成功的实践,以减少中央线路相关的血流感染的流行病后:一个定性研究
Jamie Patrianakos1, Beth A Longo1, Scott C Williams1
1Department of Research, The Joint Commission, Oakbrook Terrace, IL.
American journal of infection control
|July 18, 2024
概括
在COVID-19期间,由于人员问题和实践偏差,中线相关血流感染 (CLABSI) 增加. 医院通过实施基于证据的实践和创新的战略,成功降低了CLABSI的发生率.
科学领域:
- 预防和控制感染的预防和控制.
- 改善医疗保健质量 改善医疗保健质量
- 流行病学 流行病学
背景情况:
- 中线相关血流感染 (CLABSI) 在过去十年中呈现下降趋势,但这被COVID-19大流行扰乱了.
- 疫情导致CLABSI的发病率增加,需要对导致因素和成功的缓解策略进行调查.
研究的目的:
- 探索影响CLABSI减少和医院持续低率的因素.
- 为了识别疫情期间感染预防协议的偏差,以及为应对不断上升的CLABSI率而采取的行动.
主要方法:
- 使用国家医疗保健安全网络数据进行的定性研究.
- 对具有较高CLABSI标准化感染比率 (SIR) 的医院进行分析,随后持续减少.
- 与六所选定的医院的感染预防专业人员进行半结构面试.
主要成果:
- 工作人员短缺 (83%) 和中央线路实践中的警性降低 (100%) 与大流行期间CLABSI SIR增加有关.
- 医院采用了基于证据的干预措施,如赫西丁糖酸盐皮肤制备和创新策略,以实现降低CLABSI率.
结论:
- 尽管存在流行病相关的挑战,但一些医疗机构成功地降低并维持了低的CLABSI率.
- 实施基于证据的实践,创新解决方案和有针对性的教育是成功的关键.
更多相关视频
相关概念视频
Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
Standard Precaution
1.9K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
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...
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...
1.9K
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.1K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.1K
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
120
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
120
Asepsis
2.1K
The condition of being free from disease-causing living pathogens is asepsis. Aseptic techniques include a set of standard practices to achieve asepsis. An example is the regular environmental cleaning of all parts of the healthcare facility and hand hygiene at home before preparing or eating food. Medical and surgical asepsis in healthcare practice protects patients from harmful pathogens, minimizes the risk of contamination of susceptible sites, and reduces the risk of infection transmission.
2.1K
Hand hygiene
3.2K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
3.2K


