التفاصيل البيبلوغرافية
| العنوان: |
The impact of central line insertion bundle on central line-associated bloodstream infection |
| المؤلفون: |
Tang, Hung-Jen, Lin, Hsin-Lan, Lin, Yu-Hsiu, Leung, Pak-On, Chuang, Yin-Ching, Lai, Chih-Cheng |
| بيانات النشر: |
BioMed Central Ltd. |
| سنة النشر: |
2014 |
| المجموعة: |
BioMed Central |
| مصطلحات موضوعية: |
Central line bundle, Central line-associated bloodstream infection, Intensivist |
| الوصف: |
Background Knowledge about the impact of each central line insertion bundle on central line-associated bloodstream infection (CLABSI) is limited. Methods A quality-improvement intervention, including education, central venous catheter (CVC) insertion bundle, process and outcome surveillance, have been introduced since March 2013. Outcome surveillances, including CLABSI per 1,000 catheter-days, CLABSI per 1,000 inpatient-days, and catheter utilization rates (days of catheter use divided by total inpatient-days), were measured. As a baseline measurement for a comparison, we retrospectively collected data from March 1, 2012 to December 31, 2012. Results During this 10-month period, there were a total of 687 CVC insertions, and 627 (91.2%) insertions were performed by intensivists. The rate of CLABSI significantly declined from 1.65 per 1000 catheter-day during the pre-intervention period to 0.65 per 1000 catheter-day post-intervention period ( P = 0.039). CLABSI more likely developed in subjects in which a maximal sterile barrier was not used compared with subjects in which it was used ( P = 0.03). Moreover, CVC inserted by non-intensivists were more likely to become infected than CVC inserted by intensivists ( P = 0.010). Conclusions This multidisciplinary infection control intervention, including a central line insertion care bundle, can effectively reduce the rate of CLABSI. The impact of different care bundle varies, and a maximal sterile barrier precaution during catheter insertion is an essential component of the care line insertion bundle. |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
English |
| العلاقة: |
http://www.biomedcentral.com/1471-2334/14/356Test |
| الإتاحة: |
http://www.biomedcentral.com/1471-2334/14/356Test |
| حقوق: |
Copyright 2014 Tang et al.; licensee BioMed Central Ltd. |
| رقم الانضمام: |
edsbas.E9875D3C |
| قاعدة البيانات: |
BASE |
