Patient-nurse ratio as an index related to healthcare-associated infections: a surveillance study.

IF 0.6 Q4 PEDIATRICS Boletín médico del Hospital Infantil de México Pub Date : 2023-01-01 DOI:10.24875/BMHIM.22000117

Daniela de la Rosa-Zamboni, Miroslava I Carrasco-González, Norma de Blas-Barrientos, María L Flores-Constatino, Erika Flores-Zamora, Martha Camacho-Pérez, Itzel G Neri-Saldaña, Ana C Guerrero-Díaz

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Abstract

Background: Healthcare-associated infections (HCAIs) are a hospital problem with a prevalence of approximately 5% in Mexico. HCAIs have been related to the patient-nurse ratio (PNR). This study aimed to analyze the association between PNR and HCAI in a tertiary-level pediatric hospital.

Methods: We conducted a descriptive and prospective study at a tertiary-level pediatric hospital in Mexico. Nursing attendance and HCAIs records were documented from July 2017 to December 2018. PNR was calculated using nurse staffing records and patient census.

Results: We obtained 63,114 staff attendance data from five hospital departments for the morning, evening, and night shifts. PNR > 2:1 was associated with a 54% (95% confidence interval (CI) 42-167%; p < 0.001) increased risk (odds ratio (OR)) for HCAIs, adjusted by shift staff, special conditions, and surveillance periods. The HCAIs more associated with PNR were urinary tract infections (OR 1.83; 95%CI 1.34-2.46), procedure-related pneumonia (OR 2.08; 95%CI 1.41-3.07), and varicella (OR 2.33; 95%CI 1.08-5.03).

Conclusions: A high number of patients per nurse increased the probability of various types of HCAI. PNR needs to be established the HCAI guidelines and policies, as regulating the number of patients per nurse can prevent HCAIs and their complications.

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患者-护士比率作为与医疗保健相关感染相关的指标:一项监测研究

背景:医疗保健相关感染(HCAIs)是一个医院问题，在墨西哥的患病率约为5%。hcai与病人护理比(PNR)有关。本研究旨在分析某三级儿科医院PNR与HCAI的关系。方法:我们在墨西哥的一家三级儿科医院进行了一项描述性和前瞻性研究。2017年7月至2018年12月记录了护理出护率和hcai记录。PNR的计算采用护士人员配置记录和患者普查。结果:我们获得了来自5个医院科室的63,114名早、晚班和夜班员工的出勤数据。PNR > 2:1与54%(95%置信区间(CI) 42-167%;p < 0.001) hcai的风险增加(优势比(OR))，经轮班人员、特殊情况和监测期调整。与PNR相关的hcai为尿路感染(OR 1.83;95%CI 1.34-2.46)，手术相关肺炎(OR 2.08;95%CI 1.41-3.07)，水痘(OR 2.33;95%可信区间1.08 - -5.03)。结论:每名护士的高患者数量增加了各种类型HCAI的可能性。PNR需要建立HCAI的指导方针和政策，因为规范每个护士的患者数量可以预防HCAI及其并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Boletín médico del Hospital Infantil de México PEDIATRICS-

CiteScore

1.60

自引率

0.00%

发文量

审稿时长

20 weeks

期刊介绍： The Boletín Médico del Hospital Infantil de México is a bimonthly publication edited by the Hospital Infantil de México Federico Gómez. It receives unpublished manuscripts, in English or Spanish, relating to paediatrics in the following areas: biomedicine, clinical, public health, clinical epidemology, health education and clinical ethics. Articles can be original research articles, in-depth or systematic reviews, clinical cases, clinical-pathological cases, articles about public health, letters to the editor or editorials (by invitation).