APSIC guide for prevention of Central Line Associated Bloodstream Infections (CLABSI)

被引:129
作者
Ling, Moi Lin [1 ]
Apisarnthanarak, Anucha [2 ]
Jaggi, Namita [3 ]
Harrington, Glenys [4 ]
Morikane, Keita [5 ]
Le Thi Anh Thu [6 ]
Ching, Patricia [7 ]
Villanueva, Victoria [8 ]
Zong, Zhiyong [9 ]
Jeong, Jae Sim [10 ]
Lee, Chun-Ming [11 ]
机构
[1] Singapore Gen Hosp, Outram Rd, Singapore 169608, Singapore
[2] Thammasat Univ Hosp, Bangkok, Thailand
[3] Artemis Hosp, New Delhi, India
[4] Infect Control Consultancy ICC, Melbourne, Vic, Australia
[5] Yamagata Univ Hosp, Yamagata, Japan
[6] Cho Ray Hosp, Ho Chi Minh, Vietnam
[7] Hong Kong Baptist Hosp, Kowloon, Hong Kong, Peoples R China
[8] Chong Hua Hosp, Cebu, Philippines
[9] Sichuan Univ, West China Hosp, Chengdu 610064, Peoples R China
[10] Asan Med Ctr, Seoul, South Korea
[11] Mackay Mem Hosp, Taipei, Taiwan
关键词
Central line associated bloodstream infections; CLABSI; Insertion bundle; Maintenance bundle; Quality improvement; INTENSIVE-CARE-UNIT; CENTRAL VENOUS CATHETERS; ANTIMICROBIAL LOCK SOLUTIONS; CRITICALLY-ILL; RANDOMIZED-TRIAL; POVIDONE-IODINE; INTRAVASCULAR CATHETERS; PARENTERAL-NUTRITION; NATIONAL-SURVEY; RISK-FACTORS;
D O I
10.1186/s13756-016-0116-5
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This document is an executive summary of the APSIC Guide for Prevention of Central Line Associated Bloodstream Infections (CLABSI). It describes key evidence-based care components of the Central Line Insertion and Maintenance Bundles and its implementation using the quality improvement methodology, namely the Plan-Do-Study-Act (PDSA) methodology involving multidisciplinary process and stakeholders. Monitoring of improvement over time with timely feedback to stakeholders is a key component to ensure the success of implementing best practices. A surveillance program is recommended to monitor outcomes and adherence to evidence-based central line insertion and maintenance practices (compliance rate) and identify quality improvement opportunities and strategically targeting interventions for the reduction of CLABSI.
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页数:9
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