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Unnecessary Use of Central Venous Catheters: The Need to Look Outside the Intensive Care Unit

Published online by Cambridge University Press:  02 January 2015

William E. Trick*
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Michael O. Vernon
Affiliation:
Cook County Hospital and the Chicago Antimicrobial Resistance Project, Chicago, Illinois
Sharon F. Welbel
Affiliation:
Cook County Hospital and the Chicago Antimicrobial Resistance Project, Chicago, Illinois Rush Medical College, Chicago, Illinois
Mary F. Wisniewski
Affiliation:
Cook County Hospital and the Chicago Antimicrobial Resistance Project, Chicago, Illinois
John A. Jernigan
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Robert A. Weinstein
Affiliation:
Cook County Hospital and the Chicago Antimicrobial Resistance Project, Chicago, Illinois Rush Medical College, Chicago, Illinois
*
Collaborative Research Unit, Stroger Hospital of Cook County, 1900 W Polk St., Suite 1600, Chicago, IL 60612

Abstract

We developed criteria for justifiable CVC use and evaluated CVC use in a public hospital. Unjustified CVC-days were more common for non-ICU patients compared with ICU patients. Also, insertion-site dressings were less likely to be intact on non-ICU patients. Interventions to reduce CVC-associated bloodstream infections should include non-ICU patients.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2004

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