Beyond the intensive care unit bundle: Implementation of a successful hospital-wide initiative to reduce central line-associated bloodstream infections

被引：29

作者：

Klintworth, Gemma ^{[1
]}

Stafford, Jane ^{[1
]}

O'Connor, Mark ^{[1
]}

Leong, Tim ^{[2
]}

Hamley, Lee ^{[3
]}

Watson, Kerrie ^{[1
]}

Kennon, Jacqueline ^{[1
]}

Bass, Pauline ^{[1
]}

Cheng, Allen C. ^{[1
]}

Worth, Leon J. ^{[1
]}

机构：

[1] Alfred Hlth, Infect Prevent & Healthcare Epidemiol Unit, Melbourne, Vic, Australia

[2] Alfred Hosp, Intens Care Unit, Melbourne, Vic, Australia

[3] Alfred Hlth, Med Serv, Melbourne, Vic, Australia

来源：

AMERICAN JOURNAL OF INFECTION CONTROL | 2014年 / 42卷 / 06期

关键词：

Central venous catheter; Infection prevention; Surveillance; ICU;

D O I：

10.1016/j.ajic.2014.02.026

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

100235 [预防医学];

摘要：

A multimodal hospital-wide central line-associated bloodstream infection (CLABSI) risk reduction strategy was implemented over a 20-month period at an Australian center. Reduced CLABSI rates were observed in both intensive care units (ICUs) (incidence rate ratio [IRR], 0.39; P < .001) and non-ICU wards (IRR, 0.54; P < .001). The median time to CLABSI onset was 7.5 days for ICU events and 13 days for non-ICU events. The timing of infection demonstrates the need for more careful attention to postinsertion care and access of central venous catheters. Copyright (C) 2014 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

引用

页码：685 / 687

页数：3

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