Reducing Central Line-Associated Bloodstream Infection in Contaminated Central Venous Catheters: Case Studies of a Pediatric Contamination Guideline
| Autor: | Cindy Bowens, Virginia B. Young, Jennifer Marusich, Tracy B. Chamblee, Lindsey Patton, Darryl K. Miles |
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| Rok vydání: | 2021 |
| Předmět: |
Catheterization
Central Venous medicine.medical_specialty medicine.medical_treatment Medicine (miscellaneous) Tertiary care Patient safety Sepsis Bloodstream infection Health care medicine Central Venous Catheters Humans Child Intensive care medicine General Nursing Central line business.industry Guideline Contamination equipment and supplies Quality Improvement Hospitals Clinical Practice Catheter-Related Infections business Central venous catheter |
| Zdroj: | Journal of the Association for Vascular Access. 26:26-30 |
| ISSN: | 1552-8855 |
| DOI: | 10.2309/java-d-20-00038 |
| Popis: | Highlights Abstract Healthcare organizations have prioritized patient safety and quality improvement efforts to reduce central line-associated bloodstream infections (CLABSIs). Implementation of central venous catheter (CVC) insertion and maintenance bundles have significantly reduced infection rates. Nevertheless, CLABSIs continue to be a significant cause of mortality and morbidity in hospitals, and further efforts are necessary to improve CVC care practices. A hospital-wide committee at a tertiary care pediatric hospital identified gaps in our CVC maintenance practices resulting from CVC contamination events from a patient’s body fluids. A lack of published literature on the topic resulted in the need to create an institutional clinical practice guideline (CPG) to develop guidance to mitigate potential CLASBIs from CVC contamination. Utilization of the CVC CPG in all inpatient units and other reduction strategies resulted in a steady decline in our CLABSI rates, particularly in those related to CVC contamination events. Case reports illustrate the effectiveness of the CPG. |
| Databáze: | OpenAIRE |
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