Reducing Central Venous Catheter–Associated Primary Bloodstream Infections in Intensive Care Units Is Possible: Data From The German Nosocomial Infection Surveillance System

Zuschneid, Irina; Schwab, Frank J.; Geffers, Christine; Rüden, H.; Gastmeier, Petra

doi:10.1086/502236

Cited by 75 publications

(26 citation statements)

References 17 publications

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“…Studies in ICUs in the US, Germany, Brazil, Australia and Switzerland have shown that active surveillance and interventions can substantially reduce the number of BSIs caused by IV catheters. 8,10,11,[14][15][16][17][18] Our study confirms the findings of Meier et al 19 that this can also be done for the whole hospital. …”

Section: Discussionsupporting

confidence: 88%

Intravascular catheter bloodstream infections: an effective and sustained hospital-wide prevention program over 18 years

Kimber

Collignon

Broadrick

et al. 2017

Infection, Disease & Health

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Section: Discussionsupporting

confidence: 88%

Intravascular catheter bloodstream infections: an effective and sustained hospital-wide prevention program over 18 years

Kimber

Collignon

Broadrick

et al. 2017

Infection, Disease & Health

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“…Moreover, the informa on obtained about infec on rates must be compared with reference data to s mulate greater infec on control and eff ec ve interven ons (3) .…”

Section: Introductionmentioning

confidence: 99%

Avaliação das práticas de prevenção e controle de infecção da corrente sanguínea em um hospital governamental

Jardim

Lacerda

Soares

et al. 2013

Rev. esc. enferm. USP

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Português / Inglês www.scielo.br/reeusp RESUMO O obje vo deste estudo foi avaliar as prá cas de prevenção e controle de infecção da corrente sanguínea associada ao cateter venoso central (ICS-ACVC) de curta permanência, por meio da aplicação de indicadores clínicos processuais. A amostra foi cons tuída por 5.877 avaliações distribuídas entre as prá -cas selecionadas. Obteve-se ampla variação de conformidade: 91,6% -registro de indicação e tempo de permanência do CVC; 51,5% -cuidados e manutenção do cura vo da inserção do CVC e seus disposi vos; 10,7% -higienização das mãos na realização de procedimentos de cuidado e manutenção do CVC; 0,0% -inserção do cateter venoso central (CVC). Os resultados demonstram necessidade de elaboração de novas estratégias que assegurem conformidade duradoura para a maioria das prá cas de prevenção e controle de ICS-ACVC avaliadas. Conclui-se pela vantagem na aplicação de avaliação processual, pela possibilidade de não somente iden fi car seus índices de conformidade em relação à melhor prá ca esperada, como também favorecer, sobremaneira, reconhecimento das situações específi cas que contribuíram para os valores encontrados. DESCRITORES Cateteres Infecções relacionadas a cateter Infecção hospitalar ABSTRACTThe aim of this study was to observe clinical procedures in order to evaluate the prac ces used for the control and prevenon of bloodstream infec ons associated with short-term central venous catheters (BSI-ACVC). The study data came from 5877 assessments distributed among selected prac ces. The results revealed the following adherence rates among the prac ces selected: 91.6% for recording the indica on and permanence me of the CVC, 51.5% for adhering to the care and maintenance of the dressing at the CVC inser on site and its devices, 10.7% for hand hygiene prac ces while performing procedures related to the CVC, and 0.0% for the prac ces related to the inser on of the central venous catheter (CVC). The results demonstrate the need for further elabora on of strategies that ensure sustainable compliance prac ces for preven on and control BSI-ACVC in the ins tu on being assessed. DESCRIPTORS Catheters Catheter-related infec ons Cross infec on RESUMENEl objetivo de este estudio fue evaluar las prácticas de control y prevención de la infección del torrente sanguíneo asociadas a catéter venoso central (ITS-ACVC) estancia de corta duración a través de la aplicación de los procedimientos clínicos. La muestra consistió en 5.877 cuotas distribuidas entre las prácticas seleccionadas. Los resultados mostraron que la conformidad de las prácticas seleccionadas fueron: 0,0% para práctica de la inserción del catéter venoso central (CVC), el 91,6% para la declaración de registro y permanencia de la catéter venoso central CVC, el 51,5% de adhesión al cuidado y mantenimiento la preparación de la inserción del CVC y sus dispositivos, el 10,7% en la práctica de higienización de manos en la realización de procedimientos para el cuidado y mantenimiento de la CVC seleccionado. Los resultados demuestra...

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“…Thus, the introduction of surveillance likely motivated the HCWs to follow infection prevention measures more carefully, which then led to a decrease in infection rates [225]. Similar findings have also been reported from single NICUs.…”

Section: Surveillance Feedbacksupporting

confidence: 67%

314 Healthcare-Associated Infections in Pediatrics

SpringerReference

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Helsinki 2008 P u b l i c a t i o n s o f t h e N a t i o n a l P u b l i c H e a l t h I n s t i t u t e K T L A 1 1 / 2 0 0 8 Dr. Alexander Langmuir, 1963 Emmi Sarvikivi, Healthcare-associated infections in pediatrics Publications of the National Public Health Institute, A11/2008, 93 Pages ISBN 978-951-740-803-5; 978-951-740-804-2 (pdf-version) ISSN 0359-3584; 1458-6290 (pdf-version) http://www.ktl.fi/portal/4043 ABSTRACT Background and aims. Healthcare-associated infections (HAIs) are known to increase the risk for patient morbidity and mortality in different healthcare settings and thereby to cause additional costs. HAIs typically affect patients with severe underlying conditions, such as patients treated in intensive care units, or patients who have undergone medical procedures, e.g., surgery. HAIs are prevalent also among pediatric patients, but the distribution of the types of infection and the causative agents differ from those detected in adults. The aim of this study was to obtain information on pediatric HAIs in Finland through an assessment of the surveillance of bloodstream infections (BSIs), through two outbreak investigations in a neonatal intensive care unit (NICU), and through a study of postoperative HAIs after open-heart surgery.Methods. The Hospital for Children and Adolescents of the Helsinki University Central Hospital has participated in the BSI surveillance of the Finnish Hospital Infection Program since 1999. These data were utilized in all studies. The epidemiological features of pediatric BSIs were assessed. For the outbreak investigations, case definitions were set and data collected from microbiological and clinical records. The antimicrobial susceptibilities of the Serratia marcescens and the Candida parapsilosis isolates were determined. The S. marcescens isolates were genotyped with pulsed-field gel electrophoresis and the C. parapsilosis blood culture isolates (obtained between the years 1990 and 2002) with Southern blot hybridization by use of a DNA fingerprinting probe. Patient charts were reviewed for the case-control and cohort studies during the outbreak investigations, as well as for those patients who acquired surgical site infections (SSIs) after having undergone open-heart surgery. Also a prospective postdischarge study was conducted to detect postoperative HAIs after open-heart surgery.Results. During 1999During -2006, the overall annual BSI rate was 1.6/1,000 patient-days (range by year, 1.2-2.1). High rates (average, 4.9 and 3.2 BSIs/1,000 patient-days) were detected in hematology and neonatology units. Coagulase-negative staphylococci were the most common pathogens both hospital-wide and in each patient group. The overall mortality was 5%. The genotyping of the 15 S. marcescens isolates revealed three independent clusters. All of the 26 C. parapsilosis isolates studied proved to be indistinguishable. No common source was identified for either of the outbreaks, but the NICU was overcrowded during the S. marcescens clusters. In both investigations, low birth we...

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Reducing Central Venous Catheter–Associated Primary Bloodstream Infections in Intensive Care Units Is Possible: Data From The German Nosocomial Infection Surveillance System

Abstract: Performing surveillance with KISS was associated with a reduction of the rates of CVC-associated primary BSIs in ICU patients.

Cited by 75 publications

References 17 publications

Intravascular catheter bloodstream infections: an effective and sustained hospital-wide prevention program over 18 years

Intravascular catheter bloodstream infections: an effective and sustained hospital-wide prevention program over 18 years

Avaliação das práticas de prevenção e controle de infecção da corrente sanguínea em um hospital governamental

314 Healthcare-Associated Infections in Pediatrics

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