A central venous cathter was placed in 51% of cases, nasogastric tubes in 11% and urinary devices in 55% of cases.
LTCF residents are a population at risk for MRSA because of age, age-associated morbidity, urinary devices and high rate of hospital contacts [ 4, 5].
For example, for the items concerning delirium, pressure ulcer, urinary collection device, (instrumental) activities of daily living, nutritional intake, treatments, etc., the literal translation did not match the wording of well-known expressions used in Flemish literature and clinical practice.
A review of 100 charts of general medical patients aged 70 years or more, showed between 80%- 90% of medical files did not contain any documentation about the patients' cognitive skills for daily decision making; periodic disordered thinking/awareness; short term memory recall; comprehension; behaviour; eating ability; balance (transitions); use of urinary collection device and falls.
For this purpose medical devices have been divided according to the different systems of the body they are focused to: orthopedic devices, breathing stents, gastrointestinal and urinary systems, devices for cardiovascular diseases, neuronal implants, and wound dressings.
Inanimate objects considered likely to be contaminated included endotracheal tubes, suction equipment, urinary collection devices, rectal tubes, thermometers, bed linens, and biohazardous waste containers.
ICU, intensive care unit; CL, central line; MV, mechanical ventilator; UC, urinary catheter; DUR, device use ratio; CI, confidence interval.
The most common sources of infection were pneumonia (13 patients), bloodstream (11 patients, 5 of whom had infection related to an intravascular device), urinary tract (4 patients) and intra-abdominal (3 patients).
Although placement of a retropubic mid-urethral slings (MUS) is one of the gold standard surgical treatments for stress urinary incontinence, new devices are poorly evaluated before marketing.
Disposal: constipation and diarrhea, signs of alarm, handling of nappies, devices, urinary catheters.
