uu.seUppsala University Publications
Change search
ReferencesLink to record
Permanent link

Direct link
A European survey of nosocomial infection control and hospital-acquired pneumonia prevention practices
Show others and affiliations
2012 (English)In: Journal of Infection, ISSN 0163-4453, E-ISSN 1532-2742, Vol. 65, no 4, 285-291 p.Article in journal (Refereed) Published
Abstract [en]

Objectives: We aimed to examine organizational, structural and routine infection control measures provided by European ICUs and staff practices in ventilator-associated pneumonia prevention in relation with current recommendations.

Methods: European ICU staffs were invited to complete a web-based 20 closed-item questionnaire.

Results: 675 nurses and 886 physicians from 13 countries answered the questionnaire. Median number of respondents per country was 118.0 (64.5-155.5). Availability and organizational aspects of infection control revealed wide variations between countries. Among them, single-patient rooms was the aspect with the lowest availability (median availability 38%), but the largest variation ranging from 15 to 84%. Self-reported median adherence rate to recommendations was 72% (34.5-83.0) with a strong correlation between nurses and physicians responses (r(2) = 0.96; p < 0.0001). Sub-glottic drainage (31%), and infrequent ventilatory-circuit change (24%) were the measures with the lowest adherence rate whereas preferential use of oral intubation (90%) and of NIV (84%) and use of HMEs (82%) were the three with the highest rate. Organization of infection control was consistently self-reported. Disparities among countries were more frequent for specific actions regarding airway management, and even moreso for controversial issues (subglottic drainage, closed-suction systems).

Conclusion: This European survey shows a 72% overall adherence rate to VAP prevention measures; with strong agreements between physician and nurses but considerable differences among countries for availability and organization aspects of infection control, providing healthcare authorities with figures for future programs.

Place, publisher, year, edition, pages
2012. Vol. 65, no 4, 285-291 p.
Keyword [en]
Infection control, Nosocomial infection, Cross contamination, Healthcare practices, Mechanical ventilation, Intensive care
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-182743DOI: 10.1016/j.jinf.2012.06.016ISI: 000308727100001OAI: oai:DiVA.org:uu-182743DiVA: diva2:561608
Available from: 2012-10-19 Created: 2012-10-15 Last updated: 2012-10-19Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full text

Search in DiVA

By author/editor
Rubertsson, Sten
By organisation
Anaesthesiology and Intensive Care
In the same journal
Journal of Infection
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 299 hits
ReferencesLink to record
Permanent link

Direct link