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Eliminating catheter related bloodstream infection on the intensive care unit: not a myth! [Poster Abstract]

Szakmany, Tamas, Pain, T., Beckett, P., Jerrett, H. and Hermon, A. 2011. Eliminating catheter related bloodstream infection on the intensive care unit: not a myth! [Poster Abstract]. Intensive Care Medicine 37 , S16-S16.

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INTRODUCTION. Since the introduction of the Central Venous Catheter (CVC) bundle on our 10-bedded Critical Care Unit we showed a continuous and sustained reduction in Catheter Related Blood Stream Infection Rate (CRBSI)1. OBJECTIVES. We analysed the factors behind this reduction. METHODS. Retrospective audit on the rate of CRBSI for a three months period before the implementation of the CVC bundle provided baseline data. Prospective rolling audit was carried out after the CVC bundle was introduced in clinical practice. Robust educational program was rolled out during the implementation phase for medical and nursing staff. In January 2009 we changed our CVCs to antiseptic-impregnated catheters and in January 2010 we have introduced pre-prepared CVC insertion packs (AGB Plus, Arrow). Compliance data was collected based on the information recorded in our clinical information system (CIS, Carevue, Philips). Monthly compliance data was presented at the audit meetings and also posted on the noticeboard. We collected data on mean dwell time, number of CRBSIs, site of infection and whether the patient left the unit with a CVC line in situ. For statistical analysis Chi-square test and Wilcoxon test were used. RESULTS. Our main results are summarised in Table 1 and 2. We have seen a significant increase in the compliance with the bundle and it resulted a significant and sustained reduction in CVC related infection rate and number of patients transferred to the ward with CVC lines (all p< 0.05). Mean dwell time showed a non-significant increase over time. All infected lines were inserted to the jugular vein.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > RC Internal medicine
Publisher: Springer Verlag
ISSN: 0342-4642
Last Modified: 30 Jun 2017 03:44

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