scholarly journals Positive effect of care bundles on patients with central venous catheter insertions at a tertiary hospital in Beijing, China

2020 ◽  
Vol 48 (7) ◽  
pp. 030006052094211
Author(s):  
Yuling Sun ◽  
Zhongying Bao ◽  
Yang Guo ◽  
Xiaodong Yuan
Keyword(s):  
Central Venous Catheter ◽  
Scale Score ◽  
Venous Catheter ◽  
Psychological State ◽  
Control Group ◽  
Case Group ◽  
Central Venous ◽  
Care Bundles ◽  
Self Rating ◽  
Crbsi Rate

Objective This study was performed to evaluate the effect of care bundles on the prevention of central venous catheter-related bloodstream infection (CRBSI) and improvement of patients’ experience. Methods In total, 212 patients with central venous catheter insertions were enrolled in this study. All patients were matched by sex, age, Acute Physiology and Chronic Health Evaluation II score, body mass index, department, and catheter insertion site and were randomly divided into case and control groups (n = 106 each). The control group was given conventional care, and the case group was given care bundles including nurse education, hand hygiene, maximal sterile barrier precautions, bedside observation, and evaluation. The anxiety scores, hospitalization days, CRBSI rate, and degree of satisfaction with hospitalization were compared between the two groups. Results The patients’ mean self-rating anxiety scale score and self-rating depression scale score after nursing intervention were significantly lower in the case group than in the control group. The mean number of hospitalization days and CRBSI rate were significantly lower and the satisfaction rate was significantly higher in the case group. Conclusion Care bundles are essential for preventing CRBSI. They can improve patients’ psychological state and hospitalization satisfaction and reduce the hospitalization days.

scholarly journals Bundle Approach to Reduce Bloodstream Infections in Neutropenic Hematologic

2015 ◽  
Vol 28 (4) ◽  
pp. 474
Author(s):  
Jose Manuel Martinez ◽  
Luís Leite ◽  
Daniela França ◽  
Rita Capela ◽  
Luísa Viterbo ◽  
...  
Keyword(s):  
Relative Risk ◽  
Central Venous Catheter ◽  
Bloodstream Infections ◽  
Mechanical Valve ◽  
Venous Catheter ◽  
Positive Pressure ◽  
Control Group ◽  
Study Group ◽  
Central Venous

<p><strong>Introduction:</strong> The objective of the study was to reduce, by a bundle of interventions, the global bloodstream infections and catheterrelated bloodstream infections rates in neutropenic hematology patients with a long-term central venous catheter.<br /><strong>Material and Methods:</strong> This was a non-randomized prospective study. It was conducted in a 20-bed hematology oncology unit (Portuguese Institute of Oncology, Porto, Portugal) between 1st of August 2010 and 31st of January 2012. In this period we introduced a bundle of interventions (study group) and compared the results with the six months prior to implementation (control group). The interventions consisted in the use of a neutral pressure mechanical valve connector instead of a positive pressure mechanical valve connector, a more frequent change of this connector and a more efficient clean solution. One hundred and sixteen hematology patients with a long-term central venous catheter at time superior of 72 h, with 8 867 central venous catheter days [6 756 central venous catheter days in the study group and 2 111 central venous catheter days in the control group] were included in the study.<br /><strong>Results:</strong> A significant reduction in bloodstream infections rates and catheter-related bloodstream infections rates was achieved. Bloodstream infections rates: [32.69 (control group) vs. 9.43 (study group)], incidence reduction 71% [relative risk 0.2886, CI 95% (0.1793 – 0.4647), p &lt; 0.001] and catheter-related bloodstream infections rates: [17.53 (control group) vs. 4.73 (study group)], incidence reduction 71% [relative risk 0.2936, CI 95% (0.1793 – 0.5615), p &lt; 0.014]. No significant difference (p &gt; 0.05) was found in the neutrophil count at the time of blood culture samples between groups: 69% (&lt; 500 neutrophils/mm3) [71% (study group) vs. 68% (control group)].<br /><strong>Conclusions:</strong> The introduction of this bundle of interventions based on the variables of patient, product and practice, supported by the Healthcare and Technology Synergy framework, quickly resulted in a significant reduction of bloodstream infections and catheterrelated bloodstream infections rates.</p>

scholarly journals Central venous catheter based closed thoracic drainage in the treatment of tuberculous pleuritis

2019 ◽  
Vol 35 (4) ◽  
Author(s):  
Ling Song ◽  
Yueling Zhang ◽  
Qiong Jia
Keyword(s):  
Quality Of Life ◽  
Treatment Group ◽  
Central Venous Catheter ◽  
Venous Catheter ◽  
Control Group ◽  
Central Venous ◽  
Thoracic Drainage ◽  
Significant Difference ◽  
Tuberculous Pleurisy

Objective: To explore the clinical effect of central venous catheter closed thoracic drainage in the treatment of tuberculous pleurisy. Methods: One hundred and four patients with tuberculous pleurisy who were admitted to Binzhou People’s Hospital from August 2016 to August 2017 were divided into a control group and a treatment group according to random number table method, 52 each. The control group was treated with conventional pleural puncture and drainage, while the treatment group was treated with closed central venous catheter based thoracic drainage. The clinical efficacy, improvement time of clinical symptoms, total volume of drainage, pleural thickness, and improvement of quality of life and occurrence of adverse reactions were compared between the two groups. Results: Pleural effusion, fever and chest tightness of the treatment group disappeared earlier (P<0.05); the hospitalization time in the treatment group was less than that in the control group (P<0.05); the total amount of drainage in the treatment group was lower than that in the control group (P<0.05); the pleural thickness of the treatment group was higher than that in the control group (P<0.05); the quality of life score in the treatment group was significantly higher than that in the control group (P<0.05). The total effective rates of the treatment group and the control group were 93.5% and 85%, respectively, with a significant difference (P<0.05). The incidence of adverse reactions in the treatment group was significantly lower than that in the control group, with a significant difference (P<0.05). Conclusion: Central venous catheter based closed thoracic drainage is more effective than conventional thoracic puncture and drainage in the treatment of tuberculous pleurisy. It can accelerate the improvement of clinical symptoms, improve the quality of life of patients, and reduce the incidence of complications. It is worth popularizing and applying. doi: https://doi.org/10.12669/pjms.35.4.63 How to cite this:Song L, Zhang Y, Jia Q. Central venous catheter based closed thoracic drainage in the treatment of tuberculous pleuritis. Pak J Med Sci. 2019;35(4):---------. doi: https://doi.org/10.12669/pjms.35.4.63 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Improving compliance with central venous catheter care bundles using electronic records

2015 ◽  
Vol 20 (4) ◽  
pp. 196-203 ◽  
Author(s):  
Andrew Hermon ◽  
Terina Pain ◽  
Penelope Beckett ◽  
Heather Jerrett ◽  
Nicola Llewellyn ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Venous Catheter ◽  
Electronic Records ◽  
Central Venous ◽  
Care Bundles ◽  
Catheter Care

scholarly journals Educating intensive care unit nurses to use central venous catheter infection prevention guidelines: effectiveness of an educational course

2018 ◽  
Vol 23 (5) ◽  
pp. 406-413 ◽  
Author(s):  
Sami Aloush
Keyword(s):  
Central Venous Catheter ◽  
Venous Catheter ◽  
Control Group ◽  
Central Venous ◽  
Prevention Guidelines ◽  
Central Venous Catheter Infection ◽  
Intensive Care Unit Nurses ◽  
Educational Course ◽  
Experimental Group ◽  
Nurses Knowledge

Background Nurses' knowledge of central venous catheter-related infection (CVC-RI) prevention guidelines is poor, indicating that nurses do not receive proper education about these guidelines. Aim The aim of this study was to evaluate the effectiveness of an educational course that aimed to improve nurses' knowledge about CVC-RI prevention guidelines. Method A sample of 131 nurses were randomly assigned to the experimental group (received an educational course) or control group (received no education). Pre-Post data were collected using a structured questionnaire that included a 23-item knowledge assessment. Results In the pre-test, all participants demonstrated poor knowledge, with mean scores of 8.2 (standard deviation = 3.6). After completion of the course, knowledge was significantly improved in the experimental group, whereas the control group showed no change ( t(106,3) = 25.1, p = 0.00). Conclusions An educational course on CVC-RI prevention guidelines had an encouraging effect. Decision makers are recommended to implement such courses in their settings to improve nurses' competency.

scholarly journals Pregnancy Outcome in Late-onset Severe OHSS Patients Following Different Ascetic Fluid Drainage and Comparison With the Non-OHSS IVF Patients

2020 ◽  
Author(s):  
Ren YUN ◽  
rong li ◽  
Yang Shuo ◽  
Yang Rui ◽  
Song Dong hong ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Pregnancy Outcome ◽  
Live Birth ◽  
Late Onset ◽  
Multiple Pregnancy ◽  
Venous Catheter ◽  
Control Group ◽  
Central Venous ◽  
Significant Difference ◽  
Severe Ohss

Abstract Introduction： Ovarian hyperstimulation syndrome (OHSS) is an iatrogenic serious complication during assisted reproductive technology, the aim of our research is to explore the differences of pregnancy outcome between severe OHSS patients and the non-OHSS IVF patients, and also compare the pregnancy outcome of different ascites drainage way of severe OHSS patients.Design: This is a retrospective cohort analysis carried out in a University-affiliated reproductive center from 2012 to 2019 ,between 359 women with severe OHSS following ascites draining and 345 non-OHSS women (matched by age and retrieved oocyte number).We examined the rates of clinical pregnancy, multiple pregnancies, miscarriage, live birth and preterm delivery between the two groups. Within the OHSS group (central venous catheter group vs paracentesis group), odds ratios (ORs) and 95% confidence intervals (CIs) of measure of clinical pregnancy were also analyzed.Result： The biochemical pregnancy loss rate of non-OHSS patients was significantly higher than that of severe OHSS patients (11.1% vs 0.6%) , the live birth, multiple pregnancy (twin pregnancy ) was much more in severe OHSS group than in control group(88.9% vs 73.5%; 57.6% vs 28.1% respectively), and there was no significant difference between singleton and twin preterm rate and neonatal birth weight between OHSS and control group. Binary logistic regression analysis revealed multiple pregnancy and long-protocol showed relatively high odds ratio, suggest that thelong-protocol of COS and multiple pregnancy are the risk factor of severe OHSS.Among severe OHSS following ascites draining, in comparison with abdominal paracentesis and central venous catheter, the ascites volume in central venous catheter group was much more than abdominal paracentesis group, there was significant difference between the two groups. There was no significant difference between the two groups in comparison of live birth, and the birth weight of singleton and twin between these two groups. but the premature birth rate of singleton in group 1 was 9.3% (10/107), whereas in group 2, it was 3.75%.Conclusion： In conclusion, this preliminary report suggests that for the IVF-ET patients, less basic follicle number, GnRH antagonist cycle, singleton maybe the protective factors for the late-onset OHSS. Paracentesis and central venous catheter are all the effective modality to manage the ascites for the severe OHSS patients. For the patients who have the possibility of repeated paracentesis, catheter is a safe and effective way.

Preparation of Silver Ion Antimicrobial Dressings and Prevention and Treatment of Central Venous Catheter-Related Infection on Burn Wounds of Critically Burned Patients

2022 ◽  
Vol 12 (1) ◽  
pp. 146-152
Author(s):  
Na Li ◽  
Xi Li ◽  
Juan Li ◽  
Meng Yang ◽  
Liqing Ren ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Chemical Properties ◽  
Venous Catheter ◽  
Control Group ◽  
Central Venous ◽  
Burn Wound ◽  
Nano Silver ◽  
Burn Wounds ◽  
Prevention And Treatment ◽  
Physical And Chemical

To further understand the characteristics of Ag+ antimicrobial dressings and its application value in the prevention and treatment of infections in burn patients, in the study, the Ag+ gel dressings were prepared and their physical and chemical characteristics were analyzed, and relationship between the gel dressing and central venous catheter (CVC)-related infections was further explored. The results showed that silver nitrate was made into nano silver particles, and its structure was clearly visible under microscope, and nano silver was further applied to preparation of Ag+ antibacterial dressings. Fibrocytes were clearly visible in Ag+ gel dressing and arranged uniformly, which indicated that Ag+ gel dressing had good compatibility with biological materials and had no obvious toxicity. Further clinical trials showed that Ag+ gel dressing can effectively reduce CVC-related infections. From 1 to 4 weeks of the experiment, the bacterial infection rate in burn wounds and blood of the treatment group (TG), which applied Ag+ gel dressing, was lower than the control group (P < 0.05). During the treatment, the burn healing rate of the TG was also greatly higher than the control group (P < 0.05). In addition, the burn wound exudate in the TG was greatly less than the control group (P < 0.05). In summary, the Ag+ gel dressing prepared has good biological and physical and chemical properties, which have bright prospects in the prevention and treatment of burn wounds and CVC-related infections. This study provides an experimental basis for clinical application of Ag+ gel dressing.

scholarly journals The effect of silver-impregnated catheters on catheter colonization and catheter-related bloodstream infection: a comparison between silver-impregnated and standard catheter

2017 ◽  
Vol 5 (5) ◽  
pp. 1737
Author(s):  
Mohammad Ali Abu Sa'aleek
Keyword(s):  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Bacterial Colonization ◽  
Intervention Group ◽  
Venous Catheter ◽  
Control Measures ◽  
Control Group ◽  
Catheter Colonization ◽  
Central Venous ◽  
Catheter Related Bloodstream Infection

The use of antimicrobial central catheter is common in clinical practice to prevent catheter colonization, therefore preventing catheter-related blood stream infection (CRBSI). This paper aims to evaluate evidence from the literature in order to illustrate the effectiveness of one of the most common antimicrobial central catheters, chlorhexidine/silver sulfadiazine central venous catheter, in the prevention of bacterial colonization and CRBSI. Several studies have been selected including randomized control trails (RCTs), meta-analysis and systematic review. The seven RCTs included a total number of 2346 catheters. The patients were either assigned to an intervention group (silver-impregnated central venues catheter) or a control group (standard catheter). These studies were conducted in the USA, Europe, Australia and Brazil from 2004 until 2012. The results revealed that there was a discrepancy in the effectiveness of using silver-impregnated central venous catheter in prevention of catheter colonization and catheter- related bloodstream infection. More recent randomized studies are needed to solve this discrepancy, with a focus on following of infection control measures as the golden standard to prevent colonization and reduction of CRBSI.

scholarly journals GLUCOCORTICOSTEROID DURING PATCH APPLICATION TO IMPROVE SCAR OUTCOME AFTER CENTRAL VENOUS CATHETER. A RANDOMIZED TRIAL

2021 ◽  
Author(s):  
Ida Bo Nissen ◽  
Mette Møller Handrup ◽  
Karen Bang ◽  
Henrik Hasle
Keyword(s):  
Placebo Group ◽  
Central Venous Catheter ◽  
Fusidic Acid ◽  
Intervention Group ◽  
Venous Catheter ◽  
Control Group ◽  
Neoplastic Disease ◽  
Central Venous ◽  
Silicone Gel ◽  
Significant Difference

Introduction: Children treated for cancer with a central venous catheter are often bothered by scarring. We studied whether glucocorticosteroid during patch occlusion has a beneficial effect on scar outcome in children and adolescents treated for neoplastic disease. Methods: A double-blinded placebo-controlled randomized clinical trial was performed. The main outcome was the Vancouver Scar Scale (VSS). Secondary outcomes were scar width and scar quality measured using the Patient and observer scar assessment (POSAS). The patients were divided into an intervention groups and a control group. The intervention group was randomized into two groups; Active and placebo group. The active treatment consisted of cream with glucocorticosteroid and fusidic acid. The placebo treatment consisted of cream with fusidic acid. Both groups were also treated with a silicone gel patch for three months after central venous catheter removal. The control group did not receive any specific skin care. Results: Assessment at 6 months were completed for 44 in the intervention group (21 in the active and 23 in the placebo group) and 47 in the comtrol group. The intervention group had a significantly lower VSS and a smaller scar compared to the control group (p = 0.00, p = 0.02). The POSAS by the patients and the study nurse showed no significant difference between the intervention and control groups (p = 0.84, p= 0.36). Conclusions: Silicone gel sheet alone or in combination with application of glucocorticosteroid during sheet occlusion improved scar outcome after removal of central venous catheter in children treated for neoplastic diseases.

scholarly journals Clinical Analysis of the Treatment of Exudative Tuberculous Pleurisy with Central Venous Catheter Drainage

2015 ◽  
Vol 4 (4) ◽  
pp. 1
Author(s):  
Aijun Jia
Keyword(s):  
Treatment Group ◽  
Central Venous Catheter ◽  
Clinical Effect ◽  
Venous Catheter ◽  
Clinical Analysis ◽  
Control Group ◽  
Central Venous ◽  
Catheter Drainage ◽  
Tuberculous Pleurisy ◽  
Positive Effect

<p><strong>Objective:</strong> To evaluate the clinical effect of the treatment of exudative tuberculous pleurisy with central venous catheter drainage. <strong>Methods:</strong> 60 cases of exudative tuberculous pleurisy were divided into two groups. The treatment group was treatedwith central venous catheter drainage, while the control group was treated with multipleconventional thoracentesis. <strong>Results:</strong> The clinical effect of the treatment group was significantlyhigher in comparison to the control group (<em>p</em> &lt; 0.01). The adverse reaction of the treatment group was significantly lower in contrast to the control group (<em>p</em> &lt; 0.01). <strong>Conclusion:</strong> Application of central venous catheter drainage in the treatment of exudativetuberculous pleurisy revealed a positive effect, by showing less adverse reaction.Therefore, the treatment is worth to be promoted for clinical application.</p>

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