Document Detail


Impact of staffing on bloodstream infections in the neonatal intensive care unit.
MedLine Citation:
PMID:  16894083     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To examine the association between registered nurse staffing and healthcare-associated bloodstream infections in infants in the neonatal intensive care unit (NICU).
DESIGN: Prospective cohort study.
SETTING: Two level III-IV NICUs in New York, NY, from March 1, 2001, through January 31, 2003.
PARTICIPANTS: A total of 2675 infants admitted to the NICUs for more than 48 hours and all registered nurses who worked in the same NICUs during the study period. Intervention Hours of care provided by registered nurses. Main Outcome Measure Time to first episode of healthcare-associated bloodstream infection.
RESULTS: A total of 224 infants had an infection that met the study definition of healthcare-associated bloodstream infection. In a multivariate analysis, after controlling for infants' intrinsic and extrinsic risk factors, a greater number of hours of care provided by registered nurses in NICU 2 was associated with a decreased risk of bloodstream infection in these infants (hazard ratio, 0.21; 95% confidence interval, 0.06-0.79).
CONCLUSION: Our findings suggest that registered nurse staffing is associated with the risk of bloodstream infection in infants in the NICU.
Authors:
Jeannie P Cimiotti; Janet Haas; Lisa Saiman; Elaine L Larson
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Archives of pediatrics & adolescent medicine     Volume:  160     ISSN:  1072-4710     ISO Abbreviation:  Arch Pediatr Adolesc Med     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-08-08     Completed Date:  2006-08-24     Revised Date:  2013-06-07    
Medline Journal Info:
Nlm Unique ID:  9422751     Medline TA:  Arch Pediatr Adolesc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  832-6     Citation Subset:  AIM; IM    
Affiliation:
Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, 19104-6096, USA. jcimiott@nursing.upenn.edu
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MeSH Terms
Descriptor/Qualifier:
Birth Weight
Catheterization, Central Venous
Cohort Studies
Cross Infection / prevention & control*
Female
Hand Disinfection / methods
Humans
Infant, Newborn
Intensive Care Units, Neonatal / manpower*
Male
Multivariate Analysis
Nursing Staff, Hospital / organization & administration,  supply & distribution*
Parenteral Nutrition
Personnel Staffing and Scheduling*
Proportional Hazards Models
Prospective Studies
Risk Factors
Sepsis / epidemiology*
Survival Analysis
Grant Support
ID/Acronym/Agency:
R01 NR005197-03S1/NR/NINR NIH HHS; R01 NR05197-03/NR/NINR NIH HHS
Comments/Corrections

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