Burdeu Gabrielle, Currey Judy, Pilcher David
School of Nursing and Midwifery, Deakin University, Burwood, Victoria, Australia.
School of Nursing and Midwifery, Deakin University, Burwood, Victoria, Australia.
Am J Infect Control. 2014 Apr;42(4):453-5. doi: 10.1016/j.ajic.2013.11.011.
This prospective observational study measured idle central venous catheter (CVC)-days (no medical indication), and ward clinicians' adherence to evidence-based practices for preventing short-term central line-associated bloodstream infections (CLABSIs). In 340 patients discharged from ICU over a 1-year period, 208 of 794 CVC-days (26.2%) were idle. Interventions to prevent CLABSIs were poorly implemented. Ward clinicians need education regarding risk management strategies to prevent CLABSIs, and clear accountability processes for prompt catheter removal are recommended.
这项前瞻性观察性研究测量了闲置中心静脉导管(CVC)天数(无医学指征),以及病房临床医生对预防短期中心静脉导管相关血流感染(CLABSI)的循证实践的依从性。在1年期间从重症监护病房出院的340例患者中,794个CVC日中有208个(26.2%)处于闲置状态。预防CLABSI的干预措施实施不力。病房临床医生需要接受有关预防CLABSI的风险管理策略的教育,建议建立明确的问责流程以促使及时拔除导管。