Bloodstream Infection Associated with Needleless Device Use and the Importance of Infection-Control Practices in the Home Health Care Setting

摘要: The influence of infection-control practices on bloodstream infection (BSI) risk was examined in a home health care setting which three needleless devices were used consecutively. A case-control study and retrospective cohort conducted. Risk factors for BSI included lower education level, younger age, having central venous catheter (CVC) with multiple ports, or tunneled CVC. Among patients CVC, those at greatest had been allowed to shower rather than bathe get their exit site wet (P<.01). high proportion (49%) isolates hydrophilic gram-negative bacteria, suggesting water sources infection. In the study, rate decreased as frequency changing device end cap increased from once weekly up every 2 days, that mechanism may involve contamination cap. These findings help develop measures specific care.