American journal of infection control
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Am J Infect Control · Aug 2010
Reduction in central line-associated bloodstream infections by implementation of a postinsertion care bundle.
Central line-associated bloodstream infections (CLABSIs) cause substantial morbidity and incur excess costs. The use of a central line insertion bundle has been shown to reduce the incidence of CLABSI. Postinsertion care has been included in some studies of CLABSI, but this has not been studied independently of other interventions. ⋯ This study demonstrates that implementation of a central venous catheter postinsertion care bundle was associated with a significant reduction in CLABSI in a setting where compliance with the central line insertion bundle was already high.
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Am J Infect Control · Aug 2010
Evaluation of interventions to reduce catheter-associated bloodstream infection: continuous tailored education versus one basic lecture.
This study evaluated the impact of 2 models of educational intervention on rates of central venous catheter-associated bloodstream infections (CVC-BSIs). ⋯ Personal customized, continuous intervention seems to develop a "culture of prevention" and is more effective than single intervention, leading to a sustained reduction of infection rates.
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Am J Infect Control · Aug 2010
A multimodal approach to central venous catheter hub care can decrease catheter-related bloodstream infection.
This study was conducted to investigate decreases in catheter-related bloodstream infections (CRBSIs) through an evidence-based multimodal intervention. ⋯ This study demonstrates significant decreases in CRBSI rate for all catheter types and birth weight categories associated with the multimodal intervention. Audiovisual education is an effective tool for practice change. Reeducation and compliance monitoring should be part of all nosocomial infection prevention strategies, resulting in significant savings in health care costs.
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Am J Infect Control · Aug 2010
Influenza vaccination and sick leave practices and perceptions reported by health care workers in ambulatory care settings.
We examined annual influenza vaccination and sick leave practices and perceptions among 627 health care workers (HCWs) in ambulatory care settings in King County, Washington using a self-report questionnaire. Most medical practitioners (85%), but fewer other HCWs (nurses, nurse's aides, allied health professionals, administrative; 55%-64%) reported receiving an annual influenza vaccination; only 31% of HCWs reported routinely taking sick leave for influenza-like illness.
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Am J Infect Control · Aug 2010
Effectiveness of a catheter-associated bloodstream infection bundle in a Thai tertiary care center: a 3-year study.
We sought to determine the long-term impact of "bundled" infection control interventions on the rates of catheter-associated bloodstream infection (CA-BSI) in a middle-income country. ⋯ Bundled infection control practices are feasible and effective in sustaining reduced incidence of CA-BSI in patients with central venous catheters in a resource-limited setting.