scholarly journals Bloodstream infections among patients using central venous catheters in intensive care units

2007 ◽  
Vol 15 (3) ◽  
pp. 453-459 ◽  
Author(s):  
Eni Rosa Aires Borba Mesiano ◽  
Edgar Merchán-Hamann
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Analytical Study ◽  
Hospital Costs ◽  
Bloodstream Infections ◽  
Federal District ◽  
Central Venous Catheters ◽  
Central Venous ◽  
Catheter Group ◽  
The Right

Central Venous Catheters (CVC), widely used in Intensive Care Units (ICU) are important sources of bloodstream infections (BSI). This prospective cohort epidemiological analytical study, aimed to infer the incidence of BSI, the risk factors associated and evaluate the care actions related to the use of these catheters in seven ICU in the Federal District - Brasília, Brazil. From the 630 patients using CVC, 6.4% developed BSI (1.5% directly related to the catheter and 4.9% clinic BSI). The hospitalization term was 3.5 times greater among these patients. Different modalities of catheter insertion and antiseptic substances use were observed. Time of CVC permanence was significantly associated to infection incidence (p<1x10-8) as well as the right subclavian access and double-lumen catheters. Patients with neurological disorders and those submitted to tracheotomy were the most affected. We suggest the organization of a "catheter group" aiming to standardize procedures related to the use of catheters in order to reduce the hospitalization term and hospital costs.

A Simple Educational Intervention to Decrease Incidence of Central Line–Associated Bloodstream Infection (CLABSI) in Intensive Care Units with Low Baseline Incidence of CLABSI

2010 ◽  
Vol 31 (9) ◽  
pp. 964-967 ◽  
Author(s):  
Alfonso Pérez Parra ◽  
María Cruz Menárguez ◽  
María Jesús Pérez Granda ◽  
María Jesús Tomey ◽  
Belén Padilla ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Educational Intervention ◽  
Bloodstream Infections ◽  
Venous Catheter ◽  
Central Line ◽  
Central Venous ◽  
Poisson Regression Analysis ◽  
Wilcoxon Rank Sum Test ◽  
Baseline Incidence

After an educational intervention in 3 intensive care units, 34 central line-associated bloodstream infections occurred in 11,582 central venous catheter [CVC]-days, compared with 45 episodes in 10,661 CVC-days before intervention (4.22 vs 2.94 episodes per 1,000 CVC-days [30.9% reduction]; P = .03, Wilcoxon rank sum test; P = .11, Poisson regression analysis).

scholarly journals Nurses’ Performance Regarding Central Venous Catheters at Neonatal Intensive Care Units

2018 ◽  
Vol 9 (2) ◽  
pp. 302-312
Author(s):  
Shaimaa Said Mohamed Mahmoud ◽  
Iman Ibrahim Abd Al- Moniem ◽  
Hyam Refaat Tantawi
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Central Venous Catheters ◽  
Neonatal Intensive Care Units ◽  
Central Venous

Unnecessary Use of Central Venous Catheters: The Need to Look Outside the Intensive Care Unit

2004 ◽  
Vol 25 (3) ◽  
pp. 266-268 ◽  
Author(s):  
William E. Trick ◽  
Michael O. Vernon ◽  
Sharon F. Welbel ◽  
Mary F. Wisniewski ◽  
John A. Jernigan ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Public Hospital ◽  
Insertion Site ◽  
Bloodstream Infections ◽  
Central Venous Catheters ◽  
Central Venous ◽  
Icu Patients

AbstractWe developed criteria for justifiable CVC use and evaluated CVC use in a public hospital. Unjustified CVC-days were more common for non-ICU patients compared with ICU patients. Also, insertion-site dressings were less likely to be intact on non-ICU patients. Interventions to reduce CVC-associated bloodstream infections should include non-ICU patients.

scholarly journals Chlorhexidine and gauze and tape dressings for central venous catheters: a randomized clinical trial

2014 ◽  
Vol 22 (5) ◽  
pp. 764-771 ◽  
Author(s):  
Edivane Pedrolo ◽  
Mitzy Tannia Reichembach Danski ◽  
Stela Adami Vayego
Keyword(s):  
Clinical Trial ◽  
Intensive Care ◽  
Randomized Clinical Trial ◽  
Intervention Group ◽  
Bloodstream Infections ◽  
Central Venous Catheters ◽  
University Hospital ◽  
Control Group ◽  
P Value ◽  
Central Venous

OBJECTIVE: to assess the effectiveness of the chlorhexidine antimicrobial dressing in comparison to the gauze and tape dressing in the use of central venous catheters.METHOD: a randomized clinical trial was conducted in the intensive care and adult semi intensive care units of a university hospital in the south of Brazil. The subjects were patients using short-term central venous catheters, randomly assigned to the intervention (chlorhexidine antimicrobial dressing) or control (gauze and micro porous tape) groups.RESULTS: a total of 85 patients were included: 43 in the intervention group and 42 in the control group. No statistically significant differences were found between dressings in regard to the occurrence of: primary bloodstream infections (p-value = 0.5170); local reactions to the dressing (p-value = 0.3774); and dressing fixation (p-value = 0.2739).CONCLUSION: both technologies are effective in covering central venous catheters in regard to the investigated variables and can be used for this purpose. Registry ECR: RBR-7b5ycz.

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