Patient and central venous catheter related risk factors for blood stream infections in children receiving chemotherapy

2014 ◽  
Vol 62 (3) ◽  
pp. 471-476 ◽  
Author(s):  
Joanne Yacobovich ◽  
Tal Ben-Ami ◽  
Tameemi Abdalla ◽  
Hannah Tamary ◽  
Gal Goldstein ◽  
...  
2004 ◽  
Vol 18 (3) ◽  
pp. 304-308 ◽  
Author(s):  
Mandakini Pawar ◽  
Yatin Mehta ◽  
Pawan Kapoor ◽  
Jitendra Sharma ◽  
Abhinav Gupta ◽  
...  

2006 ◽  
Vol 49 (2) ◽  
pp. 157
Author(s):  
Jung Hyun Kim ◽  
Ho Sun Eun ◽  
Kyung Min Choi ◽  
Dong Soo Kim ◽  
Dong Eun Young

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
José Francisco García-Rodríguez ◽  
Hortensia Álvarez-Díaz ◽  
Laura Vilariño-Maneiro ◽  
María Virginia Lorenzo-García ◽  
Ana Cantón-Blanco ◽  
...  

2018 ◽  
Vol 53 (9) ◽  
pp. 1839-1842 ◽  
Author(s):  
Maziar M. Nourian ◽  
Angelina L. Schwartz ◽  
Austin Stevens ◽  
Eric R. Scaife ◽  
Brian T. Bucher

2011 ◽  
Vol 77 (8) ◽  
pp. 1038-1042 ◽  
Author(s):  
Jason W. Smith ◽  
Michael Egger ◽  
Glen Franklin ◽  
Brian Harbrecht ◽  
J. David Richardson

Blood stream infections in the critically ill are a common cause of morbidity. Strict adherence to sterile technique can reduce central line-associated blood stream infections (CLBSIs) and has become a quality improvement measure. We did a retrospective review of 6,014 trauma admissions representing 10,370 catheter days. CLBSI was defined as a positive blood culture with central venous access without evidence of other infectious sources. Thirty-five CLBSIs were identified in the study period (3.26/1,000 line days). The average Injury Severity Score was 32, the average intensive care unit stay was 24 days, and the average overall length of stay was 34 days, which is higher than that of nonCLBSI patients. In 25/35 cases, there was a break in sterile technique during central venous catheter placement (71%). Of the 25 cases, 16 of them were performed in the intensive care unit (64%), five in the operating room (20%), and four in the emergency department (16%). Twenty of the 35 patients with CLBSI (57%) had a total of 24 infections, a 2-fold increase in infectious complications for a given Injury Severity Score. Seventeen (17) of the 25 “dirty” central lines (68%) were changed within 24 hours in an effort to reduce the risk of CLBSI without success. A large percentage of CLBSI can be traced to the initial placement of a central venous line under less than ideal sterile technique. Changing a line within 24 hours may not be sufficient to reduce the risk of CLBSI. Every effort should be made to adhere to proper sterile technique while placing central venous catheter.


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