alexa Environmental Biodecontamination: When a Procedure Performed by the Nursing Staff has an Economic Impact in ICU Rooms
ISSN: 2167-1168

Journal of Nursing & Care
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Research Article

Environmental Biodecontamination: When a Procedure Performed by the Nursing Staff has an Economic Impact in ICU Rooms

Ragusa R1-3*, Lombardo A1,2,4, Bruno A4, Sciacca A2,6 and Lupo L1,7

1Heath Technology Assessment Committee, University Hospital, Italy

2Committee against nosocomial infection, University Hospital “G. Rodolico” Catania, Italy

3Direzione Medica di Presidio, University Hospital “G. Rodolico” Catania, Italy

4Nursing for the Control of Hospital Infections, University Hospital “G. Rodolico” Catania, Italy

5Science of Health Professions Technical Diagnostic, University of Catania, Italy

6Department of Biomedical and Biotechnological Sciences, University of Catania, Italy

7Department of Medical and Surgical Sciences and advanced technologies, University of Catania, Italy

*Corresponding Author:
Rosalia Ragusa
Via Rosso di San Secondo, 3 - Catania 95128 Italy
Tel: + 39 329 3178086
Fax: + 39 095 445745
E-mail: [email protected]

Received date: June 01, 2016; Accepted date: July 18, 2016; Published date: July 27, 2016

Citation: Ragusa R, Lombardo A, Bruno A, Sciacca A, Lupo L (2016) Environmental Biodecontamination: When a Procedure Performed by the Nursing Staff has an Economic Impact in ICU Rooms. J Nurs Care 5:355. doi:10.4172/2167-1168.1000355

Copyright: © 2016 Ragusa R, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

 

 

Abstract

Objective: The transmission of hospital-acquired infections most commonly occurs by means of healthcare workers coming into contact with contaminated surfaces or patients during routine care and the lack of or poor implementation of hygiene procedures. We present this study to assess the efficacy of a new environmental infection control system, managed by a nurse in charge of infection control, in terms of safety, clinical outcome and hospital/healthcare costs.

Methods: The following is an observational retrospective study performed at University Hospital of Catania; containing data on HAI infections from years 2013 and 2014, before and after a new disinfection procedure was introduced. The procedure used a no-touch technology for the indoor environment, using micronebulized hydrogen peroxide and silver cations. Cases of infections concerned adult inpatients with hospitalization time being greater than three days. The efficacy of the procedure was evaluated by comparing the decrease in number of infections, related deaths, and changes in antimicrobial load, whereas economic impact of the new procedure was assessed by a cost-effectiveness analysis. User satisfaction and environmental safety issue were also addressed.

Results: A total of 489 patients were hospitalized in the ICU between January 1, 2013 and December 31, 2014. The introduction of the procedure coincided with a significant decrease overall in infection-related deaths, as well as hospital days (16.95 ± 20.46 (mean ± SD) to 11.55 ± 10.03 (mean ± SD: p value <0.05). Bacterial load in samples from CVC and from broncho-alveolar lavage decreased, as well. The incremental cost-effective ratio resulted in € 807.80 to be added for each infection-related death avoided.

Conclusion: We demonstrated that HyperDRYMist technology with hydrogen peroxide and silver cations is effective, safe and cost-effective without evidence of safety risk. Biodecontamination performed by motivated and experienced nurses could be useful in reducing microbial load and nosocomial infections. The system can contribute to improving the ICU patient's final outcome.

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