Effectiveness of educational interventions to reduce healthcare- associated infections in adult intensive care units: a scoping review

Autores/as

  • Juliana Díaz Salazar Universidad Santiago de Cali. Faculty of Health, Specialisation Programme in Health Auditing. Santiago de Cali, Valle del Cauca, Colombia
  • Mónica María Castro Universidad Santiago de Cali. Faculty of Health, Specialisation Programme in Health Auditing. Santiago de Cali, Valle del Cauca, Colombia
  • Mauricio Solorzano Alarcón Universidad Santiago de Cali. Faculty of Health, Specialisation Programme in Health Auditing. Santiago de Cali, Valle del Cauca, Colombia

DOI:

https://doi.org/10.54502/msuceva.v3n1a4

Palabras clave:

Central venous catheter insertion, checklist, hospital-acquired infections, intensive care units, nosocomial infection, prevention

Resumen

Healthcare-associated infections (HAIs) represent a serious threat to patients admitted to hospitals and particularly to ICUs, as they contribute to increased mortality, prolonged length of stay and consequently increased healthcare costs. The aim of the present scoping review was to evaluate the effectiveness of educational interventions for the reduction of these infections in the adult ICU. A systematic literature search was conducted from December 2022 to March 2023, making use of official electronic databases such as PubMed, SCOPUS, CINAHL and Cochrane Database of Systematic Reviews; the key terms used for the search were the following: "Healthcare Associated Infections"; "educational interventions"; "intensive care unit" in all possible combinations and making use of the Boolean operators "AND" and "OR"; the application of the PRISMA methodology allowed a final screening of ten[MOU2] (10) studies on which the present review was based. In the selected studies, it was evident that education was essential and should be shared between multidisciplinary care teams, patients, their families, and caregivers. Statistical significance was found in two studies that demonstrated a reduction in HAIs. Despite considerable variation in the duration and type of educational intervention, the importance of establishing continuing education to maintain intervention results.

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Biografía del autor/a

Juliana Díaz Salazar, Universidad Santiago de Cali. Faculty of Health, Specialisation Programme in Health Auditing. Santiago de Cali, Valle del Cauca, Colombia

Dr Díaz Salazar graduated in Medicine from the Universidad Libre Seccional Cali in 2015 and completed her training at the Universidad Santiago de Cali. Faculty of Health, Specialisation Programme in Health Audit. Santiago de Cali, Valle del Cauca, Colombia. She has worked as an outpatient doctor in the chronic care programme of the Cañaveralejo Hospital, the Versalles Clinic Comfandi - IPS Torres de Comfandi and the Clinica Colombia in Santiago de Cali-Valle del Cauca, Colombia.

Mónica María Castro, Universidad Santiago de Cali. Faculty of Health, Specialisation Programme in Health Auditing. Santiago de Cali, Valle del Cauca, Colombia

Monica Castro holds a degree in Nursing from the Unidad Central del Valle del Cauca-UCEVA, with a Specialisation in Health Auditing from the Universidad Santiago de Cali-USC. She currently works as the Nursing Coordinator of the Intensive Care Unit at Clinica Nuestra Cali, Santiago de Cali-Valle del Cauca, Colombia.

Mauricio Solorzano Alarcón, Universidad Santiago de Cali. Faculty of Health, Specialisation Programme in Health Auditing. Santiago de Cali, Valle del Cauca, Colombia

Physiotherapist from Universidad Santiago de Cali-USC, FUCS Specialist in Health Management, Masters in Evaluation and Quality Assurance in Education from the Universidad Externado de Colombia, currently Director of the Specialisation in Health Auditing at the University of Santiago de Cali. University lecturer at undergraduate and postgraduate level, experience in clinical care, administration/management of IPS, union of physiotherapists in Colombia. Board member of the Colombian Association of Physiotherapy (ASCOFI) and the Colombian College of Physiotherapists (COLFI). Areas of interest: evaluation and assurance in education, health risk management and quality assurance, exercise and health and bioethics.

Citas

CCO, IAS. Fomites: Possible vehicle of nosocomial infections. Journal of Public Health and Nutrition 2018;1:16–16. DOI: https://doi.org/10.35841/public-health-nutrition.1.1.11-16

https://doi.org/10.35841/public- health-nutrition.1.1.11-16

Wisplinghoff H, Bischoff T, Tallent SM, Seifert H, Wenzel RP, Edmond MB. Nosocomial bloodstream infections in US hospitals: analysis of 24,179 cases from a prospective nationwide surveillance study. Clin Infect Dis 2004;39:309–17. https://doi.org/10.1086/421946 DOI: https://doi.org/10.1086/421946

Secretaría Distrital de Salud de Bogotá. Sistema de vigilancia epidemiológica de infecciones intrahospitalarias. Bogotá, Colombia: 2002.

http://www.saludcapital.gov.co/sitios/VigilanciaSaludPublica/Protocolos%20de%20Vigilancia%20en%20Salud%20Publica/Vigilancia%20Infecciones%20Intrahospitalarias.pdf

Liang S, Marschall J. Vital signs: Central line–Associated blood stream infections—United States, 2001, 2008, and 2009. Ann Emerg Med 2011;58:447–50. DOI: https://doi.org/10.1016/j.annemergmed.2011.07.035

https://doi.org/10.1016/j.annemergme d.2011.07.035 DOI: https://doi.org/10.1088/1475-7516/2011/07/035

Instituto Nacional de Salud-INS. Comportamiento de las Infecciones Asociadas a la Atención en Salud en Colombia. Bogotá, Colombia: 2021.

https://www.ins.gov.co/buscador-eventos/BoletinEpidemiologico/2021_Boletin_epidemiologico_semana_44.pdf

Organización Panamericana de la Salud. Oficina Regional de la Organización Mundial de la Salud Organización. Infecciones hospitalarias. Legislación en América Latina. Bogotá, Colombia: 2007.

https://iris.paho.org/bitstream/handle/10665.2/31312/9789275328637-spa.pdf?sequence=1&isAllowed=y

Trinh TT, Chan PA, Edwards O, Hollenbeck B, Huang B, Burdick N, et al. Peripheral venous catheter- related Staphylococcus aureus bacteremia. Infect Control Hosp Epidemiol 2011;32:579–83. https://doi.org/10.1086/660099 DOI: https://doi.org/10.1086/660099

Pronovost P, Berenholtz S, Dorman T, Lipsett PA, Simmonds T, Haraden C. Improving communication in the ICU using daily goals. J Crit Care 2003;18:71–5. DOI: https://doi.org/10.1053/jcrc.2003.50008

https://doi.org/10.1053/jcrc.2003.500 08

Institute for Health Care Improvement. 5 million live campaign. 2023.

https://www.ihi.org/Engage/Initiatives/Completed/5MillionLivesCampaign/Pages/default.aspx

Fox C, Wavra T, Drake DA, Mulligan D, Bennett YP, Nelson C, et al. Use of a Patient Hand Hygiene Protocol to Reduce Hospital-Acquired Infections and Improve Nurses’ Hand Washing. American Journal of Critical Care 2015;24:216–24. https://doi.org/10.4037/ajcc2015898 DOI: https://doi.org/10.4037/ajcc2015898

Peters MDJ, Marnie C, Tricco AC, Pollock D, Munn Z, Alexander L, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth 2020;18:2119–26. https://doi.org/10.11124/JBIES-20- 00167 DOI: https://doi.org/10.11124/JBIES-20-00167

Page MJ, Moher D, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ 2021;372:n160.

https://doi.org/10.1136/bmj.n160 DOI: https://doi.org/10.1136/bmj.n160

Thandar MM, Matsuoka S, Rahman O, Ota E, Baba T. Infection control teams for reducing healthcare- associated infections in hospitals and other healthcare settings: a protocol for systematic review. BMJ Open 2021;11:e044971. https://doi.org/10.1136/bmjopen- 2020-044971 DOI: https://doi.org/10.1136/bmjopen-2020-044971

Nedelcu V, Zazu M, Mazilu D, Vernic C, Grintescu I. Evaluation of the nurses’ level of knowledge regarding hand hygiene and healthcare-associated infections: a survey. Applied Medical Informatics 2020;42:53–61.

https://ami.info.umfcluj.ro/index.php/AMI/article/view/755

Fletcher-Gutowski S, Cecil J. Is 2- person urinary catheter insertion effective in reducing CAUTI? Am J Infect Control 2019;47:1508–9. https://doi.org/10.1016/j.ajic.2019.05. 014 DOI: https://doi.org/10.1016/j.ajic.2019.05.014

Park S-W, Ko S, An H, Bang JH, Chung W-Y. Implementation of central line-associated bloodstream infection prevention bundles in a surgical intensive care unit using peer tutoring. Antimicrob Resist Infect Control 2017;6:103. https://doi.org/10.1186/s13756-017- 0263-3 DOI: https://doi.org/10.1186/s13756-017-0263-3

Septimus EJ, Moody J. Prevention of Device-Related Healthcare- Associated Infections. F1000Res 2016;5:65. DOI: https://doi.org/10.12688/f1000research.7493.1

https://doi.org/10.12688/f1000researc h.7493.1

Yokoe DS, Anderson DJ, Berenholtz SM, Calfee DP, Dubberke ER, Ellingson KD, et al. A Compendium of Strategies to Prevent Healthcare- Associated Infections in Acute Care Hospitals: 2014 Updates. Infect Control Hosp Epidemiol 2014;35:967–77. https://doi.org/10.1086/677216 DOI: https://doi.org/10.1086/675819

Perin DC, Erdmann AL, Higashi GDC, Sasso GTMD. Evidence-based measures to prevent central line- associated bloodstream infections: a systematic review. Rev Lat Am Enfermagem 2016;24. https://doi.org/10.1590/1518- 8345.1233.2787 DOI: https://doi.org/10.1590/1518-8345.1233.2787

Centofanti JE, Duan EH, Hoad NC, Swinton ME, Perri D, Waugh L, et al. Use of a Daily Goals Checklist for Morning ICU Rounds. Crit Care Med 2014;42:1797–803. DOI: https://doi.org/10.1097/CCM.0000000000000331

https://doi.org/10.1097/CCM.0000000 000000331

McAlearney AS, MacEwan SR, Gregory ME, Sova LN, Hebert C, Gaughan AA. Identifying management practices for promoting infection prevention: Perspectives on strategic communication. Am J Infect Control 2022;50:593–7. DOI: https://doi.org/10.1016/j.ajic.2021.11.025

https://doi.org/10.1016/j.ajic.2021.11. 025

Foka M, Nicolaou E, Kyprianou T, Palazis L, Kyranou M, Papathanassoglou E, et al. Prevention of Central Line-Associated Bloodstream Infections Through Educational Interventions in Adult Intensive Care Units: A Systematic Review. Cureus 2021. https://doi.org/10.7759/cureus.17293 DOI: https://doi.org/10.7759/cureus.17293

Mastrandrea G, Giuliani R, Graps EA. International good practices on central venous catheters’ placement and daily management in adults and on educational interventions addressed to healthcare professionals or awake/outpatients. Results of a scoping review compared with the existent Italian good practices. Front Med (Lausanne) 2022;9. https://doi.org/10.3389/fmed.2022.94 3164 DOI: https://doi.org/10.3389/fmed.2022.943164

Rosenthal VD, Maki DG, Jamulitrat S, Medeiros EA, Todi SK, Gomez DY, et al. International Nosocomial Infection Control Consortium (INICC) report, data summary for 2003-2008, issued June 2009. Am J Infect Control 2010;38:95-104.e2. DOI: https://doi.org/10.1016/j.ajic.2009.12.004

https://doi.org/10.1016/j.ajic.2009.12. 004

Jarvis WR. Selected aspects of the socioeconomic impact of nosocomial infections: morbidity, mortality, cost, and prevention. Infect Control Hosp Epidemiol 1996;17:552–7. https://doi.org/10.1086/647371 DOI: https://doi.org/10.1086/647371

Larypoor M, Frsad S. Evaluation of nosocomial infections in one of hospitals of Qom, 2008. Iran J Med Microbiol 2011;5:7–17. https://ijmm.ir/article-1-194-en.html

Sociedad Española de Medicina Preventiva Salud Pública e Higiene. Estudio EPINE-EPPS no 29: 2018. Informe España Prevalencia de infecciones (relacionadas con la asistencia sanitaria y comunitarias) y uso de antimicrobianos en hospitales de agudos. 2019.

https://www.epine.es/docs/public/reports/esp/2018%20EPINE%20Informe%20Espa%C3%B1a.pdf

González Aguilera J, Fonseca Muñoz J, González Pompa J, Rosabal Rosales D, Marín Montejo L. Infección relacionada con los cuidados sanitarios en la unidad de cuidados intensivos. MULTIMED 2012;16:434–47. https://revmultimed.sld.cu/index.php/mtm/article/view/529/862

Li G, Walker MJ, De Oliveira DMP. Vancomycin Resistance in Enterococcus and Staphylococcus aureus. Microorganisms 2022;11:24. https://doi.org/10.3390/microorganis ms11010024 DOI: https://doi.org/10.3390/microorganisms11010024

Ibrahim EH, Sherman G, Ward S, Fraser VJ, Kollef MH. The influence of inadequate antimicrobial treatment of bloodstream infections on patient outcomes in the ICU setting. Chest 2000;118:146–55. https://doi.org/10.1378/chest.118.1.14 6 DOI: https://doi.org/10.1378/chest.118.1.146

McAlearney AS, Robbins J, Garman AN, Song PH. Implementing high- performance work practices in healthcare organizations: qualitative and conceptual evidence. J Health Manag 2013;58:446–62. PMID: 24400459. DOI: https://doi.org/10.1097/00115514-201311000-00011

Millward S, Barnett J, Thomlinson D. A clinical infection control audit programme: evaluation of an audit tool used by infection control nurses to monitor standards and assess effective staff training. J Hosp Infect 1993;24:219–32. DOI: https://doi.org/10.1016/0195-6701(93)90051-Z

https://doi.org/10.1016/0195- 6701(93)90051-z

Pittet D, Simon A, Hugonnet S, Pessoa-Silva CL, Sauvan V, Perneger T V. Hand Hygiene among Physicians: Performance, Beliefs, and Perceptions. Ann Intern Med 2004;141:1. https://doi.org/10.7326/0003-4819- 141-1-200407060-00008 DOI: https://doi.org/10.7326/0003-4819-141-1-200407060-00008

Moreau KA, Eady K, Sikora L, Horsley T. Digital storytelling in health professions education: a systematic review. BMC Med Educ 2018;18:208. https://doi.org/10.1186/s12909-018- 1320-1 DOI: https://doi.org/10.1186/s12909-018-1320-1

Varkey P. Educating to Improve Patient Care: Integrating Quality Improvement Into a Medical School Curriculum. American Journal of Medical Quality 2007;22:112–6. https://doi.org/10.1177/10628606062 98338 DOI: https://doi.org/10.1177/1062860606298338

Chen M, Bell RA. A meta-analysis of the impact of point of view on narrative processing and persuasion in health messaging. Psychol Health 2021:1–18. https://doi.org/10.1080/08870446.202 1.1894331 DOI: https://doi.org/10.1080/08870446.2021.1894331

Fridkin SK, Pear SM, Williamson TH, Galgiani JN, Jarvis WR. The Role of Understaffing in Central Venous Catheter-Associated Bloodstream Infections. Infect Control Hosp Epidemiol 1996;17:150–8. https://doi.org/10.1086/647262 DOI: https://doi.org/10.1086/647262

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Publicado

2023-07-01

Cómo citar

1.
Díaz Salazar J, Castro MM, Solorzano Alarcón M. Effectiveness of educational interventions to reduce healthcare- associated infections in adult intensive care units: a scoping review. Magna Sci. UCEVA [Internet]. 1 de julio de 2023 [citado 22 de diciembre de 2024];3(1):43-5. Disponible en: http://revistas.uceva.edu.co/index.php/magnascientia/article/view/66

Número

Vol. 3 Núm. 1 (2023)

Sección

Medicina (Medicine)

Licencia

Derechos de autor 2023 Díaz Salazar J., Castro MM., Solorzano Alarcón M

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