keyword
MENU ▼
Read by QxMD icon Read
search

Central line associated blood stream infections

keyword
https://www.readbyqxmd.com/read/27798663/epidemiology-of-blood-stream-infection-due-to-candida-species-in-a-tertiary-care-hospital-in-japan-over-12-years-importance-of-peripheral-line-associated-candidemia
#1
Masahiro Ishikane, Kayoko Hayakawa, Satoshi Kutsuna, Nozomi Takeshita, Norio Ohmagari
BACKGROUND: Candidemia is an important cause of mortality in healthcare settings. Peripheral lines are a source of candidemia, yet few studies have reported on the clinico-epidemiological features of candidemia due to peripheral-line associated blood stream infection (PLABSI). METHODS: We conducted a single-centre retrospective cohort study of all patients with candidemia between 2002 and 2013. PLABSI was defined as the presence of at least one of the following: the presence of phlebitis or the resolution of clinical symptoms after peripheral-line withdrawal, with careful exclusion of an alternative explanation for bacteraemia...
2016: PloS One
https://www.readbyqxmd.com/read/27730778/antibiotic-lock-therapy-in-the-era-of-gram-negative-resistance
#2
Rajeev Soman, Neha Gupta, Mitesh Suthar, Jatin Kothari, Alan Almeida, Anjali Shetty, Camilla Rodrigues
BACKGROUND: Central-line-associated blood-stream infection (CLABSI) is a highly consequential nosocomial infection. The most effective management includes the removal of the infected catheter. Retention of the catheter and antibiotic lock therapy (ALT) along with systemic antibiotics may be attempted only if there are unusual extenuating circumstances. CLABSIs due to Gram-negative bacteria (GNB) is more common in our setting and the organisms are often highly resistant. Hence, there is a need to explore the use of novel antimicrobials for catheter lock solutions along with antibiofilm agents...
February 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27618377/one-rural-hospital-s-experience-implementing-the-society-for-healthcare-epidemiology-of-america-guidelines-to-decrease-central-line-infections
#3
Maria H Curlej, Elizabeth Katrancha
In an effort to take advantage of the Highmark Quality Blue Initiative () requiring information from hospitals detailing their central line-associated blood stream infections (CLABSIs) surveillance system, quality improvement program, and statistics regarding the CLABSI events, this institution investigated the latest evidence-based recommendations to reduce CLABSIs. Recognizing the baseline rate of 2.4 CLABSIs per 1,000 central line days and its effect on patient outcomes and medical costs, this hospital made a commitment to improve their CLABSI outcomes...
September 2016: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/27616655/risk-factors-for-bacteremia-and-central-line-associated-blood-stream-infections-in-children-with-acute-myelogenous-leukemia-a-single-institution-report
#4
Ashley E J Rogers, Kristen M Eisenman, Susan A Dolan, Kristin M Belderson, Jocelyn R Zauche, Suhong Tong, Jane Gralla, Joanne M Hilden, Michael Wang, Kelly W Maloney, Samuel R Dominguez
BACKGROUND: Central line-associated blood stream infections (CLABSIs) are a source of high morbidity and mortality in children with acute myelogenous leukemia (AML). PROCEDURE: To understand the epidemiology and risk factors associated with the development of CLABSI in children with AML. METHODS: We retrospectively reviewed all patients with AML over a 5-year period between 2007 and 2011 at the Children's Hospital Colorado. Cases and controls were classified on the basis of the presence of a CLABSI as defined by the National Healthcare Safety Network...
September 12, 2016: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/27570854/prevalence-and-risk-factors-of-gram-negative-bacilli-causing-blood-stream-infection-in-patients-with-malignancy
#5
Fawzia E Al-Otaibi, Elham E Bukhari, Mona Badr, Abdulkarim A Alrabiaa
OBJECTIVES: To evaluate the epidemiology, risk factors, and antibiotic resistance of Gram negative bacteria (GNB) in patients with hematologic or solid organ malignancies.   METHODS: This is a retrospective study of 61 episodes of GNB bacteremia occurring in 56 patients with malignancy admitted to the Oncology Units in King Khalid University Hospital, Riyadh. Kingdom of Saudi Arabia during the period from January 2013 to October 2015. Data were retrieved from the computerized database of the microbiology laboratory and the patient's medical records...
September 2016: Saudi Medical Journal
https://www.readbyqxmd.com/read/27559470/a-project-to-reduce-the-rate-of-central-line-associated-bloodstream-infection-in-icu-patients-to-a-target-of-zero
#6
Muhammad Yaseen, Fahad Al-Hameed, Khalid Osman, Mansour Al-Janadi, Majid Al-Shamrani, Asim Al-Saedi, Abdulhakeem Al-Thaqafi
Central venous catheters (CVCs) are life-saving and the majority of patients in intensive care units (ICUs) have them placed in order to receive medicine and fluids. However, the use of these catheters can result in serious bloodstream infections. The rate of Central Line Associated Blood Stream Infection (CLABSI) in Adult Intensive Care Units (ICUs) at King Abdulaziz Medical City Jeddah (KAMC-J) at the start of the project was 2.0/1000 line days in 2008. The Central Line (CL) Bundle by the Institute of Healthcare Improvement (IHI) was implemented at the same time with monitoring of compliance to the CL Bundle...
2016: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/27484446/incidence-and-risk-factors-for-central-line-associated-bloodstream-infections
#7
Shilpa Tomar, Rakesh Lodha, Bimal Das, Seema Sood, Arti Kapil
OBJECTIVE: To carry out surveillance of central-line associated blood stress inrections in a Pediatric intensive care unit and determine associated risk factors. METHODS: This prospective study was conducted over 1.5 years in the pediatric intensive care unit. CDC definitions for these infections were followed and associated risk factors were identified. RESULTS: Of 265 enrolled children with central line, 13 developed blood stream infections (incidence density 5...
July 1, 2016: Indian Pediatrics
https://www.readbyqxmd.com/read/27384252/vascular-access-tracking-system-a-web-based-clinical-tracking-tool-for-identifying-catheter-related-blood-stream-infections-in-interventional-radiology-placed-central-venous-catheters
#8
James Morrison, John Kaufman
Vascular access is invaluable in the treatment of hospitalized patients. Central venous catheters provide a durable and long-term solution while saving patients from repeated needle sticks for peripheral IVs and blood draws. The initial catheter placement procedure and long-term catheter usage place patients at risk for infection. The goal of this project was to develop a system to track and evaluate central line-associated blood stream infections related to interventional radiology placement of central venous catheters...
December 2016: Journal of Digital Imaging: the Official Journal of the Society for Computer Applications in Radiology
https://www.readbyqxmd.com/read/27297475/in-vitro-assessment-of-the-antimicrobial-efficacy-of-optimized-nitroglycerin-citrate-ethanol-as-a-nonantibiotic-antimicrobial-catheter-lock-solution-for-prevention-of-central-line-associated-bloodstream-infections
#9
Ruth A Reitzel, Joel Rosenblatt, Cheryl Hirsh-Ginsberg, Kimberly Murray, Anne-Marie Chaftari, Ray Hachem, Issam Raad
The rapid, broad-spectrum, biofilm-eradicating activity of the combination of 0.01% nitroglycerin, 7% citrate, and 20% ethanol and its potential as a nonantibiotic, antimicrobial catheter lock solution (ACLS) were previously reported. Here, a nitroglycerin-citrate-ethanol (NiCE) ACLS optimized for clinical assessment was developed by reducing the nitroglycerin and citrate concentrations and increasing the ethanol concentration. Biofilm-eradicating activity was sustained when the ethanol concentration was increased from 20 to 22% which fully compensated for reducing the citrate concentration from 7% to 4% as well as the nitroglycerin concentration from 0...
September 2016: Antimicrobial Agents and Chemotherapy
https://www.readbyqxmd.com/read/27290487/behavioural-influences-of-critical-care-physicians-and-nurses-intention-to-implement-preventive-evidence-based-measures-towards-central-line-associated-blood-stream-infections-clabsis
#10
K Iliopoulou, J Anderson, T Day
No abstract text is available yet for this article.
December 2015: Intensive Care Medicine Experimental
https://www.readbyqxmd.com/read/27212426/assessing-nursing-quality-in-paediatric-intensive-care-units-a-cross-sectional-study-in%C3%A2-china
#11
Yuxia Zhang, Linxia Liu, Jing Hu, Yanhong Zhang, Guoping Lu, Guangyu Li, Zelan Zuo, Hua Lu, Huan Zou, Zaihua Wang, Quelan Huang
BACKGROUND: Nursing-sensitive indicators are considered effective tools for improving the quality of care in hospitals. However, these have not been used in paediatric intensive care units (PICUs) in China. AIM: To develop nursing-sensitive indicators for PICUs and to assess the quality of nursing in PICUs in China based on the nursing-sensitive indicators. DESIGN: Multi-centre, cross-sectional study. METHODS: Structure, process and outcome indicators were developed and measured from 1 January to 31 March 2014 in seven PICUs in China...
May 23, 2016: Nursing in Critical Care
https://www.readbyqxmd.com/read/27198806/central-line-associated-blood-stream-infections-in-pediatric-hematology-oncology-patients-with-different-types-of-central-lines
#12
Jeffrey D Hord, John Lawlor, Eric Werner, Amy L Billett, David G Bundy, Cindi Winkle, Aditya H Gaur
BACKGROUND: Central line associated bloodstream infections (CLABSIs) are a significant cause of morbidity and mortality in pediatric hematology/oncology (PHO) patients. Understanding the differences in CLABSI rates by central line (CL) type is important to inform clinical decisions. PROCEDURE: CLABSI, using similar definitions, noted with three commonly used CL types (totally implanted catheter [port], tunneled externalized catheter [TEC], peripherally inserted central catheter [PICC]) and CL-specific line days were prospectively tracked across 15 US PHO centers from May 2012 until April 2015 and CLABSI rates (CLABSI per 1,000 CL-specific line days) were calculated...
September 2016: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/27179394/a-novel-infection-prevention-approach-leveraging-a-mandatory-electronic-communication-tool-to-decrease-peripherally-inserted-central-catheter-infections-complications-and-cost
#13
Sue J Kim-Saechao, Earl Almario, Zachary A Rubin
BACKGROUND: Peripherally inserted central catheters (PICCs) removed prematurely for unconfirmed infection or thrombosis lead to subsequent reinsertions and associated complications. To improve clinical quality, a mandatory electronic communication tool (MECT) based on clinical practice guidelines was mandated for all inpatient adult PICCs in an academically affiliated tertiary medical center. This MECT facilitated early communication and specialized evaluation with the PICC team for any complications related to PICCs...
May 11, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27143669/closing-the-translation-gap-toolkit-based-implementation-of-universal-decolonization-in-adult-intensive-care-units-reduces-central-line-associated-bloodstream-infections-in-95-community-hospitals
#14
Edward Septimus, Jason Hickok, Julia Moody, Ken Kleinman, Taliser R Avery, Susan S Huang, Richard Platt, Jonathan Perlin
BACKGROUND: Challenges exist in implementing evidence-based strategies, reaching high compliance, and achieving desired outcomes. The rapid adoption of a publicly available toolkit featuring routine universal decolonization of intensive care unit (ICU) patients may affect catheter-related bloodstream infections. METHODS: Implementation of universal decolonization-treatment of all ICU patients with chlorhexidine bathing and nasal mupirocin-used a prerelease version of a publicly available toolkit...
July 15, 2016: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/26980202/the-impact-of-a-pay-for-performance-program-on-central-line-associated-blood-stream-infections-in-pennsylvania
#15
Nathaniel D Bastian, Hyojung Kang, Harriet B Nembhard, Andrew Bloschichak, Paul M Griffin
Healthcare associated infections have significantly contributed to the rising cost of hospital care in the United States. The implementation of pay-for-performance (P4P) programs has been one approach to improve quality at a reduced cost. We quantify the impact of Highmark's Quality Blue (QB) hospital P4P program on central line-associated blood stream infections (CLABSI) in Pennsylvania. The impact of years of participation in QB on CLABSI is also evaluated. Data from 149 Pennsylvania hospitals on CLABSI from 2008-2013 are used...
2016: Hospital Topics
https://www.readbyqxmd.com/read/26929120/can-the-identification-of-an-idle-line-facilitate-its-removal-a-comparison-between-a-proposed-guideline-and-clinical-practice
#16
REVIEW
Areeba Kara, Cynthia S Johnson, Michelle Murray, Jill Dillon, Siu L Hui
BACKGROUND: There are 250,000 cases of central line-associated blood stream infections in the United States annually, some of which may be prevented by the removal of lines that are no longer needed. OBJECTIVE: To test the performance of criteria to identify an idle line as a guideline to facilitate its removal. METHODS: Patients with central lines on the wards were identified. Criteria for justified use were defined. If none were met, the line was considered "idle...
July 2016: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/26833824/direct-care-nurses-on-the-shared-governance-journey-towards-positive-patient-outcomes
#17
Nicole Kneflin, Lucy O'Quinn, Gina Geigle, Brenda Mott, Dawn Nebrig, Jennifer Munafo
AIMS AND OBJECTIVES: To describe shared governance in action through the example of one paediatric institution's decision to institute daily chlorhexidine bathing. BACKGROUND: Shared governance processes are discussed extensively in the literature; however, implementation of the processes can be challenging. Recently nurses at one paediatric hospital were involved in a hospital-wide practice change where the theoretical approach of shared governance was actualised...
March 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/26713401/cautis-and-clabsis-do-physicians-really-know-what-they-are
#18
Therèse M Duane, Rajesh Ramanathan, Patricia Leavell, Catherine Mays, Janis Ober
BACKGROUND: The incidences of hospital-acquired conditions, such as catheter-associated urinary tract infections (CAUTIs) and central line-associated blood stream infections (CLABSIs) are being used to compare quality at institutions and determine reimbursements. These data come from the University HealthSystem Consortium (UHC) administrative database that relies almost exclusively on physician documentation as opposed to objective U.S. Centers for Disease Control and Prevention (CDC) guidelines...
February 2016: Surgical Infections
https://www.readbyqxmd.com/read/26651382/the-impact-of-nighttime-intensivists-on-medical-intensive-care-unit-infection-related-indicators
#19
Abhaya Trivedi, Kathleen M McMullen, Hilary M Babcock, Marin H Kollef
In 2013, a before-and-after intervention study was conducted to evaluate the effect 24-hour intensivist coverage on length of stay and rates of catheter-associated urinary tract infection, central-line associated blood stream infection, and ventilator-associated events. Intensivist coverage for 24 hours did not decrease length of stay or result in a decrease in any specific infection rate.
March 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/26629870/prevention-of-late-onset-sepsis-and-central-line-associated-blood-stream-infection-in-preterm-infants
#20
Ajay K Sinha, Vadivelam Murthy, Puneet Nath, Joan K Morris, Mike Millar
AIM: Late onset sepsis (LOS) and central-line associated blood stream infection (CLA-BSI) contribute toward the mortality and morbidity in prematurely born infants. The aim of this study is to investigate the effects of hospital-wide and unit-based interventions on LOS and CLA-BSI in infants born at <32 weeks gestation. METHODS: Intensive care, high dependency days and catheter days were obtained from the unit database and blood culture results from a microbiology laboratory database...
April 2016: Pediatric Infectious Disease Journal
keyword
keyword
5067
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"