Single palliative care rooms on the control of infections in severe traumatic brain-injured patients a retrospective study
Acta Medica Mediterranea, cilt.30, sa.2, ss.361-365, 2014 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 30 Sayı: 2
- Basım Tarihi: 2014
- Dergi Adı: Acta Medica Mediterranea
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.361-365
- Anahtar Kelimeler: Injury, Intensive care unit, Nosocomial infections, Palliative care, Single-patient rooms
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: Nosocomial infections are associated with an increased length of stay in intensive care units. Bacteria resistant to broad-spectrum antibiotics may infect patients who have long-term stays in ICUs. We aim to investigate whether private rooms in palliative care are effective or not in controlling infections in patients who have long-term stays in intensive care units. Methods: In-patients' databases in the palliative care ward with eleven single rooms at Ulus State Hospital, Ankara, Turkey, between December 2012 and November 2013, were retrospectively analysed for detailed microbiological data. Inclusion criteria were: adult trauma patients involved in motor vehicle collisions; those who had severe brain injury; those on mechanical ventilator support during long-term stays in intensive care unit (>25 days), and thereafter, admitted to the palliative care ward; those who were vegetative; those who had permanent tracheostomy and percutaneous endoscopic gastrostomy tube. Patients having cancer, diabetes mellitus and an age of <18 or >65 were excluded from the study. Results: There were 292 patients who stayed in the palliative care ward between December 2012 and November 2013. A total of 14 patients, 8 male and 6 female (age 18-63 years) met inclusion criteria. In three patients out of the total 14, no infections had been found at admission, nor during the period that they stayed in private rooms. Eleven patients had positive cultures when transferred to single-patient rooms. Then, on their follow-up, they became culture negative. Conclusion: Single-patient rooms in the palliative care unit seem to be an effective method to control nosocomial infections.