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- Title
La vestizione delle persone significative durante l'accesso alle visite ai pazienti adulti ricoverati in terapia intensiva. Entriamo nel merito (e nel metodo).
- Authors
BAMBI, STEFANO; LUCCHINI, ALBERTO; TREVISAN, MONICA; PIEMONTE, GUYA; MANICI, MATTEO; COMISSO, IRENE; MARCHESE, FILIPPO; MATTIUSSI, ELISA; ELLI, STEFANO; FUSI, CRISTIAN; BULLERI, ENRICO; NEGRO, ALESSANDRA; RASERO, LAURA; IOZZO, PASQUALE
- Abstract
Background: The concept behind the term "open intensive care unit (ICU)" is to reduce physical, communicative and temporal barriers, if compared to the previous model of critical care. These three key principles of open ICU are currently being joined by new challenges: the participation of family members in nursing activities performed on the patient, and to the medical examination round. However, currently some important questions remain open, failing to answer the questions that still arise behind the false myth of the family member as an actor of interference with the care patient, and as source of infections for the patient. The aim of this paper is to detect the presence of scientific evidence underlying the current recommendations on dressing practices for visitors in intensive care. Methods: narrative literature review. Results: Using the search string [ICU AND (visitors OR visiting) AND (infection OR precaution OR gown OR barrier)] on Pubmed, 118 records were detected (only three clinical trials and six observational studies). Current literature is extremely poor in terms of scientific evidence, essentially because there is not a clear and strong research program on this issue. Conclusions: Considering the high rates of infection sustained by multi-drugs resistant microorganisms in intensive care units and the difficulties of healthcare personnel in containing the spread of these colonizations, operators and visitors should wear protective clothes until the absence of colonization / infection is established by hospital infection surveillance systems.
- Subjects
INFECTION prevention; CLOTHING &; dress; INTENSIVE care units; PROTECTIVE clothing; VISITING the sick; EVIDENCE-based medicine
- Publication
SCENARIO: Official Italian Journal of ANIARTI, 2020, Vol 37, Issue 3, p23
- ISSN
1592-5951
- Publication type
Article
- DOI
10.4081/scenario.2020.441