Related Experiment Video
Updated: Mar 17, 2026

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
Carbapenem-resistant Enterobacteriaceae on a cardiac surgery intensive care unit: successful measures for infection
C S Abboud1, E E de Souza1, E C Zandonadi1
1Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil.
Background:
Carbapenem-resistant Enterobacteriaceae (CRE) cause surgical site infections (SSIs) in intensive care units (ICUs). This study aimed to evaluate the impact of intervention and control measures to reduce CRE colonization and infection rates among patients in the ICU of a cardiac surgery hospital following a CRE outbreak.
Methods:
An observational study of the pre- and postintervention status of a cohort of colonized or infected patients in the postoperative adult cardiac surgery ICU was performed between April 2013 and December 2014. As well as the usual measures of screening and cohort nursing, the control measures were enhanced during the intervention period by providing alcohol gel at the bedside, daily bathing with no-rinse 2% chlorhexidine-impregnated wash cloths, and disinfection of surfaces around the patient three times per day.
Results:
The rates of CRE colonization (P<0.001), primary central-line-associated bloodstream infections (P<0.002) and SSIs (P< 0.003) decreased significantly during the postintervention period.
Conclusion:
The implemented measures were effective in controlling colonization and infection with CRE in the cardiac surgery ICU.
Related Concept Videos
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Standard Precaution
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Endocarditis IV: Nursing Management
Endocarditis III: Medical Management
Endocarditis I: Introduction
Cardiac Catheterization I: Pre-Procedure Overview
