| Autor: |
Dumpa V; 1 State University of New York at Buffalo, Buffalo, NY., Adler B; 2 Children's Hospital at Saint Peter's University Hospital, New Brunswick, NJ., Allen D; 2 Children's Hospital at Saint Peter's University Hospital, New Brunswick, NJ., Bowman D; 2 Children's Hospital at Saint Peter's University Hospital, New Brunswick, NJ., Gram A; 3 Saint Peter's University Hospital, New Brunswick, NY., Ford P; 3 Saint Peter's University Hospital, New Brunswick, NY., Sannoh S; 4 St Luke's University Health Network, Bethlehem, PA. |
| Abstrakt: |
Advances in neonatology led to survival of micro-preemies, who need central lines. Central line-associated bloodstream infection (CLABSI) causes prolonged hospitalization, morbidities, and mortality. Health care team education decreases CLABSIs. The objective was to decrease CLABSIs using evidence-based measures. The retrospective review compared CLABSI incidence during and after changes in catheter care. In April 2011, intravenous (IV) tubing changed from Interlink to Clearlink; IV tubing changing interval increased from 24 to 72 hours. CLABSIs increased. The following measures were implemented: July 2011, reeducation of neonatal intensive care staff on Clearlink; August 2011, IV tubing changing interval returned to 24 hours; September 2011, changed from Clearlink back to Interlink; November 2011, review of entire IV process and in-service on hand hygiene; December 2011, competencies on IV access for all nurses. CLABSIs were compared during and after interventions. Means were compared using the t test and ratios using the χ 2 test; P <.05. CLABSIs decreased from 4.4/1000 to 0/1000 catheter-days; P < .05. Evidence-based interventions reduced CLABSIs. |
