title: Multiresistant bacterial colonization due to increased nurse workload in a neurology intensive care unit.
abstract: OBJECTIVE
  To determine the relationship between nurse workload and multiresistant bacteria colonization or infection (MRB+) in a neurology intensive care unit (ICU).
  
  
  METHODS
  We studied the relationship between nurse workload and MRB+ development in patients who were hospitalized in Dicle University Neurology Department ICU, Turkey during a 6-month period from November 15, 2003 to April 15, 2004. The intensity of workload and procedures applied to the patients were scored with the Project de Recherche en Nursing (PRN) and the Omega scores.
  
  
  RESULTS
  Of 138 patients followed, 71 (51.4%) were female and 67 (48.6%) were male. The mean age of females was 65.6+/-6.7 years, and of males was 62.2+/-15.8 years. The mean time of hospitalization in the ICU was 13+/-7.6 days. In 26 (18.8%) cultures taken from patients, multiresistant bacteria (MRB) were demonstrated. The development of MRB+ infection was correlated with length of stay (LOS), Omega 2, Omega 3, Total Omega, daily PRN, and total PRN (p<0.05). There was no correlation between development of MRB+ infection with gender, age, APACHE-II and Omega 1 scores (p>0.05). In the PRN system, when the workload of nurses was compared, it was seen that in the MRB colonized patient group, the workload of nurses was meaningfully higher than the MRB patient (-) group (p<0.001).
  
  
  CONCLUSIONS
  As a result, the risk of MRB+ development in the ICU is directly proportional to understaffing, increased nurse workload, LOS, and procedures applied to patients. In management of nosocomial infection, it is crucial to increase the number of nurses in the ICU, and thus, decrease the workload.
authors.affiliation: Department of Infection Diseases, Faculty of Medicine, Dicle University, Diyarbakir, Turkey. Tel. +90 (533) 6207022. Fax. +90 (412) 2488440. E-mail: mkcelen@hotmail.com.
authors.forename: Mustafa K
authors.initials: MK
authors.lastname: Celen
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Tamam
authors.forename: Salih
authors.initials: S
authors.lastname: Hosoglu
authors.forename: Celal
authors.initials: C
authors.lastname: Ayaz
authors.forename: Mehmet F
authors.initials: MF
authors.lastname: Geyik
authors.forename: Ismail
authors.initials: I
authors.lastname: Apak