Dramatic increase of central venous catheter-related infections associated with a high turnover of the nursing team

Mirabel-Chambaud, Eléa; Nguyen, Michael; Valdeyron, Marie-Laure; Quessada, T.; Goudable, J.; Loras-Duclaux, I; Marotte, Stéphanie; Heissat, Sophie; Restier, Lioara; Lachaux, Alain; Peretti, Noël

doi:10.1016/j.clnu.2015.03.011

Cited by 11 publications

(3 citation statements)

References 19 publications

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“…The key to a successful HPN catheter care program is nursing staff with extensive experience of HPN provision alongside a robust patient training program to enable self‐care and supported by a well‐resourced multidisciplinary team, including medical doctors with an interest in IF, dietitians, and clinical pharmacists. Recent reports have demonstrated that high nursing turnover or significant service reorganizations can increase inpatient CRBSI rates even in large established HPN centers 29 . In addition, specific patients will require input from physiotherapy, psychology, and occupational therapy colleagues 9 .…”

Section: Prevention Of Catheter‐related Complications: Catheter Carementioning

confidence: 99%

Home Parenteral Nutrition: Vascular Access and Related Complications

Dibb

Lal

2017

Nut in Clin Prac

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Patients with chronic intestinal failure are dependent on parenteral nutrition (PN) to maintain health and preserve life. Maintaining safe vascular access is vital to prevent life-threatening complications such as catheter-related bloodstream infection or central venous occlusion. Dedicated central venous catheters with rigorous catheter care aseptic protocols are vital in obtaining good long-term outcomes that allow continuation of PN over many years. Good catheter care requires an experienced multidisciplinary team using appropriate vascular devices, trained to identify and aggressively treat catheter-related bloodstream infections, catheter occlusions, and catheter-related thrombosis. Consideration must also be given to evolving strategies to prevent recurrent infections, including prophylactic central venous catheter locks.

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Section: Prevention Of Catheter‐related Complications: Catheter Carementioning

confidence: 99%

Home Parenteral Nutrition: Vascular Access and Related Complications

Dibb

Lal

2017

Nut in Clin Prac

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“…Management of CVCs by highly trained nursing staff is key to maintaining low CRBSI rates,3 7 28 29 and focused training of patients and carers to manage CVCs positively impacts on CRBSI rates 3 17 30. Indeed, there is clear evidence that when CVC care is provided by dedicated highly trained nurses, the lowest CRBSI rates can be achieved 9 11 31.…”

Section: Prevention Of Crbsismentioning

confidence: 99%

Diagnosis and management of catheter-related bloodstream infections in patients on home parenteral nutrition

Bond

Chadwick

Smith

et al. 2019

Frontline Gastroenterol

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Catheter-related bloodstream infections (CRBSIs) commonly arise from a parenteral nutrition catheter hub. A target for a Nutrition Support Team is to have a CRBSI rate of less than 1 per 1000. The diagnosis of CRBSI is suspected clinically by a temperature shortly after setting up a feed, general malaise or raised blood inflammatory markers. It is confirmed by qualitative and quantitative blood cultures from the catheter and peripherally. Treatment of inpatients may involve central venous catheter removal and antibiotics for patients needing short-term parenteral nutrition, but catheter salvage is generally recommended for patients needing long-term parenteral nutrition, where appropriate.

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“…The fragility of their venous access should ensure that all hospitals develop a standard of care to minimise complications. Well-skilled and well-resourced MDTs 15 – 19 that maintain stability in terms of makeup of healthcare professionals and have clear protocols 20 , 21 do better than teams experiencing high numbers of staff changes or organisational changes 22 .…”

Section: Complications Of Intestinal Failurementioning

confidence: 99%

Intestinal failure: a review

Allan

Lal

2018

F1000Res

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Intestinal failure (IF) is the inability of the gut to absorb necessary water, macronutrients (carbohydrate, protein, and fat), micronutrients, and electrolytes sufficient to sustain life and requiring intravenous supplementation or replacement. Acute IF (types 1 and 2) is the initial phase of the illness and may last for weeks to a few months, and chronic IF (type 3) from months to years. The challenge of caring for patients with IF is not merely the management of the underlying condition leading to IF or the correct provision of appropriate nutrition or both but also the prevention of complications, whether thromboembolic phenomenon (for example, venous occlusion), central venous catheter-related bloodstream infection, IF-associated liver disease, or metabolic bone disease. This review looks at recent questions regarding chronic IF (type 3), its diagnosis and management, the role of the multidisciplinary team, and novel therapies, including hormonal treatment for short bowel syndrome but also surgical options for intestinal lengthening and intestinal transplant.

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Dramatic increase of central venous catheter-related infections associated with a high turnover of the nursing team

Cited by 11 publications

References 19 publications

Home Parenteral Nutrition: Vascular Access and Related Complications

Home Parenteral Nutrition: Vascular Access and Related Complications

Diagnosis and management of catheter-related bloodstream infections in patients on home parenteral nutrition

Intestinal failure: a review

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