Central line infection prevention should offer more to postinsertion care

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“The timing of infection demonstrates the need for more careful attention to postinsertion care and access of central venous catheters.” Klintworth et al (2014).

Reference:

Klintworth, G., Stafford, J., O’Connor, M., Leong, T., Hamley, L., Watson, K., Kennon, J., Bass, P., Cheng, A.C. and Worth, L.J. (2014) Beyond the intensive care unit bundle: Implementation of a successful hospital-wide initiative to reduce central line–associated bloodstream infections. AJIC: American Journal of Infection Control. 42(6), p.685-687.

Abstract:

A multimodal hospital-wide central line–associated bloodstream infection (CLABSI) risk reduction strategy was implemented over a 20-month period at an Australian center. Reduced CLABSI rates were observed in both intensive care units (ICUs) (incidence rate ratio [IRR], 0.39; P < .001) and non-ICU wards (IRR, 0.54; P < .001). The median time to CLABSI onset was 7.5 days for ICU events and 13 days for non-ICU events. The timing of infection demonstrates the need for more careful attention to postinsertion care and access of central venous catheters.

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