An Evidence-Based Catheter Bundle Alters Central Venous Catheter Strategy in Newborn Infants - 23/05/12
, Carl T. D’Angio, MD 2, 3, Hyacinth Hoey, RN, BSN 2, Timothy P. Stevens, MD, MPH 2, 3
Reprint requests: Meggan Butler-O’Hara, RN, MSN, NNP, 601 Elmwood Ave, Box 619-11, Rochester, NY 14642.Abstract |
Objective |
To assess whether introduction of an evidence-based percutaneously inserted central catheter (PICC) care bundle reduced the risk of central line-associated bloodstream infection (CLABSI), thus altering the comparative risk of CLABSI in infants.
Study design |
This retrospective cohort study included all infants for whom an umbilical venous catheter (UVC) was placed as part of routine care between Jan 1, 2006, and Dec 31, 2009, a period during which standardized PICC insertion and care bundles were introduced. Duration of UVC use was divided in ≤7 days and >7 days.
Results |
Infants in the ≤7 days UVC group had 1.0 CLABSI/1000 catheter days, and infants in the >7 days UVC group had 4.0 CLABSI/1000 catheter days (P < .001). Controlling for birth weight, gestational age, and antibiotic use, the >7 days UVC group had a greater risk of CLABSI (OR, 5.48) than the ≤7 days UVC group. CLABSI rate increased more rapidly in UVC than PICC with increasing duration of catheter rose.
Conclusions |
Replacement of a UVC with a PICC when central venous access is needed after 7 days of age may reduce CLABSI.
Le texte complet de cet article est disponible en PDF.Mots-clés : CLABSI, NHSN, NICU, PICC, UVC
Plan
| The authors declare no conflicts of interest. |
Vol 160 - N° 6
P. 972 - juin 2012 Retour au numéro
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