کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5684544 | 1408974 | 2017 | 9 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Central line-associated bloodstream infections in the NICU: Successes and controversies in the quest for zero
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کلمات کلیدی
SPCHealthcare-acquired infectionsHAINHSNPICCELBWVLBWBSICLABSISIRCDCHICPACBacteremia - باکتریمیpovidone–iodine - بتادینNICU - بخش NICUNational Healthcare Safety Network - شبکه امنیت ملی بهداشت و درمانHealthcare-acquired infection - عفونت بهداشتی دریافت شدهBloodstream infection - عفونت گردش خونCentral line-associated bloodstream infections - عوارض خونریزی مرتبط با خطوط مرکزیCenters for Disease Control and Prevention - مراکز کنترل و پیشگیری از بیماریStandardized infection ratio - نسبت عادی استانداردNewborn - نوزادneonatal intensive care unit - واحد مراقبت های ویژه نوزادانBirth weight - وزن هنگام تولدExtremely low birth weight - وزن هنگام تولد بسیار کم استVery low birth weight - وزن هنگام تولد بسیار کم استchg - چغندنCatheter - کاتترPeripherally inserted central catheters - کاتترهای مرکزی داخل محفظه قرار داده شدهchlorhexidine gluconate - کلرهگزیدین گلوکوناتStatistical process control - کنترل فرآیند آماری
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
پزشکی و دندانپزشکی (عمومی)
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چکیده انگلیسی
Central line-associated bloodstream infections (CLABSI) are among the most common healthcare-acquired infections in the neonatal intensive care unit (NICU) population and are associated with an increased risk of morbidity and mortality, as well as increased healthcare costs, and duration of hospitalization. Over the past decade, numerous local, statewide, and national quality improvement initiatives have resulted in a significant reduction in CLABSI rates. The majority of successful initiatives have utilized similar strategies to implement and sustain their efforts, including education of NICU staff in the principles of quality improvement, creation and implementation of central line insertion and maintenance bundles and methods for assessing compliance, formation of dedicated central line insertion and maintenance teams, and utilization of reliable and effective methods for collecting, analyzing, and displaying data. Despite this progress, continued work toward discovery of better practices, such as the safest and most effective agent for cutaneous antisepsis or identification of optimal outcome and process measures, is required if further progress is to be made. Additionally, sustained progress in reducing the burden of neonatal infections may require a shift in focus away from CLABSI and toward the reporting, investigation, and prevention of all NICU-onset bacteremia.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Seminars in Perinatology - Volume 41, Issue 3, April 2017, Pages 166-174
Journal: Seminars in Perinatology - Volume 41, Issue 3, April 2017, Pages 166-174
نویسندگان
Renée E. MD, Matthew J. MD,