通过跨学科医疗团队的实施减少导管相关血流感染

IF 0.9 Q4 CRITICAL CARE MEDICINE Journal of Critical Care Medicine Pub Date : 2015-02-10 DOI:10.1155/2015/635939
K. Scatliffe, A. Davis, Carla Wang-Kocik, Nelson Medina Villanueva, Maria Espiritu-Fuller, Renita Larang, Patricia Dimitriou, A. Doran, A. Repayo, Jeremias Murillo, C. Engell, Morris Cohen, J. Larosa
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引用次数: 1

摘要

2012年12月,成立了一个多学科工作队,以解决2012年1月至2012年12月纽瓦克贝斯以色列医疗中心中央静脉相关血流感染(CLABSIs)数量上升的问题。在成人住院人群中记录了68例clabsi,导致成人住院人群中14.7例clabsi / 1000中心线日的发生率。这远高于全国平均水平,即每1000个中心静脉注射日感染1.87例。这些感染大多发生在重症监护病房,感染率为2.86 clabsi /1,000中心线日。然而,在2013年,年比率下降到0.709 CLABSIs/1000线日,在重症监护病房观察到类似的趋势。对CLASBI数据的分析表明,实施一个多学科工作组,致力于适当的中心静脉导管插入、维持和去除不必要的中心静脉导管,可以对降低整个成年住院患者(包括重症监护病房的患者)的CLASBI发生率产生影响。
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The Reduction of Catheter-Related Blood Stream Infections through the Implementation of an Interdisciplinary Healthcare Team
In December 2012, a multidisciplinary task force was implemented to address the elevated number of central line associated boodstream infections (CLABSIs) at Newark Beth Israel Medical Center from January 2012 to December 2012. Sixty-eight CLABSIs were documented within the adult inpatient population, resulting in a rate of 14.7 CLABSIs/1,000 central line days in the adult inpatient population. This was well above the national average of 1.87 infections per 1,000 central line days. Most of these infections were noted to be within the critical care units where the rate was at 2.86 CLABSIs/1,000 central line days. However, in 2013, the annual rate was decreased to 0.709 CLABSIs/1000 line days with similar trends observed across the critical care units. Analysis of CLASBI data indicates that the implementation of a multidisciplinary task force dedicated to appropriate central line insertion, maintenance, and the removal of unnecessary central venous catheters can have an impact on reducing rates of CLASBIs throughout the adult inpatient population, including those within critical care units.
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来源期刊
Journal of Critical Care Medicine
Journal of Critical Care Medicine CRITICAL CARE MEDICINE-
CiteScore
2.00
自引率
9.10%
发文量
21
审稿时长
11 weeks
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