A literature review -nurses’ interventions to prevent ESBLproducing bacterial infections

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Abstract: ESBL-producing bacteria are the second most common antibiotic resistant bacterial groupoccurring in Sweden. Colonization caused by ESBL-producing bacteria pose a seriouschallenge for treatment of both common and life-threatening infections. Half of healthcarerelated infections could have been prevented with the implementation of good hygienepractices. Aim: to identify which evidence-based nursing interventions do nurses use forprevent healthcare related ESBL-producing bacterial infections. Method: a literature reviewstudy based on 11 original articles. Results: The evidence gathered suggest a list of riskfactors. Furthermore, the following list of successful evidence-based nursing interventionswas gathered: screening of patients on a regular basis, isolation or cohorting of carriers andinfected patients, evidence-based education of the staff on a regular basis, monitored hygieneroutines, policy implementation accompanied by educational programs. Finally, the gatheredevidence pointed out the following list of known obstacles: insufficient knowledge of hygieneroutines and antibiotic resistant bacteria in general, factors as lack of time or workenvironment stress, poor or incorrect usage of working materials, non-compliance withhygiene guidelines, and frequency of abroad travelling. Conclusion: This literature reviewhas contributed with: 1. Knowledge about which barriers should be overcome in order toincrease compliance. 2. Best practice guidelines can improve the work towards enhancedpatient safety. ESBL-producing bacterial infections implies significant healthcare costs interms of extended care time and more complicated care processes. 3. To ensure health care ofthe best possible quality, nurses should continuously evaluate the quality of theirinterventions. 4. Continued research is necessary to support up to date evidence-based interventions. 5. Finally, more nursing research is needed. As mentioned before, nursing research is the basis for evidence-based nursing intervention.

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