Revista da Sociedade Brasileira de Medicina Tropical | |
Reduction of catheter-associated bloodstream infections through procedures in newborn babies admitted in a university hospital intensive care unit in Brazil | |
Universidade Federal de Uberlândia, Uberlândia1  Abdallah, Vânia Olivetti Steffen1  Faculdade de Medicina, Uberlândia1  Brito, Denise von Dolinger de1  Resende, Daiane Silva1  Gontijo Filho, Paulo Pinto1  Ó, Jacqueline Moreira do1  | |
关键词: Neonates; Bloodstream infection; Reduction; Central venous catheter; | |
DOI : 10.1590/S0037-86822011000600015 | |
学科分类:农业科学(综合) | |
来源: Sociedade Brasileira de Medicina Tropical | |
【 摘 要 】
INTRODUCTION: Catheter-associated bloodstream infection (CA-BSI) is the most common nosocomial infection in neonatal intensive care units. There is evidence that care bundles to reduce CA-BSI are effective in the adult literature. The aim of this study was to reduce CA-BSI in a Brazilian neonatal intensive care unit by means of a care bundle including few strategies or procedures of prevention and control of these infections.METHODS: An intervention designed to reduce CA-BSI with five evidence-based procedures was conducted.RESULTS: A total of sixty-seven (26.7%) CA-BSIs were observed. There were 46 (32%) episodes of culture-proven sepsis in group preintervention (24.1 per 1,000 catheter days [CVC days]). Neonates in the group after implementation of the intervention had 21 (19.6%) episodes of CA-BSI (14.9 per 1,000 CVC days). The incidence of CA-BSI decreased significantly after the intervention from the group preintervention and postintervention (32% to 19.6%, 24.1 per 1,000 CVC days to 14.9 per 1,000 CVC days, p=0.04). In the multiple logistic regression analysis, the use of more than 3 antibiotics and length of stay >8 days were independent risk factors for BSI.CONCLUSIONS: A stepwise introduction of evidence-based intervention and intensive and continuous education of all healthcare workers are effective in reducing CA-BSI.
【 授权许可】
Unknown
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