FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2104051808> ?p ?o ?g. }

• W2104051808 abstract "Background: Jet nebulisers are one of the primary devices used in the nebulisation of ventilated patients. It has been observed that due to cost restraints devices marked as “single use” are inadvertently being used as “single-patient-use” devices. This has both ethical and medico legal implications for the ICU. Ventilator-associated pneumonia (VAP) in limited-resource countries carries a large burden of increased mortality, morbidity and cost. Ineffective or absent nebuliser decontamination in ventilated patients can increase the risk of the development of VAP as well as the risk of antibiotic resistance. Objectives: The aim of this study was to examine the current practice of nebuliser decontamination and the incidence of contamination of nebulisers after use within a ventilator circuit, in ICUs in Johannesburg, South Africa. The secondary objectives of the study were to assess the presence of and adherence to a decontamination protocol in intensive care units (ICU) in Johannesburg and to identify which practices were associated with lower or no bacterial growth. Methods: A cross-sectional study design was used which included an interview with the unit manager and an audit of current nebuliser practice in the ICU. Nebulisers that were identified in the interview were then swabbed and streaked on blood agar plates (BAPs). Blood agar plates were then incubated and assessed for bacterial colonisation, number of colony forming units (CFUs) and number of different species of CFUs that were formed. Results: Single-use jet nebulisers represented 93% of nebulisers used within a ventilator circuit. All of the single-use jet nebulisers were being re-used (n=42). None of the hospitals studied had a nebuliser decontamination protocol. The contamination rate for jet nebulisers that had been re-used within the ventilator circuit was 52%. In the group of nebulisers that had bacterial colonisation, the nebulisers that were stored in a sterile drape had a significantly higher concentration of bacterial growth, than those that were not stored in a sterile drape (p=0.03). Nebulisers are often used in the administration of bronchodilators in ICUs in Johannesburg, South Africa. Colonised nebulisers can create bacterial aerosol when used within a ventilator circuit. A change to single-patient-use devices, such as vibrating mesh nebulisers, may assist in reducing the problem of colonisation of jet nebulisers. Conclusion: The rate of colonisation of jet nebulisers that have been re-used is unacceptably high. ICUs need to develop nebuliser decontamination protocols. Physiotherapists should assist with creating awareness and driving the creation of these protocols. ICUs should be encouraged to change single-use devices to single-patient-use devices. Nebulisers should not be stored in sterile drapes after use in a ventilator circuit." @default.
• W2104051808 created "2016-06-24" @default.
• W2104051808 creator A5067633949 @default.
• W2104051808 date "2011-02-10" @default.
• W2104051808 modified "2023-09-27" @default.
• W2104051808 title "CURRENT PRACTICE IN DECONTAMINATION OF NEBULISERS IN VENTILATED PATIENTS, JOHANNESBURG, SOUTH AFRICA" @default.
• W2104051808 cites W1496824749 @default.
• W2104051808 cites W1501727110 @default.
• W2104051808 cites W1509565492 @default.
• W2104051808 cites W1513051036 @default.
• W2104051808 cites W1531125228 @default.
• W2104051808 cites W1969426309 @default.
• W2104051808 cites W1974025459 @default.
• W2104051808 cites W1981047751 @default.
• W2104051808 cites W1984152908 @default.
• W2104051808 cites W2000998185 @default.
• W2104051808 cites W2002970294 @default.
• W2104051808 cites W2003924352 @default.
• W2104051808 cites W2018178694 @default.
• W2104051808 cites W2018861466 @default.
• W2104051808 cites W2033434224 @default.
• W2104051808 cites W2035797929 @default.
• W2104051808 cites W2039696366 @default.
• W2104051808 cites W2043257877 @default.
• W2104051808 cites W2056765255 @default.
• W2104051808 cites W2099541007 @default.
• W2104051808 cites W2114137878 @default.
• W2104051808 cites W2119654329 @default.
• W2104051808 cites W2124744180 @default.
• W2104051808 cites W2128476762 @default.
• W2104051808 cites W2132252898 @default.
• W2104051808 cites W2137385532 @default.
• W2104051808 cites W2145133078 @default.
• W2104051808 cites W2149689328 @default.
• W2104051808 cites W2159293433 @default.
• W2104051808 cites W2166625163 @default.
• W2104051808 cites W2328975747 @default.
• W2104051808 cites W2333312016 @default.
• W2104051808 cites W2492797354 @default.
• W2104051808 cites W386692520 @default.
• W2104051808 cites W94950536 @default.
• W2104051808 hasPublicationYear "2011" @default.
• W2104051808 type Work @default.
• W2104051808 sameAs 2104051808 @default.
• W2104051808 citedByCount "0" @default.
• W2104051808 crossrefType "dissertation" @default.
• W2104051808 hasAuthorship W2104051808A5067633949 @default.
• W2104051808 hasConcept C107211472 @default.
• W2104051808 hasConcept C142724271 @default.
• W2104051808 hasConcept C177713679 @default.
• W2104051808 hasConcept C194828623 @default.
• W2104051808 hasConcept C2776376669 @default.
• W2104051808 hasConcept C2777184939 @default.
• W2104051808 hasConcept C2987404301 @default.
• W2104051808 hasConcept C71924100 @default.
• W2104051808 hasConceptScore W2104051808C107211472 @default.
• W2104051808 hasConceptScore W2104051808C142724271 @default.
• W2104051808 hasConceptScore W2104051808C177713679 @default.
• W2104051808 hasConceptScore W2104051808C194828623 @default.
• W2104051808 hasConceptScore W2104051808C2776376669 @default.
• W2104051808 hasConceptScore W2104051808C2777184939 @default.
• W2104051808 hasConceptScore W2104051808C2987404301 @default.
• W2104051808 hasConceptScore W2104051808C71924100 @default.
• W2104051808 hasLocation W21040518081 @default.
• W2104051808 hasOpenAccess W2104051808 @default.
• W2104051808 hasPrimaryLocation W21040518081 @default.
• W2104051808 hasRelatedWork W105747598 @default.
• W2104051808 hasRelatedWork W2038895415 @default.
• W2104051808 isParatext "false" @default.
• W2104051808 isRetracted "false" @default.
• W2104051808 magId "2104051808" @default.
• W2104051808 workType "dissertation" @default.