An Evidence-Based Catheter Bundle Alters Central Venous Catheter Strategy in Newborn Infants
作者： Meggan Butler-O’Hara , Carl T. D’Angio , Hyacinth Hoey , Timothy P. Stevens
DOI: 10.1016/J.JPEDS.2011.12.004
关键词: Bloodstream infection 、 Venous access 、 Medicine 、 Surgery 、 Retrospective cohort study 、 Central venous catheter 、 Care bundle 、 Central catheter 、 Neonatal intensive care unit 、 Catheter
摘要: Objective To assess whether introduction of an evidence-based percutaneously inserted central catheter (PICC) care bundle reduced the risk line-associated bloodstream infection (CLABSI), thus altering comparative CLABSI in infants. Study design This retrospective cohort study included all infants for whom umbilical venous (UVC) was placed as part routine between Jan 1, 2006, and Dec 31, 2009, a period during which standardized PICC insertion bundles were introduced. Duration UVC use divided ≤7 days >7 days. Results Infants group had 1.0 CLABSI/1000 days, 4.0 ( P 7 greater (OR, 5.48) than group. rate increased more rapidly with increasing duration rose. Conclusions Replacement when access is needed after age may reduce CLABSI.
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sci-hub.se 参考文章(23)
Michael B Sheehan, David D Wirtschafter, Richard J Powers, Howard W Kilbride, Implementation of Evidence-Based Potentially Better Practices to Decrease Nosocomial Infections Pediatrics. ,vol. 111, ,(2003)
Rolando C. Balagtas, Stuart Levin, Lawrence D. Edwards, Charles E. Bell, RISK OF LOCAL AND SYSTEMIC INFECTIONS ASSOCIATED WITH UMBILICAL VEIN CATHETERIZATION: A PROSPECTIVE STUDY IN 86 NEWBORN PATIENTS Pediatrics. ,vol. 48, pp. 359- 367 ,(1971)
Shalu Narang, Jason Roy, Timothy P. Stevens, Meggan Butler-O'Hara, Craig A. Mullen, Carl T. D'Angio, Risk factors for umbilical venous catheter-associated thrombosis in very low birth weight infants. Pediatric Blood & Cancer. ,vol. 52, pp. 75- 79 ,(2009) , 10.1002/PBC.21714
A. Sengupta, C. Lehmann, M. Diener-West, T. M. Perl, A. M. Milstone, Catheter Duration and Risk of CLA-BSI in Neonates With PICCs Pediatrics. ,vol. 125, pp. 648- 653 ,(2010) , 10.1542/PEDS.2009-2559
J. M. Costello, D. F. Morrow, D. A. Graham, G. Potter-Bynoe, T. J. Sandora, P. C. Laussen, Systematic Intervention to Reduce Central Line–Associated Bloodstream Infection Rates in a Pediatric Cardiac Intensive Care Unit Pediatrics. ,vol. 121, pp. 915- 923 ,(2008) , 10.1542/PEDS.2007-1577
A. Maas, P. Flament, A. Pardou, A. Deplano, M. Dramaix, M.J. Struelens, Central venous catheter-related bacteraemia in critically ill neonates : risk factors and impact of a prevention programme Journal of Hospital Infection. ,vol. 40, pp. 211- 224 ,(1998) , 10.1016/S0195-6701(98)90139-6
J Schulman, RL Stricof, TP Stevens, IR Holzman, EP Shields, RM Angert, RS Wasserman-Hoff, SM Nafday, L Saiman, None, Development of a statewide collaborative to decrease NICU central line-associated bloodstream infections Journal of Perinatology. ,vol. 29, pp. 591- 599 ,(2009) , 10.1038/JP.2009.18
Susan Landers, Factors Associated With Umbilical Catheter-Related Sepsis in Neonates Archives of Pediatrics & Adolescent Medicine. ,vol. 145, pp. 675- 680 ,(1991) , 10.1001/ARCHPEDI.1991.02160060093028
Wendy A. Cronin, Teresa P. Germanson, Leigh G. Donowitz, Intravascular catheter colonization and related bloodstream infection in critically ill neonates. Infection Control and Hospital Epidemiology. ,vol. 11, pp. 301- 308 ,(1990) , 10.1086/646175
Alfred N. Krauss, Rudolf F. Albert, Mickael M. Kannan, Contamination of umbilical catheters in the newborn infant The Journal of Pediatrics. ,vol. 77, pp. 965- 969 ,(1970) , 10.1016/S0022-3476(70)80078-6