Lower burden in the care of patients with 3GCR-GNB colonization after removing contact precautions: A trend study among HCWs in German ICUs.

IF 3.8 3区医学 Q2 INFECTIOUS DISEASES

American journal of infection control Pub Date : 2025-02-20 DOI:10.1016/j.ajic.2025.02.010

Christian Hering, Rasmus Leistner, Seven Johannes Sam Aghdassi, Elke Lemke, Petra Gastmeier, Christine Geffers, Paul Gellert, Beate Schlosser

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引用次数: 0

Abstract

Background: Multidrug-resistant organisms pose a significant challenge in intensive care units (ICUs). Despite contact precautions (CP) being recommended as an infection prevention measure, little is known about the burden of CP on health care workers (HCWs).

Methods: An online survey was conducted between May 2021 and August 2022 at baseline (BP) and intervention period (IP) of a multicenter trial discontinuing CP for patients colonized with third-generation cephalosporin resistant gram-negative bacteria in which 38 ICUs participated.

Results: 147 HCWs from 33 ICUs (BP), 154 HCWs from 38 ICUs (IP) responded to the survey. At BP, most burdensome were: donning personal protective equipment (PPE) in case of emergency (84.0%), need of additional time (73.5%), elevated time management requirements to complete all daily tasks (68.7%), transport to diagnostic areas (65.2%). A significant reduction during IP was shown for: transport to diagnostic areas (p = .010), elevated time management requirements to complete all daily tasks (p = .004), need of additional time (p = .020), donning and doffing PPE (p = .014), increased hand and surface disinfection (p = .035) and anxiety (p = .031).

Conclusions: Removing CP may be associated with considerable relief in burden for HCWs. However, removing CP must be guided by defined evidence since infection prevention control must be ensured.

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来源期刊

American journal of infection control 医学-传染病学

CiteScore

7.40

自引率

4.10%

发文量

479

审稿时长

24 days

期刊介绍： AJIC covers key topics and issues in infection control and epidemiology. Infection control professionals, including physicians, nurses, and epidemiologists, rely on AJIC for peer-reviewed articles covering clinical topics as well as original research. As the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC)