Infection Prevention and Control, University Hospital, Limerick, Ireland.
Department of Nursing and Midwifery, University of Limerick, Ireland.
J Hosp Infect. 2023 Jan;131:181-189. doi: 10.1016/j.jhin.2022.10.011. Epub 2022 Nov 5.
Carbapenemase-producing Enterobacterales (CPE) is an increasing public health concern; these bacteria are highly transmissible in hospital environments and the number of patients with these multidrug-resistant bacteria is rising. Healthcare workers caring for patients colonized with CPE offer insight into care delivery and processes in the hospital setting. The aim of this review was to explore healthcare workers' experiences of caring for patients colonized with CPE. A scoping review method was employed and seven electronic databases (CINAHL, Academic Search Complete, Cochrane, Embase, Medline, Web of Science and Scopus) and four grey literature databases (Open Grey, Grey Literature Report, Clinical trials. gov and WHO International Clinical Trials Registry Platform) were searched using specific search terms and inclusion/exclusion criteria. A PRISMA flow diagram was used to illustrate the process of article selection and thematic analysis used to form themes. Three studies met the criteria to be included in this review. Two main themes were identified from analysing the articles: 'Safeguarding' and 'Power of Knowledge'. The desire to protect themselves, their families and patients was evident from the studies. Healthcare workers were aware of the importance on infection prevention and control measures such as hand hygiene, in preventing the transmission of CPE, however barriers to these were identified, such as time constraints. In conclusion, healthcare workers have negative associations when it comes to caring for patients with CPE. Very little research has been conducted in the area and there is an opportunity to further explore the experience of healthcare workers caring for patients with CPE to identify opportunities for improvement and support of staff.
产碳青霉烯酶肠杆菌科（CPE）是一个日益严重的公共卫生问题；这些细菌在医院环境中具有高度传染性，携带这些多药耐药菌的患者数量正在增加。照顾携带 CPE 的患者的医护人员深入了解医院环境中的护理提供和流程。本综述的目的是探讨医护人员照顾携带 CPE 的患者的经验。采用范围综述方法，在七个电子数据库（CINAHL、学术搜索完整、Cochrane、Embase、Medline、Web of Science 和 Scopus）和四个灰色文献数据库（Open Grey、灰色文献报告、临床试验.gov 和世卫组织国际临床试验注册平台）中使用特定的搜索词和纳入/排除标准进行搜索。使用 PRISMA 流程图来说明文章选择的过程，并使用主题分析来形成主题。有三项研究符合纳入本综述的标准。通过分析文章确定了两个主要主题：“保护”和“知识的力量”。研究表明，医护人员希望保护自己、家人和患者免受感染。医护人员意识到预防和控制感染措施（如手部卫生）的重要性，以防止 CPE 的传播，但也发现了这些措施的障碍，例如时间限制。总之，医护人员在照顾携带 CPE 的患者时会产生负面联想。该领域的研究很少，有机会进一步探讨医护人员照顾携带 CPE 的患者的经验，以确定改进和支持员工的机会。
