Title

Examining the impact of chest tube-related factors on the risk of nosocomial infections in a community based hospital.

Date of Award

2005

Degree Type

Thesis

Degree Name

M.Sc.

Department

Nursing

Keywords

Health Sciences, Nursing.

Rights

CC BY-NC-ND 4.0

Abstract

Purpose. The study was conducted to investigate the impact of chest tube-related factors on the risk for development of nosocomial infections (NI) and to examine the independent predictors of NI in a community based ICU. Methods. A retrospective, case-control review of 120 medical records of ICU patients was conducted. Two groups were compared using t-test and chi square comparisons on each of the study variables. Hierarchical logistic regression was used to determine which chest tube-related factors were independent predictors of NI, while adjusting for other known risk factors. Results. Of the 40 cases, 92.5% (n = 37) had pneumonia, while 7.5% (n = 3) had NBSI. Chest tube-related factors accounted for 7.4% to 10.2% of the explained variance. The variable chest tube days was the only chest tube-related factor to be an independent predictor of NI (OR 5.79, 95% CI, 1.459-23.015). Mechanical ventilation (MV) (OR, 4.88; 95%CI, 1.8-13.1) and outcome length of stay (LOS) (OR, .724; 95%CI, .624-.839) were also found to be independent predictors of NI. (Abstract shortened by UMI.) Paper copy at Leddy Library: Theses & Major Papers - Basement, West Bldg. / Call Number: Thesis2005 .O43. Source: Masters Abstracts International, Volume: 44-03, page: 1336. Thesis (M.Sc.)--University of Windsor (Canada), 2005.