AccessMyLibrary provides FREE access to over 30 million articles from top publications available through your library.
Create a link to this page
Copy and paste this link tag into your Web page or blog:
Central Venous Lines Pose High Risk for Infection.
Central Venous Lines Pose High Risk for Infection
Abstract & Commentary
By Jacob Ufberg, MD Dr. Ufberg is Assistant Professor of Emergency Medicine, Residency Program Director, Department of Emergency Medicine, Temple University School of Medicine, Philadelphia Dr. Ufberg reports that he is a researcher for Pfizer Pharmaceuticals.
Source: Centers for Disease Control and Prevention. Reduction in central line-associated bloodstream infections among patients in intensive care units- Pennsylvania, April 2001-March 2005. MMWR 2005;54;1013-1016.
Central line-associated bloodstream infection (BSI) is the third most common nosocomial infection reported from the medical/surgical intensive care unit (ICU) setting (after ventilator-associated pneumonia and catheter-associated urinary tract infection). Approximately 250,000 central line-associated BSIs occur annually in the United States. These lead to an estimated mortality of 12-25% and a marginal cost of $25,000 to the health care system for each infection. In 2001, the Pittsburgh Regional Healthcare Initiative (PRHI) invited the Centers for Disease Control and Prevention (CDC) to assist in a hospital-based program to prevent central line-associated BSIs among ICU patients in the region.
In 2000, PRHI formed a committee of infection-control experts to develop an infection-control intervention, targeting the elimination of central line-associated BSIs in ICUs in the region. The intervention consisted of five components: 1) promotion of evidence-based catheter insertion practices (such as the use of maximum sterile barrier precautions during insertion, use of chlorhexidine for skin preparation, avoidance of femoral catheters, use of recommended dressing practices, and removal of catheters when no longer needed); 2) development of an educational program; 3) development of standardized tools for documenting catheter insertion practices; 4) promotion of a standardized list of contents for insertion kits that included all supplies necessary to follow recommended insertion practices; and 5) measurement of central line-associated BSIs and confidential quarterly reporting of data.
To assess the effect of the intervention on the rate of BSIs, hospitals collected data on central line-associated BSIs using standardized definitions and methods during a four-year period. Thirty-two ...
- Reduction in central line--associated bloodstream infections among patients in...
- Newspaper article from: Morbidity and Mortality Weekly Report Muto, C. Herbert, C. Harrison, E. Edwards, J.R. Horan, T. Andrus, M. Jernigan, J.A. Kutty, P.K. October 14, 2005 700+ words
...intervention to prevent central line-associated BSIs among intensive care...goal of eliminating central line--associated BSIs in ICUs. The intervention...educational module about central line-associated BSIs and strategies for...
- MRSA Central-Line Bacteremias Decline in U.S. ICUs.(methicillin-resistant...
- Newspaper article from: Hospital Medicine Alert Muder, Robert May 1, 2009 700+ words
...data from the CDC show that central-line associated bloodstream infections...susceptible S. aureus total central-line-associated BSIs during that period as well...resistant Staphylococcus aureus central line-associated bloodstream infections...
- New sepsis research from Royal Melbourne Hospital discussed.
- Newspaper article from: Blood Weekly November 19, 2009 700+ words
...31). Of the 46 reported central line-associated BSIs, 27 were confirmed to be central line-associated BSIs, for a positive predictive...reviewed that were not reported as central line associated BSIs, 45 were not associated with...
- MRSA drops in ICUs, but BSI battle awaits in wards.
- Newspaper article from: HealthCare Benchmarks and Quality Improvement June 1, 2009 700+ words
...Overall, 33,587 central line-associated BSIs were reported from...proportion of S. aureus central line-associated BSIs due to MRSA increased...rates of MSSA and total central line-associated BSIs in all major non...
- MRSA drops in ICUs, but BSI battle awaits in wards: IP interventions credited...
- Newspaper article from: HealthCare Benchmarks and Quality Improvement June 1, 2009 700+ words
...1) Overall, 33,587 central line-associated BSIs were reported from 1684 ICUs. Declines in MRSA central line-associated BSI incidence...rates of MSSA and total central line-associated BSIs in all major non-neonatal...
- New pediatrics study findings reported from Harvard University, Medical...
- Newspaper article from: Pediatrics Week August 29, 2009 700+ words
...analysis, risk factors for central line-associated BSI in those cases...During the study period, 67 central line-associated BSIs occurred in 61 patients. Independent risk factors for central line-associated BSI were nonelective...
- What Does One Invasive Line Infection Cost?
- Press release article from: PR Newswire September 21, 2006 700+ words
...quality initiatives in decreasing central line infection rates and ultimately...000 deaths annually.(1) Central line-associated blood stream infections...estimated 250,000 cases of central line-associated BSIs occur in hospitals in the United...
- Medical Simulation Corporation to Introduce Central Line Management Program at...
- Press release article from: PR Newswire May 11, 2009 700+ words
...Corporation (MSC) will launch the SimSuite Central Line Management Program at AACN's National...16-21, in New Orleans, LA. The Central Line Management Program is the latest offering...year, an estimated 250,000 cases of central line-associated bloodstream infections...