Central Venous Catheter Protective Connector Caps Reduce Intraluminal Catheter-Related Infection |
| |
Authors: | Chuck Ramirez Antonina M Lee Ken Welch |
| |
Institution: | 1. Infectious Disease Service, Memorial Sloan-Kettering Cancer Center, New York, NY, USA;2. Department of Neurology and Neuroscience, Weill Cornell Medical College, New York, NY, USA;3. Eastern Infectious Diseases Associates, East Setauket, NY, USA;1. Richard Wells Research Centre, College of Nursing, Midwifery and Healthcare, University of West London, London, UK;2. Faculty of Health Sciences, University of Southampton, Southampton, UK;3. Microbiology and Infection Control, Leeds Teaching Hospitals and University of Leeds, Leeds, UK |
| |
Abstract: | BackgroundCentral line-associated blood stream infection (CLABSI) rates in adult care intensive care units have been decreasing across the board. However, we continued to see just a few infections in patients whose catheters are in for >4 days. Therefore, we looked at infections associated with intraluminal contamination to help reduce our infection rate.MethodsA protective cap trial was developed and implemented in 2 intensive care units. All of the central venous catheter and intravenous tubing access valves were covered with a protective cap saturated with alcohol. This intervention eliminated the need to wipe off intravenous access points with an alcohol swab. The study was done as a nonrandomized prospective trial occurring March 1, 2011 through February 29, 2012.ResultsDuring 2010, there were 4 CLABSI-related infections. By the end of the trial, we had incurred 1 catheter-associated blood stream infection. CLABSI rate reduced from 1.9 in 2010 to 0.5 during the 1-year trial period.ConclusionsThe implementation of the port protector cap system resulted in lower infection rates compared with an alcohol swab technique. Our results indicate that consistent use of the caps in tandem with strict compliance does influence CLABSI rates. |
| |
Keywords: | |
本文献已被 ScienceDirect 等数据库收录! |
|