Prevention of central venous catheter-related bloodstream infections using non-technologic strategies.

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.

authors

Gnass SA,Barboza L,Bilicich D,Angeloro P,Treiyer W,Grenóvero S,Basualdo J

doi

10.1086/502461

subject

Has Abstract

pub_date

2004-08-01 00:00:00

pages

675-7

issue

8

eissn

0899-823X

issn

1559-6834

pii

ICHE8719

journal_volume

25

pub_type

杂志文章
  • Electronically Available Comorbid Conditions for Risk Prediction of Healthcare-Associated Clostridium difficile Infection.

    abstract::OBJECTIVE To analyze whether electronically available comorbid conditions are risk factors for Centers for Disease Control and Prevention (CDC)-defined, hospital-onset Clostridium difficile infection (CDI) after controlling for antibiotic and gastric acid suppression therapy use. PATIENTS Patients aged ≥18 years admit...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2018.10

    authors: Harris AD,Sbarra AN,Leekha S,Jackson SS,Johnson JK,Pineles L,Thom KA

    更新日期:2018-03-01 00:00:00

  • Efficacy of a washer-disinfector in eliminating healthcare-associated pathogens from surgical instruments.

    abstract::This study was designed to test the efficacy of a washer-disinfector in eliminating selected healthcare-associated pathogens from surgical instruments. Our results showed that a washer-disinfector was extremely effective in eliminating microorganisms (>7-log(10) reduction), including vegetative and spore-forming bacte...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/676867

    authors: Rutala WA,Gergen MF,Weber DJ

    更新日期:2014-07-01 00:00:00

  • Nosocomial infections in HIV-infected patients: preliminary results from a multicenter surveillance system (1989-1995).

    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

    authors: Stroud L,Srivastava P,Culver D,Bisno A,Rimland D,Simberkoff M,Elder H,Fierer J,Martone W,Gaynes R

    更新日期:1997-07-01 00:00:00

  • Rate of latent tuberculosis infection detected by occupational health screening of nurses new to a london teaching hospital.

    abstract::The prevalence of latent tuberculosis infection in a cohort of nurses new to a London hospital was 7.6% (13 of 171), using an interferon-gamma (IFN-gamma) release assay, and 16.2% (24 of 148), using the tuberculin skin test. On multivariate analysis, birth in a country with tuberculosis prevalence of more than 40 case...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/597546

    authors: Khanna P,Nikolayevskyy V,Warburton F,Dobson E,Drobniewski F

    更新日期:2009-06-01 00:00:00

  • The COVID-19 infection control arms race.

    abstract::US hospitals are engaged in an infection control arms race. Hospitals, specialties, and professional groups are spurring one another on to adopt progressively more aggressive measures in response to COVID-19 that often exceed federal and international standards. Examples include universal masking of providers and pati...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2020.211

    authors: Rhee C,Baker MA,Klompas M

    更新日期:2020-11-01 00:00:00

  • Surgical site infection after cardiac surgery: a simplified surveillance method.

    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...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/509853

    authors: Lucet JC,Parisian Mediastinitis Study Group.

    更新日期:2006-12-01 00:00:00

  • Expanding roles of healthcare epidemiology and infection control in spite of limited resources and compensation.

    abstract:OBJECTIVE:Data on the resources and staff compensation of hospital epidemiology and infection control (HEIC) departments are limited and do not reflect current roles and responsibilities, including the public reporting of healthcare-associated infections. This study aimed to obtain information to assist HEIC profession...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/650199

    authors: Wright SB,Ostrowsky B,Fishman N,Deloney VM,Mermel L,Perl TM

    更新日期:2010-02-01 00:00:00

  • Recovery of Pseudomonas cepacia and other Pseudomonas species from the environment.

    abstract::Nine hundred sixteen cultures were obtained from homes of patients with cystic fibrosis, control homes, salad bars, and food markets, and analyzed for the presence of Pseudomonas cepacia and related bacteria. P cepacia was recovered from 5 (18%) of 27 homes, and from 20 (4%) of 509 cultures collected outside of homes....

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/646999

    authors: Mortensen JE,Fisher MC,LiPuma JJ

    更新日期:1995-01-01 00:00:00

  • Lack of viable SARS-CoV-2 among PCR-positive air samples from hospital rooms and community isolation facilities.

    abstract:BACKGROUND:Understanding the extent of aerosol-based transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is important for tailoring interventions for control of the coronavirus disease 2019 (COVID-19) pandemic. Multiple studies have reported the detection of SARS-CoV-2 nucleic acid in air sampl...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2021.8

    authors: Ong SWX,Tan YK,Coleman KK,Tan BH,Leo YS,Wang DL,Ng CG,Ng OT,Wong MSY,Marimuthu K

    更新日期:2021-01-25 00:00:00

  • Evidence of delays in transferring patients with methicillin-resistant Staphylococcus aureus or vancomycin-resistant Enterococcus to long-term-care facilities.

    abstract::This retrospective case-control study examined whether there was a difference in length of time awaiting long-term-care placement for patients identified as having methicillin-resistant Staphylococcus aureus or vancomycin-resistant Enterococcus compared to controls. Thirty-nine patients with methicillin-resistant Stap...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/501757

    authors: Bryce EA,Tiffin SM,Isaac-Renton JL,Wright CJ

    更新日期:2000-04-01 00:00:00

  • Clinical implications of restrictions in criteria for defining surgical site infections after mastectomy.

    abstract::More than 50% of women with clinically apparent infection after mastectomy did not meet the 2020 National Healthcare Safety Network (NHSN) definition for surgical site infection (SSI). Implant loss was similar whether the 2020 NHSN SSI definition was met or not, suggesting equivalent adverse outcomes regardless of res...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2020.1288

    authors: Bediako-Bowan AAA,Warren DK,Nickel KB,Fraser VJ,Olsen MA

    更新日期:2020-11-17 00:00:00

  • The Association for Professionals in Infection Control and Epidemiology, Inc.

    abstract::The Association for Professionals in Infection Control and Epidemiology, Inc. (APIC) is a multidisciplinary voluntary international organization with over 10,000 members. Its purpose is to influence, support, and improve the quality of healthcare through the practice and management of infection control and the applica...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/647172

    authors: Russell B

    更新日期:1995-09-01 00:00:00

  • An integrated approach to methicillin-resistant Staphylococcus aureus control in a rural, regional-referral healthcare setting.

    abstract:OBJECTIVE:To curtail the prevalence and cross-transmission of methicillin-resistant Staphylococcus aureus (MRSA) in a rural healthcare setting. DESIGN:Before-after, quasi-experimental quality improvement study. SETTING:A regional-referral hospital, 5 affiliated nursing homes, and an outpatient MRSA clinic. INTERVENT...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/650445

    authors: Bowler WA,Bresnahan J,Bradfish A,Fernandez C

    更新日期:2010-03-01 00:00:00

  • Nursing home infection control: a status report.

    abstract::Infection control in the long-term-care facility has expanded substantially since "Topics in Long-Term Care" debuted in this journal in 1989. This section has been on hiatus, but now, after a 4-year lag, resumes its exploration of these topics. In the first article, endemic and epidemic infections in long-term care ar...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/647831

    authors: Smith PW

    更新日期:1998-05-01 00:00:00

  • Poor functional status as a risk factor for surgical site infection due to methicillin-resistant Staphylococcus aureus.

    abstract:OBJECTIVE:To identify risk factors for surgical site infection (SSI) due to methicillin-resistant Staphylococcus aureus (MRSA). DESIGN:Prospective case-control study. SETTING:One tertiary and 6 community-based institutions in the southeastern United States. METHODS:We compared patients with SSI due to MRSA with 2 co...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/590124

    authors: Anderson DJ,Chen LF,Schmader KE,Sexton DJ,Choi Y,Link K,Sloane R,Kaye KS

    更新日期:2008-09-01 00:00:00

  • Indirect Versus Direct Standardization Methods for Reporting Healthcare-Associated Infections: An Analysis of Central Line-Associated Bloodstream Infections in Maryland.

    abstract::Whether healthcare-associated infection data should be presented using indirect (current CMS/CDC methodology) or direct standardization remains controversial. We applied both methods to central-line-associated bloodstream infection data from 45 acute-care hospitals in Maryland from 2012 to 2014. We found that the 2 me...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2017.120

    authors: O'Hara LM,Masnick M,Leekha S,Jackson SS,Blanco N,Harris AD

    更新日期:2017-08-01 00:00:00

  • The importance of addressing multidrug resistance and not assuming single-drug resistance in case-control studies.

    abstract:BACKGROUND:Case-control studies analyzing antibiotic exposure as a risk factor for antimicrobial resistance usually assume single-drug resistance in the bacteria under study, even though resistance to multiple antimicrobials may be present. Since antibiotic selection pressures differ depending on the susceptibility pro...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/505917

    authors: D'Agata EM,Cataldo MA,Cauda R,Tacconelli E

    更新日期:2006-07-01 00:00:00

  • Efficacy of infection control strategies to reduce transmission of vancomycin-resistant enterococci in a tertiary care hospital in Korea: a 4-year follow-up study.

    abstract::To determine the effectiveness of infection control strategies to reduce transmission of vancomycin-resistant enterococci (VRE), a cohort study was performed in a university hospital. Contact precautions alone were not effective in reducing transmission of VRE. Strict isolation of affected patients in private rooms, i...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/513024

    authors: Yoonchang SW,Peck KR,Kim OS,Lee JH,Lee NY,Oh WS,Song JH

    更新日期:2007-04-01 00:00:00

  • Infection control in British nursing homes.

    abstract::Infection control in British nursing homes is different from that in U.S. nursing homes in seveal ways. Most British nursing homes, for example, do not have a designated on-site infection control nurse, and several agencies are responsible for regulatory oversight. This article discusses the state of infection control...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/502198

    authors: Mayon-White R,Grant-Casey J

    更新日期:2003-04-01 00:00:00

  • Footwear exchange has no influence on the incidence of febrile neutropenia in patients undergoing chemotherapy for hematologic malignancies.

    abstract:OBJECTIVE:To determine whether footwear exchange affects the incidence of febrile neutropenia among patients undergoing chemotherapy for hematologic malignancies. DESIGN:Open trial with historical comparison. SETTING:The 12-bed high-efficiency particulate air-filtered hematology unit at Osaka University Hospital, Sui...

    journal_title:Infection control and hospital epidemiology

    pub_type: 临床试验,杂志文章

    doi:10.1086/502292

    authors: Sugahara H,Mizuki M,Matsumae S,Nabetani Y,Kikuchi M,Kanakura Y

    更新日期:2004-01-01 00:00:00

  • One-week versus 2-day ventilator circuit change in neonates with prolonged ventilation: cost-effectiveness and impact on ventilator-associated pneumonia.

    abstract:OBJECTIVE:To investigate the impact of 1-week ventilator circuit change on ventilator-associated pneumonia and its cost-effectiveness compared with a 2-day change. DESIGN:An observational cohort study. SETTING:A tertiary level neonatal intensive care unit in a university-affiliated teaching hospital in Taiwan. Patien...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2014.48

    authors: Chu SM,Yang MC,Hsiao HF,Hsu JF,Lien R,Chiang MC,Fu RH,Huang HR,Hsu KH,Tsai MH

    更新日期:2015-03-01 00:00:00

  • Economic analysis of reprocessing single-use medical devices: a systematic literature review.

    abstract:BACKGROUND:Although an increasing number of medical devices are labeled "for single use only," cleaning and reuse of single-use medical devices continues, because of the economic incentive. We conducted a survey of the economic literature to obtain the current evidence available and to assess the costs and benefits of ...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章,评审

    doi:10.1086/529587

    authors: Jacobs P,Polisena J,Hailey D,Lafferty S

    更新日期:2008-04-01 00:00:00

  • Preparing for pandemic influenza: should hospitals stockpile oseltamivir?

    abstract::The outbreak of H5N1 avian influenza in Asia has reignited concerns about an influenza pandemic. It is clear that influenza vaccine will be in short supply (or nonexistent) early in an influenza pandemic. Without vaccine, the role of antiviral agents, especially oseltamivir, in treatment and prophylaxis is of paramoun...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/502507

    authors: Cinti S,Chenoweth C,Monto AS

    更新日期:2005-11-01 00:00:00

  • Appropriateness of antibiotic prophylaxis for major surgery in Korea.

    abstract:OBJECTIVE:To determine the appropriateness of antibiotic prophylaxis regimens for major surgery in Korea. DESIGN:Retrospective study using a written survey for each patient who underwent arthroplasty, colon surgery, or hysterectomy. SETTING:Six tertiary hospitals in Seoul and Gyeonggi Province. PATIENTS:From each ho...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/519180

    authors: Choi WS,Song JY,Hwang JH,Kim NS,Cheong HJ

    更新日期:2007-08-01 00:00:00

  • Quality assessment of hospital discharge database for routine surveillance of hip and knee arthroplasty-related infections.

    abstract:OBJECTIVE:Surgical site infection (SSI) surveillance represents a key method of nosocomial infection control programs worldwide. However, most SSI surveillance systems are considered to be poorly cost effective regarding human and economic resources required for data collection and patient follow up. This study aims to...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/676423

    authors: Grammatico-Guillon L,Baron S,Gaborit C,Rusch E,Astagneau P

    更新日期:2014-06-01 00:00:00

  • Healthcare-Associated Transmission of Plasmodium falciparum in New York City.

    abstract::A patient with no risk factors for malaria was hospitalized in New York City with Plasmodium falciparum infection. After investigating all potential sources of infection, we concluded the patient had been exposed to malaria while hospitalized less than 3 weeks earlier. Molecular genotyping implicated patient-to-patien...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2015.236

    authors: Lee EH,Adams EH,Madison-Antenucci S,Lee L,Barnwell JW,Whitehouse J,Clement E,Bajwa W,Jones LE,Lutterloh E,Weiss D,Ackelsberg J

    更新日期:2016-01-01 00:00:00

  • Issues in the management of resistant bacteria in long-term-care facilities.

    abstract::The prevalence of antibiotic-resistant bacteria in the long-term-care setting and the risk to nursing home residents is still unknown. Few studies have been done in community-based nursing homes, and most have focused on colonization rather than infection rates. Concerns about methicillin-resistant Staphylococcus aure...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章,评审

    doi:10.1086/501637

    authors: Bradley SF

    更新日期:1999-05-01 00:00:00

  • Device-Associated Infection Rates in 20 Cities of India, Data Summary for 2004-2013: Findings of the International Nosocomial Infection Control Consortium.

    abstract:OBJECTIVE:To report the International Nosocomial Infection Control Consortium surveillance data from 40 hospitals (20 cities) in India 2004-2013. METHODS:Surveillance using US National Healthcare Safety Network's criteria and definitions, and International Nosocomial Infection Control Consortium methodology. RESULTS:...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2015.276

    authors: Mehta Y,Jaggi N,Rosenthal VD,Kavathekar M,Sakle A,Munshi N,Chakravarthy M,Todi SK,Saini N,Rodrigues C,Varma K,Dubey R,Kazi MM,Udwadia FE,Myatra SN,Shah S,Dwivedy A,Karlekar A,Singh S,Sen N,Limaye-Joshi K,Ramacha

    更新日期:2016-02-01 00:00:00

  • Cluster randomized trial of an antibiotic time-out led by a team-based pharmacist.

    abstract:OBJECTIVE:Antibiotic time-outs (ATOs) have been advocated to improve antibiotic use without dedicated stewardship resources, but their utility is poorly defined. We sought to evaluate the effectiveness of an ATO led by a team-based pharmacist. DESIGN:Cluster randomized controlled trial. SETTING:Six medicine teams at ...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2020.347

    authors: Van Schooneveld TC,Rupp ME,Cavaleiri RJ,Lyden E,Rolek K

    更新日期:2020-11-01 00:00:00

  • Chloramphenicol resistance in vancomycin-resistant enterococcal bacteremia: impact of prior fluoroquinolone use?

    abstract:OBJECTIVE:The prevalence of vancomycin-resistant enterococci (VRE) has increased markedly during the past decade. Few data exist regarding the epidemiology of resistance of VRE to chloramphenicol, one of the few therapeutic options. DESIGN:Survey and case-control study. SETTING:A 725-bed, tertiary-care academic medic...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/502365

    authors: Gould CV,Fishman NO,Nachamkin I,Lautenbach E

    更新日期:2004-02-01 00:00:00