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

来源：

ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL | 2016年 / 5卷

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.

引用

页数：9

共 76 条

[71] Incidence of Catheter-Associated Bloodstream Infection After Introduction of Minocycline and Rifampin Antimicrobial-Coated Catheters in a Pediatric Burn Population [J].

Weber, Joan M. ;

Sheridan, Robert L. ;

Fagan, Shawn ;

Ryan, Colleen M. ;

Pasternack, Mark S. ;

Tompkins, Ronald G. .

JOURNAL OF BURN CARE & RESEARCH, 2012, 33 (04) :539-543

[72] Antimicrobial lock solutions for the prevention of infections associated with intravascular catheters in patients undergoing hemodialysis: Systematic review and meta-analysis of randomized, controlled trials [J].

Yahav, Dafna ;

Rozen-Zvi, Benaya ;

Gafter-Gvili, Anat ;

Leibovici, Leonard ;

Gafter, Uzi ;

Paul, Mical .

CLINICAL INFECTIOUS DISEASES, 2008, 47 (01) :83-93

[73]

Yoshida Junichi, 2008, Journal of Infection and Chemotherapy, V14, P399, DOI 10.1007/s10156-008-0637-9

[74] Antimicrobial Lock Solutions as a Method to Prevent Central Line-Associated Bloodstream Infections: A Meta-analysis of Randomized Controlled Trials [J].

Zacharioudakis, Ioannis M. ;

Zervou, Fainareti N. ;

Arvanitis, Marios ;

Ziakas, Panayiotis D. ;

Mermel, Leonard A. ;

Mylonakis, Eleftherios .

CLINICAL INFECTIOUS DISEASES, 2014, 59 (12) :1741-1749

[75] Successful Prevention of Cuffed Hemodialysis Catheter-Related Infection Using an Antibiotic Lock Technique by Strictly Catheter-Restricted Antibiotic Lock Solution Method [J].

Zhang, Ping ;

Yuan, Jing ;

Tan, Huizhen ;

Lv, Rong ;

Chen, Jianghua .

BLOOD PURIFICATION, 2009, 27 (02) :206-211

[76] Citrate Versus Heparin Lock for Hemodialysis Catheters: A Systematic Review and Meta-analysis of Randomized Controlled Trials [J].

Zhao, Yuliang ;

Li, Zheng ;

Zhang, Ling ;

Yang, Jiqiao ;

Yang, Yingying ;

Tang, Yi ;

Fu, Ping .

AMERICAN JOURNAL OF KIDNEY DISEASES, 2014, 63 (03) :479-490

← 1 2 3 4 5 6 7 8 →