Abstract:
OBJECTIVE:To evaluate the incidence of nosocomial bacteremias related to the use of non-impregnated central venous catheters (CVCs) when only non-technologic strategies were used to prevent them. DESIGN:This was a prospective study of infectious complications of CVCs placed in intensive care unit (ICU) patients from April 1997 to December 2001. SETTING:The medical-surgical ICU of a tertiary-care, university-affiliated hospital in Argentina. METHODS:We studied all patients admitted to the ICU using non-impregnated CVCs. Maximal sterile barrier precautions (ie, use of cap, mask, sterile gown, sterile gloves, and large sterile drape), strict handwashing, preparation of the patients' skin with antiseptic solutions, insertion and management of catheters by trained personnel, and continuing quality improvement programs aimed at appropriate insertion and maintenance of catheters were employed. RESULTS:During the study period, 2,525 patients were admitted to the ICU. Eight hundred sixty-eight patients had 1,037 CVCs inserted. The number of CVC-related bloodstream infections (BSIs), acquired in the ICU, was 2.7 per 1,000 CVC-days (13 nosocomial CVC-related BSIs during 4,770 days of CVC use). Microorganisms isolated included methicillin-susceptible Staphylococcus aureus (n = 6), methicillin-resistant S. aureus (n = 2), coagulase-negative methicillin-resistant Staphylococcus (n = 2), Escherichia coli (n = 1), Klebsiella pneumoniae (n = 1), and Enterobacter cloacae (n = 1). CONCLUSIONS:A low rate of catheter-related BSI was achieved without antimicrobial-impregnated catheters. The incidence of CVC-associated bacteremias corresponded to the 10th to 20th percentile range of the National Nosocomial Infections Surveillance System hospitals for the same type of ICU.
journal_name
Infect Control Hosp Epidemioljournal_title
Infection control and hospital epidemiologyauthors
Gnass SA,Barboza L,Bilicich D,Angeloro P,Treiyer W,Grenóvero S,Basualdo Jdoi
10.1086/502461subject
Has Abstractpub_date
2004-08-01 00:00:00pages
675-7issue
8eissn
0899-823Xissn
1559-6834pii
ICHE8719journal_volume
25pub_type
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journal_title:Infection control and hospital epidemiology
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更新日期:2018-03-01 00:00:00
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abstract:OBJECTIVE:To describe the characteristics of and trends in nosocomial infection among human immunodeficiency virus (HIV)-infected patients. DESIGN:Multicenter prospective cohort study. SETTING/PATIENTS:HIV-infected patients were enrolled at time of first inpatient admission at five Veterans' Administration Medical Ce...
journal_title:Infection control and hospital epidemiology
pub_type: 杂志文章,多中心研究
doi:10.1086/647652
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journal_title:Infection control and hospital epidemiology
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doi:10.1086/597546
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abstract::We report the results of a 2-year, 7-center program of surveillance of deep sternal wound infection (DSWI) after cardiac surgery. DSWI was defined as the need for reoperation. Stratification data were abstracted from computerized files. The incidence of DSWI was 2.2% (198 of 8,816 cardiac surgery procedures). The risk...
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更新日期:2006-12-01 00:00:00
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journal_title:Infection control and hospital epidemiology
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更新日期:2010-02-01 00:00:00
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journal_title:Infection control and hospital epidemiology
pub_type: 杂志文章
doi:10.1086/646999
更新日期:1995-01-01 00:00:00
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journal_title:Infection control and hospital epidemiology
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doi:10.1086/501757
更新日期:2000-04-01 00:00:00
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更新日期:1995-09-01 00:00:00
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pub_type: 杂志文章
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journal_title:Infection control and hospital epidemiology
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journal_title:Infection control and hospital epidemiology
pub_type: 杂志文章
doi:10.1086/505917
更新日期:2006-07-01 00:00:00
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doi:10.1086/513024
更新日期:2007-04-01 00:00:00
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更新日期:2003-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2005-11-01 00:00:00
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doi:10.1086/519180
更新日期:2007-08-01 00:00:00
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journal_title:Infection control and hospital epidemiology
pub_type: 杂志文章
doi:10.1086/676423
更新日期:2014-06-01 00:00:00
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更新日期:2016-01-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:1999-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2016-02-01 00:00:00
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更新日期:2020-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1086/502365
更新日期:2004-02-01 00:00:00