A survey of preventive measures used and their impact on central line-associated bloodstream infections (CLABSI) in intensive care units (SPIN-BACC)
| Autor: | Patricia S. Fontela, Milagros Gonzales, Charles Frenette, Caroline Quach, Mohammed Kaouache, Claude Tremblay, Élise Fortin, Isabelle Rocher |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
medicine.medical_specialty Cross-sectional study Preventive measures Bacteremia Central line associated bloodstream infections symbols.namesake Intensive care Surveys and Questionnaires medicine Infection control Humans Poisson regression Intensive care medicine Equipment and Supplies Hospital Face validity Cross Infection Infection Control Catheter insertion Intensive care units business.industry Quebec Reproducibility of Results medicine.disease Catheter Infectious Diseases Cross-Sectional Studies Catheter-Related Infections symbols Female Bundles business Research Article Compliance |
| Zdroj: | BMC Infectious Diseases |
| ISSN: | 1471-2334 |
| Popis: | Background The Quebec central line-associated bloodstream infections (CLABSI) in intensive care units (ICUs) Surveillance Program saw a decrease in CLABSI rates in most ICUs. Given the surveillance trends observed in recent years, we aimed to determine what preventive measures have been implemented, if compliance to measures was monitored and its impact on CLABSI incidence rates. Methods All hospitals participating in the Quebec healthcare-associated infections surveillance program (SPIN-BACC – n = 48) received a 77-question survey about preventive measures implemented and monitored in their ICU. The questionnaire was validated for construct, content, face validity, and reliability. We used Poisson regression to measure the association between compliance monitoring to preventive measures and CLABSI rates. Results Forty-two (88%) eligible hospitals completed the survey. Two components from the maximum barrier precautions were used less optimally: cap (88%) and full sterile body drape (71%). Preventive measures reported included daily review of catheter need (79%) and evaluation of insertion site for the presence of inflammation (90%). Two hospitals rewired lines even if an infection was suspected or documented. In adult ICUs, there was a statistically significant greater decrease in CLABSI rates in ICUs that monitored compliance to preventive insertion measures, after adjusting for teaching status and the number of hospital beds (p = 0.036). Conclusions Hospitals participating to the SPIN-BACC program follow recommendations for CLABSI prevention, but only a minority locally monitor their application. Compliance monitoring of preventive measures for catheter insertion was associated with a decrease in CLABSI incidence rates. |
| Databáze: | OpenAIRE |
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