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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
유선미정숙인김광숙임덕순손장욱김정연김지은장윤숙정선주배현주
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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Sohn, Jang Wook
Anam Hospital (Department of Infectious Diseases, Anam Hospital)
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