J Acute Care Surg.
2018 Oct;8(2):65-70. 10.17479/jacs.2018.8.2.65.
Central Line-Associated Bloodstream Infection Prevention by Central Venous Catheter Management Staff in the Surgical Intensive Care Unit
- Affiliations
-
- 1Division of Acute Care Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. eks7957@naver.com
- 2Department of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
- 3Department of Critical Care Nursing, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
- KMID: 2434940
- DOI: http://doi.org/10.17479/jacs.2018.8.2.65
Abstract
- PURPOSE
Patients in the intensive care unit (ICU) are more susceptible to nosocomial infections, including central line-associated bloodstream infection (CLABSI), surgical site infection, urinary tract infection or ventilator-associated pneumonia. This study is a comparative analysis of how central venous catheter (CVC) management staff affects CLABSI.
METHODS
We performed a two-phase review of all patients transferred to the surgical ICU (SICU) from January 2013 to June 2014. CVC management staff was introduced in October 2013. Electronic medical records provided the data for a comparative analysis of incidence rates and risks of CLABSI, as well as the subjects' general characteristics.
RESULTS
This study included 248 patients before the introduction of a CVC management staff member and 196 patients after the introduction. General patient characteristics before and after the CVC management staff was in place did not differ significantly. The CLABSI rate decreased by 4.61 cases/1,000 device days after the introduction (6.26 vs. 1.65; odds ratio, 4.47; 95% confidence interval, 1.39~14.37; p=0.009). However, the mortality rate and length of ICU stay did not change after CVC management staff was in place (12.9% vs. 10.7%, p=0.480; 16.00±24.89 vs. 15.87±18.80, p=0.954; respectively).
CONCLUSION
In this study, the introduction of CVC management staff effectively reduced CLABSI rates in current ICU system.
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