ISSUE: 2008 ; VOL 10 ; PART 2
Access: Critical Care and Resuscitation
Page: 116-119
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Author(s): Karalapillai , D . ; Story , D .
ISSUE: 2008 ; VOL 10 ; PART 2
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Page: 116-119
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The very elderly in intensive care : admission characteristics and mortality
Author(s): Ryan , D . ; Conlon , N . ; Phelan , D . ; Marsh , B .
ISSUE: 2008 ; VOL 10 ; PART 2
Access: Critical Care and Resuscitation
Page: 106-110
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ISSUE: 2008 ; VOL 10 ; PART 2
Access: Critical Care and Resuscitation
Page: 106-110
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