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  • Author: Kovács Judit x
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Burnout syndrome among ICU personnel

Abstract

Burnout syndrome has an increasing incidence among intensive therapists because of high expectations and stress which leads to physical, mental and emotional exhaustion. Our aim was to examine the causes and severity of burnout in intensive care units.

Maslach Burnout Inventory questionnaires were distributed among intensive care workers of an university and a town hospital. Socio-demographic data were also collected.

The questionnaires were completed by 67 professionals, 28 doctors, 39 nurses. 43.4% suffered serious burnout, 23.52% high level of depersonalization, only 19.11% were satisfied with their accomplishments. Females showed higher incidence of burnout, especially those with chronic diseases (OR=3.33). According to our data, burnout was not related to family status and working hours, however there was significant correlation between satisfaction and weekly relaxation time (p = 0.0115).

Burnout syndrome is spreading among intensive care employees, therefore its prevention should be a priority.

Open access
Evaluation of knowledge about cardiopulmonary resuscitation in Tîrgu Mures

Abstract

Early recognition and intervention in sudden cardiac arrest is crucial for survival. The majority of these cases happen at the victims’ home or in public places, and the first person to act is usually a bystander. The purpose of this study was to assess and to compare bystander’s and third-year medical students’ (who attended first aid courses and training as first year students) knowledge about cardiopulmonary resuscitation in Tîrgu Mureş. Material and methods: We used a questionnaire, which included 28 questions and was filled in voluntarily by 335 people. We investigated previous cardiopulmonary resuscitation (CPR) experience, willingness to help in an emergency situation and basic knowledge about CPR techniques. Results: Only 15% of bystanders were trained in CPR. The majority (94%) of them knew when they have to resuscitate a person and the correct position the person be in. The location of chest compressions was known by 39% of bystanders and by 78% of third-year medical students, the exact rate of chest compressions by 14% of bystanders and by 66% of medical students. 49% of bystanders had driving license, and even though first aid training was required at driving school, their knowledge was barely better than those who did not have one. Conclusions: Bystander’s knowledge on cardiopulmonary resuscitation is generally poor. To improve it, CPR training courses are needed in the community.

Open access
The Incidence and Risk Factors of Nosocomial Infections in ICU

Abstract

Introduction: The increased incidence of nosocomial infections in intensive care units, with frequent occurrence of multiresistant pathogens increase mortality and often raises therapeutic problems.

Objectives: to assess the incidence of nosocomial infections, and risk factors.

Methods: The study includes 125 patients hospitalized in the Clinic of Anesthesiology and Intesive Care in the Emergency County Hospital and Cardiovascular Surgery Targu Mures. The patients were divided into two groups: the control group (n = 99), patients who did not develop infections during hospitalization in the ICU and the group with infection (n = 26).

Results: The incidence of nosocomial infections in our intensive care unit was 19.1%, the most common pathogen being Acinetobacter baumanii. There were no significant differences between the two groups regarding demographic data, the most important risk factor was chronic alcohol consumption. SAPS II. and SOFA scores showed higher values in the group with infection on the day of admission. This group showed lower levels of arterial blood oxygen (Horowitz index), lower sodium level, and higher number of platelets compared to the control group. The mortality in the group with infection was 47.65% compared to the control.

Conclusions: Nosocomial infections in critically ill patients are associated with hypoxemia, thrombocytopenia, hyponatremia and a bad outcome.

Open access