Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous catheters from hospitals in the prevention epicenter program.

Abstract:

OBJECTIVE:To determine the extent to which evidence-based practices for the prevention of central venous catheter (CVC)-associated bloodstream infections are incorporated into the policies and practices of academic intensive care units (ICUs) in the United States and to determine variations in the policies on CVC insertion, use, and care. DESIGN:A 9-page written survey of practices and policies for nontunneled CVC insertion and care. SETTING:ICUs in 10 academic tertiary-care hospitals. PARTICIPANTS:ICU medical directors and nurse managers. RESULTS:Twenty-five ICUs were surveyed (1-6 ICUs per hospital). In 80% of the units, 5 separate groups of clinicians inserted 24%-50% of all nontunneled CVCs. In 56% of the units, placement of more than two-thirds of nontunneled CVCs was performed in a single location in the hospital. Twenty units (80%) had written policies for CVC insertion. Twenty-eight percent of units had a policy requiring maximal sterile-barrier precautions when CVCs were placed, and 52% of the units had formal educational programs with regard to CVC insertion. Eighty percent of the units had a policy requiring staff to perform hand hygiene before inserting CVCs, but only 36% and 60% of the units required hand hygiene before accessing a CVC and treating the exit site, respectively. CONCLUSION:ICU policy regarding the insertion and care of CVCs varies considerably from hospital to hospital. ICUs may be able to improve patient outcome if evidence-based guidelines for CVC insertion and care are implemented.

authors

Warren DK,Yokoe DS,Climo MW,Herwaldt LA,Noskin GA,Zuccotti G,Tokars JI,Perl TM,Fraser VJ

doi

10.1086/499151

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

8-13

issue

1

eissn

0899-823X

issn

1559-6834

pii

ICHE2005116

journal_volume

27

pub_type

杂志文章,多中心研究
  • Evaluation of International Classification of Diseases, Ninth Revision, Clinical Modification Codes for reporting methicillin-resistant Staphylococcus aureus infections at a hospital in Illinois.

    abstract:BACKGROUND:States, including Illinois, have passed legislation mandating the use of International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes for reporting healthcare-associated infections, such as methicillin-resistant Staphylococcus aureus (MRSA). OBJECTIVE:To evaluate the sens...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/651665

    authors: Schaefer MK,Ellingson K,Conover C,Genisca AE,Currie D,Esposito T,Panttila L,Ruestow P,Martin K,Cronin D,Costello M,Sokalski S,Fridkin S,Srinivasan A

    更新日期:2010-05-01 00:00:00

  • Eradication of amebiasis in a large institution for adults with mental retardation in Taiwan.

    abstract:OBJECTIVE:Investigation of a program to eradicate amebiasis using consecutive intensive mass screenings followed by medication in a large institute for adults with mental retardation in Taiwan. DESIGN:Prospective cohort study, with 3 years of follow-up. SETTING:A large, 450-bed institution for adults with mental reta...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/518351

    authors: Su SB,Guo HR,Chuang YC,Chen KT,Lin CY

    更新日期:2007-06-01 00:00:00

  • Is surgery a risk factor for Creutzfeldt-Jakob disease? Outcome variation by control choice and exposure assessments.

    abstract:OBJECTIVE:To determine whether methodological differences explain divergent results in case-control studies examining surgery as a risk factor for Creutzfeldt-Jakob disease (CJD). METHODS:After case-control studies were systematically identified using PubMed, we performed a homogeneity analysis and applied models to e...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/527514

    authors: Barash JA,Johnson BT,Gregorio DI

    更新日期:2008-03-01 00:00:00

  • Improvement of intraoperative antibiotic prophylaxis in prolonged cardiac surgery by automated alerts in the operating room.

    abstract:OBJECTIVE:To assess the impact of an automated intraoperative alert to redose prophylactic antibiotics in prolonged cardiac operations. DESIGN:Randomized, controlled, evaluator-blinded trial. SETTING:University-affiliated hospital. PATIENTS:Patients undergoing cardiac surgery that lasted more than 4 hours after the ...

    journal_title:Infection control and hospital epidemiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1086/502109

    authors: Zanetti G,Flanagan HL Jr,Cohn LH,Giardina R,Platt R

    更新日期:2003-01-01 00:00:00

  • Monitoring hand hygiene via human observers: how should we be sampling?

    abstract:OBJECTIVE:To explore how hand hygiene observer scheduling influences the number of events and unique individuals observed. DESIGN:We deployed a mobile sensor network to capture detailed movement data for 6 categories of healthcare workers over a 2-week period. SETTING:  University of Iowa Hospital and Clinic medical ...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/666346

    authors: Fries J,Segre AM,Thomas G,Herman T,Ellingson K,Polgreen PM

    更新日期:2012-07-01 00:00:00

  • Primary cytomegalovirus infection in pediatric nurses: a meta-analysis.

    abstract::A meta-analysis of six controlled studies was performed to evaluate the risk of cytomegalovirus (CMV) infection among pediatric nurses. The pooled risk ratio for CMV infection in pediatric nurses using cumulative incidence data was statistically significant (risk ratio [RR] 2.7; 95% confidence interval [CI] 1.33 - 5.5...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/645758

    authors: Flowers RH 3rd,Torner JC,Farr BM

    更新日期:1988-11-01 00:00:00

  • Lack of Comprehensive Outbreak Detection in Hospitals.

    abstract::Timely identification of outbreaks of hospital-associated infections is needed to implement control measures and minimize impact. Survey results from 33 hospitals indicated that most hospitals lacked a formal cluster definition and all targeted a very limited group of prespecified pathogens. Standardized, statisticall...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章,多中心研究

    doi:10.1017/ice.2015.325

    authors: Baker MA,Huang SS,Letourneau AR,Kaganov RE,Peeples JR,Drees M,Platt R,Yokoe DS

    更新日期:2016-04-01 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

  • Surgical site infections, International Nosocomial Infection Control Consortium (INICC) report, data summary of 30 countries, 2005-2010.

    abstract:OBJECTIVE: To report the results of a surveillance study on surgical site infections (SSIs) conducted by the International Nosocomial Infection Control Consortium (INICC). DESIGN: Cohort prospective multinational multicenter surveillance study. SETTING: Eighty-two hospitals of 66 cities in 30 countries (Argentina, Br...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章,多中心研究

    doi:10.1086/670626

    authors: Rosenthal VD,Richtmann R,Singh S,Apisarnthanarak A,Kübler A,Viet-Hung N,Ramírez-Wong FM,Portillo-Gallo JH,Toscani J,Gikas A,Dueñas L,El-Kholy A,Ghazal S,Fisher D,Mitrev Z,Gamar-Elanbya MO,Kanj SS,Arreza-Galapia Y,Lebl

    更新日期:2013-06-01 00:00:00

  • Sustained improvements in peripheral venous catheter care in non-intensive care units: a quasi-experimental controlled study of education and feedback.

    abstract:BACKGROUND AND OBJECTIVES:Peripheral venous catheters (PVCs) can be associated with serious infectious complications. We evaluated the effect of education and feedback on process measures to improve PVC care and infectious complications. DESIGN:Quasi-experimental controlled crossover study with sampling before and aft...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1086/665322

    authors: Fakih MG,Jones K,Rey JE,Berriel-Cass D,Kalinicheva T,Szpunar S,Saravolatz LD

    更新日期:2012-05-01 00:00:00

  • Likelihood of Infectious Outcomes Following Infectious Risk Moments During Patient Care-An International Expert Consensus Study and Quantitative Risk Index.

    abstract::OBJECTIVE To elicit expert consensus on the likelihood of infectious outcomes (patient colonization or infection) following a broad range of infectious risk moments (IRMs) from observations in acute care. DESIGN Expert consensus study using modified Delphi technique. PARTICIPANTS Panel of 40 international experts incl...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2017.327

    authors: Clack L,Passerini S,Manser T,Sax H

    更新日期:2018-03-01 00:00:00

  • Acquisition of Clostridium difficile on Hands of Healthcare Personnel Caring for Patients with Resolved C. difficile Infection.

    abstract::In an observational study, we found that healthcare personnel frequently acquired Clostridium difficile on their hands when caring for patients with recently resolved C. difficile infection (CDI) (<6 weeks after treatment) who were no longer under contact precautions. Continuing contact precautions after diarrhea reso...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2015.335

    authors: Shrestha SK,Sunkesula VC,Kundrapu S,Tomas ME,Nerandzic MM,Donskey CJ

    更新日期:2016-04-01 00:00:00

  • Assessment of the influence of test characteristics on the clinical and cost impacts of methicillin-resistant Staphylococcus aureus screening programs in US hospitals.

    abstract:OBJECTIVE:To compare the impacts of different methicillin-resistant Staphylococcus aureus (MRSA) screening test options (eg, polymerase chain reaction [PCR], rapid culture) and program characteristics on the clinical outcomes and budget of a typical US hospital. METHODS:We developed an Excel-based decision-analytic mo...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/658332

    authors: Olchanski N,Mathews C,Fusfeld L,Jarvis W

    更新日期:2011-03-01 00:00:00

  • Malassezia furfur skin colonization in infancy.

    abstract::Malassezia furfur, a lipophilic yeast, has become recognized as a cause of sepsis in infants receiving parenteral fat emulsions via indwelling deep venous catheters. Colonization of infants' skin may be a prerequisite to colonization of the intravascular catheter and subsequent infection with M furfur. Three hundred n...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/645819

    authors: Bell LM,Alpert G,Slight PH,Campos JM

    更新日期:1988-04-01 00:00:00

  • Costs of ambulatory pediatric healthcare-associated infections: Central-line-associated bloodstream infection (CLABSIs), catheter-associated urinary tract infection (CAUTIs), and surgical site infections (SSIs).

    abstract:OBJECTIVE:Ambulatory healthcare-associated infections (HAIs) occur frequently in children and are associated with morbidity. Less is known about ambulatory HAI costs. This study estimated additional costs associated with pediatric ambulatory central-line-associated bloodstream infections (CLABSIs), catheter-associated ...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2020.305

    authors: Rinke ML,Oyeku SO,Ford WJH,Heo M,Saiman L,DeLaMora P,Rabin B,Zachariah P,Rosenberg RE,Mirhaji P,Obaro-Best O,Drasher M,Klein E,Peshansky A,Bundy DG

    更新日期:2020-11-01 00:00:00

  • Comparative killing kinetics of methicillin-resistant Staphylococcus aureus by bacitracin or mupirocin.

    abstract::The in vitro activities of bacitracin and mupirocin were compared for seven different strains of methicillin-resistant Staphylococcus aureus. Six of seven strains showed bacitracin minimum inhibitory concentrations (MICs) of 0.5 to 1.0 units/mL, and all seven had mupirocin MICs of 0.5 to 2 micrograms/mL. Time-kill stu...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/647270

    authors: Chapnick EK,Gradon JD,Kreiswirth B,Lutwick LI,Schaffer BC,Schiano TD,Levi MH

    更新日期:1996-03-01 00:00:00

  • Needlestick injury: impact of a recapping device and an associated education program.

    abstract:OBJECTIVE:To determine the impact of the introduction of a plastic shield-shaped device (Needleguard, Biosafe, Auckland, New Zealand) and education program designed to allow safer recapping, on recorded rates of needlestick injury. DESIGN:A before-after trial with a two-year duration of follow-up. SETTING:Tertiary re...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/646328

    authors: Whitby M,Stead P,Najman JM

    更新日期:1991-04-01 00:00:00

  • An outbreak of fatal nosocomial infections due to group A streptococcus on a medical ward.

    abstract::Group A streptococcus is an uncommon but important cause of nosocomial infections. Outbreaks of infection most often have occurred in surgical or obstetrical patients. We describe an outbreak of severe group A streptococcal infections that occurred on a medical unit of a community hospital. Within an 8-day period, thr...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/647335

    authors: Ramage L,Green K,Pyskir D,Simor AE

    更新日期:1996-07-01 00:00:00

  • The case for a population standardized infection ratio (SIR): A metric that marries the device SIR to the standardized utilization ratio (SUR).

    abstract:BACKGROUND:The device standardized infection ratio (SIR) is used to compare unit and hospital performance for different publicly reported infections. Interventions to reduce unnecessary device use may select a higher-risk population, leading to a paradoxical increase in SIR for some high-performing facilities. The stan...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2019.175

    authors: Fakih MG,Huang RH,Bufalino A,Erlinger T,Sturm L,Hendrich A,Haydar Z

    更新日期:2019-09-01 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

  • Impact of a Central Line Infection Prevention Bundle in Newborn Infants.

    abstract::OBJECTIVE To compare central line use and central line-associated bloodstream infection in newborn infants before and after the introduction of a central line infection prevention bundle in order to determine the effectiveness of the bundle and to identify areas for further improvement. DESIGN Retrospective cohort ana...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2016.127

    authors: McMullan R,Gordon A

    更新日期:2016-09-01 00:00:00

  • An outbreak of Pseudomonas aeruginosa respiratory tract infections associated with intrinsically contaminated ultrasound transmission gel.

    abstract::We describe an outbreak of Pseudomonas aeruginosa respiratory tract infections related to intrinsically contaminated ultrasound gel used for intraoperative transesophageal echocardiograms in cardiovascular surgery patients. This investigation led to a product safety alert by the Food and Drug Administration and the de...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/671268

    authors: Chittick P,Russo V,Sims M,Robinson-Dunn B,Oleszkowicz S,Sawarynski K,Powell K,Makin J,Darnell E,Boura JA,Boyanton B,Band J

    更新日期:2013-08-01 00:00:00

  • Pyrogenic reactions and hemorrhage associated with intrinsic exposure to endotoxin-contaminated intravenous solutions.

    abstract:OBJECTIVE:An epidemiological investigation was conducted to determine risk factors for adverse reactions among patients in hospitals and the possibility of extrinsic or intrinsic contamination of intravenous solutions. DESIGN:A retrospective cohort study was conducted to identify solutions associated with adverse reac...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/504360

    authors: Daufenbach LZ,Alves WA,de Azevedo JB,Arduino MJ,Forster TS,Carmo EH,Hatch DL

    更新日期:2006-07-01 00:00:00

  • Epidemiology of methicillin-resistant Staphylococcus aureus in three Canadian tertiary-care centers.

    abstract:OBJECTIVE:To describe the epidemiology and spread of methicillin-resistant Staphylococcus aureus (MRSA) in three tertiary-care centers in Ottawa, Ontario, Canada, where MRSA is encountered infrequently. DESIGN:Retrospective review over a 6-year period, from January 1, 1990, through December 31, 1995. SETTING:Three te...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/647838

    authors: Suh K,Toye B,Jessamine P,Chan F,Ramotar K

    更新日期:1998-06-01 00:00:00

  • Oxacillin-resistant and multidrug-resistant Staphylococcus aureus in Lima, Peru.

    abstract::In a hospital in Lima, Peru, a review of 103 Staphylococcus aureus infections was conducted during 2002. The prevalence of oxacillin-resistant S. aureus strains was 68%; 25% of strains were resistant to multiple drugs. Previous use of antibiotics and undergoing a surgical procedure during the current hospital stay wer...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/500650

    authors: Seas C,Hernandez K,Ramos R,Bazan E,Rodriguez I,Torres A,Zamudio C,Gotuzzo E

    更新日期:2006-02-01 00:00:00

  • Does organic material on hospital surfaces reduce the effectiveness of hypochlorite and UV radiation for disinfection of Clostridium difficile?

    abstract::An organic load of 5%-10% fetal calf serum significantly reduced hypochlorite and UV radiation killing of Clostridium difficile spores, but organic material collected from hospital surfaces did not affect hypochlorite and only modestly affected UV killing of spores. Hypochlorite reduced aerobic microorganisms on uncle...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/673148

    authors: Zhang A,Nerandzic MM,Kundrapu S,Donskey CJ

    更新日期:2013-10-01 00:00:00

  • Optimizing utilization of beta-lactam surgical prophylaxis through implementation of a structured allergy assessment tool in a presurgical clinic.

    abstract::In patients with β-lactam allergies, administration of non-β-lactam surgical prophylaxis is associated with increased risk of infection. Although many patients self-report β-lactam allergies, most are unconfirmed or mislabeled. A quality improvement process, utilizing a structured β-lactam allergy tool, was implemente...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2019.274

    authors: Margallo JP,Smith EA,Marks G,Ben-Aderet M,Yang H,Madhusudhan M,Krishna S,Duran A,Friedman A,Cassel SL,Tran H,Shane R,Murthy RK,Grein JD

    更新日期:2019-12-01 00:00:00

  • Definitional Change in NHSN CAUTI Was Associated with an Increase in CLABSI Events: Evaluation of a Large Health System.

    abstract::BACKGROUND The National Healthcare Safety Network (NHSN) catheter-associated urinary tract infection (CAUTI) definition was revised as of January 2015 to exclude funguria and lower bacteriuria levels. We evaluated the effect of the CAUTI definition change on NHSN-defined central-line-associated bloodstream infection (...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2017.41

    authors: Fakih MG,Groves C,Bufalino A,Sturm LK,Hendrich AL

    更新日期:2017-06-01 00:00:00

  • Cost-effectiveness of different screening strategies (single or dual) for the diagnosis of tuberculosis infection in healthcare workers.

    abstract:OBJECTIVE:To evaluate the cost-effectiveness of a dual strategy of tuberculin skin test (TST) and QuantiFERON-TB Gold (QFT-G) for screening of latent tuberculosis infection (LTBI) in healthcare workers (HCWs) and, as a secondary objective, to study relationships between TST results, QFT-G results, and sociodemographic ...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/668436

    authors: del Campo MT,Fouad H,Solís-Bravo MM,Sánchez-Uriz MA,Mahíllo-Fernández I,Esteban J

    更新日期:2012-12-01 00:00:00

  • Molecular epidemiology of Clostridium difficile infections in children: a retrospective cohort study.

    abstract:OBJECTIVE:The molecular epidemiology of pediatric Clostridium difficile infection (CDI) is poorly understood. We aimed to identify the restriction endonuclease analysis (REA) groups causing CDI and to determine risk factors and outcomes associated with CDI caused by epidemic strains in children. DESIGN:Retrospective c...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2014.89

    authors: Kociolek LK,Patel SJ,Shulman ST,Gerding DN

    更新日期:2015-04-01 00:00:00