Infection control and hospital epidemiology : the official journal of the Society of Hospital Epidemiologists of America
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Infect Control Hosp Epidemiol · Jan 2014
Effect of preoperative antibiotic prophylaxis on surgical site infections complicating cardiac surgery.
To evaluate the effect of an optimized policy for antibiotic prophylaxis on surgical site infection (SSI) rates in cardiac surgery. ⋯ We observed a progressive and significant decrease in SSI rates after the implementation of an infection control program that included an optimized policy of preoperative prophylaxis in cardiac surgery.
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Infect Control Hosp Epidemiol · Jan 2014
Randomized Controlled TrialRisk factors for peripheral intravenous catheter failure: a multivariate analysis of data from a randomized controlled trial.
To assess the relative importance of independent risk factors for peripheral intravenous catheter (PIVC) failure. ⋯ PIVC survival is improved by preferential forearm insertion, selection of appropriate PIVC diameter, and insertion by intravenous teams and other specialists.
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Infect Control Hosp Epidemiol · Jan 2014
Quantifying sources of bias in National Healthcare Safety Network laboratory-identified Clostridium difficile infection rates.
To assess the effect of multiple sources of bias on state- and hospital-specific National Healthcare Safety Network (NHSN) laboratory-identified Clostridium difficile infection (CDI) rates. ⋯ Changing the NHSN protocol to require reporting of age-stratified patient-days and adjusting for patient-days at risk would improve comparability of rates across hospitals. Further research is needed to validate the risk-adjustment model before these data should be used as hospital performance measures.
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Infect Control Hosp Epidemiol · Jan 2014
Eliminating central line-associated bloodstream infections: a national patient safety imperative.
Several studies demonstrating that central line-associated bloodstream infections (CLABSIs) are preventable prompted a national initiative to reduce the incidence of these infections. ⋯ Coincident with the implementation of the national "On the CUSP: Stop BSI" program was a significant and sustained decrease in CLABSIs among a large and diverse cohort of ICUs, demonstrating an overall 43% decrease and suggesting the majority of ICUs in the United States can achieve additional reductions in CLABSI rates.