Effect of an education program on decreasing catheter-related bloodstream infections in the surgical intensive care unit

Critical Care Medicine
Craig M CoopersmithVictoria J Fraser

Abstract

The purpose of the study was to determine whether an education initiative aimed at improving central venous catheter insertion and care could decrease the rate of primary bloodstream infections. Pre- and postintervention observational study. Eighteen-bed surgical/burn/trauma intensive care unit (ICU) in an urban teaching hospital. A total of 4,283 patients were admitted to the ICU between January 1, 1998, and December 31, 2000. A program primarily directed toward registered nurses was developed by a multidisciplinary task force to highlight correct practice for central venous catheter insertion and maintenance. The program consisted of a 10-page self-study module on risk factors and practice modifications involved in catheter-related infections as well as a verbal in-service at staff meetings. Each participant was required to take a pretest before taking the study module and an identical test after its completion. Fact sheets and posters reinforcing the information in the study module were also posted throughout the ICU. Seventy-four primary bloodstream infections occurred in 6874 catheter days (10.8 per 1000 catheter days) in the 18 months before the intervention. After the implementation of the education module, the number of...Continue Reading

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