[The impact of closed system and 7 days intravascular administration set replacement on catheter related infections in a general intensive care unit: a before-after study]. / Efficacia della linea chiusa e sostituzione delle linee infusionali ogni 7 giorni sulle infezioni da catetere vascolare in una terapia intensiva polivalente: studio pre-post.
Assist Inferm Ric
; 34(3): 125-33, 2015.
Article
en It
| MEDLINE
| ID: mdl-26488928
ABSTRACT
INTRODUCTION:
The incidence of catheter related Bloodstream infections (BSI) is high in intensive care units (ICU).AIM:
To evaluate the BSI rate in a population of patients admitted to a General ICU before and after the implementation of the 2011 CDC guidelines.METHODS:
Retrospective observational study on patients admitted from January 2009 to December 2013. The infusion and monitoring lines were changed every 96 hours for the first 30 months, and every 7 days for the next 30. In all patients a closed infusion line with needle-free connectors pressure was used (Microclave). The following catheters were considered in the study central venous catheter (CVC), arterial cannula (ART) and Swan Ganz catheter (SG).RESULTS:
During the period with change every 96 hours 15 BSI were observed over 13395 catheters/days (C/D), 1.12 per 1000 C/D, while when lines where changed every 7 days 11 BSI were observed over 13120 C/D, 0.83 per 1000 C/D. A statistically significant reduction of BSI was observed in SG catheters (4.17 vs. no BSI p = 0.02), while the CVCS (1.12 vs 1.45 - p = 0.37) and ART (0.35 vs 0.36 - p = 0.61) infection rates remained unchanged.CONCLUSIONS:
The replacement of infusion lines every 7 days in our sample did not increase the BSI, helping to reduce the costs.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cateterismo Periférico
/
Cateterismo de Swan-Ganz
/
Bacteriemia
/
Infecciones Relacionadas con Catéteres
/
Catéteres Venosos Centrales
/
Estudios Controlados Antes y Después
/
Unidades de Cuidados Intensivos
Tipo de estudio:
Etiology_studies
/
Guideline
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Aged
/
Aged80
/
Humans
/
Middle aged
País/Región como asunto:
Europa
Idioma:
It
Revista:
Assist Inferm Ric
Asunto de la revista:
ENFERMAGEM
Año:
2015
Tipo del documento:
Article