Infection control and hospital epidemiology : the official journal of the Society of Hospital Epidemiologists of America
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Infect Control Hosp Epidemiol · Mar 2004
ReviewTiming of intravenous administration set changes: a systematic review.
To determine the optimal time interval for the routine replacement of intravenous administration sets when crystalloids or parenteral nutrition are administered via a central or peripheral catheter in an acute care setting. ⋯ It appears that intravenous administration sets containing crystalloids can be changed in patients with central or peripheral catheters every 72 hours or more without increasing the risk of BSI. However, it is not possible to conclude that intravenous administration sets containing parenteral nutrition, particularly lipid-containing parenteral nutrition, can be changed at this interval.
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Infect Control Hosp Epidemiol · Mar 2004
Nosocomial pediatric bacteremia: the role of intravenous set contamination in developing countries.
To assess the rate of bacterial contamination of intravenous administration sets at their rubber injection ports and matching infusates. ⋯ These data suggest that external contamination of the intravenous administration set could play a role in infusate contamination.
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Infect Control Hosp Epidemiol · Jan 2004
Clinical TrialEffect of education and performance feedback on rates of catheter-associated urinary tract infection in intensive care units in Argentina.
To evaluate the effect of education and performance feedback regarding compliance with catheter care and handwashing on rates of catheter-associated urinary tract infection (UTI) in intensive care units (ICUs). ⋯ Implementing education and performance feedback regarding catheter care measures and handwashing compliance was associated with a significant reduction in catheter-associated UTI rates. Similar programs may help reduce catheter-associated UTI rates in other Latin American hospitals.
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Infect Control Hosp Epidemiol · Dec 2003
Multicenter StudyEffect of nurse staffing and antimicrobial-impregnated central venous catheters on the risk for bloodstream infections in intensive care units.
Defining risk factors for central venous catheter (CVC)-associated bloodstream infections (BSIs) is critical to establishing prevention measures, especially for factors such as nurse staffing and antimicrobial-impregnated CVCs. ⋯ Antimicrobial-impregnated CVCs reduced the risk of CVC-associated BSI by 66% in patients receiving TPN. Limiting the use of float nurses for ICU patients with CVCs and the use of PICCs may also reduce the risk of CVC-associated BSI.
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Infect Control Hosp Epidemiol · Dec 2003
Comparative StudyPrevalence of the use of central venous access devices within and outside of the intensive care unit: results of a survey among hospitals in the prevention epicenter program of the Centers for Disease Control and Prevention.
To determine the prevalence of central venous catheter (CVC) use among patients both within and outside the ICU setting. ⋯ Current surveillance and infection control efforts to reduce morbidity and mortality associated with bloodstream infections concentrate on the high-risk ICU patients with CVCs. Our survey demonstrated that two-thirds of identified CVCs were not in ICU patients and suggests that more efforts should be directed to patients with CVCs who are outside the ICU.