Reducing Central Line Associated Bloodstream Infections (CLABSIs) by Reducing Central Line Days.

IF 3.1 4区医学 Q2 INFECTIOUS DISEASES

Current Infectious Disease Reports Pub Date : 2021-01-01 Epub Date: 2021-11-02 DOI:10.1007/s11908-021-00767-w

Amber Shaye McElveen Beville, Diane Heipel, Ginger Vanhoozer, Pamela Bailey

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引用次数: 4

Abstract

Purpose of review: While reducing unnecessary days present of central venous catheters (CVCs) is part of central line associated bloodstream infection (CLABSI) best practices, there is limited information regarding compliance with this recommendation as well as addressing barriers to compliance.

Recent findings: Significant work has been directed towards daily audits of necessity and improving communication between members of the medical team. Other critical interventions include utilization of the electronic health record (EHR), leadership support of CLABSI reduction goals, and avoiding CVC placement over more appropriate vascular access.

Summary: Institutions have varied approaches to addressing the issue of removing idle CVCs, and more standardized approaches in checklists as well as communication, particularly on multidisciplinary rounds, will be key to CVC removal. Utilization of the EHR for reminders or appropriate documentation of necessity is a factor. Avoidance of placing a CVC or appropriateness of the CVC is also important to consider.

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通过减少中心静脉注射天数减少中心静脉相关血流感染(CLABSIs)。

综述目的:虽然减少中心静脉导管(CVCs)的不必要使用天数是中心静脉相关血流感染(CLABSI)最佳实践的一部分，但关于该建议的依从性以及解决依从性障碍的信息有限。最近的调查结果:在必要性的日常审计和改善医疗小组成员之间的沟通方面开展了大量工作。其他关键干预措施包括电子健康记录(EHR)的使用、领导层对CLABSI减少目标的支持，以及避免在更合适的血管通路上放置CVC。总结:机构有不同的方法来解决清除闲置CVC的问题，在检查清单和沟通中采用更标准化的方法，特别是在多学科轮次中，将是清除CVC的关键。利用电子病历提醒或适当的必要文件是一个因素。避免设置CVC或设置CVC的适当性也是需要考虑的重要因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Infectious Disease Reports INFECTIOUS DISEASES-

CiteScore

6.70

自引率

0.00%

发文量

期刊介绍： This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of infectious disease. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as HIV/AIDS, sexually transmitted diseases, tropical and travel medicine, and urinary tract infections. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists.