Impact of a program aimed at reducing catheter-related infections implemented in nine pediatric intensive care units in Argentina.

Autor:	Lenz AM; Hospital de Pediatría 'J. P. Garrahan', Ciudad Autónoma de Buenos Aires. lenzanamiriam@gmail.com., Andion E; Hospital de Pediatría 'J. P. Garrahan', Ciudad Autónoma de Buenos Aires., Ruvinsky S; Hospital de Pediatría 'J. P. Garrahan', Ciudad Autónoma de Buenos Aires., Aguirre C; Hospital Juan Pablo II, Corrientes., Alvarez Parma J; Hospital Interzonal de Niños 'Eva Perón', Catamarca., Jorro F; Hospital de Niños 'Pedro de Elizalde', Ciudad Autónoma de Buenos Aires., López Cruz G; Centro Provincial de Salud Infantil 'Eva Perón' (CEPSI), Santiago del Estero., Pascutto M; Hospital de Pediatría 'J. P. Garrahan', Ciudad Autónoma de Buenos Aires., Penazzi M; Hospital de Niños de San Justo, Prov. de Buenos Aires., Santos S; Hospital Regional de Agudos 'Eva Perón' (ex Castex), San Martín, Prov. de Buenos Aires., Zuázaga M; Hospital de Pediatría 'J. P. Garrahan', Ciudad Autónoma de Buenos Aires., Aquino N; Hospital de Pediatría 'J. P. Garrahan', Ciudad Autónoma de Buenos Aires., Vassallo JC; Hospital de Pediatría 'J. P. Garrahan', Ciudad Autónoma de Buenos Aires., Moreno G; Hospital de Pediatría 'J. P. Garrahan', Ciudad Autónoma de Buenos Aires., Magliola R; Hospital de Pediatría 'J. P. Garrahan', Ciudad Autónoma de Buenos Aires., Haimovich A; Hospital de Pediatría 'J. P. Garrahan', Ciudad Autónoma de Buenos Aires., Landry L; Hospital de Pediatría 'J. P. Garrahan', Ciudad Autónoma de Buenos Aires., Bologna R; Hospital de Pediatría 'J. P. Garrahan', Ciudad Autónoma de Buenos Aires.
Jazyk:	English; Spanish; Castilian
Zdroj:	Archivos argentinos de pediatria [Arch Argent Pediatr] 2018 Apr 01; Vol. 116 (2), pp. 93-97.
DOI:	10.5546/aap.2018.eng.93
Abstrakt:	Introduction: Catheter-related infections (CRIs) cause a high level of morbidity and mortality with the increasing use of hospital resources. Objective: To describe the outcomes of a program implemented to reduce the rate of CRIs in pediatric intensive care units in Argentina. Population and Methods: Collaborative, multi center, clinical-epidemiological, quasiexperimental, before-and-after intervention study. Children who had a central venous catheter during hospitalization in 9 pediatric intensive care units in the Autonomous City of Buenos Aires, Greater Buenos Aires, and other provinces between June 2011 and April 2012 were included. A bundle of measures based on health care staff training on catheter insertion, hand hygiene, and checklists was put into practice and implemented measures were monitored. The number and annual rate of CRIs and the rate of central venous catheter use before and after the program implementation were compared (Stata 8.0). Results: The total number of CRIs was 117 and 74 before and after the intervention, respectively. The rate of CRIs was 8.6/1000 days of central venous catheter use and 5.8/1000 days before and after the intervention, respectively; RR: 0.82 (95% confidence interval: 0.68-0.98), p= 0.015. The rate of central venous catheter use decreased from 54% to 49%, a non-significant difference. Conclusions: The program achieved a significant reduction in CRI rates. Based on the program, CRI surveillance was implemented in all participating pediatric intensive care units. Training and continuous surveillance are necessary to maintain and improve the outcomes accomplished with the program. (Sociedad Argentina de Pediatría.)
Databáze:	MEDLINE
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