scholarly journals Letter regarding ‘Utilizing a line maintenance team to reduce central-line-associated bloodstream infections in a neonatal intensive care unit’

2013 ◽  
Vol 33 (5) ◽  
pp. 410-410 ◽  
Author(s):  
S G Golombek ◽  
A J Rohan ◽  
B Parvez ◽  
A L Salice ◽  
E F LaGamma
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Bloodstream Infections ◽  
Central Line

scholarly journals Chlorhexidine Bathing in a Tertiary Care Neonatal Intensive Care Unit: Impact on Central Line–Associated Bloodstream Infections

2014 ◽  
Vol 35 (2) ◽  
pp. 158-163 ◽  
Author(s):  
Caroline Quach ◽  
Aaron M. Milstone ◽  
Chantal Perpête ◽  
Mario Bonenfant ◽  
Dorothy L. Moore ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Birth Weight ◽  
Adverse Events ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Tertiary Care ◽  
Bloodstream Infections ◽  
Central Line ◽  
The Impact

Background.Despite implementation of recommended best practices, our central line-associated bloodstream infection (CLABSI) rates remained high. Our objective was to describe the impact of chlorhexidine gluconate (CHG) bathing on CLABSI rates in neonates.Methods.Infants with a central venous catheter (CVC) admitted to the neonatal intensive care unit from April 2009 to March 2013 were included. Neonates with a birth weight of 1,000 g or less, aged less than 28 days, and those with a birth weight greater than 1,000 g were bathed with mild soap until March 31, 2012 (baseline), and with a 2% CHG-impregnated cloth starting on April 1, 2012 (intervention). Infants with a birth weight of 1,000 g or less, aged 28 days or more, were bathed with mild soap during the entire period. Neonatal intensive care unit nurses reported adverse events. Adjusted incidence rate ratios (aIRRs), using Poisson regression, were calculated to compare CLABSIs/1,000 CVC-days during the baseline and intervention periods.Results.Overall, 790 neonates with CVCs were included in the study. CLABSI rates decreased during the intervention period for CHG-bathed neonates (6.00 vs 1.92/1,000 CVC-days; aIRR, 0.33 [95% confidence interval (CI), 0.15-0.73]) but remained unchanged for neonates with a birth rate of 1,000 g or less and aged less than 28 days who were not eligible for CHG bathing (8.57 vs 8.62/1,000 CVC-days; aIRR, 0.86 [95% CI, 0.17-4.44]). Overall, 195 infants with a birth weight greater than 1,000 g and 24 infants with a birth weight of 1,000 g or less, aged 28 days or more, were bathed with CHG. There was no reported adverse event.Conclusions.We observed a decrease in CLABSI rates in CHG-bathed neonates in the absence of observed adverse events. CHG bathing should be considered if CLABSI rates remain high, despite the implementation of other recommended measures.

Device-Associated Infections (Outside of the Neonatal Intensive Care Unit)

2019 ◽  
pp. 31-58
Author(s):  
Manjiree V. Karandikar ◽  
Grace M. Lee ◽  
Galit Holzmann-Pazgal ◽  
Susan Coffin
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Bloodstream Infections ◽  
Central Line ◽  
Pediatric Care ◽  
Patient Specific ◽  
Prevention Strategies ◽  
Tract Infections

Device-associated infections cause substantial morbidity in children. These healthcare-associated infections (HAI) can increase length of stay and healthcare costs. The strategies used to prevent device-associated infections in children can vary, depending on many patient-specific factors, including the child’s age and physical location when receiving inpatient pediatric care. In addition, infection prevention strategies in children are not always the same as adult prevention strategies. This chapter reviews practical, evidence-based strategies to prevent pediatric ventilator-associated events (VAE), central line–associated bloodstream infections (CLABSI), and catheter-associated urinary tract infections (CAUTI). The recommendations focus on patients outside the neonatal intensive care unit (NICU) setting.

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