Recognition and prevention of nosocomial vascular device and related bloodstream infections in the intensive care unit

Chittick, Paul; Sherertz, Robert J.

doi:10.1097/ccm.0b013e3181e6cdca

“…[223][224][225] The learner should be actively involved with the teaching methods, as lecture alone has been shown to be less effective with retention of information and changes in behavior. 226 and ongoing competency assessment. Initial competency should be assessed at employment, after orientation, and with the introduction of new equipment or technology.…”

Section: Educatementioning

confidence: 99%

Strategies to Prevent Central Line-Associated Bloodstream Infections in Acute Care Hospitals: 2014 Update

Marschall¹,

Mermel²,

Fakih³

et al. 2014

View full text Add to dashboard Cite

Previously published guidelines are available that provide comprehensive recommendations for detecting and preventing healthcare-associated infections (HAIs). The intent of this document is to highlight practical recommendations in a concise format designed to assist acute care hospitals in implementing and prioritizing their central line-associated bloodstream infection (CLABSI) prevention efforts. This document updates “Strategies to Prevent Central Line-Associated Bloodstream Infections in Acute Care Hospitals,” published in 2008. This expert guidance document is sponsored by the Society for Healthcare Epidemiology of America (SHEA) and is the product of a collaborative effort led by SHEA, the Infectious Diseases Society of America (IDSA), the American Hospital Association (AHA), the Association for Professionals in Infection Control and Epidemiology (APIC), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise. The list of endorsing and supporting organizations is presented in the introduction to the 2014 updates.

show abstract

“…223 " 225 The learner should be actively involved with the teaching methods, as lecture alone has been shown to be less effective with retention of information and changes in behavior. 226 . Consider reporting CLABSI rates as SIR.…”

Section: Educatementioning

confidence: 99%

Strategies to Prevent Central Line-Associated Bloodstream Infections in Acute Care Hospitals: 2014 Update

Marschall

¹

,

Mermel

²

,

Fakih

³

et al. 2014

Infect. Control Hosp. Epidemiol.

View full text Add to dashboard Cite

Previously published guidelines are available that provide comprehensive recommendations for detecting and preventing healthcare-associated infections (HAIs). The intent of this document is to highlight practical recommendations in a concise format designed to assist acute care hospitals in implementing and prioritizing their central line-associated bloodstream infection (CLABSI) prevention efforts. This document updates “Strategies to Prevent Central Line-Associated Bloodstream Infections in Acute Care Hospitals,” published in 2008. This expert guidance document is sponsored by the Society for Healthcare Epidemiology of America (SHEA) and is the product of a collaborative effort led by SHEA, the Infectious Diseases Society of America (IDSA), the American Hospital Association (AHA), the Association for Professionals in Infection Control and Epidemiology (APIC), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise. The list of endorsing and supporting organizations is presented in the introduction to the 2014 updates.

show abstract

“…Infections associated with central venous catheters, in particular, represent an increase in mortality, length of stay and hospitalization costs. It is estimated that around 60% of nosocomial bacteremias are associated with some intravascular device 41,42,43 .…”

Section: (24 Days Of Icu Stay) the Relationship Betweenmentioning

confidence: 99%

“…The most frequent types of infections were primary bloodstream infections, pneumonia and central vascular access infections. The literature shows that the occurrence of pneumonia associated with mechanical ventilation, surgical site infections and bloodstream infections associated with intravascular devices affect between 5% and 10% of hospitalized patients 40,41,42 . Infections associated with central venous catheters, in particular, represent an increase in mortality, length of stay and hospitalization costs.…”

Section: (24 Days Of Icu Stay) the Relationship Betweenmentioning

confidence: 99%

Adverse events in the intensive care unit: impact on mortality and length of stay in a prospective study

Roque

¹

,

Tonini

²

,

Melo

³

2016

View full text Add to dashboard Cite

This study sought to evaluate the occurrence of adverse events and their impacts on length of stay and mortality in an intensive care unit (ICU). This is a prospective study carried out in a teaching hospital in Rio de Janeiro, Brazil. The cohort included 355 patients over 18 years of age admitted to the ICU between August 1, 2011 and July 31, 2012. The process we used to identify adverse events was adapted from the method proposed by the Institute for Healthcare Improvement. We used a logistical regression to analyze the association between adverse event occurrence and death, adjusted by case severity. We confirmed 324 adverse events in 115 patients admitted over the year we followed. The incidence rate was 9.3 adverse events per 100 patients-day and adverse event occurrence impacted on an increase in length of stay (19 days) and in mortality (OR = 2.047; 95%CI: 1.172-3.570). This study highlights the serious problem of adverse events in intensive care and the risk factors associated with adverse event incidence.

show abstract

Recognition and prevention of nosocomial vascular device and related bloodstream infections in the intensive care unit

Cited by 42 publications

References 120 publications

Strategies to Prevent Central Line-Associated Bloodstream Infections in Acute Care Hospitals: 2014 Update

Strategies to Prevent Central Line-Associated Bloodstream Infections in Acute Care Hospitals: 2014 Update

Strategies to Prevent Central Line-Associated Bloodstream Infections in Acute Care Hospitals: 2014 Update

Adverse events in the intensive care unit: impact on mortality and length of stay in a prospective study

Contact Info

Product

Resources

About