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Catheter-Related Infection

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https://www.readbyqxmd.com/read/29905633/longer-duration-of-urinary-catheterization-increases-catheter-associated-urinary-tract-infection-in-picu
#1
Kahoru Fukuoka, Mihoko Furuichi, Kenta Ito, Yoshihiko Morikawa, Ichiro Watanabe, Naoki Shimizu, Yuho Horikoshi
OBJECTIVES: Catheter-associated urinary tract infections account for 30% of healthcare-associated infections. To date, few studies have addressed pediatric catheter-associated urinary tract infection in PICUs. The aim of our study was to assess the risk of catheter-associated urinary tract infection in relation to the duration of catheterization in the PICU. DESIGN: Retrospective cohort study. SETTING: PICU at a tertiary children's hospital...
June 13, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29905578/translational-models-of-infection-prevention-and-control-lessons-from-studying-high-risk-aging-populations
#2
Lona Mody
PURPOSE OF REVIEW: The present review describes our research experiences and efforts in advancing the field of infection prevention and control in nursing facilities including postacute and long-term care settings. RECENT FINDINGS: There are over two million infections in postacute and long-term care settings each year in the United States and $4 billion in associated costs. To define a target group most amenable to infection prevention and control interventions, we sought to quantify the relation between indwelling device use and microbial colonization in nursing facility patients...
June 13, 2018: Current Opinion in Infectious Diseases
https://www.readbyqxmd.com/read/29905509/the-siludrain-trial-a-prospective-randomized-controlled-trial-comparing-standard-versus-silver-impregnated-lumbar-drains
#3
Martin Jakobs, Sabrina Klein, Tatjana Eigenbrod, Andreas W Unterberg, Oliver W Sakowitz
OBJECTIVE Catheter-associated cerebrospinal fluid (CSF) infection remains a serious event, especially for patients in neurocritical care units. The use of external ventricular drain (EVD) catheters impregnated with antimicrobial substances has led to a significant reduction of infection rates. This study was undertaken to compare the use of antimicrobial, silver-impregnated external lumbar drains (si-ELDs) and conventional ELDs. METHODS Patients with an indication for ELD placement were randomized to receive either a conventional or an si-ELD catheter...
June 15, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29904809/effectiveness-of-antimicrobial-coated-central-venous-catheters-for-preventing-catheter-related-blood-stream-infections-with-the-implementation-of-bundles-a-systematic-review-and-network-meta-analysis
#4
REVIEW
Hongliang Wang, Hongshuang Tong, Haitao Liu, Yao Wang, Ruitao Wang, Hong Gao, Pulin Yu, Yanji Lv, Shuangshuang Chen, Guiyue Wang, Miao Liu, Yuhang Li, Kaijiang Yu, Changsong Wang
BACKGROUND: Catheter-related blood-stream infections (CRBSIs) are the most common complication when using central venous catheters (CVCs). Whether coating CVCs under bundles could further reduce the incidence of CRBSIs is unclear. We aimed to assess the effectiveness of implementing the use of bundles with antimicrobial-coated CVCs for preventing catheter-related blood-stream infections. METHODS: In this systematic review and network meta-analyses, we searched the Cochrane Central Register of Controlled Trials (CENTRAL) in the Cochrane Library in addition to the EMBASE, MEDLINE, CINAHL, and Web of Science databases for studies published before July 2017...
June 15, 2018: Annals of Intensive Care
https://www.readbyqxmd.com/read/29895340/reducing-indwelling-urinary-catheter-use-through-staged-introduction-of-electronic-clinical-decision-support-in-a-multicenter-hospital-system
#5
Brett E Youngerman, Hojjat Salmasian, Eileen J Carter, Michael L Loftus, Rimma Perotte, Barbara G Ross, E Yoko Furuya, Robert A Green, David K Vawdrey
OBJECTIVE: To integrate electronic clinical decision support tools into clinical practice and to evaluate the impact on indwelling urinary catheter (IUC) use and catheter-associated urinary tract infections (CAUTIs).Design, Setting, and ParticipantsThis 4-phase observational study included all inpatients at a multicampus, academic medical center between 2011 and 2015.InterventionsPhase 1 comprised best practices training and standardization of electronic documentation. Phase 2 comprised real-time electronic tracking of IUC duration...
June 13, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29894411/central-line-bundle-maintenance-among-adults-in-a-university-hospital-intensive-care-unit-in-s%C3%A3-o-paulo-brazil-a-best-practice-implementation-project
#6
Karina Sichieri, Luciana Inaba Senyer Iida, Isa Rodrigues da Silveira Cabral de Menezes, Paulo Carlos Garcia, Talita Raquel Santos, Emília Peres, Gilcéria Tochika Shimoda, Flávia de Oliveira Motta Maia, Silvia Regina Secoli, Vilanice Alves de Araújo Püschel
OBJECTIVES: This implementation project aimed to identify the current practice in regards to central venous catheters (CVCs) maintenance to improve knowledge amongst nursing staff and to assess increased compliance with evidence-based best practice. INTRODUCTION: Central venous catheters are considered an important therapeutic resource for the administration of fluids, drugs, blood, collection of blood samples and hemodynamic monitoring. Despite the benefits, catheter use is associated with complications such as primary infection of the catheter-related bloodstream...
June 2018: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29884572/treatment-and-secondary-prophylaxis-with-ethanol-lock-therapy-for-central-line-associated-bloodstream-infection-in-paediatric-cancer-a-randomised-double-blind-controlled-trial
#7
Joshua Wolf, Tom G Connell, Kim J Allison, Li Tang, Julie Richardson, Kristen Branum, Eloise Borello, Jeffrey E Rubnitz, Aditya H Gaur, Hana Hakim, Yin Su, Sara M Federico, Francoise Mechinaud, Randall T Hayden, Paul Monagle, Leon J Worth, Nigel Curtis, Patricia M Flynn
BACKGROUND: Central line-associated bloodstream infections (CLABSIs) affect about 25% of children with cancer, and treatment failure is common. Adjunctive ethanol lock therapy might prevent treatment failure but high-quality evidence is scarce. We evaluated ethanol lock therapy as treatment and secondary prophylaxis for CLABSI in children with cancer or haematological disorders. METHODS: This randomised, double-blind, placebo-controlled superiority trial, with two interim futility and efficacy analyses (done when the first 46 and 92 evaluable participants completed study requirements), was done at two paediatric hospitals in the USA and Australia...
June 5, 2018: Lancet Infectious Diseases
https://www.readbyqxmd.com/read/29882922/prevention-and-treatment-of-intestinal-failure-associated-liver-disease-in-children
#8
REVIEW
Lorenzo Norsa, Emanuele Nicastro, Angelo Di Giorgio, Florence Lacaille, Lorenzo D'Antiga
Intestinal failure-associated liver disease (IFALD) is a threatening complication for children on long-term parenteral nutrition because of intestinal failure. When progressive and intractable, it may jeopardize intestinal rehabilitation and lead to combined liver and intestinal transplantation. The institution of dedicated intestinal failure centers has dramatically decreased the incidence of such complication. IFALD may rapidly fade away if very early management aimed at preventing progression to end-stage liver disease is provided...
May 24, 2018: Nutrients
https://www.readbyqxmd.com/read/29882712/the-impact-of-different-scenarios-for-intermittent-bladder-catheterization-on-health-state-utilities-results-from-an-internet-based-time-trade-off-survey
#9
Márcio Augusto Averbeck, Andrei Krassioukov, Nikesh Thiruchelvam, Helmut Madersbacher, Mette Bøgelund, Yasuhiko Igawa
AIMS: Intermittent catheterization (IC) is the gold standard for bladder management in patients with chronic urinary retention. Despite its medical benefits, IC-users experience a negative impact on their quality of life (QoL). For health economics based decision making, this impact is normally measured using generic QoL measures (such as EQ-5D) that estimate a single utility score which can be used to calculate Quality-Adjusted Life Years (QALYs). But these generic measures may not be sensitive to all relevant aspects of QoL affected by intermittent catheters...
June 8, 2018: Journal of Medical Economics
https://www.readbyqxmd.com/read/29882261/short-term-external-ureter-stenting-shows-significant-benefit-in-comparison-to-routine-double-j-stent-placement-after-ureterorenoscopic-stone-extraction-a-prospective-randomized-trial-the-fast-track-stent-study-fast
#10
Peter Bach, Alina Reicherz, Joel Teichman, Lisa Dahlkamp, Nicolas von Landenberg, Rein-Jueri Palisaar, Joachim Noldus, Christian von Bodman
OBJECTIVES: To determine whether short-term stenting using an external ureter catheter following ureterorenoscopic stone extraction provides a better outcome in comparison to double-J stent ureteral stenting. METHODS: Between August 2014 and August 2015, 141 patients initially managed with a double-J stent insertion were prospectively randomized to ureter catheter for 6 h vs double-J stent insertion for 5 days after stone extraction via ureteroscopy retrograde surgery (including flexible ureteroscopy retrograde surgery) in a single academic center...
June 7, 2018: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/29860942/challenges-in-cerebrospinal-fluid-shunting-in-patients-with-glioblastoma
#11
Bujung Hong, Manolis Polemikos, Hans E Heissler, Christian Hartmann, Makoto Nakamura, Joachim K Krauss
BACKGROUND: Cerebrospinal fluid (CSF) circulation disturbances may occur during the course of disease in patients with glioblastoma. Ventriculoperitoneal shunting has generally been recommended to improve symptoms in glioblastoma patients. Shunt implantation for patients with glioblastoma, however, presents as a complex situation and produces different problems to shunting in other contexts. Information on complications of shunting glioma patients has rarely been the subject of investigation...
June 4, 2018: Fluids and Barriers of the CNS
https://www.readbyqxmd.com/read/29847464/nurses-and-physicians-perceptions-of-indwelling-urinary-catheter-practices-and-culture-in-their-institutions
#12
Andrea Niederhauser, Stephanie Züllig, Jonas Marschall, David Lb Schwappach
OBJECTIVES: Indwelling urinary catheters (IUCs) are commonly used devices in acute care that may lead to catheter-associated urinary tract infections or noninfectious complications. Responsibilities for IUC are usually shared between nurses and physicians, and a common mental model among the two professional groups is thus essential for a successful reduction in catheter use. The aim of this study was to determine variation in the perceptions of current practices and culture regarding IUC use between these two groups...
May 29, 2018: Journal of Patient Safety
https://www.readbyqxmd.com/read/29805416/precautions-taken-by-nurses-about-the-prevention-of-hospital-acquired-infections-in-intensive-care-units
#13
Inci Kirtil, Nuray Akyuz
Objective: To determine the precautions that nurses take for avoiding hospital-acquired infections in intensive care units of a State University Medical Faculty Hospital in Istanbul. Methods: The research data were collected by a questionnaire developed by the authors. The study was conducted in intensive care units of a medical faculty hospital of a state university in Istanbul province. 85 nurses working in different various intensive care units and providing informed consent participated in the study...
March 2018: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29805406/use-of-a-chlorhexidine-impregnated-dressing-reduced-catheter-related-bloodstream-infections-caused-by-gram-positive-microorganisms
#14
Ayse Betul Ergul, Ikbal Gokcek, Alper Ozcan, Serife Cetin, Nurkan Gultekin, Yasemin Altuner Torun
Objective: We compared the protective effects of secure Chlorhexidine Gluconate (CHG)-containing dressings with those of non-antimicrobial transparent dressings. Methods: This prospective, comparative, single-center clinical study was conducted in a tertiary pediatric intensive care unit from October 2014 to March 2017. The inclusion criterion was catheterization of the jugular vein for ≥48 hour. The study was conducted in two phases. Non-antimicrobial standard dressings were applied both before and after the CHG- dressing phase to negate any coincidental temporal effect...
March 2018: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29803681/comparison-of-patient-specific-factors-and-outcomes-for-one-and-two-stage-basilic-vein-transposition-fistulas
#15
Andrew J Shevitz, Ann H Kim, Katherine L Morrow, David J Johnson, Patricia R Campos, Vikram S Kashyap, Virginia L Wong
OBJECTIVE: The decision to perform a one- or two-stage basilic vein transposition (BVT) arteriovenous fistula often depends on factors such as the vessel's diameter, the patient's disposition, and the surgeon's preference. This study's aim was to analyze patency by BVT staging technique and to identify patient-specific characteristics associated with outcomes. METHODS: A retrospective review of all patients who underwent one- or two-stage BVT at our institution between 2008 and 2013 was performed...
May 23, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29802505/rate-of-bacteremia-in-the-hemodialysis-patient-presenting-to-the-emergency-department-with-fever-a-retrospective-chart-review
#16
Nicholas Villalon, Neda Farzan, Kathryn Freeman
BACKGROUND: Infectious disease is the second most common cause of death in patients receiving hemodialysis (HD). When presenting to the emergency department (ED) with fever, it remains a diagnostic challenge to distinguish patients with potentially life-threatening bacterial infections from those with less significant causes of fever. The primary goal of this study was to determine the rate of bacteremia in HD patients presenting to the ED with fever. The secondary goal of this study was to identify any independent risk factors associated with bacteremia in the febrile HD patient...
May 25, 2018: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29802078/the-role-of-extra-pancreatic-infections-in-the-prediction-of-severity-and-local-complications-in-acute-pancreatitis
#17
Elizabeth Pando, Piero Alberti, Jimmy Hidalgo, Laura Vidal, Cristina Dopazo, Mireia Caralt, Laia Blanco, Concepción Gómez-Gavara, Itxarone Bilbao, Joaquim Balsells, Ramon Charco
BACKGROUND: The aim of our study was to determine the risk factors for extrapancreatic infection (EPI) occurrence and its predictive power for assessing severity and local complications in acute pancreatitis including infected pancreatic necrosis (IPN). METHODS: Clinical data of 176 AP patients prospectively enrolled were analysed. EPI analysed were bacteraemia, lung infection, urinary tract infection and catheter line infection. Risk factors analysed were: Leukocyte count, C-reactive protein, liver function test, serum calcium, serum glucose, Blood urea nitrogen, mean arterial pressure at admission, total parenteral nutrition (TPN), enteral nutrition, hypotension, respiratory, cardiovascular and renal failure at admission, persistent systemic inflammatory response (SIRS) and intrapancreatic necrosis...
May 19, 2018: Pancreatology: Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]
https://www.readbyqxmd.com/read/29799871/cost-effectiveness-analysis-of-chlorhexidine-alcohol-versus-povidone-iodine-alcohol-solution-in-the-prevention-of-intravascular-catheter-related-bloodstream-infections-in-france
#18
Franck Maunoury, Christian Farinetto, Stéphane Ruckly, Jeremy Guenezan, Jean-Christophe Lucet, Alain Lepape, Julien Pascal, Bertrand Souweine, Olivier Mimoz, Jean-François Timsit
OBJECTIVE: To perform a cost-effectiveness analysis of skin antiseptic solutions (chlorhexidine-alcohol (CHG) versus povidone iodine-alcohol solution (PVI)) for the prevention of intravascular-catheter-related bloodstream infections (CRBSI) in intensive care unit (ICU) in France based on an open-label, multicentre, randomised, controlled trial (CLEAN). DESIGN: A 100-day time semi-markovian model was performed to be fitted to longitudinal individual patient data from CLEAN database...
2018: PloS One
https://www.readbyqxmd.com/read/29788118/risk-factors-for-treatment-failure-and-mortality-among-hospitalised-patients-with-complicated-urinary-tract-infection-a-multicentre-retrospective-cohort-study-rescuing-study-group
#19
Noa Eliakim-Raz, Tanya Babitch, Evelyn Shaw, Ibironke Addy, Irith Wiegand, Christiane Vank, Laura Torre-Vallejo, Vigo Joan-Miquel, Morris Steve, Sally Grier, Margaret Stoddart, Cuperus Nienke, Leo van den Heuvel, Cuong Vuong, Alasdair MacGowan, Jordi Carratalà, Leonard Leibovici, Miquel Pujol
Background: Complicated urinary tract infections (cUTIs) are responsible for a major share of all antibiotic consumption in hospitals. We aim to describe risk factors for treatment failure and mortality among hospitalised patients with cUTIs. Methods: A multinational, multicentre retrospective cohort study, conducted in 20 countries in Europe and the Middle East. Data were collected from patients' files on hospitalised patients with a diagnosis of cUTI during 2013-2014...
May 17, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29778510/assessment-of-intestinal-failure-associated-liver-disease-according-to-different-diagnostic-criteria
#20
Anna Simona Sasdelli, Federica Agostini, Caterina Pazzeschi, Mariacristina Guidetti, Simon Lal, Loris Pironi
BACKGROUND & AIMS: Intestinal failure associated liver disease (IFALD) has been defined using numerous criteria; however the clinical relevance of these criteria has never been compared. We therefore aimed to evaluate the prevalence, incidence, evolution of IFALD diagnosed by different criteria and to assess any clinical features that may be associated with its occurrence. METHODS: A cross sectional (CS) and retrospective study were carried out on adults on home parenteral nutrition (HPN) for chronic intestinal failure (CIF) managed at a single center...
May 8, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
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