Anticoagulation for the prevention of central venous catheter associated-thrombosis: an evidence based commentary

2007 ◽  
Vol 117 (11-12) ◽  
pp. 494-496 ◽  
Author(s):  
Menaka Pai ◽  
Mark A. Crowther
Keyword(s):  
Central Venous Catheter ◽  
Venous Catheter ◽  
Evidence Based ◽  
Central Venous

Prevention of Central Venous Catheter-Associated Bloodstream Infections in Pediatric Intensive Care Units A Performance Improvement Collaborative

2009 ◽  
Vol 30 (7) ◽  
pp. 645-651 ◽  
Author(s):  
Howard E. Jeffries ◽  
Wilbert Mason ◽  
Melanie Brewer ◽  
Katie L. Oakes ◽  
Esther I. Mufioz ◽  
...  
Keyword(s):  
Intensive Care ◽  
Central Venous Catheter ◽  
Pediatric Intensive Care ◽  
Bloodstream Infections ◽  
Venous Catheter ◽  
Evidence Based ◽  
Central Venous ◽  
Improvement Project ◽  
Team Members ◽  
Prevention Interventions

Objective.The goal of this effort was to reduce central venous catheter (CVC)-associated bloodstream infections (BSIs) in pediatric intensive care unit (ICU) patients by means of a multicenter evidence-based intervention.Methods.An observational study was conducted in 26 freestanding children's hospitals with pediatric or cardiac ICUs that joined a Child Health Corporation of America collaborative. CVC-associated BSI protocols were implemented using a collaborative process that included catheter insertion and maintenance bundles, daily review of CVC necessity, and daily goals. The primary goal was either a 50% reduction in the CVC-associated BSI rate or a rate of 1.5 CVC-associated BSIs per 1,000 CVC-days in each ICU at the end of a 9-month improvement period. A 12-month sustain period followed the initial improvement period, with the primary goal of maintaining the improvements achieved.Results.The collaborative median CVC-associated BSI rate decreased from 6.3 CVC-associated BSIs per 1,000 CVC-days at the start of the collaborative to 4.3 CVC-associated BSIs per 1,000 CVC-days at the end of the collaborative. Sixty-five percent of all participants documented a decrease in their CVC-associated BSI rate. Sixty-nine CVC-associated BSIs were prevented across all teams, with an estimated cost avoidance of $2.9 million. Hospitals were able to sustain their improvements during a 12-month sustain period and prevent another 198 infections.Conclusions.We conclude that our collaborative quality improvement project demonstrated that significant reduction in CVC-associated BSI rates and related costs can be realized by means of evidence-based prevention interventions, enhanced communication among caregivers, standardization of CVC insertion and maintenance processes, enhanced measurement, and empowerment of team members to enforce adherence to best practices.

The Role of Biofilm in Central Venous Catheter Related Bloodstream Infections: Evidence-based Nursing and Review of the Literature

2020 ◽  
Vol 15 (1) ◽  
pp. 22-27 ◽  
Author(s):  
Nicola Ielapi ◽  
Emanuela Nicoletti ◽  
Carmela Lorè ◽  
Giorgio Guasticchi ◽  
Tiziana Avenoso ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Bloodstream Infections ◽  
Venous Catheter ◽  
Infectious Complications ◽  
Evidence Based ◽  
Central Venous ◽  
Device Management ◽  
Bibliographic Search ◽  
Materials Used ◽  
Evidence Based Nursing

Background: Biofilm is a fundamental component in the pathogenesis of infections related to the use of the central venous catheter (CVC,) which can represent an important health issue in everyday practice of nursing and medical staff. Objective: The objective of the following review is to analyze the components of biofilm and their role in catheter-related infection determinism in an evidencebased nursing perspective in such a way as to give health professionals useful suggestions in the prevention and management of these complications. Methods: The following databases were consulted for the bibliographic search: Medline, Scopus, Science Direct. Biofilm can be the cause of CVC extraction and can lead to serious haematogenic infectious complications that can increase the morbidity and mortality of affected patients. Results: Updated pathophysiologic knowledge of biofilm formation and appropriate diagnostic methodology are pivotal in understanding and detecting CVC-related infections. Lock therapy appears to be a useful, preventive, and therapeutic aid in the management of CVCrelated infections. New therapies attempting to stop bacterial adhesion on the materials used could represent new frontiers for the prevention of CVC-related infections. Conclusion: The correct evidence-based nursing methods, based on the use of guidelines, provides the opportunity to minimize the risks of infection through the implementation of a series of preventive measures both during the CVC positioning phase and in the subsequent phase, for example, during device management which is performed by medical and nursing staff.

scholarly journals Complications Associated With Use of Long-Term Central Venous Catheters Among Commercially Insured Women With Breast Cancer

2015 ◽  
Vol 11 (6) ◽  
pp. 505-510 ◽  
Author(s):  
Allison Lipitz-Snyderman ◽  
Qinli Ma ◽  
Michael F. Pollack ◽  
John Barron ◽  
Elena B. Elkin ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Central Venous Catheter ◽  
Venous Catheter ◽  
Central Venous Catheters ◽  
Evidence Based ◽  
Central Venous ◽  
Evidence Based Guidelines

Long-term central venous catheter (CVC) use is associated with increased morbidity. Evidence-based guidelines tools may help decrease discretionary use of long-term CVCs resulting from provider- or institution-driven variations in practice.

Central Vascular Access Device Guidelines for Pediatric Home-Based Patients: Driving Best Practices

2013 ◽  
Vol 18 (2) ◽  
pp. 103-113 ◽  
Author(s):  
Nancy Kramer ◽  
Darcy Doellman ◽  
Michelle Curley ◽  
Jill L. Wall
Keyword(s):  
Central Venous Catheter ◽  
Best Practices ◽  
Vascular Access ◽  
Venous Catheter ◽  
Evidence Based ◽  
Central Venous ◽  
Access Device ◽  
Variation In Care ◽  
Home Based ◽  
Vascular Access Device

Abstract Central vascular access device (CVAD) care for infants and children in home settings is challenging due to small catheter sizes, patient activity, and variation in care and maintenance practices. CVADs require detailed care to prevent complications and unnecessary line replacement. Guidelines that address CVAD care and maintenance for pediatric home-based patients do not exist. This article reviews evidence-based central venous catheter maintenance practices for pediatric home care patients.

An Evidence-Based Catheter Bundle Alters Central Venous Catheter Strategy in Newborn Infants

2012 ◽  
Vol 160 (6) ◽  
pp. 972-977.e2 ◽  
Author(s):  
Meggan Butler-O’Hara ◽  
Carl T. D’Angio ◽  
Hyacinth Hoey ◽  
Timothy P. Stevens
Keyword(s):  
Central Venous Catheter ◽  
Newborn Infants ◽  
Venous Catheter ◽  
Evidence Based ◽  
Central Venous
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