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Infect Chemother. 2010 Aug;42(4):216-222. English. Multicenter Study. https://doi.org/10.3947/ic.2010.42.4.216
Yoo S , Jung SI , Kim GS , Lim DS , Sohn JW , Kim JY , Kim JE , Jang YS , Jung S , Pai H .
Department of Family Medicine, Inje University Haeundae Paik Hospital, Busan, Korea.
Office of Hospital Infection Control, Chonnam National University, Gwangju, Korea.
Department of Internal Medicine, Chonnam National University, Gwangju, Korea.
Office of Hospital Infection Control, Korea University Anam Hospital, Seoul, Korea.
Department of Internal Medicine, Korea University Anam Hospital, Seoul, Korea.
Office of Hospital Infection Control, Hanyang University Seoul Hospital, Seoul, Korea. paihj@hanyang.ac.kr
Department of Internal Medicine, Hanyang University Seoul Hospital, Seoul, Korea.
Abstract

BACKGROUND: The purpose of this study was to determine the efficacy of infection-control interventions to decrease the incidence of catheter-associated bloodstream infections (CA-BSI) and to examine the sustainability of its effect during and after the intervention in Korea. MATERIALS AND METHODS: We conducted a prospective multi-strategy intervention in intensive care units (ICUs) at 3 university hospitals in Korea. The intervention consisted of education and on-site training for medical personnel involved in catheter care, active surveillance, and reinforcement of current intervention in each unit. After the intervention of 3 months, we identified CA-BSI cases of each hospital using the electronic database for 6 months. RESULTS: During the intervention, the number of CA-BSI decreased significantly compared to pre-interventional period (8.7 vs. 2.3 per 1,000 catheter days; rate ratio 0.28; 95% CI, 0.13-0.61). After the intervention, CA-BSI rate increased slightly, but was still significantly lower than that of pre-interventional period (4.3 per 1,000 catheter days; rate ratio, 0.49; 95% CI, 0.31-0.78). Reduction of gram-negative bacterial infections was noted during and after the intervention. CONCLUSIONS: A multi-strategy approach to reduce CA-BSI could be implemented in diverse settings of medical and surgical units in Korea and decreased CA-BSI rates during the intervention.

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