PMID: 8963388Dec 1, 1995Paper

The order of ward rounds influences nosocomial infection. A 2-year study in gastroenterologic surgery patients

Journal of Gastroenterology
J YoshidaM Tanaka

Abstract

We studied the effect of the order of ward rounds on nosocomial infection in gastroenterologic surgery patients. The subjects were patients with gastrointestinal diseases admitted between September 1992 and August 1994. During the 1st year, the round proceeded indiscriminately among recovery rooms and rooms with stable patients and isolated patients with methicillin-resistant Staphylococcus aureus (MRSA). In the subsequent year, the round started in the recovery rooms and moved into the general rooms with stable patients and finally into the isolation rooms. Against the time course, piecewise linear regression analyses were made with the number of culture-positive patients and the quantities of antibiotics and disinfectants used. Of a total of 1894 strains from 264 patients, isolates of MRSA (n = 200) decreased from 150 in the 1st year to 50 in the 2nd year. The number of MRSA-positive patients showed the point of inflexion in the analysis at the change of round order, with a later decrease. The trend was similar for Candida (n = 99) and Enterococcal (n = 225) species. The amount of antibiotics was unchanged while the amount of disinfectants used decreased in the 2nd year. Thus, the round re-ordering appeared to help prevent no...Continue Reading

References

Aug 1, 1986·Computer Methods and Programs in Biomedicine·T Nakamura
Nov 1, 1993·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·D J SextonL B Reller
Nov 1, 1993·Khirurgiia·V I Sedov
Jun 1, 1993·The American Journal of Medicine·V SanchezM J Zervos

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Citations

Sep 25, 1999·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·J YoshidaM Akao
Oct 5, 2007·Journal of Gastroenterology and Hepatology·Shinji TogoHiroshi Shimada
Feb 28, 2006·Journal of the American Medical Informatics Association : JAMIA·Ayse P Gurses, Yan Xiao
Apr 9, 2001·Critical Care Medicine·D K Warren, V J Fraser

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