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- Title
Prevention of microbial colonization of feeding tubes in the intensive care unit.
- Authors
Ozen, Nurten; Sis Celik, Aslı; Terzioglu, Fusun; Ozen, Volkan; Ozmen, Ozgur; Kose, Sema; Tosun, Betul; Dogan, Nazim; Ardic, Busra; Atabeyoglu Cimen, Bahar; Kilic, Dilek; Uslu, Hakan
- Abstract
Background: Various microorganisms which increase the mortality rate in the intensive care unit (ICU) cause microbial colonization of the nasogastric tube (NGT) and use the NGT as a reservoir. Aim: To detect the colonization on the NGT and to determine the effect that training regarding hand hygiene, NGT management, and enteral feeding (EF) provided to ICU nurses and auxiliary service staff (ASS) has on the level of NGT colonization. Study Design: A quasi‐experimental pre‐test and post‐test control design was used in this study. Microbial samples were taken from the outer and inner parts of NGT. The microorganisms were categorized as: group 1, no risk; group 2, low risk pathogenic; group 3, high‐risk pathogenic group. The training was given to nurses (n = 15) and ASS (n = 7). Hand hygiene, NGT, and EF care training are provided to nurses and ASS by researchers. A total of three training sessions were scheduled to be held in 3 weeks so that all health care staff members were trained. Each session lasted 2 h in total. Patients were assigned to a group if one of the microorganisms presented on the outer surface of the patient's feeding tube and/or on the hub. The hand hygiene compliance was evaluated by direct observation according to the World Health Organization hand hygiene indications. Results: The study was conducted with 46 patients. Evaluating the patients for the presence of microorganisms before education revealed that 4.3% were in group 1, 21.8% were in group 2, and 73.9% were in group 3. After the education, evaluating the samples for the presence of microorganisms revealed that 39.1% were in group 1, 13% were in group 2, and 47.8% were in group 3. A statistically significant difference was found between the number of samples included in the groups after the participants had received training (H = 8.186; p =.017). Conclusions: An NGT could act as a reservoir of microbial colonization and high‐risk microorganisms could be on the tube. Providing training not only to nurses but also to ASS will help reduce the risk of colonization. Relevance to Clinical Practice: Eliminating such colonization with effective hand hygiene during NGT feeding is a cost‐effective method. Providing training not only to nurses but also to ASS will help obtain the optimum benefit from patient care.
- Subjects
BACTERIAL disease prevention; HOST-bacteria relationships; INTENSIVE care units; WORLD Health Organization; KRUSKAL-Wallis Test; STATISTICS; INTENSIVE care nursing; RESEARCH evaluation; NASOENTERAL tubes; RESEARCH methodology; CHLAMYDIALES; MANN Whitney U Test; FEEDING tubes; PRE-tests &; post-tests; COMPARATIVE studies; NURSING practice; QUESTIONNAIRES; CHI-squared test; RESEARCH funding; ENTERAL feeding; HAND washing; DIETHYLSTILBESTROL; COLLECTION &; preservation of biological specimens; DATA analysis software; DATA analysis
- Publication
Nursing in Critical Care, 2023, Vol 28, Issue 6, p1087
- ISSN
1362-1017
- Publication type
Article
- DOI
10.1111/nicc.12812