Use of central venous catheter-related bloodstream infection prevention practices by US hospitals.
Use of central venous catheter-related bloodstream infection prevention practices by US hospitals.
复制标题
美国医院采用中心静脉导管相关血流感染预防措施。
作者：
S. Krein;T. Hofer;C. Kowalski;R. Olmsted;C. Kauffman;J. Forman;J. Banaszak;S. Saint
客观的
OBJECTIVE
To examine the extent to which US acute care hospitals have adopted recommended practices to prevent central venous catheter-related bloodstream infections (CR-BSIs).
PARTICIPANTS AND METHODS
Between March 16, 2005, and August 1, 2005, a survey of infection control coordinators was conducted at a national random sample of nonfederal hospitals with an intensive care unit and more than 50 hospital beds (n=600) and at all Department of Veterans Affairs (VA) medical centers (n=119). Primary outcomes were regular use of 5 specific practices and a composite approach for preventing CR-BSIs.
RESULTS
The overall survey response rate was 72% (n=516). A higher percentage of VA compared to non-VA hospitals reported using maximal sterile barrier precautions (84% vs 71%; P=.01); chlorhexidine gluconate for insertion site antisepsis (91% vs 69%; P<.001); and a composite approach (62% vs 44%; P=.003) combining concurrent use of maximal sterile barrier precautions, chlorhexidine gluconate, and avoidance of routine central line changes. Those hospitals having a higher safety culture score, having a certified infection control professional, and participating in an infection prevention collaborative were more likely to use CR-BSI prevention practices.
CONCLUSION
Most US hospitals are using maximal sterile barrier precautions and chlorhexidine gluconate, 2 of the most strongly recommended practices to prevent CR-BSIs. However, fewer than half of non-VA US hospitals reported concurrent use of maximal sterile barrier precautions, chlorhexidine gluconate, and avoidance of routine central line changes. Wider use of CR-BSI prevention practices by hospitals could be encouraged by fostering a culture of safety, participating in infection prevention collaboratives, and promoting infection control professional certification.
DOI：
10.1164/ajrccm.160.3.9808145
发表时间：
1999-09-01
影响因子：
24.7
作者：
DiGiovine, B;Chenoweth, C;Higgins, M
通讯作者：
Higgins, M
抗菌剂浸渍的中心静脉导管预防导管相关血流感染的成本效益。
DOI：
10.1001/jama.282.6.554
发表时间：
1999
期刊：
JAMA
影响因子：
--
作者：
Veenstra,DL;Saint,S;Sullivan,SD
通讯作者：
Sullivan,SD