scholarly journals Effect of Central Venous Catheter Care Bundle Implementation on Outcomes of Critically Ill Patients

2020 ◽  
Vol 2 (1) ◽  
pp. 12
Author(s):  
Gehan A. F. Atia
Keyword(s):  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Venous Catheter ◽  
Care Bundle ◽  
Central Venous ◽  
Significant Difference ◽  
Post Test ◽  
Catheter Care

Context: Central venous access device (CVAD) bundles for insertion and maintenance demonstrate a reduction in the frequency of complications and bloodstream infection when implemented with compliance monitoring, with the reported success of CVAD bundles. Aim: This study aimed to examine the effect of central venous catheter care bundle implementation on outcomes of critically ill patients. Methods: Quasi-experimental research (pre/post-test design) used to achieve the aim of this study. The study conducted at general and surgical intensive care units affiliated to Menoufia University and teaching hospital. Two study samples recruited in this study. All nurses working at the ICUs, as mentioned above, were recruited in this study. They were 6o critical care nurses. A convenient sample of all available critically ill patients at the time of the study was subjected to treatment via a central venous catheter. Four study tools used to collect the data of this study. These are a structured interview questionnaire, CVC nurses’ knowledge assessment questionnaire, nurses’ compliance assessment checklists, and patient complications assessment records. Results: The study result showed a highly statistically significant difference between pre and post-test knowledge scores of studied nurses regarding assisting line insertion, removal, maintenance, care, and infection control practices. Besides, a highly statistically significant difference between pre and post-test scores of nurses’ compliance to central venous catheter care practices of assisting in CVC insertion, blood sample withdrawal, medication and fluid administration, CVP measurements, CVC removal, and the management of central venous line complications. The study also revealed a highly statistically significant difference between the study and control group patients regarding the central venous catheter complications. However, signs of infection were the most frequent complications in both groups. Conclusion. The study concluded that a statistically significant difference between pre and post nurses’ knowledge and compliance with the CVC care bundle. The patients’ outcomes were also improved significantly after the implementation of the CVC care bundle compared to the controls. The study recommended the adoption of the current care bundle that should be disseminated and updated following the international organizations’ recommendation for implementing evidence-based practices for successful central line-associated bloodstream infection (CLABSI) prevention.

scholarly journals Secondary bloodstream infection in critically ill patients with COVID-19

2021 ◽  
Vol 49 (12) ◽  
pp. 030006052110627
Author(s):  
Junli Zhang ◽  
Peng Lan ◽  
Jun Yi ◽  
Changming Yang ◽  
Xiaoyan Gong ◽  
...  
Keyword(s):  
Risk Factors ◽  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Critically Ill ◽  
Nasogastric Tube ◽  
Critically Ill Patients ◽  
Secondary Infection ◽  
Venous Catheter ◽  
Urethral Catheter ◽  
Central Venous

Objective Secondary infection, especially bloodstream infection, is an important cause of death in critically ill patients with COVID-19. We aimed to describe secondary bloodstream infection (SBI) in critically ill adults with COVID-19 in the intensive care unit (ICU) and to explore risk factors related to SBI. Methods We reviewed all SBI cases among critically ill patients with COVID-19 from 12 February 2020 to 24 March 2020 in the COVID-19 ICU of Jingmen First People's Hospital. We compared risk factors associated with bloodstream infection in this study. All SBIs were confirmed by blood culture. Results We identified five cases of SBI among the 32 patients: three with Enterococcus faecium, one mixed septicemia ( E. faecium and Candida albicans), and one C. parapsilosis. There were no significant differences between the SBI group and non-SBI group. Significant risk factors for SBI were extracorporeal membrane oxygenation, central venous catheter, indwelling urethral catheter, and nasogastric tube. Conclusions Our findings confirmed that the incidence of secondary infection, particularly SBI, and mortality are high among critically ill patients with COVID-19. We showed that long-term hospitalization and invasive procedures such as tracheotomy, central venous catheter, indwelling urethral catheter, and nasogastric tube are risk factors for SBI and other complications.

scholarly journals The correlation between nursing workload and bloodstream infection from central venous catheter in ICU

2019 ◽  
Vol 2 (1) ◽  
pp. 63 ◽  
Author(s):  
Olga Michali ◽  
Georgios Argyriou ◽  
Georgia Xristopoulou ◽  
Theodore Kapadohos ◽  
Georgios Vasilopoulos ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Critically Ill ◽  
Venous Catheter ◽  
Care Quality ◽  
Nursing Workload ◽  
Statistical Criterion ◽  
Central Venous ◽  
Significant Difference ◽  
The Impact

Introduction: Bloodstream infection associated with the presence of central venous catheters is the second most common hospital infection in the Intensive Care Unit (ICU). The nursing stuff is an essential part of the human resources of the ICU which contributes substantially to provide holistic and effective care to critically ill patients. The level of the nursing workload and its possible influence on the clinical course and outcome of critically ill ICU patients has been systematically studied in recent years. Mainly, was studied the connection with the care quality indicators such as mortality and infections Aim: The purpose of this study was to estimate the nursing workload in the ICU and to investigate the impact of bloodstream infection from Central Venous Catheter (CLABSI). Methods: The study sample consisted of 39 patients who were hospitalized in a multidisciplinary ICU in a 3 month period. For the detection of bloodstream infections we used the surveillance definition of CDC/NHSN for in vitro confirmed bloodstream infection (CLABSI). Measurement of nursing workload was via the NAS scale and the calculation was performed for each patient once existed or entering the ICU from baseline and constantly on a daily basis. A comparison of the quantitative variables was done with the statistical criterion Pearson’s x 2 , to compare the bisectors qualitative variables selected quantitative variables was used the t-test analysis and MannWhitney test. Results: Of the total sample, 74,4% (n = 29) were male, with a mean age 59 ± 21 years. The duration of ICU stay was 24 ± 23 days and mortality was 41%. The duration of hospitalization was 28 ± 24 days and the corresponding mortality of 46.2%. All correlations presented no statistically significant difference than the first day’s NAS in which appears the biggest difference between the values (p=0,046) but the NAS of the patients who did not develop bacteremia be more increased over those experienced. Conclusions: The nursing workload in our study did not prove as a risk factor for the occurrence of bloodstream infection in the ICU.

scholarly journals Needleless Closed System Does Not Reduce Central Venous Catheter-Related Bloodstream Infection: A Retrospective Study

2013 ◽  
Vol 98 (1) ◽  
pp. 88-93 ◽  
Author(s):  
Mitsuru Ishizuka ◽  
Hitoshi Nagata ◽  
Kazutoshi Takagi ◽  
Keiichi Kubota
Keyword(s):  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Closed System ◽  
Venous Catheter ◽  
Time Interval ◽  
Central Venous ◽  
Significant Difference ◽  
Group 2 ◽  
Colorectal Cancer Patients ◽  
Catheter Related Bloodstream Infection

Abstract The needleless closed system (NCS) has been disseminated in several clinical fields to prevent central venous catheter–related bloodstream infection (CVC-RBSI), in place of the conventional Luer cap system (LCS). The purpose of this study is to examine whether NCS is really superior to conventional LCS for prevention of CVC-RBSI. Between May 2002 and December 2008, 1767 patients received CVC in our department. The time interval from insertion to development of CVC-RBSI was compared retrospectively between selected patients who were treated using the conventional LCS (group 1, n = 89, before June 2006) and the NCS (group 2, n = 406, June 2006 and after). Kaplan-Meier analysis revealed no significant difference in the time interval from insertion to development of CVC-RBSI between the two groups. NCS does not reduce CVC-RBSI in adult colorectal cancer patients who undergo CVC insertion.

Dialysis and central venous catheter infections in critically ill patients: Results of a prospective study

1999 ◽  
Vol 27 (11) ◽  
pp. 2394-2398 ◽  
Author(s):  
Bertrand Souweine ◽  
Ousmane Traore ◽  
Bruno Aublet-Cuvelier ◽  
Laurence Badrikian ◽  
Laurent Bret ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Prospective Study ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Venous Catheter ◽  
Central Venous ◽  
A Prospective Study ◽  
Catheter Infections

scholarly journals Clinical practice guidelines for the management of central venous catheter for critically ill patients

2018 ◽  
Vol 2 ◽  
pp. 53-53
Author(s):  
Zhongheng Zhang ◽  
Claudia Brusasco ◽  
Antonio Anile ◽  
Francesco Corradi ◽  
Maryanne Mariyaselvam ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Central Venous Catheter ◽  
Critically Ill ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Critically Ill Patients ◽  
Venous Catheter ◽  
Central Venous

scholarly journals Agitated Saline Bubble−Enhanced Ultrasound for Assessing Appropriate Position of Hemodialysis Central Venous Catheter in Critically Ill Patients

2017 ◽  
Vol 2 (5) ◽  
pp. 952-956 ◽  
Author(s):  
Rogerio da Hora Passos ◽  
Michel Ribeiro ◽  
Julio Neves ◽  
Joao Gabriel Rosa Ramos ◽  
Adelmo Vinicius Lima Oliveira ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Venous Catheter ◽  
Central Venous

scholarly journals Cost-Effectiveness of a Central Venous Catheter Care Bundle

PLoS ONE ◽  
2010 ◽  
Vol 5 (9) ◽  
pp. e12815 ◽  
Author(s):  
Kate A. Halton ◽  
David Cook ◽  
David L. Paterson ◽  
Nasia Safdar ◽  
Nicholas Graves
Keyword(s):  
Cost Effectiveness ◽  
Central Venous Catheter ◽  
Venous Catheter ◽  
Care Bundle ◽  
Central Venous ◽  
Catheter Care
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