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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
- 2021.8
- 수록면
- 116 - 123 (8page)
- DOI
- https://doi.org/10.5385/nm.2021.28.3.116
이용수
초록· 키워드
오류제보하기
Purpose: The aim of this study was to estimate the effect of targeting risk factors for the control of central line-associated bloodstream infection (CLABSI) among high-risk infants in a tertiary neonatal intensive care unit (NICU).
Methods: Infants admitted to the NICU and diagnosed with CLABSI from January to December 2013 were eligible for inclusion to the study. The CLABSI group (n=47) was matched in a 1:2 ratio to the control group (n=94) based on gestational age, birth weight, and Score for Neonatal Acute Physiology-II. Risk factors for CLABSI were identified using the Cox proportional hazard model, and analysis of the effect of these risk factors targeting infection control was performed.
Results: The risk factors associated with CLABSI were prolonged central line dwell days (adjusted hazard ratio [HR], 1.028; 95% confidence interval [CI], 1.011 to 1.045; P=0.001), use of a silicone catheter (adjusted HR, 5.895; 95% CI, 1.893 to 18.355; P= 0.002), surgical treatment (adjusted HR, 3.793; 95% CI, 1.467 to 9.805; P=0.006), and less probiotic supplementation (adjusted HR, 0.254; 95% CI, 0.068 to 0.949; P=0.042). By targeting these risk factors with a quality improvement initiative, the mean CLABSI incidence rate per 1,000 catheter-days decreased from 6.6 to 3.1 (P=0.004).
Conclusion: Targeting risk factors for infection control significantly reduced the rate of CLABSI among high-risk infants in the NICU.
목차
등록된 정보가 없습니다.
참고문헌 (5)
참고문헌 신청
유선미 / 2010 / Interventions to Prevent Catheter-Associated Bloodstream Infections: A Multicenter Study in Korea / Infection and Chemotherapy 42(4):216~222
Horbar JD / 2003 / NIC/Q 2000. NIC/Q 2000: establishing habits for improvement in neonatal intensive care units / Pediatrics 111(4 Pt 2):e397~e410
성세인 / 2019 / The Impact of Surgical Intervention on Neurodevelopmental Outcomes in Very Low Birth Weight Infants: a Nationwide Cohort Study in Korea / Journal of Korean Medical Science 34(43):1~10
고준영 / 2017 / 소아청소년에서 발생한 유산균 제제에 포함된 균주에 의한 침습성 감염증의 후향적 분석 / Pediatric Infection and Vaccine 24(3):168~177
김세연 / 2016 / Influence of Routine Probiotic Supplementation on the Incidence of Necrotizing Enterocolitis and Late Onset Sepsis / Neonatal medicine 23(2):88~94
Horbar JD / 2003 / NIC/Q 2000. NIC/Q 2000: establishing habits for improvement in neonatal intensive care units / Pediatrics 111(4 Pt 2):e397~e410
성세인 / 2019 / The Impact of Surgical Intervention on Neurodevelopmental Outcomes in Very Low Birth Weight Infants: a Nationwide Cohort Study in Korea / Journal of Korean Medical Science 34(43):1~10
고준영 / 2017 / 소아청소년에서 발생한 유산균 제제에 포함된 균주에 의한 침습성 감염증의 후향적 분석 / Pediatric Infection and Vaccine 24(3):168~177
김세연 / 2016 / Influence of Routine Probiotic Supplementation on the Incidence of Necrotizing Enterocolitis and Late Onset Sepsis / Neonatal medicine 23(2):88~94
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