Central Line-Associated Bloodstream Infection Prevention by Central Venous Catheter Management Staff in the Surgical Intensive Care Unit
Journal of Acute Care Surgery
; (2): 65-70, 2018.
Article
em En
| WPRIM
| ID: wpr-717778
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE: Patients in the intensive care unit (ICU) are more susceptible to nosocomial infections, including central line-associated bloodstream infection (CLABSI), surgical site infection, urinary tract infection or ventilator-associated pneumonia. This study is a comparative analysis of how central venous catheter (CVC) management staff affects CLABSI. METHODS: We performed a two-phase review of all patients transferred to the surgical ICU (SICU) from January 2013 to June 2014. CVC management staff was introduced in October 2013. Electronic medical records provided the data for a comparative analysis of incidence rates and risks of CLABSI, as well as the subjects' general characteristics. RESULTS: This study included 248 patients before the introduction of a CVC management staff member and 196 patients after the introduction. General patient characteristics before and after the CVC management staff was in place did not differ significantly. The CLABSI rate decreased by 4.61 cases/1,000 device days after the introduction (6.26 vs. 1.65; odds ratio, 4.47; 95% confidence interval, 1.39~14.37; p=0.009). However, the mortality rate and length of ICU stay did not change after CVC management staff was in place (12.9% vs. 10.7%, p=0.480; 16.00±24.89 vs. 15.87±18.80, p=0.954; respectively). CONCLUSION: In this study, the introduction of CVC management staff effectively reduced CLABSI rates in current ICU system.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Infecção da Ferida Cirúrgica
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Infecções Urinárias
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Razão de Chances
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Infecção Hospitalar
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Incidência
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Mortalidade
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Cuidados Críticos
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Pneumonia Associada à Ventilação Mecânica
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Registros Eletrônicos de Saúde
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Cateteres Venosos Centrais
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
Journal of Acute Care Surgery
Ano de publicação:
2018
Tipo de documento:
Article