C David Simpson1, Judith Hawes2, Andrew G James3, Kyong-Soon Lee3. 1. Division of Neonatal-Perinatal Medicine, Dalhousie University, Halifax, Nova Scotia; ; Department of Paediatrics, Dalhousie University, Halifax, Nova Scotia; 2. Division of Neonatology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario. 3. Division of Neonatology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario ; Department of Paediatrics, University of Toronto, Toronto, Ontario.
Abstract
BACKGROUND: A checklist that promotes compliance with aseptic technique during line insertion is a component of many care bundles aimed at reducing nosocomial infections among intensive care unit patients. OBJECTIVE: To determine whether the use of bundled interventions that include a checklist during central-line insertions reduces catheter-related bloodstream infections in intensive care unit patients. METHODS: A literature review was performed using methodology adapted from the American Heart Association's International Liaison Committee on Resuscitation. RESULTS: Seventeen cohort studies were included. Thirteen studies were supportive of the intervention, while four were neutral. Infection rates ranged from 1.6 to 10.8 per 1000 central-line days in control groups, and from 0.0 to 3.8 per 1000 central-line days in the intervention groups. CONCLUSION: There is fair evidence to recommend the use of care bundles that include a checklist during central-line insertion in intensive care unit patients to reduce the incidence of catheter-related bloodstream infections.
BACKGROUND: A checklist that promotes compliance with aseptic technique during line insertion is a component of many care bundles aimed at reducing nosocomial infections among intensive care unit patients. OBJECTIVE: To determine whether the use of bundled interventions that include a checklist during central-line insertions reduces catheter-related bloodstream infections in intensive care unit patients. METHODS: A literature review was performed using methodology adapted from the American Heart Association's International Liaison Committee on Resuscitation. RESULTS: Seventeen cohort studies were included. Thirteen studies were supportive of the intervention, while four were neutral. Infection rates ranged from 1.6 to 10.8 per 1000 central-line days in control groups, and from 0.0 to 3.8 per 1000 central-line days in the intervention groups. CONCLUSION: There is fair evidence to recommend the use of care bundles that include a checklist during central-line insertion in intensive care unit patients to reduce the incidence of catheter-related bloodstream infections.
Entities:
Keywords:
Catheter-related infections; Catheters; Checklist; Health care; Indwelling/adverse events; Infection control/methods; Intensive care units; Quality assurance
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