The Bundle "plus": The Effect of a Multidisciplinary Team Approach to Eradicate Central Line-Associated Bloodstream Infections

Anesthesia and Analgesia

Volumn 120, Issue 4, 2015, Pages 868-876

  Walz, J Matthias ^a   Ellison, Richard T ^a   Mack, Deborah A ^a   Flaherty, Helen M ^a   McIlwaine, John K ^a,b   Whyte, Kathleen G ^a   Landry, Karen E ^a   Baker, Stephen P C P H ^a   Heard, Stephen O ^a  

^a UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL   (United States)

^b GEISINGER MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CHLORHEXIDINE; MINOCYCLINE; RIFAMPICIN;

APACHE; ARTICLE; AVOIDANCE BEHAVIOR; BLOOD CULTURE; CATHETER INFECTION; CENTRAL VENOUS CATHETER; CHECKLIST; COAGULASE NEGATIVE STAPHYLOCOCCUS; CRITICALLY ILL PATIENT; FEMORAL VEIN; HAND WASHING; HEALTH EDUCATION; HUMAN; INTENSIVE CARE UNIT; METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS; OBSERVATIONAL STUDY; PATHOGEN CLEARANCE; PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER; PRIORITY JOURNAL; SKIN; TERTIARY CARE CENTER; ADVERSE EFFECTS; BACTEREMIA; CATHETER-RELATED INFECTIONS; CENTRAL VENOUS CATHETERIZATION; CHEMISTRY; CRITICAL ILLNESS; INTENSIVE CARE; INTERDISCIPLINARY COMMUNICATION; PATIENT CARE; REGRESSION ANALYSIS; STAPHYLOCOCCAL INFECTIONS; STAPHYLOCOCCUS;

BACTEREMIA; CATHETER-RELATED INFECTIONS; CATHETERIZATION, CENTRAL VENOUS; CENTRAL VENOUS CATHETERS; CHLORHEXIDINE; CRITICAL ILLNESS; HAND HYGIENE; HUMANS; INTENSIVE CARE; INTENSIVE CARE UNITS; INTERDISCIPLINARY COMMUNICATION; PATIENT CARE TEAM; REGRESSION ANALYSIS; STAPHYLOCOCCAL INFECTIONS; STAPHYLOCOCCUS;

EID: 84930898014     PISSN: 00032999     EISSN: 15267598     Source Type: Journal    
DOI: 10.1213/ANE.0b013e3182a8b01b     Document Type: Article

References (38)

1. Centers for Disease Control and Prevention (CDC). Vital signs: central line-associated blood stream infections-United States, 2001, 2008, and 2009. Ann Emerg Med 2011;58:447-50
2. Sherertz RJ, Ely EW, Westbrook DM, Gledhill KS, Streed SA, Kiger B, Flynn L, Hayes S, Strong S, Cruz J, Bowton DL, Hulgan T, Haponik EF. Education of physicians-in-training can decrease the risk for vascular catheter infection. Ann Intern Med 2000;132:641-8
3. Coopersmith CM, Rebmann TL, Zack JE, Ward MR, Corcoran RM, Schallom ME, Sona CS, Buchman TG, Boyle WA, Polish LB, Fraser VJ. Effect of an education program on decreasing catheter-related bloodstream infections in the surgical intensive care unit. Crit Care Med 2002;30:59-64
4. Coopersmith CM, Zack JE, Ward MR, Sona CS, Schallom ME, Everett SJ, Huey WY, Garrison TM, McDonald J, Buchman TG, Boyle WA, Fraser VJ, Polish LB. The impact of bedside behavior on catheter-related bacteremia in the intensive care unit. Arch Surg 2004;139:131-6
5. Raad II, Hohn DC, Gilbreath BJ, Suleiman N, Hill LA, Bruso PA, Marts K, Mansfield PF, Bodey GP. Prevention of central venous catheter-related infections by using maximal sterile barrier precautions during insertion. Infect Control Hosp Epidemiol 1994;15:231-8
6. Berenholtz SM, Pronovost PJ, Lipsett PA, Hobson D, Earsing K, Farley JE, Milanovich S, Garrett-Mayer E, Winters BD, Rubin HR, Dorman T, Perl TM. Eliminating catheter-related bloodstream infections in the intensive care unit. Crit Care Med 2004;32:2014-20
7. Pronovost P, Needham D, Berenholtz S, Sinopoli D, Chu H, Cosgrove S, Sexton B, Hyzy R, Welsh R, Roth G, Bander J, Kepros J, Goeschel C. An intervention to decrease catheterrelated bloodstream infections in the ICU. N Engl J Med 2006;355:2725-32
8. 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
9. 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
10. Timsit JF, Schwebel C, Bouadma L, Geffroy A, Garrouste-Orgeas M, Pease S, Herault MC, Haouache H, Calvino-Gunther S, Gestin B, Armand-Lefevre L, Leflon V, Chaplain C, Benali A, Francais A, Adrie C, Zahar JR, Thuong M, Arrault X, Croize J, Lucet JC; Dressing Study Group. Chlorhexidine-impregnated sponges and less frequent dressing changes for prevention of catheter-related infections in critically ill adults: A randomized controlled trial. JAMA 2009;301:1231-41
11. Veenstra DL, Saint S, Saha S, Lumley T, Sullivan SD. Efficacy of antiseptic-impregnated central venous catheters in preventing catheter-related bloodstream infection: A meta-analysis. JAMA 1999;281:261-7
12. Darouiche RO, Raad II, Heard SO, Thornby JI, Wenker OC, Gabrielli A, Berg J, Khardori N, Hanna H, Hachem R, Harris RL, Mayhall G. A comparison of two antimicrobial-impregnated central venous catheters. Catheter Study Group. N Engl J Med 1999;340:1-8
13. Rupp ME, Lisco SJ, Lipsett PA, Perl TM, Keating K, Civetta JM, Mermel LA, Lee D, Dellinger EP, Donahoe M, Giles D, Pfaller MA, Maki DG, Sherertz R. Effect of a secondgeneration venous catheter impregnated with chlorhexidine and silver sulfadiazine on central catheter-related infections: A randomized, controlled trial. Ann Intern Med 2005;143:570-80
14. McCauley K, Irwin RS. Changing the work environment in ICUs to achieve patient-focused care: the time has come. Chest 2006;130:1571-8
15. Graybill FA. Theory and Application of the Linear Model. Belmont, CA: Wadsworth, 1976
16. SAS 9.2. Cary, NC: SAS, Inc., 2008
17. Singer JD. Using SAS PROC MIXED to fit multilevel models, hierarchical models and individual growth models. J Educ Behav Stat 1998;23:323-55
18. Snedecor GW, Cochran WG. Statistical Methods. Ames, IA: Iowa State University Press, 1989
19. Ibrahim JG. Incomplete data in generalized linear models. J Amer Stat Assoc 1990;85:765-69
20. Daniel WW. Applied Nonparametric Statistics. Pacific Grove, CA: Duxbury, 1990
21. Mehta CR, Patel N. LogXact 5.1. Cambridge, MA: Cytel Software, 2002
22. Maki DG, Mermel LA, Kluger D, Narans L, Knasinski V, Parenteau S, Covington P. The Efficacy of a Chlorhexidine-Impregnated Sponge (Biopatch) for the Prevention of Intravascular Catheter-Related Infection-A Prospective, Randomized, Controlled, Multicenter Study. Toronto, Canada: 40th Interscience Conference on Antimicrobial Agents and Chemotherapy, 2000:Abstract #1430
23. Ho KM, Litton E. Use of chlorhexidine-impregnated dressing to prevent vascular and epidural catheter colonization and infection: A meta-analysis. J Antimicrob Chemother 2006;58:281-7
24. Bowles S. When economic incentives backfire. Harv Bus Rev 2009:8b
25. Scott A, Sivey P, Ait Ouakrim D, Willenberg L, Naccarella L, Furler J, Young D. The effect of financial incentives on the quality of health care provided by primary care physicians. Cochrane Database Syst Rev 2011;9:CD008451
26. Sheffler RM. Pay for Performance (P4P) Programs in Health Services: what is the evidence? World Health Report Background Paper, 2010
27. Van Herck P, De Smedt D, Annemans L, Remmen R, Rosenthal MB, Sermeus W. Systematic review: effects, design choices, and context of pay-for-performance in health care. BMC Health Serv Res 2010;10:247
28. Timsit JF, Bouadma L, Ruckly S, Schwebel C, Garrouste-Orgeas M, Bronchard R, Calvino-Gunther S, Laupland K, Adrie C, Thuong M, Herault MC, Pease S, Arrault X, Lucet JC. Dressing disruption is a major risk factor for catheter-related infections. Crit Care Med 2012;40:1707-14
29. 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
30. Backman LA, Melchreit R, Rodriguez R. Validation of the surveillance and reporting of central line-associated bloodstream infection data to a state health department. Am J Infect Control 2010;38:832-8
31. Lin MY, Hota B, Khan YM, Woeltje KF, Borlawsky TB, Doherty JA, Stevenson KB, Weinstein RA, Trick WE; CDC Prevention Epicenter Program. Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates. JAMA 2010;304:2035-41
32. Ong A, Dysert K, Herbert C, Laux L, Granato J, Crawford J, Rodriguez A, Cortes V. Trends in central line-associated bloodstream infections in a trauma-surgical intensive care unit. Arch Surg 2011;146:302-7
33. Hanna HA, Raad II, Hackett B, Wallace SK, Price KJ, Coyle DE, Parmley CL; M.D. Anderson Catheter Study Group. Antibioticimpregnated catheters associated with significant decrease in nosocomial and multidrug-resistant bacteremias in critically ill patients. Chest 2003;124:1030-8
34. Ramos ER, Reitzel R, Jiang Y, Hachem RY, Chaftari AM, Chemaly RF, Hackett B, Pravinkumar SE, Nates J, Tarrand JJ, Raad II. Clinical effectiveness and risk of emerging resistance associated with prolonged use of antibiotic-impregnated catheters: more than 0.5 million catheter days and 7 years of clinical experience. Crit Care Med 2011;39:245-51
35. Raad I, Mohamed JA, Reitzel RA, Jiang Y, Raad S, Al Shuaibi M, Chaftari AM, Hachem RY. Improved antibiotic-impregnated catheters with extended-spectrum activity against resistant bacteria and fungi. Antimicrob Agents Chemother 2012;56:935-41
36. O'Grady NP, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO, Lipsett PA, Masur H, Mermel LA, Pearson ML, Raad II, Randolph AG, Rupp ME, Saint S; Healthcare Infection Control Practices Advisory Committee (HICPAC) Guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis 2011;52:e162-93
37. Kim JS, Holtom P, Vigen C. Reduction of catheter-related bloodstream infections through the use of a central venous line bundle: epidemiologic and economic consequences. Am J Infect Control 2011;39:640-6
38. Halton K, Graves N. Economic evaluation and catheter-related bloodstream infections. Emerg Infect Dis 2007;13:815-23