Prevention of central venous catheter-related bloodstream infections using non-technologic strategies

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Silvia Acosta GnassJuan Basualdo

Abstract

To evaluate the incidence of nosocomial bacteremias related to the use of non-impregnated central venous catheters (CVCs) when only non-technologic strategies were used to prevent them. This was a prospective study of infectious complications of CVCs placed in intensive care unit (ICU) patients from April 1997 to December 2001. The medical-surgical ICU of a tertiary-care, university-affiliated hospital in Argentina. We studied all patients admitted to the ICU using non-impregnated CVCs. Maximal sterile barrier precautions (ie, use of cap, mask, sterile gown, sterile gloves, and large sterile drape), strict handwashing, preparation of the patients' skin with antiseptic solutions, insertion and management of catheters by trained personnel, and continuing quality improvement programs aimed at appropriate insertion and maintenance of catheters were employed. During the study period, 2,525 patients were admitted to the ICU. Eight hundred sixty-eight patients had 1,037 CVCs inserted. The number of CVC-related bloodstream infections (BSIs), acquired in the ICU, was 2.7 per 1,000 CVC-days (13 nosocomial CVC-related BSIs during 4,770 days of CVC use). Microorganisms isolated included methicillin-susceptible Staphylococcus aureus (n = 6)...Continue Reading

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Citations

Mar 18, 2009·Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society·Jeannette Meyer
Jan 5, 2011·Indian Journal of Pediatrics·Sunil SaharanSushil K Kabra
Sep 19, 2006·The Journal of Hospital Infection·A Hambraeus
Aug 17, 2005·Infectious Disease Clinics of North America·Susan E Coffin, Theoklis E Zaoutis
Jul 14, 2016·The Cochrane Database of Systematic Reviews·Nai Ming LaiKenneth Tan
Mar 17, 2016·The Cochrane Database of Systematic Reviews·Nai Ming LaiSanjay Saint
Apr 2, 2013·The Cochrane Database of Systematic Reviews·Gerd FlodgrenSasha Shepperd
May 6, 2017·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Huey Yi ChongNathorn Chaiyakunapruk

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