Autori: Hülya Üstündağ
Ustanova zaposlenja: TURKEY
Ključne riječi: surgical intensive care unit, infectious complications, nursing approach, healthcare-associated infections, ventilator-associated pneumonia
Kongres/Simpozij: ”5. Međunarodni kongres HDMSARIST-a” i ”8. Međunarodni kongres WFCCN-a”
Mjesto i vrijeme održavanja: Šibenik, 12.-15. travnja 2012. godine
Patients who are followed in surgical intensive care unit have a risk of facing many infectious complications. These complications increase morbidity, mortality, and hospital length of stay.
The goal of this article is to discuss specific infectious complications and nurses approaches in the surgical intensive care units (SICUs).
A safe and high-quality patient care environment is necessary in the SICUs. Most of healthcare-associated infections (HCAIs) can be prevented and controlled by doing the basic things well. These include handhygiene, timely use and cessation of antibiotic therapy, timely change or removal of indwelling ‘lines’, early extubation and physiotherapy.
Specific HCAIs complications and Nursing Approach (NA) are;
Ventilator-Associated Pneumonia (VAP); It defined as an inflammatory condition of the lung parenchyma caused by infectious agents. VAP occurs in 9% to 27% of all intubated patients.
NA: Hospital staff education of the problem, proper surveillance for multidrug-resistant pathogens, appropriate isolation of patients, hand hygiene, and environmental and equipment cleaning can decrease the risk of VAP.
Catheter-Related Bloodstream Infections (CRBIs); Central venous catheters (CVC) in patients contribute to serious infectious complications. Use of CVC is important to the care of many SICUs patients. The presence of more than one catheter, use of a catheter with more than one lumen or use of total parenteral nutrition is risk factors for CRBIs.
NA: Standardize care of CVC may lead to decreased rates of infection. Specific precautions during catheter insertion are recommended, such as the use of sterile drapes, masks, caps, sterile gowns, and sterile gloves have been performed.
Urinary Tract Infections; It is a common infection.
NA: Urinary catheter should have it removed as early as possible. It should be done under aseptic conditions and maintained in a closed drainage system.