Blatnik J, Lesnicar G
Department of Infectious Diseases and Febrile Conditions, General Hospital Celje, Celje, Slovenia.
J Hosp Infect. 2006 Jun;63(2):162-6. doi: 10.1016/j.jhin.2005.11.013. Epub 2006 Mar 22.
Morbidity and mortality due to nosocomial infections are on the increase. The effectiveness of infection control has become an important indicator of the quality of hospital work, as well as contributing towards cost reduction. The aim of this three-year prospective study was to investigate the daily workload of medical nurses to see if there was a correlation with the spread of infections caused by methicillin-resistant Staphylococcus aureus (MRSA) in a surgical intensive care unit (SICU) using a Therapeutic Intervention Scoring System (TISS). Although this SICU pays great attention to continuing education, the incidence of MRSA is still high. By means of the TISS, it was estimated that nurses in the SICU are overloaded by an average of 57%. Infections with MRSA occurred during periods when nurses were, on average, overloaded by more than 25%. During the study period, 47 new cases of MRSA infection were detected. These results suggest that adequate human resource management, particularly with respect to nursing care staff in SICUs, could contribute towards infection control.
医院感染导致的发病率和死亡率正在上升。感染控制的有效性已成为医院工作质量的重要指标，同时也有助于降低成本。这项为期三年的前瞻性研究旨在使用治疗干预评分系统（TISS）调查内科护士的日常工作量，以确定其与外科重症监护病房（SICU）耐甲氧西林金黄色葡萄球菌（MRSA）引起的感染传播之间是否存在相关性。尽管该SICU非常重视继续教育，但MRSA的发病率仍然很高。通过TISS估计，SICU的护士平均超负荷57%。MRSA感染发生在护士平均超负荷超过25%的时期。在研究期间，检测到47例新的MRSA感染病例。这些结果表明，适当的人力资源管理，特别是关于SICU护理人员的管理，有助于感染控制。
