Factors influencing hospital associated infection in pediatric wards

Main Article Content

Susheewa Wichaikull
Kanokkarn Mekananthawat

Abstract

Background: Hospital Associated Infection: HAI is an infection acquired in healthcare setting after 24-48-hour admission and the incident rate is around 4-5% worldwide. The study regarding factors influencing HAI is limited, particularly in children.


Objectives: This study aims to explore factors influencing hospital associated infections in children after birth to fifteen years old.


Methods: The literature published and non-published from 2011-2021 were explored by systematic review from the online databases. 328 studies were found, and 16 studies were selected after systematic review. Thematic and content analysis were also complied to obtain the final theme and subtheme. Consequently, the final theme was analyzed from 17 quantitative studies and 1 qualitative study.


Results: There are 14 subthemes within two main themes as the result. The first main theme is personal factor, including attitude, culture and belief, knowledge and training, personal competency, experience of healthcare worker and perception of the guardian. The second major theme is the external factor, including policy and Infection control guideline, material and budget, family income, antibiotic used, organizational culture and the relationship within clinical setting and the environment and material disinfection in the hospital.


Conclusions: The study of factors influencing hospital associated infection in children was limited. Lack of infection control guideline in children was found in this study. The study about factors influencing hospital associated infection in children in Thailand is recommended to setup the infection control guideline for pediatric healthcare workers.

Downloads

Download data is not yet available.

Article Details

How to Cite
Wichaikull, S., & Mekananthawat, K. (2021). Factors influencing hospital associated infection in pediatric wards . JOURNAL OF HEALTH SCIENCE RESEARCH, 15(2), 124-137. Retrieved from https://he01.tci-thaijo.org/index.php/JHR/article/view/249859
Section
นิพนธ์ต้นฉบับ (Original Articles)

References

1. Magill SS, O'Leary E, Janelle SJ, Thompson DL, Dumyati G, Nadle J, et al. Changes in prevalence of health care-associated infections in U.S. hospitals. N Engl J Med. 2018; 379(18):1732-44. doi: 10.1056/NEJMoa1801550.

2. World Health Organization. Healthcare Associated Infection Fact Sheet. [Internet]. 2020 [cited 2021 Apr 10]; Available from: https://www.who.int/gpsc/country_work/ gpsc_ccisc_fact_sheet_en.pdf.

3. Niyomwit K, Prachusilpa K. Competency of infectious control ward nurse. Journal of the police nurse. 2015;7(1):155-65. (in Thai).

4. Camacho-Gonzalez A, Spearman PW, Stoll BJ. Neonatal infectious diseases evaluation of neonatal sepsis. Pediatr Clin North Am. 2013;60(2):367-89. doi: 10.10 16/j.pcl.2012.12.003.

5. Ben Salem K, El Mhamdi S, Letaief M, Bchir M, Soltani MS. Epidemiological profile of health-care-associated infections in the central-east area of Tunisia. East Mediterr Health J. 2011;17(6):485-9.

6. Zingg W, Hopkins S, Gayet-Ageron A, Holmes A, Sharland M, Suetens C; ECDC PPS study group. Health-care-associated infections in neonates, children, and adolescents: an analysis of paediatric data from the European Centre for Disease Prevention and Control point-prevalence survey. Lancet Infect Dis. 2017;17(4):381-89. doi: 10.1016/S1473-3099(16)30517-5.

7. Danchaivijitr S, Judaeng T, Sripalakij S, Naksawas K, Plipat T. Prevalence of nosocomial infection in Thailand 2006. J Med Assoc Thai. 2007;90(8):1524-9.

8. Choi SA, Jeong SY. Factors influencing compliance in intravenous practice for infection prevention among nurses in small and medium hospitals. J Korean Acad Fundam Nurs. 2020; 27(4):344-55. doi:10.7739/jkafn.2020.27.4.344.

9. Jun J, Kovner CT, Stimpfel AW. Barriers and facilitators of nurses’ use of clinical practice guidelines: An integrative review. Int J Nurs Stud. 2016;60:54-8. doi: 10.10 16/j.ijnu rstu.2016.03.006.

10. Wichaikull S. A comparison of the factors which influence infection control in paediatric wards in England and Thailand [Dissertation]. De Montfort University; 2011.

11. Bhargava A, Trakroo A, Dash D, Prasanda R, Pandey R. Evidence-based awareness generation improves infection control practices in neonatal intensive care units at secondary-level government hospitals in Central India. Can J Infect Control. 2018;33(2)106-10.

12. Xiong P, Zhang J, Wang X, Wu TL, Hall BJ. Effects of a mixed media education intervention program on increasing knowledge, attitude, and compliance with standard precautions among nursing students: A randomized controlled trial. Am J Infect Control. 2017;45(4):389-95. doi: 10.1016/j.ajic.2016.11.006.

13. Głowacka A, Bączyk G, Ulatowska A. Prevention of infection, effective control and treatment of infected burn wounds - the role of a nurse in an interdisciplinary team. Polish Nursing. 2017;4(66):633-9. doi. 10.20883/pielpol.2017.85.

14. Holly NS, Valerie S, Amanda S, Heather S, Julie AT, Margaret B. A Bundle-Based approach to prevent catheter-associated urinary tract infections in the Intensive care unit. Critical Care Nurse. 2021; 62.71. doi: 10.4037/ccn2021934.

15. Hammoud S, Amer F, Lohner S, Kocsis B. Patient education on infection control: A systematic review. Am J Infect Control. 2020; 48(12):1506-15. doi: 10.1016/j.ajic.2020.05.039.

16. Nogueira-Jr C, Padoveze MC. Public policies on healthcare associated infections: A case study of three countries. Health Policy. 2018;122(9):991-1000. doi: 10.10 16/j.healthpol.2018.07.006.

17. Bardossy AC, Zervos J, Zervos M. Preventing Hospital-acquired Infections in Low-income and Middle-income Countries: impact, gaps, and opportunities. Infect Dis Clin North Am. 2016;30(3):805-18. doi: 10.1016/j.idc.20 16. 04.006.

18. Gotterson F, Buising K, Manias E. Nurse role and contribution to antimicrobial stewardship: An integrative review. Int J Nurs Stud. 2021;117:103787. doi: 10.10 16/j.ijnurstu.2020.103787.

19. Robinson ED, Volles DF, Kramme K, Mathers AJ, Sawyer RG. Collaborative antimicrobial stewardship for surgeons. Infect Dis Clin North Am. 2020; 34(1):97-108. doi. 10.1016/j.idc.2019.11.002.

20. Rao MV, Khan AA, Mathai D, Ramanaiah CJ, Leon TC, Khaleel M, et al. Prevalence and risk factors for Hospital Acquired Infection “Clean Care is saver care”. Int J Recent Sci Res. 2020;11(4):38021-28. doi: 10.24327/IJRSR.

21. Livshiz-Riven I, Borer A, Nativ R, Eskira S, Larson E. Relationship between shared patient care items and healthcare-associated infections: a systematic review. Int J Nurs Stud. 2015;52(1):380-92. doi: 10.1016/j.ijnurstu.2014.06.001.

22. Strange M . Environmental disinfection is a vital step toward preventing the spread of COVID-19. Rdh. 2020;43-5. [internet]. 2020 [cited 2021 Apr 17]; Available from: http://ezproxy.lib.ryerson.ca/login?url=.

23. Gamage SD, Ambrose M, Kralovic SM, Roselle GM. Water safety and Legionella in health care priorities, policy, and practice. Infect Dis Clin North Am. 2016;30(3):689 -712. doi: 10.1016/j.idc.2016.04.004 24.

24. Hiwar W, King M-F, Shuweihdi F, Fletcher LA, Dancer SJ, Noakes CJ. What is the relationship between indoor air quality parameters and airborne microorganisms in hospital environments? A systematic review and meta-analysis. Indoor Air. 2021:1-15. doi: https://doi.org/10.1111/ina.12846.

25. Morana V, Heuertzb R. Cross Contamination: Are hospital gloves reservoirs for Nosocomial Infections?. Hosp Top. 2017;95(3):57-62. doi: 10.1080/00185868. 2017.300484.