O'Hanlon M, Dornikova G, Curran R, Staunton M, Woolhead A, Kennedy M, Tinsley A, Shepherd E, Doherty T
Ir Med J. 2014 Sep;107(8):253-4.
Bloodstream infection related to a central venous catheter in the intensive care unit is a substantial clinical and economic problem. The aim of the study was to examine the incidence of central line related bloodstream infections and central line associated bloodstream infections in Our Lady of Lourdes Hospital, Drogheda, during a six month period, using an active patient based prospective surveillance method. CLRBSI rate in ICU/HDU was 0.93/1000 central line days. There was no CLABSI identified in the studied time period. However, further interventions are needed, particularly with CVC care bundle. Also, the implementation of 2% chlorhexidin in 70% isopropylalcohol use for skin asepsis, which is recommended by the Irish national guidelines, would be beneficial.
重症监护病房中与中心静脉导管相关的血流感染是一个重大的临床和经济问题。本研究的目的是采用基于患者的主动前瞻性监测方法，调查德罗赫达卢尔德圣母医院在六个月期间中心静脉导管相关血流感染（CLRBSI）和中心静脉导管相关血流感染（CLABSI）的发生率。重症监护病房/高依赖病房的CLRBSI发生率为每1000个中心静脉导管日0.93例。在研究期间未发现CLABSI。然而，需要进一步干预，特别是在中心静脉导管护理集束方面。此外，按照爱尔兰国家指南的建议，使用2%氯己定70%异丙醇进行皮肤消毒将是有益的。
