Effect Of Implementing Infection Prevention and Control Guidelines for Nurses on Severity of Acute Pancreatitis Among Patients Undergoing Gastrointestinal Endoscopy
Keywords:
Acute pancreatitis, Gastrointestinal Endoscopy, Guidelines, Infection Prevention & Control, Nurses, Severity
Abstract
Acute pancreatitis is a serious inflammatory condition of the pancreas that can lead to significant morbidity and mortality hence, its prevention is a critical aspect of nursing management. Aim: Evaluate the effect of implementing infection prevention and control guidelines for nurses on severity of acute pancreatitis among patients undergoing gastrointestinal endoscopy. Methods: A quasi experimental(study-control) research design was utilized at Al Rajhi Assiut University Hospital. Thirty nurses were currently assigned for giving care for a purposive sample of 100 patients underwent upper gastrointestinal endoscopy, divided equally into control (who had exposed to the routine care) and study group (who had received endoscopic care based on infection prevention and control guidelines). Patient assessment sheet, infection prevention and control observation checklist, and modified Glasgow Imrie Severity Criteria for Acute Pancreatitis were the tools for data collection. Results: Revealed the mean age was slightly insignificant higher in study group (47.0±4.94) than control group (44.56±7.39), therapeutic indication was the predominant (86.0%, 84.0%) in both groups for treating biliary stones which was the most common diagnosis (34.0%, 36.0%) respectively. Also, the study group exhibited significantly better pancreatic biochemical parameters with no pancreatitis (64 % vs. 28% respectively) and fewer severe pancreatitis compared to control group (16% vs. 60%) after implementing infection prevention and control gastrointestinal endoscopy guidelines (p ‹ 0.01). Conclusion: Implementation of infection prevention and control gastrointestinal endoscopy guidelines reduced the severity of acute pancreatitis among patients undergoing gastrointestinal endoscope.
References
1. Ahmed, S. I., Ghanem, H. M., Hassan, A. A. E. A., & Khalil, S. S. (2020). Assessment of Nurses’ Knowledge and Practice for Patients Undergoing a Bronchoscopy [Suggested Nursing Care Guidelines]. Assiut Scientific Nursing Journal, 8(20), 85-93.
2. Alhumaid, S., Al Mutair, A., Al Alawi, Z., Alsuliman, M., Ahmed, G. Y., Rabaan, A. A., ... & Al-Omari, A. (2021). Knowledge of infection prevention and control among healthcare workers and factors influencing compliance: a systematic review. Antimicrobial Resistance & Infection Control, 10(1), 86
3. Arslan, E., Ozakin, E. N. G. İ. N., Temel, T. U. N. C. E. R., Ozakyol, A. H., Acar, N. U. R. D. A. N., Kaya, F. B., ... & Çağlayan, T. (2021). Early Endoscopy Decrease the Length of Hospital Stay and the Costs in Patients with Upper Gastrointestinal Bleeding. Nigerian Journal of Clinical Practice, 24(8), 1211-1216.
4. Ashraf, H., Colombo, J. P., Marcucci, V., Rhoton, J., & Olowoyo, O. (2021). A clinical overview of acute and chronic pancreatitis: the medical and surgical management. Cureus, 13(11
5. Beiriger, J., Khan, A., Yan, B., Ross, H., Wang, M., Carducci, M., ... & Gerber, A. (2023). Comprehensive Review of Acute Pancreatitis Pain Syndrome. Gastrointestinal Disorders, 5(2), 144-166.
6. Boxhoorn, L., van Dijk, S. M., van Grinsven, J., Verdonk, R. C., Boermeester, M. A., Bollen, T. L., ... & Besselink, M. G. (2021). Immediate versus postponed intervention for infected necrotizing pancreatitis. New England Journal of Medicine, 385(15), 1372-1381.
7. Cahyadi, O., Tehami, N., de-Madaria, E., & Siau, K. (2022). Post-ERCP pancreatitis: Prevention, diagnosis and management. Medicina, 58(9), 1261.
8. Chan, K. S., & Shelat, V. G. (2022). Diagnosis, severity stratification and management of adult acute pancreatitis–current evidence and controversies. World Journal of Gastrointestinal Surgery, 14(11), 1179
9. Chauhan, R., Saxena, N., Kapur, N., & Kardam, D. (2022). Comparison of modified Glasgow-Imrie, Ranson, and Apache II scoring systems in predicting the severity of acute pancreatitis. Polish Journal of Surgery, 95(1), 6-12.
10. Chen, L., Huang, Y., Yu, H., Pan, K., Zhang, Z., Man, Y., & Hu, D. (2021). The association of parameters of body composition and laboratory markers with the severity of hypertriglyceridemia-induced pancreatitis. Lipids in Health and Disease, 20, 1-11.
11. Danaei, G., Ding, E. L., Mozaffarian, D., Taylor, B., Rehm, J., Murray, C. J., & Ezzati, M. (2019). The preventable causes of death in the United States: comparative risk assessment of dietary, lifestyle, and metabolic risk factors. PLoS medicine, 6(4), e1000058
12. de Sousa, V. B., Arcanjo, F. P., Aguiar, F., Vasconcelos, J., Oliveira, A. F., Honório, A., & Pontes, J. (2022). Intralesional betamethasone versus triamcinolone acetonide in the treatment of localized alopecia areata: a within-patient randomized controlled trial. Journal of Dermatological Treatment, 33(2), 875-877
13. Devani, K., Radadiya, D., Charilaou, P., Aasen, T., Reddy, C. M., Young, M., ... & Rockey, D. C. (2021). Trends in hospitalization, mortality, and timing of colonoscopy in patients with acute lower gastrointestinal bleeding. Endoscopy International Open, 9(06), E777-E789.
14. Elmoula Shaaban, E. G., Hafez Mohamed, E. M., Saleh, Y. H., El Magabi, N. M., & Khalil, S. S. (2023). Effect of Hybrid Nursing Guidance on Eating Patterns and Perception among Patients Post Gastric Sleeve. Assiut Scientific Nursing Journal, 11(37), 108-120.
15. Gupta, G. K. Nayak, and B. S. Rautela, A.S., (2014): Reprocessing of Single-Use Medical Devices (SUDs): A Review, Journal of Medical Devices, Vol. 8, No. 4, p.p. 34-62.
16. Imrie CW., (1995),Prognosis of acute pancreatitis. Annali Italiani di Chirurgia, 66 (2): 187-9.
17. Jaber, S., Garnier, M., Asehnoune, K., Bounes, F., Buscail, L., Chevaux, J. B., ... & De Jong, A. (2022). Guidelines for the management of patients with severe acute pancreatitis, 2021. Anaesthesia Critical Care & Pain Medicine, 41(3), 101060.
18. Jiang, X., Shi, J. Y., Wang, X. Y., Hu, Y., & Cui, Y. F. (2020). The impacts of infectious complications on outcomes in acute pancreatitis: a retrospective study. Military Medical Research, 7, 1-11.
19. Johnson, K. D., Perisetti, A., Tharian, B., Thandassery, R., Jamidar, P., Goyal, H., & Inamdar, S. (2020). Endoscopic retrograde cholangiopancreatography-related complications and their management strategies: a “scoping” literature review. Digestive diseases and sciences, 65, 361-375.
20. Kayar, Y., Dertli, R., & Konur, S. (2020). Clinical outcomes of acute pancreatitis in elderly patients: An experience of single tertiary center. Pancreatology, 20(7), 1296-1301.
21. LaPlante, A., Yen, R. W., Isaacs, T., Crocker, J., Demjen, Z., Schubbe, D., ... & Durand, M. A. (2021). Enrollment, retention, and strategies for including disadvantaged populations in randomized controlled trials: a systematic review protocol. Systematic Reviews, 10, 1-7.
22. Lee, P. J., & Papachristou, G. I. (2019). New insights into acute pancreatitis. Nature reviews Gastroenterology & hepatology, 16(8), 479-496.
23. Li, J., Liu, B., Zhou, Q. H., Ni, H. D., Liu, M. J., & Deng, K. (2024). Pre-oxygenation with high-flow oxygen through the nasopharyngeal airway compared to facemask on carbon dioxide clearance in emergency adults: a prospective randomized non-blinded clinical trial. European Journal of Trauma and Emergency Surgery, 50(3), 1051-1061.
24. Lui, R. N., Wong, S. H., Sánchez‐Luna, S. A., Pellino, G., Bollipo, S., Wong, M. Y., ... & Sung, J. J. (2020). Overview of guidance for endoscopy during the coronavirus disease 2019 pandemic. Journal of gastroenterology and hepatology, 35(5), 749-759.
25. Pu, W., Luo, G., Chen, T., Jing, L., Hu, Q., Li, X., ... & Chen, X. (2020). A 5-year retrospective cohort study: epidemiology, etiology, severity, and outcomes of acute pancreatitis. Pancreas, 49(9), 1161-1167.
26. Public Health Ontario; 2019:IPAC Checklist for Clinical Office Practice – Reprocessing available at https://www.publichealthontario.ca
27. Silva-Vaz, P., Abrantes, A. M., Morgado-Nunes, S., Castelo-Branco, M., Gouveia, A., Botelho, M. F., & Tralhão, J. G. (2020). Evaluation of prognostic factors of severity in acute biliary pancreatitis. International journal of molecular sciences, 21(12), 4300.
28. Steven K. Thompson ( 2012): sample size ,pP :59-60
29. Sun, E., Hughes, M. L., Enslin, S., Bull-Henry, K., Kaul, V., & Littenberg, G. D. (2021). The role of the gastrointestinal hospitalist in optimizing endoscopic operations. Gastrointestinal Endoscopy Clinics, 31(4), 681-693.
30. Swei, E., Heller, J. C., Scott, F., & Attwell, A. (2022). Adverse event fatalities related to GI endoscopy. Digestive diseases and sciences, 1-8.
31. Tang, P. T., Davies, M., Bashir, Y., Betts, T. R., Pedersen, M., Rajappan, K., ... & Wijesurendra, R. S. (2022). Efficacy and safety of same-day discharge after atrial fibrillation ablation compared with post-procedural overnight stay: a systematic review and meta-analysis. Europace, 24(10), 1569-1584.
32. Wang, C., Gao, Z., Shen, K., Cao, J., Shen, Z., Jiang, K., ... & Ye, Y. (2020). Safety and efficiency of endoscopic resection versus laparoscopic resection in gastric gastrointestinal stromal tumours: a systematic review and meta-analysis. European Journal of Surgical Oncology, 46(4), 667-674.
2. Alhumaid, S., Al Mutair, A., Al Alawi, Z., Alsuliman, M., Ahmed, G. Y., Rabaan, A. A., ... & Al-Omari, A. (2021). Knowledge of infection prevention and control among healthcare workers and factors influencing compliance: a systematic review. Antimicrobial Resistance & Infection Control, 10(1), 86
3. Arslan, E., Ozakin, E. N. G. İ. N., Temel, T. U. N. C. E. R., Ozakyol, A. H., Acar, N. U. R. D. A. N., Kaya, F. B., ... & Çağlayan, T. (2021). Early Endoscopy Decrease the Length of Hospital Stay and the Costs in Patients with Upper Gastrointestinal Bleeding. Nigerian Journal of Clinical Practice, 24(8), 1211-1216.
4. Ashraf, H., Colombo, J. P., Marcucci, V., Rhoton, J., & Olowoyo, O. (2021). A clinical overview of acute and chronic pancreatitis: the medical and surgical management. Cureus, 13(11
5. Beiriger, J., Khan, A., Yan, B., Ross, H., Wang, M., Carducci, M., ... & Gerber, A. (2023). Comprehensive Review of Acute Pancreatitis Pain Syndrome. Gastrointestinal Disorders, 5(2), 144-166.
6. Boxhoorn, L., van Dijk, S. M., van Grinsven, J., Verdonk, R. C., Boermeester, M. A., Bollen, T. L., ... & Besselink, M. G. (2021). Immediate versus postponed intervention for infected necrotizing pancreatitis. New England Journal of Medicine, 385(15), 1372-1381.
7. Cahyadi, O., Tehami, N., de-Madaria, E., & Siau, K. (2022). Post-ERCP pancreatitis: Prevention, diagnosis and management. Medicina, 58(9), 1261.
8. Chan, K. S., & Shelat, V. G. (2022). Diagnosis, severity stratification and management of adult acute pancreatitis–current evidence and controversies. World Journal of Gastrointestinal Surgery, 14(11), 1179
9. Chauhan, R., Saxena, N., Kapur, N., & Kardam, D. (2022). Comparison of modified Glasgow-Imrie, Ranson, and Apache II scoring systems in predicting the severity of acute pancreatitis. Polish Journal of Surgery, 95(1), 6-12.
10. Chen, L., Huang, Y., Yu, H., Pan, K., Zhang, Z., Man, Y., & Hu, D. (2021). The association of parameters of body composition and laboratory markers with the severity of hypertriglyceridemia-induced pancreatitis. Lipids in Health and Disease, 20, 1-11.
11. Danaei, G., Ding, E. L., Mozaffarian, D., Taylor, B., Rehm, J., Murray, C. J., & Ezzati, M. (2019). The preventable causes of death in the United States: comparative risk assessment of dietary, lifestyle, and metabolic risk factors. PLoS medicine, 6(4), e1000058
12. de Sousa, V. B., Arcanjo, F. P., Aguiar, F., Vasconcelos, J., Oliveira, A. F., Honório, A., & Pontes, J. (2022). Intralesional betamethasone versus triamcinolone acetonide in the treatment of localized alopecia areata: a within-patient randomized controlled trial. Journal of Dermatological Treatment, 33(2), 875-877
13. Devani, K., Radadiya, D., Charilaou, P., Aasen, T., Reddy, C. M., Young, M., ... & Rockey, D. C. (2021). Trends in hospitalization, mortality, and timing of colonoscopy in patients with acute lower gastrointestinal bleeding. Endoscopy International Open, 9(06), E777-E789.
14. Elmoula Shaaban, E. G., Hafez Mohamed, E. M., Saleh, Y. H., El Magabi, N. M., & Khalil, S. S. (2023). Effect of Hybrid Nursing Guidance on Eating Patterns and Perception among Patients Post Gastric Sleeve. Assiut Scientific Nursing Journal, 11(37), 108-120.
15. Gupta, G. K. Nayak, and B. S. Rautela, A.S., (2014): Reprocessing of Single-Use Medical Devices (SUDs): A Review, Journal of Medical Devices, Vol. 8, No. 4, p.p. 34-62.
16. Imrie CW., (1995),Prognosis of acute pancreatitis. Annali Italiani di Chirurgia, 66 (2): 187-9.
17. Jaber, S., Garnier, M., Asehnoune, K., Bounes, F., Buscail, L., Chevaux, J. B., ... & De Jong, A. (2022). Guidelines for the management of patients with severe acute pancreatitis, 2021. Anaesthesia Critical Care & Pain Medicine, 41(3), 101060.
18. Jiang, X., Shi, J. Y., Wang, X. Y., Hu, Y., & Cui, Y. F. (2020). The impacts of infectious complications on outcomes in acute pancreatitis: a retrospective study. Military Medical Research, 7, 1-11.
19. Johnson, K. D., Perisetti, A., Tharian, B., Thandassery, R., Jamidar, P., Goyal, H., & Inamdar, S. (2020). Endoscopic retrograde cholangiopancreatography-related complications and their management strategies: a “scoping” literature review. Digestive diseases and sciences, 65, 361-375.
20. Kayar, Y., Dertli, R., & Konur, S. (2020). Clinical outcomes of acute pancreatitis in elderly patients: An experience of single tertiary center. Pancreatology, 20(7), 1296-1301.
21. LaPlante, A., Yen, R. W., Isaacs, T., Crocker, J., Demjen, Z., Schubbe, D., ... & Durand, M. A. (2021). Enrollment, retention, and strategies for including disadvantaged populations in randomized controlled trials: a systematic review protocol. Systematic Reviews, 10, 1-7.
22. Lee, P. J., & Papachristou, G. I. (2019). New insights into acute pancreatitis. Nature reviews Gastroenterology & hepatology, 16(8), 479-496.
23. Li, J., Liu, B., Zhou, Q. H., Ni, H. D., Liu, M. J., & Deng, K. (2024). Pre-oxygenation with high-flow oxygen through the nasopharyngeal airway compared to facemask on carbon dioxide clearance in emergency adults: a prospective randomized non-blinded clinical trial. European Journal of Trauma and Emergency Surgery, 50(3), 1051-1061.
24. Lui, R. N., Wong, S. H., Sánchez‐Luna, S. A., Pellino, G., Bollipo, S., Wong, M. Y., ... & Sung, J. J. (2020). Overview of guidance for endoscopy during the coronavirus disease 2019 pandemic. Journal of gastroenterology and hepatology, 35(5), 749-759.
25. Pu, W., Luo, G., Chen, T., Jing, L., Hu, Q., Li, X., ... & Chen, X. (2020). A 5-year retrospective cohort study: epidemiology, etiology, severity, and outcomes of acute pancreatitis. Pancreas, 49(9), 1161-1167.
26. Public Health Ontario; 2019:IPAC Checklist for Clinical Office Practice – Reprocessing available at https://www.publichealthontario.ca
27. Silva-Vaz, P., Abrantes, A. M., Morgado-Nunes, S., Castelo-Branco, M., Gouveia, A., Botelho, M. F., & Tralhão, J. G. (2020). Evaluation of prognostic factors of severity in acute biliary pancreatitis. International journal of molecular sciences, 21(12), 4300.
28. Steven K. Thompson ( 2012): sample size ,pP :59-60
29. Sun, E., Hughes, M. L., Enslin, S., Bull-Henry, K., Kaul, V., & Littenberg, G. D. (2021). The role of the gastrointestinal hospitalist in optimizing endoscopic operations. Gastrointestinal Endoscopy Clinics, 31(4), 681-693.
30. Swei, E., Heller, J. C., Scott, F., & Attwell, A. (2022). Adverse event fatalities related to GI endoscopy. Digestive diseases and sciences, 1-8.
31. Tang, P. T., Davies, M., Bashir, Y., Betts, T. R., Pedersen, M., Rajappan, K., ... & Wijesurendra, R. S. (2022). Efficacy and safety of same-day discharge after atrial fibrillation ablation compared with post-procedural overnight stay: a systematic review and meta-analysis. Europace, 24(10), 1569-1584.
32. Wang, C., Gao, Z., Shen, K., Cao, J., Shen, Z., Jiang, K., ... & Ye, Y. (2020). Safety and efficiency of endoscopic resection versus laparoscopic resection in gastric gastrointestinal stromal tumours: a systematic review and meta-analysis. European Journal of Surgical Oncology, 46(4), 667-674.
Published
2025-04-01
How to Cite
Asmaa Sayed Taha, Shalabia Abozead, Zain Elabdeen Ahmed Sayed, & Amna Abdullah Desoky. (2025). Effect Of Implementing Infection Prevention and Control Guidelines for Nurses on Severity of Acute Pancreatitis Among Patients Undergoing Gastrointestinal Endoscopy. Revista Electronica De Veterinaria, 26(1), 115-123. https://doi.org/10.69980/redvet.v26i1.1779
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Articles
