当前位置： SCI文献检索 > AMERICAN JOURNAL OF INFECTION CONTROL期刊下所有文献 > Which antimicrobial impregnated central venous catheter should we use? Modeling the costs and outcomes of antimicrobial catheter use.

Which antimicrobial impregnated central venous catheter should we use? Modeling the costs and outcomes of antimicrobial catheter use.

Abstract：

BACKGROUND:Catheter-related bloodstream infections are costly and associated with substantial morbidity and mortality. Trials suggest that central venous catheters impregnated with minocycline/rifampin, although more expensive, are clinically superior to chlorhexidine/silver sulfadiazine impregnated catheters. It remains unclear whether minocycline/rifampin catheters are cost-effective for all high-risk patients or only those requiring longer-term catheterization. METHODS:We developed a series of decision models with patient-level clinical trial data to determine whether minocycline/rifampin catheters are cost-effective for patients requiring various durations of catheterization. We calculated incremental cost-effectiveness ratios for patients catheterized for durations ranging from 1 to 25 days. RESULTS:The data were too sparse to estimate cost-effectiveness for patients catheterized less than 8 days. The probability that minocycline/rifampin catheters were cost-effective compared with chlorhexidine/silver sulfadiazine catheters in patients catheterized for 8 days was 91%. The probability that the minocycline/rifampin catheters in patients catheterized 13 days or longer resulted in cost savings was more than 95%. CONCLUSIONS:Our analysis suggests that central venous catheters coated with minocycline/rifampin are cost-effective for patients catheterized for at least 1 week and lead to overall cost savings when patients are catheterized for 2 weeks or longer. Policies for the use of antimicrobial catheters in high-risk patients should reflect patients' expected duration of catheterization.

journal_name

Am J Infect Control

journal_title

American journal of infection control

authors

Marciante KD,Veenstra DL,Lipsky BA,Saint S

doi

10.1067/mic.2003.35

subject

Has Abstract

pub_date

2003-02-01 00:00:00

pages

1-8

issue

1

eissn

0196-6553

issn

1527-3296

pii

S0196655302482351

journal_volume

31

pub_type

杂志文章

相关文献

AMERICAN JOURNAL OF INFECTION CONTROL文献大全
  • Risk of infection in health care workers following occupational exposure to a noninfectious or unknown source.

    abstract：BACKGROUND:The major concern after occupational exposures is the possible transmission of blood-borne pathogens, especially hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV). This study was undertaken to evaluate the risk of infection after exposure to blood or body fluids of an u...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2008.05.012

    authors： Kuruuzum Z,Yapar N,Avkan-Oguz V,Aslan H,Ozbek OA,Cakir N,Yuce A

    更新日期：2008-12-01 00:00:00

  • Evaluation of surgical glove integrity during surgery in a Brazilian teaching hospital.

    abstract：BACKGROUND:A cross-sectional study was conducted in a large university hospital in Belo Horizonte, Minas Gerais, Brazil to evaluate surgical glove integrity after use during surgery. METHODS:This 6-month study was conducted by a gastroenterological, cardiovascular, and pediatric surgical team consisting of surgeons (m...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2014.06.021

    authors： de Oliveira AC,Gama CS

    更新日期：2014-10-01 00:00:00

  • Treatment recommendations of hospital-acquired pneumonia in Asian countries: first consensus report by the Asian HAP Working Group.

    abstract：:Many different treatment options are available for hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP), which are important causes of morbidity and mortality. Although guidelines for the diagnosis and treatment of HAP and VAP have been published by various American and European societies, these...

    journal_title：American journal of infection control

    pub_type： 杂志文章,实务指引

    doi：10.1016/j.ajic.2007.01.015

    authors： Song JH,Asian Hospital Acquired Pneumonia Working Group.

    更新日期：2008-05-01 00:00:00

  • The acceptable duration between occupational exposure to hepatitis B virus and hepatitis B immunoglobulin injection: Results from a Korean nationwide, multicenter study.

    abstract：BACKGROUND:Postexposure prophylaxis for occupational exposure to hepatitis B virus (HBV) plays an important role in the prevention of HBV infections in health care workers (HCWs). We examined data concerning the acceptable duration between occupational exposure and administration of a hepatitis B immunoglobulin (HBIG) ...

    journal_title：American journal of infection control

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.ajic.2015.08.024

    authors： Chang HH,Lee WK,Moon C,Choi WS,Yoon HJ,Kim J,Ryu SY,Kim HA,Jo YM,Kwon KT,Kim HI,Sohn JW,Yoon YK,Jung SI,Park KH,Kwon HH,Lee MS,Kim YK,Kim YS,Hur J,Kim SW

    更新日期：2016-02-01 00:00:00

  • Effectiveness of a hand hygiene promotion strategy using alcohol-based handrub in 6 intensive care units in Colombia.

    abstract：BACKGROUND:Hand hygiene is an effective strategy for the prevention of health care-associated infection (HAI). We investigated the effect of a hand hygiene promotion strategy introducing alcohol-based handrub (AHBR) on the incidence of HAI in a university hospital in Colombia. METHODS:A Prospective cohort study was pe...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2010.11.004

    authors： Barrera L,Zingg W,Mendez F,Pittet D

    更新日期：2011-10-01 00:00:00

  • Face touching in the time of COVID-19 in Shiraz, Iran.

    abstract：BACKGROUND:Iranian were advice to wear a mask and not touch their face during COVID-19 restrictions in Iran. METHODS:One-thousand people were observed for 15-30 minutes in public places between April 22 and May 9, 2020. The average number of touches to the mucosal zone was calculated per hour and mask wearers (N = 568...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2020.08.009

    authors： Shiraly R,Shayan Z,McLaws ML

    更新日期：2020-12-01 00:00:00

  • Promoting quality through surveillance of surgical site infections: five prevention success stories.

    abstract：BACKGROUND:Public reports of successful quality improvement efforts are useful, but seldom available. We present 5 successful efforts to prevent surgical site infections (SSIs) with the use of prospectively collected surveillance data. METHODS:Before-and-after intervention studies were conducted in 5 acute care public...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2004.07.001

    authors： Geubbels EL,Bakker HG,Houtman P,van Noort-Klaassen MA,Pelk MS,Sassen TM,Wille JC

    更新日期：2004-11-01 00:00:00

  • Varicella vaccine safety, incidence of breakthrough, and factors associated with breakthrough in Taiwan.

    abstract：BACKGROUND:Varicella vaccine was first available in Taiwan in 1997. The aims of this study were to investigate varicella vaccine safety and occurrence of breakthrough in Taiwan during the first 3 years. The adverse events, incidence of breakthrough, and factors associated with breakthrough were analyzed. METHODS:A per...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1067/mic.2003.58

    authors： Tseng HF,Tan HF,Chang CK

    更新日期：2003-05-01 00:00:00

  • Low rates of influenza vaccination uptake among healthcare workers: Distinguishing barriers between occupational groups.

    abstract：BACKGROUND:To gain further insights into health care workers (HCWs) attitudes toward influenza vaccination to guide future interventions to increase vaccination rates. METHODS:A standardized anonymous questionnaire was sent to all employees of the University Hospital Basel, Switzerland following the influenza season 2...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2020.02.004

    authors： Durovic A,Widmer AF,Dangel M,Ulrich A,Battegay M,Tschudin-Sutter S

    更新日期：2020-10-01 00:00:00

  • Control of extended-spectrum β-lactamase-producing Enterobacteriaceae nosocomial acquisition in an intensive care unit: A time series regression analysis.

    abstract：BACKGROUND:This study was undertaken to determine the temporal relationship between implementation of different interventions in an intensive care unit (ICU) and control of endemic nosocomial acquisition of extended-spectrum β-lactamase Enterobacteriaceae (ESBLE). METHODS:This was a prospective observational study wit...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2015.07.026

    authors： Boyer A,Couallier V,Clouzeau B,Lasheras A,M'zali F,Kann M,Rogues AM,Gruson D

    更新日期：2015-12-01 00:00:00

  • A multicenter questionnaire investigation of attitudes toward hand hygiene, assessed by the staff in fifteen hospitals in Denmark and Norway.

    abstract：:A questionnaire survey was carried out anonymously among 2557 health care workers in Denmark and Norway to identify and quantify factors that affect the handwashing behavior of physicians, nurses, and other staff groups who perform direct patient care. For number of daily patient contacts physicians reported significa...

    journal_title：American journal of infection control

    pub_type： 临床试验,杂志文章,多中心研究

    doi：10.1016/s0196-6553(05)80002-1

    authors： Zimakoff J,Kjelsberg AB,Larsen SO,Holstein B

    更新日期：1992-04-01 00:00:00

  • Feasibility: An important but neglected issue in patient hand hygiene.

    abstract：BACKGROUND:Patient hand hygiene may be a useful strategy to prevent acquisition of pathogens and to reduce the risk for transmission by colonized patients. Several studies demonstrate that patients and long-term-care facility (LTCF) residents may have difficulty using hand hygiene products that are provided; however, n...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2016.12.023

    authors： Knighton SC,McDowell C,Rai H,Higgins P,Burant C,Donskey CJ

    更新日期：2017-06-01 00:00:00

  • US university response to H1N1: a study of access to online preparedness and response information.

    abstract：BACKGROUND:The recent outbreaks of severe acute respiratory syndrome, H5N1 (avian influenza), and, most recently, the novel H1N1 influenza pandemic of 2009 have raised awareness of the danger of new and emerging infections. Preparedness and response plans for such outbreaks are crucial, and given the centrality of the ...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2011.02.021

    authors： Schwartz RD,Bayles BR

    更新日期：2012-03-01 00:00:00

  • Environmental contamination because of multidrug-resistant Acinetobacter baumannii surrounding colonized or infected patients.

    abstract：BACKGROUND:Multidrug-resistant (MDR) Acinetobacter baumannii (MDR-AB) is an important nosocomial pathogen associated with significant morbidity and mortality. METHODS:We conducted a prospective cohort study of intensive care unit patients colonized or infected with MDR-AB at a tertiary care hospital from October 2008 ...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2010.09.005

    authors： Thom KA,Johnson JK,Lee MS,Harris AD

    更新日期：2011-11-01 00:00:00

  • Facilitators and barriers to a family empowerment strategy to improve healthcare worker hand hygiene in a resource-limited setting.

    abstract：OBJECTIVES:The World Health Organization recommends empowering patients/families to remind healthcare workers (HCWs) to perform hand hygiene (HH). We sought to understand acceptability of a family empowerment strategy in a Vietnamese pediatric intensive care unit (PICU). METHODS:With end-user input, we designed a tool...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2020.05.030

    authors： Campbell JI,Pham TT,Le T,Dang TTH,Chandonnet CJ,Truong TH,Duong H,Nguyen DD,Le TH,Tran TH,Nguyen TKO,Ho TMT,Le KN,Pollack TM,Sandora TJ

    更新日期：2020-12-01 00:00:00

  • Infection prevention and control in dental surgeries in the Pará state prison system in Brazil.

    abstract：:Prison populations have higher levels of bloodborne viruses with consequently higher risks of cross-infection. This study assessed infection prevention and occupational hazards in prison dental surgeries in the Brazilian state of Pará. Investigations were undertaken by a single examiner in 11 prison clinics. Manual wa...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2016.04.213

    authors： Lima CM,Smith AJ,Fonseca Silva AS,Flório FM,Zanin L

    更新日期：2016-11-01 00:00:00

  • What we need to know about bioterrorism preparedness: results from focus groups conducted at APIC 2000.

    abstract：:Infection control practitioners (ICPs) are important partners in enhancing the US public health infrastructure, both as essential recipients of continuing education and as instructors responsible for providing this education. Focus groups were conducted at APIC 2000, the annual meeting for the Association for Professi...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1067/mic.2001.119821

    authors： Shadel BN,Clements B,Arndt B,Rebmann T,Evans RG

    更新日期：2001-12-01 00:00:00

  • Validation of adenosine triphosphate to audit manual cleaning of flexible endoscope channels.

    abstract：BACKGROUND:Compliance with cleaning of flexible endoscope channels cannot be verified using visual inspection. Adenosine triphosphate (ATP) has been suggested as a possible rapid cleaning monitor for flexible endoscope channels. There have not been published validation studies to specify the level of ATP that indicates...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2012.03.018

    authors： Alfa MJ,Fatima I,Olson N

    更新日期：2013-03-01 00:00:00

  • Needlestick injury and accidental exposure to blood: the need for improving the hepatitis B vaccination grade among health care workers outside the hospital.

    abstract：:To describe the characteristics of needlestick injuries occurring to health care workers outside the hospital, a new case report form was implemented and analyzed after 12 months. A total of 144 incidents were reported. Of the needlestick injuries in nursing assistants, 84% involved an insulin needle or pen. Thirty-fi...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2006.02.004

    authors： Vos D,Götz HM,Richardus JH

    更新日期：2006-11-01 00:00:00

  • Determining high touch areas in the operating room with levels of contamination.

    abstract：BACKGROUND:The Centers for Disease Control and Prevention put forth the recommendation to clean areas considered high touch more frequently than minimal touch surfaces. The operating room was not included in these recommendations. The purpose of this study was to determine the most frequently touched surfaces in the op...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2016.03.013

    authors： Link T,Kleiner C,Mancuso MP,Dziadkowiec O,Halverson-Carpenter K

    更新日期：2016-11-01 00:00:00

  • Sterile reprocessing of surgical instruments in low- and middle-income countries: A multicenter pilot study.

    abstract：BACKGROUND:Surgical site infections increase the morbidity, mortality, and costs associated with surgical care. An estimated 96.2 million surgical procedures are performed in low- and middle-income countries (LMICs) each year. This pilot study assessed the steam sterilization aspect of the surgical instrument reprocess...

    journal_title：American journal of infection control

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.ajic.2015.06.025

    authors： O'Hara NN,Patel KR,Caldwell A,Shone S,Bryce EA

    更新日期：2015-11-01 00:00:00

  • Assessing residual contamination and damage inside flexible endoscopes over time.

    abstract：:Researchers evaluated flexible endoscope damage and contamination levels at baseline and 2 months later. Postcleaning test results exceeded benchmarks for all gastroscopes and no colonoscopes. Microbial growth was found in samples from 47% of fully reprocessed endoscopes at baseline and 60% at follow-up. Borescope exa...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2016.06.029

    authors： Ofstead CL,Wetzler HP,Eiland JE,Heymann OL,Held SB,Shaw MJ

    更新日期：2016-12-01 00:00:00

  • Role of the environment in the transmission of Clostridium difficile in health care facilities.

    abstract：:Recent data demonstrate that the contaminated hospital surface environment plays a key role in the transmission of Clostridium difficile. Enhanced environmental cleaning of rooms housing Clostridium difficile-infected patients is warranted, and, if additional studies demonstrate a benefit of "no-touch" methods (eg, ul...

    journal_title：American journal of infection control

    pub_type： 杂志文章,评审

    doi：10.1016/j.ajic.2012.12.009

    authors： Weber DJ,Anderson DJ,Sexton DJ,Rutala WA

    更新日期：2013-05-01 00:00:00

  • Wettability of hands during 15-second and 30-second handrub time intervals: A prospective, randomized crossover study.

    abstract：OBJECTIVE:At present, the shortest recommended application time of alcoholic handrubs is an application interval of 30 seconds. However, application times shorter than 30 seconds are regularly practiced. Therefore, the aim of this study was to investigate whether a 15-second application time achieves a comparable wetta...

    journal_title：American journal of infection control

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.ajic.2018.02.015

    authors： Paula H,Becker R,Assadian O,Heidecke CD,Kramer A

    更新日期：2018-09-01 00:00:00

  • Moving beyond hand hygiene monitoring as a marker of infection prevention performance: Development of a tailored infection control continuous quality improvement tool.

    abstract：BACKGROUND:Infection control practice compliance is commonly monitored by measuring hand hygiene compliance. The limitations of this approach were recognized in 1 acute health care organization that led to the development of an Infection Control Continuous Quality Improvement tool. METHODS:The Pronovost cycle, Barrier...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2019.06.014

    authors： Jeanes A,Coen PG,Drey NS,Gould DJ

    更新日期：2020-01-01 00:00:00

  • Assessing the sustainability of hand hygiene adherence prior to patient contact in the emergency department: A 1-year postintervention evaluation.

    abstract：BACKGROUND:Health care-associated infection is one of the most important patient safety problems in the world. While many methods exist to prevent health care-associated infection, most experts believe that improving hand hygiene is paramount. We previously published the results of a successful before-and-after hand hy...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2010.06.015

    authors： di Martino P,Ban KM,Bartoloni A,Fowler KE,Saint S,Mannelli F

    更新日期：2011-02-01 00:00:00

  • Characteristics of COVID-19 near China's epidemic center.

    abstract：BACKGROUND:This study described and analyzed the age, gender, infection sources, and timing characteristics of the 416 confirmed cases in two cities near the center of China's COVID-19 outbreak. METHODS:This study used publicly available data to examine gender, age, source of infection, date returned from Hubei, date ...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2020.06.191

    authors： Li Y,Duan G,Xiong L

    更新日期：2020-09-01 00:00:00

  • Diagnostic assessment of different environmental cleaning monitoring methods.

    abstract：:In a simultaneous assessment of 250 environmental surfaces after terminal cleaning using aerobic cultures as a gold standard, both fluorescent marker and an adenosine triphosphate bioluminescence assay system demonstrated better diagnosticity compared with subjective visual inspection. These results support the use of...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2012.09.019

    authors： Luick L,Thompson PA,Loock MH,Vetter SL,Cook J,Guerrero DM

    更新日期：2013-08-01 00:00:00

  • Carbapenem-resistant Enterobacteriaceae: A retrospective review of treatment and outcomes in a long-term acute care hospital.

    abstract：BACKGROUND:Long-term acute care hospitals (LTACHs) have a unique patient population, with multiple risk factors for carbapenem-resistant Enterobacteriaceae (CRE) colonization and infection. METHODS:We performed a retrospective analysis of patients in LTACHs who were diagnosed with and treated for CRE infections. Basel...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2019.07.006

    authors： Igbinosa O,Dogho P,Osadiaye N

    更新日期：2020-01-01 00:00:00

  • Hand hygiene knowledge, attitudes, and practices among hospital inpatients: A descriptive study.

    abstract：BACKGROUND:Pathogens may be transmitted in hospitals via patients' own hands, but little is known about the facilitators and barriers of hand hygiene among inpatients. This study aimed to assess the hand hygiene knowledge, attitudes, and practices of adult inpatients at 5 hospitals. METHODS:The study consisted of a cr...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2019.11.020

    authors： Srigley JA,Cho SM,O'Neill C,Bialachowski A,Ali RA,Lee C,Mertz D

    更新日期：2020-05-01 00:00:00