Patient-nurse ratio as an index related to healthcare-associated infections: a surveillance study
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...
Ausführliche Beschreibung
Autor*in: |
Daniela de la Rosa-Zamboni [verfasserIn] Miroslava I. Carrasco-González [verfasserIn] Norma de Blas-Barrientos [verfasserIn] María L. Flores-Constatino [verfasserIn] Erika Flores-Zamora [verfasserIn] Martha Camacho-Pérez [verfasserIn] Itzel G. Neri-Saldaña [verfasserIn] Ana C. Guerrero-Díaz [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch ; Spanisch |
Erschienen: |
2023 |
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Schlagwörter: |
Cross infection. Patient-nurse ratio. Pediatrics. Nursing. Pediatric nursing. |
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Übergeordnetes Werk: |
In: Boletín Médico del Hospital Infantil de México - Permanyer, 2021, 80(2023), 1 |
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Übergeordnetes Werk: |
volume:80 ; year:2023 ; number:1 |
Links: |
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DOI / URN: |
10.24875/BMHIM.22000117 |
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Katalog-ID: |
DOAJ088303497 |
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520 | |a 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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10.24875/BMHIM.22000117 doi (DE-627)DOAJ088303497 (DE-599)DOAJe86ba6a32afd4675a2833062904d47da DE-627 ger DE-627 rakwb eng spa RJ1-570 RA1-1270 Daniela de la Rosa-Zamboni verfasserin aut Patient-nurse ratio as an index related to healthcare-associated infections: a surveillance study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. Cross infection. Patient-nurse ratio. Pediatrics. Nursing. Pediatric nursing. Pediatrics Public aspects of medicine Miroslava I. Carrasco-González verfasserin aut Norma de Blas-Barrientos verfasserin aut María L. Flores-Constatino verfasserin aut Erika Flores-Zamora verfasserin aut Martha Camacho-Pérez verfasserin aut Itzel G. Neri-Saldaña verfasserin aut Ana C. Guerrero-Díaz verfasserin aut In Boletín Médico del Hospital Infantil de México Permanyer, 2021 80(2023), 1 (DE-627)341356824 (DE-600)2068413-7 16651146 nnns volume:80 year:2023 number:1 https://doi.org/10.24875/BMHIM.22000117 kostenfrei https://doaj.org/article/e86ba6a32afd4675a2833062904d47da kostenfrei https://www.bmhim.com/frame_esp.php?id=346 kostenfrei https://doaj.org/toc/0539-6115 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 80 2023 1 |
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10.24875/BMHIM.22000117 doi (DE-627)DOAJ088303497 (DE-599)DOAJe86ba6a32afd4675a2833062904d47da DE-627 ger DE-627 rakwb eng spa RJ1-570 RA1-1270 Daniela de la Rosa-Zamboni verfasserin aut Patient-nurse ratio as an index related to healthcare-associated infections: a surveillance study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. Cross infection. Patient-nurse ratio. Pediatrics. Nursing. Pediatric nursing. Pediatrics Public aspects of medicine Miroslava I. Carrasco-González verfasserin aut Norma de Blas-Barrientos verfasserin aut María L. Flores-Constatino verfasserin aut Erika Flores-Zamora verfasserin aut Martha Camacho-Pérez verfasserin aut Itzel G. Neri-Saldaña verfasserin aut Ana C. Guerrero-Díaz verfasserin aut In Boletín Médico del Hospital Infantil de México Permanyer, 2021 80(2023), 1 (DE-627)341356824 (DE-600)2068413-7 16651146 nnns volume:80 year:2023 number:1 https://doi.org/10.24875/BMHIM.22000117 kostenfrei https://doaj.org/article/e86ba6a32afd4675a2833062904d47da kostenfrei https://www.bmhim.com/frame_esp.php?id=346 kostenfrei https://doaj.org/toc/0539-6115 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 80 2023 1 |
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10.24875/BMHIM.22000117 doi (DE-627)DOAJ088303497 (DE-599)DOAJe86ba6a32afd4675a2833062904d47da DE-627 ger DE-627 rakwb eng spa RJ1-570 RA1-1270 Daniela de la Rosa-Zamboni verfasserin aut Patient-nurse ratio as an index related to healthcare-associated infections: a surveillance study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. Cross infection. Patient-nurse ratio. Pediatrics. Nursing. Pediatric nursing. Pediatrics Public aspects of medicine Miroslava I. Carrasco-González verfasserin aut Norma de Blas-Barrientos verfasserin aut María L. Flores-Constatino verfasserin aut Erika Flores-Zamora verfasserin aut Martha Camacho-Pérez verfasserin aut Itzel G. Neri-Saldaña verfasserin aut Ana C. Guerrero-Díaz verfasserin aut In Boletín Médico del Hospital Infantil de México Permanyer, 2021 80(2023), 1 (DE-627)341356824 (DE-600)2068413-7 16651146 nnns volume:80 year:2023 number:1 https://doi.org/10.24875/BMHIM.22000117 kostenfrei https://doaj.org/article/e86ba6a32afd4675a2833062904d47da kostenfrei https://www.bmhim.com/frame_esp.php?id=346 kostenfrei https://doaj.org/toc/0539-6115 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 80 2023 1 |
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10.24875/BMHIM.22000117 doi (DE-627)DOAJ088303497 (DE-599)DOAJe86ba6a32afd4675a2833062904d47da DE-627 ger DE-627 rakwb eng spa RJ1-570 RA1-1270 Daniela de la Rosa-Zamboni verfasserin aut Patient-nurse ratio as an index related to healthcare-associated infections: a surveillance study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. Cross infection. Patient-nurse ratio. Pediatrics. Nursing. Pediatric nursing. Pediatrics Public aspects of medicine Miroslava I. Carrasco-González verfasserin aut Norma de Blas-Barrientos verfasserin aut María L. Flores-Constatino verfasserin aut Erika Flores-Zamora verfasserin aut Martha Camacho-Pérez verfasserin aut Itzel G. Neri-Saldaña verfasserin aut Ana C. Guerrero-Díaz verfasserin aut In Boletín Médico del Hospital Infantil de México Permanyer, 2021 80(2023), 1 (DE-627)341356824 (DE-600)2068413-7 16651146 nnns volume:80 year:2023 number:1 https://doi.org/10.24875/BMHIM.22000117 kostenfrei https://doaj.org/article/e86ba6a32afd4675a2833062904d47da kostenfrei https://www.bmhim.com/frame_esp.php?id=346 kostenfrei https://doaj.org/toc/0539-6115 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 80 2023 1 |
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10.24875/BMHIM.22000117 doi (DE-627)DOAJ088303497 (DE-599)DOAJe86ba6a32afd4675a2833062904d47da DE-627 ger DE-627 rakwb eng spa RJ1-570 RA1-1270 Daniela de la Rosa-Zamboni verfasserin aut Patient-nurse ratio as an index related to healthcare-associated infections: a surveillance study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. Cross infection. Patient-nurse ratio. Pediatrics. Nursing. Pediatric nursing. Pediatrics Public aspects of medicine Miroslava I. Carrasco-González verfasserin aut Norma de Blas-Barrientos verfasserin aut María L. Flores-Constatino verfasserin aut Erika Flores-Zamora verfasserin aut Martha Camacho-Pérez verfasserin aut Itzel G. Neri-Saldaña verfasserin aut Ana C. Guerrero-Díaz verfasserin aut In Boletín Médico del Hospital Infantil de México Permanyer, 2021 80(2023), 1 (DE-627)341356824 (DE-600)2068413-7 16651146 nnns volume:80 year:2023 number:1 https://doi.org/10.24875/BMHIM.22000117 kostenfrei https://doaj.org/article/e86ba6a32afd4675a2833062904d47da kostenfrei https://www.bmhim.com/frame_esp.php?id=346 kostenfrei https://doaj.org/toc/0539-6115 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 80 2023 1 |
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Daniela de la Rosa-Zamboni @@aut@@ Miroslava I. Carrasco-González @@aut@@ Norma de Blas-Barrientos @@aut@@ María L. Flores-Constatino @@aut@@ Erika Flores-Zamora @@aut@@ Martha Camacho-Pérez @@aut@@ Itzel G. Neri-Saldaña @@aut@@ Ana C. Guerrero-Díaz @@aut@@ |
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RJ1-570 RA1-1270 Patient-nurse ratio as an index related to healthcare-associated infections: a surveillance study Cross infection. Patient-nurse ratio. Pediatrics. Nursing. Pediatric nursing |
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Patient-nurse ratio as an index related to healthcare-associated infections: a surveillance study |
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. |
abstractGer |
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. |
abstract_unstemmed |
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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Patient-nurse ratio as an index related to healthcare-associated infections: a surveillance study |
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<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">DOAJ088303497</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230502102248.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230410s2023 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.24875/BMHIM.22000117</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ088303497</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJe86ba6a32afd4675a2833062904d47da</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield><subfield code="a">spa</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RJ1-570</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RA1-1270</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Daniela de la Rosa-Zamboni</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Patient-nurse ratio as an index related to healthcare-associated infections: a surveillance study</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2023</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">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.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Cross infection. Patient-nurse ratio. Pediatrics. Nursing. Pediatric nursing.</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Pediatrics</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Public aspects of medicine</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Miroslava I. Carrasco-González</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Norma de Blas-Barrientos</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">María L. Flores-Constatino</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Erika Flores-Zamora</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Martha Camacho-Pérez</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Itzel G. 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