Interventions to Prevent Catheter-Associated Blood-stream Infections: A Multicenter Study in Korea / 감염과화학요법
Infection and Chemotherapy
; : 216-222, 2010.
Article
em En
| WPRIM
| ID: wpr-96937
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND: The purpose of this study was to determine the efficacy of infection-control interventions to decrease the incidence of catheter-associated bloodstream infections (CA-BSI) and to examine the sustainability of its effect during and after the intervention in Korea. MATERIALS AND METHODS: We conducted a prospective multi-strategy intervention in intensive care units (ICUs) at 3 university hospitals in Korea. The intervention consisted of education and on-site training for medical personnel involved in catheter care, active surveillance, and reinforcement of current intervention in each unit. After the intervention of 3 months, we identified CA-BSI cases of each hospital using the electronic database for 6 months. RESULTS: During the intervention, the number of CA-BSI decreased significantly compared to pre-interventional period (8.7 vs. 2.3 per 1,000 catheter days; rate ratio 0.28; 95% CI, 0.13-0.61). After the intervention, CA-BSI rate increased slightly, but was still significantly lower than that of pre-interventional period (4.3 per 1,000 catheter days; rate ratio, 0.49; 95% CI, 0.31-0.78). Reduction of gram-negative bacterial infections was noted during and after the intervention. CONCLUSIONS: A multi-strategy approach to reduce CA-BSI could be implemented in diverse settings of medical and surgical units in Korea and decreased CA-BSI rates during the intervention.
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Índice:
WPRIM
Assunto principal:
Reforço Psicológico
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Incidência
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Estudos Prospectivos
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Infecções por Bactérias Gram-Negativas
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Eletrônica
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Elétrons
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Catéteres
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Hospitais Universitários
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Unidades de Terapia Intensiva
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Coreia (Geográfico)
Tipo de estudo:
Clinical_trials
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Incidence_studies
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Observational_studies
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Prognostic_studies
País/Região como assunto:
Asia
Idioma:
En
Revista:
Infection and Chemotherapy
Ano de publicação:
2010
Tipo de documento:
Article