Beyond the intensive care unit bundle: Implementation of a successful hospital-wide initiative to reduce central line–associated bloodstream infections - 15/05/14
, Jane Stafford, RN a, Mark O'Connor, RN, MPhil a, Tim Leong, MBBS, FCICM b, Lee Hamley, MBBS, MBA, FRACMA c, Kerrie Watson, BSc, GradDip QualMgmt, MSc a, Jacqueline Kennon, RN, GradDip ClinEpi a, Pauline Bass, RN, BSc (Hons) a, Allen C. Cheng, MBBS, FRACP, MPH, PhD a, Leon J. Worth, MBBS, FRACP, PhD aAbstract |
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.
Le texte complet de cet article est disponible en PDF.Key Words : Central venous catheter, Infection prevention, Surveillance
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| Conflict of interest: None to report. |
Vol 42 - N° 6
P. 685-687 - juin 2014 Retour au numéro
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