American journal of infection control
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Am J Infect Control · Aug 2010
A multimodal approach to central venous catheter hub care can decrease catheter-related bloodstream infection.
This study was conducted to investigate decreases in catheter-related bloodstream infections (CRBSIs) through an evidence-based multimodal intervention. ⋯ This study demonstrates significant decreases in CRBSI rate for all catheter types and birth weight categories associated with the multimodal intervention. Audiovisual education is an effective tool for practice change. Reeducation and compliance monitoring should be part of all nosocomial infection prevention strategies, resulting in significant savings in health care costs.
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Am J Infect Control · Aug 2010
Health-associated infections in a pediatric nephrology unit in China.
Health care-associated infection (HAI) in children is associated with morbidity and mortality, prolonged hospital stay, and increased health care costs. We report the prevalence of HAIs in children admitted to the pediatric nephrology unit of a large tertiary care pediatric hospital in China between 2000 and 2008. ⋯ The incidence of HAI in a pediatric nephrology ward decreased over an 8-year period, associated with a surveillance program and education directed at hand hygiene and appropriate antibiotic use. Despite a strict visitor policy, respiratory tract infection was the most common HAI seen.
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Am J Infect Control · Aug 2010
Impact of a program to prevent central line-associated bloodstream infection in the zero tolerance era.
Central line-associated bloodstream infection (CLABSI) is one of the most important health care-associated infections in the critical care setting. ⋯ These results suggest that reducing CLABSI rates in an ICU setting is a complex process that involves multiple performance measures and interventions that can also be applied to SDU settings.
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Am J Infect Control · Aug 2010
Effectiveness of a catheter-associated bloodstream infection bundle in a Thai tertiary care center: a 3-year study.
We sought to determine the long-term impact of "bundled" infection control interventions on the rates of catheter-associated bloodstream infection (CA-BSI) in a middle-income country. ⋯ Bundled infection control practices are feasible and effective in sustaining reduced incidence of CA-BSI in patients with central venous catheters in a resource-limited setting.
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Am J Infect Control · Aug 2010
Reduction in central line-associated bloodstream infections by implementation of a postinsertion care bundle.
Central line-associated bloodstream infections (CLABSIs) cause substantial morbidity and incur excess costs. The use of a central line insertion bundle has been shown to reduce the incidence of CLABSI. Postinsertion care has been included in some studies of CLABSI, but this has not been studied independently of other interventions. ⋯ This study demonstrates that implementation of a central venous catheter postinsertion care bundle was associated with a significant reduction in CLABSI in a setting where compliance with the central line insertion bundle was already high.