Reduction of central line-associated bloodstream infection rates in a neonatal intensive care unit after implementation of a multidisciplinary evidence-based quality improvement collaborative: A four-year surveillance

Canadian Journal of Infectious Diseases and Medical Microbiology

Volumn 24, Issue 4, 2013, Pages 185-190

  Ting, Joseph Y ^a   Goh, Vicki S K ^a   Osiovich, Horacio ^a  

^a UNIVERSITY OF BRITISH COLUMBIA   (Canada)

Author keywords

Bloodstream infection; Central line; Neonate

Indexed keywords

ARTICLE; AWARENESS; BIRTH WEIGHT; CATHETER INFECTION; CENTRAL VENOUS CATHETER; CENTRAL VENOUS CATHETERIZATION; EVIDENCE BASED PRACTICE; EXTREMELY LOW BIRTH WEIGHT; FEVER; GESTATIONAL AGE; HAND WASHING; HOSPITAL HYGIENE; HUMAN; LOW BIRTH WEIGHT; NEWBORN; NEWBORN INFECTION; NEWBORN INTENSIVE CARE; OBSERVATIONAL STUDY; RETROSPECTIVE STUDY; SKIN CARE; TOTAL QUALITY MANAGEMENT;

EID: 84892179488     PISSN: 17129532     EISSN: None     Source Type: Journal    
DOI: 10.1155/2013/781690     Document Type: Article

References (37)

1. Wirtschafter DD, Pettit J, Kurtin P, et al. A statewide quality improvement collaborative to reduce neonatal central line-associated blood stream infections. J Perinatol 2010; 30:170-81.
2. Stoll BJ, Hansen N, Fanaroff AA, et al. Late-onset sepsis in very low birth weight neonates: The experience of the NICHD Neonatal Research Network. Pediatrics 2002; 110:285-91.
3. Powers RJ, Wirtschafter DW. Decreasing central line associated bloodstream infection in neonatal intensive care. Clin Perinatol 2010; 37:247-72.
4. Shah DK, Doyle LW, Anderson PJ, et al. Adverse neurodevelopment in preterm infants with postnatal sepsis or necrotizing enterocolitis is mediated by white matter abnormalities on magnetic resonance imaging at term. J Pediatr 2008; 153:170-5.
5. Costello JM, Morrow D F, Graham DA, Potter-Bynoe G, Sandora TJ, Laussen PC. Systematic intervention to reduce central line-associated bloodstream infection rates in a pediatric cardiac intensive care unit. Pediatrics 2008; 121:915-23.
6. Guerin K, Wagner J, Rains K, Bessesen M. Reduction in central line-associated bloodstream infections by implementation of a postinsertion care bundle. Am J Infect Control 2010; 38:430-3.
7. Li S, Bizzarro MJ. Prevention of central line associated bloodstream infections in critical care units. Curr Opin Pediatr 2011; 23:85-90.
8. O'Grady N P, Alexander M, Burns LA, et al. Guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis 2011; 52:e162-93.
9. Holton D, Paton S, Conly J, Embree J, Taylor G, Thompson W. Central venous catheter-associated bloodstream infections occurring in Canadian intensive care units: A six-month cohort study. Can J Infect Dis Med Microbiol 2006; 17:169-76.
10. Horan TC, Andrus M, Dudeck MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control 2008; 36:309-32.
11. Central Venous Catheter-Associated Blood Stream Infections In Intensive Care Units. The Canadian Nosocomial Infection Surveillance Program; 2010.
12. O'Grady N P, Alexander M, Dellinger E P, et al. Guidelines for the prevention of intravascular catheter-related infections. Centers for Disease Control and Prevention. MMWR Recomm Rep 2002; 51:1-29.
13. Hibbard JS, Mulberry GK, Brady AR. A clinical study comparing the skin antisepsis and safety of ChloraPrep, 70% isopropyl alcohol, and 2% aqueous chlorhexidine. J Infus Nurs 2002; 25:244-9.
14. Malathi I, Millar MR, Leeming JP, Hedges A, Marlow N. Skin disinfection in preterm infants. Arch Dis Child 1993; 69(3 Spec No):312-6.
15. Reynolds PR, Banerjee S, Meek JH. Alcohol burns in extremely low birthweight infants: Still occurring. Arch Dis Child Fetal Neonatal Ed 2005; 90:F10.
16. Adams D, Quayum M, Worthington T, Lambert P, Elliott T. Evaluation of a 2% chlorhexidine gluconate in 70% isopropyl alcohol skin disinfectant. J Hosp Infect 2005; 61:287-90.
17. Fryklund B, Tullus K, Berglund B, Burman LG. Importance of the environment and the faecal flora of infants, nursing staff and parents as sources of Gram-negative bacteria colonizing newborns in three neonatal wards. Infection 1992; 20:253-7.
18. Graham PL 3rd. Simple strategies to reduce healthcare associated infections in the neonatal intensive care unit: Line, tube, and hand hygiene. Clin Perinatol 2010; 37:645-53.
19. Semelsberger CF. Educational interventions to reduce the rate of central catheter-related bloodstream infections in the NICU: A review of the research literature. Neonatal Netw 2009; 28:391-5.
20. Coopersmith CM, Rebmann TL, Zack JE, et al. Effect of an education program on decreasing catheter-related bloodstream infections in the surgical intensive care unit. Crit Care Med 2002; 30:59-64.
21. Warren DK, Zack JE, Mayfield JL, et al. The effect of an education program on the incidence of central venous catheter-associated bloodstream infection in a medical ICU. Chest 2004; 126:1612-8.
22. Yoo S, Ha M, Choi D, Pai H. Effectiveness of surveillance of central catheter-related bloodstream infection in an ICU in Korea. Infect Control Hosp Epidemiol 2001; 22:433-6.
23. Raad, II, Hohn DC, Gilbreath BJ, et al. Prevention of central venous catheter-related infections by using maximal sterile barrier precautions during insertion. Infect Control Hosp Epidemiol 1994; 15(4 Pt 1):231-8.
24. Abi-Said D, Raad I, Umphrey J, et al. Infusion therapy team and dressing changes of central venous catheters. Infect Control Hosp Epidemiol 1999; 20:101-5.
25. Pittet D, Dharan S, Touveneau S, Sauvan V, Perneger TV. Bacterial contamination of the hands of hospital staff during routine patient care. Arch Intern Med 1999; 159:821-6.
26. Maki DG, Ringer M, Alvarado CJ. Prospective randomised trial of povidone-iodine, alcohol, and chlorhexidine for prevention of infection associated with central venous and arterial catheters. Lancet 1991; 338:339-43.
27. Mimoz O, Pieroni L, Lawrence C, et al. Prospective, randomized trial of two antiseptic solutions for prevention of central venous or arterial catheter colonization and infection in intensive care unit patients. Crit Care Med 1996; 24:1818-23.
28. Chaiyakunapruk N, Veenstra DL, Lipsky BA, Saint S. Chlorhexidine compared with povidone-iodine solution for vascular catheter-site care: A meta-analysis. Ann Intern Med 2002; 136:792-801.
29. Lashkari HP, Chow P, Godambe S. Aqueous 2% chlorhexidine-induced chemical burns in an extremely premature infant. Arch Dis Child Fetal Neonatal Ed 2012; 97:F64.
30. O'Grady N P, Alexander M, Burns LA, et al. Guidelines for the prevention of intravascular catheter-related infections. Am J Infect Control 2011; 39(4 Suppl 1):S1-34.
31. Soothill JS, Bravery K, Ho A, Macqueen S, Collins J, Lock P. A fall in bloodstream infections followed a change to 2% chlorhexidine in 70% isopropanol for catheter connection antisepsis: A pediatric single center before/after study on a hemopoietic stem cell transplant ward. Am J Infect Control 2009; 37:626-30.
32. McDonald LC, Banerjee SN, Jarvis WR. Line-associated bloodstream infections in pediatric intensive-care-unit patients associated with a needleless device and intermittent intravenous therapy. Infect Control Hosp Epidemiol 1998; 19:772-7.
33. Pratt RJ, O'Malley B. Supporting evidence-based infection prevention and control practice in the National Health Service in England. The NHS/TVU/Intuition Approach. J Hosp Infect 2007; 65(Suppl 2):142-7.
34. Horbar JD, Plsek PE, Leahy K. NIC/Q 2000: Establishing habits for improvement in neonatal intensive care units. Pediatrics 2003; 111(4 Pt 2):e397-410.
35. Lee SK, Aziz K, Singhal N, et al. Improving the quality of care for infants: A cluster randomized controlled trial. CMAJ 2009; 181:469-76.
36. Kilbride HW, Wirtschafter DD, Powers RJ, Sheehan MB. Implementation of evidence-based potentially better practices to decrease nosocomial infections. Pediatrics 2003; 111(4 Pt 2):e519-33.
37. Randolph G, Esporas M, Provost L, Massie S, Bundy DG. Model for improvement - part two: Measurement and feedback for quality improvement efforts. Pediatr Clin North Am 2009; 56:779-98.