RT Journal Article
SR Electronic
T1 Venous central line catheter management in respiratory semi-intensive care unit: The way to zero central line-associated bloodstream infections (CLABSIs) – A randomized controlled trial
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P255
VO 44
IS Suppl 58
A1 Riccardo Inchingolo
A1 Andrea Smargiassi
A1 Giuliana Pasciuto
A1 Giuseppe Corbo
A1 Manuela Cavalletti
A1 Giuliano Montemurro
A1 Daniele Magnini
A1 Giancarlo Scoppettuolo
A1 Riccardo Torelli
A1 Teresa Spanu
A1 Maurizio Sanguinetti
A1 Salvatore Valente
YR 2014
UL http://erj.ersjournals.com/content/44/Suppl_58/P255.abstract
AB Aims: 1) efficacy of educational interventions on rate of CLABSIs, 2) effects of port protector, 3) rate of contamination.9months of observation and 9months of interventional period. We enrolled patients with CVC: 1) placed in RSICU, 2) previously placed without signs of SIRS during 48h before of admittance, 3) previously placed without microbiological evidence of colonization.During interventional period we randomized patients into two groups: 1) educational intervention plus port protector (Group 1) and 2) educational intervention (Group 2). Patients developing SIRS underwent both peripheral and central blood cultures. We identified 5 conditions: 1) CVC-related sepsis (both blood cultures positive with differential time to CVC positivity at least 2h before); 2) CVC not related sepsis (both blood cultures positive with: a) differential time to CVC positivity less than 2h or b) peripheral positivity precedes CVC one); 3) CVC colonization; 4) contamination of peripheral blood culture; 5) central and peripheral blood cultures negativity.87 CVC were included during observational period. Catheter dwell time was 1068. CLABSIs rate was 8.4/1000. 10 sepsis (9 CLABSIs), 16 CVC colonization and 6 contamination of blood cultures were observed. 46 CVC were included during interventional period. Catheter dwell time was 707. CLABSIs rate was 1.4/1000. 21/46 CVC were included into Group 1. 5 CVC colonization (2 in Group 1), 3 contamination of blood cultures (only in Group 2) were observed. In Group 1 no CLABSIs were reported.Both kinds of interventions significantly reduce the rate of CLABSIs.