Risk factors for nosocomial infections and/or sepsis in adult burns patients : An integrative review

Journal article


Tan, Xue Ying Debbie, Wiseman, Taneal and Betihavas, Vasiliki. (2022). Risk factors for nosocomial infections and/or sepsis in adult burns patients : An integrative review. Intensive and Critical Care Nursing. 73, p. Article 103292. https://doi.org/10.1016/j.iccn.2022.103292
AuthorsTan, Xue Ying Debbie, Wiseman, Taneal and Betihavas, Vasiliki
Abstract

Background
In comparison to general trauma patients, loss of skin barrier amongst the burns cohort predisposes them to a higher risk of nosocomial infections and sepsis, and this often leads to unfavourable morbidity and mortality outcomes.

Purpose
This integrative review aimed to explore existing literature to identify risk factors related to nosocomial infections and/or sepsis in adult burns patients following hospital admission.

Methods
Electronic searches for journals published between 2007 and 2021 were performed in CINAHL, Scopus and Medline, and key journals were hand-searched. Inclusion criteria was: (1) peer-reviewed, primary studies; (2) qualitative, quantitative or mixed-methods studies; (3) study participants had sustained burns-related injury and developed nosocomial infections and/or sepsis during the course of hospitalisation. Studies were appraised using the Critical Appraisal Skill Program checklists.

Results
15 studies ranging from ‘poor’ to ‘fair’ to ‘moderate’ quality were included in the final review. Patient factors that contributed to the development of nosocomial infections and/ or sepsis included: (1) Full thickness burns; (2) age; (3) % Total Burns Surface Area; and (4) Herpes Simplex Virus activation. Several provider-system risk factors were identified by ‘poor’ quality studies and further research is required to substantiate those findings.

Discussion
Findings remained inconclusive due to the lack of ‘good’ quality studies however, there was an overemphasis on patient-related risk factors instead of healthcare workers or the system. Future research may focus on activation of the latest infection prevention strategies and early enforcement of care bundles. Through identification of related risk factors, it may reduce the incidence of nosocomial infection and/or sepsis post-burns.

Keywordsadult; burns; healthcare associated infection; nosocomial infections; risk factors; sepsis
Year2022
JournalIntensive and Critical Care Nursing
Journal citation73, p. Article 103292
PublisherElsevier Ltd
ISSN0964-3397
Digital Object Identifier (DOI)https://doi.org/10.1016/j.iccn.2022.103292
PubMed ID35879132
Scopus EID2-s2.0-85134744137
Page range1-12
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online22 Jul 2022
Publication process dates
Accepted12 Jun 2022
Deposited18 Aug 2023
Permalink -

https://acuresearchbank.acu.edu.au/item/8z8v8/risk-factors-for-nosocomial-infections-and-or-sepsis-in-adult-burns-patients-an-integrative-review

Restricted files

Publisher's version

  • 42
    total views
  • 0
    total downloads
  • 2
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Resilience, posttraumatic growth and psychological wellbeing of paramedicine clinicians : An integrative review
Coyte, Benjamin, Betihavas, Vasiliki, Devenish, Anthony and Foster, Kim Narelle. (2024). Resilience, posttraumatic growth and psychological wellbeing of paramedicine clinicians : An integrative review. Paramedicine. 21(1), pp. 16-35. https://doi.org/10.1177/27536386231206501
The perspectives of internationally qualified nurses regarding their specialty skill transition to Australia : A cross-sectional survey
Kurup, Chanchal, Burston, Adam Scott, Betihavas, Vasiliki and Jacob, Elisabeth. (2024). The perspectives of internationally qualified nurses regarding their specialty skill transition to Australia : A cross-sectional survey. Journal of Advanced Nursing. 80(5), pp. 1-14. https://doi.org/10.1111/jan.15952
Role of nurse-surgeons in global surgical care : A scoping review
Grota, Tenber, Betihavas, Vasiliki, Burston, Adam and Jacob, Elisabeth. (2023). Role of nurse-surgeons in global surgical care : A scoping review. Journal of Advanced Nursing. pp. 1-31. https://doi.org/10.1111/jan.15906
Strategies employed by developed countries to facilitate the transition of internationally qualified nurses specialty skills into clinical practice : An integrative review
Kurup, Chanchal, Betihavas, Vasiliki, Burston, Adam Scott and Jacob, Elisabeth. (2023). Strategies employed by developed countries to facilitate the transition of internationally qualified nurses specialty skills into clinical practice : An integrative review. Nursing Open. 10(12), pp. 7528-7543. https://doi.org/10.1002/nop2.2023
Impact of nurse-surgeons on patient-centred outcomes : A systematic review
Grota, Tenber, Betihavas, Vasiliki, Burston, Adam and Jacob, Elisabeth. (2022). Impact of nurse-surgeons on patient-centred outcomes : A systematic review. International Journal of Nursing Studies Advances. 4, p. Article 100086. https://doi.org/10.1016/j.ijnsa.2022.100086
Current methods of nurse-surgeon training and education : Systematic review
Grota, Tenber, Betihavas, Vasiliki, Burston, Adam and Jacob, Elisabeth. (2021). Current methods of nurse-surgeon training and education : Systematic review. International Journal of Nursing Studies Advances. 3, p. Article 100048. https://doi.org/10.1016/j.ijnsa.2021.100048
Biomedical, socioeconomic and demographic predictors of heart failure readmissions : A systematic review
Choi, Eun Sun, Wiseman, Taneal and Betihavas, Vasiliki. (2021). Biomedical, socioeconomic and demographic predictors of heart failure readmissions : A systematic review. Heart, Lung and Circulation. 30(6), pp. 817-836. https://doi.org/10.1016/j.hlc.2020.11.011
The association between unexplained falls and cardiac arrhythmias : A scoping literature review
Wiseman, Taneal and Betihavas, Vasiliki. (2019). The association between unexplained falls and cardiac arrhythmias : A scoping literature review. Australian Critical Care. 32(5), pp. 434-441. https://doi.org/10.1016/j.aucc.2018.08.003
A cognitive load theory simulation design to assess and manage deteriorating patients
Say, Richard, Visentin, Denis, Betihavas, Vasiliki and Minutillo, Susannah. (2019). A cognitive load theory simulation design to assess and manage deteriorating patients. International Journal of Nursing Education Scholarship. 16(1), pp. 1-9. https://doi.org/10.1515/ijnes-2019-0009
The effect of nurse-led education on hospitalisation, readmission, quality of life and cost in adults with heart failure. A systematic review
Rice, Helena, Say, Richard and Betihavas, Vasiliki. (2018). The effect of nurse-led education on hospitalisation, readmission, quality of life and cost in adults with heart failure. A systematic review. Patient Education and Counseling. 101(3), pp. 363-374. https://doi.org/10.1016/j.pec.2017.10.002
Resilience and the rehabilitation of adult spinal cord injury survivors : A qualitative systematic review
Kornhaber, Rachel, McLean, Loyola, Betihavas, Vasiliki and Cleary, Michelle. (2018). Resilience and the rehabilitation of adult spinal cord injury survivors : A qualitative systematic review. Journal of Advanced Nursing. 74(1), pp. 23-33. https://doi.org/10.1111/jan.13396
Impact of community based nurse-led clinics on patient outcomes, patient satisfaction, patient access and cost effectiveness: A systematic review
Randall, Sue, Crawford, Tonia, Currie, Jane, River, Jo and Betihavas, Vasiliki. (2017). Impact of community based nurse-led clinics on patient outcomes, patient satisfaction, patient access and cost effectiveness: A systematic review. International Journal of Nursing Studies. 73, pp. 24-33. https://doi.org/10.1016/j.ijnurstu.2017.05.008
The evidence for 'flipping out' : A systematic review of the flipped classroom in nursing education
Betihavas, Vasiliki, Bridgman, Heather, Kornhaber, Rachel and Cross, Merylin. (2016). The evidence for 'flipping out' : A systematic review of the flipped classroom in nursing education. Nurse Education Today. 38, pp. 15-21. https://doi.org/10.1016/j.nedt.2015.12.010
The benefits and challenges of academic writing retreats : An integrative review
Kornhaber, Rachel, Cross, Merylin, Betihavas, Vasiliki and Bridgman, Heather. (2016). The benefits and challenges of academic writing retreats : An integrative review. Higher Education Research and Development. 35(6), pp. 1210-1227. https://doi.org/10.1080/07294360.2016.1144572
A systematic review examining the effectiveness of blending technology with team-based learning
River, Jo, Currie, Jane, Crawford, Tonia, Betihavas, Vasiliki and Randall, Sue. (2016). A systematic review examining the effectiveness of blending technology with team-based learning. Nurse Education Today. 45, pp. 185-192. https://doi.org/10.1016/j.nedt.2016.08.012
Patient, provider and system factors influencing rehospitalisation in adults with heart failure
Betihavas, Vasiliki, Newton, Phillip, Frost, Shaun, Macdonald, Peter and Davidson, Patricia. (2013). Patient, provider and system factors influencing rehospitalisation in adults with heart failure. Contemporary Nurse. 43(2), pp. 244-256. https://doi.org/10.5172/conu.2013.43.2.244
Importance of Predictors of Rehospitalisation in Heart Failure : A Survey of Heart Failure Experts
Betihavas, Vasiliki, Newton, Phillip, Frost, Shaun, Alexandrou, Evan, Macdonald, Peter and Davidson, Patricia. (2013). Importance of Predictors of Rehospitalisation in Heart Failure : A Survey of Heart Failure Experts. Heart Lung and Circulation. 22(3), pp. 179-183. https://doi.org/10.1016/j.hlc.2012.05.008
Training of undergraduate clinicians in vascular access : An integrative review
Alexandrou, Evan, Ramjan, Lucie, Murphy, Jeff, Hunt, Leanne, Betihavas, Vasiliki and Frost, Steven A.. (2012). Training of undergraduate clinicians in vascular access : An integrative review. Journal of the Association for Vascular Access. 17(3), pp. 146-158. https://doi.org/10.1016/j.java.2012.07.001
What are the factors in risk prediction models for rehospitalisation for adults with chronic heart failure?
Betihavas, Vasiliki, Davidson, Patricia, Newton, Phillip, Frost, Steven and Macdonald, Peter. (2012). What are the factors in risk prediction models for rehospitalisation for adults with chronic heart failure? Australian Critical Care. 25(1), pp. 31 - 40. https://doi.org/10.1016/j.aucc.2011.07.004
Health span or life span : The role of patient-reported outcomes in informing health policy
Chang, Sungwon, Gholizadeh, Leila, Salamonson, Yenna, DiGiacomo, Michelle, Betihavas, Vasiliki and Davidson, Patricia M.. (2011). Health span or life span : The role of patient-reported outcomes in informing health policy. Health Policy. 100(1), pp. 96-104. https://doi.org/10.1016/j.healthpol.2010.07.001
Australia's health care reform agenda: implications for the nurses' role in chronic heart failure management
Betihavas, Vasiliki, Newton, Phillip, Du, HuiYun, Macdonald, Peter, Frost, Shaun, Stewart, Simon and Davidson, Patricia. (2011). Australia's health care reform agenda: implications for the nurses' role in chronic heart failure management. Australian Critical Care. 24(3), pp. 189 - 197. https://doi.org/10.1016/j.aucc.2010.08.003
Can a heart failure-specific cardiac rehabilitation program decrease hospitalizations and improve outcomes in high-risk patients?
Davidson, Patricia, Cockburn, Jill, Newton, Phillip, Webster, Julie K., Betihavas, Vasiliki, Howes, Laurie and Owensbye, Dwain O.. (2010). Can a heart failure-specific cardiac rehabilitation program decrease hospitalizations and improve outcomes in high-risk patients? European Journal of Preventative Cardiology. 17(4), pp. 393-402. https://doi.org/10.1097/HJR.0b013e328334ea56
The role of b-type natriuretic peptide in heart failure management
Newton, Phillip, Betihavas, Vasiliki and Macdonald, Peter. (2009). The role of b-type natriuretic peptide in heart failure management. Australian Critical Care. 22(3), pp. 117-123. https://doi.org/10.1016/j.aucc.2009.06.001