Which client should the nurse determine to be at the greatest risk for hospital acquired infection?

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Which client should the nurse determine to be at the greatest risk for hospital acquired infection?

Which client should the nurse determine to be at the greatest risk for hospital acquired infection?

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Abstract

Background

Hospital acquired infections (HAIs) are the common conditions among hospitalized patients and health care workers (HCWs). HAI prolongs hospitalization; increases cost of treatment and contribute to death. This study aims to assess knowledge, practice and associated factors with prevention of HAIs among nurses in Aksum Saint Mary hospital, Northern Ethiopia.

Method

Facility based cross-sectional study was conducted from April 25 - June15, 2019 among 139 nurses in Aksum Saint Mary hospital. A pretested and structured self-administered questionnaire was used for data collection. Data were entered using EPI info version 7.0 statistical software and analyzed using SPSS version 20 statistical package. Bivariate and multivariate logistic regression was also carried out to identify factors associated with the dependent variable. A p-value less than 0.05 were used to declare statistical significance.

Result

139 (97.2%) nurses participated in the study. 52.5 % of the nurses had good knowledge; similarly 48.6 % of them had good practice on prevention of HAIs. Work experience [AOR = 2.3, 95% CI (1.54–3.91)] and having formal training [AOR = 1.6, 95 % CI (1.15–3.82)] were significantly associated with knowledge. While, educational status [AOR = 2.4, 95 % CI (1.6–4.06)], work experience [AOR = 1.82, 95 % CI (1.08–2.78)] and availability of guidelines [AOR.

= 2.6, 95 % CI (2.26–4.37)] were found to be significantly associated with practice.

Conclusion and recommendation

Nurses’ knowledge and practice regarding to prevention of HAIs was found to be inadequate. Being more experienced and attending formal training showed a positive association with knowledge; while having higher educational status, being more experienced and reading guidelines on prevention of HAIs were found to be associated with good practice. Continuing educational programs, in-service training and ensuring availability of the necessary guidelines are essential steps to improve knowledge and practice of nurses regarding to prevention of HAIs.

List of acronyms and abbreviations

HAI

Hospital Acquired Infection

HCAI

Health Care Associated Infection

SPSS

Statistical Package for Social Sciences

SSI

Surgical Site Infections

UTI

Urinary Tract Infection

WHO

World Health Organization+

Keywords

Hospital acquired infections

Knowledge

Nurse

Practice

Cited by (0)

© 2021 The Author(s). Published by Elsevier Ltd.

Summary

Read the full fact sheet

  • There are things you can do before and during your stay in hospital that will help reduce the chance of you getting an infection.
  • Common types of healthcare associated infections are those associated with chest infections, surgical wounds or the insertion of medical devices such as an intravenous drip, urinary catheter or wound drain.
  • Some people are more susceptible to healthcare associated infections than others. 

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Which client should the nurse determine to be at the greatest risk for hospital acquired infection?

Which client should the nurse determine to be at the greatest risk for hospital acquired infection?

This page has been produced in consultation with and approved by:

Which client should the nurse determine to be at the greatest risk for hospital acquired infection?

Which client should the nurse determine to be at the greatest risk for hospital acquired infection?

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Which patient is at greatest risk for hospital

Very old people – the frail and the elderly. People with certain medical conditions – such as diabetes. People with weakened immune systems – from disease, or because they are getting trreatments that weaken their immune system.

What is the most common cause of hospital

Central venous catheters are considered the primary source of hospital-acquired bloodstream infections. The other sources of bloodstream infections are catheter-associated urinary tract infections and ventilator-associated Pneumonia.

What are the most common 3 infections in hospital

Hospital-acquired infections are caused by viral, bacterial, and fungal pathogens; the most common types are bloodstream infection (BSI), pneumonia (eg, ventilator-associated pneumonia [VAP]), urinary tract infection (UTI), and surgical site infection (SSI).

What is the most common client site for development of healthcare

The most common sites for HAIs are the urinary and respiratory systems, and central line-associated bloodstream infections. Consider practices that will reduce infections related to these systems.