중심정맥도관 관련 혈류감염 예방을 위한 다기관 중재 연구Interventions to Prevent Catheter-Associated Bloodstream Infections: A Multicenter Study in Korea
- Other Titles
- Interventions to Prevent Catheter-Associated Bloodstream Infections: A Multicenter Study in Korea
- Authors
- 유선미; 정숙인; 김광숙; 임덕순; 손장욱; 김정연; 김지은; 장윤숙; 정선주; 배현주
- Issue Date
- 2010
- Publisher
- 대한감염학회
- Keywords
- Catheter-associated bloodstream infections; Healthcare associated infection; Intensive care unit; Intervention
- Citation
- Infection and Chemotherapy, v.42, no.4, pp 216 - 222
- Pages
- 7
- Indexed
- KCICANDI
- Journal Title
- Infection and Chemotherapy
- Volume
- 42
- Number
- 4
- Start Page
- 216
- End Page
- 222
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/31115
- ISSN
- 2093-2340
2092-6448
- Abstract
- Background: The purpose of this study was to determine the efficacy of infectioncontrol interventions to decrease the incidence of catheter-associated bloodstream infections (CA-BSI) and to examine the sustainability of its effect during and after the intervention in Korea.
Materials and Methods: We conducted a prospective multi-strategy intervention in intensive care units (ICUs) at 3 university hospitals in Korea. The intervention consisted of education and on-site training for medical personnel involved in catheter care, active surveillance, and reinforcement of current intervention in each unit. After the intervention of 3 months, we identified CA-BSI cases of each hospital using the electronic database for 6 months.
Results: During the intervention, the number of CA-BSI decreased significantly compared to pre-interventional period (8.7 vs. 2.3 per 1,000 catheter days; rate ratio 0.28; 95% CI, 0.13-0.61). After the intervention, CA-BSI rate increased slightly,but was still significantly lower than that of pre-interventional period (4.3 per 1,000catheter days; rate ratio, 0.49; 95% CI, 0.31-0.78). Reduction of gram-negative bacterial infections was noted during and after the intervention.
Conclusions: A multi-strategy approach to reduce CA-BSI could be implemented in diverse settings of medical and surgical units in Korea and decreased CA-BSI rates during the intervention.
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- Appears in
Collections - 2. Clinical Science > Department of Infectious Diseases > 1. Journal Articles
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