کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2659267 1140231 2014 6 صفحه PDF سفارش دهید دانلود کنید
عنوان انگلیسی مقاله ISI
Up for the Challenge: Eliminating Peripherally Inserted Central Catheter Infections in a Complex Patient Population
ترجمه فارسی عنوان
برای چالش: حذف عفونت‌های کاتتر مرکزی داخل محیطی بیمار در یک جمعیت بیمار
کلمات کلیدی
ضدمیکروبی؛ بسته نرم افزاری؛ CLABSI؛ بستری طولانی مدت مراقبت های حاد؛ محیطی قرار کاتتر مرکزی؛ دسترسی عروقی
موضوعات مرتبط
علوم پزشکی و سلامت پرستاری و مشاغل بهداشتی پرستاری
چکیده انگلیسی

BackgroundIn response to Medicare reimbursement changes related to central line-associated blood stream infection (CLABSI) effective January 2011, a long-term acute care hospital implemented quality improvement measures to reduce these health care-associated infections. Improvements included alcohol-impregnated port protectors, chlorhexidine gluconate barrier dressings, and didactic/hands on training for care and maintenance. During 2010 the peripherally inserted central line (PICC) team at a neighboring Magnet hospital was asked to partner and develop strategies to further decrease CLABSI.MethodsThe PICC team evaluated the effects of an antimicrobial PICC device in an effort to further reduce the incidence of CLABSI. Upon initiation of the evaluation phase, a database was created to track infection/thrombus rate, insertion-related complications, dwell time, diagnosis, tip location, infusate, vein used, and catheter size. Data collection and reporting was managed by the PICC team.ResultsAcross a 2-year period (July 2011-July 2013), 100 devices were inserted with a total of 1,705 line days without any reported CLABSI. The majority of patients received a 4.5F single lumen device (59%). Dwell time ranged from 1 to 57 days with an average of 17 days. To date, no CLABSIs related to this device have been reported at the long-term acute care hospital.ConclusionsBased on 100 insertions yielding no infections this new product appears to improve patient safety and quality of care. Relative to these results sole use of this product has become their institutional standard for long-term intravenous needs.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of the Association for Vascular Access - Volume 19, Issue 3, September 2014, Pages 159–164
نویسندگان
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