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    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/28708


    標題: The impact of central line insertion bundle on central line-associated bloodstream infection
    作者: Tang, Hung-Jen
    Lin, Hsin-Lan
    Lin, Yu-Hsiu
    Leung, Pak-On
    Chuang, Yin-Ching
    Lai, Chih-Cheng
    貢獻者: 保健營養系
    關鍵字: Central line bundle
    Central line-associated bloodstream infection
    Intensivist
    日期: 2014-07
    上傳時間: 2015-05-06 21:25:57 (UTC+8)
    出版者: Biomed Central Ltd
    摘要: Background: Knowledge about the impact of each central line insertion bundle on central line-associated bloodstream infection (CLABSI) is limited. Methods: A quality-improvement intervention, including education, central venous catheter (CVC) insertion bundle, process and outcome surveillance, have been introduced since March 2013. Outcome surveillances, including CLABSI per 1,000 catheter-days, CLABSI per 1,000 inpatient-days, and catheter utilization rates (days of catheter use divided by total inpatient-days), were measured. As a baseline measurement for a comparison, we retrospectively collected data from March 1, 2012 to December 31, 2012. Results: During this 10-month period, there were a total of 687 CVC insertions, and 627 (91.2%) insertions were performed by intensivists. The rate of CLABSI significantly declined from 1.65 per 1000 catheter-day during the pre-intervention period to 0.65 per 1000 catheter-day post-intervention period (P = 0.039). CLABSI more likely developed in subjects in which a maximal sterile barrier was not used compared with subjects in which it was used (P = 0.03). Moreover, CVC inserted by non-intensivists were more likely to become infected than CVC inserted by intensivists (P = 0.010). Conclusions: This multidisciplinary infection control intervention, including a central line insertion care bundle, can effectively reduce the rate of CLABSI. The impact of different care bundle varies, and a maximal sterile barrier precaution during catheter insertion is an essential component of the care line insertion bundle.
    關聯: Bmc Infectious Diseases, v.14, 356
    Appears in Collections:[保健營養系(所) ] 期刊論文

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