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A hospital-wide reduction in central line-associated bloodstream infections through systematic quality improvement initiative and multidisciplinary teamwork

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单位: [1]Wuhan Univ, Renmin Hosp, Dept Infect Control, Wuhan, Hubei, Peoples R China [2]Wuhan Univ, Renmin Hosp, Dept Cardiol, Wuhan, Hubei, Peoples R China [3]Wuhan Univ, Renmin Hosp, Dept Pharm, Wuhan, Hubei, Peoples R China [4]Huazhong Univ Sci & Technol, Xiehe Hosp, Tongji Med Coll, Dept Infect Control, Wuhan, Hubei, Peoples R China [5]Wuhan Univ, Renmin Hosp, Dept Nursing, Wuhan, Hubei, Peoples R China [6]Wuhan Univ, Renmin Hosp, Dept Med, Wuhan, Hubei, Peoples R China [7]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Infect Control,Dept Resp Med, Wuhan 430030, Hubei, Peoples R China
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关键词: Central venous catheter Infection control program Intervention study

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Background: Few data are available on hospital-wide incidence of central line-associated bloodstream infection (CLABSI) rates in patients with central venous catheter (CVC) in China, where many systemic obstacles holding back evidence-based guidelines implementation exist. Methods: This study was conducted prospectively in 2 phases. The baseline and intervention phases were performed in a teaching hospital in China, between January 2017 and October 2018. A systematic quality improvement (SQI) and multidisciplinary teamwork (MDT) CLABSI infection control program was introduced in the intervention phase. In the intensive care units (ICUs) and non-ICUs, CLABSIs were continuously monitored, data collected, then analyzed. Results: After intervention, the CLABSI rate decreased from 2.84-0.56 per 1,000 CVC days in ICUs (P < .001), and from 0.82-0.47 per 1,000 CVC days in non-ICUs (P = .003). The length of time until CLABSI occurrence increased from 8.72-13.60 days in ICUs (P = .046), and from 10.00-12.00 days in non-ICUs (P = .048). The number of multidrug-resistant bacteria isolated from CLABSI episodes decreased both in ICUs and in non-ICUs. Conclusions: The SQI and MDT CLABSI infection control program is effective in reducing hospital-wide CLABSI in patients with CVC, both in ICUs and in non-ICUs. (C) 2019 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

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出版当年[2018]版:
大类 | 4 区 医学
小类 | 3 区 公共卫生、环境卫生与职业卫生 4 区 传染病学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 公共卫生、环境卫生与职业卫生 4 区 传染病学
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出版当年[2017]版:
Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Q3 INFECTIOUS DISEASES
最新[2023]版:
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Q2 INFECTIOUS DISEASES

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

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第一作者单位: [1]Wuhan Univ, Renmin Hosp, Dept Infect Control, Wuhan, Hubei, Peoples R China
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