NDLI: Agent-based simulation of nosocomial transmission in the medical intensive care unit

Content Provider	IEEE Xplore Digital Library
Author	Triola, M.M. Holzman, R.S.
Copyright Year	2003
Description	Author affiliation: Sch. of Medicine, New York Univ., NY, USA (Triola, M.M.)
Abstract	Patients receiving care in medical intensive care units (MICU) are at high risk for colonization or infection by pathogenic organisms acquired during their treatment. Hand washing compliance by health care providers is a major determinate of the rate of organism transmission in this setting. We created a computer simulation of the MICU at our affiliated public hospital using the C++ computer language and the Swarm simulation library. The simulation models the colonization of patients with a pathogenic organism and evaluates the effects of infection control techniques. The simulation accurately models the behavior and interaction of nurses and patients in the MICU. Using this application, we altered the hand washing behavior of the virtual nurses to evaluate R/sub 0/ (an epidemiologic measure of pathogen transmission). Our simulation indicates that a hand washing rate of > 60% results in an R/sub 0/ of less than 1. Given the assumptions of the model, this implies when a colonized patient is introduced into the MICU, if hand washing is maintained at a frequency greater than 60%, spread of the pathogen to other patients would extinguish over time and the organism would not become endemic in the MICU.
Sponsorship	IEEE Comput. Soc. Tech. Committee on Computational Med. Mount Sinai School of Med. Dept. Anesthesiology Texas Tech. Univ. College of Eng
Starting Page	284
Ending Page	288
File Size	209551
Page Count	5
File Format	PDF
ISBN	0769519016
ISSN	10637125
DOI	10.1109/CBMS.2003.1212803
Language	English
Publisher	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Publisher Date	2003-06-26
Publisher Place	USA
Access Restriction	Subscribed
Rights Holder	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Subject Keyword	Medical simulation Pathogens Organisms Computational modeling Computer simulation Medical treatment Medical services Hospitals Computer languages Libraries
Content Type	Text
Resource Type	Article
Subject	Radiology, Nuclear Medicine and Imaging Computer Science Applications

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