Nursing Journal in Costa Rica ISSN electrónico: 1409-4568

OAI: https://revistas.ucr.ac.cr/index.php/enfermeria/oai
Educational initiatives aimed at medical and nursing staff to lower blood tract infections related to central venous catheters
Costa Rica-PDF (Español (España))

Keywords

Bacteremia
catheterization
intra-arterial lines
infection
intravascular catheter-related
intensive care units
neonatal
intensive care
intervention.
acción-educativa
Bacteriemia
cateterismo
cuidado-intensivo-neonatal
infección-por-catéter- intravascular
líneas-intra-arteriales

How to Cite

1.
Villegas Sánchez M, Arias Jiménez M, Hernández de Mezerville M. Educational initiatives aimed at medical and nursing staff to lower blood tract infections related to central venous catheters. Enferm. Actual Costa Rica (en línea) [Internet]. 2014Oct.1 [cited 2024Jul.17];(27). Available from: https://revistas.ucr.ac.cr/index.php/enfermeria/article/view/16058

Abstract

Introduction. Intravascular catheter-related infection is the major complication in patients with intravascular catheter. Intravascular catheter-related infection rate is derived by dividing the number of these infections between day-line vascular catheters and multiplied x 1 000. Educational initiatives decrease the rate of intravascular catheter-related infections according to different studies. Objectives: To determine the rate of STI / CVC in the Neonatal Intensive Care Service, implement preventive actions and quantify the impact.

Methods. We compared the rate of intravascular catheter-related infections before and after an educational intervention.

Results. In the pre intervention period a rate of 32.84 infections per 1,000 observed days (fourth quarter 2012 and first quarter of 2013) and in the post intervention period the rate is 8.28 infections per 1000 days. (Third quarter and fourth quarter of 2013).infections in 2 850 catheter-days and the rate decreased to 5.6, which was statistically significant.

Conclusions. Educational initiatives aimed at decreasing the rate of intravascular catheter-related infections were shown to be effective.

https://doi.org/10.15517/revenf.v0i27.16058
Costa Rica-PDF (Español (España))

References

Bhutta, A., Gilliam, C., Honeycut, M., Schexnayder, S., Green, J., Moss, M. &Anand, K.J. (2007). Reduction of bloodstream infections associated with catheters in pediatric intensive care unit: Stepwise approach. BMJ, 334(7589), 362-5.

CDC. (2011) Guidelines for the Prevention of Intravascular Catheter-Related Infections. Traducción y notas por Fabiana Ciccioli y Jose Luis do Pico. En: www.cdc.go.cr

Costello, J.M., Forbes, M.D., Graham, D.A., Potter-Byone, G., Sandora, T.J. & Laussen P.C. (2008). Systematic intervention to reduce central line-associated bloodstream infection rates in a pediatric intensive care unit. Pediatrics, 121, 915-23.

Huaroto, L.M., Lam, C., Mucha, R., Chávez, J., Tanta, J., Alvarezcanok, J. y Ticona, E. (2013). Impacto de un programa de capacitación para la prevención de infecciones intrahospitalarias en un hospital general. Trauma Fund MAPFRE, 24 (2), 126-131.

Leistner, R., Thürnagel, S., Schwab, F., Piening, B., Gastmeier, P., & Geffers, C. (2013). The impact of staffing on central venous catheter-associated bloodstream infections in preterm neonates – results of nation-wide cohort study in Germany. Antimicrob Resist Infect Control, 2, 11.

Lisboa, T. y Rello, J. (2008). Prevención de infecciones nosocomiales: estrategias para mejorar la seguridad de los pacientes en la Unidad de Cuidados Intensivos. Med. Intensiva, 32 (5)

Londoño, A.L., Ardila, M. y Ossa, D. (2011). Epidemiología de la infección asociada a catéter venoso central. Rev Chil Pediatr, 82(6), 493-501 Recuperado de: http://www.scielo.cl/scielo.php?pid=S0370-41062011000600003&script=sci_arttext

Organización Mundial de la Salud (OMS) (2009). Guía de la OMS sobre Higiene de Manos en la Atención de la Salud. Recuperado de: http://www.med.unlp.edu.ar/archivos/noticias/guia_lavado_de_manos.pdf

Pronovost, P., Needham, D., Berenholtz, S., Sinopoli, D., Chu H, Cosgroves S, Sexton, B., Hyzy, R. Welsh, R. Roth, G., Bander, J., Kepros, J. & Goeschel, C. (2006). An intervention to decrease catheter-related bloodstream infections in the ICU. The New England Journal of Medicine, 355(26), 2725-32.

Leistner, R., Thürnagel, S., Schwab, F., Piening, B., Gastmeier, P. & Geffers, C. (2013). The impact of staffing on central venous catheter-associated bloodstream infections in preterm neonates – results of nation-wide cohort study in Germany. Antimicrob Resist Infect Control, 2 (11).

Saint, S., Savel, R.H. & Matthay, M.A.(2002). Enhancing the safety of critically ill patients by reducing urinary and central venous catheter related infections. American Journal of Respiratory and Critical Care Medicine, 165(11), 1475-1479. doi: 10.1164/rccm.2110035

Sherertz, R.J., Ely, E.W., Westbrook, D.M., Gledhill, K.S., Streed, S.A., Kiger, B., Flynn, L., Hayes, S., Strong, S., Cruz, J., Bowton, D.L., Hulgan, T. & Haponik, E. (2000). Education of Physicians-in-Training Can Decrease the Risk for Vascular Catheter Infection. Ann Intern Med. 132(8), 641-648. doi:10.7326/0003-4819-132-8-200004180-00007

Ting, J.Y., Goh, V.S. & Osiovich H. (2013). Reduction of central line-associated bloodstream infection rates in a neonatal intensive care unit after implementation of a multidisciplinary evidence-based quality improvement collaborative: A four-year surveillance. Journal Canadien des Maladies Infectieuses et de la Microbiologie Medicale / AMMI Canada, 24(4), 185-190.

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