Bishop-Kurylo D
Department of Pediatrics, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA.
J Perinat Neonatal Nurs. 1998 Jun;12(1):51-7. doi: 10.1097/00005237-199806000-00008.
Central line catheters are commonly placed in extremely low-birthweight infants to provide venous access for administration of hyperalimentation and medications. Infections is the most common complication of central line catheters in this patient population. With expansion of the neonatal intensive care unit at Allegheny General Hospital and an increase in the number of infants weighing less than 1000 g, there was a proportionate increase in the number of central line catheter days. A multidisciplinary team formed to improve central line care practices to reduce the rate of line infections. The continuous quality improvement process was used to modify central line practices, which led to a decrease in the rate of central line infections. For the first 8 months of 1997, the infection rate was below the 25th percentile according to the National Nosocomial infections Surveillance System data.
中心静脉导管常用于极低出生体重儿，以提供静脉通路用于胃肠外营养和药物输注。感染是该患者群体中心静脉导管最常见的并发症。随着阿勒格尼综合医院新生儿重症监护病房的扩大以及体重小于1000g婴儿数量的增加，中心静脉导管使用天数相应增加。一个多学科团队成立，以改进中心静脉导管护理措施，降低导管感染率。采用持续质量改进流程来改变中心静脉导管护理措施，这导致中心静脉导管感染率下降。根据国家医院感染监测系统的数据，1997年的前8个月，感染率低于第25百分位数。
