Impact of Changes in Catheter Management on Infectious Complications among Children with Central Venous Catheters

Abstract

Education and changes in management protocols reduced the incidence of exit-site infections among all patients and reduced the overall infectious complication rate among the infants receiving parenteral nutrition on the surgical service. Other interventions are needed to decrease further the infectious complications in these children.

Short peripheral venous catheters: effect of evidence-based guidelines on insertion, maintenance and outcomes in a university hospital

“…[1][2][3][4][5][6][7][8][9][10][11] Previous uni-or multi-dimensional intervention strategies to improve catheter practice [12][13][14][15][16][17][18] have successfully decreased the frequency of complications associated with intravenous devices. Nevertheless, to the best of our knowledge, this study is the first published evaluation of implementing guidelines to improve the use of SPVCs.…”

Survey of Knowledge, Beliefs, and Practices of Neonatal Intensive Care Unit Healthcare Workers Regarding Nosocomial Infections, Central Venous Catheter Care, and Hand Hygiene

“…2 Standardization of care and staff education can reduce central venous catheter-related nosocomial infection rates. 3 It has also been suggested that the hands of healthcare workers play a significant role in the transmission of nosocomial pathogens. 4 Artificial fingernails and rings of healthcare workers have both been associated with higher bacterial colony counts on the hands.…”

Preventing healthcare-associated infection through education: Have surgeons been overlooked?

“…Here, protocols regarding the cleaning and dressing of the CVC insertion site, as well as CVC access, were promoted through posters and teaching sessions. As a result, infection rates among infants on surgical services fell from 15.46 to 6.67/1,000 catheter days [15]. A U.S. study provided nursing staff with unit-specific urinary tract infection (UTI) rates as an educational intervention combined with a video reviewing catheter care.…”

“…Many studies over the last 10 years have demonstrated success in educating nursing staff [14,15] , critical care healthcare workers [16][17][18] as well as medical students and junior doctors [19] in the infection prevention and control of infection. The success of these numerous programmes is striking compared to the paucity of such interventions in the surgical arena.…”