Christian Hering MSc , Rasmus Leistner MD , Seven Johannes Sam Aghdassi MD , Elke Lemke , Petra Gastmeier MD , Christine Geffers MD , Paul Gellert PhD , Beate Schlosser MD
{"title":"消除接触预防措施后3GCR-GNB定植患者的护理负担减轻：德国icu医护人员的趋势研究","authors":"Christian Hering MSc , Rasmus Leistner MD , Seven Johannes Sam Aghdassi MD , Elke Lemke , Petra Gastmeier MD , Christine Geffers MD , Paul Gellert PhD , Beate Schlosser MD","doi":"10.1016/j.ajic.2025.02.010","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>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).</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>147 HCWs from 33 ICUs (BP), 154 HCWs from 38 ICUs (IP) responded to the survey. At BP, most burdensome were: <em>donning personal protective equipment (PPE) in case of emergency</em> (84.0%), <em>need of additional time</em> (73.5%), <em>elevated time management requirements to complete all daily tasks</em> (68.7%), <em>transport to diagnostic areas</em> (65.2%). A significant reduction during IP was shown for: <em>transport to diagnostic areas</em> (<em>p</em> = .010), <em>elevated time management requirements to complete all daily tasks</em> (<em>p</em> = .004), <em>need of additional time</em> (<em>p</em> = .020), <em>donning and doffing PPE</em> (<em>p</em> = .014), <em>increased hand and surface disinfection</em> (<em>p</em> = .035) and anxiety (<em>p</em> = .031).</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 6","pages":"Pages 701-706"},"PeriodicalIF":2.4000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Lower burden in the care of patients with 3GCR-GNB colonization after removing contact precautions: A trend study among HCWs in German ICUs\",\"authors\":\"Christian Hering MSc , Rasmus Leistner MD , Seven Johannes Sam Aghdassi MD , Elke Lemke , Petra Gastmeier MD , Christine Geffers MD , Paul Gellert PhD , Beate Schlosser MD\",\"doi\":\"10.1016/j.ajic.2025.02.010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>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).</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>147 HCWs from 33 ICUs (BP), 154 HCWs from 38 ICUs (IP) responded to the survey. At BP, most burdensome were: <em>donning personal protective equipment (PPE) in case of emergency</em> (84.0%), <em>need of additional time</em> (73.5%), <em>elevated time management requirements to complete all daily tasks</em> (68.7%), <em>transport to diagnostic areas</em> (65.2%). A significant reduction during IP was shown for: <em>transport to diagnostic areas</em> (<em>p</em> = .010), <em>elevated time management requirements to complete all daily tasks</em> (<em>p</em> = .004), <em>need of additional time</em> (<em>p</em> = .020), <em>donning and doffing PPE</em> (<em>p</em> = .014), <em>increased hand and surface disinfection</em> (<em>p</em> = .035) and anxiety (<em>p</em> = .031).</div></div><div><h3>Conclusions</h3><div>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.</div></div>\",\"PeriodicalId\":7621,\"journal\":{\"name\":\"American journal of infection control\",\"volume\":\"53 6\",\"pages\":\"Pages 701-706\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American journal of infection control\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0196655325000732\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/2/20 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"INFECTIOUS DISEASES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of infection control","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0196655325000732","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/20 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
Lower burden in the care of patients with 3GCR-GNB colonization after removing contact precautions: A trend study among HCWs in German ICUs
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.
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)
京公网安备 11010802042870号
京ICP备2023020795号-1
分享
求助内容：
应助结果提醒方式：
扫码关注我们
