Decreasing catheter-related bloodstream infections in the intensive care unit: interventions in a medical center in central Taiwan

Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi
Pin-Pin WuYi-Chen Huang

Abstract

A high catheter-related bloodstream infection (CRBSI) rate, in comparison with that in the National Healthcare Safety Network report, is an important concern in our hospital. Therefore, evidence-based interventions have been introduced to reduce the rate of CRBSI. A surveillance study conducted from March 2008 to May 2010 to observe the reduction of infection rate after interventions in two intensive care units (ICUs). The major intervention, introduced in November 2009, was the standardization of the process of central venous catheter (CVC) implantation, including hand hygiene and maximal sterile barrier precautions. The utilization ratios of CVC changed little during the study. The median CRBSI infection rates decreased from 1.95 (mean 1.58) infections per 1000 catheter-days at baseline to 0 (mean 1.06) after interventions (p = 0.310 by the Wilcoxon signed ranks test). The rate of CRBSI in one ICU showed 0 infections per 1000 catheter-days, which was sustained for 6 months after interventions. The reduction of infection rates could be possible by standardizing the CVC implantation procedure. However, more interventions, such as cleaning the skin with chlorhexidine, avoiding the femoral site when possible, and removing unneces...Continue Reading

References

Apr 1, 1994·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·I I RaadG P Bodey
Feb 26, 2000·Annals of Internal Medicine·L A Mermel
Dec 4, 2002·American Journal of Infection Control·Naomi P O'gradyUNKNOWN Healthcare Infection Control Practices Advisory Committee
Jan 9, 2003·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Naomi P O'GradyUNKNOWN Healthcare Infection Control Practices Advisory Committee
Dec 29, 2006·The New England Journal of Medicine·Peter PronovostChristine Goeschel
Aug 30, 2008·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Duk-hee LeeYoon-Hee Choi
Aug 30, 2008·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Issam I Raad
Dec 17, 2009·American Journal of Infection Control·Jonathan R EdwardsTeresa C Horan

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Citations

Aug 17, 2014·Medicina clínica·Francisco Alvarez-LermaMercedes Palomar
May 2, 2013·Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi·Wei-Lun LiuPo-Ren Hsueh
Oct 15, 2014·Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi·Hsing-Chen TsaiChun-Yi Lu
Aug 10, 2013·Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi·Wei-Lun LiuPo-Ren Hsueh
Sep 7, 2016·Revista latino-americana de enfermagem·Daniele Cristina PerinGrace Teresinha Marcon Dal Sasso

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