지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 376 - 382 (7page)
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초록· 키워드
오류제보하기
Purpose: The present study aimed to evaluate the effect of central line (CL) bundle compliance on central line-associated bloodstreaminfections (CLABSIs) in different departments of the same hospital, including the intensive care unit (ICU) and other departments. Materials and Methods: The four components of the CL bundle were hand hygiene, use of maximal sterile barrier precautions,chlorhexidine use, and selection of an appropriate site for venous access. Compliance of the CL bundle and CLABSIs were measuredfor every department [emergency room (ER), ICU, general ward (GW), and operating room (OR)]. A total of 1672 patientswere included over 3 years (August 2013 through July 2016). Results: A total of 29 CLABSI episodes (1.73%) were identified, and only 53.7% of the patients completed CL bundles. The performancerates of all components of the CL bundle were 22.3%, 28.5%, 36.5%, and 84.6% for the ER, ICU, GW, and OR, respectively. The highest CLABSI rate was observed in patients of the ICU, for whom all components were not performed perfectly. Conversely,the lowest CLABSI rate was observed for patients of GWs, for whom all components were performed. Among individual components,femoral insertion site [relative risk (RR), 2.26; 95% confidence interval (CI), 1.09−4.68], not using a full body drape (RR, 3.55;95% CI, 1.44−8.71), and not performing all CL bundle components (RR, 2.79; 95% CI, 1.19−6.54) were significant variables associatedwith CLABSIs. Conclusion: This study provides direct evidence that completing all CL bundle components perfectly is essential for preventingCLABSIs. Customized education should be provided, according to specific weaknesses of bundle performance.
목차
등록된 정보가 없습니다.
참고문헌 (35)
참고문헌 신청
Stevens V / 2014 / Inpatient costs, mortality and 30-day re-admission in patients with central-line-associated bloodstream infections / Clin Microbiol Infect 20:O318~O324
Ziegler MJ / 2015 / Attributable mortality of central line associated bloodstream infection: systematic review and meta-analysis / Infection 43:29~36
Al-Rawajfah OM / 2012 / Length of stay and charges associated with health care-acquired bloodstream infections / Am J Infect Control 40:227~232
Umscheid CA / 2011 / Estimating the proportion of healthcare-associated infections that are reasonably preventable and the related mortality and costs / Infect Control Hosp Epidemiol 32:101~114
Marschall J / 2014 / Strategies to prevent central line-associated bloodstream infections in acute care hospitals: 2014 update / Infect Control Hosp Epidemiol 35(Suppl 2):S89~S107
Ziegler MJ / 2015 / Attributable mortality of central line associated bloodstream infection: systematic review and meta-analysis / Infection 43:29~36
Al-Rawajfah OM / 2012 / Length of stay and charges associated with health care-acquired bloodstream infections / Am J Infect Control 40:227~232
Umscheid CA / 2011 / Estimating the proportion of healthcare-associated infections that are reasonably preventable and the related mortality and costs / Infect Control Hosp Epidemiol 32:101~114
Marschall J / 2014 / Strategies to prevent central line-associated bloodstream infections in acute care hospitals: 2014 update / Infect Control Hosp Epidemiol 35(Suppl 2):S89~S107
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