Unplanned Extubation, Hospital-acquired Infections, Nosocomial Infections, Intensive Care Unit.


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Controlling Hospital-acquired Infections remains the cornerstone for improving patient safety during hospitalization. It continues one of the most common and costly problems facing critically ill patients in intensive care units. Disrupting mechanical ventilation, commonly performed in the intensive care unit, via unplanned extubation, whether deliberate or accidental, is a nightmare to any critical care practitioner. The main purpose of this study was to investigate the role of Hospital-acquired Infections on unplanned extubation in adult critical care units at a Lebanese university hospital. A Case-control design was implemented. All medical records of patients admitted to critical care units over the last two years period were critically analyzed. Descriptive, Correlational and Regression Analysis were used. Results have revealed that all patients admitted to critical care units, mostly due to Cardiogenic Shock (42%), 251 patients were intubated (43%). 30% of all patients had at least one nosocomial infection. 33.5% of all cases underwent unplanned extubation. Half of the intubated patients with Candida and those with Pseudomonas had unplanned extubation. p=0.003. Hospital-acquired Infection was a key factor contributing to unplanned extubation with a p value <0.05.



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