Review of Strategies to Reduce Central Line‐Associated Bloodstream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in Adult ICUs
| العنوان: | Review of Strategies to Reduce Central Line‐Associated Bloodstream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in Adult ICUs |
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| المؤلفون: | Payal K. Patel, Ashwin Gupta, Jessica M. Ameling, Jason Mann, Valerie M. Vaughn, Jennifer Meddings |
| المصدر: | Journal of Hospital Medicine. 13:105-116 |
| بيانات النشر: | Wiley, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Adult, Catheterization, Central Venous, medicine.medical_specialty, Quality management, Leadership and Management, Psychological intervention, MEDLINE, Assessment and Diagnosis, 01 natural sciences, 03 medical and health sciences, Patient safety, 0302 clinical medicine, Intensive care, medicine, Humans, Infection control, 030212 general & internal medicine, 0101 mathematics, Intensive care medicine, Care Planning, Infection Control, Central line, business.industry, Health Policy, 010102 general mathematics, General Medicine, Intensive Care Units, Catheter, Catheter-Related Infections, Urinary Tract Infections, Fundamentals and skills, Patient Safety, business |
| الوصف: | Central line-associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) are costly and morbid. Despite evidence-based guidelines, Some intensive care units (ICUs) continue to have elevated infection rates. In October 2015, we performed a systematic search of the peer-reviewed literature within the PubMed and Cochrane databases for interventions to reduce CLABSI and/or CAUTI in adult ICUs and synthesized findings using a narrative review process. The interventions were categorized using a conceptual model, with stages applicable to both CAUTI and CLABSI prevention: (stage 0) avoid catheter if possible, (stage 1) ensure aseptic placement, (stage 2) maintain awareness and proper care of catheters in place, and (stage 3) promptly remove unnecessary catheters. We also looked for effective components that the 5 most successful (by reduction in infection rates) studies of each infection shared. Interventions that addressed multiple stages within the conceptual model were common in these successful studies. Assuring compliance with infection prevention efforts via auditing and timely feedback were also common. Hospitalists with patient safety interests may find this review informative for formulating quality improvement interventions to reduce these infections. |
| تدمد: | 1553-5606 1553-5592 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8721d022ec0d7709a94ed1e6e133c620 https://doi.org/10.12788/jhm.2856 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....8721d022ec0d7709a94ed1e6e133c620 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15535606 15535592 |
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