蓝鱼o_0 发表于 2012-5-7 23:57

逐步干预降低CA-BSI的效果

Crit Care Med. 2012 May;40(5):1464-9.
Effectiveness of stepwise interventions targeted to decrease central catheter-associated bloodstream infections*.Munoz-Price LS, Dezfulian C, Wyckoff M, Lenchus JD, Rosalsky M, Birnbach DJ, Arheart KL.
SourceFrom the Departments of Medicine (LSMP, JDL),Public Health and Epidemiology (LSMP, DJB), Surgery (MW), and Anesthesiology (JDL, DJB), Division of Biostatistics (KLA), University of Miami Miller School of Medicine, Jackson Memorial Hospital (LSMP, MR), Miami, FL; and the Department of Critical Care Medicine (CD), University of Pittsburgh, Pittsburgh, PA.

AbstractOBJECTIVE: : Determine the impact of three stepwise interventions on the rate of central catheter-associated bloodstream infections.
DESIGN: : Quasi-experimental study.
SETTING: : Three surgical intensive care units (general surgery, trauma, and neurosurgery) at a 1500-bed county teaching hospital in the Miami metro area.
PATIENTS: : All consecutive central catheter-associated bloodstream infection cases as determined by the Infection Control Department.
INTERVENTIONS: : Three interventions aimed at catheter maintenance were implemented at different times in the units: chlorhexidine "scrub-the-hub," chlorhexidine daily baths, and daily nursing rounds aimed at assuring compliance with an intensive care unit goal-oriented checklist.
MEASUREMENTS AND MAIN RESULTS: : The primary outcome was the monthly intensive care unit rate of central catheter-associated bloodstream infections (infections per 1000 central catheter days). Over 33 months of follow-up (July 2008 to March 2011), we found decreased rates in each of the three intensive care units evaluated during the interventions, especially after implementation of chlorhexidine daily baths. Rates in unit A decreased from a rate of 8.6 to 0.5, unit B from 6.9 to 1.6, and unit C from 7.8 to 0.6. Secondary bloodstream infection rates remained unchanged throughout the observation period in units A and B; however, unit C had a decrease in its rates over time.
CONCLUSIONS: : We report the progressive reduction of central catheter-associated bloodstream infection rates after the stepwise implementation of chlorhexidine "scrub-the-hub" and daily baths in surgical intensive care units, suggesting effectiveness of these interventions.

蓝鱼o_0 发表于 2012-5-7 23:58

有意思的是这个里面使用的central catheter-associated bloodstream infections，这与我们CLABSI是否是一回事呢？{:1_9:}欢迎讨论。

桂花香 发表于 2012-5-8 00:02

有全文吗，能否提供以便学习？

血色红玫 发表于 2012-5-8 00:53

老师水平太高，我望尘莫及。。。

pamchen 发表于 2012-5-8 06:44

我认为central catheter-associated bloodstream infections与CLABSI是一回事.当然这只是看的文中意思,至于具体英文line和 catheter有多大区别,还没有考究过.

SMAP鸡包纸 发表于 2012-5-8 08:12

catheter是导管的正确单词啊，比 line合适，正规，搜文献都是 central catheter 更多一点，日本韩国的导管发音都是catheter，直接取自这个音的外来语

sxyys 发表于 2012-5-13 19:03

以后真的注意了。。。 楼主真好
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