Patient density, nurse-to-patient ratio and nosocomial infection risk in a pediatric cardiac intensive care unit

Pediatric Infectious Disease Journal

Volumn 16, Issue 11, 1997, Pages 1045-1048

  Archibald, Lennox K ^a   Manning, Mary Lou ^b   Bell, Louis M ^b   Banerjee, Shailen ^a   Jarvis, William R ^a  

^a NATIONAL CENTER FOR EMERGING AND ZOONOTIC INFECTIOUS DISEASES   (United States)

^b CHILDREN S HOSPITAL OF PHILADELPHIA   (United States)

Author keywords

Nosocomial infection; Overcrowding; Patient census; Pediatric intensive care unit; Understanding

Indexed keywords

ARTICLE; ASEPSIS; DENSITY; EPIDEMIC; HAND WASHING; HOSPITAL INFECTION; HUMAN; INFECTION RISK; INTENSIVE CARE; MAJOR CLINICAL STUDY; NURSE; PATIENT; PRIORITY JOURNAL; RISK FACTOR; SERRATIA MARCESCENS;

CHILD; COST CONTROL; CROSS INFECTION; HEART DISEASES; HUMANS; INTENSIVE CARE UNITS, PEDIATRIC; NURSES; PATIENTS; RISK;

EID: 0030657011     PISSN: 08913668     EISSN: None     Source Type: Journal    
DOI: 10.1097/00006454-199711000-00008     Document Type: Article

References (11)

1. Haley RP, Bregman DA. The role of understaffing and overcrowding in recurrent outbreaks of staphylococcal infection in a neonatal special-care unit. J Infect Dis 1982;145:875-85.
2. Fridkin SK, Pear SM, Williamson TH, Galgiani JN, Jarvis WR. The role of understaffing in central venous catheterassociated bloodstream infections. Infect Control Hosp Epidemiol 1996;17:150-8.
3. Mayhall CG, Lamb VA, Gayle WE Jr, Haynes BW Jr. Enterobacter cloacae septicemia in a burn center: epidemiology and control of an outbreak. J Infect Dis 1979;139:166-71.
4. Arnow PM, Allyn PA, Nichols EM, Hill DL, Pezzlo M, Bartlett RH. Control of methicillin-resistant Staphylococcus aureus in a burn unit: role of nurse staffing. J Trauma 1982;22:954-9.
5. Haley RW, Cushion NB, Tenover FC, et al. Eradication of endemic methicillin-resistant Staphylococcus aureus infections from a neonatal intensive care unit. J Infect Dis 1995; 171:614-24.
6. Emori TG, Culver DH, Horan TC, et al. National Nosocomial Infections Surveillance (NNIS) System: description of surveillance methods. Am J Infect Control 1991;19:19-35.
7. Garner JS, Jarvis WR, Emori TG, Horan TC, Hughes JM. CDC definitions for nosocomial infections. Am J Infect Control 1988;1988;16:128-40.
8. Jarvis WR, Edwards JR, Culver DH, et al. Nosocomial infection rates in adult and pediatric intensive care units in the United States. Am J Med 1991;91(Suppl 3B):S185-91.
9. Centers for Disease Control and Prevention. Nosocomial enterococci resistant to vancomycin: United States, 1989-1993. MMWR 1993;42:597-9.
10. Donowitz LG, Wenzel RP, Hoyt JW. High risk of hospital-acquired infections in the ICU patient. Crit Care Med 1982; 10:355-57.
11. Archibald L, Phillips L, McGowan JE Jr, Monnet D, Tenover F, Gaynes R. Antimicrobial resistance in isolates from inpatients and outpatients in the United States: the increasing importance of the intensive care unit. Clin Infect Dis 1997; 24:211-15.