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Severe trauma patients and nursing practice‐associated infections
Author(s) -
MoralesCané Ignacio,
LópezSoto Pablo J.,
ValverdeLeón María del Rocío,
MoralArroyo Juan Antonio,
LeónLópez Rafael,
RodríguezBorrego María Aurora
Publication year - 2020
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1111/ijn.12853
Subject(s) - medicine , retrospective cohort study , intensive care unit , health care , logistic regression , mechanical ventilation , emergency medicine , infection control , multidisciplinary approach , intensive care medicine , social science , sociology , economics , economic growth
Abstract Aims Our study examined factors influencing the development of healthcare‐associated infections in the intensive care unit (ICU) of a tertiary hospital in southern Spain. Background Healthcare‐associated infections are a frequent adverse event, significantly lengthening patient stays in the ICU. Nursing practice is a key factor in the infection control process. Design A retrospective longitudinal study with two observation periods (admission and discharge) was performed in an ICU of a tertiary hospital. Methods We analysed patient records for those admitted to this unit coded as CIE 800‐959.9 from 2012 to 2016. Using binomial logistic regression analysis, we analysed factors associated with healthcare‐associated infections. Results We analysed 375 records (men: 78.1%; average age: 46.63 years). Of these, 9.2% patients acquired a healthcare‐associated infection during their stay. Nursing practice‐related factors significantly associated with the development of infection were the number of days connected to mechanical ventilation and the number of days in the ICU. Conclusion Healthcare‐associated infections in patients with severe trauma admitted to the ICU are mainly associated with the management of invasive techniques. A multidisciplinary approach should focus on the review of action and care plans.