A hospital-wide reduction in central line-associated bloodstream infections through systematic quality improvement initiative and multidisciplinary teamwork
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.
第一作者单位:[1]Wuhan Univ, Renmin Hosp, Dept Infect Control, Wuhan, Hubei, Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Han Jingjing,Wan Jun,Cheng Yujia,et al.A hospital-wide reduction in central line-associated bloodstream infections through systematic quality improvement initiative and multidisciplinary teamwork[J].AMERICAN JOURNAL OF INFECTION CONTROL.2019,47(11):1358-1364.doi:10.1016/j.ajic.2019.05.008.
APA:
Han, Jingjing,Wan, Jun,Cheng, Yujia,Li, Dan,Deng, Min...&Wang, Jianmiao.(2019).A hospital-wide reduction in central line-associated bloodstream infections through systematic quality improvement initiative and multidisciplinary teamwork.AMERICAN JOURNAL OF INFECTION CONTROL,47,(11)
MLA:
Han, Jingjing,et al."A hospital-wide reduction in central line-associated bloodstream infections through systematic quality improvement initiative and multidisciplinary teamwork".AMERICAN JOURNAL OF INFECTION CONTROL 47..11(2019):1358-1364