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. 2005 Oct;54(10):975-8, 980-2.
doi: 10.1007/s00101-005-0891-5.

[Infection control measures in intensive care units. Results of the German Nosocomial Infection Surveillance System (KISS)]

[Article in German]
R-P Vonberg  1 , K Groneberg, C Geffers, H Rüden, P Gastmeier
Affiliations

[Infection control measures in intensive care units. Results of the German Nosocomial Infection Surveillance System (KISS)]

[Article in German]
R-P Vonberg et al. Anaesthesist. 2005 Oct.

Abstract

Background: Aim of this study was to determine to what extent evidence-based infection control recommendations are applied in German intensive care units (ICUs).

Methods: A questionnaire concerning handling of tubes, central vascular catheters (CVC), urinary tract catheters and methicillin-resistant Staphylococcus aureus (MRSA) positive patients was sent to 230 participants of the German Nosocomial Infection Surveillance System (KISS).

Results: Nasal intubation is routinely performed in 9% of ICUs, all recommended measures for CVC insertion were obeyed by 43% of ICUs and one-third of ICUs conduct regular screening of urine in catheterized patients. Urinary tract catheters are replaced at defined time intervals in 37% of ICUs. MRSA positive patients are not isolated in 5% of ICUs. MRSA screening on admission is not performed for high risk patients in 16% of ICUs.

Conclusions: There are still many German ICUs in which evidence-based recommendations are not implemented. Training of staff is necessary to improve quality of patient care.

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