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https://ir.cnu.edu.tw/handle/310902800/28708
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| 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 |
| 顯示於類別: | [保健營養系(所) ] 期刊論文
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