Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-17T19:42:43.078Z Has data issue: false hasContentIssue false

The Impact of Nighttime Intensivists on Medical Intensive Care Unit Infection-Related Indicators

Published online by Cambridge University Press:  14 December 2015

Abhaya Trivedi
Affiliation:
Division of Pulmonary and Critical Care Medicine, Washington University School of Medicine, St. Louis, Missouri
Kathleen M. McMullen
Affiliation:
Division of Infection Prevention, Barnes-Jewish Hospital, St. Louis, Missouri
Hilary M. Babcock
Affiliation:
Division of Infectious Diseases, Washington University School of Medicine, St. Louis, Missouri.
Marin H. Kollef*
Affiliation:
Division of Pulmonary and Critical Care Medicine, Washington University School of Medicine, St. Louis, Missouri
*
Address correspondence to Marin Kollef, MD; Division of Pulmonary and Critical Care Medicine; Washington University School of Medicine, 4523 Clayton Avenue, Campus Box 8052, St. Louis, MO 63110 (mkollef@dom.wustl.edu).

Abstract

In 2013, a before-and-after intervention study was conducted to evaluate the effect 24-hour intensivist coverage on length of stay and rates of catheter-associated urinary tract infection, central-line associated blood stream infection, and ventilator-associated events. Intensivist coverage for 24 hours did not decrease length of stay or result in a decrease in any specific infection rate.

Infect. Control Hosp. Epidemiol. 2016;37(3):352–354

Type
Concise Communications
Copyright
© 2015 by The Society for Healthcare Epidemiology of America. All rights reserved 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1. Levy, MM. Intensivists at night: putting resources in the right place. Crit Care 2013;17:1008.Google Scholar
2. Wallace, DJ, Angus, DC, Barnato, AE, Kramer, AA, Kahn, JM. Nighttime intensivist staffing and mortality among critically ill patients. N Engl J Med 2012;366:20932101.Google Scholar
3. Kerlin, MP, Small, DS, Cooney, E, et al. A randomized trial of nighttime physician staffing in an intensive care unit. N Engl J Med 2013;368:22012209.Google Scholar
4. Kerlin, MP, Harhay, MO, Kahn, JM, Halpern, SD. Nighttime intensivist staffing, mortality, and limits on life support: a retrospective cohort study. Chest 2015;147:951958.Google Scholar
5. Garland, A, Roberts, D, Graff, L. Twenty-four-hour intensivist presence: a pilot study of effects on intensive care unit patients, families, doctors, and nurses. Am J Respir Crit Care Med 2012;185:738743.Google Scholar
6. Kahn, JM, Hall, JB. More doctors to the rescue in the intensive care unit: a cautionary note. Am J Respir Crit Care Med 2010;181:11601161.Google Scholar
7. Lindell, KO, Chlan, LL, Hoffman, LA. Nursing perspectives on 24/7 intensivist coverage. Am J Respir Crit Care Med 2010;182:13381340.CrossRefGoogle ScholarPubMed
8. Gajic, O, Afessa, B, Hanson, AC, et al. Effect of 24-hour mandatory versus on-demand critical care specialist presence on quality of care and family and provider satisfaction in the intensive care unit of a teaching hospital. Crit Care Med 2008;36:3644.Google Scholar
9. Fakih, MG, Krein, SL, Edson, B, Watson, SR, Battles, JB, Saint, S. Engaging health care workers to prevent catheter-associated urinary tract infection and avert patient harm. Am J Infect Control 2014;42:S223S229.Google Scholar
10. Klompas, M, Anderson, D, Trick, W, et al. The preventability of ventilator-associated events. The CDC Prevention Epicenters Wake Up and Breathe Collaborative. Am J Respir Crit Care Med 2015;191:292301.Google Scholar