The Impact of Bedside Behavior on Catheter-Related Bacteremia in the Intensive Care Unit

Coopersmith, Craig M.; Zack, Jeanne E.; Ward, Myrna R.; Sona, Carrie; Schallom, Marilyn; Everett, Sharon; Huey, Way Y.; Garrison, Teresa; McDonald, Jan; Buchman, Timothy G.; Boyle, Walter A.; Fraser, Victoria J.; Polish, Louis B.

doi:10.1001/archsurg.139.2.131

Cited by 81 publications

(49 citation statements)

References 47 publications

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“…17 Adherence to these guidelines has been included in successful quality improvement initiatives. 4,5,18 Compared to internists' adherence to recommendations for infection control reported in another survey, 10 residents who attended our educational session reported more use of large sterile drapes (94% vs. 35%) or masks (75% vs. 66%); however, they were less likely to use a sterile gown (50% vs. 72%). Use of a large sterile drape is common in our hospital, likely because the drape is included in the central venous catheter package.…”

Section: Discussionmentioning

confidence: 65%

Firm‐based trial to improve central venous catheter insertion practices

Miranda

Trick

Evans

et al. 2007

Journal of Hospital Medicine

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BACKGROUNDCentral venous catheters placed in femoral veins increase the risk of complications. At our institution, residents place most catheters in the femoral vein.OBJECTIVEDetermine whether a hands‐on educational session reduced femoral venous catheterization and improved residents' confidence and adherence to recommendations for infection control.DESIGNFirm‐based clinical trial between November 2004 and March 2005.SETTINGGeneral medical wards of Cook County (Stroger) Hospital (Chicago, IL), a public teaching hospital.PARTICIPANTSInternal medicine residents (n = 150).INTERVENTIONBefore their 4‐week rotation, intervention‐firm residents received a lecture and practiced placing catheters in mannequins; control‐firm residents received the usual training.MEASUREMENTSVenous insertion site, adherence to recommendations for infection control, knowledge and confidence about catheter insertion, and catheter‐associated complicationsRESULTSResidents inserted 54 catheters, or 0.24 insertions per resident per 4‐week rotation. There was a nonsignificant decrease in femoral insertions for nondialysis catheters in the intervention group compared to the control group (44% vs. 58%), difference: −14% (95% CI, −52% to 24%). The intervention significantly increased residents' knowledge of complications related to femoral vein catheterization and temporarily increased their confidence about placing internal jugular or subclavian venous catheters. Intervention‐group residents were more likely to use masks during catheterization (risk ratio, 2.2; 95% CI, 1.3‐2.7), but other practices were similar.CONCLUSIONSOur intervention improved residents' knowledge of complications and use of masks during catheter insertion; however, it did not significantly change venous insertion sites. Catheter insertions on our general medicine wards are infrequent, and the skills acquired during the skills‐building session may have deteriorated given the few clinical opportunities for reinforcement. Journal of Hospital Medicine 2007;2:135–142. © 2007 Society of Hospital Medicine.

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Section: Discussionmentioning

confidence: 65%

Firm‐based trial to improve central venous catheter insertion practices

Miranda

Trick

Evans

et al. 2007

Journal of Hospital Medicine

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“…Página 412 Zack JE (12) 2008 MEDLINE/ AJIC Zeroing in on zero tolerance for central line-associated bacteremia Coopersmith CM Zack JE Ward MR Sona CS Scallon ME Everett SJ (13) (22) 2007 MEDLINE; Am J Crit Care…”

Section: Nº 34 Abril 2014mentioning

confidence: 99%

“…En otro estudio realizado en los Estados Unidos (13) se buscó verificar si un programa educativo puede disminuir el número de ICS asociada a CVC en la UCI. Se observaron múltiples deficiencias en una auditoría a la cabecera del paciente después de la realización de un programa educativo.…”

Section: Nº 34 Abril 2014unclassified

Acciones y/o intervenciones de enfermería para la prevención de infecciones hospitalarias en pacientes gravemente enfermos: una revisión integrativa

Calil¹,

Valente

Silvino³

2014

eglobal

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Nº 34 Abril 2014Página 406 REVISIONESAcciones y/o intervenciones de enfermería para la prevención de infecciones hospitalarias en pacientes gravemente enfermos: una revisión integrativa RESUMENObjetivo: Identificar en la literatura publicada desde 1997 las acciones o intervenciones de enfermería para la prevención de las infecciones nosocomiales en pacientes adultos en estado crítico.Método: Revisión integradora de las fuentes de información por parte de la BVS (Biblioteca Virtual en Salud), incluyendo IBECS LILACS, Cochrane Library, MEDLINE y PubMed y SciELO. Se utilizaron las siguientes palabras clave: Infección hospitalaria, unidad de cuidados intensivos y enfermería, en un recorte temporal de 1997 a 2011.Resultados: Se analizaron 29 artículos, 28 estaban disponibles en línea completa y la revista está disponible en la biblioteca. Para analizar los datos obtenidos se utilizó la lectura interpretativa y el análisis temático emergiendo las siguientes categorías: higiene de las manos, intervenciones educativas, introducción de las Nuevas Tecnologías en Salud, Higiene Bucal, aspiración de contenido gástrico, decúbito y el cambio de elevación de la cabecera de la cama.Conclusión: Es posible concluir que las acciones o intervenciones de enfermería para la prevención de las infecciones nosocomiales que con mayor frecuencia aparecen en la literatura están relacionadas con las topografías torrente sanguíneo y tracto respiratorio además de lavado de manos y ejercen influencia en la reducción de la incidencia de infecciones nosocomiales. Existen pocos estudios en Brasil, siendo necesarios incentivar las nuevas investigaciones en esta área.

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“…Infection rates decreased from 4.9 to 2.1 cases per 1,000 catheter days. The effectiveness of a self-study module combined with posters, fact sheets and lectures has since been further demonstrated in the ICU setting, with several studies showing significant decreases in catheter-related bloodstream infection (CRBSI) [17,[26][27][28], VAP [18,29] and hand hygiene adherence [30].…”

Section: Critical Care Healthcare Workersmentioning

confidence: 99%