The effectiveness of a nurse-initiated intervention to reduce catheter-associated bloodstream infections in an urban acute hospital: An intervention study with before and after comparison

Tsuchida, Tetsuo; Makimoto, Kiyoko; Toki, Masayo; Sakai, Keiko; Onaka, Emiko; Otani, Yoshiko

doi:10.1016/j.ijnurstu.2006.07.008

Cited by 31 publications

(14 citation statements)

References 25 publications

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“…Use a catheter checklist to ensure adherence to infection prevention practices at the time of CVC insertion (B-II). 23,29 a. Use a checklist to ensure and document compliance with aseptic technique.…”

Section: Infrastructure Requirementsmentioning

confidence: 99%

Strategies to Prevent Central Line–Associated Bloodstream Infections in Acute Care Hospitals

Marschall

Mermel

Classen

et al. 2008

Infect. Control Hosp. Epidemiol.

387

251

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Previously published guidelines are available that provide comprehensive recommendations for detecting and preventing healthcare-associated infections. The intent of this document is to highlight practical recommendations in a concise format designed to assist acute care hospitals in implementing and prioritizing their central line–associated bloodstream infection (CLABSI) prevention efforts. Refer to the Society for Healthcare Epidemiology of America/Infectious Diseases Society of America “Compendium of Strategies to Prevent Healthcare-Associated Infections” Executive Summary and Introduction and accompanying editorial for additional discussion.1. Patients at risk for CLABSIs in acute care facilitiesa. Intensive care unit (ICU) population: The risk of CLABSI in ICU patients is high. Reasons for this include the frequent insertion of multiple catheters, the use of specific types of catheters that are almost exclusively inserted in ICU patients and associated with substantial risk (eg, arterial catheters), and the fact that catheters are frequently placed in emergency circumstances, repeatedly accessed each day, and often needed for extended periods.b. Non-ICU population: Although the primary focus of attention over the past 2 decades has been the ICU setting, recent data suggest that the greatest numbers of patients with central lines are in hospital units outside the ICU, where there is a substantial risk of CLABSI.2. Outcomes associated with hospital-acquired CLABSIa. Increased length of hospital stayb. Increased cost; the non-inflation-adjusted attributable cost of CLABSIs has been found to vary from $3,700 to $29,000 per episode

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Section: Infrastructure Requirementsmentioning

confidence: 99%

Strategies to Prevent Central Line–Associated Bloodstream Infections in Acute Care Hospitals

Marschall

Mermel

Classen

et al. 2008

Infect. Control Hosp. Epidemiol.

387

251

View full text Add to dashboard Cite

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“…A bundle approach to central venous catheter (CVC) insertion and care (12,13,82,83) has proven to be effective in substantially reducing the rate of CR-BSI. Nurses play a key role in preventing CR-BSI through the activities outlined above.…”

Section: Rationalementioning

confidence: 99%

Nursing considerations to complement the Surviving Sepsis Campaign guidelines

Aitken

Williams

Harvey

et al. 2011

Critical Care Medicine

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This is the unspecified version of the paper.This version of the publication may differ from the final published version. Permanent repository link Financial supportThis project was conducted under the auspices of the World Federation of Critical CareNurses (WFCCN), and no sponsorship or funding was received for this project. NURSING CONSIDERATIONS TO COMPLEMENT THE SURVIVING SEPSIS CAMPAIGN GUIDELINES ABSTRACTObjective: To provide a series of recommendations, based on the best available evidence, to guide clinicians providing nursing care to patients with severe sepsis.Design: Modified Delphi method involving international experts and key individuals in subgroup work and electronic-based discussion among entire group to achieve consensus.Methods: We used the Surviving Sepsis Campaign Guidelines (SSC) as a framework to inform the structure and content of these guidelines. We used the Grades of Recommendation, Assessment, Development and Evaluation (GRADE) system to rate the quality of evidence from high (A) to very low (D) and to determine the strength of recommendations, with grade1indicating clear benefit in the septic population and grade 2 indicating less confidence in the benefits in the septic population. In areas without complete agreement between all authors a process of electronic discussion of all evidence was undertaken until consensus was reached.This process was conducted independently of any funding.Results: Sixty-three recommendations relating to the nursing care of severe sepsis patients are

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“…More importantly, they found a large portion of the sequence (41.5%) within novel or unidentified bacterial groups. It was pointed out that soil pH is likely to be one of the most important selection factors affecting the microbial community structure in different soils (Tsuchida et al 2007) and that the results were not comparable since one of the PCR primers used in the study was designed to amplify streptomycete rDNA, rather than eubacteria (Stackebrandt et al 1993). More recently, He et al (2006) studied the bacterial diversity of a forest soil sample from Toolara, Queensland, Australia, using a similar strategy.…”

Section: Culture-independent Molecular Investigationsmentioning

confidence: 99%

“…Other studies have indicated that α-Proteobacteria members were dominant in 16S rRNA gene clone libraries from nonrhizosphere forest soil samples from BC, Canada (Axelrood et al 2002), Scotland grassland rhizosphere soil (McCaig et al 1999), Australian subtropical soils (Liesack and Stackebrandt 1992;Stackebrandt et al 1993), and Siberian soils (Jin et al 2006). In contrast, Acidobacteria members were most abundant in clone libraries from Arizona pinyon pine rhizosphere and bulk soil samples (Dunbar et al 1999), Austrian oak-hornbeam and spruce-fir-beech forest soils (Hackl et al 2004), and Amazon terra preta and pristine forest soils (Tsuchida et al 2007). Such differences can most possibly be explained by differences in temperature, moisture, pH, and vegetation and could also testify the great variations of bacterial diversity in terrestrial ecosystems.…”

Section: Culture-independent Molecular Investigationsmentioning

confidence: 99%

Culture-dependent and culture-independent microbial investigation of pine litters and soil in subtropical Australia

Zhang

Patel

2009

J Soils Sediments

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Background, aim, and scope Forest plantations, widely grown for wood production, involve the selective promotion of single-tree species or replacement of natural species by exotic tree species. Slash pine (Pinus elliottii) has been chosen for reforestation of infertile sandy soils in southeast Queensland, Australia. These exotic pine plantations minimize soil and water losses and are important scientific study sites. The soil environment of these plantations, though devoid of sufficient nutrients, organic carbon and other factors, harbors innumerable bacteria that may play a crucial role in maintaining soil quality and ecosystem functions. These soil microorganisms also have the potential for use as sensitive biological indicators to reflect environmental changes. It is therefore essential to understand the interrelationships among bacterial communities and their environment by assessing their structural and functional diversity and their responses to disturbances. The main aim of our investigation was to determine the diversity of bacterial communities in forest litters and soil during the forest leaf litter decomposition using culturedependent and culture-independent techniques.Materials and methods A 25-cm (diameter)×40-cm core sample was collected and fractionated into three subsamples designated E1 (L leaf litter layer), E2 (F leaf litter layer), and E5 (0-10 cm soil layer). Both culture-dependent and culture-independent methods were applied in this study.In the culture-independent study, a strategy of wholecommunity DNA extraction, polymerase chain reaction (PCR) amplification followed by cloning and 16S rDNA sequence analysis was used; for culture-dependent study, the strategy included sample plating and bacteria isolating, DNA extraction, PCR amplification, and 16S rDNA sequence analysis. The diversity similarities between two bacterial communities and two methods are quantified using Jensen-Shannon divergence.Results From culture-dependent study, 336 colonies in total were isolated and grouped from the three subsamples, and the 16S rRNA sequence analysis from a representative isolate from each morphogroup (21 isolates) indicated that they belonged to the phyla Actinobacteria, Firmicutes, and Proteobacteria. Culture-independent assessment based on 16S rRNA gene library comprising 194 clones revealed that members of the phylum Actinobacteria were absent in the culture-independent studies. Clones in libraries from E1 consisted exclusively of members of the Firmicutes. The majority of clones from E2 were related to Firmicutes (79%) and Proteobacteria (21%). Clones derived from E5 were mostly affiliated with Acidobacterium (42%), followed by unclassified bacteria (27%), Verrucomicrobiales (12%), Proteobacteria (11%), and Planctomycetes (8%). Discussion This study showed that bacterial culturabilities in different fractions of leaf litters were similar, and both of them were higher than the bacterial culturability in the soil. Unculturable bacterial diversity in the soil, however, was much higher than the leaf...

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The effectiveness of a nurse-initiated intervention to reduce catheter-associated bloodstream infections in an urban acute hospital: An intervention study with before and after comparison

Cited by 31 publications

References 25 publications

Strategies to Prevent Central Line–Associated Bloodstream Infections in Acute Care Hospitals

Strategies to Prevent Central Line–Associated Bloodstream Infections in Acute Care Hospitals

Nursing considerations to complement the Surviving Sepsis Campaign guidelines

Culture-dependent and culture-independent microbial investigation of pine litters and soil in subtropical Australia

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