The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.
Impact of a prevention strategy targeted at vascular-access care on incidence of infections acquired in intensive care
Open accessAbstract
BACKGROUND Intravascular devices are a leading cause of nosocomial infection. Specific prevention strategies and improved guidelines for the use of intravascular devices can decrease the rate of infection; however, the impact of a combination of these strategies on rates of vascular-access infection in intensive-care units (ICUs) is not known. We implemented a multiple-approach prevention programme to decrease the occurrence of vascular-access infection in an 18-bed medical ICU at a tertiary centre. METHODS 3154 critically ill patients, admitted between October, 1995, and November, 1997, were included in a cohort study with longitudinal assessment of an overall catheter-care policy targeted at the reduction of vascular-access infections and based on an educational campaign for vascular-access insertion and on device use and care. Incidence of ICU-acquired infections was measured by means of on-site surveillance. FINDINGS 613 infections occurred in 353 patients (19.4 infections per 100 admissions). The incidence density of exit-site catheter infection was 9.2 episodes per 1000 patient-days before the intervention, and 3.3 episodes per 1000 patient-days afterwards (relative risk 0.36 [95% CI 0.20-0.63]). Corresponding rates for bloodstream infection were 11.3 and 3.8 episodes per 1000 patient-days, respectively (0.33 [0.20-0.56]) due to decreased rates of both microbiologically documented infections and clinical sepsis. Rates of respiratory and urinary-tract infections remained unchanged, whereas those of skin or mucous-membrane infections decreased from 11.4 to 7.0 episodes per 1000 patient-days (0.62 [0.41-0.93]). Overall, the incidence of nosocomial infections decreased from 52.4 to 34.0 episodes per 1000 patient-days (0.65 [0.54-0.78]). INTERPRETATION A multiple-approach prevention strategy, targeted at the insertion and maintenance of vascular access, can decrease rates of vascular-access infections and can have a substantial impact on the overall incidence of ICU-acquired infections.
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Cites
CDC definitions for nosocomial infections, 1988
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A Comparison of Two Antimicrobial-Impregnated Central Venous Catheters
Darouiche, R. O., Raad, I. I., Heard, S. O., Thornby, J. I., Wenker, O. C., Gabrielli, A., Berg, J., Khardori, N., Hanna, H., Hachem, R., et al. (1999) · New England Journal of Medicine · doi:10.1056/nejm199901073400101 · Cited by 804
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Cited by
Tong, S. Y. C., Davis, J. S., Eichenberger, E., Holland, T. L., & Fowler, V. G. (2015) · Clinical Microbiology Reviews · doi:10.1128/cmr.00134-14 · Cited by 5,192
Guidelines for the Prevention of Intravascular Catheter-related Infections
O'Grady, N. P., Alexander, M., Burns, L. A., Dellinger, E. P., Garland, J., Heard, S. O., Lipsett, P. A., Masur, H., Mermel, L. A., Pearson, M. L., et al. (2011) · Clinical Infectious Diseases · doi:10.1093/cid/cir257 · Cited by 4,699
An Intervention to Decrease Catheter-Related Bloodstream Infections in the ICU
Pronovost, P., Needham, D., Berenholtz, S., Sinopoli, D., Chu, H., Cosgrove, S., Sexton, B., Hyzy, R., Welsh, R., Roth, G., et al. (2006) · New England Journal of Medicine · doi:10.1056/nejmoa061115 · Cited by 4,387
Mermel, L. A., Allon, M., Bouza, E., Craven, D. E., Flynn, P., O'Grady, N. P., Raad, I. I., Rijnders, B. J. A., Sherertz, R. J., & Warren, D. K. (2009) · Clinical Infectious Diseases · doi:10.1086/599376 · Cited by 3,638
Guideline for hand hygiene in health-care settings
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Metadata
- Authors
- Eggimann, P., Harbarth, S., Constantin, M.-N., Touveneau, S., Chevrolet, J.-C., & Pittet, D.
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2000-05
- Volume
- 355
- Issue
- 9218
- Pages
- 1864-1868
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W2091270145
- Cited by
- 444
- References
- 20
- FWCI
- 39.33
- Type
- journal article
- Language
- en
- Open access
- green
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- Eggimann, P., Harbarth, S., Constantin, M.-N., Touveneau, S., Chevrolet, J.-C., & Pittet, D. (2000). Impact of a prevention strategy targeted at vascular-access care on incidence of infections acquired in intensive care. The Lancet. https://doi.org/10.1016/s0140-6736(00)02291-1
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