Do staffing and workload levels influence the risk of new meticillin-resistant Staphylococcus aureus acquisitions in a well-resourced intensive care unit?

Kong, F., Cook, D., Paterson, D.L., Whitby, M. and Clements, A. (2012) Do staffing and workload levels influence the risk of new meticillin-resistant Staphylococcus aureus acquisitions in a well-resourced intensive care unit?. Journal of Hospital Infection, 80 4: 331-339. doi:10.1016/j.jhin.2011.10.008

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Author Kong, F.
Cook, D.
Paterson, D.L.
Whitby, M.
Clements, A.
Title Do staffing and workload levels influence the risk of new meticillin-resistant Staphylococcus aureus acquisitions in a well-resourced intensive care unit?
Formatted title
Do staffing and workload levels influence the risk of new meticillin-resistant Staphylococcus aureus acquisitions in a well-resourced intensive care unit?
Journal name Journal of Hospital Infection   Check publisher's open access policy
ISSN 0195-6701
1532-2939
Publication date 2012-04-01
Year available 2011
Sub-type Article (original research)
DOI 10.1016/j.jhin.2011.10.008
Volume 80
Issue 4
Start page 331
End page 339
Total pages 9
Place of publication London, U.K.
Publisher W.B. Saunders
Collection year 2012
Language eng
Formatted abstract
Background: Staffing deficits and workload have may a bearing on transmission of meticillin-resistant Staphylococcus aureus (MRSA) within intensive care units (ICUs). New MRSA acquistions may provide a clearer picture of the relationship between MRSA acquisition and staffing in the ICU setting.
Aim: To determine whether staffing and bed occupancy rates had an immediate or delayed impact on the number of new MRSA acquisitions in a well-staffed ICU, and whether these variables could be used as predictors of future MRSA acquisitions.
Methods: Data on new MRSA acquisitions in the ICU of a 796-bed metropolitan Australian hospital between January 2003 and December 2006 were used to build a model to predict the probabilility of actual new MRSA acquisitions in 2007. Cross validation was performed using receiver operator characteristic analysis.
Findings: Sixty-one new MRSA acquisitions (21 infections, 40 colonizations) were identified in 51 individual weeks over the study period. The number of non-permanent staffing hours was relatively small. The area under the curve in the cross-validation analysis was 0.46 [95% CI 0.25–0.67] which suggests that the model, built on data from 2003–2006, was not able to predict weeks in which new MRSA acquisitions occurred in 2007.
Conclusion: The risks posed by high workloads may have been mitigated by good compliance with infection control measures, nurse training and adequate staffing ratios in the ICU. Consequently, staffing policies and the infection control practices in the ICU do not need to be modified to address the rate of new MRSA acquisitions.
Keyword Infection control
Meticillin-resistant Staphylococcus aureus
Staffing/workload
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Available online 25 November 2011.

 
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Created: Sat, 17 Dec 2011, 00:49:37 EST by Matthew Lamb on behalf of School of Medicine