Nursing Challenges in Managing Multidrug-Resistant Infections in ICU Patients

Author Name: Prerna Khati1, Mahendra Singh2, Shikha Singh3, S. Maheswaran4, Emmanuel Raju. P5, Dr. Nisha Abraham6

Volume: 03/01

Country: India, KSA

DOI NO.: 11.2023-61555522 DOI Link: https://doi-ds.org/doilink/05.2025-53148724/GIJNR

Affiliation:

1. Assistant Professor, Novena College & School of Nursing, Siliguri, West Bengal
2. Assistant Professor, Seedling School of Nursing, Jaipur National University, Jaipur, Rajasthan, India
3. Assistant Professor, Rohilkhand College of Nursing Bareilly International University, Bareilly, UP, India
4. Incharge Dept. of Respiratory and Forensic Nursing, Govt. General Hospital, Karaikal, Puducherry, India
5. Assistant Professor, Holy Faith College of Nursing, Visakhapatnam, India
6. Assistant Professor, College of Applied Medical Sciences, University of Bisha, KSA

ABSTRACT

The growing prevalence of multidrug-resistant (MDR) infections presents a significant threat to patient safety in intensive care units (ICUs), where critically ill patients are most vulnerable. Nurses, being at the frontline of patient care, play a vital role in infection prevention, monitoring, and implementation of therapeutic interventions. However, the management of MDR infections in ICUs poses unique challenges for nursing professionals. This review explores the multifaceted nursing challenges in managing MDR infections, including limited knowledge of emerging resistance mechanisms, increased workload, inadequate staffing, and psychological stress. Additionally, nurses frequently encounter difficulties in accessing up-to-date clinical guidelines and engaging in antimicrobial stewardship efforts. Communication gaps between interdisciplinary teams further complicate timely decision-making and care coordination. This review emphasizes the urgent need for a system-wide approach that recognizes and supports the nursing workforce in critical care environments.

Key words: Pediatric pharmacology, Obstetric pharmacology, Drug safety, Nursing responsibilities.