A comprehensive vascular access service can reduce catheter-associated bloodstream infections and promote the appropriate use of vascular access devices

医学 血管通路 急诊分诊台 血流感染 中心线 回顾性队列研究 急诊医学 重症监护医学 内科学 血液透析
作者
Miguel Martillo,Samson Zarbiv,Rohit Gupta,Amy Brito,Atinuke Shittu,Roopa Kohli‐Seth
出处
期刊:American Journal of Infection Control [Elsevier]
卷期号:48 (4): 460-464 被引量:13
标识
DOI:10.1016/j.ajic.2019.08.019
摘要

•We describe the role of a novel vascular access service in decreasing the rate of central line–associated bloodstream infections. •The reduction in central line–associated bloodstream infections was achieved by prioritizing insertion of the least invasive intravascular catheter and promoting vascular access device care and maintenance. •High-quality research is required to evaluate the impact of vascular access service in improving patient outcomes and safety. This study describes the role of a novel vascular access service in the reduction and prevention of central line–associated bloodstream infections (CLABSIs). We conducted a retrospective analysis of data obtained over a span of 24 months after implementation of our vascular access service. We identified a progressive decline in the CLABSI rate and standardized infection ratio (SIR) in 2017 (rate, 1.75; SIR, 1.25) and in 2018 (rate, 1.037; SIR, 0.91). The reduction in CLABSIs was attributed to appropriate triage, insertion, and maintenance of vascular access devices. This study describes the role of a novel vascular access service in the reduction and prevention of central line–associated bloodstream infections (CLABSIs). We conducted a retrospective analysis of data obtained over a span of 24 months after implementation of our vascular access service. We identified a progressive decline in the CLABSI rate and standardized infection ratio (SIR) in 2017 (rate, 1.75; SIR, 1.25) and in 2018 (rate, 1.037; SIR, 0.91). The reduction in CLABSIs was attributed to appropriate triage, insertion, and maintenance of vascular access devices.
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