为预防儿科中央线路相关的血流感染,对线路护卫的评估:一项干预前后研究
Diana Lulgjuraj1, Tara Buckenmyer1, Nicole Biel1
1Department of Nursing, Montefiore Medical Center, Bronx, NY.
概括
一个新的线路护卫在儿科病房显著降低了中央线路相关的血流感染 (CLABSI). 这种简单的屏障在预防感染方面被证明是有效的,有助于建立一个没有CLABSI的环境.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 预防和控制感染.
- 医疗器械创新 医疗器械创新
背景情况:
- 中枢线相关的血流感染 (CLABSI) 在医疗保健机构中构成重大负担.
- 实现一个没有CLABSI的环境是一个关键的临床目标.
- 新的预防策略对于减少CLABSI发病率至关重要.
研究的目的:
- 为了评估线路护卫在减少儿科CLABSI的有效性.
- 为了确定线卫是否有助于CLABSI预防捆绑.
- 评估线路防护对中央静脉接入装置 (CVAD) 实践的影响.
主要方法:
- 采用了干预前后研究设计.
- 在儿童医院所有住院患者的中央静脉接入装置 (CVAD) 实践中实施了线路保护.
- 追溯和后实施监测数据进行了比较,以评估CLABSI率.
主要成果:
- 实施后观察到整体医院CLABSI病例的显著下降 (P=0.0208).
- 儿科重症监护病房 (PCCU) 在一年多的时间内实现了CLABSI免费状态,在线卫队实施后 (P=0.0189).
- 一贯的审计表明,随着时间的推移,CLABSI率有所改善.
结论:
- 线路警卫的实施与CLABSI发病率的显著减少有关.
- 防线看起来很有前途,作为CLABSI预防策略的补充,特别是在高风险患者中.
- 良好的遵守防线使用,没有同时改变实践,支持其有效性.
更多相关视频
08:32Assessment of Intestinal Transcytosis of Neonatal Escherichia coli Bacteremia Isolates
Published on: February 17, 2023
1.7K
09:26Antibiotic Efficacy Testing in an Ex vivo Model of Pseudomonas aeruginosa and Staphylococcus aureus Biofilms in the Cystic Fibrosis Lung
Published on: January 22, 2021
7.5K
相关概念视频
Healthcare Associated Infections II: Preventive Measures
3.5K
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...
3.5K
Endocarditis IV: Nursing Management
291
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
291
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
676
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,...
676
Standard Precaution
2.7K
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...
2.7K
Factors Affecting the Risk of Infection
13.2K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
13.2K
Aneurysm IV: Nursing Management
347
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
347
