The Effect of Interdisciplinary Team Rounds on Urinary Catheter and Central Venous Catheter Days and Rates of Infection

被引：18
作者：
Arora, Navneet [1 ]
Patel, Killol [1 ]
Engell, Christian A. [1 ]
LaRosa, Jennifer A. [1 ]
机构：
[1] Newark Beth Israel Med Ctr, Newark, NJ 07112 USA
来源：
AMERICAN JOURNAL OF MEDICAL QUALITY | 2014年 / 29卷 / 04期
关键词：
multidisciplinary rounds; CRBSI; CAUTI; catheter-related infections; BLOOD-STREAM INFECTIONS; TRACT-INFECTION; PREVENTION; OUTCOMES; GUIDELINES; BACTEREMIA; HOSPITALS; ADULTS; RISK;
D O I：
10.1177/1062860613500519
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Interdisciplinary team (IDT) rounds were initiated in the intensive care unit (ICU) in June 2010. All catheters were identified by location, duration, and indication. Catheters with no indication were removed. Data were collected retrospectively on catheter days and associated infections in a 20-month period before and after intervention with an aggregate of 19 207 ICU days before and 23 576 ICU days after institution of rounds. Results showed a statistically significant decrease in the number of indwelling urinary catheter (IUC) days (5304 vs 4541 days, P = .05) and catheter-associated urinary tract infection rates (4.71 vs 1.98 infections/1000 ICU days, P < .05). Central line days statistically increased after IDT rounds (3986 vs 4305 days, P < .05) but the catheter-related bloodstream infection rate trended down (3.5 vs 1.6 infections/1000 ICU days, P = .62). This analysis suggests that IDT rounds may have an impact on reducing the number of IUC days and associated infections.
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页码：329 / 334
页数：6
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