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"Central Line" OR "Central Venous Line"

Alicen B Spaulding, Dave Watson, Jill Dreyfus, Phillip Heaton, Steven Grapentine, Ellen Bendel-Stenzel, Anupam Kharbanda
Background: Bloodstream infections (BSIs) cause significant morbidity and mortality in children. Recent pediatric epidemiological data may inform prevention strategies and empiric antimicrobial therapy selection. Methods: We conducted a retrospective cohort study from 2009-2016 utilizing demographic and microbiology data on inpatients <19 years using the Premier Healthcare Database. BSIs were positive blood cultures without known contaminants. Hospitalization rate was the number of BSI-positive encounters per 1,000 admissions...
December 9, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
Jais Emmanuel, Adalberto Torres
Purpose To assess the impact of the automated surveillance of the electronic medical record process on clinical interventions among hospitalized children at a tertiary care pediatric center. Methods A retrospective chart review of the alerts triggered for central line-associated blood stream infections (CLABSIs), catheter-associated urinary tract infections (CAUTIs), neonatal sepsis, or clinical deterioration through elevated pediatric early warning scores (PEWS) by automated electronic surveillance of the hospital electronic medical record (EMR) over a five-month period among hospitalized children...
October 1, 2018: Curēus
Ester Steffens, Isabel Spriet, Johan Van Eldere, Annette Schuermans
This study assessed the compliance of Belgian home care nurses with good practice recommendations to prevent central line-associated bloodstream infections. The compliance to 3 care bundles was 0% (0 out of 7), 13.3% (2 out of 15), and 22.2% (2 out of 9), respectively. This finding is important given the increasing number of home care patients with an intravascular catheter and underscores the need for quality improvement strategies to prevent central line-associated bloodstream infections in home care.
December 6, 2018: American Journal of Infection Control
Grace Shea, Windy Smith, Kirsten Koffarnus, Mary Jo Knobloch, Nasia Safdar
BACKGROUND: Sustaining healthcare-associated infection (HAI) prevention practices is complex. We examined the use of Kamishibai Cards (K Cards) as a tool to encourage compliance interactions between leaders and staff. METHODS: We explored one unit of a children's hospital to assess acceptability of K Cards. Interactions were recorded (n = 14), and interviews were conducted (n = 22). We used the Health Belief Model (HBM) for analyses. Central line utilization, bundle compliance and rates of HAIs were also examined...
December 3, 2018: American Journal of Infection Control
Hong-En Chen, Cheyenne C Sonntag, David F Pepley, Rohan S Prabhu, David C Han, Jason Z Moore, Scarlett R Miller
BACKGROUND: The objective of this study was to determine whether gaze patterns could differentiate expertise during simulated ultrasound-guided Internal Jugular Central Venous Catheterization (US-IJCVC) and if expert gazes were different between simulators of varying functional and structural fidelity. METHODS: A 2017 study compared eye gaze patterns of expert surgeons (n = 11), senior residents (n = 4), and novices (n = 7) during CVC needle insertions using the dynamic haptic robotic trainer (DHRT), a system which simulates US-IJCVC...
November 13, 2018: American Journal of Surgery
Saungi McCalla, Maggie Reilly, Rowena Thomas, Dawn McSpedon-Rai, Leigh Anne McMahon, Michael Palumbo
BACKGROUND: Health care-associated infections (HAIs) are avoidable through good hand hygiene (HH) practices. Hand hygiene compliance systems (HHCSs) have been shown to reliably measure HH adherence, but data on their effectiveness at reducing HAI rates are limited. METHODS: This nonrandomized, pre-post intervention study was conducted at a community hospital in the United States. HAI rates were examined before and after implementation of a HHCS. Preintervention began in January 2014 and intervention began in March 2015; data were collected through September 2017...
December 2018: American Journal of Infection Control
Pietro Ferrara, Luciana Albano
BACKGROUND: Since correct maintenance of intravascular catheters is an effective strategy for preventing central-line infections, the aim of this study was to assess the level of adherence to guidelines for CVC maintenance amongst Italian HCWs. METHODS: From July 2016 thru January 2017, a cross sectional survey was carried out in a random sample of 549 HCWs working in different hospitals of Campania region (Italy). RESULTS: The 68.9% of interviewees returned the questionnaire...
December 3, 2018: BMC Infectious Diseases
Mary Hellyar, Catherina Madani, Sarah Yeaman, Kelly OʼConnor, Kim M Kerr, Judy E Davidson
Prevention of burnout is a national imperative, and blame-free investigations of clinical events are advocated. Reflective inquiry techniques are helpful in processing adverse events while minimizing blame. The purpose of this project was to develop an interprofessional peer review program (Case Study Investigation) to process emotions, improve teamwork, and optimize patient outcomes. This evidence-based practice project was conducted in a 12-bed intensive care unit using reflective inquiry techniques to perform peer case review across disciplines...
January 2019: Critical Care Nursing Quarterly
Lane Thaut, Wells Weymouth, Branden Hunsaker, Daniel Reschke
BACKGROUND: Central vein catheter (CVC) placement using the modified Seldinger technique is a common procedure in the emergency department, but can be time consuming due to the multiple pieces of equipment included in central line kits and the number of steps in the procedure. Preassembled devices combine a needle, guidewire, dilator, and sheath into one unit and potentially simplify the process and reduce time required for CVC placement using the accelerated Seldinger technique. OBJECTIVE: Our aim was to evaluate whether the use of combination central line devices and the accelerated Seldinger technique will reduce the time required to place a CVC and increase the ease of the procedure...
November 29, 2018: Journal of Emergency Medicine
Elizabeth Braunlin, Kelly Miettunen, Troy Lund, Mark Luquette, Paul Orchard
BACKGROUND: Hematopoietic cell transplantation (HCT) is accepted therapy for severe mucopolysaccharidosis type I (MPS IH). With implementation of newborn screening (NBS) for MPS I in the US, HCT may now occur earlier than 1-2 years of age and it might be assumed that cardiac issues will be fewer. To examine this hypothesis, we reviewed our records for any MPS IH infant who underwent HCT at ≤6 months of age. STUDY PATIENTS: Pre- and (most recent) post-HCT cardiac echos and clinical courses were reviewed in all infants with MPS IH undergoing HCT at ≤6 months of age...
November 13, 2018: Molecular Genetics and Metabolism
Beth L Hicks, Mark S Brittan, Rhonda Knapp-Clevenger
PURPOSE: This study aimed to examine the impact of group-based central venous catheter education (CVC) on the knowledge, skill and comfort of caregivers, length of stay (LOS) related to initial CVC placement and 30-day return hospital visit for central line associated blood stream infections (CLABSI). DESIGN AND METHODS: This pilot study employed a pretest-posttest design comparing retrospective data collected before implementation of the group-based education (GLAD Model)...
November 29, 2018: Journal of Pediatric Nursing
Ferit Kulali, Şebnem Çalkavur, Yeliz Oruç, Nevbahar Demiray, İlker Devrim
BACKGROUND: Central line-associated bloodstream infection is the most common infection associated with health care in preterm infants. The purpose of this 18-month cross-sectional study was to evaluate the effectiveness of bundle applications in the prevention of umbilical venous catheter (UVC)-associated bloodstream infections. METHODS: This study included patients in whom UVCs were inserted and who were diagnosed with central line-associated bloodstream infection between July 1, 2016, and December 31, 2017, according to the Centers for Disease Control and Prevention criteria...
November 27, 2018: American Journal of Infection Control
Sergio Chieffi, Giovanni Messina, Ines Villano, Antonietta Messina, Ciro Rosario Ilardi, Marcellino Monda, Monica Salerno, Francesco Sessa, Maria Pina Mollica, Gina Cavaliere, Giovanna Trinchese, Fabiano Cimmino, Paolo Murabito, Angela Catapano, Vincenzo Monda
Previous studies showed that healthy individuals bisect radial lines oriented along the midsagittal plane farther than the true center (distal bisection bias). It was proposed that the distal bisection bias depended on the presence of an attention bias directed toward far space (distal attention bias) and that this bias is related to the activity of the occipitotemporal visual processing stream. Other studies have also suggested that a similar distal attention bias is linked to the activity of the right hemisphere...
2018: Frontiers in Psychology
Matthew Ziegler, Daniel Landsburg, David Pegues, Warren Bilker, Cheryl Gilmar, Colleen Kucharczuk, Theresa Gorman, Kristen Bink, Amy Moore, Rebecca Fitzpatrick, Edward A Stadtmauer, Patricia Mangan, Kelly Kraus, Jennifer H Han
OBJECTIVES: Patients undergoing stem cell transplant (SCT) for the treatment of hematologic malignancy are at increased risk for central line-associated bloodstream infections (CLABSIs). The use of prophylactic antibiotics to prevent CLABSIs in the setting of autologous SCT is of unclear benefit. We aimed to evaluate the impact of levofloxacin prophylaxis on reducing CLABSIs in this high-risk population. METHODS: Patients undergoing autologous SCT at a tertiary-care hospital received levofloxacin prophylaxis from January 13, 2016 to January 12, 2017...
November 24, 2018: Biology of Blood and Marrow Transplantation
Florian Salm, Frank Schwab, Michael Behnke, Frank M Brunkhorst, André Scherag, Christine Geffers, Petra Gastmeier
Background: Blood cultures (BCs) are the gold standard for diagnosing sepsis and are prerequisite for a targeted antibiotic treatment and essential for patient outcomes. Aim of the study was to analyze the frequency of BCs, the rate of central line-associated bloodstream infections (CLABSIs) and to study the association between both parameters on intensive care units in Germany over time. Methods: Cross-sectional studies at two points in time (2006, 2015) on ICUs participating in the German hospital infection surveillance system...
2018: Antimicrobial Resistance and Infection Control
M S Chae, Y Kim, S A Oh, Y Jeon, H J Choi, Y H Kim, S H Hong, C S Park, J Huh
BACKGROUND: Combined liver and kidney transplant is a very complex surgery. To date, there has been no report on the intraoperative management of patients with impaired cardiac function undergoing simultaneous ABO-compatible liver and ABO-incompatible kidney transplant from 2 living donors. CASE REPORT: A 60-year-old man underwent simultaneous ABO-compatible liver and ABO-incompatible kidney transplant from 2 living donors because of IgA nephropathy and alcoholic liver cirrhosis...
September 7, 2018: Transplantation Proceedings
(no author information available yet)
This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2019 to implement changes arising from our continuing experience with these systems. In this final rule with comment period, we describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment system. In addition, this final rule with comment period updates and refines the requirements for the Hospital Outpatient Quality Reporting (OQR) Program and the ASC Quality Reporting (ASCQR) Program...
November 21, 2018: Federal Register
Heather A Wolfe, Elizabeth H Mack
The relatively young field of pediatric critical care has seen a shift from an approach with little consideration for the complications and adverse effects resulting from the procedures and medications to a more cautious approach with careful concern for the associated risks. Many senior pediatric intensivists recall a time when nearly every patient had a central venous line and arterial line; and hospital acquired infections, pressure injuries, unplanned extubations, and venous thromboemboli were expected costs of aggressive care...
October 2018: Translational Pediatrics
Loai Abu Sharour, Maha Subih, Dalal Yehia, Khaled Suleiman, Ayman Bani Salameh, Mahmoud Al Kaladeh
The aim of the present study was to assess the effectiveness of implementing an educational module based on the Centers for Disease Control and Prevention guidelines on the nurses' knowledge and self-confidence regarding central line catheters (CVCs) caring, complications, and application. A pretest-posttest quasi-experimental design was used. A sample of 100 oncology nurses from oncology units participated in two groups, experimental group (N = 50) and control group (N = 50). The participants completed knowledge test and self-confidence scale before and after the educational program...
December 2018: Journal of Vascular Nursing: Official Publication of the Society for Peripheral Vascular Nursing
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